Youens, Duchicela & Associates, P.a.
Organization Active NPI Family Medicine Physician · Weimar, TX
NPI 1356337190 · NPPES record last updated Jun 29, 2009
Key facts
- NPI
- 1356337190
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- YOUENS, DUCHICELA & ASSOCIATES, P.A.
- Practice address
- 402 Youens Dr
Weimar, TX 78962-3680 - Phone
- (979) 725-8545
- Fax
- (979) 725-8287
- NPI assigned
- Sep 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Robert Youens, M.D.
- Title
- President Professional Association
- Phone
- (979) 725-8545
Subparts reporting this organization as parent 1
Practitioners 7
-
Jorge A Duchicela, M.D.
-
Olga I Duchicela, M.D.
-
Leah Rey Mikesky, MD
-
Estela Mota, M.D
-
Rob Parrish, M.D.
-
Abigayle Taylor Adamson, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090630000547 | TX | Part B Supplier - Clinic/Group Practice | 0042361511 |
Receives reassigned benefits from 7 practitioners Practice locations: Weimar, TX |
National Provider Directory
Locations
507 SMT St
Schulenburg, TX 78956
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
402 Youens Dr
Weimar, TX 78962-3680
Mailing address
402 Youens Dr
Weimar, TX 78962-3680
Phone (979) 725-8545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153590801 | Medicaid | TX |
Other names
- Youens & Duchicela Clinic
Other providers in Weimar, TX
- Weimar Assisted Living Partners, Inc.
- Weimar II Enterprises, LLC
- Weimar Independent School District
- Weimar Medical Holdings LLC
- Winnie-Stowell Hospital District
- Robert A Youens
All providers in Weimar, TX · Family Medicine 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 Jun 29, 2009. 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.