Jacqueline Phillips (NPI# 1811204928, PAC ID# 9537339916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1811204928 |
| PAC ID by PECOS | 9537339916 |
| Professional Enrollment ID | I20110822000143 |
| Full Name | Jacqueline Phillips |
| Organization Legal Name | AMISTAD COMMUNITY HEALTH CENTER INCORPORATED |
| Address |
1533 Brownlee Blvd Suite 100 Corpus Christi TX 78404-3131 |
| Phone Number | 3618842242 |
| Gender | F |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8527131036 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450788 | THE CORPUS CHRISTI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1533 Brownlee Blvd, Suite 100, Corpus Christi, TX 78404-3131 | 3618842242 | AMISTAD COMMUNITY HEALTH CENTER INCORPORATED |
| Organization Legal Name | AMISTAD COMMUNITY HEALTH CENTER INCORPORATED |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott P Krall | Emergency Medicine | Amistad Community Health Center Incorporated | 1533 Brownlee Blvd, Suite 100, Corpus Christi, TX 78404-3131 |
| Lisa M Vela | Psychiatry | Amistad Community Health Center Incorporated | 1533 Brownlee Blvd, Suite 100, Corpus Christi, TX 78404-3131 |
| Street Address |
1533 BROWNLEE BLVD SUITE 100 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip | 78404-3131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott P Krall | Emergency Medicine | Amistad Community Health Center Incorporated | 1533 Brownlee Blvd, Suite 100, Corpus Christi, TX 78404-3131 |
| Lisa M Vela | Psychiatry | Amistad Community Health Center Incorporated | 1533 Brownlee Blvd, Suite 100, Corpus Christi, TX 78404-3131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendoline O Ugwuibe | Nurse Practitioner | Maurice N Ugwuibe Md Pa | 1531 S Almeda, Corpus Christi, TX 78404 |
| Maurice N Ugwuibe | Internal Medicine | Maurice N Ugwuibe Md Pa | 1531 S Almeda, Corpus Christi, TX 78404 |
| Mark Wilson Geneser | Pulmonary Disease | 226 Oleander Ave, Corpus Christi, TX 78404-1731 | |
| Melissa L. Ramsden | Nurse Practitioner | Physicians Unity | 1533 5th St, Corpus Christi, TX 78404-1901 |
| Brent L Pennington | Family Medicine | Physicians Unity | 1533 5th St, Corpus Christi, TX 78404-1901 |
| Karen A Reese | Nurse Practitioner | Physicians Unity | 1533 5th St, Corpus Christi, TX 78404-1901 |
| Collen Mora | Nurse Practitioner | Physicians Unity | 1533 5th St, Corpus Christi, TX 78404-1901 |
| Sharon Williams | Nurse Practitioner | Physicians Unity | 1533 5th St, Corpus Christi, TX 78404-1901 |
| Raquel Ambriz-sanchez | Nurse Practitioner | Physicians Unity | 1533 5th St, Corpus Christi, TX 78404-1901 |
| Abhay Vakil | Internal Medicine | 701 Ayers St, Corpus Christi, TX 78404-1912 | |
| Find all physicians in zip 78404 | |||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CORPUS CHRISTI + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jacqueline Phillips.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.