Provider Directory Addendum
Transcript of Provider Directory Addendum
2021
Provider Directory
AddendumThrough 11/1/2021
El Apéndice del Directorio de
Proveedores
Hasta el 11/1/2021
H0332_PRDADDV4_2021
KelseyCare Advantage
HMO and HMO-POS Plan
Provider Directory Addendum/
El Apéndice del Directorio de Proveedores
This addendum provides a list of updates to KelseyCare Advantage’s network providers.
This addendum includes updates as of 11/1/2021. Some network providers may have been added or removed
from our network after this addendum was created. We do not guarantee that each provider is still accepting
new members. To get the most up-to-date information about KelseyCare Advantage’s network providers in
your area, you can visit www.kelseycareadvantage.com or call our Member Service Department at
713-442-CARE (2273) or toll-free at 1-866-535-8343 for additional information. From October 1 through
March 31, hours are 8:00 a.m. to 8:00 p.m., seven days a week. Messaging service used on weekends, after
hours, and on federal holidays. From April 1 through September 30, hours are 8:00 a.m. to 8:00 p.m.,
Monday through Friday. Messaging service used on weekends, after hours, and on federal holidays. (TTY
users should call 711).
KelseyCare Advantage is offered by KS Plan Administrators, LLC, a Medicare Advantage HMO with a
Medicare contract. Enrollment in KelseyCare Advantage depends on contract renewal.
ATTENTION: If you speak a language other than English, language assistance services, free of charge, are
available to you. Call 1-866-535-8343 (TTY: 711).
We can also give you information in Braille, in large print or other alternate formats, upon request.
Este apéndice proporciona una lista de cambios a proveedores de la red de KelseyCare Advantage.
Este apéndice incluye actualizaciones a partir del 11/1/2021. Es posible que se hayan agregado o eliminado
algunos proveedores de nuestra red después de que se haya impreso este directorio. No garantizamos que
cada proveedor aun esté aceptando nuevos miembros. Para obtener la información más actualizada acerca
de los proveedores de la red de KelseyCare Advantage en su área, usted puede visitar
www.kelseycareadvantage.com o llamar a nuestro departamento de Servicios para Miembros al
713-442-CARE (2273), o a la línea gratuita 1-866-535-8343. Del 1 de octubre al 31 de marzo, el horario es
de 8:00 a.m. a 8:00 p.m., siete días a la semana. El servicio de mensajería se usa los fines de semana, fuera
de horario y en días feriados nacionales. Del 1 de abril al 30 de septiembre, el horario es de 8:00 a.m. a 8:00
p.m., de lunes a viernes. El servicio de mensajería se usa los fines de semana, fuera de horario y en días
feriados nacionales. (Los usuarios de TTY deben llamar al 711).
KelseyCare Advantage es ofrecido por KS Plan Administrators LLC, un plan Medicare Advantage HMO
que tiene un contrato con Medicare. La inscripción en KelseyCare Advantage depende de la renovación del
contrato.
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al
1-866-535-8343 (TTY: 711).
También podemos proporcionarle información en braille, en tamaño de letra grande o en otros formatos
alternativos, si lo solicita. We can also give you information in Braille, in large print or other alternate
formats, upon request.
Table of Contents
Additions to the Provider Network (193) ....................................................................................................... 4
Terminations to the Provider Network (137) ................................................................................................ 17
Other Changes to the Provider Network ...................................................................................................... 27
Facility Additions to Provider Network (12) ................................................................................................ 48
Additions to Mental Health Providers (115) ................................................................................................. 49
Terminations to Mental Health Providers (68) ............................................................................................. 59
Additions to Vision Service Providers (122) ................................................................................................ 65
Terminations to Vision Service Providers (57) ............................................................................................ 72
2
Tabla de Contenidos
Adiciones a la Red de Proveedores (193) ....................................................................................................... 4
Terminaciones a la Red de Proveedores (137) ............................................................................................. 17
Otros cambios a la Red de Proveedores ....................................................................................................... 27
Instalaciones Adiciones de Proveedores (12) ............................................................................................... 48
Adiciones a los Proveedores de Salud Mental (115) .................................................................................... 49
Terminaciones a Proveedores de Salud Mental (68) .................................................................................... 59
Adiciones a Proveedores de servicios visión (122) ...................................................................................... 65
Terminaciones a Proveedores de servicios visión (57) ................................................................................. 72
3
Additions to the Provider Network
Adiciones a la Red de Proveedores
Allergy and Immunology
Alergia e Inmunología
Harris County / Condado
City of Houston
Ciudad de Houston
Kelsey-Seybold Spring Medical
and Diagnostic Center
15655 Cypress Woods Medical Dr Ste 100Houston, TX 77014(713) 442-1700
Nicole Canon, MD●
Montgomery County
Montgomery Condado
City of Shenandoah
Ciudad de Shenandoah
Kelsey-Seybold Clinic-The
Woodlands
106 Vision Park BlvdShenandoah, TX 77384(713) 442-1800
Nicole Canon, MD●
Cardiology / Cardiología
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
Brazosport Cardiology, PA
215 Oak Dr South Ste LLake Jackson, TX 77566(979) 297-5481
Saleem Raslan, MD
Fort Bend County
Fort Bend Condado
City of Richmond
Ciudad de Richmond
Kelsey-Seybold Clinic-Katy
22121 FM 1093Richmond, TX 77407(713) 442-4100
Maygen Del Castillo, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Medicine - Heart Clinic
7200 Cambridge St6th Fl Ste 6 AHouston, TX 77030(713) 798-2545
Stephen J Dolgner, MD●
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Maygen Del Castillo, MD●
Kelsey-Seybold
Clinic-Tanglewood
1111 Augusta DrHouston, TX 77057(713) 442-2400
Maygen Del Castillo, MD●
UT Physicians Cardiology -
Texas Medical Center
6410 Fannin St Ste 600Houston, TX 77030(832) 325-7211
Vernon H Anderson, MD●
UT Physicians Center for
Advanced Heart
Failure-Southeast
11920 Astoria Blvd Ste 400Houston, TX 77089(281) 484-0996
Clarence D Gill, MD●
UT Physicians EP Heart -
Memorial City
925 Gessner Rd Ste 540Houston, TX 77024(713) 486-2400
Bartosz P Jozwik, MD●
City of Katy
Ciudad de Katy
Kelsey-Seybold West Grand
Parkway Clinic
2510 West Grand Pkwy NorthKaty, TX 77449(713) 442-4222
Maygen Del Castillo, MD●
City of Webster
Ciudad de Webster
Bay Area Heart PLLC
450 Blossom St Ste DWebster, TX 77598(832) 905-5940
Francis Uricchio, MD
Jinesh P Shah, MD
Rakesh Shah, MD
Snehalkumar A Patel, MD
Montgomery County
Montgomery Condado
City of Kingwood
Ciudad de Kingwood
Texas Cardiology Associates of
Houston
2627 Chestnut Ridge #100Kingwood, TX 77339(281) 358-1950
Hassan Kamran, MD
City of Shenandoah
Ciudad de Shenandoah
Methodist DeBakey Cardiology
Associates
17189 IH 45 South Ste 475Shenandoah, TX 77385(936) 270-3933
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● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
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Additions to the Provider Network
Adiciones a la Red de Proveedores
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Devang S Parikh, MD
Cardiothoracic Surgery
Cirugía cardiotorácica
Harris County / Condado
City of Houston
Ciudad de Houston
Methodist Cardiovascular
Associates
6550 Fannin Ste 1401Houston, TX 77030(713) 441-5200
Lin-Chiang P Chou, MD
Methodist Cardiovascular
Surgery Associates
18220 State Hwy 249 Ste 400Houston, TX 77070(281) 737-2918
Scott E Olsson, MD
UT Physicians Pediatric
Surgery - Texas Medical Center
6410 Fannin St Ste 950Houston, TX 77030(832) 325-7234
Damien J LaPar, MD●
City of Webster
Ciudad de Webster
Texas Oncology
501 Medical Ctr BlvdWebster, TX 77598(281) 332-7505
Melissa L Korb, MD
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
BSLMG Woodlands North
Houston Heart Center
17350 St. Luke's Way Ste 400The Woodlands, TX 77384(281) 444-3278
Mark M Mettauer, MD●
Premier Surgeons Management
17350 St. Luke's Way Ste 290The Woodlands, TX 77384(936) 283-0264
Mark M Mettauer, MD
Chiropractor
Quiropráctico
Harris County / Condado
City of Kingwood
Ciudad de Kingwood
Pagano Clinic, LLC
1526 Kingwood DrKingwood, TX 77339(281) 358-7777
Scott K Pagano, DC
Colon & Rectal Surgery
Cirugía de Colon y Rectal
Harris County / Condado
City of Houston
Ciudad de Houston
Haas ColoRectal & Urology
Group
6560 Fannin St Ste 1404Houston, TX 77030(713) 441-5155
Eric M Haas, MD
Jean-Paul J LeFave, MD
Joshua C Coursey, MD
TMHPO Surgery Department
7900 Fannin Ste 1200Houston, TX 77030(713) 790-0060
Joshua C Coursey, MD
TMHPO Surgery Department
6560 Fannin St Ste 1404Houston, TX 77030(713) 790-0600
Eric M Haas, MD
Jean-Paul J LeFave, MD
Joshua C Coursey, MD
TMHPO Surgery Department
7900 Fannin Ste 1200Houston, TX 77054(713) 790-8020
Jean-Paul J LeFave, MD
Critical Care Medicine
Harris County / Condado
City of Houston
Ciudad de Houston
CHI Baylor Anesthesia and
Critical Care
6720 Bertner Ave Ste O-520Houston, TX 77030(832) 355-2666
Bashar Farjo, MD●
CHI Baylor St. Luke's Medical
Center
6720 Bertner AveHouston, TX 77030(713) 798-1000
Manuel A Vilchez, MD●
Prakruthi Voore, MD●
Dermatology
Dermatología
Harris County / Condado
City of Houston
Ciudad de Houston
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales5
Additions to the Provider Network
Adiciones a la Red de Proveedores
Heights Dermatology
2120 Ashland StHouston, TX 77008(713) 864-2656
Alpesh Desai, DO
Kelsey-Seybold
Clinic-Meyerland Plaza
560 Meyerland Plaza MallHouston, TX 77096(713) 442-3222
Nary A Hickson, MD●
Montgomery County
Montgomery Condado
City of Shenandoah
Ciudad de Shenandoah
Kelsey-Seybold Clinic The
Woodlands
106 Vision Park BlvdShenandoah, TX 77384(713) 442-1800
Kehinde Ogunmakin, MD●
ENT/Otolaryngology
ENT/Otorrinolaringología
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
Kim Dart, DO PLLC
215 Oak Dr South Ste FLake Jackson, TX 77566(979) 299-1520
Kim Dart, DO
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Otolaryngology
1977 Butler Blvd Ste E5200Houston, TX 77030(713) 798-5900
Meha G Fox, MD●
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Benjamin Yang, MD●
Samer Fakhri, MD●
TMH Physician Associates
PLLC DBA Houston Methodist
ENT Specialists
6550 Fannin Ste 1723Houston, TX 77030(713) 441-1368
Joshua J Kain, MD●
UT Physicians
Otorhinolaryngology - Texas
Medical Center
6400 Fannin St Ste 2700Houston, TX 77030(713) 486-5000
Andrew G Tritter, MD●
City of Webster
Ciudad de Webster
Kelsey-Seybold Clinic-Clear
Lake
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Samer Fakhri, MD●
Emergency Medicine
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor St. Luke's Medical Center
- Emergency Department
7200 Cambridge St 1st FlHouston, TX 77030(832) 355-4292
Nicole S Hardy, MD●
Sarah Noory, DO●
Endocrinology
Endocrinología
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Medicine - Heart Clinic
7200 Cambridge St 6th Fl Ste 6 AHouston, TX 77030(713) 798-2545
Layla Abushamat, MD●
UT Physicians - Internal Medicine
6410 Fannin StHouston, TX 77030(832) 325-7161
Salima K Ali, MD●
Family Medicine
Medicina familiar
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
BSLMG Brazosport Lake Road
FMC
210 Lake Rd Ste 300Lake Jackson, TX 77566(979) 285-9455
Kin Yu Wong, MD●
Suhani Bhakta, MD●
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Additions to the Provider Network
Adiciones a la Red de Proveedores
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Kelsey-Seybold Clinic - Lake
Jackson
201 That WayLake Jackson, TX 77566(979) 285-2100
Susan Jarrell, MD●
City of Pearland
Ciudad de Pearland
Kelsey-Seybold Clinic-
Pearland
2515 Business Ctr DrPearland, TX 77584(713) 442-7200
Ngozi U Okorafor, MD●
Fort Bend County
Fort Bend Condado
City of Missouri City
Ciudad de Missouri City
Kelsey-Seybold Clinic- Sienna
Clinic
7010 Hwy 6Missouri City, TX 77459(713) 442-6700
Nicole Thomas, DO●
Roopa Samant, MD●
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Fort Bend
Medical and Diagnostic Center
11555 University BlvdSugar Land, TX 77478(713) 442-9100
Madiha Sajid, DO●
Harris County / Condado
City of Baytown
Ciudad de Baytown
Kelsey-Seybold Clinic-Baytown
6300 Garth Rd Ste 200Baytown, TX 77521(713) 442-1240
Kimberlie J Gonzalez, MD●
City of Houston
Ciudad de Houston
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Amber Malik, MD●
Nicole P Mathes, MD●
Ramin Bajoghli, MD●
Satnam Singh Saini Bhondi, MD●
Kelsey-Seybold Clinic-
Berthelsen Main Campus
2727 W Holcombe BlvdHouston, TX 77025(713) 442-0000
Najda A Mujtaba, MD●
Kelsey-Seybold Clinic-Cypress
13105 Wortham Ctr DrHouston, TX 77065(713) 442-4000
Husain Mogri, MD●■
Meherin S Huque, MD●
Kelsey-Seybold Clinic-Greater
Heights
1900 North Loop West 4th FlHouston, TX 77018(713) 442-3800
Xuyen D Phan, MD●
Kelsey-Seybold
Clinic-Meyerland Plaza
560 Meyerland Plaza MallHouston, TX 77096(713) 442-3222
Angie C Sung, MD●
Leila El-Kweifi, DO●
Kelsey-Seybold Clinic-North
Channel
5820 E Sam Houston Pkwy NHouston, TX 77049(713) 442-6000
John E Ruelas, MD●
Kelsey-Seybold Clinic-River Oaks
2040 West Gray St Ste 120 and 200Houston, TX 77019(713) 442-3400
Marian Jacob, DO●
Kelsey-Seybold
Clinic-Tanglewood
1111 Augusta DrHouston, TX 77057(713) 442-2400
Justin J Joseph, DO●
Nicole Thurmond, MD●
Xuyen D Phan, MD●
Kelsey-Seybold Spring Medical
and Diagnostic Center
15655 Cypress Woods Medical Dr Ste 100Houston, TX 77014(713) 442-1700
Momtaz Nahar, MD●
City of Humble
Ciudad de Humble
Kelsey-Seybold Clinic-Summer
Creek
8233 N Sam Houston Pkwy EHumble, TX 77396(713) 442-2000
John E Ruelas, MD●
Michelle Hadi, DO●
City of Pasadena
Ciudad de Pasadena
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales7
Additions to the Provider Network
Adiciones a la Red de Proveedores
Kelsey-Seybold Clinic-Pasadena
5001 E Sam Houston Pkwy SPasadena, TX 77505(713) 442-7100
Tasnim Choudhury, DO●
City of Webster
Ciudad de Webster
Kelsey-Seybold Clinic-Clear
Lake
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Kenny C Lam, MD●
Montgomery County
Montgomery Condado
City of Porter
Ciudad de Porter
Kelse-Seybold Clinic-Kingwood
25553 US Hwy 59NPorter, TX 77365(713) 442-2100
Oksana Marroquin, MD●
City of Shenandoah
Ciudad de Shenandoah
Kelsey-Seybold Clinic-The
Woodlands
106 Vision Park BlvdShenandoah, TX 77384(713) 442-1800
Shelby F Payne, MD●
Gastroenterology
Gastroenterología
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
Digestive & Liver Center, PA
109 Parking Way StLake Jackson, TX 77566(979) 292-0033
Umari M Siddiqui, MD
Brazos County / Condado
City of Bryan
Ciudad de Bryan
Central Texas Digestive Disease
Association PA
2206 E Villa Maria RdBryan, TX 77802(979) 776-4600
Brent M Gray, MD
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair -
Gastroenterology
7200 Cambridge St 8th Fl Ste 8 BHouston, TX 77030(713) 798-2500
Fasiha Kanwal, MD●
Jessica D Bernica, MD●
Gastroenterology Consultants,
PA
444 FM 1959 RdHouston, TX 77034(281) 481-9400
Meera B Avila, MD
General Surgery
Cirugía general
Harris County / Condado
City of Houston
Ciudad de Houston
CHI Baylor St. Luke's Medical
Center
6720 Bertner AveHouston, TX 77030(713) 798-1000
Feibi Zheng, MD●
Kelsey-Seybold Clinic Berthelsen
Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Eric K Rachlin, MD●
TMH Physician Associates PLLC
DBA TMHPO Surgery
Department
13300 Hargrave Rd Ste 450Houston, TX 77070(281) 737-4861
Arthy Yoga, MD
TMHPO Surgery Department
6550 Fannin Ste 1501Houston, TX 77030(713) 363-9236
Nicole M Tapia, MD●
TMHPO Surgery Department
6550 Fannin Ste 1501Houston, TX 77030(713) 441-5141
Feibi Zheng, MD●
TMHPO Surgery Department
6550 Fannin Ste 1601Houston, TX 77030(713) 441-5141
Feibi Zheng, MD●
UT Physicians Pediatric Surgery -
Texas Medical Center
6410 Fannin St Ste 950Houston, TX 77030(832) 325-7234
Megan A Coughlin, MD●
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● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
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UT Physicians Women's Center
- Memorial City
929 Gessner Rd Ste 1300Houston, TX 77024(713) 486-6600
Emily K Robinson, MD●
Montgomery County
Montgomery Condado
City of Shenandoah
Ciudad de Shenandoah
TMHPO Surgery Department
17183 IH 45 South Ste 330Shenandoah, TX 77385(936) 270-3660
Robin A Skrine, MD
City of The Woodlands
Ciudad de The Woodlands
Texas Oncology The
Woodlands East
9180 Pinecroft Ste 600The Woodlands, TX 77380(281) 296-0365
Arthy Yoga, MD
Polk County / Condado
City of Livingston
Ciudad de Livingston
Frank S Walker Jr MD PA
400 Bypass Lane Ste 111Livingston, TX 77351(936) 240-9339
Frank S Walker, MD
Gynecologic Oncology
Oncología ginecológica
Harris County / Condado
City of Houston
Ciudad de Houston
UT Physicians Adult
Hematology - Texas Medical
Center
6400 Fannin St Ste 2900Houston, TX 77030(713) 704-3961
Rosa A Guerra, MD●
UT Physicians Gynecologic
Oncology-Southeast
11914 Astoria Blvd Ste 510Houston, TX 77089(713) 486-1170
Abigail S Zamorano, MD●
Rosa A Guerra, MD●
Gynecology, OB/GYN
Ginecología,
Obstetricia/Ginecología
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
BSLMG Brazosport OB/Gyn
210 Lake Rd Ste 200Lake Jackson, TX 77566(979) 299-0011
Michael J DiClemente, MD●
City of Pearland
Ciudad de Pearland
Kelsey-Seybold Clinic-
Pearland
2515 Business Ctr DrPearland, TX 77584(713) 442-7200
Stephanie Ho, MD●
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Fort Bend
Medical and Diagnostic Center
11555 University BlvdSugar Land, TX 77478(713) 442-9100
Amirhossein Nikahd, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
BSLMG Vintage OB/Gyn
20207 Chasewood Park Dr Ste 204Houston, TX 77070(832) 534-7800
LaToia M Marks, MD●
Stephanie D Smith-Sham, MD●
Kelsey-Seybold
Clinic-Tanglewood
1111 Augusta DrHouston, TX 77057(713) 442-2400
Stephanie Ho, MD●
Privia Medical Group Gulfcoast
7900 Fannin Ste 3012Houston, TX 77054(713) 512-7027
LaToia M Marks, MD●
Texas Children's Pavilion for
Women- Pulmonary CCU
6651 Main St 9th Fl CCUHouston, TX 77030(832) 824-1000
Amir A Shamshirsaz, MD●
UT Physicians Urogynecology
Center-Southeast
11914 Astoria Blvd Ste 510Houston, TX 77089(713) 486-6360
Wiyatta B Freeman, MD●
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales9
Additions to the Provider Network
Adiciones a la Red de Proveedores
UT Physicians Women's Center
- Texas Medical Center
6410 Fannin St Ste 350Houston, TX 77030(832) 325-7131
Gladys F Rafanan, DO●
Jason L Holliday, MD●
Mason Hui, DO●
Monique D Gillman, MD●
Nicole C Gillman, MD●
UT Physicians Women's Center
- Texas Medical Center
6410 Fannin St Ste 350Houston, TX 77030(832) 325-7133
Krystine M Guerra, MD●
Mateo G Leon Leon, MD●
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
Kelsey-Seybold Clinic-The
Woodlands Ob/Gyn
17198 St. Luke's Way Ste 540The Woodlands, TX 77385(713) 442-1900
Meredith Stocks, MD●
Washington County
Washington Condado
City of Brenham
Ciudad de Brenham
Brenham Family Practice and
Obstertics
601 Medical Pkwy Ste DBrenham, TX 77833(979) 836-2822
Jon E Bode, MD
Internal Medicine
Medicina interna
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
Theory Health Medical Clinic
135 Oyster Creek Dr Ste ELake Jackson, TX 77566(979) 279-3387
Jeevan Gowda, MD
City of Pearland
Ciudad de Pearland
Kelsey-Seybold Clinic-Pearland
2515 Business Ctr DrPearland, TX 77584(713) 442-7200
George Shelton Jr., MD●
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Fort Bend
Medical and Diagnostic Center
11555 University BlvdSugar Land, TX 77478(713) 442-9100
Matthew Doan, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
BSLMG Houston Northwest
Primary Care
20207 Chasewood Park Dr Ste 300Houston, TX 77070(832) 534-7860
Stephanie A Warfield, DO●
Kelsey-Seybold Clinic -
Tanglewood
1111 AugustaHouston, TX 77057(713) 442-2400
Stella C Yeung-Shi, MD●
Kelsey-Seybold Clinic Berthelsen
Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Alexander Constantine, MD●
Desh Mohan, MD●
Ketul R Patel, MD●
Michael A Harms, MD●
Rizwan Ali, MD●
Shalini E Koshy, MD●
Kelsey-Seybold Clinic-Greater
Heights
1900 North Loop West 4th FlHouston, TX 77018(713) 442-3800
Puja B Gandhi, MD●
Kelsey-Seybold Clinic-Spring
Medical and Diagnostic Center
15655 Cypress Woods Medical DrHouston, TX 77014(713) 442-1700
Deepthi R Chiluvuri, DO●
Kelsey-Seybold Clinic-St Luke's
Medical Tower
6624 Fannin 19th FlHouston, TX 77030(713) 442-0000
Hussam Alhasson, MD●
Kelsey-Seybold
Clinic-Tanglewood
1111 Augusta DrHouston, TX 77057(713) 442-2400
Ariana Samani, MD●
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roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
10
Additions to the Provider Network
Adiciones a la Red de Proveedores
Ad
dit
ion
s to
th
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etw
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/ A
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ion
es a
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dore
s
Kelsey-Seybold Clinic-The
Vintage
10701 Vintage Preserve PkwyHouston, TX 77070(713) 442-1500
Renato F Zuniga Rodriguez, MD●
City of Humble
Ciudad de Humble
Northeast Medical Associates,
PA
18648 McKay DrSte 220Humble, TX 77338(281) 548-1210
Iram Ramzan, MD
City of Webster
Ciudad de Webster
Kelsey-Seybold Clinic-Clear
Lake
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Alex Thomas, DO●
Nephrology / Nefrología
Harris County / Condado
City of Houston
Ciudad de Houston
Methodist Academic Medicine
Associates
6550 Fannin Ste 1101Houston, TX 77030(713) 636-8592
Angelina R Edwards, MD●
UT Physicians - Organ
Transplantation Center
6411 Fannin StHouston, TX 77030(713) 704-5200
Angelina R Edwards, MD●
City of Katy
Ciudad de Katy
Renal Clinic of Houston, P.A.
21720 Kingsland Blvd Ste 308Katy, TX 77450(281) 579-5799
Hemanth N Hampole, MD
Neurology / Neurología
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Neurology
7200 Cambridge St 9th Fl Ste 9 AHouston, TX 77030(713) 798-2273
Andrew J Billnitzer, MD●
Chi-Ying Lin, MD●
Chintan Shah, MD●
Gabriela Tantillo Sepulveda, MD●
Houston Methodist Neurology
Associates
2060 Space Park Dr Ste 104Houston, TX 77058(832) 873-1999
Bingzhong Chen, MD
Kelsey-Seybold Clinic-Cypress
Clinic
13105 Wortham Ctr DrHouston, TX 77065(713) 442-4000
Carisa S Liew, DO●
TMH Physician Associates PLLC
DBA Houston Methodist
Neurology Associates
18100 Houston Methodist Dr Ste 240Houston, TX 77058(832) 783-1999
Gunjan Narwani, MD●
TMH Physician Associates PLLC
DBA TMHPO Neurology
Department
6560 Fannin Ste 1002Houston, TX 77030(713) 363-8184
Andrew J Billnitzer, MD●
TMH Physician Associates PLLC
DBA TMHPO Neurology
Department
6560 Fannin Ste 802Houston, TX 77030(713) 441-1150
Christine B Rizk, MD
UT Health Neurosciences -
Memorial City
929 Gessner Rd Ste 2410Houston, TX 77024(713) 486-7720
Xinh X Tran, MD●
UT Health Neurosciences -
Neurology
6410 Fannin St Ste 1014Houston, TX 77030(832) 325-7080
Melissa J Christie, MD●
UT Neurosciences - Texas Medical
Center
6400 Fannin St Ste 2800Houston, TX 77030(713) 486-8000
Juan C Martinez-Gutierrez, MD●
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales11
Additions to the Provider Network
Adiciones a la Red de Proveedores
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
BSLMG Woodlands Neurology
17198 St. Luke's Way Ste 600The Woodlands, TX 77384(936) 266-2450
Hormozd Bozorgchami, MD●
Neurosurgery
Neurocirugía
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Methodist Academic Medicine
Associates
16605 Southwest Fwy Ste 220Sugar Land, TX 77479(346) 901-2140
Derrick Y Sun, MD
Methodist Academic Medicine
Associates
16605 Southwest Frwy Ste 220Sugar Land, TX 77479(349) 874-2525
Derrick Y Sun, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Neurosurgery
7200 Cambridge St 9th Fl Ste 9 BHouston, TX 77030(713) 798-4696
Cyrus B King III, MD●
Joey K Grochmal, MD●
Omar Tanweer, MD●
Mischer Neuroscience
Associates
6400 Fannin St Ste 2800Houston, TX 77030(713) 704-7100
Cyrus B King III, MD●
TMH Physician Associates
PLLC DBA TMHPO
Neurosurgery Department
18300 Katy Frwy Ste 135Houston, TX 77094(832) 522-8500
Wyatt Langdon Ramey, MD
TMH Physician Associates
PLLC DBA TMHPO
Neurosurgery Departments
13300 Hargrave Rd Ste 500Houston, TX 77070(281) 737-2932
Einar T Bogason, MD
TMHPO Neurosurgery
Department
6560 Fannin Ste 900Houston, TX 77030(713) 441-3800
Amir H Faraji, MD
UT Neurosciences - Texas
Medical Center
6400 Fannin St Ste 2800Houston, TX 77030(713) 486-8000
Nicholas M Ahye, MD●
Oncology - Medical, Surgical
Oncología - Médica/Quirúrgica
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Breast Care
Center
7200 Cambridge St 7th Fl Ste 7 AHouston, TX 77030(713) 798-1999
Demetria J Smith-Graziani, MD●
Baylor McNair - Hematology and
Oncology
7200 Cambridge St 7th Fl Ste 7 BHouston, TX 77030(713) 798-3750
Arpit Rao, MD●
Baylor McNair - Oncology
7200 Cambridge St 7th Fl Ste 7BHouston, TX 77030(713) 798-7710
Meera R Patel, MD●
Kelsey-Seybold Clinic-Main
Campus
2727 W Holcombe BlvdHouston, TX 77025(713) 442-0000
Mohammad A Jafri, MD●
Methodist Academic Medicine
Associates
18220 State Hwy 130Houston, TX 77070(281) 737-0435
Yue Connie Wang, MD
Yue C Wang, MD
TMH Physician Associates PLLC
DBA Methodist Academic
Medicine Associates
6445 Main St OPC 24Houston, TX 77030(713) 441-9948
Siddhartha Ganguly, MD
Ad
ditio
ns to
the P
rovid
er Netw
ork
/ Ad
icion
es a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
12
Additions to the Provider Network
Adiciones a la Red de Proveedores
Ad
dit
ion
s to
th
e P
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er N
etw
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/ A
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ion
es a
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s
TMH Physician Associates
PLLC DBA Methodist
Academic Medicine Associates
18400 Katy Fwy Ste 670Houston, TX 77094(832) 522-5521
Chinemerem F Abanonu, MD
Texas Oncology
7515 S Main St Ste 740Houston, TX 77030(713) 795-0202
Vipal P Durkal, MD
Oncology - Radiation/Radiation
Oncology
Oncología - Radioncología
Harris County / Condado
City of Baytown
Ciudad de Baytown
Methodist Radiation Oncology
Group
4021 Garth Rd Ste 105Baytown, TX 77521(281) 420-8557
Mary S Goswitz, MD
City of Houston
Ciudad de Houston
Kelsey-Seybold Clinic-Main
Campus
2727 W Holcombe BlvdHouston, TX 77025(713) 442-0000
Benjamin Farnia, MD●
Mi K Ko, MD●
St. Luke's Kirby Glen
Outpatient Center
2491 South Braeswood BlvdHouston, TX 77030(832) 355-7118
Alexander N Hanania, MD●
Daniel Hamstra, MD●
Ophthalmology
Oftalmología
Harris County / Condado
City of Houston
Ciudad de Houston
Alkek Eye Center
1977 Butler BlvdHouston, TX 77030(713) 798-6100
Neal Kansara, MD●
Alkek Eye Center
1977 Butler Blvd 2nd FlHouston, TX 77030(713) 798-6100
Daniel J Olson, MD●
Jaafar F El Annan, MD●
Alkek Eye Center
1977 Butler Blvd 3rd FlHouston, TX 77030(713) 798-6100
Allison J Chen, MD●
Houston Eye Associates, P.A.
12121 Richmond Avenue Ste 220Houston, TX 77082(713) 558-8775
Lucy A Bailey, MD
Kelsey-Seybold Clinic-Main
Campus
2727 W Holcombe BlvdHouston, TX 77025(713) 442-0000
Salman Rahman, MD●
Kelsey-Seybold Clinic-Spring
Medical and Diagnostic Center
15655 Cypress Woods Medical DrHouston, TX 77014(713) 442-1700
Richard B Jenkins, MD●
City of Katy
Ciudad de Katy
Berkeley Eye Center
21502 Merchants WayKaty, TX 77449(281) 579-6777
Donna M Talluto, MD
Optometry / Optometría
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Clinic-Fort Bend
Medical and Diagnostic Center
11555 University BlvdSugar Land, TX 77478(713) 442-9100
Sandra Rajan, OD●
Harris County / Condado
City of Houston
Ciudad de Houston
Berkeley Eye Center
8800 Katy FrwyHouston, TX 77024(713) 827-8311
Anthony R Kruger, OD
Kelsey-Seybold Clinic-Main
Campus
2727 W Holcombe BlvdHouston, TX 77025(713) 442-0000
Rebekah Montes, OD●
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales13
Additions to the Provider Network
Adiciones a la Red de Proveedores
Kelsey-Seybold-Spring Medical
and Diagnostic Center
15655 Cypress Woods Medical DrHouston, TX 77014(713) 442-1700
Susana C Moreno, OD●
Lighthouse for the Blind of
Houston
3602 W Dallas StHouston, TX 77019(713) 284-8494
Ana M Perez, OD
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
Berkeley Eye Center
17450 St Lukes Way Ste 100The Woodlands, TX 77384(281) 363-3443
Joe D Nguyen, OD
Orthopedic Surgery
Cirugía ortopédica
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
BSLMG Brazosport Bone &
Joint of Lake Jackson
217A Oak Dr SouthLake Jackson, TX 77566(979) 299-6900
Steven D Eggleston, MD●
Steven D. Eggleston, MD PA
208 Oak Dr South Ste 602Lake Jackson, TX 77566(979) 299-3100
Steven D Eggleston, MD●
The Bone and Joint Clinic of
Lake Jackson
120 Flag Lake Dr Ste 1Lake Jackson, TX 77566(979) 299-6900
Charles E Vega, MD
Charles E Vega, MD
Harris County / Condado
City of Baytown
Ciudad de Baytown
Clear Lake Specialties PA
1667A Baker RdBaytown, TX 77521(281) 942-8001
Venkata K Jonna, MD
TMH Physician Associates
PLLC DBA TMHPO
Orthopedics Department
1677 West Baker Rd Ste 1701Baytown, TX 77521(281) 427-7400
Comron Saifi, MD
TMHPO Orthopedics
Department
4201 Garth Rd Ste 111Baytown, TX 77521(281) 427-7400
Venkata K Jonna, MD
City of Houston
Ciudad de Houston
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Jason E Kappa, MD●
Pain Management
Tratamiento del dolor
Harris County / Condado
City of Houston
Ciudad de Houston
Houston Spine & Joint Pain
Consultants
4101 Greenbriar Dr Ste 208Houston, TX 77098(832) 777-7246
Elhady N Dalya, MD
City of Webster
Ciudad de Webster
Clear Lake Specialties PA
600 N Kobayashi RdWebster, TX 77598(281) 724-8180
Moustafa M Ahmed, MD
Plastic Surgery
Cirugía Plástica
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Plastic Surgery
1977 Butler BlvdHouston, TX 77030(713) 798-6141
Michelle M Nemec, PA●
Shayan A Izaddoost, MD●
Kelsey-Seybold Clinic Berthelsen
Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Shayan A Izaddoost, MD●
Podiatry / Podología
Harris County / Condado
Ad
ditio
ns to
the P
rovid
er Netw
ork
/ Ad
icion
es a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
14
Additions to the Provider Network
Adiciones a la Red de Proveedores
Ad
dit
ion
s to
th
e P
rovid
er N
etw
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/ A
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ion
es a
la R
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City of Houston
Ciudad de Houston
Foot and Ankle Center of North
Houston
17215 Red Oak Dr Ste 102Houston, TX 77090(281) 444-4114
Jason R Armstrong, DPM
Lawrence S Mactavish, DPM
Michael L Gordon, DPM
Pulmonology
Neumonología
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Pulmonary
7200 Cambridge St 8th Fl Ste 8 AHouston, TX 77030(713) 798-2500
Fatima I Adhi, MD●
Maher Baz, MD●
Muralidhar Kondapaneni, MD●
Houston Pulmonary Medicine
Associates (Astoria)
11920 Astoria Ste 320Houston, TX 77089(281) 484-4210
Oluwaseun A Davies, MD
Rehabilitation Medicine
Medicina de Rehabilitación
Fort Bend County
Fort Bend Condado
City of Richmond
Ciudad de Richmond
Kelsey-Seybold Clinic-Katy
22121 FM 1093Richmond, TX 77047(713) 442-4100
Vinay Vanodia, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - PM&R
7200 Cambridge St 10th Fl Ste 10 BHouston, TX 77030(713) 798-7246
Ming-Chyi Hsieh, MD●
Wiaam O Ahmed, MD●
CHI Baylor St. Luke's Medical
Center
6720 Bertner AveHouston, TX 77030(713) 798-1000
Ming-Chyi Hsieh, MD●
TIRR Outpatient Medical
Clinic
1333 Moursund St 1st FlHouston, TX 77030(713) 799-5000
Matthew J Lin, MD●
Rheumatology
Reumatología
Fort Bend County
Fort Bend Condado
City of Katy
Ciudad de Katy
UT Physicians Multispecialty -
Cinco Ranch
23923 Cinco Ranch BlvdKaty, TX 77494(713) 486-5300
Lauren K Ridley, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Methodist Academic Medicine
Associates
6550 Fannin Ste 1101Houston, TX 77030(713) 441-0006
Myriam E Guevara, MD
City of Humble
Ciudad de Humble
Kelsey-Seybold Clinic-Summer
Creek
8233 N Sam Houston Pkwy EHumble, TX 77396(713) 442-2000
Nida Z Momin, MD●
Montgomery County
Montgomery Condado
City of Porter
Ciudad de Porter
Kelsey-Seybold Clinic-Kingwood
25553 US Hwy 59Porter, TX 77365(713) 442-2100
Nida Z Momin, MD●
City of Shenandoah
Ciudad de Shenandoah
Kelsey-Seybold Clinic-The
Woodlands
106 Vision Park BlvdShenandoah, TX 77384(713) 442-1800
Nida Z Momin, MD●
Urology / Urología
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales15
Additions to the Provider Network
Adiciones a la Red de Proveedores
BSLMG Brazosport Urology
208 Oak Dr South Ste 500Lake Jackson, TX 77566(979) 299-0011
Wilmer B Robert, MD●
BSLMG Brazosport Urology
210 Lake Rd Ste 200Lake Jackson, TX 77566(979) 299-0011
Wilmer B Rober, MD●
Bayler St. Luke's Specialty
210 Lake Rd Ste 200Lake Jackson, TX 77566(979) 299-0011
Wilmer B Robert, MD
Harris County / Condado
City of Houston
Ciudad de Houston
UT Physicians Urology - Texas
Medical Center
6400 Fannin St Ste 2300Houston, TX 77030(832) 325-7280
Travis P Green, MD●
Montgomery County
Montgomery Condado
City of Porter
Ciudad de Porter
Kelsey-Seybold
Clinic-Kingwood
25553 US Hwy 59Porter, TX 77365(713) 442-2100
Michael Pan, MD●
City of The Woodlands
Ciudad de The Woodlands
Texas Oncology
17198 St. Luke's Way Ste 410The Woodlands, TX 77384(281) 351-5174
Edward J Sanchez, MD
Vascular Neurology
Neurología Vascular
Harris County / Condado
City of Houston
Ciudad de Houston
UT Physicians Movement
Disorders and
Neurodegenerative
Diseases-TMC
6410 Fannin St Ste 1014Houston, TX 77030(832) 325-7080
Sishir Mannava, MD●
Vascular Surgery
Cirugía vascular
Harris County / Condado
City of Houston
Ciudad de Houston
Renal Specialists of Houston,
PA
8876 Gulf Frwy Ste 215Houston, TX 77017(713) 791-2648
Gordon H Martin, MD
Ad
ditio
ns to
the P
rovid
er Netw
ork
/ Ad
icion
es a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
16
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
Ter
min
ati
on
s to
th
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/ T
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inaci
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es a
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s
Cardiology / Cardiología
Harris County / Condado
City of Houston
Ciudad de Houston
UT Physicians - Advanced
Heart Failure
6400 Fannin StHouston, TX 77030(713) 704-4300
Brian L Walton, MD●
UT Physicians - Cardiology
5420 Dashwood DrHouston, TX 77081(713) 486-1075
Prakash Balan, MD●
UT Physicians Cardiology -
Texas Medical Center
6410 Fannin St Ste 600Houston, TX 77030(713) 798-2545
David Aguilar, DO●
Cardiothoracic Surgery
Cirugía cardiotorácica
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Clinic Surgery -
Cardiovascular
1101 Bates AvenueHouston, TX 77030(713) 798-1300
George Vasilios Letsou, MD●
Methodist Cardiovascular
Surgery Associates
6550 Fannin Ste 1401Houston, TX 77030(713) 441-6511
Swaminadhan Gnanashanmugam, MD
UT Physicians Cardiothoracic
and Vascular Surgery-
Memorial City
915 Gessner Rd Ste 585Houston, TX 77024(713) 486-6690
Donald M Gibson, MD●
Dermatology
Dermatología
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Kelsey - Seybold Clinic Fort
Bend Medical & Diagnostic
Center
11555 University BlvdSugar Land, TX 77478(713) 442-9100
C Enrique Batres, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Dermatology
1977 Butler Blvd Ste E6200Houston, TX 77030(713) 798-6131
Cedar Helen Malone, MD●
Kelsey-Seybold Clinic-The
Vintage
10701 Vintage Preserve PkwyHouston, TX 77070(713) 442-1500
Marie Maurice, MD●
City of Pasadena
Ciudad de Pasadena
Kelsey-Seybold Clinic-Pasadena
5001 E Sam Houston Pkwy SPasadena, TX 77505(713) 442-7100
Sharon Kim, MD●
ENT/Otolaryngology
ENT/Otorrinolaringología
Harris County / Condado
City of Houston
Ciudad de Houston
UT Physicians
Otorhinolaryngology - Texas
Medical Center
6400 Fannin St Ste 2700Houston, TX 77030(713) 486-5000
Ronda E Alexander, MD●
Emergency Medicine
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor St. Luke's Medical Center
- Emergency Department
7200 Cambridge St 1st FlHouston, TX 77030(832) 355-4292
Kristen Robertson, MD●
Endocrinology
Endocrinología
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Neurosurgery
7200 Cambridge St 9th Fl Ste 9 BHouston, TX 77030(713) 798-4696
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales17
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
Susan L Samson, MD●
Family Medicine
Medicina familiar
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
BSLMG Brazosport Lake Road
FMC
210 Lake Rd Ste 300Lake Jackson, TX 77566(979) 285-9455
Kin Yu Wong, DO●
Feaver Family Practice
201 That WayLake Jackson, TX 77566(979) 285-2100
Brian J Feaver, MD
Harris County / Condado
City of Baytown
Ciudad de Baytown
Kelsey-Seybold Clinic-Baytown
6300 Garth Rd Ste 200Baytown, TX 77521(713) 442-1240
Mohammad Ahmed, MD●
City of Houston
Ciudad de Houston
Alan D Tran, MD
13734 State Hwy 249 Ste BHouston, TX 77086(281) 591-0500
Alan Tran, MD
CiBi Family Medicine
12660 Beechnut St Ste 110Houston, TX 77072(281) 564-2242
Bernadette Iguh, MD
Cullen Family Practice
7710 Cullen BlvdHouston, TX 77051(281) 915-7010
Bernadette Iguh, MD
Kelsey - Seybold Clinic Spring
Medical And Diagnostic Center
15655 Cypress Woods Medical DrHouston, TX 77014(713) 442-1700
Harriet N Hilliard, MD●
Kelsey - Seybold
Clinic-Berthelsen Main
Campus
2727 W Holcombe BlvdHouston, TX 77025(713) 442-0000
Lansing Yee, MD●
Kelsey - Seybold
Clinic-Berthelsen Main
Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Silvia Los, MD●
Kelsey - Seybold
Clinic-Meyerland Plaza
560 Meyerland Plaza MallHouston, TX 77096(713) 442-3222
Lee Bar-Eli, MD●
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Nita I Singhal, MD●
MCA West Houston Family
Practice
12245 Richmond AveHouston, TX 77082(281) 558-6700
Bruce Patterson, MD
Memorial Clinical Associates
16001 Park Ten Place Ste 300Houston, TX 77084(713) 407-3000
Saad Shammas, MD
Northshore Medical Association
1140 Westmont Ste 202Houston, TX 77015(281) 457-2236
Donald Hearn, MD
City of Tomball
Ciudad de Tomball
BSLMG Tomball Family
Medicine
602 Lawrence St Ste ETomball, TX 77375(832) 534-7880
Elizabeth Wanner, MD●
G A Valdez and Associates
888 Graham Dr Ste 100Tomball, TX 77375(281) 255-2001
George Valdez, MD
City of Webster
Ciudad de Webster
Kelsey-Seybold Clinic-Clear Lake
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Alfreda L Bell, MD●
Montgomery County
Montgomery Condado
Term
inatio
ns to
the P
rovid
er Netw
ork
/ Term
inacio
nes a
la R
ed d
e Pro
veed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
18
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
Ter
min
ati
on
s to
th
e P
rovid
er N
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/ T
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inaci
on
es a
la R
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s
City of Conroe
Ciudad de Conroe
ETCS Conroe Family Medicine
3251 IH-45 North Ste 100Conroe, TX 77304(936) 494-4430
Martin Caperton, MD●
City of Magnolia
Ciudad de Magnolia
BSLMG Woodlands Magnolia
Family Medicine
827 South Magnolia Blvd Ste 4Magnolia, TX 77355(936) 266-3460
Randall Walker, MD●
City of Porter
Ciudad de Porter
Kelsey - Seybold
Clinic-Kingwood
25553 US Hwy 59Porter, TX 77365(713) 442-2100
Lakebra Glover, MD●
Polk County / Condado
City of Livingston
Ciudad de Livingston
CHI St. Luke's Memorial
Clinics
403 Ogletree Dr Ste 120Livingston, TX 77351(936) 328-3293
Raoul Perez, MD●
Walker County / Condado
City of Huntsville
Ciudad de Huntsville
HMH Medical Clinic
125 Medical Park Lane Ste CHuntsville, TX 77340(936) 291-3219
Fernando Gallegos-Garcia, MD
Gastroenterology
Gastroenterología
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Family Medicine -
Gastroenterology
3701 Kirby DrHouston, TX 77098(713) 798-2500
Johanna L Chan, MD●
Baylor McNair -
Gastroenterology
7200 Cambridge StHouston, TX 77030(713) 798-2500
Johanna L Chan, MD●
TMHPO Methodist Academic
Medicine Associates
6550 Fannin Ste 1201Houston, TX 77030(713) 741-3372
Fredic Lyone Hochman, MD
Texas International Endoscopy
Center
6620 Main StSte 1500Houston, TX 77030(713) 520-8432
Johanna L Chan, MD●
Polk County / Condado
City of Livingston
Ciudad de Livingston
BSLMG Livingston
Gastroenterology Clinic
403 Ogletree Ste 205Livingston, TX 77351(936) 329-8446
Georg Elias, MD●
General Surgery
Cirugía general
Harris County / Condado
City of Houston
Ciudad de Houston
TMH Physician Associates PLLC
DBA TMHPO Surgery
Department
6550 Fannin Ste 1501Houston, TX 77030(713) 441-5451
Jesse R Conner, MD●
TMHPO Surgery Department
6550 Fannin Ste 1501Houston, TX 77030(713) 441-5141
Feibi Zheng, MD●
TMHPO Surgery Department
6550 Fannin Ste 1601Houston, TX 77030(713) 441-5141
Feibi Zheng, MD●
Montgomery County
Montgomery Condado
City of Conroe
Ciudad de Conroe
Mark A Johnson, MD PA
100 Medical Ctr BlvdConroe, TX 77304(936) 271-0665
Mark A Johnson, MD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales19
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
Gynecology, OB/GYN
Ginecología,
Obstetricia/Ginecología
Harris County / Condado
City of Houston
Ciudad de Houston
Kelsey-Seybold
Clinic-Downtown at The Shops
1200 McKinney St Ste 473Houston, TX 77010(713) 442-4700
Devanshi Somaiya, MD●
UT Physicians Multispecialty -
The Heights
925 North Shepherd DrHouston, TX 77008(713) 486-7200
Ha T Nguyen, MD●
UT Physicians Obstetrics and
Gynecology Continuity Clinic
6410 Fannin St Ste 350Houston, TX 77030(832) 325-7278
Conisha M Holloman, MD●
UT Physicians Women's Center
- Texas Medical Center
6410 Fannin St Ste 250Houston, TX 77030(832) 325-7131
Diana K Crabtree Sokol, MD●
UT Physicians Women's Center
- Texas Medical Center
6410 Fannin St Ste 350Houston, TX 77030(832) 325-7131
Diana K Crabtree Sokol, MD●
UT Physicians Women's Center
- Texas Medical Center
6410 Fannin StHouston, TX 77030(832) 325-7278
Corey Clifford, DO●
UT Physicians Women's Center
- Texas Medical Center
6410 Fannin St Ste 350Houston, TX 77030(832) 325-7278
Anne V Gonzalez, MD●
Mary C Haver, MD●
City of Webster
Ciudad de Webster
Southwest Women's Health
Alliance
250 Blossom Ste 350Webster, TX 77598(832) 553-5430
Joy P Leblanc, MD
Infectious Diseases
Enfermedades infecciosas
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Infectious
Diseases
7200 Cambridge St 8th Fl Ste 8 BHouston, TX 77030(713) 798-2900
Marion Hemmersbach-Miller, MD●
Methodist Academic Medicine
Associates
6560 Fannin Ste 1540Houston, TX 77030(713) 799-9997
Victor Fainstein, MD■
Internal Medicine
Medicina interna
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
Raj Dalal, M.D., P.A.
192 Abner Jackson PkwyLake Jackson, TX 77566(979) 285-0007
Rajesh V Dalal, MD
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Clinic-Fort Bend
Medical and Diagnostic Center
11555 University BlvdSugar Land, TX 77478(713) 442-9100
John Tam, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Internal Medicine - 1225
6620 Main StHouston, TX 77030(713) 798-2500
Amna Asim, MD●
Baylor McNair - Gastroenterology
7200 Cambridge StHouston, TX 77030(713) 798-2500
Khushboo Munot, MD●
Kelsey - Seybold Clinic Spring
Medical And Diagnostic Center
15655 Cypress Woods Medical DrHouston, TX 77014(713) 442-1700
Term
inatio
ns to
the P
rovid
er Netw
ork
/ Term
inacio
nes a
la R
ed d
e Pro
veed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
20
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
Ter
min
ati
on
s to
th
e P
rovid
er N
etw
ork
/ T
erm
inaci
on
es a
la R
ed d
e P
rovee
dore
s
Maher Abbara, MD●
Kelsey - Seybold
Clinic-Berthelsen Main
Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Dennis Brown, MD●
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Amna Asim, MD●
Bernice D Adu-Gyamfi, MD●
Kelsey-Seybold Spring Medical
and Diagnostic Center
15655 Cypress Woods Medical Dr Ste 100Houston, TX 77014(713) 442-1700
Bernice D Adu-Gyamfi, MD●
Memorial Clinical Associates
16001 Park Ten Place Ste 300Houston, TX 77084(713) 407-3000
Bhakti Gidvani, MD
John Levins, MD
Marsha Hughart, MD
Miguel Franco, MD
Richard Pohil, MD
Roger Schultz, MD
The Torres Center
427 W 20th St Ste 503Houston, TX 77008(713) 863-9200
Anna Torres, MD
UT Physicians - Emergency
Medicine
6411 Fannin StHouston, TX 77030(713) 704-4060
Melissa Reimer, MD●
City of Webster
Ciudad de Webster
Kelsey - Seybold Clinic-Clear
Lake
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Mark MacGregor, MD●
Kelsey-Seybold Clinic-Clear
Lake
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Amna Asim, MD●
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
BSLMG Woodlands Hospital
17200 St. Luke's WayThe Woodlands, TX 77384(000) 000-0000
Syed Ahsun Raza, MD●
Syed Ahsun Raza, MD●
Interventional Pulmonary
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Pulmonary
7200 Cambridge StHouston, TX 77030(713) 798-2500
Ali Zul Jiwani, MD●
Nephrology / Nefrología
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Internal Medicine - 1225
6620 Main St 11th Fl 11B241Houston, TX 77030(713) 798-2500
Venkataraman Ramanathan, MD●
Baylor McNair - Nephrology
7200 Cambridge St 8th Fl Ste 8 BHouston, TX 77030(713) 798-2500
Chandan Vangala, MD●
UT Physicians - Organ
Transplantation Center
6411 Fannin StHouston, TX 77030(713) 704-5200
Angelina R Edwards, MD●
Neurology / Neurología
Harris County / Condado
City of Houston
Ciudad de Houston
Mischer Neuroscience Associates
929 Gessner Rd Ste 2410Houston, TX 77024(713) 242-4410
Eddie L Patton, MD●
Suresh M. Roongta, MD
427 W 20thHouston, TX 77008(713) 861-1331
Suresh M Roontga, MD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales21
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
TMH Physician Associates
PLLC DBA TMHPO Neurology
Department
6560 Fannin Ste 802Houston, TX 77030(713) 441-1150
Christine B Rizk, MD
UT Physicians Neurology -
Texas Medical Center
6410 Fannin StHouston, TX 77030(832) 325-7080
Omotola A Hope, MD●
Neurosurgery
Neurocirugía
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Fort Bend
Medical and Diagnostic Center
11555 University BlvdSugar Land, TX 77478(713) 442-9100
David S Xu, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Neurosurgery
7200 Cambridge St 9th Fl Ste 9 BHouston, TX 77030(713) 798-4696
David S Xu, MD●
Mischer Neuroscience
Associates
925 Gessner Rd Ste 100Houston, TX 77024(713) 242-3500
Wesley H Jones, MD●
TMHPO Neurosurgery
Department
13300 Hargrave Rd Ste 500Houston, TX 77070(281) 737-2932
Glenn B Anderson, MD
TMHPO Neurosurgery
Department
6560 Fannin Ste 900Houston, TX 77030(713) 441-3800
Glenn B Anderson, MD
Oncology - Medical, Surgical
Oncología - Médica/Quirúrgica
Harris County / Condado
City of Houston
Ciudad de Houston
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Vipal P Durkal, MD●
Texas Oncology
925 Gessner Rd Ste 550Houston, TX 77024(713) 467-1722
Monica D Desai, MD
Texas Oncology
7515 S Main Ste 740Houston, TX 77030(713) 795-0202
Yue C Wang, MD●
Oncology - Radiation/Radiation
Oncology
Oncología - Radioncología
Harris County / Condado
City of Houston
Ciudad de Houston
Kelsey-Seybold Clinic Berthelsen
Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Benjamin Farnia, MD●■
Millennium Physicians
Association
17323 Red Oak DrHouston, TX 77090(281) 440-5006
Jason Berilgen, MD
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
CHI St. Luke's Woodlands -
Oncology
17198 St. Luke's Way Ste 100The Woodlands, TX 77384(936) 266-4330
Kathryn M Lewis, MD●
Texas Oncology
9323 Pinecroft Dr Ste 110The Woodlands, TX 77380(281) 943-2440
Jason Berilgen, MD
Oncology-Hematology
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Breast Care
Center
7200 Cambridge StHouston, TX 77030(713) 798-1999
Term
inatio
ns to
the P
rovid
er Netw
ork
/ Term
inacio
nes a
la R
ed d
e Pro
veed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
22
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
Ter
min
ati
on
s to
th
e P
rovid
er N
etw
ork
/ T
erm
inaci
on
es a
la R
ed d
e P
rovee
dore
s
Jason A Mouabbi, MD●
Ophthalmology
Oftalmología
Harris County / Condado
City of Houston
Ciudad de Houston
Alkek Eye Center
1977 Butler BlvdHouston, TX 77030(713) 798-6100
Bac Tien Nguyen, MD●
Kate Chenlu Xie, MD●
Milton Boniuk, MD●
Houston Eye Associates PA
2855 GramercyHouston, TX 77025(713) 668-6828
Richard L Kimbrough, MD
Houston Eye Associates PA
2855 GrammercyHouston, TX 77025(713) 668-6828
Lowell Watkins, MD
Houston Eye Associates PA
427 W 20th St Ste 100Houston, TX 77008(713) 862-6631
Andrew L Watkins, MD
Houston Eye Associates, P.A.
2855 GramercyHouston, TX 77025(713) 668-6828
Charity H Grannis, MD
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Denise Schatte, MD●
Kelsey-Seybold
Clinic-Tanglewood
1111 Augusta DrHouston, TX 77057(713) 442-2400
Denise Schatte, MD●
Retina & Vitreous of Texas,
PLLC
2727 Gramercy Ste 200Houston, TX 77025(713) 799-9975
Daniel Salisbury, MD
City of Spring
Ciudad de Spring
BCM Ophthalmology
Springwoods Village
2255 E Mossy Oaks Rd Ste 300Spring, TX 77389(713) 986-6100
Bac Tien Nguyen, MD●
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
Avery Eye Clinic
129 Vision Park BlvdThe Woodlands, TX 77384(281) 713-5214
Andrew Dvorak, MD
Avery Eye Clinic
129 Vision Park BlvdThe Woodlands, TX 77384(281) 719-5214
Linda Lin, MD
Mark Wilkerson, MD
Avery Eye Clinic
129 Vision Park Blvd Ste 110The Woodlands, TX 77384(281) 719-5214
Baptiste Dejean, MD
Craig Kuglen, MD
Walker County / Condado
City of Huntsville
Ciudad de Huntsville
Avery Eye Clinic
3361 Montgomery RdHuntsville, TX 77340(936) 294-0218
Paul Black, OD
Optometry / Optometría
Harris County / Condado
City of Houston
Ciudad de Houston
Kelsey-Seybold Spring Medical
and Diagnostic Clinic
15655 Cypress Woods Medical DrHouston, TX 77014(713) 442-1700
Kimberly Menzie, OD●
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
Avery Eye Clinic
129 Vision Park BlvdThe Woodlands, TX 77384(281) 719-5214
Renee Williams, OD
Orthopedic Surgery
Cirugía ortopédica
Harris County / Condado
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales23
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
City of Baytown
Ciudad de Baytown
TMHPO Orthopedics
Department
4201 Garth Rd Ste 111Baytown, TX 77521(281) 427-7400
Venkata K Jonna, MD
TMHPO Orthopedics
Department
4000 Garth Rd Ste 200Baytown, TX 77521(713) 441-9000
Leland A Winston, MD
City of Houston
Ciudad de Houston
BCM San Felipe Clinic
6363 San Felipe St Ste 150Houston, TX 77057(713) 986-6000
Mark S Adickes, MD●
Baylor McNair - Orthopedic
Surgery
7200 Cambridge StHouston, TX 77030(713) 986-6016
Mark S Adickes, MD●
KSF Orthopaedic Center, PA
17270 Red Oak Dr Ste 200Houston, TX 77090(281) 440-6960
Andrew P Kant, MD
KSF Orthopedic Center, PA
17270 Red Oak Dr Ste 200Houston, TX 77090(281) 440-6960
Andrew Kant, MD
David Sun, MD
Thomas Cartwright, MD
Kelsey - Seybold
Clinic-Berthelsen Main
Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Anup Shah, MD●
TMHPO Orthopedics
Department
14903 El Camino RealHouston, TX 77062(713) 363-9090
Kenneth Brooks Brooks, MD
TMHPO Orthopedics
Department
6445 Main Ste 2500Houston, TX 77030(713) 441-9000
Leland A Winston, MD
Rex A Marco, MD
UT Physicians - Orthopedics -
Trauma Clinic
6414 Fannin StHouston, TX 77030(713) 486-7560
Joshua L Gary, MD●
Physical Medicine and Rehab
Medician física y Rehabilitación
Harris County / Condado
City of Harris
Ciudad de Harris
Bayor McNair - PM&R
7200 Cambridge St 10th Fl Ste 10BHarris, TX 77030(713) 798-7246
Uvieoghene O Ughwanogho, MD●
City of Houston
Ciudad de Houston
Baylor McNair - PM&R
7200 Cambridge StHouston, TX 77030(713) 798-7246
Martin Grabois, MD●
Baylor Physical Medicine and
Rehabilitation
6550 FanninHouston, TX 77030(713) 798-6198
Uvieoghene O Ughwanogho, MD●
Plastic Surgery
Cirugía Plástica
Harris County / Condado
City of Bellaire
Ciudad de Bellaire
UT Physicians Minimally Invasive
Surgeons of Texas (UTMIST)
6700 West Loop South Ste 500Bellaire, TX 77401(713) 486-1330
Jessica F Rose, DO●
City of Houston
Ciudad de Houston
Kelsey - Seybold Clinic-Berthelsen
Main Campus
2727 W Holcombe BlvdHouston, TX 77025(713) 442-0000
Jamal M Bullocks, MD●
Kelsey-Seybold Clinic Berthelsen
Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Jamal M Bullocks, MD●
Term
inatio
ns to
the P
rovid
er Netw
ork
/ Term
inacio
nes a
la R
ed d
e Pro
veed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
24
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
Ter
min
ati
on
s to
th
e P
rovid
er N
etw
ork
/ T
erm
inaci
on
es a
la R
ed d
e P
rovee
dore
s
TMHPO Institute for
Reconstructive Surgery
13300 Hargrave Rd Ste 450Houston, TX 77070(281) 737-4560
John W Shuck, MD
TMHPO Institute for
Reconstructive Surgery
6560 Fannin Ste 2200Houston, TX 77030(713) 441-6106
John W Shuck, MD
UT Physicians General Surgery
- Texas Medical Center
6410 Fannin St Ste 1400Houston, TX 77030(832) 325-7181
Grigorios A Lamaris, MD●
Jessica F Rose, DO●
Podiatry / Podología
Harris County / Condado
City of Deer Park
Ciudad de Deer Park
S F Hartley, DPM PC
112 W Pasadena BlvdDeer Park, TX 77536(281) 479-5311
Mohammed A Farroqui, DPM
City of Houston
Ciudad de Houston
S F Hartley, DPM PC
1140 Westmont Dr Ste 310Houston, TX 77015(713) 455-5999
Mohammed A Farroqui, DPM
Pulmonology
Neumonología
Fort Bend County
Fort Bend Condado
City of Missouri City
Ciudad de Missouri City
UT Physicians at Sienna Village
8810 Hwy 6 Ste 100Missouri City, TX 77459(713) 486-1200
Farah Akhtar, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Internal Medicine - 1225
6620 Main St 11th Fl 11B241Houston, TX 77030(713) 798-2500
James Patrick Herlihy, MD●
Muhammad Asim Siddique, MD●
Ritwick Agrawal, MD●
Baylor McNair - Pulmonary
7200 Cambridge StHouston, TX 77030(713) 798-2500
Amit D Parulekar, MD●
Baylor McNair - Pulmonary
7200 Cambridge St 8th Fl Ste 8 AHouston, TX 77030(713) 798-2500
Dipaben Dhananjay Modi, MD●
Jairo Hernando Barrantes Perez, MD●
Prasad Manian, MD●
Kelsey-Seybold Clinic
Berthelsen Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Katie R Jeans, MD●
Rehabilitation Medicine
Medicina de Rehabilitación
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - PM&R
7200 Cambridge St 10th Fl Ste 10 BHouston, TX 77030(713) 798-7246
Christine Marie Pautler Krull, MD●
Ray Chang, MD●
Kelsey - Seybold Clinic-Berthelsen
Main Campus
2727 W Holcombe BlvdHouston, TX 77025(713) 442-0000
Siddharth V Aranke, MD●
Kelsey-Seybold Clinic Berthelsen
Main Campus
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Elizabeth Pena, DO●
Methodist Rehabilitation
Associates
6560 Fannin Ste 1878Houston, TX 77030(713) 441-5189
Gregory Keith Burton, MD
Rheumatology
Reumatología
Harris County / Condado
City of Bellaire
Ciudad de Bellaire
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales25
Terminations to the Provider Network
Terminaciones a la Red de Proveedores
UT Physicians Health Center at
Bellaire
6700 West Loop SouthBellaire, TX 77401(713) 572-8122
Jammie K Barnes, MD●
City of Houston
Ciudad de Houston
Kelsey - Seybold
Clinic-Meyerland Plaza
560 Meyerland Plaza MallHouston, TX 77096(713) 442-3222
Francis M Williams, MD●
UT Physicians at Texas Medical
Center
6410 Fannin StHouston, TX 77030(832) 325-7191
Jammie K Barnes, MD●
Surgery, Thoracic
Harris County / Condado
City of Houston
Ciudad de Houston
George Noon, MD
6565 Fannin StHouston, TX 77030(713) 790-3155
George Paul Noon, MD●■
Urology / Urología
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Methodist Urology Associates
16659 Southwest Frwy Ste 401Sugar Land, TX 77479(281) 276-5280
Neel Srikishen, MD
Harris County / Condado
City of Baytown
Ciudad de Baytown
Methodist Urology Associates
4201 Garth Rd Ste 307Baytown, TX 77521(832) 556-6046
Olubayo Daniel Tojuola, MD
Term
inatio
ns to
the P
rovid
er Netw
ork
/ Term
inacio
nes a
la R
ed d
e Pro
veed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
26
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
er C
han
ges
to t
he
Pro
vid
er N
etw
ork
/ O
tros
cam
bio
s a l
a R
ed d
e P
rovee
dore
s
Allergy and Immunology
Alergia e Inmunología
Montgomery County
Montgomery Condado
City of Shenandoah
Ciudad de Shenandoah
Kelsey-Seybold Clinic-The
Woodlands
Location Added/Lugar Agregado
106 Vision Park BlvdShenandoah, TX 77384(713) 442-1800
Nicole Canon, MD●
Cardiology / Cardiología
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Memorial Hermann Pearland
Hospital
Location Added/Lugar Agregado
16100 South FrwyPearland, TX 77584(713) 413-5000
Clarence D Gill, MD●
Fort Bend County
Fort Bend Condado
City of Katy
Ciudad de Katy
UT Physicians Multispecialty -
Cinco Ranch
Location Added/Lugar Agregado
23923 Cinco Ranch BlvdKaty, TX 77494(713) 486-2400
Zaka U Khan, MD●
City of Sugar Land
Ciudad de Sugar Land
UT Physicians - EP Heart
Sugar Land
Location Added/Lugar Agregado
17510 West Grand Pkwy SouthSugar Land, TX 77479(713) 486-2400
Siddharth S Mukerji, MD●
UT Physicians - EP Heart
Sugar Land
Location Termed/Lugar
Terminada
17510 West Grand Pkwy SouthSugar Land, TX 77479(713) 486-2400
Siddharth S Mukerji, MD●
UT Physicians EP Heart -
Sugar Land
Location Added/Lugar Agregado
6909 Brisbane Court Ste 300Sugar Land, TX 77479(713) 486-2400
Siddharth S Mukerji, MD●
Zaka U Khan, MD●
Harris County / Condado
City of Bellaire
Ciudad de Bellaire
UT Physicians Health Center at
Bellaire
Location Added/Lugar Agregado
6700 West Loop SouthBellaire, TX 77401(713) 486-1625
Ijeoma U Ekeruo, MD●
UT Physicians Multispecialty -
Bellaire
Location Added/Lugar Agregado
6700 West Loop South Ste 250Bellaire, TX 77401(713) 572-8122
Ijeoma U Ekeruo, MD●
City of Houston
Ciudad de Houston
Hall Garcia Cardiology Associates
Location Added/Lugar Agregado
6624 Fannin StHouston, TX 77030(713) 529-5530
Abdi Rasekh, MD●
Mehdi Razavi, MD●
UT Physicians EP Heart -
Complex Arrhythmia Center
Location Added/Lugar Agregado
6400 Fannin StHouston, TX 77030(713) 486-1625
Khashayar Hematpour, MD●
Siddharth S Mukerji, MD●
UT Physicians EP Heart -
Complex Arrhythmia Center
Location Added/Lugar Agregado
6400 Fannin St Ste 2550Houston, TX 77030(713) 486-2400
Zaka U Khan, MD●
UT Physicians EP Heart -
Memorial City
Location Added/Lugar Agregado
925 Gessner RdHouston, TX 77024(713) 486-2400
Siddharth S Mukerji, MD●
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales27
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
UT Physicians EP Heart -
Memorial City
Location Added/Lugar Agregado
925 Gessner Rd Ste 540Houston, TX 77024(713) 486-2400
Zaka U Khan, MD●
UT Physicians EP Heart -
Southeast
Location Added/Lugar Agregado
11920 Astoria BlvdHouston, TX 77089(713) 486-1420
Khashayar Hematpour, MD●
UT Physicians EP Heart -
Vintage Park
Location Added/Lugar Agregado
102 Vintage Park BlvdHouston, TX 77070(713) 486-2400
Zaka U Khan, MD●
UT Physicians EP Heart -
Vintage Park
Location Added/Lugar Agregado
102 Vintage Park Blvd Building L Ste EHouston, TX 77070(713) 486-5280
Khashayar Hematpour, MD●
UT Physicians-Advanced Heart
Failure
Location Added/Lugar Agregado
915 Gessner Rd Ste 301Houston, TX 77024(713) 242-2170
Philip C Haas, DO●
City of Webster
Ciudad de Webster
Hall Garcia Cardiology
Associates - Webster
Location Added/Lugar Agregado
450 W Medical Ctr Blvd Ste 510Webster, TX 77598(713) 529-5530
Abdi Rasekh, MD●
Mehdi Razavi, MD●
UT Physicians EP Heart -
Webster
Location Added/Lugar Agregado
561 Medical Ctr BlvdWebster, TX 77598(713) 486-1480
Khashayar Hematpour, MD●
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
UT Physicians EP Heart - The
Woodlands
Location Added/Lugar Agregado
9180 Pinecroft Ste 420The Woodlands, TX 77380(713) 486-1550
Ijeoma U Ekeruo, MD●
Cardiothoracic Surgery
Cirugía cardiotorácica
Harris County / Condado
City of Houston
Ciudad de Houston
Center for Advanced Heart
Failure
Location Termed/Lugar
Terminada
6400 Fannin StHouston, TX 77030(713) 704-4300
Manish K Patel, MD●
Methodist Cardiovascular
Surgery Associates
Location Added/Lugar Agregado
18400 Katy Frwy Ste 640Houston, TX 77094(281) 737-2918
Scott E Olsson, MD
Methodist Cardiovascular
Surgery Associates
Location Added/Lugar Agregado
18400 Katy Frwy Ste 640Houston, TX 77094(832) 522-8600
Javier A Lafuente, MD
UT Physicians Center for
Advanced Heart Failure -
Memorial City
Location Added/Lugar Agregado
915 Gessner Rd Ste 301Houston, TX 77024(713) 242-2222
Cristian S Sarateanu, MD●
City of Webster
Ciudad de Webster
Clear Lake Regional Medical
Center
Location Termed/Lugar Terminada
500 Medical Ctr BlvdWebster, TX 77598(281) 554-1650
Manish K Patel, MD●
UT Physicians Cardiothoracic and
Vascular Surgery - Webster
Location Termed/Lugar Terminada
561 Medical Ctr Blvd Ste AWebster, TX 77598(713) 486-1160
Manish K Patel, MD●
Oth
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bio
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ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
28
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
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to t
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Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
Center for Advanced
Cardiology - Woodlands
Location Termed/Lugar
Terminada
1120 Medical Plaza Dr Ste 150The Woodlands, TX 77380(713) 897-5122
Cristian S Sarateanu, MD●
Victoria County / Condado
City of Victoria
Ciudad de Victoria
UT Physicians - Cardiothoracic
& Vascular Surgery
Location Termed/Lugar
Terminada
605 East San AntonioVictoria, TX 77901(361) 572-4750
Manish K Patel, MD●
Colon & Rectal Surgery
Cirugía de Colon y Rectal
Harris County / Condado
City of Baytown
Ciudad de Baytown
TMH Physician Associates
PLLC DBA TMHPO Surgery
Department
Location Added/Lugar Agregado
4301 Garth Rd Ste 303Baytown, TX 77521(346) 292-1470
Zaid N Kronfol, MD
TMHPO Surgery Department
Location Termed/Lugar
Terminada
4201 Garth Rd Ste 307Baytown, TX 77521(832) 556-6046
Zaid N Kronfol, MD
City of Houston
Ciudad de Houston
TMH Physician Associates
PLLC DBA TMHPO Surgery
Department
Location Added/Lugar Agregado
18100 St John Dr Ste 300Houston, TX 77058(832) 556-6046
Zaid N Kronfol, MD
Dermatology
Dermatología
Brazoria County / Condado
City of Brazoria
Ciudad de Brazoria
Heights Dermatology
Location Added/Lugar Agregado
215 Oak Dr South Ste CBrazoria, TX 77566(979) 297-6458
Alpesh Desai, DO
Fort Bend County
Fort Bend Condado
City of Rosenberg
Ciudad de Rosenberg
Heights Dermatology
Location Added/Lugar Agregado
5219 Reading RdRosenberg, TX 77471(713) 730-2000
Alpesh Desai, DO
Harris County / Condado
City of Houston
Ciudad de Houston
Heights Dermatology
Location Added/Lugar Agregado
2120 Ashland StHouston, TX 77008(713) 864-2656
Alpesh Desai, DO
Heights Dermatology
Location Added/Lugar Agregado
8203 Willow Place Dr South Ste 165Houston, TX 77070(832) 604-7400
Alpesh Desai, DO
ENT/Otolaryngology
ENT/Otorrinolaringología
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Fort Bend
Medical and Diagnostic Center
Location Added/Lugar Agregado
11555 University BlvdSugar Land, TX 77478(713) 442-9100
Benjamin Yang, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Houston Methodist ENT
Specialists
Location Added/Lugar Agregado
6550 Fannin Ste 1723Houston, TX 77030(713) 441-1368
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales29
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Jeffrey T Vrabec, MD
Omar G Ahmed, MD●
Yin Yiu, MD
Houston Methodist ENT
Specialists
Location Added/Lugar Agregado
6550 Fannin Ste 1723Houston, TX 77030(713) 441-3223
Anthony Brissett, MD
Fred Bressler Bressler, MD
Houston Methodist ENT
Specialists
Location Added/Lugar Agregado
6550 Fannin Ste 1723Houston, TX 77030(713) 796-2349
Apurva Thekdi Thekdi, MD
TMH Physician Associates
PLLC DBA TMHPO
Neurosurgery Departments
Phone Number Change/Cambio
de número de teléfono
13300 Hargrave Rd Ste 205Houston, TX 77070(281) 737-7261
Gavin J Le Nobel, MD
TMHPO Neurosurgery
Department
Location Added/Lugar Agregado
6550 Fannin Ste 1723Houston, TX 77030(713) 441-1368
Omar G Ahmed, MD
TMHPO Neurosurgery
Departments
Location Termed/Lugar
Terminada
18100 Houston Methodist Dr Ste 240Houston, TX 77058(832) 783-1170
Ryan W Ridley, MD
TMHPO Neurosurgery
Departments
Phone Number Change/Cambio
de número de teléfono
18100 Houston Methodist Dr Ste 220Houston, TX 77058(832) 783-1170
Ryan W Ridley, MD
UT Physicians -
Otorhinolaryngology Texas
Medical Center
Phone Number Change/Cambio
de número de teléfono
6400 Fannin StHouston, TX 77030(713) 486-5000
Amber U Luong, "MD, PhD"●
UT Physicians
Otorhinolaryngology - Texas
Medical Center
Phone Number Change/Cambio
de número de teléfono
6400 Fannin StHouston, TX 77030(713) 486-5000
William C Yao, MD●
City of Tomball
Ciudad de Tomball
TMHPO Neurosurgery
Department
Location Termed/Lugar Terminada
14211 FM 2920 FM Rd Ste 110Tomball, TX 77377(281) 737-1910
Gavin J le Nobel, MD●
City of Webster
Ciudad de Webster
Kelsey-Seybold Clinic-Clear Lake
Location Added/Lugar Agregado
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Benjamin Yang, MD●
Endocrinology
Endocrinología
Harris County / Condado
City of Bellaire
Ciudad de Bellaire
UT Physicians Health Center at
Bellaire
Location Added/Lugar Agregado
6700 West Loop SouthBellaire, TX 77401(713) 572-8122
Salima K Ali, MD●
City of Houston
Ciudad de Houston
Baylor Center for
Cardiometabolic Disease
Prevention
Location Added/Lugar Agregado
6655 Travis St Ste 320Houston, TX 77030(713) 798-5800
Layla Abushamat, MD●
Oth
er Ch
an
ges to
the P
rovid
er Netw
ork
/ Otro
s cam
bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
30
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
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City of Humble
Ciudad de Humble
Kelsey-Seybold Clinic-Summer
Creek
Location Termed/Lugar
Terminada
8233 N Sam Houston Pkwy EHumble, TX 77396(713) 442-2000
Shahid Muhammad, MD●
Family Medicine
Medicina familiar
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
Kelsey-Seybold Clinic Lake
Jackson
Location Added/Lugar Agregado
201 That WayLake Jackson, TX 77566(979) 285-2100
Kathrynn Tran, MD●
Fort Bend County
Fort Bend Condado
City of Richmond
Ciudad de Richmond
BSLMG Sugar Land Internal
Medicine and Pediatrics
Location Added/Lugar Agregado
10615 West Grand Pkwy SouthRichmond, TX 77407(281) 637-7390
Derek M He, DO●
City of Sugar Land
Ciudad de Sugar Land
BSLMG Sugar Land Internal
Medicine and Pediatrics
Location Added/Lugar Agregado
1327 Lake Pointe Pkwy Ste 410Sugar Land, TX 77478(281) 637-7695
Derek M He, DO●
BSLMG Sugar Land Internal
Medicine and Pediatrics
Location Termed/Lugar
Terminada
1327 Lake Pointe Pkwy Ste 410Sugar Land, TX 77478(281) 637-7695
Derek M He, DO●
Harris County / Condado
City of Baytown
Ciudad de Baytown
Kelsey-Seybold Clinic-Baytown
Location Termed/Lugar
Terminada
6300 Garth Rd Ste 200Baytown, TX 77521(713) 442-1240
Sheldon L Gaines, MD●
City of Houston
Ciudad de Houston
BSLMG Houston Northwest
Primary Care
Location Added/Lugar Agregado
20207 Chasewood Park Dr Ste 300Houston, TX 77070(832) 534-7860
Arlean M Bullard, MD●
Kelsey-Seybold Clinic-North
Channel
Location Added/Lugar Agregado
5820 E Sam Houston Pkwy NHouston, TX 77049(713) 442-6000
John E Ruelas, MD●
Kelsey-Seybold
Clinic-Tanglewood
Location Added/Lugar Agregado
1111 Augusta DrHouston, TX 77057(713) 442-2400
Xuyen D Phan, MD●
City of Humble
Ciudad de Humble
Kelsey-Seybold Clinic-Summer
Creek
Location Added/Lugar Agregado
8233 N Sam Houston Pkwy EHumble, TX 77396(713) 442-2000
John E Ruelas, MD●
City of Katy
Ciudad de Katy
Kelsey-Seybold West Grand
Parkway Clinic
Location Added/Lugar Agregado
2510 West Grand Pkwy NorthKaty, TX 77449(713) 442-4222
Marjorie Broussard, MD●■
City of Spring
Ciudad de Spring
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales31
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
ETCS Houston Northwest
Primary Care
Location Added/Lugar Agregado
2255 E Mossy Oaks Rd Ste 320Spring, TX 77389(832) 534-7860
Arlean M Bullard, MD●
City of The Woodlands
Ciudad de The Woodlands
BSLMG Creekside
Location Added/Lugar Agregado
8558 Creekside Forest Dr Bldg B-100The Woodlands, TX 77375(832) 534-7700
Irena Liang, MD●
Sam Rolon, DO●
City of Webster
Ciudad de Webster
Kelsey-Seybold Clinic-Clear
Lake
Location Added/Lugar Agregado
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Amy Chen, MD●
Gastroenterology
Gastroenterología
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Baylor McNair -
Gastroenterology
Location Added/Lugar Agregado
1327 Lake Pointe Pkwy Ste 305Sugar Land, TX 77478(713) 798-0950
Kalpesh K Patel, MD●
Mohamed O Othman, MD●
Salmaan A Jawaid, MD●
Wasif M Abidi, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor Clinic -
Gastroenterology
Location Added/Lugar Agregado
6620 Main St Ste 1500Houston, TX 77030(713) 798-2500
Manreet Kaur, MD●
Baylor Family
Medicine-Gastroenterology
Location Added/Lugar Agregado
3701 Kirby DrHouston, TX 77098(713) 798-2500
Johanna L Chan, MD●
Baylor Internal Medicine - 1225
Location Added/Lugar Agregado
6620 Main St Ste 1500Houston, TX 77030(713) 798-2500
Waqar A Qureshi, MD●
Baylor Internal Medicine - 1225
(Gastro)
Location Added/Lugar Agregado
6620 Main St Ste 1500Houston, TX 77030(713) 798-0950
Kalpesh K Patel, MD●
Baylor McNair - Gastroenterology
Location Added/Lugar Agregado
7200 Cambridge St 8th Fl Ste 8 BHouston, TX 77030(713) 798-2500
Lukasz Kwapisz, MD●
Manreet Kaur, MD●
Salmaan A Jawaid, MD●
Baylor McNair - Gastroenterology
Location Added/Lugar Agregado
7200 Cambridge St 8th Fl Ste 8BHouston, TX 77030(713) 798-2500
Johanna L Chan, MD●
Kalpesh K Patel, MD●
Mohamed O Othman, MD●
Nabil M Mansour, MD●
Richa Shukla, MD●
Suneal K Agarwal, MD●
Waqar A Qureshi, MD●
Wasif M Abidi, MD●
Ertan Digestive Disease Center
Location Added/Lugar Agregado
6400 Fannin StHouston, TX 77030(713) 704-3450
Reena V Chokshi, MD●
Texas International Endoscopy
Center
Location Added/Lugar Agregado
6620 Main StSte 1500Houston, TX 77030(713) 520-8432
Johanna L Chan, MD●
Kalpesh K Patel, MD●
Lukasz Kwapisz, MD●
Manreet Kaur, MD●
Mohamed O Othman, MD●
Nabil M Mansour, MD●
Reena V Chokshi, MD●
Rehman A Sheikh, MD●
Richa Shukla, MD●
Salmaan A Jawaid, MD●
Oth
er Ch
an
ges to
the P
rovid
er Netw
ork
/ Otro
s cam
bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
32
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
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to t
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Suneal K Agarwal, MD●
Waqar A Qureshi, MD●
Wasif M Abidi, MD●
UT Physicians
Gastroenterology - Greater
Heights
Phone Number Change/Cambio
de número de teléfono
6400 Fannin StHouston, TX 77030(713) 704-3450
Roy T DaVee, MD●
City of Humble
Ciudad de Humble
UT Physicians
Gastroenterology - Northeast
Location Added/Lugar Agregado
18980 N Memorial Dr Ste 280Humble, TX 77338(713) 486-8180
Moises I Nevah Rubin, MD●
General Surgery
Cirugía general
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
TMHPO Surgery Department
Location Added/Lugar Agregado
8525 Broadway St Ste 220Pearland, TX 77584(713) 441-5141
Robert A Ochoa, MD
TMHPO Surgery Department
Location Termed/Lugar
Terminada
8525 Broadway St Ste 220Pearland, TX 77584(713) 441-5141
Robert A Ochoa, MD
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
UT Physicians General Surgery
- Sugar Land
Location Added/Lugar Agregado
17510 West Grand Pkwy South Ste 450Sugar Land, TX 77479(713) 486-3950
Peter A Walker, MD●
Peter A Walker, MD●
Harris County / Condado
City of Baytown
Ciudad de Baytown
TMH Physician Associates
PLLC DBA TMHPO Surgery
Department
Location Added/Lugar Agregado
4301 Garth Rd Ste 303Baytown, TX 77521(346) 292-1470
Boutros P Kahla, MD
Kendell J Sowards, MD
Laura H Choi, MD
Robert A Ochoa, MD
TMH Physician Associates
PLLC DBA TMHPO Surgery
Department
Location Added/Lugar Agregado
4201 Garth Rd Ste 307Baytown, TX 77521(832) 556-6046
Robert A Ochoa, MD
TMH Physician Associates PLLC
DBA TMHPO Surgery
Department
Location Termed/Lugar Terminada
4201 Garth Rd Ste 307Baytown, TX 77521(832) 556-6046
Robert A Ochoa, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
4201 Garth Rd Ste 307Baytown, TX 77521(832) 556-6046
Boutros P Kahla, MD
Laura H Choi, MD
TMHPO Surgery Department
Location Termed/Lugar Terminada
4201 Garth Rd Ste 307Baytown, TX 77521(832) 556-6046
Boutros P Kahla, MD
City of Bellaire
Ciudad de Bellaire
UT Physicians General Surgery
Location Termed/Lugar Terminada
6700 West Loop South Ste 500Bellaire, TX 77401(713) 892-5500
John C Cowling, MD●
UT Physicians Minimally Invasive
Surgeon of Texas - (UTMIST)
Location Added/Lugar Agregado
6700 West Loop SouthBellaire, TX 77401(713) 486-1330
Emily K Robinson, MD●
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales33
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
UT Physicians Minimally
Invasive Surgeons of Texas
Location Added/Lugar Agregado
6700 West Loop South Ste 500Bellaire, TX 77401(713) 486-1330
Peter A Walker, MD●
UT Physicians Minimally
Invasive Surgeons of Texas
(UTMIST)
Location Termed/Lugar
Terminada
6700 West Loop South Ste 500Bellaire, TX 77401(713) 486-1330
Brad E Snyder, MD●
UT Physicians Minimally
Invasive Surgeons of Texas
(UTMIST)
Location Added/Lugar Agregado
6700 West Loop SouthBellaire, TX 77401(713) 892-5500
Kendell J Sowards, MD●
UT Physicians Minimally
Invasive Surgeons of Texas
(UTMIST)
Location Termed/Lugar
Terminada
6700 West Loop South Ste 500Bellaire, TX 77401(713) 892-5500
Ekatarina S Elliott, DO●
Michelle Scerbo, MD●
Peter A Walker, MD●
UT Physicians Orthopedics at
Memorial Hermann Orthopedic
and Spine Hospital
Location Termed/Lugar
Terminada
5420 West Loop South Ste 2400Bellaire, TX 77401(713) 486-3550
Casey B Duncan, MD●
City of Cypress
Ciudad de Cypress
UT Physicians Minimally
Invasive Surgeons of Texas
(UTMIST) - Cypress
Location Added/Lugar Agregado
27700 Northwest Frwy Ste 200Cypress, TX 77433(713) 486-1330
Michelle Scerbo, MD●
City of Houston
Ciudad de Houston
Baylor Medicine - Bariatric
Surgery Center
Location Added/Lugar Agregado
1977 Butler Blvd Ste E6100Houston, TX 77030(713) 798-6673
Juliet Georgia Holder-Haynes, MD●
Samer G Mattar, MD●
Kelsey-Seybold Clinic
Berthelsen Main Campus
Location Added/Lugar Agregado
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Eric K Rachlin, MD●
Kelsey-Seybold Clinic Memorial
City
Location Added/Lugar Agregado
929 Gessner Ste 1450Houston, TX 77024(713) 442-5200
Eric K Rachlin, MD●
Memorial Hermann Cancer
Center - Texas Medical Center
Location Added/Lugar Agregado
6400 Fannin St Ste 2900Houston, TX 77030(713) 704-3961
Emily K Robinson, MD●
Memorial Hermann Cancer
Center - Texas Medical Center
Location Termed/Lugar Terminada
6401 Fannin StHouston, TX 77030(713) 704-3961
Tamara E Saunders, MD●
TMHPO Surgery Department
Location Added/Lugar Agregado
6550 Fannin St Ste 1601Houston, TX 77030(713) 441-5141
Robert A Ochoa, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
6550 Fannin Ste 1501Houston, TX 77030(713) 441-5141
Robert A Ochoa, MD
TMHPO Surgery Department
Location Termed/Lugar Terminada
18220 St Hwy 249 Ste 400Houston, TX 77070(713) 441-5141
Oth
er Ch
an
ges to
the P
rovid
er Netw
ork
/ Otro
s cam
bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
34
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
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to t
he
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etw
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cam
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Todd Anthony Worley, MD
TMHPO Surgery Department
Location Termed/Lugar
Terminada
6550 Fannin Ste 1501Houston, TX 77030(713) 441-5141
Robert A Ochoa, MD
TMHPO Surgery Department
Phone Number Change/Cambio
de número de teléfono
6550 Fannin Ste 1501Houston, TX 77030(713) 441-5141
Ashish Saharia, MD
Michael Maurie Reader, MD
Nicole Marie Tapia, MD
Wade Ronald Rosenberg, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
6445 Main St Ste OPC26-100Houston, TX 77030(713) 441-5451
Richard J Knight, MD
Richard J Knight, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
6550 Fannin St Ste 1601Houston, TX 77030(713) 441-5451
Richard J Knight, MD
Richard J Knight, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
6550 Fannin Ste 1501Houston, TX 77030(713) 441-5451
Richard J Knight, MD
Richard J Knight, MD
TMHPO Surgery Department
Phone Number Change/Cambio
de número de teléfono
6445 Main St Ste OPC 26-100Houston, TX 77030(713) 441-5451
Rafik Mark Ghobrial, MD
TMHPO Surgery Department
Phone Number Change/Cambio
de número de teléfono
6550 Fannin Ste 1501Houston, TX 77030(713) 441-5451
Jesse Ryan Conner, MD
Mike Kuo Liang, MD
Rafik Mark Ghobrial, MD
Rodolfo Jose Oviedo, MD
Sherry Ji Lim, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
6445 Main St Ste OPC 26-10Houston, TX 77030(713) 791-5451
Richard J Knight, MD
Richard J Knight, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
18300 Katy Frwy Ste 265Houston, TX 77094(832) 522-8155
Laura H Choi, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
4201 Garth Rd Ste 307Houston, TX 77521(832) 556-6046
Kendell J Sowards, MD
TMHPO Surgery Department
Location Termed/Lugar Terminada
4201 Garth Rd Ste 307Houston, TX 77521(832) 556-6046
Kendell J Sowards, MD
UT Physicians Breast Surgery at
One Fannin - Texas Medical
Center
Location Added/Lugar Agregado
7400 Fannin StHouston, TX 77054(713) 892-5500
Emily K Robinson, MD●
UT Physicians Breast Surgery at
One Fannin - Texas Medical
Center
Location Termed/Lugar Terminada
7400 Fannin StHouston, TX 77054(713) 892-5500
Emily K Robinson, MD●
UT Physicians Breast Surgery at
One Fannin - Texas Medical
Center
Location Termed/Lugar Terminada
7400 Fannin St Ste 940Houston, TX 77054(713) 892-5500
Tamara E Saunders, MD●
UT Physicians General Surgery -
Southeast
Location Added/Lugar Agregado
11920 Astoria BlvdHouston, TX 77089(713) 486-7650
Emily K Robinson, MD●
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales35
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
UT Physicians General Surgery
- Southeast
Location Termed/Lugar
Terminada
11920 Astoria BlvdHouston, TX 77089(713) 486-7650
Emily K Robinson, MD●
UT Physicians General Surgery
- Southeast
Location Termed/Lugar
Terminada
11920 Astoria Blvd Ste 460Houston, TX 77089(713) 486-7650
Casey B Duncan, MD●
UT Physicians Minimally
Invasive Surgeons of Texas
(UTMIST) - Southwest
Location Added/Lugar Agregado
3525 W Holcombe Blvd 1st FlHouston, TX 77025(713) 486-3950
Peter A Walker, MD●
City of Katy
Ciudad de Katy
UT Physicians Minimally
Invasive Surgeons of Texas
(UTMIST) - Katy
Location Added/Lugar Agregado
23920 Katy Frwy Ste 150Katy, TX 77494(713) 486-1330
Tamara E Saunders, MD●
UT Physicians Minimally
Invasive Surgeons of Texas
(UTMIST) - Katy
Location Termed/Lugar
Terminada
23920 Katy Frwy Ste 150Katy, TX 77494(713) 486-1330
Brad E Snyder, MD●
UT Physicians Minimally
Invasive Surgeons of Texas
(UTMIST) - Katy
Location Termed/Lugar
Terminada
23920 Katy Frwy Ste 400Katy, TX 77494(713) 486-1330
Brad E Snyder, MD●
UT Physicians Minimally
Invasive Surgeons of
Texas-Katy
Location Added/Lugar Agregado
23920 Katy FrwyKaty, TX 77494(713) 892-5500
Peter A Walker, MD●
UT Physicians Minimally
Invasive Surgeons of
Texas-Katy
Location Termed/Lugar
Terminada
23920 Katy FrwyKaty, TX 77494(713) 892-5500
Peter A Walker, MD●
Gynecologic Oncology
Oncología ginecológica
Harris County / Condado
City of Houston
Ciudad de Houston
UT Physicians Adult Hematology
- Texas Medical Center
Location Added/Lugar Agregado
6400 Fannin St Ste 2900Houston, TX 77030(713) 704-3961
Abigail S Zamorano, MD●
Rosa A Guerra, MD●
UT Physicians Gynecologic
Oncology-Southeast
Location Added/Lugar Agregado
11914 Astoria Blvd Ste 510Houston, TX 77089(713) 486-1170
Abigail S Zamorano, MD●
Rosa A Guerra, MD●
Gynecology, OB/GYN
Ginecología,
Obstetricia/Ginecología
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Kelsey-Seybold Clinic- Pearland
Location Added/Lugar Agregado
2515 Business Ctr DrPearland, TX 77584(713) 442-7200
Stephanie Ho, MD●
Fort Bend County
Fort Bend Condado
City of Missouri City
Ciudad de Missouri City
Oth
er Ch
an
ges to
the P
rovid
er Netw
ork
/ Otro
s cam
bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
36
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
er C
han
ges
to t
he
Pro
vid
er N
etw
ork
/ O
tros
cam
bio
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Kelsey-Seybold Clinic- Sienna
Clinic
Location Added/Lugar Agregado
7010 Hwy 6Missouri City, TX 77459(713) 442-6700
Amirhossein Nikahd, MD●
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Fort Bend
Medical and Diagnostic Center
Location Added/Lugar Agregado
11555 University BlvdSugar Land, TX 77478(713) 442-9100
Amirhossein Nikahd, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Houston Methodist Obstetrics
& Gynecology Associates
Location Added/Lugar Agregado
18400 Katy Frwy Ste 360Houston, TX 77094(281) 275-0880
Tarrik Zaid, MD
Houston Methodist Obstetrics
& Gynecology Associates
Location Added/Lugar Agregado
18400 Katy Frwy Ste 360Houston, TX 77094(713) 441-5800
Danielle Dewi Antosh, MD
Kelsey-Seybold
Clinic-Tanglewood
Location Added/Lugar Agregado
1111 Augusta DrHouston, TX 77057(713) 442-2400
Stephanie Ho, MD●
Kelsey-Seybold Spring Medical
and Diagnostic Center
Location Added/Lugar Agregado
15655 Cypress Woods Medical Dr Ste 100Houston, TX 77014(713) 442-1700
Asma Ali, MD●
UT Physicians Advanced
Minimally Invasive Gynecologic
Surgery Center
Location Added/Lugar Agregado
6410 Fannin StHouston, TX 77030(713) 486-7700
Allan R Katz, MD●
UT Physicians Community
Health & Wellness Center -
Victory
Location Termed/Lugar
Terminada
7364 Antoine DrHouston, TX 77088(713) 486-7350
Comfort N Ughanze, MD●
UT Physicians Multispecialty -
Bayshore
Location Added/Lugar Agregado
11476 Space Ctr Blvd Ste 100Houston, TX 77059(713) 486-6325
Wiyatta B Freeman, MD●
UT Physicians Urogynecology
Center-Southeast
Location Added/Lugar Agregado
11914 Astoria Blvd Ste 510Houston, TX 77089(713) 486-6360
Wiyatta B Freeman, MD●
UT Physicians Women's Center -
Texas Medical Center
Location Added/Lugar Agregado
6410 Fannin StHouston, TX 77030(713) 500-5490
Alexander Wainwright, MD●
UT Physicians Women's Center -
Texas Medical Center
Location Added/Lugar Agregado
6410 Fannin StHouston, TX 77030(832) 325-7131
Pamela A Promecene-Cook, MD●
UT Physicians Women's Center -
Texas Medical Center
Location Termed/Lugar Terminada
6410 Fannin StHouston, TX 77030(832) 325-7131
Comfort N Ughanze, MD●
City of Pasadena
Ciudad de Pasadena
Kelsey-Seybold Clinic-Pasadena
Location Added/Lugar Agregado
5001 E Sam Houston Pkwy SPasadena, TX 77505(713) 442-7100
Melanie E Levy-Meeks, MD●
Monica Maged Suliman, MD●
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales37
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
City of Webster
Ciudad de Webster
Kelsey-Seybold Clinic-Clear
Lake
Location Added/Lugar Agregado
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Melanie E Levy-Meeks, MD●
Internal Medicine
Medicina interna
Fort Bend County
Fort Bend Condado
City of Richmond
Ciudad de Richmond
BSLMG Sugar Land Internal
Medicine and Pediatrics
Location Added/Lugar Agregado
10615 West Grand Pkwy SouthRichmond, TX 77407(281) 637-7390
Co-May D Pasdar-Shirazi, MD●
City of Sugar Land
Ciudad de Sugar Land
BSLMG Sugar Land Internal
Medicine and Pediatrics
Location Added/Lugar Agregado
1327 Lake Pointe Pkwy Ste 410Sugar Land, TX 77478(281) 637-7695
Co-May D Pasdar-Shirazi, MD●
BSLMG Sugar Land Internal
Medicine and Pediatrics
Location Termed/Lugar
Terminada
1327 Lake Pointe Pkwy Ste 410Sugar Land, TX 77478(281) 637-7695
Co-May D Pasdar-Shirazi, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Kelsey-Seybold Clinic
Berthelsen Main Campus
Location Termed/Lugar
Terminada
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Bazgha Khalid, MD●
Kelsey-Seybold Clinic-Gulfgate
Location Added/Lugar Agregado
1900 North Loop West 4th FlHouston, TX 77087(713) 442-0000
Alex Thomas, DO●
Kelsey-Seybold
Clinic-Memorial City
Location Added/Lugar Agregado
929 Gessner Rd Ste 1450Houston, TX 77024(713) 442-5200
Jessica Stull, MD●
Kelsey-Seybold
Clinic-Meyerland Plaza
Location Termed/Lugar
Terminada
560 Meyerland Plaza MallHouston, TX 77096(713) 442-3222
Bazgha Khalid, MD●
City of The Woodlands
Ciudad de The Woodlands
BSLMG Creekside
Location Added/Lugar Agregado
8558 Creekside Forest Dr Bldg B-100The Woodlands, TX 77375(832) 534-7700
Julio R Rivera, MD●
City of Webster
Ciudad de Webster
Kelsey-Seybold Clinic-Clear Lake
Location Added/Lugar Agregado
1010 South Ponds DrWebster, TX 77598(713) 442-4300
Alex Thomas, DO●
Montgomery County
Montgomery Condado
City of Porter
Ciudad de Porter
Kelsey-Seybold Clinic-Kingwood
Location Added/Lugar Agregado
25553 US Hwy 59Porter, TX 77365(713) 442-2100
Bazgha Khalid, MD●
Nephrology / Nefrología
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
CHI Sugar Land Hospitalist
Location Added/Lugar Agregado
1327 Lake Pointe PkwySugar Land, TX 77478(713) 798-3520
Ahmed A Awan, MD●
Harris County / Condado
Oth
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an
ges to
the P
rovid
er Netw
ork
/ Otro
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bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
38
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
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City of Houston
Ciudad de Houston
Baylor McNair - Nephrology
Location Added/Lugar Agregado
7200 Cambridge St 8th Fl Ste 8 BHouston, TX 77030(713) 798-2500
Ahmed A Awan, MD●
CHI Baylor Hospitalist
Location Added/Lugar Agregado
6720 Bertner AveHouston, TX 77030(713) 798-2222
Ahmed A Awan, MD●
CHI St. Luke's Health - The
Vintage Hospital
Location Added/Lugar Agregado
20171 Chasewood Park DrHouston, TX 77070(832) 534-5000
Ahmed A Awan, MD●
UT Physicians - Nephrology
Phone Number Change/Cambio
de número de teléfono
6410 Fannin StHouston, TX 77030(832) 325-6545
Dia R Waguespack, MD●
Neurology / Neurología
Harris County / Condado
City of Baytown
Ciudad de Baytown
TMHPO Neurology
Department
Location Added/Lugar Agregado
4201 Garth Rd Ste 313Baytown, TX 77521(832) 556-6535
Olga O Brusil, MD
City of Bellaire
Ciudad de Bellaire
TMHPO Neurology
Department
Location Termed/Lugar
Terminada
6750 Bellaire Ste 420Bellaire, TX 77401(713) 363-7130
Cuie Qiu, MD
City of Houston
Ciudad de Houston
Houston Methodist Neurology
Associates
Location Added/Lugar Agregado
13300 Hargrave Rd Ste 500Houston, TX 77070(281) 737-1167
Amy Lynette Naquin-Chappel, MD
Kasey L Gildersleeve, MD
Susanne Gonzalez Gallardo, MD
Kelsey-Seybold Clinic-Spring
Medical and Diagnostic Center
Location Added/Lugar Agregado
15655 Cypress Woods Medical DrHouston, TX 77014(713) 442-1700
Carisa S Liew, DO●
Kelsey-Seybold Clinic-The
Vintage
Location Added/Lugar Agregado
10701 Vintage Preserve PkwyHouston, TX 77070(713) 442-1500
Carisa S Liew, DO●
TMH Physician Associates PLLC
DBA Houston Methodist
Neurology Associates
Phone Number Change/Cambio de
número de teléfono
18100 Houston Methodist Dr Ste 240Houston, TX 77058(832) 783-1999
Gunjan Narwani, MD●
TMHPO Neurology Department
Location Added/Lugar Agregado
4191 Bellaire Blvd Ste 250Houston, TX 77025(346) 356-7000
Cuie Qiu, MD
TMHPO Neurology Department
Phone Number Change/Cambio de
número de teléfono
6560 Fannin Ste 802Houston, TX 77030(713) 441-3760
Stanley Appel, MD
TMHPO Neurology Department
Location Termed/Lugar Terminada
6560 Fannin Ste 802Houston, TX 77030(713) 441-3780
Amy Lynette Naquin-Chappel, MD
Neurosurgery
Neurocirugía
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales39
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
TMH Physician Associates
PLLC DBA Methodist
Academic Medicine Associates
Phone Number Change/Cambio
de número de teléfono
16605 Southwest Frwy Ste 220Sugar Land, TX 77479(349) 874-2525
Derrick Y Sun, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
TMHPO Neurosurgery
Department
Location Added/Lugar Agregado
13300 Hargrave Rd Ste 500Houston, TX 77070(281) 737-1141
Mickey Lee Smith, MD
TMHPO Surgery Department
Location Added/Lugar Agregado
6550 Fannin Ste 1501Houston, TX 77030(281) 737-1141
Mickey L Smith, MD
Montgomery County
Montgomery Condado
City of Shenandoah
Ciudad de Shenandoah
TMHPO Neurosurgery
Department
Location Added/Lugar Agregado
17183 IH 45 South Ste 650Shenandoah, TX 77385(936) 270-3905
Mickey L Smith, MD
City of The Woodlands
Ciudad de The Woodlands
CHI St. Luke's Woodlands -
Neurosurgery
Location Termed/Lugar
Terminada
17198 St. Luke's Way Ste 600The Woodlands, TX 77384(936) 266-2450
Gareth John Adams, MD●
Oncology - Medical, Surgical
Oncología - Médica/Quirúrgica
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Hematology
Location Added/Lugar Agregado
7200 Cambridge St 7th Fl Ste 7BHouston, TX 77030(713) 798-3750
Premal D Lulla, MD●
Baylor McNair - Hematology
and Oncology
Phone Number Change/Cambio
de número de teléfono
7200 Cambridge St 7th Fl Ste 7BHouston, TX 77030(713) 798-3750
Akiva Diamond, MD●
Anita Lyn Sabichi, MD●
Gustavo A Rivero, MD●
Jahnavi Gollamudi, MD●
Baylor McNair - Oncology
Phone Number Change/Cambio de
número de teléfono
7200 Cambridge St 7th Fl Ste 7BHouston, TX 77030(713) 798-7710
Ai-Hua Edward Yen, MD●
Arpit Rao, MD●
Daniel Ying Wang, MD●
Tannaz Armaghany, MD●
Center for Cell and Gene Therapy
Location Added/Lugar Agregado
6551 Bertner Ave WT 15th FlHouston, TX 77030(713) 441-1450
Premal D Lulla, MD●
Center for Cell and Gene Therapy
Location Termed/Lugar Terminada
6565 Fannin StHouston, TX 77030(713) 441-1450
Premal D Lulla, MD●
Center for Cell and Gene Therapy
Phone Number Change/Cambio de
número de teléfono
6551 Bertner Ave WT 15th FlHouston, TX 77030(713) 441-1450
Premal D Lulla, MD●
Dan L. Duncan Cancer Center -
Hematology/Oncology
Location Termed/Lugar Terminada
6620 Main StHouston, TX 77030(713) 798-3750
Ai-Hua Edward Yen, MD●
Benjamin Musher, MD●
Premal D Lulla, MD●
Oth
er Ch
an
ges to
the P
rovid
er Netw
ork
/ Otro
s cam
bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
40
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
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Dan L. Duncan Cancer Center -
Hematology/Oncology
Location Termed/Lugar
Terminada
6620 Main St Ste 1350Houston, TX 77030(713) 798-3750
Daniel Ying Wang, MD●
Dan L. Duncan Cancer Center -
Hematology/Oncology
Phone Number Change/Cambio
de número de teléfono
6620 Main StHouston, TX 77030(713) 798-3750
Mark M Udden, MD●
Dan L. Duncan Cancer Center -
Hematology/Oncology
Phone Number Change/Cambio
de número de teléfono
6620 Main St Ste 1350Houston, TX 77030(713) 798-3750
Purnima Sravanti Teegavarapu, MD●
Kelsey-Seybold-Spring Medical
and Diagnostic Center
Location Added/Lugar Agregado
15655 Cypress Woods Medical DrHouston, TX 77014(713) 442-1700
Mohammad A Jafri, MD●
City of Humble
Ciudad de Humble
Memorial Hermann Northeast
Hospital
Location Added/Lugar Agregado
18960 North Memorial DrHumble, TX 77338(281) 540-7905
Anneliese O Gonzalez, MD●
Ophthalmology
Oftalmología
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
10907 Memorial Hermann Dr Ste 150Pearland, TX 77584(281) 582-9100
Ravi S Shah, MD
Sandip Suresh, MD
William C Stewart, MD
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Houston Eye Associates PA
Location Added/Lugar Agregado
1447 Hwy 6 Ste 110Sugar Land, TX 77478(281) 565-2020
William C Stewart, MD
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
1447 Hwy 6 Ste 110Sugar Land, TX 77478(281) 565-2020
William C Stewart, MD
Galveston County
Galveston Condado
City of League City
Ciudad de League City
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
1100 Gulf Frwy Ste 114League City, TX 77573(281) 332-3937
Ravi S Shah, MD
Sandip Suresh, MD
Harris County / Condado
City of Houston
Ciudad de Houston
Alkek Eye Center
Location Added/Lugar Agregado
1977 Butler BlvdHouston, TX 77030(713) 798-6100
Ravi S Shah, MD●
Houston Eye Associates PA
Location Added/Lugar Agregado
1415 North Loop West Ste 400Houston, TX 77008(713) 869-6400
William C Stewart, MD
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
1250 Cypress Station Dr Ste AHouston, TX 77090(281) 444-1677
Kristin A Minkowski, MD
Sandip Suresh, MD
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
1229 Campbell RdHouston, TX 77055(713) 467-6600
William C Stewart, MD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales41
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
9230 Katy Frwy Ste 550Houston, TX 77025(713) 467-6600
Kristin A Minkowski, MD
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
12121 Richmond Avenue Ste 220Houston, TX 77082(713) 558-8775
Lucy A Bailey, MD
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
2855 GramercyHouston, TX 77025(713) 665-7600
Lucy A Bailey, MD
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
2855 GramercyHouston, TX 77025(713) 668-6828
Kristin A Minkowski, MD
Ravi S Shah, MD
Sandip Suresh, MD
William C Stewart, MD
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
1415 N Loop West Ste 400Houston, TX 77008(713) 869-6400
Kristin A Minkowski, MD
William C Stewart, MD
Kelsey-Seybold Clinic
Berthelsen Main Campus
Location Added/Lugar Agregado
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Charlene Hong Crockett, MD●
Montgomery County
Montgomery Condado
City of Kingwood
Ciudad de Kingwood
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
22659 Hwy 59 North Ste 100Kingwood, TX 77339(281) 858-3937
Kristin A Minkowski, MD
City of Shenandoah
Ciudad de Shenandoah
Houston Eye Associates, P.A.
Location Added/Lugar Agregado
1699 Research Forest Dr Ste 150Shenandoah, TX 77380(281) 363-2155
Kristin A Minkowski, MD
William C Stewart, MD
Kelsey-Seybold Clinic-The
Woodlands
Location Added/Lugar Agregado
106 Vision Park BlvdShenandoah, TX 77384(713) 442-1800
Salman A Rahman, MD●
Orthopedic Surgery
Cirugía ortopédica
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
BSLMG Brazosport Bone & Joint
of Lake Jackson
Location Added/Lugar Agregado
217A Oak Dr SouthLake Jackson, TX 77566(979) 299-6900
Charles E Vega, MD●
City of Pearland
Ciudad de Pearland
Kelsey-Seybold Clinic- Pearland
Location Added/Lugar Agregado
2515 Business Ctr DrPearland, TX 77584(713) 442-7200
Jason E Kappa, MD●
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Kelsey-Seybold Fort Bend
Medical and Diagnostic Center
Location Added/Lugar Agregado
11555 University BlvdSugar Land, TX 77478(713) 442-9100
Jason E Kappa, MD●
Galveston County
Galveston Condado
City of League City
Ciudad de League City
UT Physicians Orthopedics -
League City
Location Added/Lugar Agregado
2555 S Gulf Frwy Ste 500League City, TX 77573(713) 486-6000
David A Crumbie, MD●
Eddie H Huang, MD●
Taggart T Gauvain, MD●
Zayde A Radwan, MD●
Oth
er Ch
an
ges to
the P
rovid
er Netw
ork
/ Otro
s cam
bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
42
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
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to t
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Harris County / Condado
City of Bellaire
Ciudad de Bellaire
UT Physicians Orthopedics at
Memorial Hermann Orthopedic
and Spine Hospital
Location Added/Lugar Agregado
5420 West Loop South Ste 2400Bellaire, TX 77401(713) 486-3550
Kyle R Woerner, MD●
UT Physicians Orthopedics at
Memorial Hermann Orthopedic
and Spine Hospital
Location Termed/Lugar
Terminada
5420 West Loop SouthBellaire, TX 77401(713) 486-3550
Adam M Freedhand, MD●
City of Houston
Ciudad de Houston
Ironman Sports Medicine
Institute - Texas Medical
Center
Location Termed/Lugar
Terminada
6400 Fannin StHouston, TX 77030(713) 486-7860
Shah-Nawaz Dodwad, MD●
TMHPO Orthopedics
Department
Location Added/Lugar Agregado
14906 El Camino RealHouston, TX 77062(713) 363-9090
Jamie Alexander, MD
TMHPO Orthopedics
Department
Location Added/Lugar Agregado
2020 Nasa Pkwy Ste 200Houston, TX 77058(713) 363-9090
Michael A Monmouth, MD
TMHPO Orthopedics
Department
Location Added/Lugar Agregado
2020 Nasa Pkwy Ste 230Houston, TX 77058(713) 363-9090
Jamie Alexander, MD
Jason T Leaseburg, MD
TMHPO Orthopedics
Department
Location Termed/Lugar
Terminada
2020 Nasa Pkwy Ste 230Houston, TX 77058(713) 363-9090
Jay S Croley, MD
Juan Antonio Serrato, MD
Kenneth Brooks Brooks, MD
TMHPO Orthopedics
Department
Phone Number Change/Cambio
de número de teléfono
6445 Main St Ste 2500Houston, TX 77030(713) 441-9499
Darrell S Hanson, MD
UT Physicians Orthopedics -
Texas Medical Center
Location Added/Lugar Agregado
6400 Fannin St Ste 2250Houston, TX 77030(713) 486-7500
Ran Lador, MD●
UT Physicians Orthopedics at
Ironman Sports Medicine
Institute - Texas Medical Center
Location Added/Lugar Agregado
6400 Fannin St Ste 1700Houston, TX 77030(713) 486-4880
Ran Lador, MD●
UT Physicians Orthopedics at
Ironman Sports Medicine
Institute-TMC
Location Added/Lugar Agregado
6400 Fannin StHouston, TX 77030(713) 486-7500
Kyle R Woerner, MD●
City of Pasadena
Ciudad de Pasadena
BSLMG East Houston
Orthopedics
Phone Number Change/Cambio de
número de teléfono
4500 E Sam Houston Pkwy SPasadena, TX 77505(281) 487-7300
David C Randall, MD●
BSLMG East Houston
Orthopedics
Phone Number Change/Cambio de
número de teléfono
4500 E Sam Houston Pkwy SPasadena, TX 77505(713) 378-8230
Edward Brooke Roberts, MD●
Kelsey-Seybold Clinic-Pasadena
Location Added/Lugar Agregado
5001 E Sam Houston Pkwy SPasadena, TX 77505(713) 442-7100
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales43
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Catherine Wynne Cahill, MD●
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
UT Physicians - Orthopaedics
Location Termed/Lugar
Terminada
9305 Pinecroft DrThe Woodlands, TX 77380(713) 486-8800
Shah-Nawaz Dodwad, MD●
Orthopedics - Sports Medicine
Ortopedia - Medicina del
Deporte
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
TMHPO Department of
Orthopedics
Phone Number Change/Cambio
de número de teléfono
8520 West Broadway Ste 100Pearland, TX 77584(832) 736-9779
Taylor D Brown, MD
Harris County / Condado
City of Houston
Ciudad de Houston
TMHPO Department of
Orthopedics
Phone Number Change/Cambio
de número de teléfono
6550 Fannin St Ste 2601Houston, TX 77030(713) 790-1818
Taylor D Brown, MD
Otolaryngology
Otorrinolaringología
Harris County / Condado
City of Houston
Ciudad de Houston
Houston Methodist ENT
Specialists
Location Added/Lugar Agregado
6550 Fannin Ste 1723Houston, TX 77030(713) 441-1368
Nadia Gul Mohyuddin, MD
Pain Management
Tratamiento del dolor
Harris County / Condado
City of Houston
Ciudad de Houston
TMHPO Neurosurgery
Department
Location Termed/Lugar
Terminada
2020 Nasa Pkwy Ste 230Houston, TX 77058(713) 363-9090
Heather D Colmenter, MD
Pain Medicine
Medicina del dolor
Harris County / Condado
City of Harris
Ciudad de Harris
Baylor McNair - PM&R
Location Added/Lugar Agregado
7200 Cambridge St 10th Fl Ste 10 BHarris, TX 77030(713) 798-7246
Emanuel N Husu, MD●
City of Houston
Ciudad de Houston
Baylor Medicine - Pain
Management
Location Added/Lugar Agregado
7200 Cambridge St 9th Fl Ste 9 BHouston, TX 77030(713) 798-4357
Emanuel N Husu, MD●
Plastic Surgery
Cirugía Plástica
Harris County / Condado
City of Houston
Ciudad de Houston
Kelsey-Seybold Spring Medical
and Diagnostic Center
Location Termed/Lugar Terminada
15655 Cypress Woods Medical Dr Ste 100Houston, TX 77014(713) 442-1700
Yoav Kaufman, MD●
City of Katy
Ciudad de Katy
UT Physicians Pediatric Center -
Katy
Location Termed/Lugar Terminada
23920 Katy Frwy Ste 220Katy, TX 77494(713) 486-7950
Phuong D Nguyen, MD●
Pulmonology
Neumonología
Harris County / Condado
City of Houston
Ciudad de Houston
Oth
er Ch
an
ges to
the P
rovid
er Netw
ork
/ Otro
s cam
bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
44
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
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han
ges
to t
he
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cam
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Kelsey-Seybold Clinic
Memorial City
Location Added/Lugar Agregado
929 Gessner Ste 1450Houston, TX 77024(713) 442-5200
Justo A Montalvo, MD●■
City of Katy
Ciudad de Katy
Kelsey-Seybold West Grand
Parkway Clinic
Location Added/Lugar Agregado
2510 West Grand Pkwy NorthKaty, TX 77449(713) 442-4222
Justo A Montalvo, MD●■
Rehabilitation Medicine
Medicina de Rehabilitación
Harris County / Condado
City of Bellaire
Ciudad de Bellaire
UT Physicians Physical
Medicine & Rehabilitation
Sports Medicine & Spine Clinic
Location Added/Lugar Agregado
5420 West Loop South Ste 1100Bellaire, TX 77401(713) 486-5590
Matthew J Lin, MD●
City of Houston
Ciudad de Houston
Baylor McNair - PM&R
Location Added/Lugar Agregado
7200 Cambridge St 10th Fl Ste 10 BHouston, TX 77030(713) 798-7246
Angela N Cortez, MD●
Michael Y Lee, MD●
Ming-Chyi Hsieh, MD●
Yonghoon Lee, DO●
Baylor Medicine - Pain
Management
Location Added/Lugar Agregado
7200 Cambridge St 9th Fl Ste 9 BHouston, TX 77030(713) 798-4357
Michael Y Lee, MD●
Yonghoon Lee, DO●
Kelsey-Seybold Clinic
Berthelsen Main Campus
Location Added/Lugar Agregado
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Miguel E Velez, MD●
Kelsey-Seybold Clinic-Cypress
Location Added/Lugar Agregado
13105 Wortham Ctr DrHouston, TX 77065(713) 442-4000
Joslyn John, MD●
Kelsey-Seybold
Clinic-Tanglewood
Location Added/Lugar Agregado
1111 Augusta DrHouston, TX 77057(713) 442-2400
Vinay Vanodia, MD●
Kelsey-Seybold Clinic-The
Vintage
Location Added/Lugar Agregado
10701 Vintage Preserve PkwyHouston, TX 77070(713) 442-1500
Vinay Vanodia, MD●
Kelsey-Seybold Spring Medical
and Diagnostic Center
Location Added/Lugar Agregado
15655 Cypress Woods Medical Dr Ste 100Houston, TX 77014(713) 442-1700
Miguel E Velez, MD●
TIRR Outpatient Medical Clinic
Location Added/Lugar Agregado
1333 Moursund St 1st FlHouston, TX 77030(713) 799-5000
Matthew J Lin, MD●
UT Physicians Physical Medicine
and Rehabilitation - TIRR
Memorial Hermann
Phone Number Change/Cambio de
número de teléfono
1333 Moursund StHouston, TX 77030(713) 797-5929
Radha Korupolu, MD●
UTHealth COVID-19 Center of
Excellence
Location Added/Lugar Agregado
6410 Fannin St Ste 1220Houston, TX 77030(713) 486-2619
Matthew J Lin, MD●
City of Katy
Ciudad de Katy
Kelsey-Seybold West Grand
Parkway Clinic
Location Added/Lugar Agregado
2510 West Grand Pkwy NorthKaty, TX 77449(713) 442-4222
Vinay Vanodia, MD●
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales45
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
Memorial Hermann Hospital-
The Woodlands
Location Added/Lugar Agregado
9250 Pinecroft DrThe Woodlands, TX 77380(713) 897-4908
Mary E Russell, DO●
UT Physicians Physical
Medicine and Rehabilitation -
The Woodlands
Location Termed/Lugar
Terminada
9180 Pinecroft Ste 420The Woodlands, TX 77380(713) 486-5590
Mary E Russell, MD●
Rheumatology
Reumatología
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Methodist Academic Medicine
Associates
Phone Number Change/Cambio
de número de teléfono
8520 Broadway St Ste 220Pearland, TX 77584(713) 363-8600
Hiba Ali, MD●
Sleep Medicine
Medician del sueño
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Kelsey-Seybold Clinic-
Pearland
Location Added/Lugar Agregado
2515 Business Ctr DrPearland, TX 77584(713) 442-7200
Suresh Daniel, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Kelsey-Seybold Clinic
Berthelsen Main Campus
Location Added/Lugar Agregado
2727 West Holcombe BlvdHouston, TX 77025(713) 442-0000
Ali Al-Himyary, MD●
Suresh Daniel, MD●
Kelsey-Seybold
Clinic-Tanglewood
Location Added/Lugar Agregado
1111 Augusta DrHouston, TX 77057(713) 442-2400
Ali Al-Himyary, MD●
Montgomery County
Montgomery Condado
City of Shenandoah
Ciudad de Shenandoah
Kelsey-Seybold Clinic-The
Woodlands
Location Added/Lugar Agregado
106 Vision Park BlvdShenandoah, TX 77384(713) 442-1800
Ali Al-Himyary, MD●
Sports Medicine
Medicina deportiva
Harris County / Condado
City of Houston
Ciudad de Houston
TMHPO Orthopedics Department
Location Added/Lugar Agregado
2020 Nasa Pkwy Ste 230Houston, TX 77058(713) 363-9090
Javier Rios, MD
Urology / Urología
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
Baylor McNair - Urology
Location Termed/Lugar Terminada
1327 Lake Pointe PkwySugar Land, TX 77478(713) 798-4001
Victor M Lizarraga, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Baylor McNair - Urology
Location Termed/Lugar Terminada
7200 Cambridge St 10th Fl Ste 10BHouston, TX 77030(713) 798-4001
Victor M Lizarraga, MD●
Kelsey-Seybold Clinic-Cypress
Location Added/Lugar Agregado
13105 Wortham Ctr DrHouston, TX 77065(713) 442-4000
Evan P Wenker, MD●
Oth
er Ch
an
ges to
the P
rovid
er Netw
ork
/ Otro
s cam
bio
s a la
Red
de P
roveed
ores
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
46
Other Changes to the Provider Network
Otros cambios a la Red de Proveedores
Oth
er C
han
ges
to t
he
Pro
vid
er N
etw
ork
/ O
tros
cam
bio
s a l
a R
ed d
e P
rovee
dore
s
Kelsey-Seybold Spring Medical
and Diagnostic Center
Location Added/Lugar Agregado
15655 Cypress Woods Medical Dr Ste 100Houston, TX 77014(713) 442-1700
Evan P Wenker, MD●
Michael Pan, MD●
Scott Department of Urology
Location Added/Lugar Agregado
6624 Fannin StHouston, TX 77030(713) 798-4001
Larry I Lipshultz, MD●
Scott Department of Urology
Location Added/Lugar Agregado
6624 Fannin St Ste 1700Houston, TX 77030(713) 798-4001
Larry I Lipshultz, MD●
City of Humble
Ciudad de Humble
Kelsey-Seybold Clinic-Summer
Creek
Location Added/Lugar Agregado
8233 N Sam Houston Pkwy EHumble, TX 77396(713) 442-2000
Michael Pan, MD●
City of Tomball
Ciudad de Tomball
Texas Oncology
Phone Number Change/Cambio
de número de teléfono
506 Graham Dr Ste 150Tomball, TX 77375(281) 351-5174
Steven W Sukin, MD■
Montgomery County
Montgomery Condado
City of Conroe
Ciudad de Conroe
Texas Oncology
Location Termed/Lugar
Terminada
17198 St. Luke's Way Ste 305Conroe, TX 77384(281) 351-5174
Steven W Sukin, MD■
City of Porter
Ciudad de Porter
Kelsey-Seybold
Clinic-Kingwood
Location Added/Lugar Agregado
25553 US Hwy 59Porter, TX 77365(713) 442-2100
Michael Pan, MD●
City of Shenandoah
Ciudad de Shenandoah
Kelsey-Seybold Clinic-The
Woodlands
Location Added/Lugar Agregado
106 Vision Park BlvdShenandoah, TX 77384(713) 442-1800
Evan P Wenker, MD●
Vascular Neurology
Neurología Vascular
Harris County / Condado
City of Houston
Ciudad de Houston
TMHPO Neurology Department
Phone Number Change/Cambio de
número de teléfono
6560 Fannin Ste 802Houston, TX 77030(713) 441-5066
David Chiu, MD
Vascular Surgery
Cirugía vascular
Fort Bend County
Fort Bend Condado
City of Sugar Land
Ciudad de Sugar Land
St. Luke's Sugar Land Medical
Plaza Building
Location Termed/Lugar Terminada
1327 Lake Pointe PkwySugar Land, TX 77478(713) 798-8412
Jayer Chung, MD●
Harris County / Condado
City of Houston
Ciudad de Houston
Methodist Cardiovascular
Surgery Associates
Location Added/Lugar Agregado
18400 Katy Frwy Ste 640Houston, TX 77094(832) 522-8600
Ahmed S Mohamed, MD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales47
Facility Additions to Provider Network
Instalaciones Adiciones de Proveedores
Ambulance Transport
Transporte en ambulancia
Harris County / Condado
City of Houston
Ciudad de Houston
Zap Medical Serivces, Inc.
1316 S Loop W
Houston, TX 77054
(281) 914-4635
Durable Medical Equipment
Equipo médico duradero
Tarrant County / Condado
City of South Lake
Ciudad de South Lake
Byram Healthcare Centers, Inc.
1080 S Kimball Ste 140
South Lake, TX 76092
(877) 902-9726
Outpatient Dialysis
Diálisis ambulatoria
Galveston County
Galveston Condado
City of Texas City
Ciudad de Texas City
Fresenius Kidney Care Sandcastle Dialysis Center
8900 Emmett F Lowry Expy Ste 201
Texas City, TX 77591
(409) 933-0406
Fresenius Kidney Care Texas City Dialysis Center
3567 Palmer Hwy Ste C
Texas City, TX 77590
(409) 948-9300
Harris County / Condado
City of Cypress
Ciudad de Cypress
Fresenius Kidney Care Fairfield
20435 Cypresswod Dr
Cypress, TX 77433
(346) 254-6687
City of Houston
Ciudad de Houston
USRenal Care Gulfgate, LLC
2916 Woodridge Dr
Houston, TX 77087
(346) 772-0517
Fresenius Kidney Care Hillcroft Dialysis Center
6015 Hillcroft Ste 300
Houston, TX 77081
(713) 772-0992
Fresenius Kidney Care North Shepherd
7112 Stuebner Airline Rd
Houston, TX 77091
(713) 490-7382
City of Pasadena
Ciudad de Pasadena
Fresenius Kidney Care Pasadena-Crenshaw
5040 Crenshaw Rd Ste 200
Pasadena, TX 77505
(832) 703-0450
Montgomery County
Montgomery Condado
City of Conroe
Ciudad de Conroe
US Renal Care Conroe Dialysis
200 S Rivershire Dr Ste 100
Conroe, TX 77304
(936) 270-8400
Surgical Services
Servicios Quirúrgicos
Brazoria County / Condado
City of Lake Jackson
Ciudad de Lake Jackson
Meah ASC Management , LLC
109 Parking Way St
Lake Jackson, TX 77566
(979) 292-0033
Harris County / Condado
City of Houston
Ciudad de Houston
Memorial Hermann Surgery Center Main Street
7515 S Main St Ste 800
Houston, TX 77030
(713) 799-9790
Facility
Ad
ditio
ns to
Pro
vid
er Netw
ork
/ Insta
lacio
nes A
dicio
nes d
e Pro
veed
ores
48
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
Ad
dit
ion
s to
Men
tal
Hea
lth
Pro
vid
ers
/ A
dic
ion
es a
los
Pro
vee
dore
s d
e S
alu
d M
enta
l
Counselor / Consejero
Brazoria County / Condado
City of Alvin
Ciudad de Alvin
Stephen F Austin Community
Health Center Inc
1111 W Adoue StAlvin, TX 77511(281) 824-1480
Faith Worley, MSW
Stephen F Austin Community
Health Center Inc
1612 Callaway DrAlvin, TX 77511(281) 824-1480
Faith Worley, MSW
Stephen F Austin Community
Health Center Inc
218 E House StAlvin, TX 77511(281) 824-1480
Faith Worley, MSW
The Gulf Coast Center
101 Brennen LnAlvin, TX 77511(800) 643-0967
Christen D Dobbs, MSW
City of Angleton
Ciudad de Angleton
Stephen F Austin Community
Health Center Inc
2020 E Mulberry StAngleton, TX 77515(281) 824-1480
Faith Worley, MSW
The Gulf Coast Center
101 Tigner StAngleton, TX 77515(800) 643-0967
Christen D Dobbs, MSW
The Gulf Coast Center
101 Tigner St Bldg 2Angleton, TX 77515(800) 643-0967
Christen D Dobbs, MSW
The Gulf Coast Center
2352 E Mulberry StAngleton, TX 77515(800) 643-0967
Christen D Dobbs, MSW
City of Clute
Ciudad de Clute
Stephen F Austin Community
Health Center Inc
792 N Hwy 288BClute, TX 77531(281) 824-1480
Faith Worley, MSW
City of Freeport
Ciudad de Freeport
Stephen F Austin Community
Health Center Inc
905 N Gulf BlvdFreeport, TX 77541(281) 824-1480
Faith Worley, MSW
City of Lake Jackson
Ciudad de Lake Jackson
Stephen F Austin Community
Health Center Inc
500 College Dr Rm B112Lake Jackson, TX 77566(281) 824-1480
Faith Worley, MSW
City of Pearland
Ciudad de Pearland
Happier Living
11200 Broadway St Ste 2743Pearland, TX 77584(888) 684-2779
Jacquelyn Hafford, MSW
Malinda P Bickham Logan, MSW
Mark W Chapman, MSW
Tonya Norman, MSW
Pearland Psychiatric Associates
PLLC
2743 Smith Ranch Rd Unit 101Pearland, TX 77584(281) 778-9530
Cicely M Betts, MSW
Stephen F Austin Community
Health Center Inc
2552 Broadway St Ste 102Pearland, TX 77581(281) 824-1480
Faith Worley, MSW
Texas Behavioral Health
12234 Shadow Creek Pkwy Ste 4104Pearland, TX 77584(281) 315-9508
Kathleen Lanini, MSW
Fort Bend County
Fort Bend Condado
City of Katy
Ciudad de Katy
Happier Living
2717 Commercial Ctr Blvd Ste E200Katy, TX 77494(888) 684-2779
Jacquelyn Hafford, MSW
Malinda P Bickham Logan, MSW
Mark W Chapman, MSW
Tonya Norman, MSW
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales49
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
City of Missouri City
Ciudad de Missouri City
Solace Center Sienna
5777 Sienna Pkwy Ste 350Missouri City, TX 77459(281) 778-8715
Raymond St Germain, MSW
Solace Psychiatry Clinic PLLC
4502 Riverstone Blvd Ste 601Missouri City, TX 77459(281) 778-9530
Cicely M Betts, MSW
City of Rosenberg
Ciudad de Rosenberg
Supportive Care LLC
1419 Mahlmann StRosenberg, TX 77471(718) 506-1115
Sharen Torrence, MSW
UT Physicians
5115 Avenue H Ste 701Rosenberg, TX 77471(713) 486-1950
Eric D McClure, MSW
City of Sugar Land
Ciudad de Sugar Land
Happier Living
14090 Southwest Fwy Ste 300Sugar Land, TX 77478(888) 684-2779
Jacquelyn Hafford, MSW
Malinda P Bickham Logan, MSW
Mark W Chapman, MSW
Tonya Norman, MSW
Rhema Therapeutic Counseling
and Consulting, LLC
17424 W Grand Pkwy S 132Sugar Land, TX 77479(720) 585-1295
April R Thomas Kenney, MSW
Galveston County
Galveston Condado
City of Bacliff
Ciudad de Bacliff
Stephen F Austin Community
Health Center Inc
1136 Grand AveBacliff, TX 77518(281) 824-1480
Faith Worley, MSW
City of Dickinson
Ciudad de Dickinson
UTMB Faculty Group Practice
2401 FM 646 Rd W Ste CDickinson, TX 77539(281) 614-1256
Elizabeth C Latiolais, MSW
City of Friendswood
Ciudad de Friendswood
Progressive Behavioral Health
PLLC
308 S Friendswood Dr Ste 110Friendswood, TX 77546(281) 993-3733
Patricia Figueroa-Cruz, MSW
City of Galveston
Ciudad de Galveston
The Gulf Coast Center
123 Rosenberg St Ste 4Galveston, TX 77550(800) 643-0967
Christen D Dobbs, MSW
UTMB Faculty Group Practice
6710 Stewart Rd Ste 100Galveston, TX 77551(409) 744-4030
Elizabeth C Latiolais, MSW
UTMB Faculty Group Practice
400 Harborside Dr Ste 104Galveston, TX 77550(409) 772-2166
Elizabeth C Latiolais, MSW
City of League City
Ciudad de League City
Happier Living
2600 S Shore Blvd Ste 300League City, TX 77573(888) 684-2779
Jacquelyn Hafford, MSW
Malinda P Bickham Logan, MSW
Mark W Chapman, MSW
Tonya Norman, MSW
Stephen F Austin Community
Health Center Inc
2360 Gulf Fwy SLeague City, TX 77573(281) 824-1480
Faith Worley, MSW
City of Texas City
Ciudad de Texas City
The Gulf Coast Center
3201 FM 2004 RdTexas City, TX 77591(800) 643-0967
Christen D Dobbs, MSW
The Gulf Coast Center
7510 FM 1765Texas City, TX 77591(800) 643-0967
Christen D Dobbs, MSW
Harris County / Condado
City of Atascocita
Ciudad de Atascocita
Ad
ditio
ns to
Men
tal H
ealth
Pro
vid
ers / Ad
icion
es a lo
s Pro
veed
ores d
e Salu
d M
enta
l
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
50
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
Ad
dit
ion
s to
Men
tal
Hea
lth
Pro
vid
ers
/ A
dic
ion
es a
los
Pro
vee
dore
s d
e S
alu
d M
enta
l
SonderMind Provider Network
18700 W Lake Houston Pkwy Ste A102Atascocita, TX 77346(844) 843-7279
Alexander MacDonald, MSW
City of Baytown
Ciudad de Baytown
Deer Oaks Consultation
Services PC
2000 W Baker RdBaytown, TX 77521(210) 569-8605
April Micheau, MSW
City of Bellaire
Ciudad de Bellaire
Happier Living
6575 West Loop S Ste 500Bellaire, TX 77401(888) 684-2779
Jacquelyn Hafford, MSW
Malinda P Bickham Logan, MSW
Mark W Chapman, MSW
Tonya Norman, MSW
St Hope Foundation Inc
6800 West Loop S Ste 560Bellaire, TX 77401(713) 839-7111
Priscilla A Francis, MSW
City of Houston
Ciudad de Houston
Bayou Behavioral Healthcare
Services Inc
2922 Rosedale StHouston, TX 77004(713) 874-1234
David Lee, MSW
Better Now LLC
2705 Cohn Arbor LnHouston, TX 77007(248) 914-2675
Marian Aguwa, MSW
Bright Heart Health Inc
1700 Post Oak Blvd Ste 600Houston, TX 77056(800) 892-2695
Katherine B Myers, MSW
Community Care Counseling
INC
340 N Sam Houston Pkwy E Ste A232Houston, TX 77060(877) 306-4600
Sara D Lewis, MSW
Deblin Health Concepts and
Associates
13201 Northwest Fwy Ste 800Houston, TX 77040(713) 686-9194
Erica N Madlock, MSW
Deblin Health Concepts and
Associates
6110 Pinemont Dr Ste 106Houston, TX 77092(713) 686-9194
Callie M Mackenzie, MSW
Eduardo A Vargas, MSW
Erica N Madlock, MSW
Family Service Center At
Houston and Harris County
4625 Lillian StHouston, TX 77007(713) 861-4849
Kathryn Foster, MSW
Happier Living
363 N Sam Houston Pkwy E Ste 1100Houston, TX 77060(888) 684-2779
Jacquelyn Hafford, MSW
Malinda P Bickham Logan, MSW
Mark W Chapman, MSW
Tonya Norman, MSW
Heights Anxiety and Depression
Center INC
1415 North Loop W Ste 940Houston, TX 77008(832) 940-2352
Maggie Gremillion, MSW
Hopeful Texas PLLC
1100 Nasa Pkwy Ste 110Houston, TX 77058(713) 965-3801
Tara L Greer, MSW
Karitas Counseling PLLC
18506 Green Land Way Ste AHouston, TX 77084(832) 995-2016
Oscar A Guevara, MSW
Kinghaven Counseling Group
6315 Gulfton StHouston, TX 77081(713) 457-4372
Wilma Davis, MSW
Kinghaven Counseling Group
6315 Gulfton St Ste 100Houston, TX 77081(713) 457-4372
Judith A Miller, MSW
Wilma Davis, MSW
Legacy Community Health
Services
1415 California StHouston, TX 77006(713) 351-7360
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales51
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
Susan R Loredo, MSW
Legacy Community Health
Services
5620 W Tidwell RdHouston, TX 77091(713) 351-7360
Amber Lane, MSW
Amber Lane, MSW
Legacy Community Health
Services
6500 Rookin St Ste 200Houston, TX 77074(713) 351-7360
Asmait T Gebrekristos, MSW
Legacy Community Health
Services
6550 Mapleridge St Ste 106Houston, TX 77081(713) 351-7360
Sharon R Akinyi Jones, MSW
LifeStance Health PBH
2222 Greenhouse Rd Ste 200BHouston, TX 77084(281) 993-3733
Shaneice Branch, MSW
LifeStance Health PBH
8588 Katy Fwy Ste 350Houston, TX 77024(281) 993-3733
Ann K Johnson, MSW
Sophie Gluzkater, MSW
Minute Clinic, Located Inside
CVS
9101 Hwy 6 NHouston, TX 77095(855) 417-2486
Julie J Strunk, MSW
Sereathia Kesee, MSW
Order My Steps Counseling,
PLLC
16318 Blue Rock Springs DrHouston, TX 77073(281) 948-5055
Kenethia Morgan, MSW
Progressive Behavioral Health
PLLC
3355 W Alabama St Ste 195Houston, TX 77098(281) 993-3733
Ethel M Richard Peterson, MSW
Senior Psychological Care
Dallas I LLC
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
Ashly N Huffstatler, MSW
Michelle Hernandez, MSW
Randal Voss, MSW
Senior Psychological Care SA I
LLC
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
Twyla H Oliva, MSW
SonderMind Provider Network
9434 Katy Fwy Ste 230Houston, TX 77055(844) 843-7279
Andrea N Steward, MSW
Spring Branch Community
Health Center
8575 Pitner RdHouston, TX 77080(713) 462-6545
Emiliano Herrera, MSW
Spring Branch Community
Health Center
1615 Hillendahl Blvd Ste 100Houston, TX 77055(713) 462-6565
Emiliano Herrera, MSW
Stephen F Austin Community
Health Center Inc
10851 Scarsdale Blvd Ste 160Houston, TX 77089(281) 824-1480
Faith Worley, MSW
Supportive Care LLC
7505 Bellerive DrHouston, TX 77036(718) 506-1115
Sharen Torrence, MSW
The Harris Center for Mental
Health and IDD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Denise A Fenwick, MSW
The Harris Center for Mental
Health and IDD
2627 Caroline StHouston, TX 77004(713) 970-7000
Denise A Fenwick, MSW
The Harris Center for Mental
Health and IDD
3737 Dacoma StHouston, TX 77092(713) 970-7000
Denise A Fenwick, MSW
The Harris Center for Mental
Health and IDD
5901 Long DrHouston, TX 77087(713) 970-7000
Ad
ditio
ns to
Men
tal H
ealth
Pro
vid
ers / Ad
icion
es a lo
s Pro
veed
ores d
e Salu
d M
enta
l
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
52
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
Ad
dit
ion
s to
Men
tal
Hea
lth
Pro
vid
ers
/ A
dic
ion
es a
los
Pro
vee
dore
s d
e S
alu
d M
enta
l
Denise A Fenwick, MSW
The Harris Center for Mental
Health and IDD
6032 Airline DrHouston, TX 77076(713) 970-7000
Denise A Fenwick, MSW
The Harris Center for Mental
Health and IDD
7200 North Loop EHouston, TX 77028(713) 970-7000
Denise A Fenwick, MSW
The Harris Center for Mental
Health and IDD
9401 Southwest FwyHouston, TX 77074(713) 970-7000
Denise A Fenwick, MSW
Mai Spickelmier Engel, MSW
UT Physicians
818 Ringold StHouston, TX 77088(281) 448-6391
Kendra R Bailey, MSW
UT Physicians
6410 Fannin St Ste 600Houston, TX 77030(713) 704-4000
Eric D McClure, MSW
UT Physicians
6410 Fannin St Ste 500Houston, TX 77030(832) 325-6515
Johanna Pule, MSW
City of Humble
Ciudad de Humble
Minute Clinic, Located Inside
CVS
8000 N Sam Houston Pkwy EHumble, TX 77396(855) 417-2486
Carla Maddox, MSW
Yolanda Owens, MSW
12102 Guadalupe Trail LnHumble, TX 77346(346) 345-9696
Yolanda Owens, MSW
City of Katy
Ciudad de Katy
Deer Oaks Consultation
Services PC
1222 Park West Green DrKaty, TX 77493(210) 569-8605
April Micheau, MSW
Minute Clinic, Located Inside
CVS
602 W Grand Pkwy SKaty, TX 77494(855) 417-2486
Julie J Strunk, MSW
Spring Branch Community
Health Center
19333 Clay RdKaty, TX 77449(713) 462-6555
Emiliano Herrera, MSW
City of Pasadena
Ciudad de Pasadena
Texas Behavioral Health
4102 Woodlawn Ave Ste 210Pasadena, TX 77504(281) 819-1438
Kathleen Lanini, MSW
City of Spring
Ciudad de Spring
Minute Clinic, Located Inside
CVS
24802 Aldine Westfield RdSpring, TX 77373(855) 417-2486
Kenethia Morgan, MSW
Minute Clinic, Located Inside
CVS
3850 FM 2920 RdSpring, TX 77388(855) 417-2486
Sereathia Kesee, MSW
City of The Woodlands
Ciudad de The Woodlands
Creating Connections Counseling
Services PLLC
26400 Kuykendahl Rd Ste C180278The Woodlands, TX 77375(832) 639-8080
Doretha Pengel, MSW
City of Tomball
Ciudad de Tomball
Minute Clinic, Located Inside
CVS
24048 Kuykendahl RdTomball, TX 77375(855) 417-2486
Kenethia Morgan, MSW
Liberty County / Condado
City of Cleveland
Ciudad de Cleveland
Tri County Behavioral Healthcare
2004 Truman StCleveland, TX 77327(281) 432-3000
Shalynn M McFadden, MSW
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales53
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
City of Liberty
Ciudad de Liberty
Tri County Behavioral
Healthcare
2000 Panther LnLiberty, TX 77575(936) 334-3299
Shalynn M McFadden, MSW
Montgomery County
Montgomery Condado
City of Conroe
Ciudad de Conroe
Tri County Behavioral
Healthcare
233 Sgt Ed Holcomb Blvd SConroe, TX 77304(936) 521-6100
Shalynn M McFadden, MSW
Tri County Behavioral
Healthcare
706 Old Montgomery RdConroe, TX 77301(936) 538-1102
Shalynn M McFadden, MSW
City of Porter
Ciudad de Porter
Minute Clinic, Located Inside
CVS
23865 FM 1314 RdPorter, TX 77365(855) 417-2486
Carla Maddox, MSW
City of Spring
Ciudad de Spring
Happier Living
24624 Interstate 45 N Ste 200Spring, TX 77386(888) 684-2779
Jacquelyn Hafford, MSW
Malinda P Bickham Logan, MSW
Mark W Chapman, MSW
Tonya Norman, MSW
Paula McDonald-Neely, LCSW,
PLLC
26411 Oak Ridge DrSpring, TX 77380(281) 610-8412
Paula McDonald Neely, MSW
City of The Woodlands
Ciudad de The Woodlands
Happier Living
1790 Hughes Landing Blvd Ste 400The Woodlands, TX 77380(888) 684-2779
Jacquelyn Hafford, MSW
Malinda P Bickham Logan, MSW
Mark W Chapman, MSW
Tonya Norman, MSW
Walker County / Condado
City of Huntsville
Ciudad de Huntsville
Tri County Behavioral
Healthcare
7045 Hwy 75 SHuntsville, TX 77340(936) 291-5800
Shalynn M McFadden, MSW
Psychiatry / Psiquiatría
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Pearland Psychiatric Associates
PLLC
2743 Smith Ranch Rd Unit 101Pearland, TX 77584(281) 778-9530
Darko Zdilar, MD
Prashant Gajwani, MD
Fort Bend County
Fort Bend Condado
City of Missouri City
Ciudad de Missouri City
Sanjay G. Adhia, MD
22 Foggy Heights LnMissouri City, TX 77459(832) 778-8887
Sanjay G Adhia, MD
UT Physicians
8810 Hwy 6 Ste 100Missouri City, TX 77459(713) 486-1200
Nubia G Lluberes, MD
City of Rosenberg
Ciudad de Rosenberg
The Harris Center for Mental
Health and IDD
4910 Airport AveRosenberg, TX 77471(281) 342-6384
Dominic M Joseph, MD
City of Sugar Land
Ciudad de Sugar Land
St Hope Foundation Inc
14815 Southwest FwySugar Land, TX 77478(281) 277-8571
Carlin D Barnes, MD
Texas Behavioral Health
800 Bonaventure Way Ste 137Sugar Land, TX 77479(281) 819-1438
Raees Ahmed, MD
Galveston County
Galveston Condado
City of Dickinson
Ciudad de Dickinson
Ad
ditio
ns to
Men
tal H
ealth
Pro
vid
ers / Ad
icion
es a lo
s Pro
veed
ores d
e Salu
d M
enta
l
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
54
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
Ad
dit
ion
s to
Men
tal
Hea
lth
Pro
vid
ers
/ A
dic
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Pro
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St Hope Foundation Inc
3750 Medical Park Blvd Ste 150Dickinson, TX 77539(832) 738-1305
Carlin D Barnes, MD
City of Friendswood
Ciudad de Friendswood
LifeStance Health PBH
308 S Friendswood Dr Ste 110Friendswood, TX 77546(281) 993-3733
Darren Fred, MD
Texas Behavioral Health
104 Whispering Pines AveFriendswood, TX 77546(281) 819-1438
Khwaja K Tariq, MD
UTMB Faculty Group Practice
1505 E Winding Way Dr Ste 210Friendswood, TX 77546(835) 505-5050
Stephen A Baughn, MD
City of Galveston
Ciudad de Galveston
The Gulf Coast Center
123 Rosenberg St Ste 4Galveston, TX 77550(800) 643-0967
Kelly A Campbell, MD
City of League City
Ciudad de League City
UTMB Faculty Group Practice
2660 Gulf Fwy SLeague City, TX 77573(409) 762-2328
Stephen A Baughn, MD
Harris County / Condado
City of Bellaire
Ciudad de Bellaire
St Hope Foundation Inc
6800 West Loop S Ste 560Bellaire, TX 77401(713) 839-7111
Carlin D Barnes, MD
City of Houston
Ciudad de Houston
Asian American Health
Coalition
7001 Corporate Dr Ste 120Houston, TX 77036(713) 773-0803
Endra R Sookoor, MD
Baylor College of Medicine
1502 Taub Loop Fl 2Houston, TX 77030(713) 873-4900
Kristen L Guilford, MD
Bharath G Raj
5751 Blythewood St Ste 800Houston, TX 77021(281) 532-5462
Bharath G Raj, MD
Compass Psychiatry Solutions
2026 Wirt Rd Fl 2Houston, TX 77055(409) 420-4430
Arianne Suarez Lago, MD
Fulshear Family Health
Consultants
19255 Park Row Ste 105Houston, TX 77084(346) 251-5901
Madiha Ghayas, MD
Kinghaven Counseling Group
6315 Gulfton St Ste 100Houston, TX 77081(713) 457-4372
Shahid Hussain, MD
Legacy Community Health
Services
12667 Bissonnet StHouston, TX 77099(713) 351-7360
Claire Friedman, MD
Legacy Community Health
Services
6500 Rookin St Ste 200Houston, TX 77074(713) 351-7360
Marguerite Patel, MD
LifeStance Health PBH
3355 W Alabama St Ste 195Houston, TX 77098(281) 993-3733
Sarah Gatumu, MD
Medcare Clinics PLLC
10130 Louetta Rd Ste EHouston, TX 77070(281) 893-3656
Ifeoma N Arene, MD
Medcare Clinics PLLC
12828 Willow Centre Dr Ste EHouston, TX 77066(281) 893-3656
Ifeoma N Arene, MD
Progressive Behavioral Health
PLLC
3355 W Alabama St Ste 195Houston, TX 77098(281) 993-3733
Claire Friedman, MD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales55
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
Psych Matters PLLC
9894 Bissonnet St Ste 175Houston, TX 77036(832) 225-3345
Gerard A Scardino, MD
Spring Branch Community
Health Center
1615 Hillendahl Blvd Ste 100Houston, TX 77055(713) 462-6565
Darice M Rodriguez, MD
St Hope Foundation Inc
255 Northpoint Dr Ste 200Houston, TX 77060(832) 300-8040
Carlin D Barnes, MD
Texas Behavioral Health
50 Briar Hollow Ln Ste 290WHouston, TX 77027(281) 810-7781
Lauren Wilson, MD
The Harris Center for Mental
Health and IDD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Dominic M Joseph, MD
Sandy Y Lee, MD
Shakeel Raza, MD
The Harris Center for Mental
Health and IDD
2627 Caroline StHouston, TX 77004(713) 970-7000
Dominic M Joseph, MD
Sandy Y Lee, MD
Shakeel Raza, MD
The Harris Center for Mental
Health and IDD
3737 Dacoma StHouston, TX 77092(713) 970-7000
Dominic M Joseph, MD
Sandy Y Lee, MD
Shakeel Raza, MD
The Harris Center for Mental
Health and IDD
5901 Long DrHouston, TX 77087(713) 970-7000
Sandy Y Lee, MD
Shakeel Raza, MD
The Harris Center for Mental
Health and IDD
6032 Airline DrHouston, TX 77076(713) 970-7000
Dominic M Joseph, MD
Sandy Y Lee, MD
Shakeel Raza, MD
The Harris Center for Mental
Health and IDD
7011 Southwest FwyHouston, TX 77074(713) 970-7000
Dominic M Joseph, MD
The Harris Center for Mental
Health and IDD
7200 North Loop EHouston, TX 77028(713) 970-7000
Dominic M Joseph, MD
Sandy Y Lee, MD
Shakeel Raza, MD
The Harris Center for Mental
Health and IDD
9401 Southwest FwyHouston, TX 77074(713) 970-7000
Dominic M Joseph, MD
Sandy Y Lee, MD
Shakeel Raza, MD
UT Physicians
4755 Aldine Mail RteHouston, TX 77039(281) 985-7600
Maria J Orejarena, MD
UT Physicians
1941 East RdHouston, TX 77054(713) 486-2700
Michael F Weaver, MD
Vineeth P John, MD
UT Physicians
1941 East Rd Ste 2100Houston, TX 77054(713) 486-2700
Michael F Weaver, MD
Vineeth P John, MD
UT Physicians
2620 E Crosstimbers St Ste 100Houston, TX 77093(713) 486-8550
Mohammed W Ahmed, MD
UT Physicians
2800 S MacGregor WayHouston, TX 77021(713) 741-5000
Alexandra N Duran, MD
Lokesh R Shahani, MD
Nubia G Lluberes, MD
Zeshen Wu, MD
UT Physicians
5656 Kelley StHouston, TX 77026(713) 873-2309
Kawal Bir, MD
City of Kingwood
Ciudad de Kingwood
Ad
ditio
ns to
Men
tal H
ealth
Pro
vid
ers / Ad
icion
es a lo
s Pro
veed
ores d
e Salu
d M
enta
l
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
56
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
Ad
dit
ion
s to
Men
tal
Hea
lth
Pro
vid
ers
/ A
dic
ion
es a
los
Pro
vee
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Bharath G Raj
3411 Cedar Knolls Dr Ste BKingwood, TX 77339(281) 532-5462
Bharath G Raj, MD
City of Pasadena
Ciudad de Pasadena
Med Management Associates
5020 Space Ctr BlvdPasadena, TX 77505(888) 365-6271
Yahya Saeed, MD
Liberty County / Condado
City of Cleveland
Ciudad de Cleveland
Tri County Behavioral
Healthcare
2004 Truman StCleveland, TX 77327(281) 432-3000
Arjun G Karkhanis, MD
Daniel R Lavin, MD
Jamon Blood, MD
Kelly A Campbell, MD
Natalia Kazakevich, MD
Samuel D Scott, MD
Susan F Zink, MD
City of Liberty
Ciudad de Liberty
Tri County Behavioral
Healthcare
2000 Panther LnLiberty, TX 77575(936) 334-3299
Arjun G Karkhanis, MD
Daniel R Lavin, MD
Jamon Blood, MD
Kelly A Campbell, MD
Natalia Kazakevich, MD
Samuel D Scott, MD
Susan F Zink, MD
Montgomery County
Montgomery Condado
City of Conroe
Ciudad de Conroe
St Hope Foundation Inc
1414 S Frazier St Ste 105Conroe, TX 77301(936) 441-2440
Carlin D Barnes, MD
St Hope Foundation Inc
1414 S Frazier St Ste 106Conroe, TX 77301(936) 441-2440
Carlin D Barnes, MD
Tri County Behavioral
Healthcare
233 Sgt Ed Holcomb Blvd SConroe, TX 77304(936) 521-6100
Arjun G Karkhanis, MD
Daniel R Lavin, MD
Deana Abdel Reheim, MD
Jamon Blood, MD
Kelly A Campbell, MD
Natalia Kazakevich, MD
Samuel D Scott, MD
Susan F Zink, MD
Victor Stiebel, MD
Zachary Drennan, MD
Tri County Behavioral
Healthcare
706 Old Montgomery RdConroe, TX 77301(936) 538-1102
Arjun G Karkhanis, MD
Daniel R Lavin, MD
Jamon Blood, MD
Kelly A Campbell, MD
Natalia Kazakevich, MD
Samuel D Scott, MD
Susan F Zink, MD
City of The Woodlands
Ciudad de The Woodlands
Progressive Behavioral Health
PLLC
2103 Research Forest Dr Ste 175The Woodlands, TX 77380(281) 993-3733
Sheila M Sasieta, MD
Walker County / Condado
City of Huntsville
Ciudad de Huntsville
Tri County Behavioral Healthcare
7045 Hwy 75 SHuntsville, TX 77340(936) 291-5800
Arjun G Karkhanis, MD
Daniel R Lavin, MD
Jamon Blood, MD
Kelly A Campbell, MD
Natalia Kazakevich, MD
Samuel D Scott, MD
Susan F Zink, MD
Psychology / Psicología
Fort Bend County
Fort Bend Condado
City of Missouri City
Ciudad de Missouri City
Amazing Healthcare Inc.
8511 Rockmont CtMissouri City, TX 77489(713) 259-2250
Eboni T Butler, PHD
Neurocognitive Specailty Group
4501 Cartwright Rd Ste 705Missouri City, TX 77459(281) 954-6828
Jane Booth, PHD
Nicholas Wisdom, PHD
Harris County / Condado
City of Houston
Ciudad de Houston
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales57
Additions to Mental Health Providers
Adiciones a los Proveedores de Salud Mental
Gulf Coast Neuropsychology
PLLC
1110 Nasa Pkwy Ste 108CHouston, TX 77058(409) 789-1339
Dennis Zgaljardic, PHD
Houston Neuropsychology
Associates, PLLC
11211 Katy Fwy Ste 505Houston, TX 77079(713) 893-7105
Jesse Passler, PHD
Houston Neuropsychology
Associates, PLLC
3100 Timmons Ln Ste 565Houston, TX 77027(713) 893-7105
Jesse Passler, PHD
Jacqueline K Jones, PhD
9525 Katy Fwy Ste 312Houston, TX 77024(713) 463-9449
Jacqueline K Jones, PHD
Kinghaven Counseling Group
6315 Gulfton St Ste 100Houston, TX 77081(713) 457-4372
Yolanda Crosby, PHD
Lone Star Circle of Care
4849 Calhoun Rd Ste 1001AHouston, TX 77204(877) 800-5722
William B Elder, PHD
Moore Mental Health &
Behavioral Services PLLC
17030 Nanes Dr Ste 201Houston, TX 77090(281) 415-1280
Amanda Richter, PhD
Neurocognitive Specailty Group
1300 Bay Area Blvd Ste B15015Houston, TX 77058(281) 954-6828
Jane Booth, PHD
Nicholas Wisdom, PHD
Neurocognitive Specailty Group
10333 Harwin Dr Ste 435Houston, TX 77036(888) 606-0086
Jane Booth, PHD
Psy Med Inc
10125 Katy Fwy Ste 106Houston, TX 77024(214) 348-5557
Rosslyn Douglas, PHD
Psy Med Inc
7505 Fannin St Ste 310Houston, TX 77054(214) 348-5557
Ericka Brothers, PHD
Rosslyn Douglas, PHD
Senior Psychological Care
Dallas I LLC
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
David R Egerton, PHD
Senior Psychological Care SA I
LLC
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
Roberto Montes, PHD
UT Physicians
6410 Fannin St Ste 130Houston, TX 77030(713) 500-5171
Marion P Zahn, PHD
City of Spring
Ciudad de Spring
Jacqueline K Jones, PhD
3407 Spring Creek DrSpring, TX 77373(713) 859-8240
Jacqueline K Jones, PHD
Montgomery County
Montgomery Condado
City of Shenandoah
Ciudad de Shenandoah
Psy Med Inc
9200 Pinecroft Dr Ste 250Shenandoah, TX 77380(214) 348-5557
Rosslyn Douglas, PHD
Ad
ditio
ns to
Men
tal H
ealth
Pro
vid
ers / Ad
icion
es a lo
s Pro
veed
ores d
e Salu
d M
enta
l
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
58
Terminations to Mental Health Providers
Terminaciones a Proveedores de Salud Mental
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Ter
min
ati
on
s to
Men
tal
Hea
lth
Pro
vid
ers
/ T
erm
inaci
on
es a
Pro
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dore
s d
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Counselor / Consejero
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Jacquelyn Hafford, MSW
11200 Broadway St Ste 2743Pearland, TX 77584(888) 684-2779
Jacquelyn Hafford, MSW
Malinda Bickham Logan, MSW
11200 Broadway St Ste 2743Pearland, TX 77584(888) 684-2779
Malinda P Bickham Logan, MSW
Galveston County
Galveston Condado
City of League City
Ciudad de League City
Mark T Middlebrooks, MSW
614 W Main St Ste 102League City, TX 77573(281) 332-4396
Mark T Middlebrooks, MSW
Harris County / Condado
City of Bellaire
Ciudad de Bellaire
Kenneth R McLeod, MSW
5900 Memorial DR STE 218Bellaire, TX 77401(713) 628-1776
Kenneth R McLeod, MSW
City of Cypress
Ciudad de Cypress
Deundra Johnson, MSW
26265 Northwest FwyCypress, TX 77429(855) 417-2486
Deundra Johnson, MSW
City of Houston
Ciudad de Houston
Amy Friendt, MSW
6110 Pinemont Dr Ste 106Houston, TX 77092(713) 686-9194
Amy C Friend, MSW
Amy Huber, MSW
1502 Taub LoopHouston, TX 77030(713) 970-7000
Amy C Huber, MSW
Destiny Green, MSW
8588 Katy Fwy Ste 350Houston, TX 77024(281) 993-3733
Destiny Green, MSW
Erica Govind Feist, MSW
1111 North Loop W Ste 935Houston, TX 77008(832) 233-3086
Erica Govind Feist, MSW
Erica Madloct, MSW
6110 Pinemont Dr Ste 106Houston, TX 77092(713) 686-9194
Erica N Madlock, MSW
Erin Dow, MSW
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
Erin Dow, MSW
Ethel Richard Peterson, MSW
3355 W Alabama St Ste 195Houston, TX 77098(281) 993-3733
Ethel M Richard Peterson, MSW
George Devejian, MSW
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
George Devejian, MSW
Jacqueline Garza, MSW
6701 Fannin St Fl 16Houston, TX 77030(832) 822-1900
Jacqueline V Garza, MSW
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales59
Terminations to Mental Health Providers
Terminaciones a Proveedores de Salud Mental
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
James Fox, MSW
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
James Fox, MSW
Jennifer Hanson, MSW
1111 North Loop W Ste 935Houston, TX 77008(832) 233-3086
Jennifer Hanson, MSW
Jessica Medrano Villafana,
MSW
6701 Fannin St Fl 16Houston, TX 77030(832) 822-1900
Jessica E Medrano Villafana, MSW
Joseph Robertt, MSW
401 Branard St Fl 2Houston, TX 77006(713) 529-0037
Joseph E Roberts, MSW
Kimberly Clough, MSW
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
Kimberly Clough, MSW
Madeline Vaughn, MSW
303 Jackson Hill StHouston, TX 77007(281) 200-9285
Madeline M Vaughn, MSW
Maria Pasco, MSW
1502 Taub LoopHouston, TX 77030(713) 970-7000
Maria S Pasco, MSW
Maria R Webb, MSW
1415 California StHouston, TX 77006(713) 351-7360
Maria R Webb, MSW
Maria R Webb, MSW
5598 North Fwy Ste A1Houston, TX 77076(713) 351-7360
Maria R Webb, MSW
Mary Locke, MSW
1502 Taub LoopHouston, TX 77030(713) 970-7000
Mary K Locke, MSW
MegAnne Duke, MSW
10777 Westheimer Rd Ste 1100Houston, TX 77042(888) 684-2779
MegAnne R Duke, MSW
Megan Keyser, MSW
1502 Taub LoopHouston, TX 77030(713) 970-7000
Megan E Keyser, MSW
Nancy Hernandez, MSW
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
Nancy H Hernandez, MSW
Nieesha Princet, MSW
2222 Greenhouse Rd Ste 200BHouston, TX 77084(281) 993-3733
Nieesha Prince, MSW
Sara D Lewis, MSW
340 N Sam Houston Pkwy E Ste A232Houston, TX 77060(877) 306-4600
Sara D Lewis, MSW
Smithosh Mathew, MSW
6110 Pinemont Dr Ste 106Houston, TX 77092(713) 686-9194
Smithosh Mathew, MSW
Sophie Gluzkater, MSW
50 Briar Hollow Ln Ste 290WHouston, TX 77027(281) 816-5930
Sophie Gluzkater, MSW
Term
inatio
ns to
Men
tal H
ealth
Pro
vid
ers / Term
inacio
nes a
Pro
veed
ores d
e Salu
d M
enta
l
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
60
Terminations to Mental Health Providers
Terminaciones a Proveedores de Salud Mental
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Ter
min
ati
on
s to
Men
tal
Hea
lth
Pro
vid
ers
/ T
erm
inaci
on
es a
Pro
vee
dore
s d
e S
alu
d M
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l
Steven Parks, MSW
4131 S Braeswood BlvdHouston, TX 77025(713) 667-9336
Steven L Parks, MSW
Valencia Robinson, MSW
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
Valencia D Robinson, MSW
Victor Reyes, MSW
4635 Southwest Fwy Ste 635Houston, TX 77027(713) 850-0049
Victor M Reyes, MSW
Xiaocan Zhang, MSW
1415 California StHouston, TX 77006(713) 351-7360
Xiaocan S Zhang, MSW
City of Humble
Ciudad de Humble
Jennifer Hanson, MSW
20031 W Lake Houston Pkwy Ste 400Humble, TX 77346(832) 233-3086
Jennifer Hanson, MSW
City of Kingwood
Ciudad de Kingwood
Jennifer Hanson, MSW
2323 Timber Shadows Dr Ste BKingwood, TX 77339(832) 233-3086
Jennifer Hanson, MSW
City of Spring
Ciudad de Spring
Jack Swanson, MSW
6823 Cypresswood DrSpring, TX 77379(281) 376-8006
Jack P Swanson, MSW
Montgomery County
Montgomery Condado
City of Conroe
Ciudad de Conroe
Diana Adelekt, MSW
17600 Interstate 45 SConroe, TX 77384(832) 822-1900
Diana A Adeleke, MSW
City of The Woodlands
Ciudad de The Woodlands
Jo Ann W Vick, MSW
2441 High Timbers Dr Ste 100The Woodlands, TX 77380(281) 367-2337
Jo Ann W Vick, MSW
Psychiatry / Psiquiatría
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Selma Raheemt, MD
2225 County Rd 90 Ste 115Pearland, TX 77584(832) 947-3562
Selma Raheem, MD
Fort Bend County
Fort Bend Condado
City of Missouri City
Ciudad de Missouri City
Prashant Gajwant, MD
4502 Riverstone Blvd Ste 601Missouri City, TX 77459(281) 778-9549
Prashant Gajwani, MD
Ramaswamy Lakshmanan,
MD
4502 Riverstone Blvd Ste 601Missouri City, TX 77459(281) 778-9530
Ramaswamy Lakshmanan, MD
Galveston County
Galveston Condado
City of Friendswood
Ciudad de Friendswood
Caleb Jordan, MD
308 S Friendswood Dr Ste 110Friendswood, TX 77546(281) 993-3733
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales61
Terminations to Mental Health Providers
Terminaciones a Proveedores de Salud Mental
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Caleb L Jordan, MD
Manuel Guillet, MD
308 S Friendswood Dr Ste 110Friendswood, TX 77546(281) 993-3733
Manuel A Guillen, MD
Harris County / Condado
City of Houston
Ciudad de Houston
Amina Abdulla, MD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Amina Abdulla, MD
Bengi B. Melton, MD
1415 California StHouston, TX 77006(832) 548-5000
Bengi B Melton, MD
Bengi B. Melton, MD
3811 Lyons AveHouston, TX 77020(832) 548-5000
Bengi B Melton, MD
Claire Friedman, MD
3355 W Alabama St Ste 195Houston, TX 77098(281) 993-3733
Claire Friedman, MD
David Hunter, MD
1941 East Rd Ste 4358Houston, TX 77054(713) 486-0500
David Hunter, MD
Don M. Mrone, MD
2246 Bissonnet StHouston, TX 77005(713) 630-0930
Don M LaGrone, MD
Elizabeth Ohiku, MD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Elizabeth E Ohiku, MD
Ernest Kendrick, MD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Ernest A Kendrick, MD
Felecia Garner, MD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Felecia I Garner, MD
Gerald Busch, MD
6550 Mapleridge St Ste 210Houston, TX 77081(713) 665-9000
Gerald I Busch, MD
Janis Smeal, MD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Janis L Smeal, MD
Michael McGinnis, MD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Michael R McGinnis, MD
Nathalie A. Farie, MD
1415 California StHouston, TX 77006(832) 548-5000
Nathalie A Marie, MD
Taylor Hise, MD
1502 Taub LoopHouston, TX 77030(713) 970-7000
Taylor L Hise, MD
Zia Uddin, MD
9401 Southwest FwyHouston, TX 77074(713) 970-7000
Zia Uddin, MD
Liberty County / Condado
City of Liberty
Ciudad de Liberty
Term
inatio
ns to
Men
tal H
ealth
Pro
vid
ers / Term
inacio
nes a
Pro
veed
ores d
e Salu
d M
enta
l
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
62
Terminations to Mental Health Providers
Terminaciones a Proveedores de Salud Mental
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Ter
min
ati
on
s to
Men
tal
Hea
lth
Pro
vid
ers
/ T
erm
inaci
on
es a
Pro
vee
dore
s d
e S
alu
d M
enta
l
Angelica Harrelt, MD
2000 Panther LnLiberty, TX 77575(936) 334-3299
Angelica L Harrell, MD
Montgomery County
Montgomery Condado
City of Conroe
Ciudad de Conroe
Humera Danwar, MD
17600 Interstate 45 SConroe, TX 77384(832) 822-1900
Humera N Danwar, MD
Psychology / Psicología
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Lydia Sagar, PHD
11200 Broadway St Ste 2743Pearland, TX 77584(888) 684-2779
Lydia Sagar, PHD
Fort Bend County
Fort Bend Condado
City of Rosenberg
Ciudad de Rosenberg
Maria R Fragioudakis, PHD
4706 Airport Ave Bldg ARosenberg, TX 77471(281) 238-1750
Maria Fragioudakis, PHD
Harris County / Condado
City of Houston
Ciudad de Houston
David Latini, PHD
401 Branard St Fl 2Houston, TX 77006(713) 529-0037
David M Latini, PHD
Delbert B Price, PHD
8702 S Course DrHouston, TX 77099(210) 615-3428
Delbert B Price, PHD
Erika Loehmke Phelan, PHD
617 Janisch RdHouston, TX 77018(210) 615-3428
Erika Loehmke Phelan, PHD
Jacinda Tucker, PHD
2180 North Loop W Ste 300Houston, TX 77018(346) 204-4632
Jacinda C Tucker, PHD
Jerome Caroselli, PhD
3100 Timmons Ln Ste 565Houston, TX 77027(713) 893-7105
Jerome S Caroselli, PHD
Marsha Gragert, PhD
6701 Fannin St Fl 16Houston, TX 77030(832) 822-1900
Marsha N Gragert, PHD
City of Seabrook
Ciudad de Seabrook
Lisa Bowles, PhD
2600 Nasa Pkwy Ste 101Seabrook, TX 77586(832) 580-7038
Lisa Bowles, PHD
Liberty County / Condado
City of Cleveland
Ciudad de Cleveland
Lisa Bowles, PHD
807 E Hanson StCleveland, TX 77327(281) 592-9222
Lisa Bowles, PHD
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales63
Terminations to Mental Health Providers
Terminaciones a Proveedores de Salud Mental
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Needhi Bhaga, PHD
5055 W Panther Creek DrThe Woodlands, TX 77381(765) 860-7198
Needhi R Bhaga, PHD
Term
inatio
ns to
Men
tal H
ealth
Pro
vid
ers / Term
inacio
nes a
Pro
veed
ores d
e Salu
d M
enta
l
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
64
Additions to Vision Service Providers
Adiciones a Proveedores de servicios visión
Ad
dit
ion
s to
Vis
ion
Ser
vic
e P
rovid
ers
/ A
dic
ion
es a
Pro
vee
dore
s d
e se
rvic
ios
vis
ión
Optometry / Optometría
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Berkeley Eye Center
1535 Cullen Blvd Ste 200Pearland, TX 77581(713) 436-1551
Jeffrey Jeong, OD
Joe Nguyen, OD
Mary Jane Cuevas, OD
Bruce W Cline OD
2005 Broadway StPearland, TX 77581(281) 485-0388
Shannon Lebus, OD
Mann Eye Center
10223 Broadway St Ste JPearland, TX 77584(281) 971-9337
David Riojas, OD
Memorial Eye Center
2705 Broadway St Ste 115Pearland, TX 77581(281) 485-2020
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Vinh Nguyen, OD
Fort Bend County
Fort Bend Condado
City of Houston
Ciudad de Houston
Vision Comfort
8751 Hwy 6 S Ste AHouston, TX 77083(281) 498-1381
Sandra Alvarado, OD
City of Katy
Ciudad de Katy
Ifocus Vision
23541 Westheimer Pkwy Ste 100Katy, TX 77494(281) 672-0202
Jennifer Nguyen, OD
Trang T Nguyen, OD
Memorial Eyecare
23701 Cinco Ranch Blvd Ste 170Katy, TX 77494(281) 347-3937
Manvi Madhok, OD
Michael J Everson, OD
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Sophia Nooruddin, OD
Vinh Nguyen, OD
Myeyedr
9550 Spring Green Blvd Ste 434Katy, TX 77494(281) 394-7773
Brett W Donaldson, OD
Deepak N Kotecha, OD
Ryann M Donaldson, OD
Tran Michael, OD
Troy C Becker, OD
Myeyedr
1534 W Grand Pkwy SKaty, TX 77494(281) 693-3937
Brett W Donaldson, OD
Bryan E McDaniel, OD
Dan Lam, OD
Deepak N Kotecha, OD
Kent B Wise, OD
Ryann M Donaldson, OD
Tran Michael, OD
Troy C Becker, OD
Wishnow - Sugar Katy
22132 Westheimer PkwyKaty, TX 77450(281) 828-1010
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Vinh Nguyen, OD
City of Missouri City
Ciudad de Missouri City
Myeyedr-Missouri City
6026 Hwy 6Missouri City, TX 77459(281) 499-2600
Deepak N Kotecha, OD
City of Richmond
Ciudad de Richmond
Lumi re Eyes & Vision
7101 W Grand Pkwy S Ste 170Richmond, TX 77407(281) 609-2121
Tien K Lu, OD
Tso Richmond Aliana
10177 W Grand Pkwy S Ste 101Richmond, TX 77407(832) 781-2020
Natalia Aksamentov, OD
Sarah Byrnes, OD
City of Rosenberg
Ciudad de Rosenberg
For Eyes Inc
24200 Southwest Fwy Ste 102Rosenberg, TX 77471(000) 000-0000
Beatriz Villegas, OD
City of Sugar Land
Ciudad de Sugar Land
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales65
Additions to Vision Service Providers
Adiciones a Proveedores de servicios visión
Aeg Texas Professional PLLC
1437 Hwy 6 Ste 400Sugar Land, TX 77478(281) 265-9090
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Vinh Nguyen, OD
Berkeley Eye Institute PA
1435 Hwy 6 Ste 202Sugar Land, TX 77478(281) 478-9889
Adam D Miller, OD
Anthony Kruger, OD
Audrey Graham, OD
Chandler Mann, OD
Charles W Hollas, OD
Chase R Hilton, OD
David B Beeler, OD
David A Garza, OD
Dorothy Chou, OD
Flor De Azalea Arenales, OD
Holli A Groff, OD
Jeffrey Jeong, OD
Joe Nguyen, OD
Karl M Ermis, OD
Kayci A Ermis, OD
Keith J Ermis, OD
Macon Newcomer, OD
Marsha Thomas, OD
Mary Jane Cuevas, OD
Nikki S Kokel, OD
Paul M Palumbo, OD
Pontea A Momeni, OD
Preston Davis, OD
Robert E Brumbelow, OD
Robert L Reid, OD
Roosevelt Gloyd, OD
Sarah Weeks, OD
Whitney J Barker, OD
Eye Trends-Sugarland
16200 City WalkSugar Land, TX 77479(000) 000-0000
Roxana T Hemmati, OD
Eyecare Experts
12930 Dairy Ashford Rd Ste 701Sugar Land, TX 77478(713) 340-0000
Zubin Jiwani, OD
Mann Eye Center
15999 City Walk Ste 270Sugar Land, TX 77479(000) 000-0000
Simeen Jhaver, OD
Memorial Eyecare
15337 Southwest FwySugar Land, TX 77478(281) 242-2020
Manvi Madhok, OD
Michael J Everson, OD
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Sophia Nooruddin, OD
Vinh Nguyen, OD
Tso Riverstone
18851 University Blvd Ste 220Sugar Land, TX 77479(713) 714-2320
Natalia Aksamentov, OD
Sarah Byrnes, OD
Galveston County
Galveston Condado
City of Friendswood
Ciudad de Friendswood
Parkwood Vision Center
1102 S Friendswood Dr Ste AFriendswood, TX 77546(281) 482-0066
William K Pope, OD
City of League City
Ciudad de League City
Elite Vision Care LLC
1615 W League City Pkwy Ste 100League City, TX 77573(281) 554-7080
Annalisa Erder, OD
Harris County / Condado
City of Baytown
Ciudad de Baytown
Vision Source
6956 Garth RdBaytown, TX 77521(281) 421-1243
Kelsea Skidmore, OD
City of Cypress
Ciudad de Cypress
Cy Fair Eyecare
9740 Barker Cypress Rd Ste 112Cypress, TX 77433(281) 550-7900
Jose Payan, OD
Loraine R Payan, OD
Iluvicare PLLC
7710 Fry Rd Ste 600Cypress, TX 77433(832) 974-2021
Tajal Patel-Darne, OD
Memorial Eye Center
12320 Bark Cypres Rd Ste 400Cypress, TX 77429(281) 373-1020
Dana C Ziskrout, OD
Huy A Nguyen, OD
Katie Pham, OD
Memorial Eye Center
12320 Barker Cypress Rd # 400Cypress, TX 77429(281) 373-1020
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Ad
ditio
ns to
Visio
n S
ervice P
rovid
ers / Ad
icion
es a P
roveed
ores d
e servicio
s visió
n
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
66
Additions to Vision Service Providers
Adiciones a Proveedores de servicios visión
Ad
dit
ion
s to
Vis
ion
Ser
vic
e P
rovid
ers
/ A
dic
ion
es a
Pro
vee
dore
s d
e se
rvic
ios
vis
ión
Vinh Nguyen, OD
Wink Optometry
14119 Grant Rd Ste 200Cypress, TX 77429(949) 933-8279
Joanne Kim, OD
City of Friendswood
Ciudad de Friendswood
Texas State Optical Baybrook
19052 Gulf FwyFriendswood, TX 77546(281) 486-5043
Joe M Salazar, OD
Lori M Gonzales, OD
City of Houston
Ciudad de Houston
Berkeley Eye Center
11110 East Fwy Ste 100CHouston, TX 77029(000) 000-0000
Anthony Kruger, OD
Berkeley Eye Center
18040 Saturn LnHouston, TX 77058(281) 333-8600
Joe Nguyen, OD
Mary Jane Cuevas, OD
Berkeley Eye Center
3100 Weslayan St Ste 400Houston, TX 77027(713) 526-1600
Chandler Mann, OD
Joe Nguyen, OD
Mary Jane Cuevas, OD
Berkeley Eye Center
7438 Harrisburg BlvdHouston, TX 77011(713) 928-3375
Flor De Azalea Arenales, OD
Joe Nguyen, OD
Mary Jane Cuevas, OD
Berkeley Eye Center
902 Frostwood Dr Ste 256Houston, TX 77024(713) 935-9485
Joe Nguyen, OD
Mary Jane Cuevas, OD
Berkeley Eye Center
11110 East Fwy Ste 100CHouston, TX 77029(832) 995-2613
Joe Nguyen, OD
Mary Jane Cuevas, OD
Berkeley Eye Institute
1200 McKinney St Ste 411Houston, TX 77010(000) 000-0000
Anthony Kruger, OD
Berkeley Eye Institute
1200 McKinney St Ste 411Houston, TX 77010(713) 759-9449
Joe Nguyen, OD
Mary Jane Cuevas, OD
Berkeley Eye Institute PA
5419 FM 1960 Rd W Ste CHouston, TX 77069(281) 894-2020
Joe Nguyen, OD
Mary Jane Cuevas, OD
Berkeley Eye Institute PA
8800 Katy Fwy Ste 107Houston, TX 77024(713) 827-8311
Joe Nguyen, OD
Mary Jane Cuevas, OD
Bimal Patel LLC
600 N Shepherd Dr Ste 134Houston, TX 77007(713) 485-6033
Bimal J Patel, OD
Bird's Eye View Optometry
Tanglewood
5706 San Felipe St Ste B400Houston, TX 77057(000) 000-0000
Betty C Cuchilla Hannah, OD
Braeswood Vision
4004 S Braeswood Blvd Ste 200Houston, TX 77025(713) 667-2010
Lon D Cartwright, OD
Corinthian Pointe Tso
5505 W Orem Dr Ste 400Houston, TX 77085(713) 257-8612
Bereket H Tsegai, OD
Maxwell A Olumba, OD
Monica L Gonzales-Deliganis, OD
Rokeisha L Joseph, OD
Ruby Philip, OD
Eye Site at Town and Country
700 TWN N Cntry Blvd Ste 2460Houston, TX 77024(713) 984-9144
Delina Patel, OD
Eyecare Central
1202 Elgin StHouston, TX 77004(713) 739-9008
Ryan N Vo, OD
Eyes on The Heights
2401 N Shepherd DrSte A Ste 110Houston, TX 77008(512) 887-4378
Jennifer Law, OD
Kim Vu, OD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales67
Additions to Vision Service Providers
Adiciones a Proveedores de servicios visión
Family Eye Center
17282 State Hwy 249Houston, TX 77064(281) 955-9999
Jantz Chappel, OD
Family Vision Solutions
5177 Richmond Ave Ste 780Houston, TX 77056(713) 349-0224
Sara J Brown, OD
Greater Sights PLLC
3004 Yale St Ste 600Houston, TX 77018(713) 766-6650
Tiffanie R Gorman, OD
Hawk Eye Center
10304 Blackhawk Blvd Ste CHouston, TX 77089(713) 987-5555
David V Nguyen, OD
Hong Bui OD PA
13709 State Hwy 249Houston, TX 77086(281) 893-8027
Rose Hong Bui, OD
Hope Clinic
7001 Corporate Dr Ste 120Houston, TX 77036(713) 773-0803
Amita Patel, OD
Houston Eye Associates Optical
Center
1250 Cypress Station Dr Ste AHouston, TX 77090(281) 444-1677
Mary M Morales, OD
Houston Eye Associates Optical
Center
915 Gessner Rd Ste 250Houston, TX 77024(713) 467-5660
Haleh Ebrahimi, OD
Memorial Eyecare
15080 Memorial DrHouston, TX 77079(281) 531-0300
Manvi Madhok, OD
Michael J Everson, OD
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Sophia Nooruddin, OD
Vinh Nguyen, OD
Memorial Eyecare
9620 Westheimer RdHouston, TX 77063(713) 975-9393
Christina S Abuata, OD
Manvi Madhok, OD
Michael J Everson, OD
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Sophia Nooruddin, OD
Vinh Nguyen, OD
Memorial Eyecare
2677 Wilcrest DrHouston, TX 77042(713) 977-1170
Christina S Abuata, OD
Manvi Madhok, OD
Michael J Everson, OD
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Sophia Nooruddin, OD
Vinh Nguyen, OD
Memorial Oak Forest
1229 W 43rd StHouston, TX 77018(713) 686-3221
Michael J Everson, OD
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Sophia Nooruddin, OD
Vinh Nguyen, OD
Memorial West Chase
11805 Westheimer Rd Ste 300Houston, TX 77077(281) 496-3937
Linda T Enciso, OD
Michael J Everson, OD
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Sophia Nooruddin, OD
Vinh Nguyen, OD
Montrose Eye Care
520 Waugh DrHouston, TX 77019(713) 300-1477
Nancy K Lo, OD
Myeyedr
6127 FM 1960 Rd WHouston, TX 77069(281) 469-2020
Phuong Loan S Dong, OD
Myeyedr
1635A S Voss RdHouston, TX 77057(713) 954-2020
Deepak N Kotecha, OD
Ivan O Velazquez, OD
Myeyedr
11159 Westheimer RdHouston, TX 77042(713) 978-7504
Anjana Bhakta, OD
Deepak N Kotecha, OD
Ad
ditio
ns to
Visio
n S
ervice P
rovid
ers / Ad
icion
es a P
roveed
ores d
e servicio
s visió
n
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
68
Additions to Vision Service Providers
Adiciones a Proveedores de servicios visión
Ad
dit
ion
s to
Vis
ion
Ser
vic
e P
rovid
ers
/ A
dic
ion
es a
Pro
vee
dore
s d
e se
rvic
ios
vis
ión
Lin H Tou, OD
Northline Vision
7610 Fulton St Ste AHouston, TX 77022(713) 699-8443
Matthew Pham, OD
Pearle Vision
16929 El Camino RealHouston, TX 77058(346) 230-7273
Zelmira Farmer, OD
Penn Eye Care
17395 State Hwy 249 Ste 312Houston, TX 77064(281) 894-0011
Jeffrey M Penn, OD
Queenston Eye Care
12238 Queenston Blvd Ste KHouston, TX 77095(281) 357-9220
Ashley Hemmati, OD
Scarsdale Eye Care
12507 Scarsdale Blvd Ste BHouston, TX 77089(281) 464-0885
Michael Pham, OD
Texas State Optical
14637 Memorial Dr Ste DHouston, TX 77079(000) 000-0000
Beatriz Villegas, OD
Texas State Optical Museum
District
4850 Main StHouston, TX 77002(000) 000-0000
Sabah Hasan, OD
Todays Vision Rice Village
2366 Rice Blvd Ste AHouston, TX 77005(713) 521-2020
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Vinh Nguyen, OD
Twenty 20 Vision Center-Egret
Bay
18333 Egret Bay Blvd Ste 101Houston, TX 77058(281) 488-5169
Megan M Matocha, OD
Reagan M Ratcliff, OD
Unnati Chotai, OD
Uh Eye Center at Heights
190 Heights BlvdHouston, TX 77007(713) 527-8480
Eng Ann Sung, OD
Justin Simbulan, OD
Mary Sain, OD
Miriam Almanza, OD
University of Houston College
of Optometry
4901 Calhoun Rd Ste 1228Houston, TX 77204(713) 743-2020
Eng Ann Sung, OD
Justin Simbulan, OD
Mary Sain, OD
Miriam Almanza, OD
Vision Source
13615 Bellaire BlvdHouston, TX 77083(281) 933-3446
Nicole Pham, OD
Valeri Le, OD
City of Huffman
Ciudad de Huffman
Vista Eye Center
11747 FM 1960 Ste 102Huffman, TX 77336(281) 764-5915
Katy R Owens, OD
City of Humble
Ciudad de Humble
Berkeley Eye Institute
18545 W Lake Houston PkwyHumble, TX 77346(281) 812-4000
Joe Nguyen, OD
Mary Jane Cuevas, OD
Mann Eye Center
9802 FM 1960 Byp Rd W Ste 110Humble, TX 77338(832) 412-1233
Carmen Mosqueda, OD
Texas State Optical Aldine
Westfield PA
3103 FM 1960 Rd W Ste VHumble, TX 77338(281) 443-0340
Waqar Akhtar, OD
City of Katy
Ciudad de Katy
Berkeley Eye Center
21502 Merchants WayKaty, TX 77449(281) 579-6777
Joe Nguyen, OD
Mary Jane Cuevas, OD
Eye Site Dr John O'neil OD
24217 Kingsland BlvdKaty, TX 77494(281) 644-2010
Delina Patel, OD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales69
Additions to Vision Service Providers
Adiciones a Proveedores de servicios visión
Houston Eye Associates Optical
Center
1331 W Grand Pkwy N Ste 120Katy, TX 77493(281) 347-0177
Amna Majeed, OD
Michaela Anukwuem, OD
Mann Eye Institute
750 Westgreen BlvdKaty, TX 77450(713) 580-2500
David Riojas, OD
City of La Porte
Ciudad de La Porte
Frazier Eye Center PLLC
9500 Spencer HwyLa Porte, TX 77571(281) 476-5107
Ashley Olivarez, OD
Susana C Moreno, OD
City of Spring
Ciudad de Spring
Aeg Texas Professional PLLC
21195 Kuykendahl RdSpring, TX 77379(832) 843-6369
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Vinh Nguyen, OD
Myeyedr
6603 FM 2920 RdSpring, TX 77379(281) 370-4444
David M Way, OD
Deepak N Kotecha, OD
Lauren R Nelson, OD
Urban Eyes Inc
8765 Spring Cypress Rd Ste NSpring, TX 77379(281) 655-9595
Deanna L Gates, OD
City of Tomball
Ciudad de Tomball
Berkeley Eye Institute
14030 FM 2920 Rd Ste ETomball, TX 77377(000) 000-0000
Anthony Kruger, OD
Berkeley Eye Institute
14030 FM 2920 Rd Ste ETomball, TX 77377(281) 351-0744
Joe Nguyen, OD
Mary Jane Cuevas, OD
Glimpse Eye Care
26435 Kuykendahl Rd Ste 800Tomball, TX 77375(000) 000-0000
Khanh Pham, OD
Warren Chen, OD
Houston Eye Associates Optical
Center
13414 Medical Complex Dr Ste 4Tomball, TX 77375(281) 351-5468
Michaela Anukwuem, OD
Mann Eye Center
14079 FM 2920 RdTomball, TX 77377(346) 701-4035
Carmen Mosqueda, OD
Liberty County / Condado
City of Cleveland
Ciudad de Cleveland
Berkeley Eye Center
901 E Houston St Ste BCleveland, TX 77327(281) 659-2020
Mary Jane Cuevas, OD
Montgomery County
Montgomery Condado
City of Kingwood
Ciudad de Kingwood
Berkeley Eye Center
22741 Professional DrKingwood, TX 77339(281) 319-4334
Joe Nguyen, OD
Mary Jane Cuevas, OD
Houston Optic PLLC
22659 Hwy 59 N Ste 100Kingwood, TX 77339(281) 858-3937
Clint Gonzales, OD
Tso Kingwood Northpark PA
25639 Hwy 59 N Ste 109Kingwood, TX 77339(832) 810-2020
Natalia Aksamentov, OD
Sarah Byrnes, OD
City of Shenandoah
Ciudad de Shenandoah
Houston Eye Associates Optical
Center
1699 Research Forest DrSte 150Shenandoah, TX 77380(281) 363-2155
Clint Gonzales, OD
City of Spring
Ciudad de Spring
Mann Eye Institute
1501 Lake Robbins Dr Ste 130Spring, TX 77380(713) 580-2500
Ad
ditio
ns to
Visio
n S
ervice P
rovid
ers / Ad
icion
es a P
roveed
ores d
e servicio
s visió
n
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
70
Additions to Vision Service Providers
Adiciones a Proveedores de servicios visión
Ad
dit
ion
s to
Vis
ion
Ser
vic
e P
rovid
ers
/ A
dic
ion
es a
Pro
vee
dore
s d
e se
rvic
ios
vis
ión
Carmen Mosqueda, OD
Memorial Eyecare
2319 Rayford Rd Ste 200Spring, TX 77386(281) 601-1001
Linda T Enciso, OD
Manvi Madhok, OD
Michael J Everson, OD
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Shelby D Gross, OD
Sophia Nooruddin, OD
Vinh Nguyen, OD
Today's Vision Rayford
2833 Riley Fuzzel Rd Ste 300Spring, TX 77386(000) 000-0000
Manvi Madhok, OD
Today's Vision Rayford
2833 Riley Fuzzel Rd Ste 300Spring, TX 77386(281) 719-9926
Monica L Gonzales-Deliganis, OD
Phuong Dung Nguyen, OD
Sarah R Zaver, OD
Vinh Nguyen, OD
Tso Rayford PA
3535 Rayford Rd Ste 500Spring, TX 77386(832) 791-2020
Natalia Aksamentov, OD
Sarah Byrnes, OD
City of The Woodlands
Ciudad de The Woodlands
Berkeley Eye Center
17450 St Lukes Way Ste 100The Woodlands, TX 77384(000) 000-0000
Joe Nguyen, OD
Berkeley Eye Center
17450 St Lukes Way Ste 100The Woodlands, TX 77384(281) 363-3443
Mary Jane Cuevas, OD
Walker County / Condado
City of Huntsville
Ciudad de Huntsville
Berkeley Eye Institute
2 Financial Plaza Ste 801Huntsville, TX 77340(936) 295-2020
Mary Jane Cuevas, OD
Wharton County / Condado
City of El Campo
Ciudad de El Campo
Berkeley Eye Center
2012 West LoopEl Campo, TX 77437(979) 543-6821
Joe Nguyen, OD
Mary Jane Cuevas, OD
City of Wharton
Ciudad de Wharton
Berkeley Eye Center
1120 N Fulton StWharton, TX 77488(000) 000-0000
Anthony Kruger, OD
Berkeley Eye Center
1120 N Fulton StWharton, TX 77488(979) 532-0805
Joe Nguyen, OD
Mary Jane Cuevas, OD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales71
Terminations to Vision Service Providers
Terminaciones a Proveedores de servicios visión
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Optometry / Optometría
Brazoria County / Condado
City of Pearland
Ciudad de Pearland
Todays Vision
2705 Broadway St Ste 115Pearland, TX 77581(000) 000-0000
Dianne B Dao, OD
Todays Vision
2705 Broadway St Ste 115Pearland, TX 77581(281) 485-2020
Dianne B Dao, OD
Fort Bend County
Fort Bend Condado
City of Katy
Ciudad de Katy
Corporate Eye Care 2 PC
9550 Spring Green Blvd Ste 434Katy, TX 77494(281) 394-7773
Brett W Donaldson, OD
Ryann M Donaldson, OD
Corporate Eye Care PC
1534 W Grand Pkwy SKaty, TX 77494(281) 693-3937
Brett W Donaldson, OD
Ryann M Donaldson, OD
Myeyedr
9550 Spring Green Blvd Ste 434Katy, TX 77494(281) 394-7773
Jorge E Garrett, OD
Myeyedr
1534 W Grand Pkwy SKaty, TX 77494(281) 693-3937
Jorge E Garrett, OD
City of Missouri City
Ciudad de Missouri City
Myeyedr-Missouri City
6026 Hwy 6Missouri City, TX 77459(281) 499-2600
Elissa R Wedemeyer, OD
Jorge E Garrett, OD
City of Rosenberg
Ciudad de Rosenberg
For Eyes Inc
24200 Southwest Fwy Ste 102Rosenberg, TX 77471(281) 342-3554
Shumaila A Haji, OD
Galveston County
Galveston Condado
City of Friendswood
Ciudad de Friendswood
Parkwood Vision Center
1102 S Friendswood Dr Ste AFriendswood, TX 77546(281) 482-0066
William K Pope, OD
City of Galveston
Ciudad de Galveston
DRS Matocha and Ullman
Optometrists
2115 Broadway StGalveston, TX 77550(409) 762-2020
Duane J Ullman, OD
City of League City
Ciudad de League City
Houston Eye Associates
Optical Center
1100 Gulf Fwy S Ste 114League City, TX 77573(281) 332-3937
Thao H Nguyen, OD
City of Texas City
Ciudad de Texas City
Houston Eye Associates
Optical Center
7111 Medical Ctr Dr Ste 110Texas City, TX 77591(000) 000-0000
Thao H Nguyen, OD
Grimes County / Condado
Term
inatio
ns to
Visio
n S
ervice P
rovid
ers / Term
inacio
nes a
Pro
veed
ores d
e servicio
s visió
n
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
72
Terminations to Vision Service Providers
Terminaciones a Proveedores de servicios visión
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Ter
min
ati
on
s to
Vis
ion
Ser
vic
e P
rovid
ers
/ T
erm
inaci
on
es a
Pro
vee
dore
s d
e se
rvic
ios
vis
ión
City of Navasota
Ciudad de Navasota
Navasota Eye Care Center
501 E Washington Ave Ste 5Navasota, TX 77868(936) 825-2273
Belinda S Dobson, OD
Harris County / Condado
City of Cypress
Ciudad de Cypress
Cy Fair Eyecare
9740 Barker Cypress Rd Ste 112Cypress, TX 77433(281) 550-7900
Jose Payan, OD
Loraine R Payan, OD
Eye Trends Barker Cypress
12320 Bark Cypres Rd Ste 400Cypress, TX 77429(000) 000-0000
Huy A Nguyen, OD
Katie Pham, OD
Eye Trends Barker Cypress
12320 Bark Cypres Rd Ste 400Cypress, TX 77429(281) 373-1020
Huy A Nguyen, OD
Katie Pham, OD
City of Friendswood
Ciudad de Friendswood
Texas State Optical of
Baybrook Inc
19052 Gulf FwyFriendswood, TX 77546(281) 486-5043
Douglas R Fingold, OD
Mercy Garcia, OD
Sheril Cherian, OD
City of Houston
Ciudad de Houston
Braeswood Vision
4009 S Braeswood BlvdHouston, TX 77025(713) 667-2010
Lon D Cartwright, OD
Corinthian Pointe Tso
5505 W Orem Dr Ste 400Houston, TX 77085(713) 487-2020
Bereket H Tsegai, OD
Maxwell A Olumba, OD
Rokeisha L Joseph, OD
Ruby Philip, OD
Donald Glenz OD & Associates
6970 FM 1960 Rd W Ste AHouston, TX 77069(281) 469-2020
Donald R Glenz, OD
Phuong Loan S Dong, OD
Eye Doctor Houston PC
4899 Griggs RdHouston, TX 77021(713) 748-5000
Chike R Mordi, OD
Eye Trends- Meyerland Plaza
238 Meyerland Plaza MallHouston, TX 77096(713) 771-2020
Casey Johnston, OD
Eyecare Central
1202 Elgin StHouston, TX 77004(713) 739-9008
Ryan N Vo, OD
Family Eye Center
17282 State Hwy 249Houston, TX 77064(281) 955-9999
Jitesh K Patel, OD
Moes R Nasser, OD
Sarah E Godward, OD
Wendy V Conde, OD
Family Vision Solutions
5177 Richmond Ave Ste 780Houston, TX 77056(713) 349-0224
Kelsea Skidmore, OD
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales73
Terminations to Vision Service Providers
Terminaciones a Proveedores de servicios visión
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Hong Bui OD PA
1412 Cypress Creek Pkwy Ste BHouston, TX 77090(281) 893-8027
Rose Hong Bui, OD
Houston Eye Associates Optical
Center
1415 North Loop W Ste 400Houston, TX 77008(713) 869-6400
Thao H Nguyen, OD
Jeffrey M Penn OD PC
17395 State Hwy 249 Ste 312Houston, TX 77064(281) 894-0011
Jeffrey M Penn, OD
Myeyedr
1635A S Voss RdHouston, TX 77057(713) 954-2020
Jorge E Garrett, OD
Myeyedr
11159 Westheimer RdHouston, TX 77042(713) 978-7504
Jorge E Garrett, OD
Northwest Eye Optical
1740 W 27th St Ste 180Houston, TX 77008(713) 864-8652
Shoshana Nock, OD
SEE-N-FOCUS Optical
1171 Edgebrook DrHouston, TX 77034(713) 941-7190
Lisa G Crouch, OD
Texas State Optical
14637 Memorial Dr Ste DHouston, TX 77079(832) 770-4926
Shumaila A Haji, OD
Texas State Optical Downtown
805 Walker StHouston, TX 77002(713) 654-0042
Danielle Richardson, OD
Today's Vision Tanglewood
5771 San Felipe StHouston, TX 77057(713) 782-3937
Maha Tufail, OD
University of Houston College
of Optometry
4901 Calhoun Rd Ste 1228Houston, TX 77204(713) 743-2020
Kim Anh N Jow, OD
Vision Source Greenway
Galleria PA
3800 Southwest Fwy Ste 112Houston, TX 77027(713) 627-3937
Mary I Shatleh, OD
Moes R Nasser, OD
Vision Source Premier
Optometry PLLC
11159 Westheimer RdHouston, TX 77042(713) 978-7504
Anjana Bhakta, OD
Dixie Yee, OD
Li-Fang Hung, OD
Lin H Tou, OD
Supriya Krishnan, OD
Wishnow Vision Associates
5649 Beechnut StHouston, TX 77096(713) 771-1206
Irving C Wishnow, OD
City of Humble
Ciudad de Humble
Mann Eye Center
9745 FM 1960 Bypass WHumble, TX 77338(832) 412-4658
Brian S Tan, OD
Chau N VI, OD
Christina Guerrero, OD
Martha Gallia, OD
Mylan Nguyen, OD
Paul M Mann, MD
Term
inatio
ns to
Visio
n S
ervice P
rovid
ers / Term
inacio
nes a
Pro
veed
ores d
e servicio
s visió
n
● Medicaid Provider/Proveedor de Medicaid ■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales
74
Terminations to Vision Service Providers
Terminaciones a Proveedores de servicios visión
Through 11/1/2021The following providers are no longer part of the KelseyCare Advantage provider network. If you need help
finding a network provider, please call 713-442-CARE(2273) option 2 or toll-free 1-866-535-8343 (TTY users
should dial 1-866-302-9336), or visit www.kelseycareadvantage.com to access our online searchable directory.
Los siguientes proveedores ya no forman parte de la red de proveedores KelseyCare Advantage. Si necesita
ayuda la búsqueda de un proveedor de la red, por favor llame al 713-442-CARE(2273) opción 2 o al
númerogratuito 1-866-535-8343 (los usuarios de TTY deben marcar 1-866-302-9336) o visite
www.kelseycareadvantage.com para acceder a nuestra búsqueda directorio.
Ter
min
ati
on
s to
Vis
ion
Ser
vic
e P
rovid
ers
/ T
erm
inaci
on
es a
Pro
vee
dore
s d
e se
rvic
ios
vis
ión
Tracy T Kwan, OD
The Vision Source
20119A Hwy 59 NHumble, TX 77338(281) 446-5800
Moes R Nasser, OD
City of Katy
Ciudad de Katy
Dorsey C Blair OD
830 S Mason Rd Ste A2Katy, TX 77450(281) 392-9020
Dorsey C Blair, OD
City of Spring
Ciudad de Spring
Myeyedr
6603 FM 2920 RdSpring, TX 77379(281) 370-4444
Jorge E Garrett, OD
Spring Klein Vision Center
6603 FM 2920 RdSpring, TX 77379(281) 370-4444
David M Way, OD
Lauren R Nelson, OD
Montgomery County
Montgomery Condado
City of The Woodlands
Ciudad de The Woodlands
Texas State Optical Woodlands
1570 Lake Woodlands DrThe Woodlands, TX 77380(281) 681-3937
Kathryn K Clair, OD
● Medicaid Provider/Proveedor de Medicaid■ Spanish Speaking/Se Habla Español◆ Current Patients Only/Solo Pacientes Actuales75