NPIMap

Special Health Resources for Texas, Incorporated

A Medicare group practice based in Longview, TX: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 1355326158), with 34 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1355326158The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
AR, TX
Enrollments
12
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 6 places

Enrollment records 12

Enrollment IDStateProvider typeNPI
O20040623001434 TX Part B Supplier - Clinic/Group Practice 1043209919
O20090617000427 TX Part A Provider - Federally Qualified Health Center (FQHC) 1043209919
O20260220001946 TX Part A Provider - Federally Qualified Health Center (FQHC) 1003765371
O20260324003261 TX Part A Provider - Federally Qualified Health Center (FQHC) 1811846025
O20161115002688 TX Part A Provider - Federally Qualified Health Center (FQHC) 1922556067
O20171120000241 TX Part A Provider - Federally Qualified Health Center (FQHC) 1346791258
O20150908001240 TX Part A Provider - Federally Qualified Health Center (FQHC) 1750769238
O20150818003564 TX Part A Provider - Federally Qualified Health Center (FQHC) 1609298132
O20151027002189 TX Part A Provider - Federally Qualified Health Center (FQHC) 1326460858
O20160627001837 AR Part A Provider - Federally Qualified Health Center (FQHC) 1942665112
O20180710001655 AR Part B Supplier - Clinic/Group Practice 1184113466
O20181016000873 TX Part A Provider - Federally Qualified Health Center (FQHC) 1184103285

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 34

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (14).

Sources for this page