Vesper Medical Care PLLC
Organization Active NPI General Practice Physician · Woodway, TX
NPI 1164096145 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1164096145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- VESPER MEDICAL CARE PLLC
- Practice address
- 8416 Old McGregor Rd
Woodway, TX 76712-6499 - Phone
- (254) 307-3997
- Fax
- (254) 300-9935
- NPI assigned
- May 14, 2021
- Organization subpart
- No
Authorized official
- Name
- Jonathan D Osborne
- Title
- Owner
- Phone
- (254) 307-3997
Practitioners 36
-
Jesse Ian Baker, FNP, RN
-
Liliana Gamino, NP-C
-
Aval NA Ree Sian Green, M.D.
-
Sarah Kathryn Hannah, APRN FNP
-
Tametra Lashawn Jones, RN, MSN, NP-C
-
Megan Kathyleen Lemley, RN, NP-C
-
Aricela Mireles Lujan, MSN, APRN, FNP-C
-
Elizabeth McDonald, APRN-CNP
-
Heather Ortiz, FNP
-
Danna Lea Perlowski, RN/F.N.P.-C
-
Jessica Randall, FNP-C
-
Ligia Liana Tofanel, FNP
-
Barbara D Weir, APRN
-
Kerry Zacharias, FNP
-
Sheby Alexander, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210723000182 | TX | Part B Supplier - Clinic/Group Practice | 4880097237 |
Receives reassigned benefits from 35 practitioners Practice locations: Woodway, TX |
National Provider Directory
Locations
318 Chambers St
Marlin, TX 76661
Phone (254) 833-5508
1400 Lake Shore Dr
Waco, TX 76708
Phone (254) 753-0291
7111 Bosque Blvd
Ste 303
Waco, TX 76710
Phone (254) 307-3997
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
8416 Old McGregor Rd
Woodway, TX 76712-6499
Mailing address
8416 Old McGregor Rd
Woodway, TX 76712-6499
Phone (254) 307-3997
Other providers in Woodway, TX
- Ava Valencia
- Tember Riley Valles
- Joann Vanness
- Trase Venard
- Ruben James Venegas
- Evangelina Vicencio
- Waco Integrated Medical PLLC
- Waco Ocd Inc
- Waco Ocd Inc
- Kenneth B Waite
All providers in Woodway, TX · General Practice Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.