Blue Advantage HMO - BCBSTX

148
Blue Advantage HMO Table of Contents Search Criteria Product Type: BAV Sub Region: LUBBOCK Last Updated: August 15, 2021 Primary Care Practitioners 2 Specialists 26 Supervised And Sponsored Providers 94 Hospitals 98 Facility-based Physicians 99 Ancillary Providers 115 Behavioral Health Providers (including Chemical Dependency Providers) 118 Behavioral Health Hospitals 135 Behavioral Health Groups 136 Essential Community Providers 137 Medical Group & Other Type 138 Primary Care Practitioners Index 139 Specialists Index 142

Transcript of Blue Advantage HMO - BCBSTX

Page 1: Blue Advantage HMO - BCBSTX

Blue Advantage HMOTable of Contents

Search CriteriaProduct Type: BAV

Sub Region: LUBBOCKLast Updated: August 15, 2021

Primary Care Practitioners 2Specialists 26Supervised And Sponsored Providers 94Hospitals 98Facility-based Physicians 99Ancillary Providers 115Behavioral Health Providers (including Chemical Dependency Providers) 118Behavioral Health Hospitals 135Behavioral Health Groups 136Essential Community Providers 137Medical Group & Other Type 138Primary Care Practitioners Index 139Specialists Index 142

Page 2: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

2

ASPERMONT

FAMILY PRACTICEBenham, Dlinda G, APNGender: FemalePCP # H08LS79301819 N Broadway St(940) 989-2875Hospital Affiliations:Fisher County HospitalDistrict, StephensMemorial HospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Cook, Tonia L, APNGender: FemalePCP # H08NB67601819 N Broadway St(940) 989-2875PCP # H08NB67601821 N Broadway St(940) 989-3551Hospital Affiliations:Fisher County HospitalDistrictClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Cooper, Cheyenna K,APNGender: FemalePCP # H08MB57701819 N Broadway St(940) 989-2875Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Eggart, Cathi L, APNGender: FemalePCP # H08HJ75801819 N Broadway St(940) 989-2875PCP # H08HJ75801821 N Broadway St(940) 989-3551Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Molina, Audra, APNGender: FemalePCP # H08KB50601819 N Broadway St(940) 989-2875PCP # H08KB50601821 N Broadway St(940) 989-3551Clinic Affiliation:Stonewall Rural HealthClinicPractice Information:No Patients Under 17 yrsoldBoard Certifications:None

Odom, Theresa A, APNGender: FemalePCP # H08693MC01819 N Broadway St(940) 989-2875PCP # H08693MC01821 N Broadway St(940) 989-3551Hospital Affiliations:Stonewall MemorialHospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Passmann, Frederic K,MDGender: MalePCP # H08DY75201821 N Broadway St(940) 989-3551Hospital Affiliations:Cedar Park RegionalMedical Ctr, ChristusSpohn Hos CctxShoreline, ChristusSpohn Hospital CctxSouth, Christus SpohnHospital Kleberg, CityHospital At White Rock,Huntsville MemorialHospital, PalestineRegional Medical Center,Stonewall MemorialHospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:NoneLanguage(s): Spanish

Pennington, Saul H, PAGender: MalePCP # H08KC00101819 N Broadway St(940) 989-2875

PCP # H08KC00101821 N Broadway St(940) 989-3551Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Wofford, Bert W, MDGender: MalePCP # H08FJ67201819 N BroadwaySt(940) 989-2875PCP # H08FJ67201821 N Broadway(940) 989-3551Hospital Affiliations:Palo Pinto GeneralHospital, StonewallMemorial HospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:Family Practice

BONHAM

FAMILY PRACTICEFrazee, Marietta M, APNGender: FemalePCP # H08NH99701209 N Bonnie BraeSte 203(903) 583-3191Hospital Affiliations:Christus St MichaelHealth SystemClinic Affiliation:Harveer S ParmarBoard Certifications:None

BROWNFIELD

FAMILY PRACTICEAcosta, Kristy R, MDGender: MalePCP # H000Q97601703 E Felt St(806) 637-1955

PCP # H08MS01501705 E Felt St(806) 637-1955Hospital Affiliations:Brownfield RegionalMedical Ctr, Palo PintoGeneral HospitalClinic Affiliation:Brownfield RegionalMedical CtrBoard Certifications:Family Practice

Hisel, Christopher G, MDGender: MalePCP # H00015EU01706 E Felt St(806) 637-0344Hospital Affiliations:Brownfield RegionalMedical Ctr, UniversityMedical CenterBoard Certifications:Family PracticeLanguage(s): Spanish

Hord, Michael S, MDGender: MalePCP # H00006JT01706 E Felt St(806) 637-0344Hospital Affiliations:Brownfield RegionalMedical CtrBoard Certifications:NoneLanguage(s): Spanish

McQueen, Mandy D,APNGender: FemalePCP # H08292NR01705 E Felt St(806) 637-1955Clinic Affiliation:Brownfield RegionalMedical CtrBoard Certifications:NoneLanguage(s): German,Spanish

Schmoker, Jennifer J,APNGender: FemalePCP # H08KL75101705 E Felt St(806) 637-7979Clinic Affiliation:Brownfield RegionalMedical CtrBoard Certifications:None

August 15, 2021 ASPERMONT

Page 3: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

3

BROWNFIELD (cont.)

INTERNAL MEDICINEChebib, Paul F, MDGender: MalePCP # H081000X01705 E Felt St(806) 637-2169Hospital Affiliations:Brownfield RegionalMedical Ctr, Palo PintoGeneral HospitalClinic Affiliation:Brownfield RegionalMedical CtrBoard Certifications:Internal MedicineLanguage(s): French,Spanish

COLLEYVILLE

INTERNAL MEDICINEBazaldua, Carlos, MDGender: MalePCP # H08B5300015235 Colleyville BlvdSte 100(817) 912-9920Hospital Affiliations:Bs&w Medical CenterGrapevineClinic Affiliation: HealthTexas Provider NetworkBoard Certifications:Internal MedicineLanguage(s): Spanish

DENVER CITY

FAMILY PRACTICECotton, Christopher D,MDGender: MalePCP # H00018RR01415 N Ave F(806) 592-9501Hospital Affiliations:Yoakum County HospitalBoard Certifications:NoneLanguage(s): Spanish

Harden, Samuel J, MDGender: MalePCP # H08EA83401415 N Ave F(806) 592-9501Hospital Affiliations:Big Bend RegionalMedical Center, ChristusSpohn Hospital Beeville,Golden PlainsCommunity Hospital, TheMedical Center Of SeTexas, Yoakum CountyHospitalClinic Affiliation:Golden Rule HealthcarePllcBoard Certifications:NoneLanguage(s): French,Spanish

Odom, Lynda G, MDGender: FemalePCP # H08DW46401415 N Ave F(806) 592-9501Hospital Affiliations:Odessa Regional MedCtr S Campus, YoakumCounty HospitalClinic Affiliation: WestTexas Medical CenterBoard Certifications:Family PracticeLanguage(s): Spanish

GENERAL PRACTICEFrankfather, Jay S, MDGender: MalePCP # H08CC10401415 N Ave F(806) 592-9501Hospital Affiliations:Yoakum County HospitalClinic Affiliation: WestTexas Medical CenterBoard Certifications:NoneLanguage(s): Spanish

FLOYDADA

FAMILY PRACTICEHaterius, Jennifer L,APNGender: FemalePCP # H08532NW01901 W Crockett(806) 402-4033Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:None

McClanahan, Mark L, DOGender: MalePCP # H000A46Q01901 W Crockett St(806) 288-7891Hospital Affiliations:Golden PlainsCommunity HospitalBoard Certifications:Family PracticeLanguage(s): Spanish

Watkins, Jon R, MDGender: MalePCP # H08CB96601901 W Crockett(806) 402-4033Hospital Affiliations:Crosbyton Clinic HospitalClinic Affiliation: JonWatkins Md PaBoard Certifications:NoneLanguage(s): Spanish

HALE CENTER

FAMILY PRACTICEHuffhines, Brittani W, PAGender: FemalePCP # H08KW74501315 W Cleveland(806) 288-7891Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:None

King, Travis G, MDGender: MalePCP # H08CC32501315 W Cleveland St(806) 839-2242Hospital Affiliations:Golden PlainsCommunity HospitalClinic Affiliation: TravisKing Md PaBoard Certifications:Family PracticeLanguage(s): Spanish

Watkins, Jon R, MDGender: MalePCP # H08CB96601315 W Cleveland St(806) 839-2100Hospital Affiliations:Crosbyton Clinic HospitalClinic Affiliation: JonWatkins Md PaBoard Certifications:NoneLanguage(s): Spanish

IDALOU

FAMILY PRACTICEBrazell, Donna L, APNGender: FemalePCP # H0806N4001113 Walnut St(806) 832-4566Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

JAYTON

FAMILY PRACTICECook, Tonia L, APNGender: FemalePCP # H08NB676011477 Main St(806) 237-3405Hospital Affiliations:Fisher County HospitalDistrictClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Cooper, Cheyenna K,APNGender: FemalePCP # H08MB577011477 Main St(806) 237-3405Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Eggart, Cathi L, APNGender: FemalePCP # H08HJ758011477 Main St(806) 237-3405Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

BROWNFIELD August 15, 2021

Page 4: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

4

JAYTON (cont.)

FAMILY PRACTICE (cont.)

Odom, Theresa A, APNGender: FemalePCP # H08693MC011477 Main St(806) 237-3405Hospital Affiliations:Stonewall MemorialHospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Pennington, Saul H, PAGender: MalePCP # H08KC001011477 Main St(806) 237-3405Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Wofford, Bert W, MDGender: MalePCP # H08FJ672011477 N Main St(806) 237-3405Hospital Affiliations:Palo Pinto GeneralHospital, StonewallMemorial HospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:Family Practice

LAMESA

FAMILY PRACTICEAckerman, ChristopherD, APNGender: MalePCP # H08LP359012200 N Bryan Ave(806) 872-2183Clinic Affiliation:Medical Arts HospitalBoard Certifications:None

Bullard, Ryan C, APNGender: MalePCP # H08485MC011502 N Ave K(806) 872-3069Clinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): Spanish

Chapanos, Petros K, MDGender: MalePCP # H08GC079011502 N Ave K(806) 872-3069Hospital Affiliations:Valley Baptist MedicalCenterClinic Affiliation: SouthPlains Rural Hlth SvcsIncBoard Certifications:NoneLanguage(s): German,Spanish

Donnell Kowalik, JeniferR, MDGender: FemalePCP # H08LM235011502 N Ave K(806) 872-3069Hospital Affiliations:Christus Santa Rosa SanMarcos, Santa RosaMedical CenterClinic Affiliation: SouthPlains Rural Hlth SvcsIncBoard Certifications:NoneLanguage(s): Spanish

Garza, Beatriz F, APNGender: FemalePCP # H08Y3084011502 N Ave K(806) 872-3069Clinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): Spanish

Gipson, Anthony R, MDGender: MalePCP # H08DK204012200 N Bryan Ave(806) 872-7291(806) 872-7494

PCP # H08DK204012202 N Bryan Ave(806) 872-6525Hospital Affiliations:Medical Arts Hospital,Palo Pinto GeneralHospital, PermianRegional Medical CenterClinic Affiliation:Medical Arts HospitalBoard Certifications:Family PracticeLanguage(s): Spanish

Herrera, Angelita, APNGender: FemalePCP # H08JC212011502 N Ave K(806) 872-3069Clinic Affiliation: SouthPlains Rural Hlth SvcsIncBoard Certifications:NoneLanguage(s): Spanish

Howell, Michelle, APNGender: FemalePCP # H08253NR011502 N Ave K(806) 872-3069Clinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): Spanish

Key, Mark R, MDGender: MalePCP # H08CJ173012200 N Bryan Ave(806) 872-7291Hospital Affiliations:Medical Arts HospitalClinic Affiliation:Medical Arts HospitalBoard Certifications:Family Practice

Olivas, Lark M, APNGender: FemalePCP # H08NA364011502 N Ave K(806) 872-3069Clinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:None

Soto, Jana R, APNGender: FemalePCP # H08417MC011502 N Ave K(806) 872-3069Clinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): Spanish

Sprys, Eileen M, MDGender: FemalePCP # H08KR150012200 N Bryan Ave(806) 872-2183Hospital Affiliations:Medical Arts Hospital,University MedicalCenterClinic Affiliation:Medical Arts HospitalBoard Certifications:Family Practice

Sprys, Michael J, DOGender: MalePCP # H08V1838012200 N Bryan Ave(806) 872-9271PCP # H08V1838012202 N Bryan Ave(806) 872-6525Hospital Affiliations:Medical Arts Hospital,Palo Pinto GeneralHospitalClinic Affiliation:Medical Arts HospitalBoard Certifications:NoneLanguage(s): Spanish

Thomas, Sedrick U, APNGender: MalePCP # H08KM810011502 N Ave K(806) 872-6310Hospital Affiliations:Bs&w Medical CenterTemple, Legacy ErClinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:None

August 15, 2021 JAYTON

Page 5: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

5

LAMESA (cont.)

INTERNAL MEDICINEDayton, Harvey H, MDGender: MalePCP # H08MM307011502 N Ave K(806) 872-3069Hospital Affiliations:Hca Houston HealthcareConroe, UthealthCarthageClinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:Internal Medicine

McPherson, Michael G,MDGender: MalePCP # H08LS501011201 N 15th St(806) 872-2141Hospital Affiliations:University MedicalCenterClinic Affiliation:Michael McPherson MdPaBoard Certifications:None

Ramamurthy, Hariharan,MDGender: MalePCP # H08FY129011502 N Ave K(806) 872-3069Hospital Affiliations:Scenic Mountain MedicalCenter, Uvalde MemorialHospitalClinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:None

PEDIATRICSAsmussen, Maurice D,MDGender: MalePCP # H08GB998011502 N Ave K(806) 872-3069Hospital Affiliations:University MedicalCenterClinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:PediatricsLanguage(s): Spanish

Madura, Judith M, MDGender: FemalePCP # H08F3912011502 N Ave K(806) 872-3069Hospital Affiliations:University MedicalCenterClinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:PediatricsLanguage(s): Spanish

LAMPASAS

FAMILY PRACTICELane, Mark S, MDGender: MalePCP # H08LS06301187 Pr 4060(512) 556-3621Clinic Affiliation:Adventhealth FamilyMedicine Rural HealthClinicsBoard Certifications:Family PracticeLanguage(s): Spanish

LEVELLAND

FAMILY PRACTICEBullard, Ryan C, APNGender: MalePCP # H08485MC011000 Fm 300(806) 894-7842Clinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): Spanish

Chapanos, Petros K, MDGender: MalePCP # H08KP754011000 Fm 300(806) 894-7842Hospital Affiliations:Valley Baptist MedicalCenterClinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): German,Spanish

Donnell Kowalik, JeniferR, MDGender: FemalePCP # H08LM235011000 Fm 300(806) 894-7842Hospital Affiliations:Christus Santa Rosa SanMarcos, Santa RosaMedical CenterClinic Affiliation: SouthPlains Rural Hlth SvcsIncBoard Certifications:NoneLanguage(s): Spanish

Garza, Beatriz F, APNGender: FemalePCP # H08Y3084011000 Fm 300(806) 894-7842Clinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): Spanish

Herrera, Angelita, APNGender: FemalePCP # H08JC212011000 Fm 300(806) 894-7842Clinic Affiliation: SouthPlains Rural Hlth SvcsIncBoard Certifications:NoneLanguage(s): Spanish

Howell, Michelle, APNGender: FemalePCP # H08253NR011000 Fm 300(806) 894-7842Clinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): Spanish

Olivas, Lark M, APNGender: FemalePCP # H08NA364011000 Fm 300(806) 894-7842Clinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:None

Soto, Jana R, APNGender: FemalePCP # H08417MC011000 Fm 300(806) 894-7842Clinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:NoneLanguage(s): Spanish

Thomas, Sedrick U, APNGender: MalePCP # H08KM810011000 Fm 300(806) 894-7842Hospital Affiliations:Bs&w Medical CenterTemple, Legacy ErClinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:None

INTERNAL MEDICINEDayton, Harvey H, MDGender: MalePCP # H08MM307011000 Fm 300(806) 894-7842Hospital Affiliations:Hca Houston HealthcareConroe, UthealthCarthageClinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:Internal Medicine

Ramamurthy, Hariharan,MDGender: MalePCP # H08FY129011000 Fm 300(806) 894-7842Hospital Affiliations:Scenic Mountain MedicalCenter, Uvalde MemorialHospitalClinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:None

LAMESA August 15, 2021

Page 6: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

6

LEVELLAND (cont.)

PEDIATRICSAsmussen, Maurice D,MDGender: MalePCP # H08GB998011000 Fm 300(806) 894-7842Hospital Affiliations:University MedicalCenterClinic Affiliation: SouthPlains Rural HealthServiceBoard Certifications:PediatricsLanguage(s): Spanish

Madura, Judith M, MDGender: FemalePCP # H08F3912011000 Fm 300(806) 894-7842Hospital Affiliations:University MedicalCenterClinic Affiliation:Howard CountyCommunity Health CeBoard Certifications:PediatricsLanguage(s): Spanish

LITTLEFIELD

FAMILY PRACTICEGeorge, Cindy L, MDGender: FemalePCP # H08DS168011600 S Sunset(806) 385-6424Hospital Affiliations:Lamb Healthcare CenterClinic Affiliation: LhcFamily MedicineBoard Certifications:Family PracticeLanguage(s): Spanish

Hadzic, Daniel B, MDGender: MalePCP # H08FY673011600 S Sunset Ave(806) 385-6424Hospital Affiliations:Lamb Healthcare Center,Medical Arts HospitalClinic Affiliation: LhcFamily MedicineBoard Certifications:NoneLanguage(s): French,Spanish

Hughes Bass, Ann C, MDGender: FemalePCP # H08KZ187011600 S Sunset Ave(806) 385-6424Hospital Affiliations:Lamb Healthcare Center,Palo Pinto GeneralHospital, UniversityMedical CenterClinic Affiliation: LhcFamily MedicineBoard Certifications:Family Practice

Rodriguez, Rolando, MDGender: MalePCP # H08KZ188011600 S Sunset Ave(806) 385-6424Hospital Affiliations:Lamb Healthcare Center,Palo Pinto GeneralHospitalClinic Affiliation: LhcFamily MedicineBoard Certifications:NoneLanguage(s): Spanish

Swartz, Lauren, MDGender: FemalePCP # H08LC137011600 S Sunset Ave(806) 385-6424Hospital Affiliations:Lamb Healthcare Center,Palo Pinto GeneralHospitalClinic Affiliation: LaurenSwartz Md PaBoard Certifications:NoneLanguage(s): Spanish

LOCKNEY

FAMILY PRACTICEAugustyniak, Jobeth R,DOGender: FemalePCP # H000P26801320 N Main(806) 652-3373PCP # H08NC36901320 N Main St(806) 652-3373Hospital Affiliations: WJ Mangold MemorialHospitalClinic Affiliation:Cogdell ClinicBoard Certifications:None

Janson, Megan E, MDGender: FemalePCP # H000Q75001320 N Main St(806) 652-3373Hospital Affiliations: WJ Mangold MemorialHospitalBoard Certifications:Family Practice

Mangold, Gary B, MDGender: MalePCP # H08BV60101320 N Main(806) 652-3373Hospital Affiliations: WJ Mangold MemorialHospitalBoard Certifications:Family PracticeLanguage(s): Spanish

Schlueter, Cynthia K, DOGender: FemalePCP # H00038SC01320 N Main St(806) 652-3373Hospital Affiliations: WJ Mangold MemorialHospitalBoard Certifications:NoneLanguage(s): Samoan,Spanish

Stennett, Kevin T, MDGender: MalePCP # H08BV60301320 N Main(806) 652-3373PCP # H000D96Y01320 N Main St(806) 652-3373Hospital Affiliations: WJ Mangold MemorialHospitalBoard Certifications:Family PracticeLanguage(s): Spanish

LUBBOCK

ANP/CERT/CLNPMartinez, Jessica R,APNGender: FemalePCP # H08NF930016102 82nd StSte 13b(877) 360-8930Clinic Affiliation: LoneStar Mobile MedBoard Certifications:None

FAMILY PRACTICEAddington, Charles E,DOGender: MalePCP # H08GX319016102 82nd St(806) 712-0446Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, Lynn CountyHospital District,Muleshoe Area MedicalCenter, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation: TexasPhysicians GroupPractice Information:No Patients Under 3 yrsoldBoard Certifications:None

Akin, Betty M, APNGender: FemalePCP # H08KU237015424 19th St Ste 200(806) 722-4453Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Alexander, Tonya S, APNGender: FemalePCP # H08MF539015713 82nd St(806) 993-6560Clinic Affiliation:Paratus Medical IncBoard Certifications:NoneLanguage(s): Spanish

Allen, Charla B, MDGender: FemalePCP # H08FH670013601 4th St(806) 743-2757Hospital Affiliations:Palo Pinto GeneralHospital, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

August 15, 2021 LEVELLAND

Page 7: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

7

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

Alvizo, Stephanie N,APNGender: FemalePCP # H0888N8801808 Joliet Ave Ste 220(806) 761-0566Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Anderson Hill, Jessamy,APNGender: FemalePCP # H08NL218013601 4th St(806) 743-2775Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Babb, Franklyn C, MDGender: MalePCP # H087816G013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Barker, Craig W, MDGender: MalePCP # H08G5275011701 50th St(806) 761-0429PCP # H08G5275016205 43rd St(806) 749-2263Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Family PracticeLanguage(s): Spanish

Barnard, Life, MDGender: MalePCP # H08GF330016002 Slide Rd Ste D24(806) 761-0450Hospital Affiliations:Medical Center HospitalClinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Bean, Carlie J, APNGender: FemalePCP # H08LN261015028 122nd St(806) 749-7975Clinic Affiliation: OwenHealth Group PllcBoard Certifications:None

Bearden, Tara L, APNGender: FemalePCP # H08KH897011003 Flint Ave Stop 7208(806) 743-2345PCP # H08KH897013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Beier, Kayla R, APNGender: FemalePCP # H08PH690013601 4th St(806) 743-2848PCP # H08HA732015130 82nd St(806) 794-9378Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Bennett, Kelly A, MDGender: FemalePCP # H087813G012602 Ave Q(806) 761-0616

PCP # H087813G013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Bernardo, Ramoncito,APNGender: MalePCP # H08546NU01808 Joliet Ave#110(806) 761-0545Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Billingsley, Kimberly A,APNGender: FemalePCP # H08Y1485013502 9th St Ste 110(806) 762-8461Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Blair, Caitlin S, APNGender: FemalePCP # H08JH498017008 Indiana Ave Ste A(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:None

Blanco, Marissa L, APNGender: FemalePCP # H0878N76011610 5th St(806) 765-2611Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:NoneLanguage(s): Spanish

Bruce, Kellie E, APNGender: FemalePCP # H08Y865101301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): Spanish

Burke, Karen F, APNGender: FemalePCP # H08KU234011610 5th St(806) 765-2611Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:NoneLanguage(s): Spanish

Camacho, Allan C, MDGender: MalePCP # H08DK150015424 19th StSte 200(806) 722-4453Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:Family Practice

Cantrell, Audra K, PAGender: FemalePCP # H08JD930016002 Slide Rd Ste D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Caporale, Ronald S, PAGender: MalePCP # H08DK737011701 50th St(806) 761-0429Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Castaneda, Joanna W,APNGender: FemalePCP # H08JS888015713 82nd St(806) 993-6560Clinic Affiliation:Paratus Medical IncBoard Certifications:None

LUBBOCK August 15, 2021

Page 8: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

8

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

Cervantes, Karla A, APNGender: FemalePCP # H08NS25701301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:None

Cogburn, Robyn N, APNGender: FemalePCP # H08817NA017008 Indiana Ave(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:NoneLanguage(s): Spanish

Cook, Ronald L, DOGender: MalePCP # H082G887013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family Practice

Cordova, Lisa M, APNGender: FemalePCP # H08JF816011003 Flint Ave(806) 743-2345Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Cornwell, Brian A, APNGender: MalePCP # H08LP802017501 Quaker Ave(806) 788-3306Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Cox, Jamie W, MDGender: MalePCP # H08LH637014000 22nd PlSte 100(806) 725-7070Hospital Affiliations:Ascension Providence,Cedar Park RegionalMedical Ctr, EastlandMemorial Hospital, GlenRose Medical Center,Legent Hospital,Parkview HospitalClinic Affiliation:Healogics SpecialtyPhysicians OfBoard Certifications:Family PracticeLanguage(s): Spanish

Crockett, Shakisha D,APNGender: FemalePCP # H08LU436011307 Martin Luther KingBlvd(806) 749-3800Clinic Affiliation:Lubbock Children'sHealth ClinicBoard Certifications:None

Crowson, Sammy W,APNGender: MalePCP # H08407NQ013601 4th StSte Ms 7208(806) 743-2860Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Culberson, John W, MDGender: MalePCP # H08EQ641013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Cuneo, Sarah A, APNGender: FemalePCP # H08NE09501808 Joliet AveSte 110(806) 761-0320Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Cunningham, Barbee J,APNGender: FemalePCP # H08PG500016002 Slide Rd Ste D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Curran, Terry A, APNGender: FemalePCP # H08N765201301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): Spanish

Dixon, Joseph A, MDGender: MalePCP # H08NL539017301 Milwaukee Ave(806) 761-0464Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Dyer, Jack W, MDGender: MalePCP # H089C629013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Estrada, Veronica L,APNGender: FemalePCP # H08JE71501301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:None

Fant, Rebecca J, APNGender: FemalePCP # H08363NF016002 Slide Rd#d24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Flathouse, Emily G, APNGender: FemalePCP # H08872ND017301 Milwaukee Ave(806) 761-0464Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Fletcher, Jamie A, PAGender: FemalePCP # H08LE236015715 114th St(806) 712-5715Clinic Affiliation: TranPhysician GroupBoard Certifications:Family Practice

Fox, Taylor B, PAGender: FemalePCP # H08KB758013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

August 15, 2021 LUBBOCK

Page 9: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

9

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

Franklin, Rodney T, MDGender: MalePCP # H08334M0017008 Indiana AveSte A(806) 698-8088Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Lubbock Family MedicineBoard Certifications:Family PracticeLanguage(s): Spanish

Gage, Terry J, MDGender: MalePCP # H000K77M012511 86th St(806) 793-5683Hospital Affiliations:University MedicalCenterBoard Certifications:None

Galey, Jennifer S, APNGender: FemalePCP # H08594NW017501 Quaker Ave(806) 788-3306Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Garcia, Erin C, APNGender: FemalePCP # H08GQ08301808 Joliet AveSte 220(806) 761-0566Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Garoy, Albina O, APNGender: FemalePCP # H08HP94201406 Mlk Blvd(806) 767-9744Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Garrison, Kristen D, PAGender: FemalePCP # H08100NZ01602 Indiana Ave(806) 761-0566Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Glenn, Camilla L, APNGender: FemalePCP # H08899NW015130 82nd St(806) 794-9378Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

Gooss, Samantha D,APNGender: FemalePCP # H08LV271017501 Quaker Ave(806) 788-3306Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Grace, Lindsey, APNGender: FemalePCP # H08KU23601406 Mlk Blvd(806) 767-9744Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Gray, Jessica L, MDGender: FemalePCP # H08JH430014004 82nd St Bldg 100Ste F(806) 792-1050PCP # H08JH430015130 82nd St(806) 794-9378Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Green, Megan B, PAGender: FemalePCP # H08LZ106015406 Colgate St(806) 507-3500

PCP # H0823N83016205 43rd St(806) 749-2263Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Gutierrez, Kimberlee C,APNGender: FemalePCP # H0827N5201301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): Spanish

Hale, Samuel A, MDGender: MalePCP # H000AW09014903 82nd St Ste 10(806) 794-6886Hospital Affiliations:University MedicalCenterBoard Certifications:Family PracticeLanguage(s): Spanish

Harris, Kelli D, APNGender: FemalePCP # H08LZ030015406 Colgate St(806) 507-3500Clinic Affiliation:Michael McPherson MdPaBoard Certifications:None

Harvey, Talynn O, PAGender: FemalePCP # H08PF9690111007 Quaker Ave(806) 701-4040Clinic Affiliation:Lubbock Primary CarePllcBoard Certifications:None

Hatch, Daniel F, APNGender: MalePCP # H08830NA016002 Slide RdSte D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:Family Practice

Haynes, Jamie L, MDGender: FemalePCP # H08BW820013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family Practice

Hernandez, Benita A,APNGender: FemalePCP # H08NG882015022 Ave Q(806) 762-3597Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Hill, Damon H, MDGender: MalePCP # H08P1100013516 22nd Place(806) 797-3322Clinic Affiliation:Lubbock Medical AssocLlpBoard Certifications:NoneLanguage(s): Spanish

Hilliard, Tara C, APNGender: FemalePCP # H0879N9901301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): Spanish

LUBBOCK August 15, 2021

Page 10: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

10

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

Hobart, Keeley L, MDGender: FemalePCP # H08GC876013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Hodges, John C, APNGender: MalePCP # H08NK606015715 114th St(806) 712-5715Clinic Affiliation: TranPhysician GroupBoard Certifications:None

Hood, Patricia C, MDGender: FemalePCP # H088591X013601 4th St1st Fl Medical Pavilion(806) 743-2757PCP # H08DC588015130 82nd St(806) 794-9378Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Family Practice

Hood, Dwight D, MDGender: MalePCP # H08X8953015520 4th St(806) 761-0475Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Howard, Kourtney M,APNGender: FemalePCP # H08NZ319012424 50th St Rm 300(806) 743-2424Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:None

Huffhines, Brittani W, PAGender: FemalePCP # H08PG319017501 Quaker Ave(806) 786-3306Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Jakeway, Kimberly L,APNGender: FemalePCP # H08HQ736014420 114th St(806) 761-0420Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Jimenez, Rosalinda R,APNGender: FemalePCP # H08663NL01301 40th St(806) 743-9355Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

Klein, Kelly L, MDGender: FemalePCP # H08CT398013601 4th St(806) 743-2757Hospital Affiliations:Lamb Healthcare Center,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Kline, Rhonda D, APNGender: FemalePCP # H08944NY016205 43rd St(806) 749-2263Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Ladd, Camella D, APNGender: FemalePCP # H08NN802011610 5th St(806) 765-2611PCP # H08NN802012301 Cedar Ave(806) 749-0024PCP # H08NN802013301 Clovis Rd(806) 765-2611PCP # H08NN80201406 Martin Luther KingBlvd(806) 767-0744PCP # H08NN802015425 19th StSte 200(806) 765-2611Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Lampe, Janice H, PAGender: FemalePCP # H08NT273016002 Slide RdSte D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Lehrmann, Emily J, APNGender: FemalePCP # H08HV1300111007 Quaker Ave(806) 701-4040Clinic Affiliation:Lubbock Primary CarePllcBoard Certifications:None

Leins, Edward J, DOGender: MalePCP # H08NV601011610 5th St(806) 765-2611PCP # H08NV601012301 Cedar Ave(806) 749-0024

PCP # H08NV601013301 Clovis Rd(806) 765-2611PCP # H08NV60101406 Martin Luther KingBlvd(806) 767-9744PCP # H08NV601015424 19th St Ste 200(809) 722-4453Hospital Affiliations:University MedicalCenterClinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Lentz, Jason B, MDGender: MalePCP # H08FH20101301 40th St(806) 743-9355PCP # H08DG228014105 Interstate 27(806) 762-2633Hospital Affiliations:Lamb Healthcare Center,University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Family PracticeLanguage(s): Spanish

Lindgren, Cherrylene A,DOGender: FemalePCP # H08X8959014105 Interstate 27(806) 762-2633Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Family PracticeLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 11: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

11

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

Linton, Kitten S, MDGender: FemalePCP # H08S4266013601 4th St1st Fl Medical Pavilion(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Lipo, Kelsey N, PAGender: FemalePCP # H08KX703015520 4th St(806) 761-0475Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Long, David R, MDGender: MalePCP # H08FN4240112115 Indiana Ave(806) 531-3977Hospital Affiliations:University MedicalCenterClinic Affiliation: DavidR Long MdpaBoard Certifications:Family PracticeLanguage(s): Spanish

Luna, Laurie, APNGender: FemalePCP # H08JH468011610 5th St(806) 765-2611Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Lust, Micah D, PAGender: FemalePCP # H0862N85017008 Indiana AveSte A(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:NoneLanguage(s): Spanish

Maldonado, Angie R,APNGender: FemalePCP # H08503MD015520 4th St(806) 761-0475Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Maldonado, Andie E, PAGender: FemalePCP # H08NM264017008 Indiana AveSte A(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:None

Mantooth, Shaun, PAGender: MalePCP # H08343NV017501 Quaker Ave(806) 788-3306Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Martinez, Robert L, APNGender: MalePCP # H082N183015022 Ave Q(806) 762-3597Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Mayers, Hillary, APNGender: FemalePCP # H08NL3560111007 Quaker Ave(806) 701-4040Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation:Lubbock Primary CarePllcBoard Certifications:None

McCarty, Elmore J, DOGender: MalePCP # H08X8950011701 50th St(806) 761-0429PCP # H08X8950012703 82nd St(806) 761-0428

PCP # H08X8950014420 114th St(806) 761-0420Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Family PracticeLanguage(s): Spanish

McClendon, Sarah C, PAGender: FemalePCP # H08NX080016002 Slide RdSte D24(806) 761-0450Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

Mello, Inola T, APNGender: FemalePCP # H0879N65013601 4th StMs 7208(806) 743-2848Hospital Affiliations:Baptist Health System,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Mendez, Michael P, MDGender: MalePCP # H08DC758017008 Indiana AveSte A(806) 698-8088Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock Family MedicineBoard Certifications:Family PracticeLanguage(s): Spanish

Merrill, Emily S, APNGender: FemalePCP # H08N4486013601 4th St(806) 743-2757Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family PracticeLanguage(s): Spanish

Messer, Ann H, MDGender: FemalePCP # H08NV706014412 74th StSte B100(877) 448-3627Clinic Affiliation: MetroInfectious DiseaseConsultaBoard Certifications:NoneLanguage(s): Spanish

Milam, Mary L, APNGender: FemalePCP # H08164NW01301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): Spanish

Mitchell, Jennifer J, MDGender: FemalePCP # H08F3612013601 4th St1st Fl Medical Pavilion(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family Practice

Mitchell, Rita S, APNGender: FemalePCP # H08Y4086017008 Indiana AveSte A(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:NoneLanguage(s): Spanish

LUBBOCK August 15, 2021

Page 12: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

12

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

Morales, Felix G, MDGender: MalePCP # H08DE671013601 4th St(806) 743-2757Hospital Affiliations:Lamb Healthcare Center,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Morris, Heather, APNGender: FemalePCP # H08061MB014420 114th St(806) 761-0420Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Neely Gilbert, Kristen R,APNGender: FemalePCP # H08HQ555016002 Slide RdSte D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Nerios, Lauriana, APNGender: FemalePCP # H08LP512017301 Milwaukee Ave(806) 761-0464Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Nicolas, Fania M, APNGender: FemalePCP # H08LN336017501 Quaker Ave(806) 788-3306Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

Nieto, Elvira M, APNGender: FemalePCP # H08HK46501808 Joliet Ave Ste 110(806) 761-0545Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Onger, Frederick A, MDGender: MalePCP # H08W7048013601 4th St(806) 743-2757Hospital Affiliations:Baptist Health System,Eastland MemorialHospital, HendrickMedical Center,Nacogdoches MedicalCenter, South TexasSurgical Hospital,Stephens MemorialHospital, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family PracticeLanguage(s): Chinese,Kiswahili, Spanish

Ordonez, Robert L, MDGender: MalePCP # H000MC30013709 22nd Place Ste B(806) 797-2616Hospital Affiliations:University MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

Owen, Jeffrey M, MDGender: MalePCP # H08GR104015028 122nd St(806) 749-7975Clinic Affiliation: OwenHealth Group PllcBoard Certifications:None

Patino, Chelsea M, APNGender: FemalePCP # H08NN803011610 5th St(806) 765-2611PCP # H08NN803012301 Cedar Ave(806) 749-0024

PCP # H08NN803013301 Clovis Rd(806) 765-2611PCP # H08NN80301406 Martin Luther KingBlvd(806) 767-9477PCP # H08NN803015425 19th StSte 200(806) 722-4453Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Pena, Mario, MDGender: MalePCP # H089Z122017501 Quaker Ave(806) 788-3306Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

Phillips, Michelle L, APNGender: FemalePCP # H08927NZ014004 82nd StSte F(806) 792-1050PCP # H08927NZ015130 82nd St(806) 792-1050Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Polly, Mika K, APNGender: FemalePCP # H08609MA017202 Slide Rd Ste 100(806) 712-0150Clinic Affiliation: TexasPhysicians GroupBoard Certifications:None

Prabhu, Fiona R, MDGender: FemalePCP # H087811G013601 4th St1st Fl Medical Pavilion(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Price, Mark M, APNGender: MalePCP # H08640NC011701 50th St(806) 761-0429Clinic Affiliation: UmcPhysiciansBoard Certifications:Family Practice

Radford, Erika F, MDGender: FemalePCP # H08LN497013601 4th St(806) 743-2848Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family Practice

Ragain, Roger M, MDGender: MalePCP # H082G885013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family PracticeLanguage(s): Spanish

Reynolds, Lisa, APNGender: FemalePCP # H08651NY01301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 13: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

13

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

Rivera, Diego, MDGender: MalePCP # H08BF00301111 N University Ave(806) 747-4415Clinic Affiliation: DiegoRivera Md PaBoard Certifications:NoneLanguage(s): Spanish

Robbins, Esther R, MDGender: FemalePCP # H08LK953013601 4th St(806) 743-2757Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family Practice

Robinson, Tanya R, APNGender: FemalePCP # H08595NS017301 Milwaukee Ave(806) 761-0464Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Rogers, Bailee L, PAGender: FemalePCP # H08NR501016002 Slide RdSte D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Rose, Christopher R, MDGender: MalePCP # H08DL901013709 22nd Pl Ste A(806) 791-3999PCP # H08DL901014601 S Loop 289(806) 771-7879Hospital Affiliations:University MedicalCenterClinic Affiliation:Christopher R RoseMdpaBoard Certifications:Family PracticeLanguage(s): Spanish

Ruiz, Antonio, PAGender: MalePCP # H08KN481013601 4th St(806) 743-2757Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Saleem, Kashif, MDGender: MalePCP # H08DP372013502 9th StSte 110(806) 762-8461Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Family PracticeLanguage(s): Spanish

Scott, Karen J, DOGender: FemalePCP # H08KU302011610 5th St(806) 765-2611Hospital Affiliations:University MedicalCenterClinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Seifu, Michael, APNGender: MalePCP # H08MB361015102 60th StSte G(806) 230-2088Hospital Affiliations:Baylor University MedicalCenterClinic Affiliation: MensBest Primary CareBoard Certifications:None

Sepeda, Jennifer A, APNGender: FemalePCP # H08992NS016002 Slide RdSte D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Shanklin, Christopher L,MDGender: MalePCP # H08GS1540111007 Quaker Ave(806) 701-4040Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock Primary CarePllcBoard Certifications:Family Practice

Shaw, Leslie S, APNGender: FemalePCP # H08MS214012345 50th StSte 500(806) 701-5797Clinic Affiliation:Salman Ahmad Md PaBoard Certifications:None

Sheets, Randall E, MDGender: MalePCP # H08DY722013601 4th St(806) 743-2757Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family Practice

Siegel, Jennifer S, APNGender: FemalePCP # H08011MD016002 Slide RdSte D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Skinner, Derek I, MDGender: MalePCP # H08HM887015713 82nd St(806) 993-6560Clinic Affiliation:Paratus Medical IncBoard Certifications:None

Slavik, Stacey L, APNGender: FemalePCP # H08DU385012424 50th St Ste 300(806) 743-2424

PCP # H08HK46601808 Joliet Ave Ste 110(806) 761-0545Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Sliger, Cody J, APNGender: MalePCP # H08LY38001301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:None

Smith, Honey M, APNGender: FemalePCP # H08KE388016002 Slide Rd Ste D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Spolec, Georgia R, APNGender: FemalePCP # H08HK331013301 Clovis Rd(806) 765-2611Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Stewart, Rebecca J, APNGender: FemalePCP # H08NG299017008 Indiana AveSte A(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:None

Stice, Jamie R, APNGender: FemalePCP # H08215NS017008 Indiana AveSte A(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

LUBBOCK August 15, 2021

Page 14: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

14

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

Stout, Jennifer, APNGender: FemalePCP # H08HF1440111007 Quaker Ave(806) 701-4040Clinic Affiliation:Lubbock Primary CarePllcBoard Certifications:None

Sun, Grace H, APNGender: FemalePCP # H08269NF013601 4th StMs7208(806) 743-2860Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Taylor, Mitzi D, APNGender: FemalePCP # H08538MB014420 114th St(806) 761-0420Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Thal, Wendy R, APNGender: FemalePCP # H08Y031101301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): Spanish

Thompson, Haleigh S,APNGender: FemalePCP # H08KS808013502 9th St Ste 270(806) 761-0600Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Tibbets, Gay A, APNGender: FemalePCP # H08Y3651017008 Indiana AveSte A(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:NoneLanguage(s): Spanish

Tiemann, Kirk J, MDGender: MalePCP # H08DF453018214 Milwaukee Ave(806) 795-6421Hospital Affiliations:University MedicalCenterClinic Affiliation: Kirk JTiemann MdpaBoard Certifications:NoneLanguage(s): Spanish

Toor, Nadia N, MDGender: FemalePCP # H08EV633013502 9th StSte 110(806) 762-8461Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Tran, Marbella Z, MDGender: FemalePCP # H08LE235015715 114th St(806) 712-5715Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation: TranPhysician GroupBoard Certifications:None

Tran, Hoa H, MDGender: MalePCP # H08LE237015715 114th St(806) 712-5715Hospital Affiliations:Medical Arts Hospital,Palo Pinto GeneralHospitalClinic Affiliation: TranPhysician GroupBoard Certifications:Family Practice

Truesdell, Alexis E, APNGender: FemalePCP # H08NY377016002 Slide RdSte D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Turner, Johnny M, PAGender: MalePCP # H08HB946016102 82nd St Unit 14(806) 712-0446Clinic Affiliation: TexasPhysicians GroupBoard Certifications:NoneLanguage(s): Spanish

Villarreal, Miguel R, MDGender: MalePCP # H08F3613013601 4th St1st Fl Medical Pavilion(806) 743-2860Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Wall, Jalyn D, APNGender: FemalePCP # H08N9820014004 82nd StSte F(806) 792-1050PCP # H08N9820015130 82nd St(806) 794-9378Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): German,Spanish

Ward, Jennifer D, MDGender: FemalePCP # H08LK042013601 4th St(806) 743-2757Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Family Practice

Weiss, Christopher J,MDGender: MalePCP # H08NX072014420 114th St(806) 761-0420Clinic Affiliation: UmcPhysiciansBoard Certifications:Family Practice

Wilcox, Wendy J, APNGender: FemalePCP # H08KE284015028 122nd St(806) 749-7975Clinic Affiliation: OwenHealth Group PllcBoard Certifications:None

Williams, Roger C, APNGender: MalePCP # H08980MB01301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:None

Williamson, Robin R,APNGender: FemalePCP # H08LV34801808 Joliet AveSte 110(806) 761-0403Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Zimmerman, Emily L,APNGender: FemalePCP # H08KU235011610 5th St(806) 765-2611Clinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:None

Zube, Stacey L, APNGender: FemalePCP # H08985NQ015130 82nd St(806) 761-0428

August 15, 2021 LUBBOCK

Page 15: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

15

LUBBOCK (cont.)

FAMILY PRACTICE (cont.)

PCP # H08985NQ016002 Slide RdSte D24(806) 761-0450Clinic Affiliation: UmcPhysiciansBoard Certifications:None

INTERNAL MEDICINEAhmad, Salman, MDGender: MalePCP # H08MJ635012345 50th StSte 500(806) 701-5797Hospital Affiliations:University MedicalCenterClinic Affiliation:Salman Ahmad Md PaBoard Certifications:NoneLanguage(s): Spanish,Urdu

Bisbee, Robert J, MDGender: MalePCP # H08KI880013601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Bolyard, Vanessa L,APNGender: FemalePCP # H08Y4066016205 43rd St Ste 100(806) 749-2263Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Buscemi, Dolores M, MDGender: FemalePCP # H086E871013601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Chen, Hua, MDGender: MalePCP # H08EW45601301 40th St(806) 743-9355Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:Internal MedicineLanguage(s): Spanish

Cobbs, Lauren S, MDGender: FemalePCP # H08CS969013601 4th St Fl 2Medical Pavilion(806) 743-3150Hospital Affiliations:Bs&w Medical CenterTemple, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Dihenia, Chanda S, MDGender: FemalePCP # H08AJ180013619 22nd Place(806) 771-7720Hospital Affiliations:Chi St Joseph HlthRegionl Hos, UniversityMedical CenterClinic Affiliation:Chanda S Dihenia MdpaPractice Information:No Patients Under 18 yrsoldBoard Certifications:Internal MedicineLanguage(s): Hindi,Spanish

Edwards, David S, MDGender: MalePCP # H08CE368013601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

George, Thomas V, MDGender: MalePCP # H08MR802013601 4th St(806) 743-3150Hospital Affiliations:Texoma Medical Center,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Graham, Kimberly A,APNGender: FemalePCP # H08N8762013502 9th StSte 110(806) 762-8461Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

Green, Hal L, MDGender: MalePCP # H000F402014102 24th St #302(806) 795-6428Board Certifications:Internal MedicineLanguage(s): Spanish

Hines, Kathryn M, MDGender: FemalePCP # H08MB767015406 Colgate St(806) 507-3500Hospital Affiliations:University MedicalCenterClinic Affiliation:Michael McPherson MdPaBoard Certifications:None

James, Brittanee, APNGender: FemalePCP # H08KU56601808 Joliet Ave Unit 220(806) 761-0566Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Lalmuanpuii, Judy, MDGender: FemalePCP # H08FN142013601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Internal Medicine

Liles, Sarah A, APNGender: FemalePCP # H08MF276014642 N Loop 289Ste 215(806) 788-0040Clinic Affiliation: TexasPhysicians GroupBoard Certifications:None

Little, Donald D, MDGender: MalePCP # H08GK135013601 4th St(806) 743-3150PCP # H08GK13501602 Indiana Ave(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Internal Medicine

Malick, Erika L, APNGender: FemalePCP # H08NY39001808 Joliet AveSte 220(806) 761-0566Clinic Affiliation: UmcPhysiciansBoard Certifications:NoneLanguage(s): Spanish

LUBBOCK August 15, 2021

Page 16: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

16

LUBBOCK (cont.)

INTERNAL MEDICINE (cont.)

Malouf, Cathy Y, MDGender: FemalePCP # H08ER126013711 22nd St Ste A(806) 500-2056Clinic Affiliation: CathyMalouf MdBoard Certifications:None

Marin, Luisa F, MDGender: FemalePCP # H08DG208013601 4th St(806) 743-3150Hospital Affiliations:Christus Mother FrancesTyler, Palestine RegionalMedical Center,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Mauldin, Tessa N, APNGender: FemalePCP # H08MB333015102 60th StSte G(806) 230-2088Clinic Affiliation: MensBest Primary CareBoard Certifications:None

McCartney, Susan M,MDGender: FemalePCP # H08LN316013601 4th St(806) 743-3150PCP # H08LN31601602 Indiana Ave(806) 743-9707Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

McPherson, Michael G,MDGender: MalePCP # H08LS501012400 Quaker Ave(806) 792-2831

PCP # H08LS501012613 34th St(806) 792-2196PCP # H08LS501013710 4th St(806) 763-4455PCP # H08LS501014120 22nd Pl(806) 793-3252PCP # H08LS501014302 Princeton St(806) 749-2222PCP # H08LS501014306 24th St(806) 793-2555PCP # H08LS501014320 19th St(806) 795-1774PCP # H08LS501014403 74th St(806) 795-0668PCP # H08LS501014510 27th St(806) 795-4368PCP # H08LS501014710 Slide Rd(806) 797-3481PCP # H08LS501014910 Emory St(806) 740-0800PCP # H08LS50101507 Martin Luther KingBlvd(806) 444-1113PCP # H08LS501015301 University Ave(806) 795-8792PCP # H08LS501015406 Colgate St(806) 507-3500PCP # H08LS501015502 4th St(806) 793-1111PCP # H08FB72001602 Indiana Ave(806) 761-0566PCP # H08LS501016640 Lola(806) 687-6640

PCP # H08FB72001808 Joliet AveSte 220(806) 761-0566Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

Mills Bownds, Lindsey,PAGender: FemalePCP # H08LP07701602 Indiana Ave(806) 761-0566PCP # H08LP07701808 Joliet AveSte 220(806) 761-0566Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Mitchell, T L, MDGender: MalePCP # H08CM805013601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Internal Medicine

Mittal, Neha, MDGender: FemalePCP # H08B2608013601 4th St1st Fl Medical Pavilion(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Internal MedicineLanguage(s): Hindi,Spanish

Mulkey, Zachary P, MDGender: MalePCP # H08F0563013601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Narayanan, Roshni, MDGender: FemalePCP # H08LP138014004 82nd StSte F(806) 722-7400Clinic Affiliation: UmcPhysiciansBoard Certifications:Internal Medicine

Payne, John A, DOGender: MalePCP # H08GA633013601 4th St(806) 743-3150PCP # H08GA63301602 Indiana Ave(806) 775-8600Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Internal Medicine

Phy, Michael P, DOGender: MalePCP # H088178G013601 4th St1st Fl Medical Pavilion(806) 743-3150Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Pirtle, Floyd E, MDGender: MalePCP # H08DD973013502 9th StSte 110(806) 762-8461Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

August 15, 2021 LUBBOCK

Page 17: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

17

LUBBOCK (cont.)

INTERNAL MEDICINE (cont.)

Ravi, Hima B, MDGender: FemalePCP # H08P1101013516 22nd Place(806) 797-3322Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Lubbock Medical AssocLlpBoard Certifications:Internal MedicineLanguage(s): Indian,Spanish

Rohra, Lakhu J, MDGender: MalePCP # H000PL71013802 21st St Ste C(806) 785-2778Hospital Affiliations:University MedicalCenterBoard Certifications:Internal MedicineLanguage(s): Indo-European Langua

Soriano, Mark H, MDGender: MalePCP # H08G5273011701 50th St(806) 761-0429PCP # H08G5273012703 82nd St(806) 761-0428PCP # H08G5273014004 82nd StSte F(806) 722-7400Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

Trieu, Loc H, MDGender: MalePCP # H08LM655015102 60th StSte G(817) 573-9800Hospital Affiliations:Medical City Dallas, TxHlth PresbyterianHospital DallasClinic Affiliation: MensBest Primary CareBoard Certifications:None

Warmoth, Larry A, MDGender: MalePCP # H00086JP013801 21st St Ste 200(806) 687-0338Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

Yarbrough, Shannon,MDGender: FemalePCP # H08GH381013502 9th St Ste 110(806) 762-8461Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

OBSTETRICS-GYNECOLOGYDunn, Cynthia G, MDGender: FemalePCP # H08NL216013601 4th St(806) 743-2775Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Miller, Virginia G, APNGender: FemalePCP # H083N175012424 50th StSte 300(806) 743-2424Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:NoneLanguage(s): Spanish

PEDIATRICSAl Alami, Bachar, MDGender: MalePCP # H08AW639013813 22nd StSte E(806) 792-8922Hospital Affiliations:University MedicalCenterClinic Affiliation: BachalAl Alami MdBoard Certifications:NoneLanguage(s): Arabic,French, Italian, Spanish

Allen, Cathy, APNGender: FemalePCP # H086N716011307 Martin Luther KingBlvd(806) 749-3800PCP # H086N71601302 N Univeristy(806) 749-3803Clinic Affiliation:Lubbock Children'sHealth ClinicPractice Information:No Patients Over 19 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Arandia Antel, Luis F,MDGender: MalePCP # H00022EY014020 21st Ste 2(806) 792-2847Hospital Affiliations:University MedicalCenterPractice Information:No Patients Over 18 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Brown, Gary S, DOGender: MalePCP # H08DL31801302 N University(806) 749-3803Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock Children'sHealth ClinicBoard Certifications:PediatricsLanguage(s): Spanish

Cabrera, Leopoldo A, MDGender: MalePCP # H08DF739015424 19th StSte 200(806) 722-4453Hospital Affiliations:University MedicalCenterClinic Affiliation:Community HealthCenter Of LubbockBoard Certifications:PediatricsLanguage(s): Spanish,Tagalog

Camp, Tammy M, MDGender: FemalePCP # H086Z587013502 9th St(806) 743-1188PCP # H086Z587014004 82nd St(806) 743-7800PCP # H086Z587016630 Quaker AveSte C(806) 743-7660Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatrics

Castillo, Maribel, APNGender: FemalePCP # H08PB73001416 Frankford Ave(806) 761-0536Clinic Affiliation: UmcPhysiciansBoard Certifications:None

LUBBOCK August 15, 2021

Page 18: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

18

LUBBOCK (cont.)

PEDIATRICS (cont.)

Clinton, Stacy J, MDGender: FemalePCP # H08GK605013502 9th StSte 210(806) 743-2388Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Clinton, Stacy J, MDGender: FemalePCP # H08GK605013601 4th St(806) 743-7335Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Clinton, Stacy J, MDGender: FemalePCP # H08GK605016630 Quaker AveSte C(806) 743-7660Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Conser, Carole E, MDGender: FemalePCP # H08H8767013502 9th StSte 130(806) 743-1188PCP # H08H8767013601 4th St1st Fl Medical Pavilion(806) 743-7337PCP # H08H8767014004 82nd St(806) 743-7800

PCP # H08H8767016630 Quaker AveSte C(806) 743-7660Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Cook, Caleb, MDGender: MalePCP # H08HE546013601 4th St(806) 743-2244Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Couch, Robert E, MDGender: MalePCP # H08G3980017501 Quaker Ave(806) 793-7257Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Pediatrics

Craig, Crystal N, MDGender: FemalePCP # H08KV030013601 4th St(806) 743-7337PCP # H08KV030014102 24th StSte 504(806) 743-7700Hospital Affiliations:Bs&w Medical CenterGrapevine, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Crockett, Shakisha D,APNGender: FemalePCP # H08MR44301416 Frankford Ave(806) 761-0536Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Djajadi, Wei Min, MDGender: FemalePCP # H08GK790013502 9th St(806) 743-1188Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Chinese,Indonesian, Malay

Djajadi, Wei Min, MDGender: FemalePCP # H08GK790013601 4th St(806) 743-7335Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Chinese,Indonesian, Malay

Djajadi, Wei Min, MDGender: FemalePCP # H08GK790016630 Quaker AveSte C(806) 743-7660Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Chinese,Indonesian, Malay

Hafner, Justin M, APNGender: MalePCP # H08HN095017501 Quaker Ave(806) 786-3306Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Howard, Kyle M, MDGender: MalePCP # H08NL644014420 114th St(806) 761-0420Hospital Affiliations:Christus Good ShepherdMed CtrClinic Affiliation: UmcPhysiciansBoard Certifications:Pediatrics

Johnson, Lara W, MDGender: FemalePCP # H08G6055013601 4th St(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Klepper, Douglas R, MDGender: MalePCP # H082320B017501 Quaker Ave(806) 793-7257Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Pediatrics

Lloyd, Roxanne M, APNGender: FemalePCP # H086N717011307 Martin Luther KingBlvd(806) 749-3800PCP # H08Y0199013601 4th St(806) 743-7337

August 15, 2021 LUBBOCK

Page 19: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

19

LUBBOCK (cont.)

PEDIATRICS (cont.)

PCP # H08Y0199016630 Quaker Ste C(806) 743-7660Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockPractice Information:No Patients Over 19 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Madison, Arrington, MDGender: FemalePCP # H08MU957017501 Quaker Ave(806) 788-3306Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Masters, Amanda S, MDGender: FemalePCP # H08H8765013502 9th StSte 130(806) 743-1188PCP # H08H8765013601 4th St(806) 743-7337PCP # H08H8765014004 82nd St(806) 743-7800PCP # H08H8765016630 Quaker AveSte C(806) 743-7660Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

McLaurin, Latisha, MDGender: FemalePCP # H08DX474013502 9th StSte 130(806) 743-1188PCP # H08DX474013601 4th St(806) 743-7337PCP # H08DX474014004 82nd St(806) 743-7800

PCP # H08DX474016630 Quaker Ave(806) 743-7660Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Minefee, Jarred, PAGender: MalePCP # H08530NW013601 4th St(806) 743-2757Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Montanez, Ana M, MDGender: FemalePCP # H08HM251013502 9th StSte 430(806) 761-0534PCP # H08HM251013601 4th St(806) 743-7337Hospital Affiliations:Hosps Of ProvidenceSierra Campus, LasPalmas Camp Lpdsh,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Motheral, Lesley C, MDGender: FemalePCP # H08H8764013502 9th StSte 130(806) 743-1188PCP # H08H8764013601 4th St(806) 743-7337PCP # H08H8764014004 82nd St(806) 743-7800

PCP # H08H8764016630 Quaker AveSte C(806) 743-7800Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Nunez, Bethany A, MDGender: FemalePCP # H08GD229013601 4th St(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Pankratz, Michal M, MDGender: FemalePCP # H08CM804013502 9th StSte 130(806) 743-1188PCP # H08CM804013601 4th St(806) 743-7337PCP # H08CM804014004 82nd St(806) 743-7800PCP # H08CM804016630 Quaker AveSte C(806) 743-7660Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Patterson, Patti J, MDGender: FemalePCP # H087192G013502 9th StSte 130(806) 743-1188PCP # H087192G013601 4th St(806) 743-7660

PCP # H087192G014004 82nd St(806) 743-7800Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatrics

Pham, Teresia T, MDGender: FemalePCP # H08LU435011307 Martin Luther KingBlvd(806) 749-3800PCP # H08LF442013601 4th St(806) 743-7335PCP # H08LF442016630 Quaker Ave(806) 743-7660Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatrics

Pomeroy, Brian J, MDGender: MalePCP # H08DK147013601 4th St(806) 743-7337PCP # H08DK147016630 Quaker AveSte C(806) 743-7660Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Pomeroy, Lisa, MDGender: FemalePCP # H08EQ671016630 Quaker Ave Ste C(806) 743-7660Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatrics

LUBBOCK August 15, 2021

Page 20: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

20

LUBBOCK (cont.)

PEDIATRICS (cont.)

Robinson, Kirsten K, MDGender: FemalePCP # H08H8766013502 9th St Ste 130(806) 743-1188Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Rupley, Marcelina P, MDGender: FemalePCP # H08MJ32901416 Frankford Ave(806) 761-0536Hospital Affiliations:Hca Houston HealthcareConroe, MemorialMedical Center, UvaldeMemorial HospitalClinic Affiliation: UmcPhysiciansPractice Information:No Patients Over 18 yrsoldBoard Certifications:PediatricsLanguage(s): Tagalog

Schoof, Jacob, DOGender: MalePCP # H08MX185016630 Quaker AveSte C(806) 743-7660Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Scott, Robert W, MDGender: MalePCP # H08G6052013502 9th St Ste 130(806) 743-7660PCP # H08G6052016630 Quaker AveSte C(806) 743-7800Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Settle, Kristal L, APNGender: FemalePCP # H08MK867011307 Martin Luther KingBlvdBlvd(806) 749-3800PCP # H08MK86701302 N University Ave(806) 749-3803PCP # H08PL954013601 4th St(806) 743-7335Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Sledge, Elizabeth M, MDGender: FemalePCP # H08GD228013601 4th St(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatrics

Toon, Molly F, APNGender: FemalePCP # H08Y5067013601 4th St(806) 743-7337Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockPractice Information:No Patients Over 19 yrsoldBoard Certifications:None

Vuelvas, Juan, MDGender: FemalePCP # H08CL291015022 Ave Q(806) 762-3597Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:PediatricsLanguage(s): Spanish

Walker, Danielle, MDGender: FemalePCP # H08HD195013601 4th St(806) 743-7337Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

White, Joyce C, APNGender: FemalePCP # H08LT405017501 Quaker Ave(806) 788-3306Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Wolcott, Benjamin M,MDGender: MalePCP # H08FZ604017501 Quaker Ave(806) 793-7257Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

Wright, Amber L, MDGender: FemalePCP # H08FA052013502 9th StSte 130(806) 743-1188Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Zeitouni, Nawal S, MDGender: FemalePCP # H082325B011701 50th St(806) 761-0429PCP # H082325B012703 82nd St(806) 761-0428PCP # H082325B017501 Quaker Ave(806) 793-7257Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

MATADOR

FAMILY PRACTICEAlley, Steve B, MDGender: MalePCP # H08KV296011224 Main St(806) 347-2641Hospital Affiliations:Crosbyton Clinic HospitalClinic Affiliation: ArtSchool Based HealthCenterBoard Certifications:NoneLanguage(s): Spanish

MORTON

FAMILY PRACTICEHughes, Charles V, MDGender: MalePCP # H082X91401201 E Grant(806) 266-5565Hospital Affiliations:Cochran MemorialHospital, W J MangoldMemorial HospitalClinic Affiliation:Cochran MemorialHospitalBoard Certifications:Family PracticeLanguage(s): Spanish

MULESHOE

FAMILY PRACTICEBunker, Suzanne R, PAGender: FemalePCP # H08557NZ01708 S First St(806) 272-7544Clinic Affiliation:Medical Clinic OfMuleshoeBoard Certifications:NoneLanguage(s): Spanish

Burk, Kenneth H, DOGender: MalePCP # H08JY92801708 S First St(806) 272-4524Clinic Affiliation:Medical Clinic OfMuleshoeBoard Certifications:None

August 15, 2021 LUBBOCK

Page 21: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

21

MULESHOE (cont.)

FAMILY PRACTICE (cont.)

Covey, Keith O, APNGender: MalePCP # H08KJ48601701 S First St(806) 272-7531Clinic Affiliation:Medical Clinic OfMuleshoeBoard Certifications:NoneLanguage(s): Spanish

Gonzales, Erin J, APNGender: FemalePCP # H08LL69401208 W 2nd St(806) 272-7736Clinic Affiliation: SudanMedical ClinicBoard Certifications:None

House Bullock, Linda N,APNGender: FemalePCP # H08975MA01208 W 2nd St(806) 272-7739Clinic Affiliation: SudanMedical ClinicBoard Certifications:NoneLanguage(s): Spanish

Neely Gilbert, Kristen R,APNGender: FemalePCP # H08GX36901708 S First St(806) 272-4524Clinic Affiliation:Medical Clinic OfMuleshoeBoard Certifications:None

Purdy, Bruce D, MDGender: MalePCP # H086910X01701 S 1st St(806) 272-7531PCP # H08GJ44901708 S First St(806) 272-7531Hospital Affiliations:Muleshoe Area MedicalCenterClinic Affiliation:Medical Clinic OfMuleshoeBoard Certifications:NoneLanguage(s): Spanish

Quick, Hailey A, APNGender: FemalePCP # H08KD89701708 S First St(806) 272-4524Clinic Affiliation:Medical Clinic OfMuleshoeBoard Certifications:NoneLanguage(s): Spanish

ODONNELL

FAMILY PRACTICELeach, Christopher M,MDGender: MalePCP # H08KC15301709 4th St(806) 428-3211Hospital Affiliations:Lynn County HospitalDistrict, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:Family Practice

Schneider, Cynde L,APNGender: FemalePCP # H08KC19101709 4th St(806) 428-3211Clinic Affiliation: LynnCounty Hospital DistrictPractice Information:Wheelchair AccessibilityBoard Certifications:None

OLTON

FAMILY PRACTICEHadzic, Daniel B, MDGender: MalePCP # H08FY67301524 8th Steet(806) 285-2633Hospital Affiliations:Lamb Healthcare Center,Medical Arts HospitalClinic Affiliation: LhcFamily MedicineBoard Certifications:NoneLanguage(s): French,Spanish

PLAINS

GENERAL PRACTICEFrankfather, Jay S, MDGender: MalePCP # H08CT86601602 State Hwy 214(806) 456-6365PCP # H08CC10401602 State Hwy 214Po Box 936(806) 456-6365Hospital Affiliations:Yoakum County HospitalClinic Affiliation: WestTexas Medical CenterBoard Certifications:NoneLanguage(s): Spanish

PLAINVIEW

FAMILY PRACTICEElkins, Jessica M, APNGender: FemalePCP # H08KD463011806 Quincy St(806) 288-7891Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:None

Horton, Kenneth C, MDGender: MalePCP # H00089TL011806 Quincy St(806) 288-7891Hospital Affiliations:Childress RegionalMedical Center,University MedicalCenterClinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:NoneLanguage(s): Spanish

Johnson, Lori A, APNGender: FemalePCP # H08JA675011806 Quincy St(806) 288-7891Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:None

King, Travis G, MDGender: MalePCP # H08EB063011806 Quincy St(806) 288-7891Hospital Affiliations:Golden PlainsCommunity HospitalClinic Affiliation: TravisKing Md PaBoard Certifications:Family PracticeLanguage(s): Spanish

McClanahan, Mark L, DOGender: MalePCP # H08EB064011605 W 5th St(806) 288-7891PCP # H000A46Q011806 Quincy St(806) 288-7891Hospital Affiliations:Golden PlainsCommunity HospitalBoard Certifications:Family PracticeLanguage(s): Spanish

McClanahan, John R, DOGender: MalePCP # H08EA988011806 Quincy St(806) 288-7891Hospital Affiliations:Bellville Medical Center,Bs&w Medical CenterHillcrest, Golden PlainsCommunity HospitalClinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:Family PracticeLanguage(s): Spanish

Ontiveros, Julia M, APNGender: FemalePCP # H08NR009011806 Quincy St(806) 288-7891Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:NoneLanguage(s): Spanish

MULESHOE August 15, 2021

Page 22: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

22

PLAINVIEW (cont.)

FAMILY PRACTICE (cont.)

Richards, Summer B, PAGender: FemalePCP # H08877ND011605 W 5th St(806) 288-7891Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:NoneLanguage(s): Spanish

Schulz, Krisann E, PAGender: FemalePCP # H08878ND011806 Quincy St(806) 288-7891Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:None

Swanson, Monte R, MDGender: MalePCP # H08EL231011806 Quincy St(806) 288-7891Hospital Affiliations:Palo Pinto GeneralHospitalClinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:Family PracticeLanguage(s): Spanish

Watkins, Jon R, MDGender: MalePCP # H08EB065011806 Quincy St(806) 288-7891Hospital Affiliations:Crosbyton Clinic HospitalClinic Affiliation: JonWatkins Md PaBoard Certifications:NoneLanguage(s): Spanish

POST

FAMILY PRACTICEHannaway, Angela M, PAGender: FemalePCP # H08Y3629011104 N Ave S(806) 495-2853Clinic Affiliation: UmcPhysiciansBoard Certifications:None

SAN ELIZARIO

PEDIATRICSDominguez, Claudia V,APNGender: FemalePCP # H08NH1260112101 Socorro(915) 545-6156Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:None

SEMINOLE

FAMILY PRACTICEMyrick, Leila K, MDGender: FemalePCP # H08NF84201209 Nw 8th St(432) 758-5811Clinic Affiliation:Seminole HospitalDistrict Seminole FamilyMedicalBoard Certifications:None

Watson, Michael Q, MDGender: MalePCP # H000J16V01208 Nw 8th St(432) 758-3267Hospital Affiliations:Yoakum County HospitalBoard Certifications:NoneLanguage(s): Spanish

INTERNAL MEDICINELayman, Mark B, MDGender: MalePCP # H00047DY01208 Nw 8th St Ste 1(432) 758-6363Board Certifications:None

SHALLOWATER

FAMILY PRACTICEBaker, Cara G, APNGender: FemalePCP # H08NL551011502 12th StSte A(806) 696-3700Clinic Affiliation:Sycamore FamilyMedicineBoard Certifications:None

Carreon, Brian K, MDGender: MalePCP # H08NL550011502 12th StSte A(806) 696-3700Hospital Affiliations:University MedicalCenterClinic Affiliation:Sycamore FamilyMedicineBoard Certifications:Family PracticeLanguage(s): Spanish

Eberly, MacKenzi B, APNGender: FemalePCP # H08NT990011502 12th StSte A(806) 832-4566Clinic Affiliation:Sycamore FamilyMedicineBoard Certifications:None

SLATON

FAMILY PRACTICEPrice, MacKenzie D, PAGender: FemalePCP # H0839N2301130 N 7th St(806) 828-5822Clinic Affiliation: UmcPhysiciansBoard Certifications:Family Practice

Rodriguez, Enrique, MDGender: MalePCP # H08DW57301163 S 9th St(806) 828-1600Hospital Affiliations:University MedicalCenterClinic Affiliation: SlatonFamily Medical ClinicBoard Certifications:NoneLanguage(s): Spanish

INTERNAL MEDICINEMcPherson, Michael G,MDGender: MalePCP # H08LS50101630 S 19th St(806) 828-6268Hospital Affiliations:University MedicalCenterClinic Affiliation:Michael McPherson MdPaBoard Certifications:None

SNYDER

FAMILY PRACTICEArnwine, Vanessa D, PAGender: FemalePCP # H08576NH011700 Cogdell Blvd(325) 573-1300Clinic Affiliation:Cogdell PhysicianServicesBoard Certifications:NoneLanguage(s): Spanish

Burleson, James R, MDGender: MalePCP # H081W463011700 Cogdell Blvd(325) 574-1300Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family PracticeLanguage(s): Spanish

August 15, 2021 PLAINVIEW

Page 23: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

23

SNYDER (cont.)

FAMILY PRACTICE (cont.)

Burson, Rebecca L, MDGender: FemalePCP # H08GJ951011700 Cogdell Blvd(325) 573-1300Hospital Affiliations:Chi St Joseph HlthRegionl Hos, D MCogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family Practice

Chesser, Andrea E, PAGender: FemalePCP # H0803N39011700 Cogdell Blvd(325) 573-1300Clinic Affiliation:Cogdell PhysicianServicesBoard Certifications:NoneLanguage(s): Spanish

Cooper, Bid A, MDGender: MalePCP # H08J1971011700 Cogdell Blvd(325) 573-1300Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family PracticeLanguage(s): Spanish

Evans, Tanner A, MDGender: MalePCP # H08MU595011700 Cogdell Blvd(325) 573-1300Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family Practice

Huestis, Alisha D, APNGender: FemalePCP # H08103NT011700 Cogdell Blvd(325) 573-1300Clinic Affiliation:Cogdell PhysicianServicesBoard Certifications:NoneLanguage(s): Spanish

Kerr, David C, MDGender: MalePCP # H08J1976011700 Cogdell Blvd(325) 573-1300Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family PracticeLanguage(s): Spanish

Martinez, Oscar, MDGender: MalePCP # H08DX288011700 Cogdell Blvd(325) 573-1300Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:NoneLanguage(s): Spanish

Morris, Ryan E, DOGender: MalePCP # H08DX287011700 Cogdell Blvd(325) 573-1300Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family PracticeLanguage(s): Spanish

Owen, Jeffrey M, MDGender: MalePCP # H08GR104011700 Cogdell Blvd(806) 749-7975Clinic Affiliation: OwenHealth Group PllcBoard Certifications:None

Peck, Ricky C, MDGender: MalePCP # H08LG250011700 Cogdell Blvd(325) 574-7437Hospital Affiliations:Ballinger MemorialHospital, D M CogdellMemorial Hospital, NorthRunnels HospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family Practice

Peck, Elizabeth K, MDGender: FemalePCP # H08LG253011700 Cogdell Blvd(325) 574-7437Hospital Affiliations:Ballinger MemorialHospital, North RunnelsHospital, UniversityMedical CenterClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family PracticeLanguage(s): Spanish

Perry, Jordan, MDGender: FemalePCP # H08JD791011700 Cogdell Blvd(325) 573-1300Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Family Practice

INTERNAL MEDICINEHough, Jared, PAGender: MalePCP # H08PR347011700 Cogdell Blvd(325) 573-1300Hospital Affiliations:Chi St Joseph HlthRegionl HosClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:None

Hough, Kevin A, DOGender: MalePCP # H08JM236011700 Cogdell Blvd(325) 574-7437Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:Internal Medicine

Kerr, Thomas, MDGender: MalePCP # H081W460011700 Cogdell Blvd(325) 574-7166Hospital Affiliations: DM Cogdell MemorialHospital, Mitchell CountyHospital DistrictClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:NoneLanguage(s): Spanish

SPUR

FAMILY PRACTICEAlley, Steve B, MDGender: MalePCP # H086930N01907 E Hill St(806) 271-3306Hospital Affiliations:Crosbyton Clinic HospitalClinic Affiliation: SpurMedical CorporationBoard Certifications:NoneLanguage(s): Spanish

Cook, Tonia L, APNGender: FemalePCP # H08NB67601907 E Hill St(806) 271-3306Hospital Affiliations:Fisher County HospitalDistrictClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

SNYDER August 15, 2021

Page 24: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

24

SPUR (cont.)

FAMILY PRACTICE (cont.)

Cooper, Cheyenna K,APNGender: FemalePCP # H08MB57701907 E Hill St(806) 270-3306Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Eggart, Cathi L, APNGender: FemalePCP # H08HJ75801907 E Hill St(806) 271-3306Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Molina, Audra, APNGender: FemalePCP # H08KB50601907 E Hill St(806) 271-3306Clinic Affiliation:Stonewall Rural HealthClinicPractice Information:No Patients Under 17 yrsoldBoard Certifications:None

Odom, Theresa A, APNGender: FemalePCP # H08693MC01907 E Hill St(806) 271-3306Hospital Affiliations:Stonewall MemorialHospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Passmann, Frederic K,MDGender: MalePCP # H08DY75201907 E Hill St(806) 271-3306Hospital Affiliations:Cedar Park RegionalMedical Ctr, ChristusSpohn Hos CctxShoreline, ChristusSpohn Hospital CctxSouth, Christus SpohnHospital Kleberg, CityHospital At White Rock,Huntsville MemorialHospital, PalestineRegional Medical Center,Stonewall MemorialHospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:NoneLanguage(s): Spanish

Pennington, Saul H, PAGender: MalePCP # H08KC00101907 E Hill St(806) 271-3306Clinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:None

Wofford, Bert W, MDGender: MalePCP # H08FJ67201907 E Hill St(806) 271-3306Hospital Affiliations:Palo Pinto GeneralHospital, StonewallMemorial HospitalClinic Affiliation:Stonewall Rural HealthClinicBoard Certifications:Family Practice

STANTON

FAMILY PRACTICEHernandez, Donna G,APNGender: FemalePCP # H08PB82901600 Interstate 20 ESte D 104(432) 607-3298Clinic Affiliation:Alvarado Alliance LlcBoard Certifications:None

SUDAN

FAMILY PRACTICEAllen, Lisa M, PAGender: FemalePCP # H08N989201408 E Hwy 84(806) 227-2292Clinic Affiliation: SudanMedical ClinicBoard Certifications:NoneLanguage(s): Spanish

Gonzales, Erin J, APNGender: FemalePCP # H08LL69401408 E Us Hwy 84(806) 227-2292Clinic Affiliation: SudanMedical ClinicBoard Certifications:None

McClanahan, Mark L, DOGender: MalePCP # H08V047001408 E Us Hwy 84(806) 227-2292Hospital Affiliations:Golden PlainsCommunity HospitalClinic Affiliation: SudanMedical ClinicBoard Certifications:Family PracticeLanguage(s): Spanish

TAHOKA

FAMILY PRACTICEAcuna, Chelsea F, APNGender: FemalePCP # H08LQ168011809 Lockwood(806) 998-4604

PCP # H08LQ168012600 Lockwood St Ste C(806) 561-4802Hospital Affiliations:Lynn County HospitalDistrictClinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:None

Billingsley, Kimberly A,APNGender: FemalePCP # H08Y9580012600 Lockwood St(806) 998-4533Clinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:NoneLanguage(s): Spanish

Hammonds, Shannon R,APNGender: FemalePCP # H08584NH011809 Lockwood(806) 998-4604PCP # H0848N07011809 Lockwood St(806) 998-4604PCP # H0848N07012600 Lockwood St(806) 998-4533Clinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:NoneLanguage(s): Spanish

Leach, Christopher M,MDGender: MalePCP # H08KC153011809 Lockwood St(806) 998-4533PCP # H08KC153012600 Lockwood(806) 998-4533Hospital Affiliations:Lynn County HospitalDistrict, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:Family Practice

Molina, Anais, APNGender: FemalePCP # H08HC856011809 Lockwood St(806) 998-4604

August 15, 2021 SPUR

Page 25: Blue Advantage HMO - BCBSTX

Primary Care Practitioners

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

25

TAHOKA (cont.)

FAMILY PRACTICE (cont.)

PCP # H08HC856012600 Lockwood(806) 998-4533Clinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:None

Richburg, Melanie A,APNGender: FemalePCP # H08935NH011809 Lockwood St(806) 998-4604PCP # H08935NH012600 Lockwood StSte C(806) 561-4802Clinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:NoneLanguage(s): Spanish

Ross, Jarrett H, MDGender: MalePCP # H08HU473011809 Lockwood St(806) 998-4604PCP # H08HU473012600 Lockwood(806) 998-4533Hospital Affiliations:Palo Pinto GeneralHospitalClinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:None

Skrabanek, Ashley S,APNGender: FemalePCP # H08LQ167012600 Lockwood St Ste C(806) 561-4802PCP # H08LQ16701709 4th St(806) 428-3211Clinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:None

WACO

FAMILY PRACTICECoker, Amy V, APNGender: FemalePCP # H08LX663014601 N 19th St(254) 313-5800Clinic Affiliation: WacoFamily MedicineBoard Certifications:None

WOLFFORTH

FAMILY PRACTICELeach, Christopher M,MDGender: MalePCP # H08KC15301240 Coyote Dr(806) 756-4439Hospital Affiliations:Lynn County HospitalDistrict, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:Family Practice

Richburg, Melanie A,APNGender: FemalePCP # H08935NH01240 Coyote Dr(806) 429-3211Clinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:NoneLanguage(s): Spanish

Schneider, Cynde L,APNGender: FemalePCP # H08KC19101240 Coyote Dr(806) 756-4439Clinic Affiliation: LynnCounty Hospital DistrictPractice Information:Wheelchair AccessibilityBoard Certifications:None

Skrabanek, Ashley S,APNGender: FemalePCP # H08LQ16701240 Coyote Dr(806) 756-4439Clinic Affiliation: LynnCounty Hospital DistrictBoard Certifications:None

Sprecher, Sydni D, APNGender: FemalePCP # H08533NY01502 E Hwy 62(806) 866-0158Clinic Affiliation: UmcPhysiciansBoard Certifications:None

TAHOKA August 15, 2021

PEDIATRICSVuelvas, Juan, MDGender: FemalePCP # H08CL29101502 E Hwy 62 82(806) 866-0158Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:PediatricsLanguage(s): Spanish

Page 26: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

26

ABERNATHY

PHYSICAL THERAPYMay, Ross W, LPTGender: Male207 Main St(806) 298-5051Clinic Affiliation:Abernathy PhysicalTherapy IncBoard Certifications:None

ASPERMONT

CARDIOVASCULARDISEASESwarna, Udaya S, MDGender: Male819 N Broadway(940) 989-2875Hospital Affiliations:Anson General Hospital,Coleman County MedicalCenter, Hendrick MedCenter Brownwood,Hendrick Medical Center,North Runnels HospitalClinic Affiliation:Hendrick ProviderNetworkBoard Certifications:Cardiovascular DiseaseLanguage(s): Spanish

EMERGENCY MEDICINEPassmann, Frederic K,MDGender: Male821 N Broadway St(940) 989-3551Hospital Affiliations:Cedar Park RegionalMedical Ctr, ChristusSpohn Hos CctxShoreline, ChristusSpohn Hospital CctxSouth, Christus SpohnHospital Kleberg, CityHospital At White Rock,Huntsville MemorialHospital, PalestineRegional Medical Center,Stonewall MemorialHospitalClinic Affiliation:Stonewall MemorialHospital DistrictBoard Certifications:NoneLanguage(s): Spanish

FAMILY PRACTICEWofford, Bert W, MDGender: Male819 N Broadway St(940) 989-2875Hospital Affiliations:Palo Pinto GeneralHospital, StonewallMemorial HospitalClinic Affiliation:Stonewall MemorialHospital DistrictBoard Certifications:Family Practice

BROWNFIELD

CHIROPRACTICTimmons, Kiley K, DCGender: Male1003 Lubbock Rd(806) 637-0806Clinic Affiliation: Kiley KTimmons DcpaBoard Certifications:NoneLanguage(s): Spanish

EMERGENCY MEDICINEDaneshfar, Bahraum D,MDGender: Male705 E Felt St(806) 637-3551Hospital Affiliations:Brownfield RegionalMedical Ctr, GoldenPlains CommunityHospital, PermianRegional Medical Center,Stephens MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Kendrick, Roy B, MDGender: Male705 E Felt(800) 962-3303Hospital Affiliations:Brownfield RegionalMedical Ctr, ComancheCounty Medical Center,Hemphill CountyHospital, Lavaca MedicalCenter, Palo PintoGeneral Hospital,Stephens MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

GENERAL SURGERYDaneshfar, Bahraum D,MDGender: Male705 E Felt St(806) 637-3551Hospital Affiliations:Brownfield RegionalMedical Ctr, GoldenPlains CommunityHospital, PermianRegional Medical Center,Stephens MemorialHospitalClinic Affiliation:Brownfield RegionalMedical CtrBoard Certifications:General Surgery

Nickels, Melinda B, MDGender: Female705 E Felt St(806) 637-1955(806) 637-3551Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: SwatSurgical Assoc LlpBoard Certifications:General SurgeryLanguage(s): Arabic,Italian, Spanish

INTERNAL MEDICINEChebib, Paul F, MDGender: Male703 E Felt St(806) 891-2085Hospital Affiliations:Brownfield RegionalMedical Ctr, Palo PintoGeneral HospitalClinic Affiliation: Paul FChebib Md PaBoard Certifications:NoneLanguage(s): French,German, Spanish

OBSTETRICS-GYNECOLOGYDe Riese, Cornelia, MDGender: Female705 E Felt St(806) 637-1955Hospital Affiliations:Brownfield RegionalMedical Ctr, ChristusGood Shepherd Med Ctr,Hendrick Medical Center,Medical Arts Hospital,University MedicalCenterClinic Affiliation:Brownfield RegionalMedical CtrBoard Certifications:Obstetrics-GynecologyLanguage(s): German

RADIOLOGYBass, David K, MDGender: Male705 E Felt St(330) 665-3800Hospital Affiliations:Hamilton Hospital,Limestone MedicalCenter, Navarro RegionalHospitalClinic Affiliation: ArisTeleradiologyProfessional CorporationBoard Certifications:Radiology

August 15, 2021 ABERNATHY

Page 27: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

27

BROWNFIELD (cont.)

RADIOLOGY (cont.)

Cavin, Lillian W, MDGender: Female705 E Felt St(330) 665-3800Hospital Affiliations:Citizens Medical Center,Del Sol Camp Lpdsh,Hamilton Hospital, HospsProvidence MemorialCampus, Las PalmasCamp Lpdsh, LimestoneMedical Center,Palestine RegionalMedical CenterClinic Affiliation: ArisTeleradiologyProfessional CorporationBoard Certifications:Radiology

BUDHA

URGENT CAREPROVIDERShah, Charvi A, MDGender: Female1559 W Main StSte 100(512) 351-4405Clinic Affiliation:CarenowBoard Certifications:None

DENVER CITY

AUDIOLOGYParker, Shannon R,AUDIOGender: Female111 N Ave B(806) 239-5344Clinic Affiliation:Compass Hearing CenterBoard Certifications:None

EMERGENCY MEDICINEChamales, Michael H,MDGender: Male412 Mustang Dr(806) 592-2121Hospital Affiliations:Hereford RegionalMedical Center, MedicalArts Hospital, YoakumCounty HospitalClinic Affiliation:Yoakum County HospitalBoard Certifications:None

Cotton, Christoph D, MDGender: Male412 Mustang Dr(806) 592-2121Hospital Affiliations:Yoakum County HospitalClinic Affiliation:Yoakum County HospitalBoard Certifications:NoneLanguage(s): Spanish

Frankfather, Jay S, MDGender: Male412 Mustang Dr(806) 592-2121Hospital Affiliations:Yoakum County HospitalClinic Affiliation:Yoakum County HospitalBoard Certifications:NoneLanguage(s): Spanish

Guy, Eric C, MDGender: Male412 Mustang Dr(806) 592-2121Hospital Affiliations:Bsa Hospital Llc,Comanche CountyMedical Center, LambHealthcare Center,Limestone MedicalCenter, Medical ArtsHospital, Muleshoe AreaMedical Center, OdessaRegional Medical Center,Pampa Regional MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Yoakum County HospitalBoard Certifications:NoneLanguage(s): Spanish

Odom, Lynda G, MDGender: Female412 Mustang Ave(806) 592-2121Hospital Affiliations:Odessa Regional MedCtr S Campus, YoakumCounty HospitalClinic Affiliation:Yoakum County HospitalBoard Certifications:None

Way, Peter C, MDGender: Male412 Mustang Dr(806) 592-2121Hospital Affiliations:Baptist Health System,Frio Regional Hospital,Glen Rose MedicalCenter, Golden PlainsCommunity Hospital,Heart Of Texas MemorialHospital, MemorialMedical Center,Stephens MemorialHospital, Yoakum CountyHospitalClinic Affiliation:Yoakum County HospitalBoard Certifications:None

GENERAL SURGERYHarden, Samuel J, MDGender: Male412 Mustang Ave(806) 592-2121412 Mustang Dr(806) 592-2121Hospital Affiliations:Big Bend RegionalMedical Center, ChristusSpohn Hospital Beeville,Golden PlainsCommunity Hospital, TheMedical Center Of SeTexas, Yoakum CountyHospitalClinic Affiliation: WestTexas Medical CenterBoard Certifications:General SurgeryLanguage(s): French,Spanish

NEPHROLOGYGibbons, Ronald O, MDGender: Male500 W 5th St(806) 592-2090Hospital Affiliations:Medical Center Hospital,Midland MemorialHospital, OdessaRegional Medical Center,United Regional HlthCare SystemClinic Affiliation:Complete Kidney CarePractice Information:No Patients Under 18 yrsoldBoard Certifications:NoneLanguage(s): Spanish

OBSTETRICS-GYNECOLOGYFrankfather, Jay S, MDGender: Male415 N Ave F(806) 592-9501Hospital Affiliations:Yoakum County HospitalBoard Certifications:Obstetrics-GynecologyLanguage(s): Spanish

RADIOLOGYBass, David K, MDGender: Male412 Mustang Ave(330) 665-3800Hospital Affiliations:Hamilton Hospital,Limestone MedicalCenter, Navarro RegionalHospitalClinic Affiliation: ArisTeleradiologyProfessional CorporationBoard Certifications:Radiology

BROWNFIELD August 15, 2021

Page 28: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

28

DENVER CITY (cont.)

RADIOLOGY (cont.)

Cavin, Lillian W, MDGender: Female412 Mustang Ave(330) 665-3800Hospital Affiliations:Citizens Medical Center,Del Sol Camp Lpdsh,Hamilton Hospital, HospsProvidence MemorialCampus, Las PalmasCamp Lpdsh, LimestoneMedical Center,Palestine RegionalMedical CenterClinic Affiliation: ArisTeleradiologyProfessional CorporationBoard Certifications:Radiology

EL PASO

NEUROLOGICALSURGERYHawksworth, Shane A,MDGender: Male201 Gateway Blvd WSte 200(915) 351-1444Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Neurosurgical SpecialistsOf El PBoard Certifications:Neurological Surgery

GRANBURY

PHYSICAL THERAPYOmalley, Brandon M,LPTGender: Male3803 S H 377 ESte 200(682) 260-5210Clinic Affiliation:Sportherapy LlcBoard Certifications:NoneLanguage(s): Spanish

HASLET

PHYSICAL THERAPYFlinn, Sara E, LPTGender: Female12520 Willow Springs RdSte 104(817) 210-6196Clinic Affiliation:Physical Therapy OfFlower MoundBoard Certifications:None

KATY

PODIATRYJohnson, Alicia L, DPMGender: Female23410 Grand Reserve DrSte 804(281) 313-0090Clinic Affiliation: ZolMedical PaBoard Certifications:None

LAMESA

CHIROPRACTICChambless, Jared D, DCGender: Male424 N 1st St(806) 872-2222Clinic Affiliation: JasonC Helton DcBoard Certifications:NoneLanguage(s): Spanish

Helton, Jason C, DCGender: Male424 N 1st St(806) 872-2222Clinic Affiliation: JasonC Helton DcBoard Certifications:NoneLanguage(s): Spanish

Ramos, Abel D, DCGender: Male424 N 1st St(806) 872-2222Clinic Affiliation: JasonC Helton DcBoard Certifications:None

Stacy, Curtis C, DCGender: Male424 N 1st St(806) 872-2222Clinic Affiliation: JasonC Helton DcBoard Certifications:None

EMERGENCY MEDICINEBeasley, Craig C, MDGender: Male2200 N Bryan Ave(806) 872-5727Hospital Affiliations:Childress RegionalMedical Center,Comanche CountyMedical Center, HaskellMemorial Hospital,Medical Arts Hospital,Palo Pinto GeneralHospital, ThrockmortonCounty MemorialHospitalClinic Affiliation:Medical Arts HospitalBoard Certifications:NoneLanguage(s): Spanish

Cazares, Guillermo N,MDGender: Male2200 N Bryan Ave(806) 872-2183Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, Medical ArtsHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Dannemiller, Timothy M,MDGender: Male2200 N Bryan Ave(806) 872-5727Hospital Affiliations:Medical Arts Hospital,Palo Pinto GeneralHospitalClinic Affiliation:Medical Arts HospitalBoard Certifications:Emergency MedicineLanguage(s): Spanish

Funk, Kevin A, MDGender: Male2200 N Bryan Ave(806) 872-5943Hospital Affiliations:Eastland MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Medical Arts Hospital,Muleshoe Area MedicalCenter, PermianRegional Medical CenterClinic Affiliation:Medical Arts HospitalBoard Certifications:Emergency MedicineLanguage(s): AmericanSign, Sign Language,Spanish

Gillett, David P, MDGender: Male2200 N Bryan Ave(806) 872-2183Hospital Affiliations:Ascension SetonNorthwest, BellvilleMedical Center, Bs&wMedical Center Taylor,Hosps ProvidenceMemorial Campus,Liberty Dayton RegionalMedical, Medical ArtsHospital, NacogdochesMemorial Health,Riceland Medical CenterClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Helak, Joseph P, DOGender: Male2202 N Bryan Ave(806) 872-5943Hospital Affiliations:Lamb Healthcare Center,Medical Arts Hospital,Muleshoe Area MedicalCenter, UniversityMedical CenterClinic Affiliation:Medical Arts HospitalBoard Certifications:Emergency Medicine

August 15, 2021 DENVER CITY

Page 29: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

29

LAMESA (cont.)

EMERGENCY MEDICINE (cont.)

Hotz, Isaac M, MDGender: Male2200 N Bryan Ave(806) 872-2183Hospital Affiliations:Medical Arts HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Lavelle, John P, MDGender: Male2200 N Bryan Ave(806) 872-2183Hospital Affiliations:Clay County MemorialHospital, LambHealthcare Center,Medical Arts Hospital,Muleshoe Area MedicalCenter, ParkviewHospital, PetersonRegional Medical CenterClinic Affiliation:Medical Arts HospitalBoard Certifications:NoneLanguage(s): Spanish

GASTROENTEROLOGYFenton, Boyd S, MDGender: Male1016 N 17th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:Gastroenterology

Ganga, Usha K, MDGender: Female1016 N 17th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenter, UniversityMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:Gastroenterology

Jabor, Miled A, MDGender: Male1016 N 17th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:None

Kensing, Kelly P, MDGender: Male1016 N 17th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenter, UniversityMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:None

Miller, Timothy D, MDGender: Male1016 N 17th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenter, UniversityMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:None

Rakvit, Ariwan, MDGender: Female1016 N 17th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenter, UniversityMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:GastroenterologyLanguage(s): Spanish,Thai

Sorrell, Cari K, MDGender: Female1016 N 17th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:Gastroenterology

PHYSICAL THERAPYFreitag, Joshua K, LPTGender: Male221 N Main Ave(806) 752-7499Clinic Affiliation:Lamesa PhysicalTherapy And SportBoard Certifications:None

Sikes, Tyler, LPTGender: Male221 N Main Ave(806) 752-7499Clinic Affiliation:Lamesa PhysicalTherapy And SportBoard Certifications:None

LEVELLAND

CHIROPRACTICMarin, Gregory, DCGender: Male1003 College Ave(806) 894-7000801 Ave F(806) 894-7000Clinic Affiliation:Levelland ChiropracticLlcBoard Certifications:NoneLanguage(s): Spanish

Ramos, Matthew C, DCGender: Male801 Ave F(806) 894-7000Clinic Affiliation:Levelland ChiropracticLlcBoard Certifications:None

EMERGENCY MEDICINEBruce, Mark, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Clay County MemorialHospital, ComancheCounty Medical Center,Eastland MemorialHospital, FreestoneMedical Center, MedicalArts Hospital, Palo PintoGeneral Hospital,Stephens MemorialHospital, SweenyCommunity HospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Dean, Thurston E, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Anson General Hospital,Bellville Medical Center,Hamilton Hospital,Mitchell County HospitalDistrict, Muleshoe AreaMedical Center, OttoKaiser MemorialHospital, ParkviewHospital, PermianRegional Medical Center,Rolling Plains MemorialHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:NoneLanguage(s): Spanish

LAMESA August 15, 2021

Page 30: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

30

LEVELLAND (cont.)

EMERGENCY MEDICINE (cont.)

Lizarribar, Jose L, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Golden PlainsCommunity Hospital,Odessa RegionalMedical Center, PaloPinto General Hospital,Scenic Mountain MedicalCenterClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Lyon, Malcolm K, DOGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Christus Mother FrancesTyler, NacogdochesMedical Center,Nacogdoches MemorialHealthClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Moya, Christian, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Eastland MemorialHospital, FreestoneMedical Center, LibertyDayton RegionalMedical, MemorialMedical Center, ScenicMountain Medical CenterClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Obasi, Patrick C, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Freestone MedicalCenter, Golden PlainsCommunity Hospital, HillRegional Hospital,Liberty Dayton RegionalMedical, MemorialMedical Center, PaloPinto General Hospital,Tyler County HospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Ohearn, Charles J, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Memorial MedicalCenter, NacogdochesMedical Center, NorthTexas Medical Center,Palo Pinto GeneralHospital, Paris RegionalMedical Center, Tx HlthHarris MethodistCleburneClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Patterson, Bobby R, MDGender: Male1900 College Ave(432) 523-2200Hospital Affiliations:Golden PlainsCommunity Hospital,Palo Pinto GeneralHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Patterson, Jeffrey C, DOGender: Male1900 College Ave(432) 523-2200Hospital Affiliations:Ascension SetonSouthwest, Bsa HospitalLlc, Christus Santa RosaNew Braunfels, EastlandMemorial Hospital,Golden PlainsCommunity Hospital,Medical Center Hospital,Muleshoe Area MedicalCenter, Paris RegionalMedical Center, PetersonRegional Medical Center,Sagecrest HospitalCarrolltonClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:Emergency MedicineLanguage(s): Spanish

Ramzy, Peter I, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Palo Pinto GeneralHospital, PermianRegional Medical Center,Resolute HospitalCompany LlcClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcPractice Information:No Patients Under 10 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Rhodes, Jeannie O, DOGender: Female1900 College Ave(806) 894-4963Hospital Affiliations:Golden PlainsCommunity Hospital,Nacogdoches MemorialHealth, Pampa RegionalMedical CenterClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:Emergency Medicine

Roh, Seungwhan, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Golden PlainsCommunity HospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Scott, Sheyenne, MDGender: Male1900 College Ave(432) 523-2200Hospital Affiliations:Palo Pinto GeneralHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Sloan, Randall L, DOGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Concho County Hospital,Haskell MemorialHospital, Rolling PlainsMemorial Hospital,Stephens MemorialHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:Emergency MedicineLanguage(s): Spanish

Spruill, Jimmy W, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Comanche CountyMedical Center, PaloPinto General Hospital,Stephens MemorialHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

August 15, 2021 LEVELLAND

Page 31: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

31

LEVELLAND (cont.)

EMERGENCY MEDICINE (cont.)

Stone, Scott A, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Medical City Dallas,Medical City Plano,Memorial MedicalCenter, PermianRegional Medical Center,Sweeny CommunityHospital, Tx HlthPresbyterian HospitalDallas, Tx HlthPresbyterian HospitalPlanoClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:Emergency Medicine

Way, Peter C, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Baptist Health System,Frio Regional Hospital,Glen Rose MedicalCenter, Golden PlainsCommunity Hospital,Heart Of Texas MemorialHospital, MemorialMedical Center,Stephens MemorialHospital, Yoakum CountyHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Worth, Ryan E, DOGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Cornerstone RegionalHospital Llc, HerefordRegional Medical Center,Rio Grande RegionalHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

GENERAL SURGERYAbdul Hamed, Senan,MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Golden PlainsCommunity Hospital,Palo Pinto GeneralHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Durgin, Jeffrey D, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Bs&w Medical CenterTaylor, Frio RegionalHospital, LegentHospital, Martin CountyHospital District,Muleshoe Area MedicalCenter, NacogdochesMemorial Health, OdessaRegional Medical Center,Palo Pinto GeneralHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:General SurgeryLanguage(s): Spanish

Dwyer, Michael J, MDGender: Male1900 College Ave(432) 523-2200Hospital Affiliations:Ascension Seton EdgarB Davis, Baptist HealthSystem, ColumbusCommunity Hospital,Guadalupe RegionalMedical Center,Memorial HospitalSievers & Waelder,Northeast MethodistHospital, Santa RosaMedical Center, UvaldeMemorial Hospital, WarmSprings Rehab HospitalSan AntonClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:General SurgeryLanguage(s): Spanish

Lewis, Chad E, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Bs&w Medical CenterGrapevine, Bsa HospitalLlc, Reeves CountyHospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:General Surgery

Salazar, Mario R, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Christus Spohn HospitalBeeville, Ennis RegionalMedical Center,Methodist CharltonMedical CenterClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:General SurgeryLanguage(s): Spanish

Walker, William E, MDGender: Male1900 College Ave(806) 894-4963Hospital Affiliations:Freestone MedicalCenter, Legent HospitalClinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:None

Weaver, Harry T, MDGender: Male1900 College Ave(806) 894-4963Clinic Affiliation:Emergency StaffingSolutions Of West TexasLlcBoard Certifications:NoneLanguage(s): Dutch,Indonesian, Spanish,Thai

PHYSICAL THERAPYLong, Clarice M, LPTGender: Female410 Ave G(806) 897-0540Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:Physical Therapy

McCombs, Spencer D,LPTGender: Male410 Ave G(806) 897-0540Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:NoneLanguage(s): Cebuano

Molinar, Alexandria D,LPTGender: Female410 Ave G(806) 897-0540Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:None

LEVELLAND August 15, 2021

Page 32: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

32

LEVELLAND (cont.)

PHYSICAL THERAPY (cont.)

Powell, Kayla M, LPTGender: Female410 Ave G(806) 897-0540Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:NoneLanguage(s): Spanish

Stewart, George, LPTGender: Male410 Ave G(806) 897-0540Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:None

Supple, Monet, LPTGender: Female410 Ave G(806) 897-0540Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:None

LITTLEFIELD

CHIROPRACTICLorenz, Kimberly A, DCGender: Female200 E Waylon JenningsBlvd(806) 485-7000Clinic Affiliation: LorenzFamily ChiropracticBoard Certifications:None

EMERGENCY MEDICINEAppel, Jimmie R, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Bellville Medical Center,Bsa Hospital Llc, LambHealthcare Center,Muleshoe Area MedicalCenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Banister, Ronald E, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare Center,Lynn County HospitalDistrict, UniversityMedical CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Banister, Melinda D, MDGender: Female1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Big Bend RegionalMedical Center, GlenRose Medical Center,Hereford RegionalMedical Center, LambHealthcare Center,Odessa RegionalMedical Center, ScenicMountain MedicalCenter, Tx HlthPresbyterian HospitalKaufman, UniversityMedical CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:NoneLanguage(s): Spanish

Barker, Edward, DOGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Cyrus, Muriel P, MDGender: Female1500 S Sunset(806) 385-6411Hospital Affiliations:Baylor University MedicalCenter, Ennis RegionalMedical Center, GoodallWitcher Hospital, LambHealthcare Center,Methodist RichardsonMedical Ctr, Tx HealthArlington MemorialHospitalClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Dansby, Thomas J, MDGender: Male1500 S Sunset(800) 962-3303(806) 385-6411Hospital Affiliations:Cuero Regional Hospital,Dimmit RegionalHospital, FallsCommunity Hospital &Clinic, Frio RegionalHospital, Heart Of TexasMemorial Hospital, LambHealthcare Center,Medical Arts HospitalClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Davis, Susan R, MDGender: Female1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare Center,Muleshoe Area MedicalCenter, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:Emergency Medicine

Dickerson, Sandra D,MDGender: Female1500 S Sunset(806) 385-6411Hospital Affiliations:Baylor Medical Center AtIrving, Lamb HealthcareCenter, Laredo MedicalCenter, Lubbock HeartHospital Lp, ReevesCounty Hospital,University MedicalCenterClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): French,Spanish

Foster, Matthew D, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare Center,Muleshoe Area MedicalCenter, Palo PintoGeneral HospitalClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Fried, Bruce D, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Funk, Kevin A, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Eastland MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Medical Arts Hospital,Muleshoe Area MedicalCenter, PermianRegional Medical CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:Emergency MedicineLanguage(s): AmericanSign, Sign Language,Spanish

Gray, Chad E, MDGender: Male1500 S Sunset(800) 962-3303Hospital Affiliations:Lamb Healthcare Center,University MedicalCenterClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

Hadzic, Daniel B, MDGender: Male1500 S Sunset(806) 385-6411

August 15, 2021 LEVELLAND

Page 33: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

33

LITTLEFIELD (cont.)

EMERGENCY MEDICINE (cont.)

1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare Center,Medical Arts HospitalClinic Affiliation: LambHealthcare Center ErBoard Certifications:NoneLanguage(s): French,Spanish

Hattenbach, Sean, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare Center,Memorial HospitalSievers & WaelderClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Helak, Joseph P, DOGender: Male1500 S Sunset(800) 962-33031500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare Center,Medical Arts Hospital,Muleshoe Area MedicalCenter, UniversityMedical CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:Emergency Medicine

Herrera, Moses, MDGender: Male1500 S Sunset(806) 385-6411Hospital Affiliations:Coon Memorial Hospital,John Peter SmithHospital, KindredHospital Mansfield, LambHealthcare Center,Martin County HospitalDistrict, Methodist DallasMedical Center, PermianRegional Medical Center,Stephens MemorialHospitalClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Lavelle, John P, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Clay County MemorialHospital, LambHealthcare Center,Medical Arts Hospital,Muleshoe Area MedicalCenter, ParkviewHospital, PetersonRegional Medical CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:NoneLanguage(s): Spanish

Lipscomb, Larry B, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Clay County MemorialHospital, LambHealthcare Center,Muleshoe Area MedicalCenter, Paris RegionalMedical Center, SweenyCommunity Hospital, W JMangold MemorialHospitalClinic Affiliation: LambHealthcare Center ErBoard Certifications:NoneLanguage(s): Spanish

Lorenz, Richard F, DOGender: Male1500 S Sunset(806) 385-6411Hospital Affiliations:Chi St Joseph HlthGrimes Hospital,Jackson HealthcareCenter, Otto KaiserMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

McBride, Luke, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare Center,Paris Regional MedicalCenter, W J MangoldMemorial HospitalClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

McCrory, Beau L, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Comanche CountyMedical Center, EastlandMemorial Hospital, LambHealthcare CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

Mercado, Thomas M, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Golden PlainsCommunity Hospital,Lamb Healthcare Center,Nacogdoches MemorialHealthClinic Affiliation: LambHealthcare Center ErBoard Certifications:NoneLanguage(s): Spanish

Perez, Colbert R, MDGender: Male1500 S Sunset(800) 962-3303Hospital Affiliations:Lamb Healthcare CenterClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Philips, Robert J, DOGender: Male1500 S Sunset(800) 962-3303Hospital Affiliations:Bsa Hospital Llc, GlenRose Medical Center,Golden PlainsCommunity Hospital,Lamb Healthcare Center,Muleshoe Area MedicalCenter, Northwest TexasHealthcare System,Pampa Regional MedicalCenterClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

Ricaldi, Carlos A, MDGender: Male1500 S Sunset(800) 962-33031500 S Sunset Ave(806) 385-6411Hospital Affiliations:Lamb Healthcare Center,Muleshoe Area MedicalCenter, UniversityMedical CenterClinic Affiliation: LambHealthcare Center ErBoard Certifications:None

LITTLEFIELD August 15, 2021

Page 34: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

34

LITTLEFIELD (cont.)

EMERGENCY MEDICINE (cont.)

Woodward, Harold L,MDGender: Male1500 S Sunset(806) 385-6411Hospital Affiliations:Chi St Lukes Mem SanAugustine, FallsCommunity Hospital &Clinic, Frio RegionalHospital, Golden PlainsCommunity Hospital,Jackson HealthcareCenter, Legent Hospital,Memorial MedicalCenter, StonewallMemorial Hospital, ValVerde Regional MedicalCenter, W J MangoldMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Young, Michael R, DOGender: Male1500 S Sunset(806) 385-6411Hospital Affiliations:Chi St Lukes HealthMemorial, JacksonHealthcare Center, LillianM Hudspeth MemorialHospital, LimestoneMedical Center,Muleshoe Area MedicalCenter, ParkviewHospital, W J MangoldMemorial Hospital,Woodland HeightsMedical CenterClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

Zawislak, Walter J, MDGender: Male1500 S Sunset Ave(806) 385-6411Hospital Affiliations:Fisher County HospitalDistrict, Lamb HealthcareCenter, LimestoneMedical Center,Muleshoe Area MedicalCenter, NacogdochesMedical Center, OttoKaiser Memorial HospitalClinic Affiliation: LambHealthcare Center ErBoard Certifications:NoneLanguage(s): Spanish

NUTRITION & DIETETICSAguilera, Holley, RDGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Booe, Holli, RDGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

OCCUPATIONALTHERAPYHardin, Leslie A, OTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Heyda, Brandon, OTGender: Male1506 S Sunset AveSte B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Hutchison, Alison, OTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

PHYSICAL THERAPYAlbracht, Tiffany E, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Bilodeau, Lori A, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Boese, Elisa S, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Brints Viner, Nicole K,LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Curry, Kathryn S, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Dubose, Jara D, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Frick, Kimberly J, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Gafford, Hayley R, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

August 15, 2021 LITTLEFIELD

Page 35: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

35

LITTLEFIELD (cont.)

PHYSICAL THERAPY (cont.)

Hacker, Clint W, LPTGender: Male1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Klatt, Tamara D, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Lewis, William S, LPTGender: Male1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

McKaskle, Michael B,LPTGender: Male1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Price Rodriquez,Amanda, LPTGender: Female1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Props, Erick, LPTGender: Male1506 S Sunset AveSte B(806) 385-3745Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Schwalk, Ryan T, LPTGender: Male1506 S Sunset Ave Ste B(806) 385-3745Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Smallwood, Justin R,LPTGender: Male1506 S Sunset AveSte B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Stepp, Rick D, LPTGender: Male1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Thomas, Sarah L, LPTGender: Female1506 S Sunset AveSte B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Young, Derek A, LPTGender: Male1506 S Sunset Ave Ste B(806) 385-3746Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

LOCKNEY

EMERGENCY MEDICINEBrooks, John A, MDGender: Male320 N Main St(281) 466-1141Hospital Affiliations: WJ Mangold MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Brown, Lisa L, MDGender: Female320 N Main St(281) 363-3156Hospital Affiliations:Medical Arts Hospital,Permian RegionalMedical Center, W JMangold MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

Chizen, Robert P, MDGender: Male320 N Main St(281) 363-3156Hospital Affiliations:Hosps Of ProvidenceSierra Campus, HospsProvidence MemorialCampus, W J MangoldMemorial Hospital,Wilson N Jones RegionalMed CtrClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

Davis, Susan R, MDGender: Female320 N Main St(806) 652-3373Hospital Affiliations:Lamb Healthcare Center,Muleshoe Area MedicalCenter, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation:Concord Medical GroupPllcBoard Certifications:Emergency Medicine

Esparza, Luis M, MDGender: Male320 N Main St(800) 962-3303Hospital Affiliations:Muleshoe Area MedicalCenter, PermianRegional Medical Center,Scenic Mountain MedicalCenter, W J MangoldMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

Healing, Robert D, MDGender: Male320 N Main St(281) 363-3156Hospital Affiliations:Doctors HospitalParkway Tidwell, FallsCommunity Hospital &Clinic, W J MangoldMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Hughes, Charles V, MDGender: Male320 N Main St(800) 962-3303Hospital Affiliations:Cochran MemorialHospital, W J MangoldMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

LITTLEFIELD August 15, 2021

Page 36: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

36

LOCKNEY (cont.)

EMERGENCY MEDICINE (cont.)

Matos Serrano,Gregorio, MDGender: Male320 N Main St(281) 363-3156Hospital Affiliations: WJ Mangold MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

McBride, Luke, MDGender: Male320 N Main St(281) 363-3156Hospital Affiliations:Lamb Healthcare Center,Paris Regional MedicalCenter, W J MangoldMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

McNeill, Scott S, MDGender: Male320 N Main St(800) 962-3303Hospital Affiliations:Muleshoe Area MedicalCenter, W J MangoldMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Moore, Sharman A, MDGender: Female320 N Main St(806) 652-3373Hospital Affiliations: WJ Mangold MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

Schlueter, Cynthia K, DOGender: Female320 N Main St(281) 363-3156Hospital Affiliations: WJ Mangold MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Samoan,Spanish

Thornton, Janet L, DOGender: Female320 N Main St(281) 363-3156Hospital Affiliations:Christus Spohn Hos CctxShoreline, MuleshoeArea Medical Center,Permian RegionalMedical Center, W JMangold MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:Emergency MedicineLanguage(s): Spanish

Torio, Rolando N, MDGender: Male320 N Main St(281) 363-3156Hospital Affiliations:Permian RegionalMedical Center, W JMangold MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Wood, Roy C, MDGender: Male320 N Main Str(281) 363-3156Hospital Affiliations:Glen Rose MedicalCenter, Heart Of TexasMemorial Hospital,Muleshoe Area MedicalCenter, Rankin CountyHospital District,Stephens MemorialHospital, W J MangoldMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Woodward, Harold L,MDGender: Male320 N Main St(800) 962-3303Hospital Affiliations:Chi St Lukes Mem SanAugustine, FallsCommunity Hospital &Clinic, Frio RegionalHospital, Golden PlainsCommunity Hospital,Jackson HealthcareCenter, Legent Hospital,Memorial MedicalCenter, StonewallMemorial Hospital, ValVerde Regional MedicalCenter, W J MangoldMemorial HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

Young, Michael R, DOGender: Male320 N Main St(432) 756-3345Hospital Affiliations:Chi St Lukes HealthMemorial, JacksonHealthcare Center, LillianM Hudspeth MemorialHospital, LimestoneMedical Center,Muleshoe Area MedicalCenter, ParkviewHospital, W J MangoldMemorial Hospital,Woodland HeightsMedical CenterClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

Zepeda, Maria C, MDGender: Female320 N Main St(281) 363-3156Hospital Affiliations:Golden PlainsCommunity Hospital, W JMangold MemorialHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:None

FAMILY PRACTICEDannemiller, Timothy M,MDGender: Male320 N Main St(806) 652-3373Hospital Affiliations:Medical Arts Hospital,Palo Pinto GeneralHospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

August 15, 2021 LOCKNEY

Page 37: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

37

LOCKNEY (cont.)

FAMILY PRACTICE (cont.)

Haacke, David E, DOGender: Male320 N Main St(806) 652-3373Hospital Affiliations:Collingsworth GeneralHospital, Palo PintoGeneral HospitalClinic Affiliation:Concord Medical GroupPllcBoard Certifications:NoneLanguage(s): Spanish

LUBB

GASTROENTEROLOGYRakvit, Ariwan, MDGender: Female3610 24th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenter, UniversityMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:GastroenterologyLanguage(s): Spanish,Thai

LUBBOCK

ALLERGY-IMMUNOLOGYTalusan Garcia, Eileen S,MDGender: Female7501 Quaker Ave(806) 793-7257Hospital Affiliations:University MedicalCenterClinic Affiliation: EileenT Garcia MdpaBoard Certifications:Allergy-ImmunologyLanguage(s): Spanish

Tarbox, James A, MDGender: Male3601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Allergy-Immunology

ANESTHESIOLOGYAli, Riyaz M, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Doctors HospitalParkway Tidwell, HcaHouston HealthcareNorthwest, Hca HoustonHealthcare Tomball,Northwest SurgeryCenter Red Oak,Parkside Surgery CenterLlc, River OaksEndoscopy Center Llp,United Mem Med CtrNorth Hospital, UnitedMem Med Ctr SpringHospital, United MemMed Ctr Sugar Land, VipSurgical CenterClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Banister, Ronald E, MDGender: Male3601 4th StSte 1b350k(806) 743-2981602 Indiana(806) 743-7246Hospital Affiliations:Lamb Healthcare Center,Lynn County HospitalDistrict, UniversityMedical CenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Barbosa, Vera L, MDGender: Female5109 80th St(800) 394-4445Hospital Affiliations:Cataract Surgical CenterOf Lubbock, El Paso CtrGastrointestinal Endo,Las Palmas CampLpdsh, LongviewRegional Medical Center,Medical Arts SurgeryCenter, Surgical CenterOf El Paso, UniversityMedical Center El PasoClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Bijak, Gregory J, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Christus St MichaelHealth System, CorpusChristi Medical CenterClinic Affiliation:Northstar AnesthesiaSouth Tx MdBoard Certifications:Anesthesiology

Bowers, Patricia L, MDGender: Female3615 19th St(706) 650-0705Hospital Affiliations:John Peter SmithHospital, Laredo MedicalCenterClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Brooks, Patrick A, MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Brown, Gilbert C, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Cataract Surgical CenterOf LubbockClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Brown, Luke E, MDGender: Male3615 19th St(800) 394-4445Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Camfield, Angela S, MDGender: Female3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Chap, Kevin S, MDGender: Male3615 8th St(800) 394-4445Hospital Affiliations: AdHospital East Llc, Chi StLukes At The VintageHsptl, Corpus ChristiMedical Center, DoctorsHospital ParkwayTidwell, Hca HoustonHealthcare Tomball,Lyndon B JohnsonGeneral Hospital, StJoseph Medical Center,St Lukes BaptistHospital, Sx SpecialtyHosps America SeHoustonClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Chaudhry, Mohammad A,MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

LOCKNEY August 15, 2021

Page 38: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

38

LUBBOCK (cont.)

ANESTHESIOLOGY (cont.)

Chaudhuri, Kallol, MDGender: Male3601 4th StSte 1b350k(806) 743-2898Hospital Affiliations:Hosps Of ProvidenceSierra Campus, HospsProvidence MemorialCampus, Las PalmasCamp Lpdsh, UniversityMedical Center,University MedicalCenter El PasoClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:Anesthesiology

Crawford, Jerry A, MDGender: Male3615 18th St(706) 650-0705Hospital Affiliations:Christus Spohn Hos CctxShoreline, Christus-Spohn Surgicare OfCorpu, Corpus ChristiMedical CenterClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Danchak, R Michael, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Davis, Kaye E, MDGender: Female3601 4th StSte 1b350k(806) 743-2981Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Davis, William J, MDGender: Male4810 N Loop 289(800) 394-4445Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Day, Miles R, MDGender: Male

4515 Marsha Sharp Frwy(806) 743-7223Hospital Affiliations:Parkland Health &Hospital System,University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:AnesthesiologyLanguage(s): Spanish

De Riese, Johannes, MDGender: Male3615 19th StLubbock(706) 650-0705Hospital Affiliations:Bsa Hospital LlcClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Deaver, Brian C, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Cataract Surgical CenterOf LubbockClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Draughon, Matthew L,MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Eppright, Brian C, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Cataract Surgical CenterOf Lubbock, LubbockHeart Hospital LpClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Farag, Ashraf N, MDGender: Male3601 4th St 1b350k(806) 743-2898Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Fishkin, Semyon, MDGender: Male3601 4th StSte 1b350k(806) 743-2981Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:Anesthesiology

Gertsch, Matthew C, MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Haggard, Corey J, MDGender: Male3615 18th St(706) 650-0705Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Hobbs, Jill A, MDGender: Female3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Hsu, Shen T, MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Huang, Jonathan, MDGender: Male3615 19th St(800) 394-4445Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Huynh, Dung N, MDGender: Female3615 19th St(706) 650-0705Hospital Affiliations: BS & W Surgicare NorthDallas, Christus MotherFrances Tyler, MedicalCity Dallas, Medical CityFrisco A Med Ctr,Medical City Plano,Methodist RichardsonMed Ctr, MethodistRichardson Medical Ctr,Tx Hlth Presby HospitalFlower MoundClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Jav, Leo, MDGender: Male3615 19th St(800) 394-4445Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

August 15, 2021 LUBBOCK

Page 39: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

39

LUBBOCK (cont.)

ANESTHESIOLOGY (cont.)

Johnson, Philip M, MDGender: Male3601 4th StSte 1b350k(806) 743-2981Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Johnston, Robert V, MDGender: Male

4515 Marsha Sharp Frwy(806) 744-7223Hospital Affiliations: TxHlth PresbyterianHospital Kaufman,University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:Anesthesiology

Jose, Cherrie L, MDGender: Female3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Kachhwaha, Priya, MDGender: Female3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Kapoor, Ravish, MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Lachmansingh, JineshS, MDGender: Male3601 4th StSte 1b350k(806) 743-2981Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Lam, Christopher N, DOGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Bs&w Medical CenterLake Pointe, Medical CityFrisco A Med Ctr,Medical City McKinney,Medical City Plano,Methodist Craig RanchSurgery Cen, MethodistMcKinney Hospital, StDavids N Austin MedicalCtr, United Regional HlthCare SystemClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Latour, Jonathan G, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:University MedicalCenterClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Lee, Thomas W, MDGender: Male3615 19 Th St(706) 650-0705Hospital Affiliations:John Peter SmithHospitalClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Liao, Teresa H, MDGender: Female3615 18th St(800) 394-4445Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

MacLachlan, Andrew A,MDGender: Male3615 19th St(877) 882-9099Hospital Affiliations:Christus Spohn Hos CctxShoreline, Corpus ChristiMedical Center, UtmbHealth GalvestonClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Mandal Chaudhuri,Swapna, MDGender: Female3601 4th StSte 1b350k(806) 743-2981Hospital Affiliations:Hosps Of ProvidenceSierra Campus, HospsProvidence MemorialCampus, Las PalmasCamp Lpdsh, UniversityMedical Center,University MedicalCenter El PasoClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:Anesthesiology

Manohar, Crystal M, MDGender: Female3615 19th St(706) 650-0705Hospital Affiliations:Methodist Hospital,University Health SystemClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Marchal, Darren J, MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Matthews, Kayla R, DOGender: Female3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

McClain, Chase W, MDGender: Male4601 50thSte 112(806) 785-8000Hospital Affiliations:Lubbock Heart HospitalLp, St Joseph MedicalCenterClinic Affiliation: GreatPlains AnesthesiaBoard Certifications:None

Miller, William D, DOGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Arise Austin MedicalCenter, Hca HoustonHealthcare Tomball,Muve LakewayAmbulatory Surgical,Stonegate SurgeryCenter LpClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Minielly, Robin C, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:Anesthesiology

Mitchell Tapping,George J, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Hca Houston HealthcareClear Lake, ParklandHealth & HospitalSystemClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

LUBBOCK August 15, 2021

Page 40: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

40

LUBBOCK (cont.)

ANESTHESIOLOGY (cont.)

Molnar, Arthur F, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:Cataract Surgical CenterOf LubbockClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Molnar, Barbara W, MDGender: Female3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Monroe, Gary L, MDGender: Male3615 18th St(800) 394-4445Hospital Affiliations:Chi St Joseph HlthRegionl Hos, Nw SurgeryCenter, PhysiciansSurgical Hospitals Llc,Surgery Center Of TheWoodlands, TownsenMemorial Hospital, TxHlth Surgery CenterCleburneClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Narra, Koteswara, MDGender: Female3819 22nd Place(806) 799-1400Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterBoard Certifications:AnesthesiologyLanguage(s): Spanish

Nguyen, Nhung H, MDGender: Female3615 18th St(877) 882-9099Hospital Affiliations:Christus Spohn Hos CctxShoreline, Corpus ChristiMedical CenterClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Nguyen, Phong, DOGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Nordmeyer, Debra A, MDGender: Female3615 18th St(706) 650-0705Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Northcutt, Suzanne, MDGender: Female3601 4th StSte 1b350k(806) 743-2981602 Indiana(806) 743-7246Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:Anesthesiology

Nymeyer, Lincoln, MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Oliva, Michel C, MDGender: Male2301 Quaker Ave(806) 791-3377

4404 6th St(806) 791-3377Board Certifications:NoneLanguage(s): Spanish

Parikh, Nitin P, MDGender: Male3601 4th StSte 1b350k(806) 743-29813819 22nd Pl(806) 300-0289Hospital Affiliations:University MedicalCenterBoard Certifications:Anesthesiology

Paskitti, Megan E, MDGender: Female3610 22nd St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Phillips, Cooper W, MDGender: Male3601 4th St(806) 743-2981Hospital Affiliations:Parkland Health &Hospital System,University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Pickney, Lucille M, MDGender: Female3615 19th St(706) 650-0705Hospital Affiliations:Citizens Medical CenterClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Reeves, Wesley D, MDGender: Male3615 19th St(800) 394-4445Hospital Affiliations:Cataract Surgical CenterOf LubbockClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Rivas, Elizabeth R, MDGender: Female3601 4th StSte 1b350k(806) 743-2981Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Sahinler, Bolkar E, MDGender: Male3419 22nd St(806) 796-3000Hospital Affiliations:University MedicalCenterClinic Affiliation:Neurosurgical Assoc OfLubboBoard Certifications:AnesthesiologyLanguage(s): Spanish,Turkish

Santos, Alan C, MDGender: Male3601 4th StSte 1b350k(806) 743-2981Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:Anesthesiology

Schmitz, Bettina, MDGender: Female3601 4th St1st Fl Medical Pavilion(806) 743-2981602 Indiana(806) 743-7246Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

August 15, 2021 LUBBOCK

Page 41: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

41

LUBBOCK (cont.)

ANESTHESIOLOGY (cont.)

Siddiqui, Ata U, MDGender: Male3601 4th St(806) 743-2981Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Swan, Janet K, MDGender: Female3615 19th St(800) 394-4445Hospital Affiliations:Bsa Hospital LlcClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Tapia, Daniel R, MDGender: Male3615 19th St(706) 650-0705Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Thompson, Melissa L,MDGender: Female3615 18th St(800) 394-4445Hospital Affiliations:Hca Houston HealthcareNorthwest, Hca HoustonHealthcare Tomball,Medical City Las ColinasClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Thompson, Mark E, MDGender: Male3615 19th St(682) 227-6839Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Todd, Bret R, DOGender: Male3615 19th St(806) 725-0566Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Tran, Doan Lam T, MDGender: Female3615 19th St(800) 394-4445Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

Tyler, Debra S, MDGender: Female3601 4th StSte 1b350k(806) 743-2981Hospital Affiliations:Baylor University MedicalCenter, MethodistRichardson Medical Ctr,Metropolitan MethodistHospital, Old TownEndoscopy Center, TxHlth Harris MethSouthlake, UniversityHealth System,University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:Anesthesiology

Vogt Harenkamp,Christiane, MDGender: Female3601 4th St Ste 1b350k(806) 743-2981Hospital Affiliations:Lyndon B JohnsonGeneral Hospital,University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Vuong, Julie T, MDGender: Female3615 19th St(800) 394-4445Hospital Affiliations:Christus Spohn HospitalCctx South, CorpusChristi OutpatientSurgery, South TexasSurgical HospitalClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Walker, Trevor V, MDGender: Male3601 4th St Ste 1b350k(806) 743-2981Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:None

Wasnick, John D, MDGender: Male3601 4th St Ste 1b350k(806) 743-29814810 N Loop 289(806) 687-7777602 Indiana Ave(806) 743-2898Hospital Affiliations:Medical City Dallas,Medical City Denton,Medical City Plano, TxHlth PresbyterianHospital Dallas,University MedicalCenterClinic Affiliation: TexasTech University HealthSciences Center At LuBoard Certifications:Anesthesiology

Watson Millet, Marilyn K,MDGender: Female3601 4th StSte 1b350k(806) 743-2981

3615 18th St(800) 394-4445Hospital Affiliations:Bay Area SurgicareCenter, Christus GoodShepherd Med Ctr, HcaHouston HealthcareKingwood, SurgeryCenter Of NortheastTexas, University MedicalCenterClinic Affiliation:Northstar Anesthesia PaPractice Information:No Patients Under 18 yrsoldBoard Certifications:Anesthesiology

White, Ronald L, MDGender: Male3615 19th St(706) 650-0705Hospital Affiliations:University MedicalCenter El PasoClinic Affiliation:Northstar Anesthesia PaBoard Certifications:Anesthesiology

Wilson, Selma P, MDGender: Female10905 Quaker Ave(806) 796-7246Hospital Affiliations:University MedicalCenterClinic Affiliation: PainManagement AssocBoard Certifications:AnesthesiologyLanguage(s): Spanish

Yazdani, Shiraz, MDGender: Male3419 22nd St(806) 796-3000Hospital Affiliations:University MedicalCenterClinic Affiliation:Neurosurgical Assoc OfLubboBoard Certifications:AnesthesiologyLanguage(s): Spanish,Turkish

Yazdani, Madiha S, MDGender: Female3419 22nd St(806) 796-3000

LUBBOCK August 15, 2021

Page 42: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

42

LUBBOCK (cont.)

ANESTHESIOLOGY (cont.)

3615 19th St(806) 725-0000Clinic Affiliation:Northstar Anesthesia PaBoard Certifications:None

AUDIOLOGYArnold, Courtney M,AUDIOGender: Female5738 82nd St(806) 687-4327Clinic Affiliation:Cornerstone AudiologyPllcBoard Certifications:NoneLanguage(s): Spanish

Black, Arica G, AUDIOGender: Female4505 82nd St Ste 8(806) 798-3600Clinic Affiliation: TheHearing DoctorBoard Certifications:None

Boesiger, Tessa M,AUDIOGender: Female3601 4th StSte 3a124(806) 743-2373Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Choudhury, Moumita,AUDIOGender: Female3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Corrales, Christina M,AUDIOGender: Female5738 82nd St(806) 687-4327Clinic Affiliation:Cornerstone AudiologyPllcBoard Certifications:NoneLanguage(s): Spanish

Fischenich, Debra D,AUDIOGender: Female5303 50th St(806) 702-8208Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:None

Flores, Gina, AUDIOGender: Female4702 A 67th St(806) 224-1755Clinic Affiliation: AtlasAudiology PllcBoard Certifications:None

Gustafson, Tori J,AUDIOGender: Male3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): AmericanSign, Sign Language,Spanish

Hicks, Candace B,AUDIOGender: Female3601 4th St Ste 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

Holdman, Jennifer R,AUDIOGender: Female4505 82nd St Ste 8(806) 798-3600Hospital Affiliations:University MedicalCenterClinic Affiliation: TheHearing DoctorBoard Certifications:None

Hubik, Julie W, AUDIOGender: Female5738 82nd St(806) 687-4327Clinic Affiliation:Cornerstone AudiologyPllcBoard Certifications:NoneLanguage(s): Spanish

Kozlovsky, Lindsey N,AUDIOGender: Female3601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Lafave, Deeann, AUDIOGender: Female3601 4th St1st Fl Medical Pavilion(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Murphy, Brandi A,AUDIOGender: Female3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Reel, Leigh A, AUDIOGender: Female3601 4th St1st Fl Medical Pavilion(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Taylor, Hillary E, AUDIOGender: Female5303 50th St(806) 702-8208Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:NoneLanguage(s): Spanish

Wann, Deanna L, AUDIOGender: Female5738 82nd St(806) 687-4327Clinic Affiliation:Cornerstone AudiologyPllcBoard Certifications:NoneLanguage(s): Spanish

Zimmerman, CatherineR, AUDIOGender: Female3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Zupancic, Steven C,AUDIOGender: Male3601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

August 15, 2021 LUBBOCK

Page 43: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

43

LUBBOCK (cont.)

CARDIACELECTROPHYSIOLOGYGallinghouse, Gerald J,MDGender: Male4802 N Loop 289(806) 788-0040Hospital Affiliations:Ascension Seton Hays,Ascension Seton MedCenter Austin, AscensionSeton Northwest, Bs&wMedical Center Hillcrest,Christus Spohn Hos CctxShoreline, Heart HospitalOf Austin, ShannonMedical Center, StDavids GeorgetownHospital, St DavidsMedical Center, StJoseph Medical CenterClinic Affiliation: TexasPhysicians GroupPractice Information:No Patients Under 18 yrsoldBoard Certifications:CardiacElectrophysiologyLanguage(s): Farsi,German, Spanish

Rizo Patron, Carlos, MDGender: Male4642 N Loop 289 Ste211(806) 722-2161Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: TexasPhysicians GroupBoard Certifications:None

CARDIOVASCULARDISEASEAnsari, Mohammad M,MDGender: Male3502 9th StSte 260(806) 792-81853601 4th St(806) 743-3150

602 Indiana Ave(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Argueta Sosa, Erwin E,MDGender: Male3601 4th St(806) 743-3150Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Arvandi, Aliakbar, MDGender: Male3502 9th StSte 260(806) 792-81853601 4th St Fl 2Medical Pavilion(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Attaya, Nabil M, MDGender: Male2424 50th St Ste 303(806) 797-8853Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Cardiology ConsultantsBoard Certifications:Cardiovascular DiseaseLanguage(s): Arabic,French, Spanish

Borno, Mounir Y, MDGender: Male4802 N Loop 289(806) 788-0040Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: TexasPhysicians GroupBoard Certifications:None

Brogan, Walter C, MDGender: Male4802 N Loop 289(806) 788-0040Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Lubbock CardiologySpecialists PaBoard Certifications:None

Grattan, James G, MDGender: Male4802 N Loop 289(806) 788-0040Hospital Affiliations:University MedicalCenterClinic Affiliation: TexasPhysicians GroupBoard Certifications:Cardiovascular DiseaseLanguage(s): Spanish

Hughston, Haley K, MDGender: Female4316 23rd St(806) 701-58584321 Marsha Sharp Frwy(806) 701-58584324 23rd St(806) 701-5858Hospital Affiliations:University Health SystemClinic Affiliation:Caprock CardiovascularCenter LlpPractice Information:No Patients Under 18 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Jenkins, Leigh A, MDGender: Female3502 9th StSte 260(806) 792-81853601 4th St MedicalPavilion 2nd Fl(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Cardiovascular DiseaseLanguage(s): French,Spanish

Jenkins, Leigh A, MDGender: Female4004 82nd StSte E(806) 743-1501Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Cardiovascular DiseaseLanguage(s): French,Spanish

Karkoutly, Ayman, MDGender: Male4001 21st St(806) 797-4774Hospital Affiliations:University MedicalCenterClinic Affiliation: AymanKarkoutly MdpaBoard Certifications:Cardiovascular Disease

Koshy, Santhosh K, MDGender: Male3502 9th StSte 260(806) 792-81853601 4th St(806) 743-3150Hospital Affiliations:McAllen Heart HospitalClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Cardiovascular Disease

Kurdi, Juan, MDGender: Male4316 23rd St(806) 701-58584324 23rd St(806) 701-5858Hospital Affiliations:Permian RegionalMedical CenterClinic Affiliation:Caprock CardiovascularCenter LlpBoard Certifications:None

LUBBOCK August 15, 2021

Page 44: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

44

LUBBOCK (cont.)

CARDIOVASCULARDISEASE (cont.)

Nair, Nandini, MDGender: Female3601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Nguyen, Hoa H, MDGender: Male3819 24th St(806) 797-7000Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock CardiologyClinic PaBoard Certifications:Cardiovascular DiseaseLanguage(s): Spanish

Perez, Colbert R, MDGender: Male4316 23rd St(806) 701-58584324 23rd St(806) 701-5858Hospital Affiliations:Lamb Healthcare CenterClinic Affiliation:Caprock CardiovascularCenter LlpBoard Certifications:None

Sethi, Pooja, MDGender: Female3502 9th StSte 260(806) 792-81853601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Sharif, M A, MDGender: Male4802 N Loop 289(806) 788-0040

Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: TexasPhysicians GroupBoard Certifications:Cardiovascular Disease

Solis, Roberto E, MDGender: Male4802 N Loop 289(806) 788-0040Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: TexasPhysicians GroupBoard Certifications:Cardiovascular Disease

Suarez, Jose A, MDGender: Male1655 Main St Ste 201(806) 701-58584316 23rd St(806) 701-58584324 23rd St(806) 701-5858Hospital Affiliations:University MedicalCenterClinic Affiliation:Caprock CardiovascularCenter LlpBoard Certifications:Cardiovascular DiseaseLanguage(s): Spanish

Wells, Guy A, MDGender: Male3819 24th St(806) 797-7000Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Lubbock CardiologyClinic PaBoard Certifications:Cardiovascular DiseaseLanguage(s): Spanish

Wischmeyer, Jason B,MDGender: Male3502 9th StSte 260(806) 792-8185

3601 4th St(806) 743-3150Hospital Affiliations:Baylor University MedicalCenter, Bs&w Heart &Vascular Hospital Dallas,Navarro RegionalHospital, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

CHIROPRACTICAzab, Andrew P, DCGender: Male4505 82nd St Ste 9(806) 785-7246Board Certifications:NoneLanguage(s): Spanish

Broussard, Andre A, DCGender: Male7021 Kewanee AveSte 3 101(806) 796-0098Clinic Affiliation:Broussard Clinic OfChiro- Practic IncBoard Certifications:None

Chambless, Jared D, DCGender: Male10611 Quaker Ave(806) 797-4000Clinic Affiliation: JasonC Helton DcBoard Certifications:NoneLanguage(s): Spanish

Clemmons, Jason R, DCGender: Male6102 82nd StSte 9(806) 794-0400Clinic Affiliation: TheRock Health & WellnessCenterBoard Certifications:None

Fryar, Brett L, DCGender: Male2739 81st St(806) 745-5252Board Certifications:None

Helton, Jason C, DCGender: Male10611 Quaker Ave(806) 797-4000Clinic Affiliation: JasonC Helton DcBoard Certifications:NoneLanguage(s): Spanish

Hoffman, Bret M, DCGender: Male2230 Indiana Ave(806) 791-3399Clinic Affiliation:Lubbock AdvancedPhysical MedicinBoard Certifications:None

Hoffman, Cale G, DCGender: Male2230 Indiana AveSte 2(806) 791-3399Clinic Affiliation:Lubbock AdvancedPhysical MedicinBoard Certifications:None

Kothmann, Korey D, DCGender: Male2230 Indiana AveUnit 1(806) 791-3399Board Certifications:NoneLanguage(s): Spanish

Marin, Gregory, DCGender: Male4903 82nd StSte 50(806) 993-10015224 75th StSte B(806) 797-4000Clinic Affiliation: JasonC Helton DcBoard Certifications:NoneLanguage(s): Spanish

McAlpin, Kevin S, DCGender: Male3802 21st StSte A(806) 722-4190Clinic Affiliation: KevinMcAlpin DcBoard Certifications:NoneLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 45: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

45

LUBBOCK (cont.)

CHIROPRACTIC (cont.)

Merritt, Cotton D, DCGender: Male2005 Broadway(806) 744-3800Clinic Affiliation: MerrittChiropractic PaBoard Certifications:NoneLanguage(s): Spanish

Minter, Clinton M, DCGender: Male5152 69th StSte 101(806) 794-4009Clinic Affiliation: 69thStreet ChiropracticBoard Certifications:None

Nelson, Josh R, DCGender: Male3402 73rd St Ste G(806) 589-21113402 73rd St Unit G(806) 589-2111Clinic Affiliation: OneLight Medical PllcBoard Certifications:None

Ramos, Abel D, DCGender: Male10611 Quaker Ave(806) 797-4000Clinic Affiliation: JasonC Helton DcBoard Certifications:None

Ramos, Matthew C, DCGender: Male4903 82nd StSte 50(806) 993-1001Clinic Affiliation:Levelland ChiropracticLlcBoard Certifications:None

Ramos, Anthony C, DCGender: Male6102 Chicago Ave Ste400(800) 404-6050Clinic Affiliation: AirrostiRehab Center LlcBoard Certifications:None

Sims, Caitlin M, DCGender: Female5152 69th St Ste 101(806) 794-4009Clinic Affiliation: 69thStreet ChiropracticBoard Certifications:None

Stacy, Curtis C, DCGender: Male10611 Quaker Ave(806) 797-4000Clinic Affiliation: JasonC Helton DcBoard Certifications:None

Themas, Tiffany L, DCGender: Female3402 73rd StSte G(806) 589-2111Clinic Affiliation: OneLight Medical &ChiropracticBoard Certifications:None

CLINICAL CARDIACELECTROPHYSIOLOGYCervera, Aurelio R, MDGender: Male1655 Main St Ste 201(806) 701-58584316 23rd St(806) 701-58584324 23rd St(806) 701-5858Hospital Affiliations:Baptist Health System,Connally MemorialMedical Center,Metropolitan MethodistHospital, SouthwestGeneral HospitalClinic Affiliation:Caprock CardiovascularCenter LlpBoard Certifications:NoneLanguage(s): Spanish

Swaminath, Deephak,MDGender: Male3502 9th StSte 260(806) 792-8185

3601 4th St(806) 743-1501Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

COLON-RECTALSURGERYKidwell, John T, MDGender: Male3601 4th St(806) 743-2373Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

DERMATOLOGYBrackeen, Jeffrey S, MDGender: Male4709 66th St(806) 701-5844Hospital Affiliations:University MedicalCenterClinic Affiliation: SkinCancer Institute PllcBoard Certifications:Dermatology

Brackeen, Amy R, MDGender: Female4709 66th St(806) 701-5844Hospital Affiliations:University MedicalCenterClinic Affiliation: SkinCancer Institute PllcBoard Certifications:Dermatology

Clark, Justin W, MDGender: Male3601 22nd St(806) 796-71935103 98th StSte 200(806) 796-7193Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock Dermatology &Skin Cancer CenterBoard Certifications:Dermatology

Harris, Bryan D, MDGender: Male6102 82nd St Ste 15(806) 749-7933Clinic Affiliation: LongAnd Harris DermatologyPllcBoard Certifications:None

Hope, Richard H, MDGender: Male3601 22nd St(806) 796-71935103 98th StSte 200(806) 796-7193Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock Dermatology &Skin Cancer CenterBoard Certifications:None

Layher, Heather A, DOGender: Female3601 4th StSte 4a100(806) 743-1842Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Dermatology

Long, Michael D, MDGender: Male6102 82nd St Ste 15(806) 749-7933Clinic Affiliation: LongAnd Harris DermatologyPllcBoard Certifications:None

Paulger, Brent R, MDGender: Male2202 Ithaca Ave(806) 797-1202Hospital Affiliations:University MedicalCenterClinic Affiliation:Paulger And WisniewskiDermatologBoard Certifications:Dermatology

LUBBOCK August 15, 2021

Page 46: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

46

LUBBOCK (cont.)

DERMATOLOGY (cont.)

Stetson, Cloyce L, MDGender: Male3601 4th St1st Fl Medical Pavilion(806) 743-1842Hospital Affiliations:University MedicalCenter, UniversityMedical Center El PasoClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Sturgeon, Ashley, MDGender: Female3601 4th StSte 4a100(806) 743-1842Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockPractice Information:No Patients Under 18 yrsoldBoard Certifications:Dermatology

Tarbox, Michelle B, MDGender: Female3601 4th StSte 4a100(806) 743-1842Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Wisniewski, Keith W, MDGender: Male2202 Ithaca Ave(806) 797-1202Hospital Affiliations:University MedicalCenterClinic Affiliation:Paulger And WisniewskiDermatologBoard Certifications:Dermatology

DEVELOPMENTAL-BEHAVIORALPEDIATRICSRogers, Karen L, MDGender: Female3301 101st St(806) 281-9966Hospital Affiliations:University MedicalCenterClinic Affiliation: W TxDevel Peds &Behavioralhlth NetworkPaBoard Certifications:None

DIETICIANSmith, Kaitlin, RDGender: Female3004 50th StSte A(972) 422-9180Clinic Affiliation:Lemond NutritionBoard Certifications:None

EMERGENCY MEDICINEAbdo, Ziad A, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Baytown Medical CenterLp, Bellville MedicalCenter, LimestoneMedical Center, LubbockHeart Hospital Lp, PecosCounty MemorialHospital, Tmc BonhamHospitalClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): Arabic,French

Adams, Shelly L, MDGender: Female4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLp, Palo Pinto GeneralHospitalClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Addington, Charles E,DOGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, Lynn CountyHospital District,Muleshoe Area MedicalCenter, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation: LhhEmergency PhysiciansPllcPractice Information:No Patients Under 3 yrsoldBoard Certifications:None

Agler, Karen S, MDGender: Female4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:Emergency Medicine

Aguas, Enrico G, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLp, NacogdochesMedical Center, ScenicMountain MedicalCenter, UniversityMedical CenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Altenberg, Leo L, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Bellville Medical Center,Lubbock Heart HospitalLp, University MedicalCenter El PasoClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): Spanish

Balch, Michael T, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Bellville Medical Center,D M Cogdell MemorialHospital, Lubbock HeartHospital LpClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): Spanish

Bassett, Perry E, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Bsa Hospital Llc, D MCogdell MemorialHospital, FreestoneMedical Center, LakeGranbury MedicalCenter, LongviewRegional Medical Center,Lubbock Heart HospitalLp, Pampa RegionalMedical CenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Bowman, Conrad B, MDGender: Male7007 Indiana Ave(801) 701-4141

August 15, 2021 LUBBOCK

Page 47: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

47

LUBBOCK (cont.)

EMERGENCY MEDICINE (cont.)

(806) 701-4141Hospital Affiliations:Mitchell County HospitalDistrict, Parmer CountyCommunity Hospital,Stonewall MemorialHospital, UniversityMedical CenterClinic Affiliation: StarEmergency Group PllcBoard Certifications:Emergency Medicine

Boyer, Micah L, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Golden PlainsCommunity Hospital,Hereford RegionalMedical Center, LubbockHeart Hospital Lp, PaloPinto General Hospital,United Regional HlthCare SystemClinic Affiliation: LhhEmergency PhysiciansPllcPractice Information:Palliative and HospiceCare OnlyBoard Certifications:None

Brough, Royce D, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Cuero Regional Hospital,Heart Of Texas MemorialHospital, JacksonHealthcare Center,Lubbock Heart HospitalLp, Muenster MemorialHospital, ParkviewHospitalClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Cazares, Guillermo N,MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, Medical ArtsHospitalClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Chen, Michael, DOGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Cheng, Huaxu, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Dabbs, Kimberly A, DOGender: Female4810 N Loop 289(806) 296-5531Hospital Affiliations:Hosps Of Providence ErMontwood, JacksonHealthcare Center,Lubbock Heart HospitalLpClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

De Moor, Carrie E, MDGender: Female7007 Indiana Ave(801) 701-4141

(806) 701-4141Hospital Affiliations: TxHlth Presby HospitalFlower Mound, UniversityMedical CenterClinic Affiliation: StarEmergency Group PllcBoard Certifications:Emergency Medicine

Dexter, Richard D, DOGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Dickerson, Sandra D,MDGender: Female4810 N Loop 289(806) 687-7777Hospital Affiliations:Baylor Medical Center AtIrving, Lamb HealthcareCenter, Laredo MedicalCenter, Lubbock HeartHospital Lp, ReevesCounty Hospital,University MedicalCenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): French,Spanish

Escamilla, Claire E, MDGender: Female7007 Indiana Ave(806) 701-4141Hospital Affiliations:Baptist Health System,Methodist Stone OakHospitalClinic Affiliation: StarEmergency Group PllcBoard Certifications:None

Fargason, William E, MDGender: Male4810 N Loop 289(806) 687-7777

7007 Indiana Ave(801) 701-4141Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: 7007Indiana Er PhysiciansPllcBoard Certifications:None

Frezza, Eldo E, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenter, Valley BaptistMedical CenterClinic Affiliation: LhhEmergency PhysiciansPllcPractice Information:From AgeBoard Certifications:NoneLanguage(s): Italian,Spanish

Funk, Kevin A, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Eastland MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Medical Arts Hospital,Muleshoe Area MedicalCenter, PermianRegional Medical CenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:Emergency MedicineLanguage(s): AmericanSign, Sign Language,Spanish

LUBBOCK August 15, 2021

Page 48: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

48

LUBBOCK (cont.)

EMERGENCY MEDICINE (cont.)

Gajewski, David W, MDGender: Male4810 N Loop 289(850) 483-8183Hospital Affiliations:Chi St Joseph HlthMadison Hos, FallsCommunity Hospital &Clinic, JacksonHealthcare Center,Lubbock Heart HospitalLp, The PhysiciansCentreClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Gray, Andy J, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:Emergency Medicine

Hall, Matthew B, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Baylor University MedicalCenter, Bs&w All SaintsMed Ctr Ft Worth,Christus Mother FrancesHospital, D M CogdellMemorial Hospital,Lubbock Heart HospitalLpClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Hicks, Michelle, DOGender: Female4810 N Loop 289(806) 687-7777Hospital Affiliations:City Hospital At WhiteRock, D M CogdellMemorial Hospital,Laredo Medical Center,Sagecrest HospitalCarrollton, Tx HlthPresbyterian HospitalPlanoClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Johnson, Robert L, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLp, Medical City DallasClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Jones, Timothy B, MDGender: Male4810 N Loop 289(850) 437-7736Hospital Affiliations:Anson General Hospital,Lubbock Heart HospitalLp, Muleshoe AreaMedical Center, RollingPlains Memorial Hospital,University MedicalCenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Khan, Suhail R, MDGender: Male7007 Indiana Ave(801) 701-4141(806) 701-4141Hospital Affiliations: TxHlth Harris MethodistHospital Fw, UniversityMedical CenterClinic Affiliation: StarEmergency Group PllcBoard Certifications:Emergency Medicine

Kunkov, Sergey, MDGender: Male3601 4th St(806) 743-6624Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Lewis, Ryan L, MDGender: Male7007 Indiana Ave(801) 701-4141(806) 701-4141Hospital Affiliations:University MedicalCenterClinic Affiliation: StarEmergency Group PllcBoard Certifications:Emergency Medicine

Manson, Paul V, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations: BS & W Orthopedic &Spine Hos, D M CogdellMemorial Hospital,Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

McKee, Desirae M, MDGender: Female4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Robinson, Eldon S, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Skelton, Jonathan D, MDGender: Male7007 Indiana Ave(801) 701-4141(806) 701-4141Hospital Affiliations:University MedicalCenterClinic Affiliation: StarEmergency Group PllcBoard Certifications:Emergency Medicine

Speed, James A, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations: BS & W Orthopedic &Spine Hos, Bs&wSurgical Hospital, Bs&wSurgical Hospital FortWorth, Electra MemorialHospital, FallsCommunity Hospital &Clinic, Hamilton Hospital,Jackson HealthcareCenter, Lubbock HeartHospital Lp, ScenicMountain Medical CenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

August 15, 2021 LUBBOCK

Page 49: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

49

LUBBOCK (cont.)

EMERGENCY MEDICINE (cont.)

Tauferner, Dustin H, DOGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Bs&w Medical CenterHillcrest, Bs&w MedicalCenter Temple, Chi StJoseph Hlth Regionl Hos,Christus Santa Rosa SanMarcos, Lubbock HeartHospital Lp, St DavidsMedical CenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:Emergency Medicine

Thomas, Griffith W, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, UniversityMedical CenterClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:None

Tseng, Angela, MDGender: Female4810 N Loop 289(850) 437-7736Hospital Affiliations:Eastland MemorialHospital, FallsCommunity Hospital &Clinic, Legent Hospital,Lubbock Heart HospitalLp, Palo Pinto GeneralHospital, PermianRegional Medical Center,Stephens MemorialHospitalClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): Chinese,Spanish

Turner, John C, MDGender: Male4810 N Loop 289(806) 687-7777Hospital Affiliations:Limestone MedicalCenter, Lubbock HeartHospital LpClinic Affiliation: LhhEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): Spanish

Weatherford, Zachary R,MDGender: Male7007 Indiana Ave(801) 701-4141(806) 701-4141Hospital Affiliations:University MedicalCenterClinic Affiliation: StarEmergency Group PllcBoard Certifications:Emergency Medicine

Wyatt, Brent M, MDGender: Male7007 Indiana Ave(801) 701-4141Hospital Affiliations:Christus Santa RosaNew Braunfels,Guadalupe RegionalMedical Center,University MedicalCenterClinic Affiliation: 7007Indiana Er PhysiciansPllcBoard Certifications:None

ENDOCRINOLOGY,DIABETES &METABOLISMBeceiro, Jose R, MDGender: Male3601 4th StSte 1b350k(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Endocrinology, Diabetes& Metabolism

Felton, Shaili K, MDGender: Female3601 4th St(806) 743-3150Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Endocrinology, Diabetes& MetabolismLanguage(s): Gujarati,Hindi

MacAdams, Michael R,MDGender: Male2716 82nd St(806) 793-4440Hospital Affiliations:University MedicalCenterBoard Certifications:Endocrinology, Diabetes& MetabolismLanguage(s): Spanish

Patel, Anupa K, MDGender: Female3601 4th St(806) 743-6759Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Endocrinology, Diabetes& Metabolism

FAMILY PRACTICEGates, Stephen, MDGender: Male3601 4th St(806) 743-2757Hospital Affiliations:Ascension Seton Hays,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Hillbrick, Timothy J, MDGender: Male6616 Milwaukee Ste 400(775) 315-6688Hospital Affiliations:Baylor Scott & WhiteDialysis Cen, Cedar ParkRegional Medical CtrClinic Affiliation: MensHealth Institute LlcPractice Information:Male Patients onlyBoard Certifications:Family Practice

Lux, Louis J, MDGender: Male3601 4th St(806) 743-2775Hospital Affiliations:Dell Seton MedicalCenter At Ut, RoundRock Medical Center,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Stoeckel, Mark D, MDGender: Male6616 Milwaukee Ste 400(806) 993-6367Hospital Affiliations:Cedar Park RegionalMedical Ctr, Round RockMedical CenterClinic Affiliation: MensHealth Institute LlcPractice Information:Male Patients onlyBoard Certifications:None

GASTROENTEROLOGYAl Kharrat, Houssam,MDGender: Male5115 80th St(806) 788-4368Hospital Affiliations:Lubbock Heart HospitalLp, Transitional LearningCtr Lubbock, UniversityMedical CenterClinic Affiliation: SouthPlains Infusion IncBoard Certifications:NoneLanguage(s): Spanish

LUBBOCK August 15, 2021

Page 50: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

50

LUBBOCK (cont.)

GASTROENTEROLOGY (cont.)

Alam, Imtiaz, MDGender: Male3502 9th St Ste 360(806) 761-0747Hospital Affiliations:Ascension SetonNorthwest, St Davids NAustin Medical Ctr,University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Gastroenterology

Block, Steven C, MDGender: Male5115 80th St(806) 788-4368Hospital Affiliations:University MedicalCenterClinic Affiliation: WestTexas Digestive DiseaseCentBoard Certifications:Gastroenterology

Das, Kanak, MDGender: Male3502 9th St Ste 240(806) 761-0521Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Fenton, Boyd S, MDGender: Male3610 24th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:Gastroenterology

Ganga, Usha K, MDGender: Female3610 24th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenter, UniversityMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:Gastroenterology

Islam, Rafiul S, MDGender: Male3502 9th StSte 360(806) 414-27834505 82nd StSte 5(806) 696-4440602 Indiana Ave(806) 775-8200Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Gastroenterology

Jabor, Miled A, MDGender: Male3610 24th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:None

Kensing, Kelly P, MDGender: Male3610 24th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenter, UniversityMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:None

Miller, Timothy D, MDGender: Male3610 24th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenter, UniversityMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:None

Shabaneh Al Tamimi,Hamed A, MDGender: Male3502 9th St Ste 270(806) 761-0600Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Gastroenterology

Shaver, William A, MDGender: Male2405 Broadway(806) 799-3644Hospital Affiliations:University MedicalCenterClinic Affiliation:Shaver William A MdBoard Certifications:Gastroenterology

Sorrell, Cari K, MDGender: Female3610 24th St(806) 793-3141Hospital Affiliations:South Plains EndoscopyCenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:Gastroenterology

Weinstein, Jeffrey S, MDGender: Male2405 Broadway(214) 947-4400Hospital Affiliations:Baylor University MedicalCenter, Methodist DallasMedical CenterClinic Affiliation:Digestive Health AssocOf Texas PaBoard Certifications:NoneLanguage(s): Spanish

GENERAL SURGERYBankhead Kendall,Brittany, MDGender: Female3601 4th St(806) 743-2373Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Baucom, Rebeccah, MDGender: Female3601 4th St(806) 743-23734102 24th St 507(806) 743-7334Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Bayouth, Charles V, MDGender: Male3509 22nd St(806) 799-79283611 22nd Pl(806) 799-79284102 24th St Ste 304(806) 743-7874Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General SurgeryLanguage(s): Arabic,Spanish

Bharadia, Deepak, MDGender: Male3601 4th St(806) 743-2373Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

August 15, 2021 LUBBOCK

Page 51: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

51

LUBBOCK (cont.)

GENERAL SURGERY (cont.)

Bingaman, Adam W, MDGender: Male3425 22nd Pl(210) 575-8425Hospital Affiliations:Methodist Hospital,Methodist Spec &Transplant Hospital,Santa Rosa MedicalCenterClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:General Surgery

Brooks, Steven E, MDGender: Male3601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Buhavac, Milos, MDGender: Male3601 4th St(806) 743-2373Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Buschman, Job O, MDGender: Male3509 22nd St(806) 799-79283611 22nd Pl(806) 771-2222Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: SwatSurgical Assoc LlpBoard Certifications:General SurgeryLanguage(s): Arabic,Spanish

Deeb, Sammy A, MDGender: Male3509 22nd St(806) 799-7928

3611 22nd Pl(806) 771-2222Hospital Affiliations:University MedicalCenterClinic Affiliation: SwatSurgical Assoc LlpBoard Certifications:General SurgeryLanguage(s): Arabic,Italian, Spanish

Dissanaike, Sharmila,MDGender: Female3601 4th St 2nd FlMedical Pavilion(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Eggl, Travis D, DOGender: Male3509 22nd St(806) 799-79283611 2nd Pl(806) 771-22224102 24th StSte 304(806) 743-7874Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Fike, Frankie B, MDGender: Male3601 4th St(806) 743-2373Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Goyal, Vinay, MDGender: Male3601 4th St(806) 743-2373

4102 24th St 507(806) 743-7334Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Griswold, John A, MDGender: Male3601 4th St 2nd FlMedical Pavilion(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Haggard, Derick R, MDGender: Male3509 22nd St(306) 799-79283611 22nd Pl(806) 771-22224102 24th StSte 304(806) 743-7874Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Haynes, Allan L, MDGender: Male3506 21 St St(806) 743-2373602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Arabic,Spanish

Hidalgo, Jesus E, MDGender: Male3601 22nd Place(806) 589-5030Clinic Affiliation:Carenomics PaBoard Certifications:NoneLanguage(s): Spanish

Hollands, Celeste M, MDGender: Female4102 24th St Ste 507(806) 743-2388Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Howe, Thomas L, MDGender: Male3506 21st StSte 610(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General SurgeryLanguage(s): Arabic,Spanish

Layeequr Rahman,Rakhshanda, MDGender: Female3601 4th St(806) 743-2373602 Indiana Ave(806) 775-8600Hospital Affiliations:Bsa Hospital Llc,Northwest TexasHealthcare System,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Mangold, David E, MDGender: Male3509 22nd St(806) 799-79283611 22nd St(806) 771-2222

LUBBOCK August 15, 2021

Page 52: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

52

LUBBOCK (cont.)

GENERAL SURGERY (cont.)

4102 24th St Ste 304(806) 743-7874Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Nickels, Melinda B, MDGender: Female3506 21st St Ste 601(806) 743-78743509 22nd St(806) 799-79283611 22nd Pl(806) 771-2222Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: SwatSurgical Assoc LlpBoard Certifications:General SurgeryLanguage(s): Arabic,Italian, Spanish

Norkiewicz, Brian J, MDGender: Male3506 21st StSte 610(806) 743-23733711 22nd StSte C(806) 771-3680Hospital Affiliations:University MedicalCenterClinic Affiliation: Brian JNorkiewicz MdpaBoard Certifications:NoneLanguage(s): Spanish

Onkendi, Edwin O, MDGender: Male3502 9th StSte 310(806) 743-4115

3601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Purtell, Adam K, MDGender: Male3509 22nd St(806) 799-79283611 22nd Pl(806) 771-22224102 24th StSte 304(806) 743-7874Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Richmond, Robyn E, MDGender: Female3601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Rivas, Sammy D, MDGender: Male3509 22nd St(806) 799-79283611 22nd Pl(806) 771-22224102 24th StSte 304(806) 743-7874Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Ronaghan, Catherine A,MDGender: Female3601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Rosen, Richard A, MDGender: Male3509 22nd St(806) 799-79283611 22nd Pl(806) 771-22224102 24th StSte 304(806) 743-7874Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Sallee, Caleb, MDGender: Male3509 22nd St(806) 799-79283611 22nd Pl(806) 771-22224102 24th StSte 304(806) 743-7874Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Santana, Dixon, MDGender: Male3601 4th St1st Fl Medical Pavilion(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Santos, Ariel P, MDGender: Male3601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:General Surgery

Syn, David, MDGender: Male3805 22nd Place(806) 687-5670Clinic Affiliation: TheAdvanced BariatricSurgery CtBoard Certifications:NoneLanguage(s): Korean,Portuguese

Thames, Elbert A, MDGender: Male3711 22nd St Ste C(806) 370-0478Hospital Affiliations: DM Cogdell MemorialHospital, UniversityMedical CenterClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:General SurgeryLanguage(s): Arabic,Spanish

Thomas, John P, MDGender: Male1120 W Loop 289Ste 230(806) 744-8600Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: SoPlains Surgical Assoc LlpBoard Certifications:NoneLanguage(s): Hindi,Malayalam, Mandingo,Spanish

August 15, 2021 LUBBOCK

Page 53: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

53

LUBBOCK (cont.)

GENERAL SURGERY (cont.)

Vaughan, Justin G, MDGender: Male4102 24th StSte 508(806) 743-7334Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Williams, Vernon M, MDGender: Male3502 9th St Ste 310(806) 743-23773601 4th St(806) 743-2373Hospital Affiliations:Hendrick Medical Center,Texas Midwest SurgeryCenter, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

GENERAL VASCULARSURGERYLi, Wei, MDGender: Male3601 4th St(806) 743-2373Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

GYNECOLOGICONCOLOGYFarzan, Thahir, MDGender: Male3612 22nd Pl(806) 503-2600Hospital Affiliations:Bsa Hospital Llc,Northwest TexasHealthcare SystemClinic Affiliation: ThahirFarzan MdBoard Certifications:NoneLanguage(s): Spanish

Reedy, Mark B, MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:Doctors Hospital AtRenaissanceClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

HAND SURGERYMacKay, Brendan J, MDGender: Male3601 4th St(806) 743-42634102 24th St Ste 507(806) 743-7980808 Joliet AveSte 210(806) 743-4600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Hand Surgery

McKee, Desirae M, MDGender: Female2301 Quaker Ave(806) 725-88013615 19th St(806) 725-00004002 24th St(806) 725-00004640 N Loop 289(806) 761-48804810 N Loop 289(806) 687-77775613 114th St(806) 515-4263602 Indiana Ave(806) 755-8200Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: WestTexas H A N D PllcBoard Certifications:Hand Surgery

Pollock, Garry R, MDGender: Male4642 N Loop 289Ste 105(806) 771-3030Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: GarryR Pollock Md PaBoard Certifications:NoneLanguage(s): Spanish

INFECTIOUS DISEASESBerk, Steven L, MDGender: Male3601 4th St MedicalPavilion 2nd Fl(806) 743-3150Hospital Affiliations:Chi St Lukes HealthMemorial, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Infectious Diseases

Crist, Christopher J, MDGender: Male3601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Infectious Diseases

Nichols, Jacob W, MDGender: Male3601 4th St(806) 743-3150602 Indiana Ave(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Infectious Diseases

Winn, Richard E, MDGender: Male3601 4th St(806) 743-3150Hospital Affiliations:Midland MemorialHospital, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Infectious Diseases

INTERNAL MEDICINEDcunha, Nicholas, MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Internal Medicine

Guerrero Miranda, CesarY, MDGender: Male3711 22nd Ste B(877) 634-0028Hospital Affiliations:Baylor University MedicalCenterClinic Affiliation: HealthTexas Provider NetworkBoard Certifications:None

Jahan, Nusrat, MDGender: Female602 Indiana Ave(806) 775-8600Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Jumper, Cynthia J, MDGender: Female3601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Internal Medicine

LUBBOCK August 15, 2021

Page 54: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

54

LUBBOCK (cont.)

INTERNAL MEDICINE (cont.)

McCarthy, Justin H, MDGender: Male2424 50th StSte 100(806) 761-0722Hospital Affiliations:Nacogdoches MedicalCenter, NacogdochesMemorial Health,University MedicalCenterClinic Affiliation: JustinH McCarthy MdpaBoard Certifications:NoneLanguage(s): Spanish

Mogollon Duffo, FrancisP, MDGender: Female602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Nath, Sarath G, MDGender: Female3601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Pixley, John S, MDGender: Male3601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Internal Medicine

Quirch, Miguel A, MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Rivas Mejia, Ana M, MDGender: Female3601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Warmoth, Taylor B, MDGender: Female5220 80th St(806) 771-2400Clinic Affiliation:Arthritis & OsteoporosisBoard Certifications:None

Wolcott, Joseph J, MDGender: Male2002 Oxford Ave(806) 793-8869Hospital Affiliations:Bsa Hospital Llc,University MedicalCenterClinic Affiliation:Joseph J Wolcott Md PaBoard Certifications:None

INTERVENTIONALCARDIOLOGYLahoti, Ankush, MDGender: Male3502 9th StSte 260(806) 792-81853601 4th St(806) 743-1501Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Interventional Cardiology

Shurmur, Scott W, MDGender: Male3502 9th StSte 260(806) 792-81853601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Interventional Cardiology

NEONATAL-PERINATALMEDICINEAdams, Jimmy G, DOGender: Male4015 22nd Place(806) 725-0566Hospital Affiliations:Christus St MichaelHealth System, HcaHouston HealthcareClear Lake, Hca HoustonHealthcare Conroe, HcaHouston HealthcareSoutheast, Medical CityLewisville, The WomansHospital Of TexasClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Alasmi, Mahmood M, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City ArlingtonClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Amaram, Arun K, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Denton,Medical City Las Colinas,Medical City Lewisville,Medical City McKinney,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaPractice Information:No Patients Over 17 yrsoldBoard Certifications:None

Amjad, Ramak R, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Denton,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Antigua, Maria, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Denton,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Neonatal-PerinatalMedicine

Arellano, Jose B, MDGender: Male4015 22 Place(806) 725-3107Hospital Affiliations:John Peter SmithHospital, Medical CityAlliance, Medical CityArlington, UniversityMedical CenterClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

August 15, 2021 LUBBOCK

Page 55: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

55

LUBBOCK (cont.)

NEONATAL-PERINATALMEDICINE (cont.)

Baia, Catalina, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Las ColinasClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Bharwani, Salim K, MDGender: Male4015 22nd Place(806) 725-0566Hospital Affiliations:Hca Houston HealthcarePearland, Medical CityLewisville, OdessaRegional Medical Center,The Womans Hospital OfTexas, Vly Baptist MedCtr Brownsville,Woodland HeightsMedical CenterClinic Affiliation:Sheridan Healthcare OfTx PaPractice Information:No Patients Over 18 yrsoldBoard Certifications:Neonatal-PerinatalMedicine

Bowman, Thomas A, MDGender: Male602 Indiana Ave(888) 822-2855Hospital Affiliations:Midland MemorialHospital, UniversityMedical CenterClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Buzzella, Bridget V, MDGender: Female4015 22nd Pl(806) 725-0566Clinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Carroll, Travis R, MDGender: Male4000 24th St(806) 725-6475Hospital Affiliations:Southwest GeneralHospitalClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Cartaya, Alfredo B, MDGender: Male4015 22nd Place(806) 725-0566Hospital Affiliations:Wadley Regional MedicalCenterClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Contreras, Edwing A,MDGender: Male4000 24th St(806) 725-6475Clinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Deoskar, Dhananjay S,MDGender: Male4015 22nd Pl(806) 725-0566Hospital Affiliations:Hca Houston HealthcareKingwood, Hca HoustonHealthcare West,Medical City Arlington,Medical City Frisco AMed Ctr, Medical CityLas Colinas, OdessaRegional Medical Center,Southwest GeneralHospital, St JosephMedical Center, TheWomans Hospital OfTexas, Valley BaptistMedical CenterClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Drennan, Sarah E, MDGender: Female4015 22nd Pl(806) 725-0000

Hospital Affiliations:Medical City LewisvilleClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Dupont, Tara L, MDGender: Female4015 22nd Place(806) 725-0566Clinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Eltaha, Chadi, MDGender: Male4015 22nd Place(806) 725-0566Hospital Affiliations:Medical City Frisco AMed Ctr, Medical CityLewisville, Medical CityMcKinney, Medical CityPlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Gonzalez, Marco T, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Arlington,Medical City Denton,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Haider, A Zia, MDGender: Male4015 22nd Place(806) 725-0566Hospital Affiliations:Medical City Lewisville,Midland MemorialHospital, MidlandMemorial Hospital WestCampusClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Neonatal-PerinatalMedicine

Hajj, Hanine, MDGender: Female4015 22nd Pl(806) 725-3107Hospital Affiliations:Hca Houston HealthcareNorthwest, Hca HoustonHealthcare Tomball,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Honkan, Vibha A, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Hosps Of ProvidenceSierra Campus, HospsProvidence MemorialCampus, Medical CityAlliance, Medical CityArlington, Medical CityDenton, MethodistRichardson Medical CtrClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Neonatal-PerinatalMedicine

Iafolla, Ayne K, MDGender: Female4015 22nd Pl(806) 725-0566Clinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Jain, Alok, MDGender: Male4015 22nd Pl(806) 725-3107Hospital Affiliations:Chi St Lukes HealthMemorial, LongviewRegional Medical Center,Medical City Alliance,Medical City Arlington,Medical City Denton,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Neonatal-PerinatalMedicine

LUBBOCK August 15, 2021

Page 56: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

56

LUBBOCK (cont.)

NEONATAL-PERINATALMEDICINE (cont.)

Jeyaraj, Jenitha, MDGender: Female4015 22nd Pl(806) 425-3107Hospital Affiliations:Medical City Frisco AMed Ctr, Medical CityLewisville, Medical CityMcKinney, Medical CityPlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Kabbur, Prakash M, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Las Colinas,Medical City Lewisville,Medical City McKinney,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Kairalla, Andrew B, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Arlington,Medical City Denton,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Kang, Sunjun, MDGender: Female4015 22nd Pl(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Denton,Medical City Lewisville,Parkland Health &Hospital SystemClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Khan, Liaqat H, MDGender: Male4015 22nd Place(806) 725-0566Hospital Affiliations:Midland MemorialHospitalClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Khurana, Gurvir S, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Denton,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Kuforiji, Theresa A, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Denton,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Kumar, Dharmendra, MDGender: Male4015 22nd Pl(806) 725-0000Hospital Affiliations:Medical City LewisvilleClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Lucena, Jose E, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:John Peter SmithHospital, Medical CityAlliance, Medical CityArlington, Medical CityDenton, Medical CityLewisvilleClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

McDaniel, Dawn D, MDGender: Female4015 22nd Pl(806) 725-0566Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Frisco AMed Ctr, Medical CityLas Colinas, MethodistHospital, SouthwestGeneral Hospital,University MedicalCenter El PasoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Moin, Furqan, MDGender: Male602 Indiana Ave(214) 820-0111Hospital Affiliations:Baylor Medical Center AtIrving, Baylor UniversityMedical Center, Bs&wMedical CenterGrapevine, Bs&wMedical Center LakePointe, Bs&w MedicalCenter McKinney,Driscoll ChildrensHospital, SouthwestGeneral HospitalClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Montanez, Ana M, MDGender: Female3601 4th St(806) 743-1000602 Indiana Ave(806) 775-8200Hospital Affiliations:Hosps Of ProvidenceSierra Campus, LasPalmas Camp Lpdsh,University MedicalCenterClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Novak, Zuzana E, MDGender: Female4015 22nd Pl(806) 725-0566Hospital Affiliations:Medical City LewisvilleClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Olguin, Mary E, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City ArlingtonClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Neonatal-PerinatalMedicine

August 15, 2021 LUBBOCK

Page 57: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

57

LUBBOCK (cont.)

NEONATAL-PERINATALMEDICINE (cont.)

Owens, Shelia Y, MDGender: Female4015 22nd Pl(800) 725-0000Hospital Affiliations:Hca Houston HealthcareClear Lake, Hca HoustonHealthcare Conroe, HcaHouston HealthcareSoutheast, Medical CityLewisville, The WomansHospital Of Texas,Wadley Regional MedicalCenterClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Pavey, Ashleigh, MDGender: Female4015 22nd Place(806) 725-0566Hospital Affiliations:Medical City LewisvilleClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Perez Benavid,Fortunato, MDGender: Male602 Indiana Ave(800) 243-3839Hospital Affiliations:Hosps Of ProvidenceSierra Campus, HospsProvidence MemorialCampus, UniversityMedical CenterClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Piepkorn, Melissa S, MDGender: Female4015 22nd Place(806) 725-1011

602 Indiana Ave(888) 822-2855Hospital Affiliations:Bsa Hospital Llc,University MedicalCenterClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Prado, Marya A, MDGender: Female4015 22nd Place(432) 685-1111Clinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Raju, Venkata N, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Bs&w McLane ChildrensMedical Ctr, Bs&wMedical Center Temple,Medical City Alliance,Medical City Arlington,Medical City Lewisville,Medical City PlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Neonatal-PerinatalMedicineLanguage(s): Hindi,Telugu

Ratner, Ian M, MDGender: Male4015 22nd Place(806) 725-0000Hospital Affiliations:Baylor Medical Center AtIrving, Medical CityDallas, Medical City LasColinas, Medical CityLewisville, Medical CityPlano, Tx HealthPresbyterian HospitalAllen, Tx HlthPresbyterian HospitalDallas, Tx HlthPresbyterian HospitalPlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Neonatal-PerinatalMedicine

Rubin, Lewis P, MDGender: Male4015 22nd Place(806) 725-0566Hospital Affiliations:Hca Houston HealthcareClear Lake, Hca HoustonHealthcare Conroe, HcaHouston HealthcareSoutheast, The WomansHospital Of Texas,University MedicalCenter El PasoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Neonatal-PerinatalMedicineLanguage(s): AmericanSign

Sommers, Ross, MDGender: Female4015 22nd Pl(806) 725-0566Clinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Sorrell, Michael W, MDGender: Male602 Indiana Ave(806) 775-8200Hospital Affiliations:Bsa Hospital Llc, KnappMedical Center, McAllenMedical Center, MissionRegional Medical Center,Rio Grande RegionalHospital, South TexasHealth System,University MedicalCenterClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Sparks, John E, MDGender: Male4000 24th St(806) 725-6475(806) 796-05074015 22nd Pl(806) 725-0566602 Indiana Ave(806) 775-8200Clinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Stern, Mitchell E, MDGender: Female4015 22nd Pl(806) 725-0000Hospital Affiliations:Medical City LewisvilleClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Tenpenny, Joy C, MDGender: Female3601 4th St(423) 267-93004015 22nd Pl(806) 725-1011602 Indiana Ave(806) 775-8200Hospital Affiliations:Bsa Hospital Llc, HospsOf Providence SierraCampus, HospsProvidence MemorialCampus, OdessaRegional Medical Center,University MedicalCenterClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Thummala, MaheshwarR, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Denton,Medical City Frisco AMed Ctr, Medical CityLas Colinas, Medical CityLewisville, Medical CityMcKinney, Medical CityPlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

LUBBOCK August 15, 2021

Page 58: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

58

LUBBOCK (cont.)

NEONATAL-PERINATALMEDICINE (cont.)

Walyat, Nitin, MDGender: Male4015 22nd Pl(806) 725-0000Hospital Affiliations:Medical City LewisvilleClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Welch, Gregory, MDGender: Male4015 22nd Pl(806) 725-3107Hospital Affiliations:Hca Houston HealthcareSoutheast, HospsProvidence MemorialCampus, John PeterSmith Hospital, KnappMedical Center, LasPalmas Camp Lpdsh,Medical City Arlington,Mission RegionalMedical Center, RioGrande RegionalHospital, South TexasHealth SystemClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Yadav, Deepak, MDGender: Male602 Indiana Ave(800) 243-3839Hospital Affiliations:Hosps ProvidenceMemorial Campus,University MedicalCenterClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

NEPHROLOGYGeorge, Lekha K, MDGender: Female3601 4th St(806) 743-3150

602 Indiana Ave(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Kennedy, William J, MDGender: Male3601 4th St(806) 743-3150Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Mousa, Elmoutaz, MDGender: Male3708 22nd Pl Ste 1(806) 771-7412Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock NephrologyAssoc PaBoard Certifications:None

Patel, Nayankumar A,MDGender: Male1126 Slide RdUnit 4b(806) 793-8447Hospital Affiliations:University MedicalCenterClinic Affiliation: KidneyAnd Blood Pressure ClBoard Certifications:Nephrology

Pena, Camilo, MDGender: Male3601 4th St(806) 743-3150602 Indiana Ave(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Phisitkul, Sorot, MDGender: Male3708 22nd PlSte 1(806) 771-7412Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock NephrologyAssoc PaBoard Certifications:NephrologyLanguage(s): Spanish,Thai

Prabhakar, Sharma S,MDGender: Male3601 4th St(806) 743-3150Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Nephrology

Rose, James T, MDGender: Male4417 71st StSte 42(806) 799-2991Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: JamesTodd Rose Md PaPractice Information:No Patients Under 18 yrsoldBoard Certifications:None

Tomacruz, Yvette C, MDGender: Female1126 Slide RdUnit 4b(806) 793-8447Hospital Affiliations:University MedicalCenterClinic Affiliation: KidneyAnd Blood Pressure ClBoard Certifications:None

Villa, Ruben D, MDGender: Male1126 Slide RdUnit 1(806) 780-6372

5424 19th StSte 403(806) 368-8782Hospital Affiliations:University MedicalCenterClinic Affiliation: KidneyDisease AssocBoard Certifications:None

Wheeler, Clarence J, MDGender: Male1126 Slide RdSte 1(806) 792-22221126 Slide RdUnit 4b(806) 793-8447Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: KidneyAnd Blood Pressure ClBoard Certifications:NephrologyLanguage(s): Spanish

Yango, Angelito F, MDGender: Male3711 22nd StSte B(817) 922-9968Hospital Affiliations:Baylor University MedicalCenter, Bs&w All SaintsMed Ctr Ft Worth, Bs&wHeart & VascularHospital Dallas, JohnPeter Smith Hospital,Methodist RehabHospital, Select SpecialtyHospital Dallas, TxHealth Harris MethHospital Sw FwClinic Affiliation: HealthTexas Provider NetworkBoard Certifications:NephrologyLanguage(s): Spanish

NEUROLOGICALSURGERYBaronia, Benedicto C,MDGender: Male4102 24th St(806) 743-7700

August 15, 2021 LUBBOCK

Page 59: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

59

LUBBOCK (cont.)

NEUROLOGICALSURGERY (cont.)

602 Indiana Ave(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

D'alise, Mark D, MDGender: Male3502 9th StSte 440(806) 761-0333Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Neurological SurgeryLanguage(s): Spanish

Felton, Jason A, MDGender: Male3502 9th St Ste 430(806) 761-0535Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Neurological SurgeryLanguage(s): Spanish

Grochmal, Joey K, MDGender: Male3502 9th StSte 430(806) 761-0535Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Igbaseimokumo,Usiakimi, MDGender: Male3601 4th St(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Igbaseimokumo,Usiakimi, MDGender: Male4102 24th StSte 504(806) 743-7700Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Lapointe, Genevieve M,MDGender: Female3502 9th StSte 430(806) 761-0535Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

NEUROLOGYAvila, Mirla, MDGender: Female3601 4th St(806) 743-23913615 19th StSte 501(806) 743-2391Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Bertelson, John A, MDGender: Male3601 4th St(806) 743-2391

3615 19th StSte 501(806) 743-2391Hospital Affiliations:Ascension Seton MedCenter Austin, AscensionSeton Northwest,Ascension Seton ShoalCreek, Ascension SetonWilliamson, Dell SetonMedical Center At Ut,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NeurologyLanguage(s): Spanish

Detoledo, John C, MDGender: Male3601 4th St Ste 3a105(806) 743-23913615 19th St Ste 501(806) 743-2391Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Neurology

Ferdous, Mst J, MDGender: Female3601 4th St(806) 743-23913615 19th St Ste 501(806) 743-2391Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Hurst, Daniel L, MDGender: Male3601 4th St(806) 743-2391Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Neurology

Julayanont, Parunyou,MDGender: Male3601 4th StSte 3a105(806) 743-2391Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Kim, Jongyeol, MDGender: Male3601 4th St Ste 3a105(806) 743-23913615 19th StSte 501(806) 743-2391Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Wilms, Henrik, MDGender: Male3601 4th St Ste 3a105(806) 743-23913615 19th StSte 501(806) 743-2391Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

NUTRITION & DIETETICSAguilera, Holley, RDGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-8010Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Booe, Holli, RDGender: Female12115 Indiana AveSte 2(806) 993-5041

LUBBOCK August 15, 2021

Page 60: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

60

LUBBOCK (cont.)

NUTRITION & DIETETICS (cont.)

2431 S Loop 289 W(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Brooks, Michele, RDGender: Female5611 83rd St(806) 252-1507Board Certifications:Nutrition & Dietetics

Dudensing, Emily, RDGender: Female3004 50th StSte A(972) 422-9180Clinic Affiliation:Lemond NutritionBoard Certifications:None

Faubion, Alexandria, RDGender: Female301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:None

Franklin, Katy R, RDGender: Female7008 Indiana AveSte A(806) 698-8088Clinic Affiliation:Lubbock Family MedicineBoard Certifications:None

Gage, Gayle L, RDGender: Female3601 4th St(806) 743-2340Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Hooper, Kristina, RDGender: Female4405 114th St(855) 481-1149Clinic Affiliation: HebCompany LpBoard Certifications:Nutrition & Dietetics

Horn, Sarah E, RDGender: Female2431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Hust, Christie, RDGender: Female301 40th St(806) 743-9355Clinic Affiliation: TexasTech Health SciencesCntrBoard Certifications:Nutrition & DieteticsLanguage(s): Spanish

King, Abby, RDGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Mata, Alexandria, RDGender: Female4405 114th St(855) 481-1149Clinic Affiliation: HebCompany LpBoard Certifications:None

McInerney, Samantha,RDGender: Female3004 50th StSte A(972) 422-9180Clinic Affiliation:Lemond NutritionBoard Certifications:None

Palacios, Raul, RDGender: Female4405 11th St(855) 481-1149Clinic Affiliation: HebCompany LpBoard Certifications:Nutrition & Dietetics

Reichek, Brook, RDGender: Female4405 114th St(855) 481-1149Clinic Affiliation: HebCompany LpBoard Certifications:Nutrition & Dietetics

Robertson, Heather, RDGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:NoneLanguage(s): German,Mandarin, Spanish

OBSTETRICS-GYNECOLOGYAtkinson, Billy D, MDGender: Male3601 4th St(806) 743-2340602 Indiana Ave Ste B70(806) 796-8537808 Joliet Ste 130(806) 743-1810Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Belle-Henry, Christina,MDGender: Female3614 23rd St(806) 785-0014Hospital Affiliations:University MedicalCenterClinic Affiliation:Womens Health AssocLlpBoard Certifications:NoneLanguage(s): Spanish

Burley, Ronnelle S, MDGender: Female3706 22nd Pl(806) 722-1253Hospital Affiliations:Christus Spohn Hos CctxShoreline, UniversityMedical CenterClinic Affiliation:Ronnelle S Burley MdpaBoard Certifications:Obstetrics-GynecologyLanguage(s): Spanish

Carroll, Mary A, MDGender: Female808 Joliet AveSte 130(806) 761-0770Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Coon, Amber M, MDGender: Female4403 6th St(806) 791-1122Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

Dunn, Cynthia G, MDGender: Female3614 23rd St(806) 785-0014Hospital Affiliations:University MedicalCenterClinic Affiliation:Womens Health AssocLlpBoard Certifications:None

Felton, Carol K, MDGender: Female2602 Ave Q(806) 747-17803502 9th StSte G70(806) 761-07703601 4th St1st Fl Medical Pavilion(806) 743-23404004 82nd St(806) 796-8537

August 15, 2021 LUBBOCK

Page 61: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

61

LUBBOCK (cont.)

OBSTETRICS-GYNECOLOGY (cont.)

602 Indiana(806) 743-2340Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Obstetrics-Gynecology

Hosford, Sarah L, MDGender: Female602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Huang, Jaou Chen, MDGender: Male3601 4th St(806) 743-2340602 Indiana Ave Ste B10(806) 743-4256808 Joliet AveUnit 230(806) 743-4256Hospital Affiliations:Lyndon B JohnsonGeneral Hospital,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Obstetrics-Gynecology

Lenhart, Megan, MDGender: Female4000 24th St(800) 967-2289Hospital Affiliations:Baptist Health System,Baptist Health SystemHealthlink, MethodistHospital, MethodistTexsan Hospital, MissionTrails Baptist, NorthCentral Baptist Hospital,Northeast BaptistHospital, St DavidsMedical Center, St LukesBaptist HospitalClinic Affiliation: ObhgTexas Holdings PaBoard Certifications:None

Ogunjimi, Esther O, MDGender: Female3601 4th St(806) 743-2340Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Owen, Jennifer M, MDGender: Female5028 122nd St(806) 749-7975Clinic Affiliation: OwenHealth Group PllcBoard Certifications:None

Perales Hull, Marsha R,MDGender: Female3614 23rd St(806) 785-0014Hospital Affiliations:University MedicalCenterClinic Affiliation:Womens Health AssocLlpBoard Certifications:None

Phillips, Dana S, MDGender: Female3502 9th StSte G70(806) 761-07703601 4th St1st Fl Medical Pavilion(806) 743-23404004 82nd St Pod A(806) 796-8537

602 Indiana(806) 743-2340Hospital Affiliations:Scenic Mountain MedicalCenter, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Phy, Jennifer L, DOGender: Female3601 4th St(806) 743-2340808 Joliet Ste 230(806) 743-4256Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Richards, Amy M, MDGender: Female808 Joliet AveSte 210(806) 761-0432Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Sinclair, Jerry W, MDGender: Male4000 24th St(806) 725-1011Hospital Affiliations:Bs&w All Saints Med CtrFt Worth, UnitedRegional Hlth CareSystemClinic Affiliation: ObhgTexas Holdings PaBoard Certifications:None

Thompson, Charles D,MDGender: Male3601 4th St Ste 3 B100(806) 743-1810

4004 82nd St(806) 796-8537Hospital Affiliations:Hendrick Medical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Varma, Kamlesh, MDGender: Female3502 9th St Ste 280(806) 791-5537Board Certifications:None

Yandell, Roger B, MDGender: Male3502 9th StSte G70(806) 761-07703601 4th St(806) 743-23404004 82nd St Ste A(806) 796-8537602 Indiana(806) 743-2340Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Yeomans, Edward R, MDGender: Male301 40th St(806) 743-93553502 9th StSte G70(806) 761-07703601 4th St(806) 743-23404004 82nd St(806) 796-8537602 Indiana(806) 743-2340

LUBBOCK August 15, 2021

Page 62: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

62

LUBBOCK (cont.)

OBSTETRICS-GYNECOLOGY (cont.)

808 Joliet Ave Ste 130(806) 743-1810Hospital Affiliations:University MedicalCenter, Utmb HealthGalvestonClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockPractice Information:Female Patients onlyBoard Certifications:NoneLanguage(s): Spanish

OCCUPATIONALTHERAPYBarrett, Lisa G, OTGender: Female1628 19th St(806) 219-05004601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncPractice Information:No Patients Over 3 yrsold, No Patients Over 21yrs oldBoard Certifications:NoneLanguage(s): Spanish

Boyd, Jena A, OTGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Brake, Rika M, OTGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:NoneLanguage(s): Spanish

Cash, Madison, OTGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Cedillo, Olando, OTGender: Male1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Clark, Alicia, OTGender: Female4601 66th St Ste D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:NoneLanguage(s): Spanish

Cole, Aria F, OTGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Davidson, Krisha T, OTGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Fennerty, June M, OTGender: Female6310 Genoa AveSte G(806) 771-7451Clinic Affiliation:Lubbock Hand TherapyPllcBoard Certifications:NoneLanguage(s): Spanish

Fox, Emilee E, OTGender: Female6806 43rd St(806) 281-5600Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Garcia, Katherine C, OTGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Gonzalez, Andrea, OTGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Hardin, Leslie A, OTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-10296202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Hart, Nikah N, OTGender: Female5211 79th St(806) 853-97406102 82nd St Ste 10(512) 260-69906520 University Ave Ste5(512) 260-6990Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): Spanish

Heyda, Brandon, OTGender: Male12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Hutchison, Alison, OTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-10296202 82nd St(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Joe, Marie K, OTGender: Female1717 Norfolk AveBldg A(806) 281-63276806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 63: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

63

LUBBOCK (cont.)

OCCUPATIONALTHERAPY (cont.)

Johnson, Caytelynn M,OTGender: Female12115 Indiana AveSte 2(806) 993-5041Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Johnson, Tayla A, OTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Johnson, Caytelynn M,OTGender: Female2431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Kitten, Justine M, OTGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Laumbach Kirk, Angel,OTGender: Female15304 County Rd 2160(806) 223-6688Board Certifications:None

Lenox, Chelsea D, OTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:NoneLanguage(s): German,Spanish

Lin, Vickie Y, OTGender: Female6806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Lucio, Anthony M, OTGender: Male4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Mannon, Sarah, OTGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

McDonald, Sarah B, OTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Spanish

McQueen, Sarah, OTGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Morlan, Caroline A, OTGender: Female5211 79th St(806) 853-9740

6520 University Ave Ste 5(512) 260-6990Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

Murillo Russell, Dilia, OTGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): Spanish

Najjar, Amy C, OTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Spanish

Nauert, Morgan M, OTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Spanish

Patzig, Cassie F, OTGender: Female2230 Indiana AveUnit 1(806) 791-3399Clinic Affiliation:Lubbock AdvancedPhysical MedicinBoard Certifications:NoneLanguage(s): Spanish

Rainbolt, Elizabeth S,OTGender: Female6806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Rix, Natalie R, OTGender: Female2431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Samuels, Alena E, OTGender: Female4601 66th St Ste D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Sanschagrin, Aimee C,OTGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Sokora, Catherine S, OTGender: Female1717 Norfolk AveBldg A(806) 281-63276806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Sparks, Susan, OTGender: Female3501 S Loop 289(806) 796-17745211 79th St(806) 853-97406102 82nd St Ste 10(512) 260-6990Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): Spanish

Stegall, Kylee B, OTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

LUBBOCK August 15, 2021

Page 64: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

64

LUBBOCK (cont.)

OCCUPATIONALTHERAPY (cont.)

Swiacki, Colleen A, OTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Spanish

Tally, Erica L, OTGender: Female5211 79th St(806) 853-9740

6520 University Ave Ste 5(512) 260-6990Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): Spanish

Torres, Jana, OTGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:NoneLanguage(s): Spanish

Turner, Megan L, OTGender: Female3501 S Loop 289(806) 796-17744601 66th St Ste D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Vogelpohl, Paula M, OTGender: Female4601 66th StSte D(809) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Weinstein, Leslie N, OTGender: Female1717 Norfolk Ave Bldg A(806) 281-63276806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Wilmeth, April T, OTGender: Female3501 S Loop 289(806) 796-17744601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

York, Jeffrey C, OTGender: Male1717 Norfolk Ave Bldg A(806) 281-63276806 43rd St(806) 281-5600Clinic Affiliation:Rehabcare GroupBoard Certifications:None

ONCOLOGYAwasthi, Sanjay, MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:Medical City Arlington, TxHealth ArlingtonMemorial Hospital,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Hardwicke, Fred L, MDGender: Male3601 4th St2nd Fl Medical Pavilion(806) 775-8600

602 Indiana Ave(806) 775-8600Hospital Affiliations:Medical Center Hospital,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Oncology

Jones, Catherine A, MDGender: Female602 Indiana Ave(806) 775-8600Hospital Affiliations:Baylor University MedicalCenter, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Philipovskiy, Alexander,MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenter El PasoClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockPractice Information:No Patients Under 18 yrsoldBoard Certifications:OncologyLanguage(s): Russian,Ukrainian

Tijani, Lukman A, MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Verma, Udit N, MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:Parkland Health &Hospital SystemClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:OncologyLanguage(s): Hindi

OPHTHALMOLOGYBoop, James J, MDGender: Male2719 81st St(806) 792-0785Hospital Affiliations:University MedicalCenterClinic Affiliation: JamesJ Boop MdpaBoard Certifications:NoneLanguage(s): French,Spanish

Boothe, William D, MDGender: Male12210 Quaker Ave(806) 792-5900Hospital Affiliations:University MedicalCenterClinic Affiliation: WestTexas Eye PaBoard Certifications:None

Bradley, Jay C, MDGender: Male12210 Quaker Ave(806) 792-59003611 50th St(806) 792-5900Hospital Affiliations:University MedicalCenterClinic Affiliation: WestTexas Eye PaBoard Certifications:OphthalmologyLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 65: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

65

LUBBOCK (cont.)

OPHTHALMOLOGY (cont.)

Cockings, Curt W, MDGender: Male3802 22nd Pl(806) 796-1551Hospital Affiliations:University MedicalCenterClinic Affiliation: CurtCockings MdpaBoard Certifications:OphthalmologyLanguage(s): French

Dominguez, Leonardo,MDGender: Male3601 4th St Ste 2a100(806) 743-2020Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Freedman, Kenn A, MDGender: Male3601 4th St Ste 2a100(806) 743-20204004 82nd Bldg 200(806) 743-7676Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Ophthalmology

Gallardo, Mark J, MDGender: Male3601 4th StSte 2a100(806) 743-2020Hospital Affiliations:Hosps ProvidenceMemorial Campus,University MedicalCenter El PasoClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:OphthalmologyLanguage(s): Spanish

Gregg, Clint W, MDGender: Male3601 4th St(806) 743-2020

4004 82nd StSte 200(806) 743-7676Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:OphthalmologyLanguage(s): Spanish

Khater, Tim T, MDGender: Male12210 Quaker Ave(806) 792-59003611 50th St(806) 792-5900Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation: WestTexas Eye PaPractice Information:No Patients Under 12 yrsoldBoard Certifications:OphthalmologyLanguage(s): Arabic,Spanish

Kong, Lingkun, MDGender: Female3601 4th St(806) 743-2020Hospital Affiliations:Childrens Hospital SanAntonio, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Kong, Lingkun, MDGender: Female4004 82nd StBldg 200(806) 743-7676Hospital Affiliations:Childrens Hospital SanAntonio, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Kumar, Kartik S, MDGender: Male4015 22nd Pl(806) 725-3107Hospital Affiliations:Medical City Plano,Usmd Hospital AtArlington LpClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Ophthalmology

McCartney, David L, MDGender: Male3601 4th StSte 2a100(806) 743-20204004 82nd Bldg 200(806) 743-7676Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:OphthalmologyLanguage(s): Mandingo,Spanish

Mitchell, Kelly T, MDGender: Male3601 4th StSte 2a100(806) 743-2020Hospital Affiliations:Parkland Health &Hospital System,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Ophthalmology

Porter, Matthew S, MDGender: Male3601 4th St(806) 743-2020Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Reppa, Catherine M, MDGender: Female3601 4th StSte 2a100(806) 743-2020

4004 82nd StBldg 200(806) 743-7676Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Ophthalmology

Row, Alan D, MDGender: Male3813 22nd StSte 5(806) 797-9550Hospital Affiliations:University MedicalCenterClinic Affiliation: Alan DRow MdpaBoard Certifications:Ophthalmology

Sands, Scott J, MDGender: Male3601 4th StSte 2a100(806) 743-2020Hospital Affiliations:Christus Mother FrancesJacksonviClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Sherman, Mark P, MDGender: Male3611 50th St(806) 792-5900Clinic Affiliation: WestTexas Eye PaBoard Certifications:Ophthalmology

Shihab, Zuhair M, MDGender: Male12210 Quaker Ave(806) 792-59003611 50th St(806) 792-59004003 22nd St(806) 792-3400Hospital Affiliations:University MedicalCenterClinic Affiliation: ZuhairM Shihab Md PaBoard Certifications:NoneLanguage(s): Arabic

LUBBOCK August 15, 2021

Page 66: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

66

LUBBOCK (cont.)

OPHTHALMOLOGY (cont.)

Shoukfeh, Omar, MDGender: Male12210 Quaker Ave(806) 792-59003611 50th St(806) 792-5900Clinic Affiliation: WestTexas Eye PaBoard Certifications:Ophthalmology

Streit, John E, MDGender: Male4014 22nd Place Ste 4(806) 795-3937Hospital Affiliations:University MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

ORTHOPEDIC SURGERYBeaver, Cody R, MDGender: Male3601 4th St(806) 743-42634015 22nd Pl(806) 743-42654102 24th StSte 508(806) 743-7980Hospital Affiliations:Bsa Hospital Llc,Northwest TexasHealthcare System,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Bourland, Bryan, DOGender: Male808 Joliet AveSte 210(806) 743-4600Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Brindley, George W, MDGender: Male3601 4th StMedical Pavilion 4th Fl(806) 743-2475Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Orthopedic Surgery

Caroom, Cyrus T, MDGender: Male3601 4th St(806) 743-2475Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Orthopedic Surgery

Carr, Robert V, MDGender: Male4642 N Loop 289Ste 101(806) 797-4985Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: CenterFor Orthopedic SurgeryLlpBoard Certifications:NoneLanguage(s): Spanish

Ferguson, Matthew P,MDGender: Male3601 4th St(806) 743-2475Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Orthopedic Surgery

Grimes, Jerry S, MDGender: Male3601 4th St(806) 743-2475

6610 Quaker(806) 743-2475Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Orthopedic Surgery

Headrick, Jeff D, MDGender: Male4642 N Loop 289Ste 101(806) 797-4985Hospital Affiliations:University MedicalCenterClinic Affiliation: CenterFor Orthopedic SurgeryLlpBoard Certifications:Orthopedic Surgery

Jenkins, Mark D, MDGender: Male3601 4th St(806) 743-4263602 Indiana(806) 743-29816610 Quaker(806) 743-2475Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Ramsey, Jason A, MDGender: Male4642 N Loop 289Ste 101(806) 797-49858214 Milwaukee AveSte 200(806) 475-5544Hospital Affiliations:University MedicalCenterClinic Affiliation:Sportszone OrthopedicBoard Certifications:Orthopedic Surgery

Ratheal, Ian M, MDGender: Male3601 4th St(806) 743-4263Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Scioli, Mark W, MDGender: Male4642 N Loop 289Ste 101(806) 797-4985Hospital Affiliations:Hosps Of ProvidenceSierra Campus,University MedicalCenter, UniversityMedical Center El PasoClinic Affiliation: CenterFor Orthopedic SurgeryLlpBoard Certifications:Orthopedic SurgeryLanguage(s): Spanish

Simpson, Jordan B, MDGender: Male4110 22nd Pl(806) 792-4329Hospital Affiliations:University MedicalCenterClinic Affiliation: C SMedical PartnershipBoard Certifications:None

Smitherman, T B, MDGender: Male4642 N Loop 289Ste 101(806) 797-4985Hospital Affiliations:University MedicalCenterClinic Affiliation: CenterFor Orthopedic SurgeryLlpBoard Certifications:NoneLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 67: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

67

LUBBOCK (cont.)

ORTHOPEDIC SURGERY (cont.)

Stephenson, Kenneth A,MDGender: Male4642 N Loop 289Ste 101(806) 797-4985Hospital Affiliations:Baylor University MedicalCenter, UniversityMedical CenterClinic Affiliation: CenterFor Orthopedic SurgeryLlpBoard Certifications:Orthopedic Surgery

Wilson, Joseph N, MDGender: Male4642 N Loop 289Ste 101(806) 797-4985Hospital Affiliations:University MedicalCenterClinic Affiliation: CenterFor Orthopedic SurgeryLlpBoard Certifications:Orthopedic SurgeryLanguage(s): Spanish

Zumwalt, Mimi A, MDGender: Female3601 4th St1st Fl Medical Pavilion(806) 743-42636610 Quaker(806) 743-2475Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Orthopedic Surgery

OSTEOPATHICMANIPULATIVEMEDICINERoberts, Clayton K, DOGender: Male2230 Indiana Ave(806) 791-3399Hospital Affiliations:Medical Arts Hospital,Scenic Mountain MedicalCenterClinic Affiliation:Lubbock AdvancedPhysical MedicinBoard Certifications:None

OTOLARYNGOLOGYCordero, Joehassin, MDGender: Male3601 4th St1st Fl Medical Pavilion(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Otolaryngology

Demke, Joshua C, MDGender: Male3601 4th St Fl 4Medical Pavilion(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Dundar, Yusuf, MDGender: Male3601 4th StSte 3a124(806) 743-2373Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Fell, William R, MDGender: Male3802 22nd StSte 100(806) 792-5331Hospital Affiliations:University MedicalCenterClinic Affiliation:Thomas F Neal Stan EPotocki MdpaBoard Certifications:Otolaryngology

Nguyen, Tam Q, MDGender: Male3601 4th StMedical Pavilion(806) 743-23734515 Marsha Sharp Frwy(806) 744-7223Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Otolaryngology

PAIN MANAGEMENTColvin, Jeffrey N, MDGender: Male4642 N Loop 289Ste 209(806) 797-4596Hospital Affiliations:Lamb Healthcare Center,Lubbock Heart HospitalLp, Mitchell CountyHospital DistrictClinic Affiliation: ColvinPain Management PllcBoard Certifications:NoneLanguage(s): Spanish

Hirsch, John B, MDGender: Male3419 22nd St(806) 796-3000Hospital Affiliations:Lubbock Heart HospitalLpClinic Affiliation:Neurosurgical Assoc OfLubboBoard Certifications:NoneLanguage(s): Spanish

PATHOLOGYArif, Dauod, MDGender: Male3601 4th St Ste 1a115(806) 743-2155Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Brandi, Luis, MDGender: Male3601 4th St(806) 775-8360Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Dunn, Dale M, MDGender: Male3601 4th StSte 1a115(806) 743-21556630 Quaker AveSte G(806) 743-2178Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:PathologyLanguage(s): Spanish

Eastman, Ann R, MDGender: Female410 N Utica Ave(806) 771-2018Clinic Affiliation: AveroDiagnosticsBoard Certifications:NoneLanguage(s): Spanish

Labib, Safaa S, MDGender: Female3601 4th St(806) 743-2155Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

LUBBOCK August 15, 2021

Page 68: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

68

LUBBOCK (cont.)

PATHOLOGY (cont.)

Mattison, Michael T, MDGender: Male410 N Utica Ave(806) 776-1098Clinic Affiliation: AveroDiagnosticsBoard Certifications:NoneLanguage(s): Spanish

Ramos, Augusto P, MDGender: Male6102 82nd StSte 10(806) 993-3333Hospital Affiliations:Doctors Hospital OfLaredo, Laredo MedicalCenter, LaredoRehabilitation Hospital,Laredo SpecialtyHospital, MethodistHospital, MethodistTexsan HospitalClinic Affiliation: LaredoPathology Services PaBoard Certifications:None

Sharma, Meenu, MDGender: Female3601 4th StSte 1a115(806) 743-2155Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Stuart, Rodney W, MDGender: Male410 N Utica Ave(806) 687-7284Hospital Affiliations:Amarillo Colonoscopy CtrLp, Lamb HealthcareCenter, Lubbock HeartHospital Lp, UniversityMedical CenterClinic Affiliation: AveroDiagnosticsBoard Certifications:None

Warraich, Irfan A, MDGender: Male3601 4th StSte 1a115(806) 743-2155Hospital Affiliations:University MedicalCenter, W J MangoldMemorial HospitalClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pathology

PEDIATRICCARDIOLOGYColon Ledee, Athos G,MDGender: Male3602 23rd St(806) 368-8723Hospital Affiliations:Medical Center Hospital,University MedicalCenterClinic Affiliation: AthosG Colon Md PaPractice Information:No Patients Over 21 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Sopontammarak,Somkiat, MDGender: Male6401 Indiana AveSte C(806) 799-3322Hospital Affiliations:University MedicalCenterClinic Affiliation: SouthPlains PediatricCardiologyBoard Certifications:Pediatric CardiologyLanguage(s): Spanish,Thai

PEDIATRICENDOCRINOLOGYBeck, Nancy L, MDGender: Female3601 4th St(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Bourgeois, Michael J,MDGender: Male3601 4th St(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatric EndocrinologyLanguage(s): Spanish

Khurana, Divya, MDGender: Female4102 24th St(806) 743-7334Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatric Endocrinology

Varma, Surendra K, MDGender: Male3601 4th St(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatric EndocrinologyLanguage(s): Spanish

PEDIATRICGASTROENTEROLOGYSimek, Robert Z, MDGender: Male3502 9th St Ste 320(806) 761-0902Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:None

PEDIATRICHEMATOLOGY-ONCOLOGYAl Rahawan, MohamadM, MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Barr, Erin K, MDGender: Female3601 4th St(806) 743-73374101 22nd Pl(806) 725-48404102 24th StSte Mob #205(806) 725-4840602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Osuoji, Chibuzo, MDGender: Female602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

August 15, 2021 LUBBOCK

Page 69: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

69

LUBBOCK (cont.)

PEDIATRIC INFECTIOUSDISEASEBriceno Brito, Eudys E,MDGender: Female4102 24th StSte 507(806) 743-7334Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

PEDIATRICNEUROSURGERYBelirgen, Muhittin, MDGender: Male3601 4th St(806) 743-73374102 24th StSte 410(806) 743-7700Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Nagy, Laszlo, MDGender: Male3601 4th St(806) 743-73374102 24th StSte 410(806) 743-7700Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

PEDIATRICORTHOPEDICSWinston, Travis, MDGender: Male4102 24th StSte 508(806) 743-7980Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

PEDIATRICOTOLARYNGOLOGYIdicula, Winslo K, MDGender: Male3601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatric Otolaryngology

PEDIATRIC SURGERYMcGill, Thomas W, MDGender: Male3502 9th StSte 210(806) 743-23883601 4th St(806) 743-2373Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

PEDIATRICSAbiodun, Oluwatoyin A,MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Arlington,Medical City Frisco AMed Ctr, Medical CityLewisville, Medical CityMcKinney, Medical CityPlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Ahmed, Nagi H, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Baylor Medical Center AtIrving, Baylor UniversityMedical Center, Bs&wMedical CenterGrapevine, Bs&wMedical Center LakePointe, Bs&w MedicalCenter McKinney,Christus St MichaelHealth System, CityHospital At White Rock,Medical City ArlingtonClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Aryee, Irene N, MDGender: Female602 Indiana Ave(806) 775-8200Clinic Affiliation: UmcPhysiciansBoard Certifications:None

Balkundi, Dhruv R, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Bs&w Medical CenterCentennial, Medical CityAlliance, Medical CityArlington, Medical CityLas ColinasClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Barbiero, Lisa M, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City ArlingtonClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Bowman, Audra G, MDGender: Female3601 4th St(806) 743-7337

602 Indiana Ave(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Chavda, Chaitanya, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Las Colinas,Methodist MansfieldMedical CtrClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Davies, Summer D, MDGender: Female3601 4th St(806) 743-7337602 Indiana Ave(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

LUBBOCK August 15, 2021

Page 70: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

70

LUBBOCK (cont.)

PEDIATRICS (cont.)

Davis, Arlene N, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Bs&w All Saints Med CtrFt Worth, Medical CityArlington, MethodistMansfield Medical Ctr,Texas Health BehavioralHealth Ce, Tx HealthHarris Meth Hospital SwFw, Tx Health HuguleyHospital Ft Worth S, TxHlth Harris MethodistCleburne, Tx Hlth HarrisMethodist Hospital Fw,Tx Hlth Harris MethodistHospital Heb, UnitedRegional Hlth CareSystemClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Diab, Michel G, MDGender: Male3601 4th St(806) 743-24754015 22nd Pl(806) 743-4265Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Dudhbhai, Asgar A, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Las ColinasClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Edwards, David S, MDGender: Male3601 4th St(806) 743-2757Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Foster Truehill, LakeithaR, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Arlington,Medical City Frisco AMed Ctr, Medical CityLas Colinas, Medical CityLewisville, Medical CityMcKinney, Medical CityPlanoClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Geralde, Nicolo B, DOGender: Male602 Indiana Ave(806) 775-8200Hospital Affiliations:Citizens Medical Center,Del Sol Camp Lpdsh, DelSol Medical Center, DelSol Rehabilitation Unit,Driscoll ChildrensHospital, HospsProvidence MemorialCampus, Las PalmasCamp Lpdsh, LasPalmas RehabilitationHospitalClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:Pediatrics

Gomez De Jesus, Rosa,MDGender: Female4015 22nd Pl(806) 725-60004102 24th StSte 507(806) 743-7334

602 Indiana Ave(806) 775-8200Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatrics

Jesurun, Carlos A, MDGender: Male3601 4th St(806) 743-1000602 Indiana Ave(806) 775-8200Hospital Affiliations:Hospitals ProvidenceEast Campus, Hosps OfProvidence SierraCampus, HospsProvidence MemorialCampus, Las PalmasCamp Lpdsh, UniversityMedical Center,University MedicalCenter El PasoClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:Pediatrics

Kanu, Adaobi, MDGender: Female3601 4th St(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatrics

Phillips, Rebeckah G,MDGender: Female4015 22nd Place(806) 725-6000Hospital Affiliations: TxHlth Harris MethodistHospital Fw, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pediatrics

Reddy, Shanti B, MDGender: Female4015 22nd Place(806) 725-3107Hospital Affiliations:Bs&w McLane ChildrensMedical Ctr, Bs&wMedical Center Temple,Bs&w Medical CtrCollege Station, HcaHouston HealthcareConroe, Hca HoustonHealthcare Northwest,Medical City ArlingtonClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Pediatrics

St John, Lilian T, MDGender: Female4015 22nd Place(706) 725-3107Hospital Affiliations:Christus St MichaelHealth System, MedicalCity Arlington, MethodistRichardson Med Ctr,Methodist RichardsonMedical Ctr, Tx HlthHarris Methodist HospitalFw, Tx Hlth PresbyHospital Flower MoundClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

Thompson, Amy N, MDGender: Female602 Indiana Ave(806) 743-7337Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Turebylu, Raghu R, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City Alliance,Medical City Arlington,Medical City Las Colinas,Medical City LewisvilleClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

August 15, 2021 LUBBOCK

Page 71: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

71

LUBBOCK (cont.)

PEDIATRICS (cont.)

Vanderhal, Andre L, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Medical City ArlingtonClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Pediatrics

Wagle, Sameer U, MDGender: Male4015 22nd Place(806) 725-3107Hospital Affiliations:Hca Houston HealthcareKingwood, Hca HoustonHealthcare Northwest,Hca Houston HealthcareTomball, Medical CityArlingtonClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:Pediatrics

Welch, Gregory, MDGender: Male3601 4th St(806) 743-1000602 Indiana Ave(806) 775-8200Hospital Affiliations:Hca Houston HealthcareSoutheast, HospsProvidence MemorialCampus, John PeterSmith Hospital, KnappMedical Center, LasPalmas Camp Lpdsh,Medical City Arlington,Mission RegionalMedical Center, RioGrande RegionalHospital, South TexasHealth SystemClinic Affiliation:Pediatrix Medical GroupOf TexasBoard Certifications:None

Wilson, Jennifer E, MDGender: Female3601 4th St(806) 743-2244Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Wilson, Golder N, MDGender: Male3601 4th St(806) 743-7337Hospital Affiliations:Baylor University MedicalCenter, Bsa Hospital Llc,Medical City Las Colinas,Medical City Plano,Northwest TexasHealthcare System,Parkland Health &Hospital System, Tx HlthPresbyterian HospitalPlano, University MedicalCenter, UniversityMedical Center El PasoClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:PediatricsLanguage(s): Spanish

Wilson, Jennifer E, MDGender: Female602 Indiana Ave(806) 775-8200Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

PHYSICAL MEDICINE &REHABILITATIONDalley, Ethan B, MDGender: Male3419 22nd St(806) 796-3000Hospital Affiliations:Lubbock Heart HospitalLp, Midland MemorialHospitalClinic Affiliation:Neurosurgical Assoc OfLubboPractice Information:No Patients Under 18 yrsoldBoard Certifications:Physical Medicine &RehabilitationLanguage(s): Spanish,Turkish

Jones, Jeremy R, MDGender: Male3419 22nd St(806) 796-3000Hospital Affiliations:University MedicalCenterClinic Affiliation:Neurosurgical Assoc OfLubboBoard Certifications:Physical Medicine &RehabilitationLanguage(s): Spanish

Norbury, John W, MDGender: Male3601 4th StSte 3a105(806) 743-2391Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Wolcott, Roger J, MDGender: Male1808 N Quaker Ave(806) 281-5400Hospital Affiliations:University MedicalCenterClinic Affiliation:Transitional LearningCenter AtBoard Certifications:Physical Medicine &RehabilitationLanguage(s): Spanish

Wolcott, Randall D, MDGender: Male2002 Oxford Ave(806) 793-8869

Hospital Affiliations:University MedicalCenterClinic Affiliation:Joseph J Wolcott Md PaBoard Certifications:Physical Medicine &RehabilitationLanguage(s): Spanish

Wolcott, Roger J, MDGender: Male5902 66th St(806) 797-2139Hospital Affiliations:University MedicalCenterClinic Affiliation: RogerJ Wolcott MdpaBoard Certifications:Physical Medicine &RehabilitationLanguage(s): Spanish

PHYSICAL THERAPYAlbracht, Tiffany E, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Aneshansley, Autumn N,LPTGender: Female3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:NoneLanguage(s): Spanish

Arnold, Cassie A, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

LUBBOCK August 15, 2021

Page 72: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

72

LUBBOCK (cont.)

PHYSICAL THERAPY (cont.)

Arreola, Aaron, LPTGender: Male4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Austin, Robert D, LPTGender: Male6202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Baker, Pamela A, LPTGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncPractice Information:No Patients Over 21 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Bason, Jillian, LPTGender: Female3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:None

Baum Baum, Laura, LPTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Bilodeau, Lori A, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 687-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-80086202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Boese, Elisa S, LPTGender: Female12115 Indiana AveSte 2(806) 993-50416202 82nd(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Bohn, Emily R, LPTGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:NoneLanguage(s): Spanish

Brints Viner, Nicole K,LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-10296202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Campbell, Kelly M, LPTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Clavijo, Catalina, LPTGender: Female4214 98th St(806) 712-7878Clinic Affiliation:Neurosurgical Assoc OfLubboBoard Certifications:None

Cobb, Kenyatta, LPTGender: Female6048 Marsha Sharp Frwy(806) 745-2200Clinic Affiliation:Concentra MedicalCentersBoard Certifications:None

Curry, Kathryn S, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-10296202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Dubose, Jara D, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-10296202 82nd(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Florez Garcia, Alberto,LPTGender: Male4214 98th St(806) 712-7878Clinic Affiliation:Neurosurgical Assoc OfLubboBoard Certifications:None

Frank, Burton H, LPTGender: Male3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:NoneLanguage(s): Spanish

Frick, Kimberly J, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-10296202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 73: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

73

LUBBOCK (cont.)

PHYSICAL THERAPY (cont.)

Frishman, David S, LPTGender: Male1717 A Norfolk Ave(806) 281-6327Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Fultz, Jordan D, LPTGender: Male12115 Indiana AveSte 2(806) 993-50414138 19th St(806) 780-2329Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Gafford, Hayley R, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Gillean, Lexington K,LPTGender: Male3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:NoneLanguage(s): Spanish

Hacker, Clint W, LPTGender: Male12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Hacker, Jacquelyn E,LPTGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:NoneLanguage(s): Spanish

Hacker, Clint W, LPTGender: Male4138 19th St(806) 687-8008

4642 N Loop 289 Ste 205(806) 771-1352Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Hacker, Jacquelyn E,LPTGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): Spanish

Hacker, Clint W, LPTGender: Male5236 80th StSte A(806) 771-1029Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Hacker, Jacquelyn E,LPTGender: Female6102 82nd St Ste 10(512) 260-6990Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): Spanish

Hacker, Clint W, LPTGender: Male6202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Harrell, Kristyn L, LPTGender: Female3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:None

Hill, Shelley R, LPTGender: Female6806 43rd St(806) 281-5600Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Hogg, Carol S, LPTGender: Female1628 19th St(806) 766-12864601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncPractice Information:No Patients Over 21 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Hosea, Alexandria R,LPTGender: Female4601 66th St Ste D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Hunt, Carley, LPTGender: Female2431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Hunt, Robert K, LPTGender: Male4214 98th St(806) 712-7878Clinic Affiliation:Neurosurgical Assoc OfLubboBoard Certifications:None

Hyland, Mary P, LPTGender: Female4601 66th St Ste D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Iafrate, William J, LPTGender: Male6048 Marsha Sharp Frwy(888) 997-2669Clinic Affiliation:Concentra MedicalCentersBoard Certifications:None

Jones Salaam, Imani S,LPTGender: Female1717 Norfolk Ave Bldg A(806) 281-63276806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:Physical Therapy

Jordan, Dallas J, LPTGender: Female4138 19th St(806) 780-2329Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Karrenbrock Blackloc,Nanette, LPTGender: Female1717 Norfolk Ave Bldg A(806) 281-63276806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

LUBBOCK August 15, 2021

Page 74: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

74

LUBBOCK (cont.)

PHYSICAL THERAPY (cont.)

Klatt, Tamara D, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-80086202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Lacey, Nkem L, LPTGender: Female6048 Marsha Sharp Frwy(888) 997-2669Clinic Affiliation:Concentra MedicalCentersBoard Certifications:None

Ledesma, Amadeo E,LPTGender: Male12115 Indiana AveSte 2(806) 993-50416202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Lewis, William S, LPTGender: Male12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289Ste 205(806) 771-13525236 80th StSte A(806) 771-80086202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Lim, Elmer V, LPTGender: Male6500 Quaker AveSte A(806) 785-7771Clinic Affiliation:Physical TherapyServices Of LubbBoard Certifications:NoneLanguage(s): Spanish,Tagalog

Lincecum, Lindsey A,LPTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Spanish

Lindsey, Allison R, LPTGender: Female6048 Marsha Sharp Frwy(888) 997-2669Clinic Affiliation:Concentra MedicalCentersBoard Certifications:None

Long, Clarice M, LPTGender: Female5217 82nd St Unit 104(806) 687-4311Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:Physical Therapy

Martinez, Albert R, LPTGender: Male1717 A Norfolk Ave(806) 281-62326806 43rd St(806) 281-5600Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneLanguage(s): Spanish

Masgras, Jennifer L,LPTGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): AmericanSign

Mataska, Nicholas C,LPTGender: Male5217 82nd St Ste 104(806) 687-4311Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:None

McCombs, Spencer D,LPTGender: Male5217 82nd St Ste 104(806) 687-4311Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:NoneLanguage(s): Cebuano

McCulloch, Taylor, LPTGender: Female3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:None

McDougal, Jared C, LPTGender: Male12115 Indiana AveSte 2(806) 993-5041

2431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

McKaskle, Michael B,LPTGender: Male12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-10294138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-10296202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Mikel, Eryn M, LPTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Mandarin,Spanish

Molinar, Alexandria D,LPTGender: Female5217 82nd StSte 104(806) 687-4311Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:None

August 15, 2021 LUBBOCK

Page 75: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

75

LUBBOCK (cont.)

PHYSICAL THERAPY (cont.)

Nairn, Meagan, LPTGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Nauert, Landon, LPTGender: Male12115 Indiana AveSte 2(806) 993-50414138 19th St(806) 780-2329Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Nieto, Karina, LPTGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Obregon, Joel H, LPTGender: Male25 Briercroft Office ParkSte B(806) 795-74336014 45th St(806) 780-7433Clinic Affiliation: LibertyVenture Group LlcBoard Certifications:NoneLanguage(s): Spanish

Olson, Bryce H, LPTGender: Male25 Briercroft Office ParkSte B(806) 795-7433Clinic Affiliation: LibertyVenture Group LlcBoard Certifications:NoneLanguage(s): Spanish

Olson, Liesl L, LPTGender: Female3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:NoneLanguage(s): Spanish

Olson, Bryce H, LPTGender: Male6014 45th StUnit B(806) 780-7433Clinic Affiliation: LibertyVenture Group LlcBoard Certifications:NoneLanguage(s): Spanish

Pendergrass, Timothy L,LPTGender: Male4214 98th St(806) 712-7878Clinic Affiliation:Neurosurgical Assoc OfLubboBoard Certifications:None

Perkins Hansen,Shauntae, LPTGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Pido Iledan, Jennifer,LPTGender: Female1717 Norfolk Ave Bldg A(806) 780-62846806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Powell, Kayla M, LPTGender: Female5217 82nd StSte 104(806) 687-4311Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:NoneLanguage(s): Spanish

Prabhu, Varsha C, LPTGender: Female1717 Norfolk Ave Bldg A(806) 281-63276806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Price Rodriquez,Amanda, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-23295236 80th StSte A(806) 771-10296202 82nd St(806) 667-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Props, Erick, LPTGender: Male12115 Indiana AveSte 2(806) 993-50414138 19th St(806) 780-2329Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Quezada, Noelia, LPTGender: Female6806 43rd St(806) 281-5600Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Ratheal, Stephanie S,LPTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Spanish

Redwine, Brittney R,LPTGender: Female12112 Topeka Ave(806) 705-7239Clinic Affiliation:Advanced PhysicalTherapy To GoBoard Certifications:None

Roney, Braedon D, LPTGender: Male6048 Marsha Sharp Frwy(888) 997-2669Clinic Affiliation:Concentra MedicalCentersBoard Certifications:None

Rowell Hazel, Shonda,LPTGender: Female12115 Indiana AveSte 2(806) 993-50414138 19th(806) 780-2329Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Rowland, Kristi, LPTGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Mandarin,Spanish

LUBBOCK August 15, 2021

Page 76: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

76

LUBBOCK (cont.)

PHYSICAL THERAPY (cont.)

Satterwhite, Ashli, LPTGender: Female12115 Indiana AveSte 2(806) 993-50416202 82nd(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Schwalk, Ryan T, LPTGender: Male12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-80086202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Smallwood, Justin R,LPTGender: Male12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-23295236 80th StSte A(806) 771-1029

6202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Stepp, Rick D, LPTGender: Male12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-80084138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th StSte A(806) 771-10296202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:NoneLanguage(s): Spanish

Stewart, Megan J, LPTGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Stewart, George, LPTGender: Male5217 82nd St Unit 104(806) 687-4311Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:None

Supple, Monet, LPTGender: Female5217 82nd StSte 104(806) 687-4311Clinic Affiliation:Levelland PhysicalTherapyBoard Certifications:None

Tate, Jonathan J, LPTGender: Male3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:None

Thiel, Bailey E, LPTGender: Female12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Thomas, Sarah L, LPTGender: Female12115 Indiana AveSte 2(806) 993-50414138 19th St(806) 780-23296202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Veal, Bradley J, LPTGender: Male4642 N Loop 289Ste 101(806) 705-7239Clinic Affiliation:Advanced PhysicalTherapy To GoBoard Certifications:None

Vintimilla, Antonio J,LPTGender: Male6048 Marsha Sharp Frwy(888) 997-2669Clinic Affiliation:Concentra MedicalCentersBoard Certifications:None

Wheeler, Brooke R, LPTGender: Female12115 Indiana AveSte 2(806) 993-5041

4138 19th St(806) 780-2329Clinic Affiliation:Physical Therapy TodayOf Lubbock LpBoard Certifications:None

Wilson, Elaine H, LPTGender: Female1717 A Norfolk Ave(806) 281-63276806 43rd St(806) 281-5600Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Young, Derek A, LPTGender: Male12115 Indiana AveSte 2(806) 993-50412431 S Loop 289(806) 771-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Young, Kenneth C, LPTGender: Male3838 50th St(806) 792-5522Clinic Affiliation:Physical Therapy AssocLpBoard Certifications:NoneLanguage(s): Spanish

Young, Derek A, LPTGender: Male4138 19th St(806) 780-2329

4642 N Loop 289 Ste 205(806) 771-13525236 80th St Ste A(806) 771-1029

August 15, 2021 LUBBOCK

Page 77: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

77

LUBBOCK (cont.)

PHYSICAL THERAPY (cont.)

6202 82nd St(806) 687-8008Clinic Affiliation:Physical Therapy TodayOf Lubbock LpPractice Information:No Patients Under 16 yrsoldBoard Certifications:NoneLanguage(s): Spanish

PLASTIC SURGERYArledge, Patricia R, MDGender: Female4642 N Loop 289 Ste203(806) 788-5598Hospital Affiliations:University MedicalCenterClinic Affiliation:Patricia R Arledge MdPllcBoard Certifications:Plastic Surgery

Mooty, Robert C, MDGender: Male10105 Quaker Ave(806) 797-6398Hospital Affiliations:University MedicalCenterClinic Affiliation: RobertP Schmid Md PaBoard Certifications:Plastic Surgery

Rowley, Jane M, MDGender: Female3519 22nd Pl(806) 792-3715Hospital Affiliations:University MedicalCenterClinic Affiliation: JaneM Rowley Md PaBoard Certifications:None

Schmid, Robert P, MDGender: Male10105 Quaker Ave(806) 797-6398Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: RobertP Schmid Md PaBoard Certifications:NoneLanguage(s): Spanish

PODIATRYBakatsas, George C,DPMGender: Male6849 82nd St Ste 102(806) 300-0134Clinic Affiliation:George C Bakatsas DpmLlcBoard Certifications:PodiatryLanguage(s): Greek

Harper, Sean A, DPMGender: Male4601 66th St Ste A(806) 793-3668Clinic Affiliation:Schwarzentraub FootClinicBoard Certifications:Podiatry

Nguyen, Adam, DPMGender: Male3702 22nd Pl(806) 747-4467Clinic Affiliation: FamilyFoot And Ankle Care PllcBoard Certifications:NoneLanguage(s): Spanish

Schwarzentraub, Paul H,DPMGender: Male4601 66th StSte A(806) 793-3668Clinic Affiliation:Schwarzentraub FootClinicBoard Certifications:None

Schwarzentraub, Sean P,DPMGender: Male4601 66th StSte A(806) 793-3668Clinic Affiliation:Schwarzentraub FootClinicBoard Certifications:PodiatryLanguage(s): Spanish

PSYCHIATRYSullivan, Zachary, DOGender: Male3601 4th St Ste 1a122(806) 743-28006610 Quaker Ave(806) 743-4270Hospital Affiliations:Dell Childrens MedicalCenter, Dell SetonMedical Center At UtClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

PULMONARY DISEASESBerdine, Gilbert G, MDGender: Male3601 4th St Fl 2Medical Pavilion(806) 743-3150Hospital Affiliations:University MedicalCenter, Wise HealthSystemClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pulmonary Diseases

Islam, Ebtesam A, MDGender: Female3601 4th St(806) 743-3150602 Indiana Ave(806) 743-3364Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pulmonary Diseases

Nugent, Kenneth M, MDGender: Male5020 50th St Ste 102(806) 785-9600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Pulmonary Diseases

Test, Victor J, MDGender: Male3601 4th St(806) 743-3150Hospital Affiliations:Bs&w Medical CenterTemple, Medical CityArlington, Tx HealthArlington MemorialHospital, UniversityMedical CenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

RADIATION ONCOLOGYAbdulrahman, Ramzi E,MDGender: Male602 Indiana Ave(806) 761-0699(806) 775-8600Hospital Affiliations:Parkland Health &Hospital System,University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Radiation Oncology

Chou, Jui Lien, MDGender: Female4002 21st St Ste A(806) 793-14064009 19th St #e(806) 799-93554011 19th St(806) 793-9738

LUBBOCK August 15, 2021

Page 78: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

78

LUBBOCK (cont.)

RADIATION ONCOLOGY (cont.)

602 Indiana Ave(806) 775-8200Hospital Affiliations:Baptist Health System,Lubbock Heart HospitalLp, Methodist Hospital,Methodist Spec &Transplant Hospital,Northeast MethodistHospital, UniversityMedical CenterClinic Affiliation:Radiation Oncology OfThe South Plains PaBoard Certifications:Radiation OncologyLanguage(s): Chinese,Mandingo, Spanish

Mehta, Sanjay C, MDGender: Male424 N Utica Ave(806) 776-8200Hospital Affiliations:Chi St Lukes Hlth BaylorColl Med, Hca HoustonHealthcare Clear Lake,St Joseph MedicalCenterClinic Affiliation:Century RadiationOncology LubbocBoard Certifications:Radiation OncologyLanguage(s): Hindi,Spanish

Shi, Zheng, MDGender: Female602 Indiana Ave(806) 775-8600Hospital Affiliations:University Health SystemClinic Affiliation: UmcPhysiciansBoard Certifications:None

Torres, Carlos P, MDGender: Male602 Indiana Ave(806) 775-8600Hospital Affiliations:University MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

RADIOLOGYAkbar, Syed A, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Aziz, Shahroz K, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Azizad, Shameem, MDGender: Female1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Ballenger, Zachary E,MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

Barnett, Frederick M, MDGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations:Doctors Hospital AtRenaissanceClinic Affiliation:Concord Radiology PllcBoard Certifications:RadiologyLanguage(s): Spanish

Bass, David K, MDGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations:Hamilton Hospital,Limestone MedicalCenter, Navarro RegionalHospitalClinic Affiliation:Concord Radiology PllcBoard Certifications:Radiology

Belle, Troy A, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Berven, Michael D, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Blackwell, David E, MDGender: Male602 Indiana Ave Ste B70(806) 743-4462808 Joliet Ave Ste 130(806) 743-1810Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Bruening, Brian J, MDGender: Male3525 19th St(806) 687-83464005 24th St(806) 792-2767Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Brull, James, DOGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations:Las Palmas Camp LpdshClinic Affiliation:Concord Radiology PllcBoard Certifications:Radiology

Burke, Patrick J, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Callahan, Thomas E, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, HendrickMedical Center, LubbockHeart Hospital Lp,University MedicalCenterClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

Chandler, Nancy, MDGender: Female4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, DoctorsHospital At Renaissance,Lubbock Heart HospitalLp, University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:Radiology

August 15, 2021 LUBBOCK

Page 79: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

79

LUBBOCK (cont.)

RADIOLOGY (cont.)

Cook, Cassy L, MDGender: Female4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:Radiology

Cox, Cody A, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations:Cochran MemorialHospital, D M CogdellMemorial Hospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Cushman, Walter H, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations:Cochran MemorialHospital, D M CogdellMemorial Hospital,Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Dileo, Steven J, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:RadiologyLanguage(s): Spanish

Donaldson, David L, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Parkland Health &Hospital System,University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:Radiology

Dubovsky, Elizabeth C,MDGender: Female1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Gogia, Rajesh, MDGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations: BS & W Orthopedic &Spine Hos, WardMemorial HospitalClinic Affiliation:Concord Radiology PllcBoard Certifications:None

Gouvion, Michael D, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations:Bs&w Medical CenterMcKinney, Bs&w MedicalCenter Plano, D MCogdell MemorialHospital, DoctorsHospital Of Laredo,Lubbock Heart HospitalLp, Medical City Plano,University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:Radiology

Grossman, Jeffrey W,MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Hanrahan, Corey, DOGender: Male4005 24th St(806) 792-2767Clinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

Hewett, Lee, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Izgur, Vitaly Z, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Johnson, Carson L, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Jones, Frederick A, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Juarez, John, MDGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations:Bs&w Medical CenterBrenham, Bs&w MedicalCenter Lakeway, Bs&wMedical Center RoundRock, Bs&w MedicalCenter Temple, Bs&wMedical Ctr CollegeStation, Val VerdeRegional Medical CenterClinic Affiliation:Concord Radiology PllcBoard Certifications:Radiology

Knapp, Michael E, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:Radiology

LUBBOCK August 15, 2021

Page 80: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

80

LUBBOCK (cont.)

RADIOLOGY (cont.)

Maheshwari, Mukul P,MDGender: Male4005 24th St(806) 792-2767Clinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

Maneevese, Michelle N,MDGender: Female1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Martinez, Waldo M, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Montgomery, James, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

Moskos, Bill N, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations:Cochran MemorialHospital, CrosbytonClinic Hospital, LubbockHeart Hospital Lp,Medical Arts HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): German,Spanish

Muff, David F, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations:Brownfield RegionalMedical Ctr, D M CogdellMemorial Hospital, LambHealthcare Center,Lubbock Heart HospitalLp, Lynn County HospitalDistrict, Medical ArtsHospital, SwisherMemorial Hospital,University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Nguyen, Bao C, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Nwankwo, John I, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Phillips, William E, MDGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations:Navarro RegionalHospitalClinic Affiliation:Concord Radiology PllcBoard Certifications:None

Pilika, Asti P, MDGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations:Concho County HospitalClinic Affiliation:Concord Radiology PllcBoard Certifications:None

Poe, Greg S, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

Porter, Scott C, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Roy, Anjali, MDGender: Female1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Rusnak, Wlliam J, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Sadri Tafazoli, Faranak,MDGender: Female1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Sami, Faisal A, MDGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations:Del Sol Camp Lpdsh,Hosps ProvidenceMemorial CampusClinic Affiliation:Concord Radiology PllcBoard Certifications:None

Samuels, Todd R, MDGender: Male4005 24th St(806) 792-2767Clinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Scherr, Jay M, MDGender: Male4005 24th St(806) 792-2767Clinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 81: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

81

LUBBOCK (cont.)

RADIOLOGY (cont.)

Shah, Dishant G, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Simmons, Gary E, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations:Cochran MemorialHospital, D M CogdellMemorial Hospital, LambHealthcare Center,Lubbock Heart HospitalLp, University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:Radiology

Taylor, Kimberly A, MDGender: Female1602 Ave Q(888) 264-0330Hospital Affiliations:Comanche CountyMedical Center, HendrickMedical CenterClinic Affiliation:Concord Radiology PllcBoard Certifications:None

Trudeau, Joseph D, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Uddin, Qazi F, MDGender: Male1602 Ave Q(888) 264-0330Hospital Affiliations:Frio Regional HospitalClinic Affiliation:Concord Radiology PllcBoard Certifications:Radiology

Van Zandt, Bryan L, MDGender: Male4005 24th St(806) 792-2767Clinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

White, Kenneth K, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, University MedicalCenter, Yoakum CountyHospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:Radiology

White, Steven C, MDGender: Female4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

Williams, David K, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:Radiology

Willis, Anthony J, MDGender: Male1602 Ave Q(888) 264-0330Clinic Affiliation:Concord Radiology PllcBoard Certifications:None

Windisch, Thomas R,MDGender: Male4005 24th St(806) 792-2767Clinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:NoneLanguage(s): Spanish

Winn, William E, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:None

Wolfe, James T, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

Wright, John L, MDGender: Male1602 Ave Q(888) 265-0330Hospital Affiliations:Bs&w Medical CenterLakewayClinic Affiliation:Concord Radiology PllcBoard Certifications:Radiology

Wright, Douglas H, MDGender: Male4005 24th St(806) 792-2767Hospital Affiliations: DM Cogdell MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Swisher MemorialHospital, UniversityMedical Center, YoakumCounty HospitalClinic Affiliation:Lubbock DiagnosticRadiology LlpBoard Certifications:RadiologyLanguage(s): Spanish

RHEUMATOLOGYBushan, Naga S, MDGender: Male5220 80th St(806) 771-2400Hospital Affiliations:University MedicalCenterClinic Affiliation:Arthritis & OsteoporosisBoard Certifications:NoneLanguage(s): Spanish

Calmes, James M, MDGender: Male5220 80th St(806) 771-2400Hospital Affiliations:University MedicalCenterClinic Affiliation:Arthritis & OsteoporosisPractice Information:No Patients Under 18 yrsoldBoard Certifications:RheumatologyLanguage(s): Spanish

LUBBOCK August 15, 2021

Page 82: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

82

LUBBOCK (cont.)

RHEUMATOLOGY (cont.)

Del Giudice, Jose A, MDGender: Male5220 80th St(806) 771-2400Hospital Affiliations:University MedicalCenterClinic Affiliation:Arthritis & OsteoporosisPractice Information:No Patients Under 18 yrsoldBoard Certifications:RheumatologyLanguage(s): French,Spanish

Prasertsuntarasai,Theerapol, MDGender: Male5609 114th St(806) 589-1778Clinic Affiliation: WestTexas Arthritis ClinicBoard Certifications:Rheumatology

SPEECH PATHOLOGYAncell Cargile, Erin L,SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Spanish

Anderson, Chelsea, SLPGender: Female4601 66th St Ste D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Bogschutz, Renee J,SLPGender: Female3601 4th St Ste 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Bremer, Lee A, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): German,Spanish

Carr, Heather L, SLPGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:NoneLanguage(s): Spanish

Clark, Sarah B, SPGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Clayton, Amanda J, SLPGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): Spanish

Cowden, Hannah, SLPGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Crabtree, Lesli A, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Spanish

Day, Kerri L, SPGender: Female6806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Degroot, Lorlyn L, SLPGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Delahunt, Kimberly M,SLPGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Dembowski, James S,SLPGender: Male3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

Dye, Emily, SLPGender: Female1717 Norfolk Ave Bldg A(806) 281-6327Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Fahey, Evin L, SLPGender: Female1717 Norfolk AveBldg A(806) 281-63276806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Ford, Kimberly E, SLPGender: Female1717 Norfolk AveBldg A(806) 281-63276806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Fowlier, Katherine, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Gibson, Alex J, SLPGender: Male4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Gonzalez, Amanda M,SLPGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:None

Gore, Lisa H, SLPGender: Female3601 4th StSte 2a300(806) 743-5678Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Granados, Sarai, SLPGender: Female3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

August 15, 2021 LUBBOCK

Page 83: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

83

LUBBOCK (cont.)

SPEECH PATHOLOGY (cont.)

Hall, Brittany L, SLPGender: Female3601 4th St Ste 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): Spanish

Head, Erin, SLPGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Hensley, Rhealan A, SLPGender: Female3501 S Loop 289(806) 796-17745211 79th St(806) 853-97406102 82nd St Ste 10(512) 260-6990Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Hildebrandt, Samye A,SLPGender: Female3601 4th StSte 2a300(806) 743-5678Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Hinojos, Kalin, SLPGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Hodges, Holli J, SLPGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Holland, Hesper Y, SLPGender: Female3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Hudman, Taylor, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Hutto, Debbi V, SLPGender: Female3601 4th St(806) 743-5678Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Johnston, Jennifer P, SPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:Speech PathologyLanguage(s): AmericanSign, German, Spanish

Ketchersid, Kathryn B,SLPGender: Female3601 4th StSte 2a 300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Krakosky, Jessie, SLPGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Kroll, Tobias A, SLPGender: Male3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Lee, Sue S, SLPGender: Female3601 4th St(806) 743-5678Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Loeffler, Aundrea C, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Loyd, Debby B, SLPGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:NoneLanguage(s): Oromo,Spanish

Mahan, Carla S, SLPGender: Female3601 4th StSte 2a300(806) 743-5678Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Messer, Colita L, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramPractice Information:No Patients Over 3 yrsoldBoard Certifications:NoneLanguage(s): AmericanSign, German, Mandarin,Spanish

Miller, Gina G, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Miller, Elizabeth S, SLPGender: Female6806 43rd St(806) 368-6565Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Muru, Andrea, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

Neffendorf, Stacie L,SLPGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncPractice Information:No Patients Over 21 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Parker, Kristine K, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:None

LUBBOCK August 15, 2021

Page 84: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

84

LUBBOCK (cont.)

SPEECH PATHOLOGY (cont.)

Perry, Carolyn, SLPGender: Female3601 4th St1st Fl Medical Pavilion(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

Pollard, Monica E, SLPGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:NoneLanguage(s): Spanish

Poole, Amy B, SLPGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Roden Young, Lyndi L,SLPGender: Female1628 19th St(806) 219-05004601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncPractice Information:No Patients Over 21 yrsoldBoard Certifications:NoneLanguage(s): Spanish

Sancibrian, Cheryl L, SPGender: Female3601 4th StSre 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

Silverthorn, Whitney F,SLPGender: Female4601 66th StSte D(806) 793-3900Clinic Affiliation:Pediatric Therapy IncBoard Certifications:Speech Pathology

Sneed, Susan, SLPGender: Female3601 4th StSte 2a300(806) 743-5678Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Stafford, Susan C, SLPGender: Female3501 S Loop 289(806) 796-1774Clinic Affiliation:Genesis Prostep LlcBoard Certifications:None

Stephens, Amanda A,SLPGender: Female5064b 50th St(806) 777-9989Clinic Affiliation:Flatland Therapy PllcBoard Certifications:None

Travis, Sydney, SLPGender: Female5211 79th St(806) 853-9740Clinic Affiliation:Achieve PediatricTherapy And RehBoard Certifications:None

Van Sickle Bednarz,Angela J, SLPGender: Female3601 4th St(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Wallace, Megan, SLPGender: Female1628 19th St(806) 219-0500Clinic Affiliation: EciDebt Lisd ProgramBoard Certifications:NoneLanguage(s): German,Spanish

Weatherly, Madison,SLPGender: Female1717 Norfolk Ave(806) 281-6200Clinic Affiliation:Rehabcare GroupBoard Certifications:None

Whitaker, Melissa C,SLPGender: Female3601 4th St(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Yi, Hoyoung, SLPGender: Female3601 4th StSte 2a300(806) 743-5678Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

THORACIC SURGERYHalldorsson, Ari O, MDGender: Male3601 4th St1st Fl Medical Pavilion(806) 775-8600Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Thoracic Surgery

Hirsch, Benjamin A, MDGender: Male3502 9th StSte 260(806) 792-8185Hospital Affiliations:University MedicalCenterClinic Affiliation: UmcPhysiciansBoard Certifications:Thoracic Surgery

Mason, David P, MDGender: Male3711 22nd St Ste B(469) 800-7370Clinic Affiliation: HealthTexas Provider NetworkBoard Certifications:Thoracic Surgery

Paone, Ralph F, MDGender: Male3502 9th StSte 260(806) 792-8185Hospital Affiliations:Hosps Of ProvidenceSierra Campus, HospsProvidence MemorialCampus, Las PalmasCamp LpdshClinic Affiliation: UmcPhysiciansBoard Certifications:Thoracic Surgery

Parameswaran, Shamini,MDGender: Female4102 24th StSte 304(806) 743-7874Clinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

August 15, 2021 LUBBOCK

Page 85: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

85

LUBBOCK (cont.)

THORACIC SURGERY (cont.)

Schwartz, Gary S, MDGender: Male3711 22nd St Ste B(469) 800-7370Hospital Affiliations:Baylor University MedicalCenterClinic Affiliation: HealthTexas Provider NetworkBoard Certifications:Thoracic Surgery

Springer, William E, MDGender: Male3502 9th St Ste 260(806) 792-8185Hospital Affiliations:Christus Mother FrancesTylerClinic Affiliation: UmcPhysiciansBoard Certifications:Thoracic Surgery

TRANSPLANTHEPATOLOGYWeinstein, Jeffrey S, MDGender: Male2405 Broadway(214) 947-4400(214) 978-4400Hospital Affiliations:Baylor University MedicalCenter, Methodist DallasMedical CenterClinic Affiliation: TexasDigestive DiseaseConsultantsBoard Certifications:NoneLanguage(s): Spanish

URGENT CAREPROVIDERCaldwell, Jon L, MDGender: Male

6048 Marsha Sharp Frwy(866) 944-6046Hospital Affiliations:Bsa Hospital Llc,Northwest TexasHealthcare SystemClinic Affiliation:Concentra Urgent CareBoard Certifications:NoneLanguage(s): Spanish

Esposito, Salvatore, MDGender: Male

6048 Marsha Sharp Frwy(866) 944-6046Hospital Affiliations:Baytown Medical CenterLp, Hosps ProvidenceMemorial Campus,Nacogdoches MedicalCenter, Northwest TexasHealthcare SystemClinic Affiliation:Concentra Urgent CareBoard Certifications:NoneLanguage(s): French,German, Italian, Spanish

Hassett, Robert, DOGender: Male

6048 Marsha Sharp Frwy(866) 944-6046Clinic Affiliation:Concentra Urgent CareBoard Certifications:None

Leighton Wolboldt,Kimberly A, MDGender: Female

6048 Marsha Sharp Frwy(866) 944-6046Clinic Affiliation:Concentra Urgent CareBoard Certifications:None

UROLOGYBeck, Howard W, MDGender: Male6102 82nd StSte 5(806) 771-0077Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, MitchellCounty Hospital District,University MedicalCenterClinic Affiliation:Lubbock Urology ClinicBoard Certifications:UrologyLanguage(s): Spanish

Britton, Carl L, MDGender: Male418 N Utica Ave(806) 771-5882

6102 82nd StSte 5(806) 771-0077Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Lubbock Urology ClinicBoard Certifications:UrologyLanguage(s): Spanish

Brothers, Jorge R, MDGender: Male418 N Utica Ave(806) 771-5882Hospital Affiliations:Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation:Lubbock Urology ClinicBoard Certifications:UrologyLanguage(s): Spanish

Cammack, James T, MDGender: Male3601 4th St1st Fl Medical Pavilion(806) 743-1810Hospital Affiliations:Peterson RegionalMedical Center,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Urology

De Riese, Werner T, MDGender: Male3601 4th StSte 3b100 Fl 1(806) 743-1810602 Indiana Ave(806) 743-18108602 Peach Ave(806) 743-1810Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:UrologyLanguage(s): German

Haynes, Allan L, MDGender: Male3601 4th StSte 3b100(806) 743-1810602 Indiana(806) 743-18108602 Peach Ave(806) 743-1810Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Mahal, Kanwaljit S, MDGender: Male6102 82nd StSte 5(806) 771-0077Hospital Affiliations:Lubbock Heart HospitalLp, Permian RegionalMedical Center,University MedicalCenterClinic Affiliation:Lubbock Urology ClinicBoard Certifications:UrologyLanguage(s): Spanish

Nelius, Thomas, MDGender: Male3601 4th StSte 3b100(806) 743-1810602 Indiana(806) 743-18108602 Peach Ave(806) 743-1810Hospital Affiliations:Hendrick Medical Center,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Sanford, Melissa T, MDGender: Female3601 4th StSte 3b100(806) 743-1810

LUBBOCK August 15, 2021

Page 86: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

86

LUBBOCK (cont.)

UROLOGY (cont.)

4004 82nd StSte 100(806) 722-3122Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Sharma, Pranav, MDGender: Male3601 4th St(806) 743-1810Hospital Affiliations:Hendrick Medical Center,University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:Urology

Smith, Cynthia K, MDGender: Female3601 4th St Ste 3b100(806) 743-1810Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Spore, Scott S, MDGender: Male418 N Utica(806) 771-58826102 82nd StSte 5(806) 771-0077Hospital Affiliations:Heart Of Texas MemorialHospital, Lubbock HeartHospital Lp, UniversityMedical CenterClinic Affiliation:Lubbock Urology ClinicBoard Certifications:UrologyLanguage(s): Spanish

Timberlake, Matthew D,MDGender: Male3601 4th St(806) 743-1810Hospital Affiliations:University MedicalCenterClinic Affiliation: TxTech Univ Hlth Sci CtrLubbockBoard Certifications:None

Vallabhan, Girish C, MDGender: Male6102 82nd St Bldg 5(806) 771-0077Hospital Affiliations:Hereford RegionalMedical Center, LubbockHeart Hospital Lp,University MedicalCenterClinic Affiliation:Lubbock Urology ClinicBoard Certifications:UrologyLanguage(s):Portuguese, Spanish

MIDLAND

NEONATAL-PERINATALMEDICINESharma, Anudeepa, MDGender: Female400 Rosalind RedfernGrover Pkwy(806) 725-3107Hospital Affiliations:Medical City Lewisville,Midland MemorialHospital, MidlandMemorial Hospital WestCampusClinic Affiliation:Sheridan Healthcare OfTx PaBoard Certifications:None

MULESHOE

ANESTHESIOLOGYRicaldi, Carlos A, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Lamb Healthcare Center,Muleshoe Area MedicalCenter, UniversityMedical CenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:None

Sample, Heather S, MDGender: Female708 S 1st St(806) 272-4524Hospital Affiliations:Hca Houston HealthcareClear Lake, MartinCounty Hospital District,Muleshoe Area MedicalCenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:None

CHIROPRACTICPartain, Joshua L, DCGender: Male1106 W American Blvd(806) 272-4000Clinic Affiliation:Partain ChiropracticWellness CenBoard Certifications:NoneLanguage(s): Spanish

EMERGENCY MEDICINEAddington, Charles E,DOGender: Male708 S First St(806) 272-4524Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, Lynn CountyHospital District,Muleshoe Area MedicalCenter, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation:Medical Clinic OfMuleshoePractice Information:No Patients Under 3 yrsoldBoard Certifications:None

Appel, Jimmie R, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Bellville Medical Center,Bsa Hospital Llc, LambHealthcare Center,Muleshoe Area MedicalCenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:None

Dean, Thurston E, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Anson General Hospital,Bellville Medical Center,Hamilton Hospital,Mitchell County HospitalDistrict, Muleshoe AreaMedical Center, OttoKaiser MemorialHospital, ParkviewHospital, PermianRegional Medical Center,Rolling Plains MemorialHospitalClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

August 15, 2021 LUBBOCK

Page 87: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

87

MULESHOE (cont.)

EMERGENCY MEDICINE (cont.)

Foster, Matthew D, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Lamb Healthcare Center,Muleshoe Area MedicalCenter, Palo PintoGeneral HospitalClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:None

Funk, Kevin A, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Eastland MemorialHospital, LambHealthcare Center,Lubbock Heart HospitalLp, Medical Arts Hospital,Muleshoe Area MedicalCenter, PermianRegional Medical CenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:Emergency MedicineLanguage(s): AmericanSign, Sign Language,Spanish

Helak, Joseph P, DOGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Lamb Healthcare Center,Medical Arts Hospital,Muleshoe Area MedicalCenter, UniversityMedical CenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:Emergency Medicine

Lansang, Francis A, MDGender: Male708 S First(806) 272-4524Hospital Affiliations:Hca Houston HealthcareKingwood, LibertyDayton RegionalMedical, Muleshoe AreaMedical Center, ParmerCounty CommunityHospitalClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

Lipscomb, Larry B, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Clay County MemorialHospital, LambHealthcare Center,Muleshoe Area MedicalCenter, Paris RegionalMedical Center, SweenyCommunity Hospital, W JMangold MemorialHospitalClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

Nitzel, Grant E, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Muleshoe Area MedicalCenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

Ogeda, Fidel L, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Baptist Health System,Medical Arts Hospital,Muleshoe Area MedicalCenter, NortheastMethodist Hospital,Scenic Mountain MedicalCenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:Emergency MedicineLanguage(s): AmericanSign, German, Spanish

Patterson, Jeffrey C, DOGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Ascension SetonSouthwest, Bsa HospitalLlc, Christus Santa RosaNew Braunfels, EastlandMemorial Hospital,Golden PlainsCommunity Hospital,Medical Center Hospital,Muleshoe Area MedicalCenter, Paris RegionalMedical Center, PetersonRegional Medical Center,Sagecrest HospitalCarrolltonClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:Emergency MedicineLanguage(s): Spanish

Purdy, Bruce D, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Muleshoe Area MedicalCenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

Sasin, Edwin J, MDGender: Male708 S First(806) 272-4524Hospital Affiliations:Chi St Lukes Hlth BaylorColl Med, Muleshoe AreaMedical Center, OttoKaiser MemorialHospital, PermianRegional Medical Center,University MedicalCenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:Emergency Medicine

Sheets, Harry K, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Muleshoe Area MedicalCenter, Palo PintoGeneral HospitalClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:NoneLanguage(s): Spanish

Smith, Darvin W, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Lamb Healthcare Center,Martin County HospitalDistrict, Muleshoe AreaMedical Center, PermianRegional Medical CenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:None

MULESHOE August 15, 2021

Page 88: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

88

MULESHOE (cont.)

EMERGENCY MEDICINE (cont.)

Thornton, Janet L, DOGender: Female708 S 1st St(806) 272-4524Hospital Affiliations:Christus Spohn Hos CctxShoreline, MuleshoeArea Medical Center,Permian RegionalMedical Center, W JMangold MemorialHospitalClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:Emergency MedicineLanguage(s): Spanish

Wood, Roy C, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Glen Rose MedicalCenter, Heart Of TexasMemorial Hospital,Muleshoe Area MedicalCenter, Rankin CountyHospital District,Stephens MemorialHospital, W J MangoldMemorial HospitalClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:None

GENERAL SURGERYDurgin, Jeffrey D, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Bs&w Medical CenterTaylor, Frio RegionalHospital, LegentHospital, Martin CountyHospital District,Muleshoe Area MedicalCenter, NacogdochesMemorial Health, OdessaRegional Medical Center,Palo Pinto GeneralHospitalClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:General SurgeryLanguage(s): Spanish

Zamora, Jose L, MDGender: Male708 S 1st St(806) 272-4524Hospital Affiliations:Christus Spohn HospitalAlice, Christus SpohnHospital Kleberg,Cornerstone RegionalHospital Lp, DimmitRegional Hospital, KnappMedical Center,Memorial MedicalCenter, Muleshoe AreaMedical Center, SouthTexas Health System,Valley Baptist MedicalCenterClinic Affiliation:Muleshoe Area MedicalCenterBoard Certifications:General SurgeryLanguage(s): French,Spanish

PAMPA

ANESTHESIOLOGYColeman, Jessie D, MDGender: Male1 Medical Plaza(806) 355-6593Hospital Affiliations:Pampa Regional MedicalCenterClinic Affiliation: Top OTexas AnesthesiologyServicPractice Information:No Patients Under 18 yrsoldBoard Certifications:AnesthesiologyLanguage(s): Spanish

PLAINVIEW

AUDIOLOGYFischenich, Debra D,AUDIOGender: Female2200 W 5th StSte B(806) 293-8874Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:None

Nava, Andrea L, AUDIOGender: Female2200 W 5th StSte B(806) 293-8874Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:None

Owen, Haley J, AUDIOGender: Female2200 W 5th StSte B(806) 293-8874Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:None

Taylor, Hillary E, AUDIOGender: Female2200 W 5th StSte B(806) 293-8874Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:NoneLanguage(s): Spanish

CHIROPRACTICChambless, Jared D, DCGender: Male4304 Olton Rd(806) 293-5001Clinic Affiliation: JasonC Helton DcBoard Certifications:NoneLanguage(s): Spanish

Cunningham, Thomas N,DCGender: Male2204 Edgemere Dr(806) 293-3130Clinic Affiliation:Cunningham ChiropracticPcBoard Certifications:NoneLanguage(s): Spanish

DERMATOLOGYGunter, Jeffrey R, MDGender: Male2215 W 5th St(806) 429-8015Hospital Affiliations:Coryell MemorialHospitalClinic Affiliation: JeffreyRoss Gunter Md IncBoard Certifications:Dermatology

August 15, 2021 MULESHOE

Page 89: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

89

PLAINVIEW (cont.)

EMERGENCY MEDICINEBassett, Perry E, MDGender: Male2601 Dimmitt Rd(800) 962-3303Hospital Affiliations:Bsa Hospital Llc, D MCogdell MemorialHospital, FreestoneMedical Center, LakeGranbury MedicalCenter, LongviewRegional Medical Center,Lubbock Heart HospitalLp, Pampa RegionalMedical CenterClinic Affiliation: TexasEmergency StaffingSolutions PaBoard Certifications:None

Mallik, Subodh K, MDGender: Male2601 Dimmitt Rd(800) 962-3303Hospital Affiliations:Pecos County MemorialHospital, Ward MemorialHospitalClinic Affiliation: TexasEmergency StaffingSolutions PaBoard Certifications:NoneLanguage(s): Hindi,Spanish

Schultz, F Michael, MDGender: Male2601 Dimmitt Rd(800) 962-3303Hospital Affiliations:Baptist Health System,Comanche CountyMedical Center, HendrickMed Center Brownwood,Mission RegionalMedical Center, PaloPinto General Hospital,Rio Grande RegionalHospital, Starr CountyMemorial HospitalClinic Affiliation: TexasEmergency StaffingSolutions PaPractice Information:Practice Limited toGynecologyBoard Certifications:NoneLanguage(s): Spanish

NUTRITION & DIETETICSKing, Abby, RDGender: Female710 Quincy St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:None

OCCUPATIONALTHERAPYAppling, Deanna K, OTGender: Female710 Quincy(806) 291-4416Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:NoneLanguage(s): Spanish

Softley, Hannah K, OTGender: Female710 Quincy St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:None

PHYSICAL THERAPYEaves, Kristen E, LPTGender: Female1605 W 5th St(806) 288-7891Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:NoneLanguage(s): Spanish

Qualls, Joellen K, LPTGender: Female1806 Quincy St(806) 288-78912700 Yonkers St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:None

Sanders, Ryan S, LPTGender: Female2700 Yonkers St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:NoneLanguage(s): AmericanSign, Spanish

Sutterfield, Mary E, LPTGender: Female1806 Quincy St(806) 288-7891Clinic Affiliation: WestTexas Family MedicinePllcBoard Certifications:NoneLanguage(s): Spanish

Valdez, Lydia N, LPTGender: Female602 W 6th St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:None

PLASTIC SURGERYPiskun, Mary Ann, MDGender: Female2215 W 5th St(806) 429-8015Hospital Affiliations:Bsa Hospital Llc,Northwest TexasHealthcare SystemClinic Affiliation: JeffreyRoss Gunter Md IncBoard Certifications:None

RADIOLOGYGarvish, John F, MDGender: Male2404 Yonkers StSte 4(806) 293-42312404 Yonkers St Ste 4(806) 293-4231Hospital Affiliations:Swisher MemorialHospital, W J MangoldMemorial HospitalBoard Certifications:RadiologyLanguage(s): Spanish

Kurapati, Surender, MDGender: Male2404 Yonkers StSte 4(806) 293-2735Hospital Affiliations:University MedicalCenterClinic Affiliation:Plainview Radiology LlcBoard Certifications:None

SPEECH PATHOLOGYBatenhorst, Haley, SLPGender: Female2700 Yonkers St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:None

Chick, Kirstie R, SLPGender: Female2700 Yonkers St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:None

Givens, Lucy H, SLPGender: Female710 Quincy St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:None

Hutto, Debbi V, SLPGender: Female710 Quincy St(806) 291-4416Hospital Affiliations:University MedicalCenterClinic Affiliation:Central Plains MhmrCenterBoard Certifications:None

Schulte, Caitlin D, SLPGender: Female2700 Yonkers St(806) 293-2636Clinic Affiliation:Central Plains MhmrCenterBoard Certifications:NoneLanguage(s): Spanish

PLAINVIEW August 15, 2021

Page 90: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

90

PLAINVIEW (cont.)

UROLOGYGraves, Michael T, MDGender: Male2404 Yonkers(806) 293-5111Hospital Affiliations: WJ Mangold MemorialHospitalBoard Certifications:UrologyLanguage(s): French,German, Spanish

SAN MARCOS

PHYSICAL THERAPYSedlacek, Rachel, LPTGender: Female102 Uhland RdSte 112(512) 396-0872Clinic Affiliation: ColeConsolidated Rehab LlcBoard Certifications:None

SEMINOLE

GENERAL SURGERYMcClain, Gregory D, MDGender: Male209 Nw 8th St(432) 758-4900Clinic Affiliation: RuralPhysicians Group PannuPllcBoard Certifications:General SurgeryLanguage(s): Spanish

McKinney, William B, MDGender: Male209 Nw 8th(432) 758-4900Hospital Affiliations:Cuero Regional Hospital,Jackson HealthcareCenter, LimestoneMedical Center, UvaldeMemorial HospitalClinic Affiliation: RuralPhysicians Group PannuPllcBoard Certifications:General Surgery

Miller, Steven L, MDGender: Male209 Nw 8th(432) 758-4900Hospital Affiliations:Encompass HealthRehabilitaton Ho,Medical City PlanoClinic Affiliation: RuralPhysicians Group PannuPllcBoard Certifications:General Surgery

Ramzy, Peter I, MDGender: Male209 Nw 8th(432) 758-4900Hospital Affiliations:Palo Pinto GeneralHospital, PermianRegional Medical Center,Resolute HospitalCompany LlcClinic Affiliation: RuralPhysicians Group PannuPllcPractice Information:No Patients Under 10 yrsoldBoard Certifications:General SurgeryLanguage(s): Spanish

Walker, Frank S, MDGender: Male209 Nw 8th St Ste 3rd FlBldg Grey Hall(936) 240-9339Hospital Affiliations:Chi St Lukes HealthMemorial, Chi St LukesHlth Mem Livingston,Hca Houston HealthcareKingwoodBoard Certifications:NoneLanguage(s): Spanish

OBSTETRICS-GYNECOLOGYSayegh, Gilbert G, MDGender: Male1004 Hobbs HwySte 4(432) 758-4777Hospital Affiliations:Christus Good ShepherdMed Ctr, Hca HoustonHealthcare WestBoard Certifications:Obstetrics-GynecologyLanguage(s): Arabic,French, Spanish

SNYDER

AUDIOLOGYFischenich, Debra D,AUDIOGender: Female1707 30th St(325) 574-1040Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:None

Nava, Andrea L, AUDIOGender: Female1707 30th St(325) 574-1010Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:None

Owen, Haley J, AUDIOGender: Female1707 30th St(325) 574-1040Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:None

Taylor, Hillary E, AUDIOGender: Female1707 30th St(325) 574-1040Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:NoneLanguage(s): Spanish

CARDIOVASCULARDISEASEWilson, Gibbs, MDGender: Male1700 Cogdell Blvd(325) 793-3100Hospital Affiliations:Bs&w Medical CenterTemple, HendrickMedical CenterClinic Affiliation:Hendrick ProviderNetworkBoard Certifications:None

CHIROPRACTICSchwartz, Nathan, DCGender: Male3000 Towle Park Rd(800) 404-6050Clinic Affiliation: AirrostiRehab Center LlcBoard Certifications:None

DERMATOLOGYClark, Justin W, MDGender: Male1700 Cogdell Blvd(806) 796-7193Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock Dermatology &Skin Cancer CenterBoard Certifications:Dermatology

Hope, Richard H, MDGender: Male1700 Cogdell Blvd(806) 796-7193Hospital Affiliations:University MedicalCenterClinic Affiliation:Lubbock Dermatology &Skin Cancer CenterBoard Certifications:None

EMERGENCY MEDICINEAddington, Charles E,DOGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations: DM Cogdell MemorialHospital, Lubbock HeartHospital Lp, Lynn CountyHospital District,Muleshoe Area MedicalCenter, Palo PintoGeneral Hospital,University MedicalCenterClinic Affiliation:Western TexasEmergency PhysiciansPllcPractice Information:No Patients Under 3 yrsoldBoard Certifications:None

August 15, 2021 PLAINVIEW

Page 91: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

91

SNYDER (cont.)

EMERGENCY MEDICINE (cont.)

Balch, Michael T, MDGender: Male1700 Cogdell Blvd(800) 355-0808Hospital Affiliations:Bellville Medical Center,D M Cogdell MemorialHospital, Lubbock HeartHospital LpClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): Spanish

Bassett, Perry E, MDGender: Male1700 Cogdell Blvd(800) 355-0808Hospital Affiliations:Bsa Hospital Llc, D MCogdell MemorialHospital, FreestoneMedical Center, LakeGranbury MedicalCenter, LongviewRegional Medical Center,Lubbock Heart HospitalLp, Pampa RegionalMedical CenterClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Beaverson, Anthony B,MDGender: Male1700 Cogdell Blvd(972) 204-5260Hospital Affiliations:Bs&w Medical CenterMcKinney, D M CogdellMemorial Hospital,Medical City McKinney,Methodist McKinneyHospital, Wilson N JonesRegional Med CtrClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:Emergency Medicine

Blocker, David E, MDGender: Male1700 Cogdell Blvd(972) 204-5260Hospital Affiliations: DM Cogdell MemorialHospital, EastlandMemorial Hospital, LakeGranbury MedicalCenter, MethodistMcKinney HospitalClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Burleson, James R, MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Carter, Anthony N, MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations: DM Cogdell MemorialHospital, Paris RegionalMedical CenterClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Craigmiles, Laura A, DOGender: Female1700 Cogdell Blvd(972) 204-5260Hospital Affiliations:Christus Mother FrancesWinnsboro, D M CogdellMemorial Hospital,Methodist McKinneyHospitalClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Cunningham, Cordell,MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Daggubati, Subba R, MDGender: Male1700 Cogdell Blvd(972) 204-5260Hospital Affiliations: DM Cogdell MemorialHospital, Lake GranburyMedical CenterClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Dunn, Dale C, MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations:Citizens Medical Center,D M Cogdell MemorialHospital, NacogdochesMedical Center, PaloPinto General Hospital,Utmb Health GalvestonClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): Spanish

Hall, Matthew B, MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations:Baylor University MedicalCenter, Bs&w All SaintsMed Ctr Ft Worth,Christus Mother FrancesHospital, D M CogdellMemorial Hospital,Lubbock Heart HospitalLpClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Hicks, Michelle, DOGender: Female1700 Cogdell Blvd(325) 573-6374Hospital Affiliations:City Hospital At WhiteRock, D M CogdellMemorial Hospital,Laredo Medical Center,Sagecrest HospitalCarrollton, Tx HlthPresbyterian HospitalPlanoClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Kerr, David C, MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations: DM Cogdell MemorialHospitalClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

SNYDER August 15, 2021

Page 92: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

92

SNYDER (cont.)

EMERGENCY MEDICINE (cont.)

Kerr, Thomas, MDGender: Male1700 Cogdell Blvd(325) 574-7165Hospital Affiliations: DM Cogdell MemorialHospital, Mitchell CountyHospital DistrictClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:NoneLanguage(s): Spanish

Kwan, Howsen, MDGender: Male1700 Cogdell Blvd(972) 204-5260Hospital Affiliations:Bs&w All Saints Med CtrFt Worth, D M CogdellMemorial Hospital, FrioRegional Hospital,Limestone MedicalCenter, MethodistMcKinney Hospital,Sagecrest HospitalCarrollton, SelectSpecialty Hospital DallasIncClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Manson, Paul V, MDGender: Male1700 Cogdell Blvd(800) 355-0808Hospital Affiliations: BS & W Orthopedic &Spine Hos, D M CogdellMemorial Hospital,Lubbock Heart HospitalLp, University MedicalCenterClinic Affiliation: RushCreek EmergencyPhysiciansBoard Certifications:None

Pinto, David V, MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations:Baylor University MedicalCenter, Bs&w MedicalCenter Marble Falls, D MCogdell MemorialHospitalClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Rashid, Mousumy K, MDGender: Female1700 Cogdell Blvd(972) 204-5260Hospital Affiliations:Baylor Surgical HospitalLas Colinas, Bs&wMedical Center TrophyClub, D M CogdellMemorial Hospital, PaloPinto General HospitalClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:None

Smith, Derek A, MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations: DM Cogdell MemorialHospital, UniversityMedical CenterClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:Emergency Medicine

Stickles, Jimmy L, MDGender: Male1700 Cogdell Blvd(325) 573-6374Hospital Affiliations:Chi St Joseph HlthBurleson Hospital, D MCogdell MemorialHospital, Palo PintoGeneral Hospital,Permian RegionalMedical Center,University MedicalCenterClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:Emergency Medicine

Xu, Ke T, MDGender: Male1700 Cogdell Blvd(850) 437-7736Hospital Affiliations: DM Cogdell MemorialHospital, UniversityMedical CenterClinic Affiliation:Western TexasEmergency PhysiciansPllcBoard Certifications:Emergency Medicine

GENERAL SURGERYThames, Elbert A, MDGender: Male1700 Cogdell Blvd(325) 573-1300Hospital Affiliations: DM Cogdell MemorialHospital, UniversityMedical CenterClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:General SurgeryLanguage(s): Arabic,Spanish

HEMATOLOGYOdo, Ugochukwu A, MDGender: Female1700 Cogdell Blvd(325) 793-3100Hospital Affiliations:Hendrick Medical CenterClinic Affiliation:Hendrick ProviderNetworkBoard Certifications:Hematology

INTERVENTIONALCARDIOLOGYLawrence, Mark E, DOGender: Male1700 Cogdell Blvd(325) 793-3100Hospital Affiliations:Bs&w Medical CenterTemple, HendrickMedical CenterClinic Affiliation:Hendrick ProviderNetworkBoard Certifications:Interventional Cardiology

ORTHOPEDIC SURGERYNordyke, Mark D, MDGender: Male1700 Cogdell Blvd(325) 574-1300Hospital Affiliations: DM Cogdell MemorialHospital, St Davids NAustin Medical CtrClinic Affiliation:Cogdell PhysicianServicesBoard Certifications:NoneLanguage(s): Spanish

SUNDOWN

CHIROPRACTICFryar, Brett L, DCGender: Male209 E Richardson(806) 778-0461Board Certifications:None

TROPHY CLUB

PATHOLOGYBredeweg, Arthur C, DOGender: Male2850 E State Hwy 114(817) 837-4677Hospital Affiliations: BS & W Medical CenterUptown, BaylorUniversity MedicalCenterClinic Affiliation:Pathologists Bio MedicalLabBoard Certifications:None

August 15, 2021 SNYDER

Page 93: Blue Advantage HMO - BCBSTX

Specialists

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- Board Certified in Listed Specialty - This Provider Has Extended Hours

93

WAXAHACHIE August 15, 2021

WAXAHACHIE

RADIATION ONCOLOGYBednarz, Nancy M, MDGender: Female2380 N Ih 35 E(469) 843-6000Hospital Affiliations:Bs&w Medical CenterHillcrest, Hca HoustonHealthcare ConroeClinic Affiliation: ScottAnd White ClinicBoard Certifications:None

Page 94: Blue Advantage HMO - BCBSTX

Supervised And Sponsored Providers

- This Location is Handicap Accessible

94

AMNSFIELD

ANP/CERT/CLNPKeys, Felicia R, APN759 Broad Park Cir SSte 113(817) 473-1312

ASPERMONT

ANP/CERT/CLNPFraser, Lee Ann, APN819 N Broadway St(940) 989-2875821 N Broadway St(940) 989-3551

Odom, Theresa A, APN819 N Broadway St(940) 989-2875

Smith, Marsha A, APN819 N Broadway St(940) 989-2875821 N Broadway(940) 989-3551

CROSBYTON

ANP/CERT/CLNPIrick, Sarah A, APN710 W Main St(806) 675-2382

Martinez, Jessica R,APN710 W Main St(806) 675-2382

DALLAS

PHYSICIAN ASSISTANTPham, Thy, PA221 W Colorado BlvdPavilionSte 431(214) 947-3684

JAYTON

ANP/CERT/CLNPOdom, Theresa A, APN1477 Main St(806) 237-3405

Smith, Marsha A, APN1447 Main St(806) 237-3705

LAMESA

ANP/CERT/CLNPBurke, Karen F, APN1502 N Ave K(806) 872-3069

Dalby, Jordyn J, APN1016 N 17th St(806) 793-3141

Eleda, Nadia, APN1502 N Ave K(806) 872-3069

Harris, Shawn D, APN1502 N Ave K(806) 872-3069

Mwaniki, Yvonne N, APN1502 N Ave K(806) 872-3069

Russell, Cie C, APN1502 N Ave K(806) 872-3069

LEVELLAND

ANP/CERT/CLNPBurke, Karen F, APN1000 Fm 300(806) 894-7842

Eleda, Nadia, APN1000 Fm 300(806) 894-7842

Harris, Shawn D, APN1000 Fm 300(806) 894-7842

Mwaniki, Yvonne N, APN1000 Fm 300(806) 894-7842

Russell, Cie C, APN1000 Fm 300(806) 894-7842

LOCKNEY

PHYSICIAN ASSISTANTWilliams, Ryan C, PA320 N Main St(806) 652-3373

LUBBOCK

ANP/CERT/CLNPAbila, Mary A, APN7021 Kewanee AveSte 6 104(888) 622-6755

Adams, Cynthia L, APN3601 22nd St(806) 796-71935103 98th StSte 200(806) 796-7193

Allen, Leslie L, APN3502 9th StSte 260(806) 792-8185

Allen, Kimberly L, APN4015 22nd Place(806) 725-3107

Altman, Miranda L, APN4642 N Loop 289 Ste101(806) 797-49858214 Milwaukee AveSte 200(806) 475-5544

Alvizo, Stephanie N,APN5406 Colgate St(806) 507-3500

Archer, Jodie R, APN4102 24th StSte 410(806) 743-7700

Armstrong, Nikole, APN4015 22nd Place(806) 725-3107

Avalos, Wendy G, APN2602 Ave Q(806) 747-17803601 4th St(806) 743-23404004 82nd St(806) 796-8537

Baker, Elizabeth M, APN4412 74th StSte B100(877) 448-3627

Basha, Parveen A, APN4015 22nd Place(806) 725-3107

Bearden, Kasandra D,APN602 Indiana Ave(806) 775-8200

Bell, Dana, APN4000 22nd PlSte 100(806) 725-7070

Bodo, Bertrand, APN4642 N Loop 289Ste 101(806) 797-4985

8214 Milwaukee AveSte 200(806) 475-5544

Bowyer, Mellisa J, APN3601 4th St(806) 743-1810

Brackeen, Clayton L,APN4709 66th St(806) 701-5844

Brown, Tonya K, APN3506 21st St(806) 743-2373

Browne, Cynthia, APN4412 74th StSte B100(877) 448-3627

Buchanan, Debora S,APN4015 22nd Place(806) 725-3107

Carlile, Michelle V, APN3502 9th StSte 440(806) 761-0535

Carlisle, Sarah E, APN602 Indiana Ave(806) 743-2345

Carter, Neill M, APN5902 B 66th St(806) 797-2139

Carter, Erica P, APN808 Joliet AveSte 210(806) 743-4600

Castanon, Alicia G, APN3601 4th St(806) 743-2373

Cobb, Chad M, APN3611 22nd Pl(806) 771-2222

Coleman, Jennifer L,APN1126 Slide RdSte 1(806) 792-2222

Coleman, Christi L, APN1126 Slide RdSte 1(806) 792-2222

Copeland, Tyler, APN602 Indiana Ave(806) 761-0566

Cox, Jessica M, APN4015 22nd Place(806) 725-3107

August 15, 2021 AMNSFIELD

Page 95: Blue Advantage HMO - BCBSTX

Supervised And Sponsored Providers

- This Location is Handicap Accessible

95

LUBBOCK (cont.)

ANP/CERT/CLNP (cont.)

Croasdale, Melissa R,APN4015 22nd Place(806) 725-3107

Dalby, Jordyn J, APN3610 24th St(806) 793-3141

Doctolero, Susan B,APN3601 4th St(806) 743-3150602 Indiana Ave(806) 743-3150

Downing, Kristi L, APN4015 22nd Place(806) 725-3107

Duffy, Melissa J, APN3502 9th StSte 430(806) 761-0535

Durrett, Laura G, APN3601 4th St(806) 743-2373

Eastling, Sandra D, APN301 40th St(806) 743-9355

Esquibel, Karen, APN3301 101st St(806) 771-1386

Felan, Christopher R,CRNA10504 Valencia Ave(806) 632-4751

Fink, Stacy A, APN4015 22nd Place(806) 725-3107

Frankl, Shane M, APN3813 22nd StSte 5b(806) 368-7730

Garcia, Regina, APN3419 22nd St(806) 796-3000

Garcia, Renee E, APN3601 4th St(806) 743-1501

Garcia, Michael I, APN3601 4th St Ste 507(806) 743-2373

Garcia, Juan R, APN5613 114th St(806) 515-4263

808 Joliet Ave Ste 220(806) 761-0566

Graffeo, Angela, APN4015 22nd Place(806) 725-3107

Graves McPherson,Joan K, APN3301 101st St(806) 281-9966

Griffith, Kyzandre L,APN4802 N Loop 289(806) 788-0040

Gutierrez, Patricia K,APN6102 82nd St Ste 5(806) 771-0077

Hall, Joe R, APN3601 4th St(806) 743-1501

Hardin, Teri L, APN4015 22nd Place(806) 725-3107

Harewood, Daviin E,APN2602 Ave Q(806) 747-17803601 4th St(806) 743-23404004 82nd St(806) 796-8537

Haterius, Jennifer L,APN3601 4th St(806) 743-3150

Hennigan, Kourtney P,APN4015 22nd Place(806) 725-3107

Hopkins, Amy D, APN2230 Indiana Ave Ste 2(806) 791-3399

James, Brittanee, APN5406 Colgate St(806) 507-3500

Jansen, Melissa C, APN4015 22nd Pl(806) 725-3107

Jenkins, Jim O, APN4802 N Loop 289(806) 788-0040

John, Janey P, APN4412 74th StSte B100(877) 448-3627

Johnson, Marygrace,APN5115 80th St(806) 788-4368

Jones, Jacklyn A, APN2002 Oxford Ave(806) 793-8869

Kelley, Elishia M, APN4015 22nd Place(806) 725-3107

Kernell, Candace M,APN602 Indiana Ave(806) 775-8600

Kesey, Jennifer E, APN3601 4th St(806) 743-2373

King, Magan L, APN3419 22nd St(806) 796-3000

Krueger, Jessica, APN3612 22nd Pl(806) 506-2600

Lair, Tanya, APN3601 4th St(806) 743-73374102 24th StSte 410(806) 743-7700

Landsman, Sherry M,APN808 Joliet AveSte 130(806) 761-0545

Leake, Kristen G, APN3502 9th St Ste 360(806) 761-0747

Lees, Rosa, APN3601 4th St(806) 743-3150602 Indiana Ave(806) 743-3150

Lopez, Renee, APN4505 82nd StSte 5(806) 696-4440

Lucus, Courtney L, APN4015 22nd Place(806) 725-3107

Luna, Robyn L, APN4412 74th StSte B100(877) 448-3627

Mandrell, Cody R, APN3502 9th St Ste 430(806) 761-0535

Mann, Jena S, APN3711 22nd StSte B(817) 922-9968

Marquis, Chasidy, APN3601 22nd St(806) 796-71935103 98th StSte 200(806) 796-7193

Martinez, Gregory, APN5009 University Ave SteC(806) 712-1096

Martinez, Sheree A, APN602 Indiana Ave(806) 775-8600

Masten, Wanda Y, APN301 40th St(806) 743-9355

Mayers, Hillary, APN4642 N Loop 289Ste 101(806) 797-4985

McMahan, MacY D, APN3502 9th St(806) 761-0747

McMurry, Michael E,APN3601 4th St(806) 743-3150

McReynolds, Shirley D,APN3601 4th St(806) 743-2373

Melcher, Kimberly R,APN3601 4th St(806) 743-4263602 Indiana Ave(806) 743-2465

Miller, Kevin W, APN5115 80th St(806) 788-4368

Mireles, Lindsey E, APN3601 4th St(806) 743-2373

Mitchell, Kory, APN3502 9th St Ste 260(806) 792-8185

Montes, Leslie F, APN4015 22nd Place(806) 725-3107

Moore, Amanda D, APN3601 4th St(806) 743-2373

LUBBOCK August 15, 2021

Page 96: Blue Advantage HMO - BCBSTX

Supervised And Sponsored Providers

- This Location is Handicap Accessible

96

LUBBOCK (cont.)

ANP/CERT/CLNP (cont.)

Moore, Darlene J, APN4015 22nd Place(806) 725-3107

Moore, Amanda D, APN4102 24th St 507(806) 743-7334

Morales, Dana M, APN4015 22nd Place(806) 725-3107

Morrow, Mallory D, APN602 Indiana Ave(806) 761-0566

Moyers, Lisa M, APN2202 Ithaca Ave(806) 797-1202

Myatt, Sheena N, APN3419 22nd St(806) 796-3000

Nathan, Staci D, APN4015 22nd Place(806) 725-3107

Nichols, Sheri J, APN3419 22nd St(806) 796-3000

Opry, Sandra L, APN4015 22nd Place(806) 725-3107

Owens, Brenda M, APN4015 22nd Place(806) 725-3107

Padolina, Mark A, APN602 Indiana Ave(806) 775-8600

Panchamia, Bhavin, APN4102 24th St Ste 304(806) 743-7787

Payne, Teri N, APN3601 4th St(806) 743-23404004 82nd St(806) 796-8537

Powell, Alicia M, APN4403 6th St(806) 791-1122

Purser, Charity R, APN4642 N Loop 289Ste 101(806) 797-4985

Ralston, Cheyne L, APN808 Joliet AveSte 210(806) 761-0432

Reece, Tiffany S, APN4015 22nd Place(806) 725-3107

Reeves, Shawn M, APN3601 4th St(806) 743-2244602 Indiana Ave(806) 775-8828

Ridpath Goodwin, JudyR, APN4015 22nd Place(806) 725-3107

Riggins, Stuart E, APN5902 66th StSte B(806) 797-2139

Riley, Cheryl A, APN4015 22nd Place(806) 725-3107

Roberts, Sara M, APN4015 22nd Place(806) 725-3107

Robinson, Kathy R, APN4015 22nd Place(806) 725-3107

Saenz, Courtney L, APN4015 22nd Place(806) 725-3107

Satterfield, Bruce W,APN7008 Indiana Ave Ste B(806) 698-6088

Schmidt, Emily T, APN4015 22nd Place(806) 725-3107

Schwartz, Tatiana D,APN3601 4th St Stop 7208(806) 743-2757

Sheets, Elena M, APN4505 82nd StSte 5(806) 696-4440

Shell, Ashley, APN3419 22nd St(806) 796-3000

Siegel, Jennifer S, APN6616 Milwaukee Ste 400(806) 993-6367

Skero, Jennifer L, APN10208 Quaker Ave Ste200b(806) 712-9007

Smith, Jessica D, APN4015 22nd Place(806) 725-3107

Spiegelberg, Jessica L,APN1003 Flint Ave(806) 743-27773601 4th StSte 1a122(806) 743-2800

Stanley, Kandy S, APN4015 22nd Place(806) 725-3107

Stevenson, Shannon K,APN4015 22nd Place(806) 725-3107

Stinnett, Virginia L, APN2424 50th St Ste 100(806) 761-0722

Stone, Joey T, APN3502 9th St Ste 430(806) 761-0535

Tam, Karen P, APN3601 4th St(806) 743-23404004 82nd St(806) 796-8537

Tello, Sara V, APN3601 4th St(806) 743-31504407 6th St(806) 771-5864(806) 787-0400

Torres, Christine, APN3601 4th St(806) 743-3150

Trinh, Hang D, APN3419 22nd St(806) 796-3000

Tucker, Melissa S, APN4015 22nd Place(806) 725-3107

Turner, Teresa C, APN4015 22nd Pl(806) 726-3107

Villanova, Kimberlee A,APN4015 22nd Pl(806) 725-3107

Wagner, Sheron A, APN4015 22nd Place(806) 725-3107

Wilson, Sunday L, APN3601 4th S(806) 743-3150

Wines, Kendall D, APN4642 N Loop 289Ste 101(806) 797-4985

Wischkaemper, Tabra S,APN5902 66th StSte B(806) 797-2139

Womack, Clayton C,APN3601 4th St(806) 743-2244

Young, Sandra, APN2405 Broadway(214) 947-4400

Zachary, Jennifer J, APN4015 22nd Place(806) 725-3107

Zanon, Beth A, APN4412 74th StSte B100(877) 448-3627

CERTIFIED NURSEMIDWIFEWhite, Stephanie G,CNM1610 5th St(806) 765-26113502 9th St Ste 280(806) 765-2611

FAMILY PRACTICEHirsch, Andrea B, APN3601 4th StSte 3b100(806) 743-1810

Merritt, Brittany R, PA3716 22nd Pl(806) 696-3436

OBSTETRICS-GYNECOLOGYCampano, Roxana B,MD2602 Ave Q(806) 747-17803601 4th St(806) 743-23404004 82nd St(806) 796-8537

PEDIATRICSSanchez Ximenez,Jasmine L, APN4102 24th StSte 507(806) 743-7334

Womack, Clayton C,APN602 Indiana Ave(806) 775-8200

August 15, 2021 LUBBOCK

Page 97: Blue Advantage HMO - BCBSTX

Supervised And Sponsored Providers

- This Location is Handicap Accessible

97

LUBBOCK (cont.)

PHYSICIAN ASSISTANTBaldree, Robert J, PA6616 Milwaukee Ste 400(806) 993-6367

Bell, Amanda A, PA7301 Milwaukee Ave(806) 761-0464

Boone, Stacy K, PA4802 N Loop 289(806) 788-0040

Brown, Christi H, PA6102 82nd St Ste 5(806) 771-0077

Cox, Matthew A, PA3601 4th St(806) 743-2373

Douglas, Heather M, PA5406 Colgate St(806) 507-3500

Eckert, Lindsay J, PA602 Indiana Ave(806) 775-8600

Elizondo, Jose E, PA2002 Oxford Ave(806) 793-8869

Flathouse, Ross J, PA3502 9th St Ste 260(806) 792-8185

Hale, Brenda C, PA2002 Oxford Ave(806) 793-8869

Honza, Morgan, PA602 Indiana Ave(806) 761-0566

Idicula, Kassie N, PA4642 N Loop 289Ste 101(806) 797-4985

Jeffreys, Heidi M, PA10105 Quaker Ave(806) 797-6398

Knight, Kristen, PA3601 22nd St(806) 796-71935103 98th StSte 200(806) 796-7193

Leist, Jessica S, PA4709 66th St(806) 701-5844

Little, Tyler, PA602 Indiana Ave(806) 743-2465

Lyonga, Julius, PA4642 N Loop 289Ste 101(806) 797-4985

McDonald, Amy R, PA3601 4th St(806) 743-2244602 Indiana Ave(806) 775-8600

Najera, Miguel C, PA3601 4th StSte 1a122(806) 743-2800

Pierson, Bobby I, PA3601 4th St Ste 3a105(806) 743-2391

Reddell, Micheal D, PA4642 N Loop 289Ste 101(806) 797-4985

Redwine, Jana L, PA4642 N Loop 289 Ste101(806) 797-4985

Richards, Summer B, PA3614 23rd St(806) 785-0014

Ritchie, Kenneth A, PA3601 4th StSte 1a122(806) 743-2800

Stephens, Angela D, PA5902 66th St Unit B(806) 797-2139

Wells, Brandon M, PA3502 9th St Ste 430(806) 761-05354642 N Loop 289 Ste101(806) 797-4985

West Lingo, Jeleta L, PA4642 N Loop 289Ste 101(806) 797-4985

SURG ASSISTCampbell, Cullen L, LSA3502 9th StSte 260(806) 792-8185

Hobbs, Sherry D, LSA3805 22nd Pl(806) 687-5670

PLAINVIEW

ANP/CERT/CLNPMacKlin, Stephanie S,APN2215 W 5th St(806) 429-8015

SNYDER

ANP/CERT/CLNPAdams, Cynthia L, APN1700 Cogdell Blvd(806) 796-7193

Hudson, Shannon F,APN1700 Cogdell Blvd(325) 793-3100

Marquis, Chasidy, APN1700 Cogdell Blvd(806) 796-7193

PHYSICIAN ASSISTANTHargrave, Gerald J, PA1700 Cogdell Blvd(325) 573-1300

Knight, Kristen, PA1700 Cogdell Blvd(806) 796-7193

SPUR

ANP/CERT/CLNPFraser, Lee Ann, APN907 E Hill St(806) 271-3306

Odom, Theresa A, APN907 E Hill St(806) 271-3306

LUBBOCK August 15, 2021

Smith, Marsha A, APN907 E Hill St(806) 271-3306

Page 98: Blue Advantage HMO - BCBSTX

Hospitals

- This Location is Handicap Accessible

98

ASPERMONTStonewall MemorialHospital821 N Broadway(940) 989-3551

BROWNFIELDBrownfield RegionalMedical Center705 E Felt St(806) 637-3551

CROSBYTONCrosbyton ClinicHospital710 W Main St(806) 675-2382

DENVER CITYYoakum County Hospital412 Mustang Ave(806) 592-5484

LAMESAMedical Arts Hospital2200 N Bryan Ave(806) 872-2183

LITTLEFIELDLamb Healthcare Center1500 S Sunset Ave(806) 385-6411

LOCKNEYW J Mangold MemorialHospital320 N Main St(806) 652-3373

LUBBOCKLubbock Heart HospitalLp4810 N Loop 289(806) 687-7777

University MedicalCenter602 Indiana Ave(806) 775-8200

MORTONCochran MemorialHospital201 E Grant St(806) 266-5565

MULESHOEMuleshoe Area MedicalCenter708 S 1st St(806) 272-4524

SNYDERD M Cogdell MemorialHospital1700 Cogdell Blvd(325) 573-6374

August 15, 2021 ASPERMONT

TAHOKALynn County HospitalDistrict2600 Lockwood St(806) 998-4533

Page 99: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

99

CATARACT SURGICALCENTER OF LUBBOCK

ANESTHESIOLOGYBarbosa, Vera L, MD10301 Gateway WEl Paso, TX 79925(915) 595-90002000 Transmountain RdEl Paso, TX 79911(915) 577-84675109 80th StLubbock, TX 79424(800) 394-4445

Brown, Gilbert C, MD3615 19th StLubbock, TX 79410(706) 650-0705

Deaver, Brian C, MD3615 19th StLubbock, TX 79410(706) 650-0705

Eppright, Brian C, MD3615 19th StLubbock, TX 79410(706) 650-0705

Molnar, Arthur F, MD3615 19th StLubbock, TX 79410(706) 650-0705

Reeves, Wesley D, MD3615 19th StLubbock, TX 79410(800) 394-4445

COCHRAN MEMORIALHOSPITAL

EMERGENCY MEDICINEGenraich, Melvyn H, MD600 E Interstate 20Stanton, TX 79782(281) 363-3156

Hughes, Charles V, MD320 N Main StLockney, TX 79241(800) 962-3303

Manning, George S, MD200 S Geneva StBreckenridge, TX 76424(800) 962-3303

Rogers, Gregory B, MD400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

RADIOLOGYCox, Cody A, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cushman, Walter H, MD4005 24th StLubbock, TX 79410(806) 792-2767

Moskos, Bill N, MD4005 24th StLubbock, TX 79410(806) 792-2767

Simmons, Gary E, MD4005 24th StLubbock, TX 79410(806) 792-2767

CROSBYTON CLINICHOSPITAL

RADIOLOGYMoskos, Bill N, MD4005 24th StLubbock, TX 79410(806) 792-2767

D M COGDELLMEMORIAL HOSPITAL

EMERGENCY MEDICINEAddington, Charles E,DO1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374400 Southwest 25th AveMineral Wells, TX 76067(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S First StMuleshoe, TX 79347(806) 272-4524

Balch, Michael T, MD1700 Cogdell BlvdSnyder, TX 79549(800) 355-08084810 N Loop 289Lubbock, TX 79414(806) 687-7777

Bassett, Perry E, MD1 Medical PlazaPampa, TX 79065(806) 665-37211700 Cogdell BlvdSnyder, TX 79549(800) 355-08082601 Dimmitt RdPlainview, TX 79072(800) 962-33034810 N Loop 289Lubbock, TX 79416(806) 687-7777

Beaverson, Anthony B,MD1700 Cogdell BlvdSnyder, TX 79549(972) 204-5260

Blocker, David E, MD1700 Cogdell BlvdSnyder, TX 79549(972) 204-5260304 S Daugherty AveEastland, TX 76448(254) 629-2601

Burleson, James R, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374

Carter, Anthony N, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374

Cazares, Guillermo N,MD2200 N Bryan AveLamesa, TX 79331(806) 872-21834810 N Loop 289Lubbock, TX 79416(806) 687-7777

Craigmiles, Laura A, DO1700 Cogdell BlvdSnyder, TX 79549(972) 204-5260

Cunningham, Cordell,MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374

Daggubati, Subba R, MD1700 Cogdell BlvdSnyder, TX 79549(972) 204-5260

Dunn, Dale C, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Hall, Matthew B, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-63744810 N Loop 289Lubbock, TX 79416(806) 687-7777

Hicks, Michelle, DO1700 Cogdell BlvdSnyder, TX 79549(325) 573-63744810 N Loop 289Lubbock, TX 79416(806) 687-7777

Kerr, David C, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374

Kerr, Thomas, MD1700 Cogdell BlvdSnyder, TX 79549(325) 574-7165

Kwan, Howsen, MD1700 Cogdell BlvdSnyder, TX 79549(972) 204-5260

Manson, Paul V, MD1700 Cogdell BlvdSnyder, TX 79549(800) 355-08084810 N Loop 289Lubbock, TX 79416(806) 687-7777

Odal, Marcia J, MD1601 W 11th PlBig Spring, TX 79720(281) 363-3156

Pinto, David V, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374

Rashid, Mousumy K, MD1700 Cogdell BlvdSnyder, TX 79549(972) 204-5260400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Rhodes, Travis C, DO400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Smith, Derek A, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374

Stickles, Jimmy L, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Thomas, Griffith W, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Toscano, Guido R, MD304 S Daugherty AveEastland, TX 76448(281) 363-3156

Xu, Ke T, MD1700 Cogdell BlvdSnyder, TX 79549(850) 437-7736

GENERAL SURGERYThames, Elbert A, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-13003711 22nd St Ste CLubbock, TX 79410(806) 370-0478

August 15, 2021

Page 100: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

100

D M COGDELLMEMORIAL HOSPITAL (cont.)

RADIOLOGYBallenger, Zachary E,MD4005 24th StLubbock, TX 79410(806) 792-2767

Callahan, Thomas E, MD4005 24th StLubbock, TX 79410(806) 792-27674400 Buffalo Gap RdSte 2600Abilene, TX 79606(325) 677-2201

Chandler, Nancy, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cook, Cassy L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cox, Cody A, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cushman, Walter H, MD4005 24th StLubbock, TX 79410(806) 792-2767

Donaldson, David L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Gouvion, Michael D, MD4005 24th StLubbock, TX 79410(806) 792-2767

Johnson, Carson L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Knapp, Michael E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Martinez, Waldo M, MD4005 24th StLubbock, TX 79410(806) 792-2767

Muff, David F, MD4005 24th StLubbock, TX 79410(806) 792-2767

Poe, Greg S, MD4005 24th StLubbock, TX 79410(806) 792-2767

Porter, Scott C, MD4005 24th StLubbock, TX 79410(806) 792-2767

Simmons, Gary E, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Steven C, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Steven C, MD4005 24th StLubbock, TX 79410(806) 792-2767

Winn, William E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wolfe, James T, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wright, Douglas H, MD4005 24th StLubbock, TX 79410(806) 792-2767

LAMB HEALTHCARECENTER

ANESTHESIOLOGYBanister, Ronald E, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981602 IndianaLubbock, TX 79415(806) 743-7246

Ricaldi, Carlos A, MD708 S 1st StMuleshoe, TX 79347(806) 272-4524

EMERGENCY MEDICINEAppel, Jimmie R, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411708 S 1st StMuleshoe, TX 79347(806) 272-4524

Banister, Ronald E, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Banister, Melinda D, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Banister, Ronald E, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Banister, Melinda D, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-64111601 W 11th PlBig Spring, TX 79720(281) 363-3156

Barker, Edward, DO1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Cyrus, Muriel P, MD1500 S SunsetLittlefield, TX 79339(806) 385-6411

Dansby, Thomas J, MD1 Ave NHaskell, TX 79521(940) 864-26211500 S SunsetLittlefield, TX 79339(800) 962-3303(806) 385-6411

Davis, Susan R, MD101 Ave JAnson, TX 79501(325) 823-32311500 S Sunset AveLittlefield, TX 79339(806) 385-64111601 W 11th PlaceBig Spring, TX 79720(432) 263-1211304 S Daugherty AveEastland, TX 76448(254) 629-2601320 N Main StLockney, TX 79241(806) 652-3373400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891600 Interstate 20Stanton, TX 79782(432) 756-3345901 W Hamilton StOlney, TX 76374(940) 564-5521

Dickerson, Sandra D,MD1500 S SunsetLittlefield, TX 79339(806) 385-64114810 N Loop 289Lubbock, TX 79416(806) 687-7777

Foster, Matthew D, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411708 S 1st StMuleshoe, TX 79347(806) 272-4524

Fried, Bruce D, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Funk, Kevin A, MD1 Ave NHaskell, TX 79521(940) 864-26211500 S Sunset AveLittlefield, TX 79339(806) 385-64112200 N Bryan AveLamesa, TX 79331(806) 872-5943304 S Daugherty AveEastland, TX 76448(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S 1st StMuleshoe, TX 79347(806) 272-4524

Genraich, Melvyn H, MD600 E Interstate 20Stanton, TX 79782(281) 363-3156

Gray, Chad E, MD1500 S SunsetLittlefield, TX 79339(800) 962-3303

Guy, Eric C, MD412 Mustang DrDenver City, TX 79323(806) 592-2121515 N Adams AveOdessa, TX 79761(800) 962-3303

Hadzic, Daniel B, MD1500 S SunsetLittlefield, TX 79339(806) 385-64111500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Hattenbach, Sean, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

August 15, 2021

Page 101: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

101

LAMB HEALTHCARECENTER (cont.)

EMERGENCY MEDICINE (cont.)

Helak, Joseph P, DO1500 S SunsetLittlefield, TX 79339(800) 962-33031500 S Sunset AveLittlefield, TX 79339(806) 385-64112202 N Bryan AveLamesa, TX 79331(806) 872-5943708 S 1st StMuleshoe, TX 79347(806) 272-4524

Herrera, Moses, MD1500 S SunsetLittlefield, TX 79339(806) 385-6411

Hubbard, Jason C, DO400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Hughes Bass, Ann C,MD400 Southwest 25th AveMineral Wells, TX 76067(432) 756-3345

Lavelle, John P, MD1000 SweetwaterWheeler, TX 79096(806) 826-55811500 S Sunset AveLittlefield, TX 79339(806) 385-64112200 N Bryan AveLamesa, TX 79331(806) 872-2183

Lipscomb, Larry B, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411708 S 1st StMuleshoe, TX 79347(806) 272-4524

McBride, Luke, MD1 Ave NHaskell, TX 79521(940) 864-26211500 S Sunset AveLittlefield, TX 79339(806) 385-6411320 N Main StLockney, TX 79241(281) 363-3156

McCrory, Beau L, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

304 S Daugherty StEastland, TX 76448(800) 962-3303

Mercado, Thomas M, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411200 S McGee StBorger, TX 79007(806) 273-1100

Molina, Isabel, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Perez, Colbert R, MD1500 S SunsetLittlefield, TX 79339(800) 962-3303

Philips, Robert J, DO1500 S SunsetLittlefield, TX 79339(800) 962-3303200 S McGee StBorger, TX 79007(806) 273-1100

Ricaldi, Carlos A, MD1500 S SunsetLittlefield, TX 79339(800) 962-33031500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Rightmire, Karen G, DO101 Ave JAnson, TX 79501(281) 363-3156

Smith, Darvin W, MD1 Ave NHaskell, TX 79521(940) 864-2621600 I 20 EStanton, TX 79782(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Zawislak, Walter J, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

GENERAL SURGERYBanister, Melinda D, MD1501 W 11th PlaceSte 100Big Spring, TX 79720(432) 263-60181501 W 11th Place Ste100Big Spring, TX 79720(432) 263-6018

2600 Hwy 118 NAlpine, TX 79830(432) 837-0041

PATHOLOGYStuart, Rodney W, MD410 N Utica AveLubbock, TX 79416(806) 687-7284

RADIOLOGYCook, Cassy L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cox, Cody A, MD4005 24th StLubbock, TX 79410(806) 792-2767

Donaldson, David L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Johnson, Carson L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Knapp, Michael E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Martinez, Waldo M, MD4005 24th StLubbock, TX 79410(806) 792-2767

Muff, David F, MD4005 24th StLubbock, TX 79410(806) 792-2767

Poe, Greg S, MD4005 24th StLubbock, TX 79410(806) 792-2767

Porter, Scott C, MD4005 24th StLubbock, TX 79410(806) 792-2767

Simmons, Gary E, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Steven C, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Steven C, MD4005 24th StLubbock, TX 79410(806) 792-2767

Winn, William E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wolfe, James T, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wright, Douglas H, MD4005 24th StLubbock, TX 79410(806) 792-2767

LUBBOCK HEARTHOSPITAL LP

ANESTHESIOLOGYCamacho, Claudio, MD10301 Gatesway WEl Paso, TX 79925(915) 595-9000125 W Castellano DrEl Paso, TX 79912(915) 532-82007100 Southwest 9th AveAmarillo, TX 79106(806) 212-0247

Danchak, R Michael, MD3615 19th StLubbock, TX 79410(706) 650-0705

Davis, William J, MD4810 N Loop 289Lubbock, TX 79416(800) 394-4445

Eppright, Brian C, MD3615 19th StLubbock, TX 79410(706) 650-0705

Haggard, Corey J, MD3615 18th StLubbock, TX 79410(706) 650-0705

McClain, Chase W, MD4601 50thSte 112Lubbock, TX 79414(806) 785-8000

Minielly, Robin C, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Narra, Koteswara, MD3819 22nd PlaceLubbock, TX 79410(806) 799-1400

August 15, 2021

Page 102: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

102

LUBBOCK HEARTHOSPITAL LP (cont.)

EMERGENCY MEDICINEAbdo, Ziad A, MD387 W I H 10Fort Stockton, TX 79735(800) 962-33034810 N Loop 289Lubbock, TX 79416(806) 687-7777

Adams, Shelly L, MD400 Southwest 25th AveMineral Wells, TX 76067(281) 363-31564810 N Loop 289Lubbock, TX 79414(806) 687-7777

Addington, Charles E,DO1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374400 Southwest 25th AveMineral Wells, TX 76067(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S First StMuleshoe, TX 79347(806) 272-4524

Agler, Karen S, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Aguas, Enrico G, MD1601 W 11th PlaceBig Spring, TX 79720(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777

Altenberg, Leo L, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-33034810 N Loop 289Lubbock, TX 79414(806) 687-7777

Balch, Michael T, MD1700 Cogdell BlvdSnyder, TX 79549(800) 355-08084810 N Loop 289Lubbock, TX 79414(806) 687-7777

Barkley, Brian F, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Bassett, Perry E, MD1 Medical PlazaPampa, TX 79065(806) 665-37211700 Cogdell BlvdSnyder, TX 79549(800) 355-08082601 Dimmitt RdPlainview, TX 79072(800) 962-33034810 N Loop 289Lubbock, TX 79416(806) 687-7777

Berry, Mike P, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Black, Robert L, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-2460520 E 6th StOdessa, TX 79761(432) 582-8000

Boyer, Micah L, MD4810 N Loop 289Lubbock, TX 79414(806) 687-7777

Brough, Royce D, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777901 SweetwaterWheeler, TX 79096(806) 826-5581

Cazares, Guillermo N,MD2200 N Bryan AveLamesa, TX 79331(806) 872-21834810 N Loop 289Lubbock, TX 79416(806) 687-7777

Celentano, James J, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Chen, Michael, DO4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Cheng, Huaxu, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Crandall, Eric B, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-20002001 N Oregon StEl Paso, TX 79902(915) 577-6011

Dabbs, Kimberly A, DO11274 McCombs StEl Paso, TX 79934(915) 225-71004810 N Loop 289Lubbock, TX 79416(806) 296-5531

Dang, Vi, MD1521 Joe Battle BlvdEl Paso, TX 79936(951) 544-1200

Dang, Vi, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-24604669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700

Dewbre Hendrick, HillaryL, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Dexter, Richard D, DO4810 N Loop 289Lubbock, TX 79414(806) 687-7777

Dickerson, Sandra D,MD1500 S SunsetLittlefield, TX 79339(806) 385-64114810 N Loop 289Lubbock, TX 79416(806) 687-7777

Doyle, James D, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Fargason, William E, MD4810 N Loop 289Lubbock, TX 79416(806) 687-77777007 Indiana AveLubbock, TX 79413(801) 701-4141

Flora, Mark R, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Fong, Daniel J, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Foster, Jeffrey L, DO1 Medical PlazaPampa, TX 79065(806) 665-3721

1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Frezza, Eldo E, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Funk, Kevin A, MD1 Ave NHaskell, TX 79521(940) 864-26211500 S Sunset AveLittlefield, TX 79339(806) 385-64112200 N Bryan AveLamesa, TX 79331(806) 872-5943304 S Daugherty AveEastland, TX 76448(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S 1st StMuleshoe, TX 79347(806) 272-4524

Gajewski, David W, MD4810 N Loop 289Lubbock, TX 79416(850) 483-8183

Genraich, Melvyn H, MD600 E Interstate 20Stanton, TX 79782(281) 363-3156

Gray, Andy J, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Hall, Matthew B, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-63744810 N Loop 289Lubbock, TX 79416(806) 687-7777

Hollingsworth, JosephD, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-2460

Horn, Brett W, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Howell, Amber M, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Hudson, Curtis R, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

August 15, 2021

Page 103: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

103

LUBBOCK HEARTHOSPITAL LP (cont.)

EMERGENCY MEDICINE (cont.)

Johnson, Robert L, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Jones, Timothy B, MD101 Ave JAnson, TX 79501(281) 363-31564810 N Loop 289Lubbock, TX 79416(850) 437-7736

Larson, Joshua S, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-24604845 Alameda AveEl Paso, TX 79905(915) 298-5444

Liu, Patrick, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Lockwood, Matthew M,MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-20003501 Knickerbocker RdSan Angelo, TX 76904(325) 947-6361(325) 949-9511

Lu, Ling Chun, MD1521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200

Lu, Ling Chun, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-20004669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700

Lunsford, Jerod L, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Lysenko, Lyudmyla M,MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Manson, Paul V, MD1700 Cogdell BlvdSnyder, TX 79549(800) 355-08084810 N Loop 289Lubbock, TX 79416(806) 687-7777

Maranto, Lismaida, DO1600 Wallace BlvdAmarillo, TX 79106(214) 712-2460

Martin, Thomas G, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Masson, Steven A, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-2739

McKee, Desirae M, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Means, Michael J, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-2460

Narra, Nagarjun, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-24602001 N Oregon StEl Paso, TX 79902(214) 712-2663

Neumann, Stephen R,MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Pasteur, Nicholas, MD1600 WallanceBlvdAmarillo, TX 79106(214) 712-2460

Paul, Dillon W, MD1600 Wallace BlvdAmarillo, TX 79106(210) 712-2460

Rice, Nancy A, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-2739

Robinson, Eldon S, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Rogers, Nicole B, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-2460

Rose, Jeri K, DO1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Rowell, Jeremy A, MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-2460

Siew, Isaac, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Smith, Thomas E, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Speed, James A, MD1601 W 11th PlBig Spring, TX 79720(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777

Stokes, Cristina R, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Sturtevant, Linda R, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Tauferner, Dustin H, DO4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Thiagarajah, Mahesh C,MD1600 Wallace BlvdAmarillo, TX 79106(214) 712-2460

Thomas, Griffith W, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Tidwell, Stephen T, DO1000 S Coulter StAmarillo, TX 79106(806) 212-47001500 Wallace BlvdSte 100Amarillo, TX 79106(806) 212-47001600 WallanceBlvdAmarillo, TX 79106(806) 212-2000

Todd, Charles W, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Tseng, Angela, MD200 S Geneva StBreckenridge, TX 76424(800) 962-3303400 Southwest 25th AveMineral Wells, TX 76067(800) 962-33034810 N Loop 289Lubbock, TX 79416(850) 437-7736

Turner, John C, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Watts, Adriel M, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Welch, Cody J, MD1000 S Coulter StAmarillo, TX 79106(806) 212-44001500 Wallace BlvdSte 100Amarillo, TX 79106(806) 212-47001600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Wilson, Anwar C, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

GENERAL SURGERYBayouth, Charles V, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 799-79284102 24th St Ste 304Lubbock, TX 79410(806) 743-7874

Buschman, Job O, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-2222

Nickels, Melinda B, MD3506 21st St Ste 601Lubbock, TX 79410(806) 743-78743509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-2222

August 15, 2021

Page 104: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

104

LUBBOCK HEARTHOSPITAL LP (cont.)

GENERAL SURGERY (cont.)

705 E Felt StBrownfield, TX 79316(806) 637-1955(806) 637-3551

Purtell, Adam K, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-22224102 24th StSte 304Lubbock, TX 79410(806) 743-7874

Thomas, John P, MD1120 W Loop 289Ste 230Lubbock, TX 79416(806) 744-8600

PATHOLOGYStuart, Rodney W, MD410 N Utica AveLubbock, TX 79416(806) 687-7284

RADIOLOGYBallenger, Zachary E,MD4005 24th StLubbock, TX 79410(806) 792-2767

Callahan, Thomas E, MD4005 24th StLubbock, TX 79410(806) 792-27674400 Buffalo Gap RdSte 2600Abilene, TX 79606(325) 677-2201

Chandler, Nancy, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cook, Cassy L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cox, Cody A, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cushman, Walter H, MD4005 24th StLubbock, TX 79410(806) 792-2767

Donaldson, David L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Gouvion, Michael D, MD4005 24th StLubbock, TX 79410(806) 792-2767

Johnson, Carson L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Knapp, Michael E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Martinez, Waldo M, MD4005 24th StLubbock, TX 79410(806) 792-2767

Montgomery, James, MD4005 24th StLubbock, TX 79410(806) 792-2767

Moskos, Bill N, MD4005 24th StLubbock, TX 79410(806) 792-2767

Muff, David F, MD4005 24th StLubbock, TX 79410(806) 792-2767

Poe, Greg S, MD4005 24th StLubbock, TX 79410(806) 792-2767

Porter, Scott C, MD4005 24th StLubbock, TX 79410(806) 792-2767

Simmons, Gary E, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Steven C, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

Winn, William E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wolfe, James T, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wright, Douglas H, MD4005 24th StLubbock, TX 79410(806) 792-2767

LYNN COUNTYHOSPITAL DISTRICT

ANESTHESIOLOGYBanister, Ronald E, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981602 IndianaLubbock, TX 79415(806) 743-7246

EMERGENCY MEDICINEAddington, Charles E,DO1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374400 Southwest 25th AveMineral Wells, TX 76067(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S First StMuleshoe, TX 79347(806) 272-4524

Banister, Ronald E, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Del Rosario Gonzalez,Nancy B, MD304 S Daugherty AveEastland, TX 76448(254) 629-2601

Leach, Christopher M,MD400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

RADIOLOGYMuff, David F, MD4005 24th StLubbock, TX 79410(806) 792-2767

MEDICAL ARTSHOSPITAL

EMERGENCY MEDICINEBeasley, Craig C, MD1 Ave NHaskell, TX 79521(940) 864-2621

10201 Hwy 16Comanche, TX 76442(254) 879-490010201 Hwy 16 NComanche, TX 76442(254) 879-49002200 N Bryan AveLamesa, TX 79331(806) 872-5727400 Southwest 25th AveMineral Wells, TX 76067(281) 363-3156

Brown, Lisa L, MD320 N Main StLockney, TX 79241(281) 363-3156720 Hospital DrAndrews, TX 79714(800) 962-3303

Bruce, Mark, MD10201 Hwy 16 NComanche, TX 76442(254) 879-49001900 College AveLevelland, TX 79336(806) 894-4963200 S Geneva StBreckenridge, TX 76424(800) 962-3303

Cazares, Guillermo N,MD2200 N Bryan AveLamesa, TX 79331(806) 872-21834810 N Loop 289Lubbock, TX 79416(806) 687-7777

Chamales, Michael H,MD412 Mustang DrDenver City, TX 79323(806) 592-2121

Dannemiller, Timothy M,MD2200 N Bryan AveLamesa, TX 79331(806) 872-5727

Dansby, Thomas J, MD1 Ave NHaskell, TX 79521(940) 864-26211500 S SunsetLittlefield, TX 79339(800) 962-3303(806) 385-6411

Del Rosario Gonzalez,Nancy B, MD304 S Daugherty AveEastland, TX 76448(254) 629-2601

August 15, 2021

Page 105: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

105

MEDICAL ARTSHOSPITAL (cont.)

EMERGENCY MEDICINE (cont.)

Funk, Kevin A, MD1 Ave NHaskell, TX 79521(940) 864-26211500 S Sunset AveLittlefield, TX 79339(806) 385-64112200 N Bryan AveLamesa, TX 79331(806) 872-5943304 S Daugherty AveEastland, TX 76448(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S 1st StMuleshoe, TX 79347(806) 272-4524

Gillett, David P, MD2001 N Oregon StEl Paso, TX 79902(915) 577-60112200 N Bryan AveLamesa, TX 79331(806) 872-2183

Gipson, Anthony R, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Guy, Eric C, MD412 Mustang DrDenver City, TX 79323(806) 592-2121515 N Adams AveOdessa, TX 79761(800) 962-3303

Hadzic, Daniel B, MD1500 S SunsetLittlefield, TX 79339(806) 385-64111500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Helak, Joseph P, DO1500 S SunsetLittlefield, TX 79339(800) 962-33031500 S Sunset AveLittlefield, TX 79339(806) 385-64112202 N Bryan AveLamesa, TX 79331(806) 872-5943708 S 1st StMuleshoe, TX 79347(806) 272-4524

Hotz, Isaac M, MD2200 N Bryan AveLamesa, TX 79331(806) 872-2183

Hubbard, Jason C, DO400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Lavelle, John P, MD1000 SweetwaterWheeler, TX 79096(806) 826-55811500 S Sunset AveLittlefield, TX 79339(806) 385-64112200 N Bryan AveLamesa, TX 79331(806) 872-2183

Ogeda, Fidel L, MD1601 W 11th PlBig Spring, TX 79720(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Poer, Leslie G, MD10201 Hwy 16Comanche, TX 76442(254) 879-4900400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Roberts, Clayton K, DO1601 W 11th PlaceBig Spring, TX 79720(800) 962-3303

Sprys, Michael J, DO400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Stedman, Horis T, MD1601 W 11th PlBig Spring, TX 79720(281) 363-3156

RADIOLOGYHashmi, Arouj A, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Moskos, Bill N, MD4005 24th StLubbock, TX 79410(806) 792-2767

Muff, David F, MD4005 24th StLubbock, TX 79410(806) 792-2767

MULESHOE AREAMEDICAL CENTER

ANESTHESIOLOGYRicaldi, Carlos A, MD708 S 1st StMuleshoe, TX 79347(806) 272-4524

Sample, Heather S, MD708 S 1st StMuleshoe, TX 79347(806) 272-4524

EMERGENCY MEDICINEAddington, Charles E,DO1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374400 Southwest 25th AveMineral Wells, TX 76067(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S First StMuleshoe, TX 79347(806) 272-4524

Algilani, Kamran, DO304 S Daugherty AveEastland, TX 76448(281) 363-3156

Alhomosh, Alaaedin, MD3101 Garrett DrPerryton, TX 79070(915) 849-5100400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Appel, Jimmie R, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411708 S 1st StMuleshoe, TX 79347(806) 272-4524

Avila Zamora, Octavio,MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Carter, Sarah B, MD1 Ave NHaskell, TX 79521(940) 864-2621101 Ave 1Anson, TX 79501(800) 962-3303

Clark, James A, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Davis, Susan R, MD101 Ave JAnson, TX 79501(325) 823-32311500 S Sunset AveLittlefield, TX 79339(806) 385-64111601 W 11th PlaceBig Spring, TX 79720(432) 263-1211304 S Daugherty AveEastland, TX 76448(254) 629-2601320 N Main StLockney, TX 79241(806) 652-3373400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891600 Interstate 20Stanton, TX 79782(432) 756-3345901 W Hamilton StOlney, TX 76374(940) 564-5521

Dean, Thurston E, MD1900 College AveLevelland, TX 79336(806) 894-4963708 S 1st StMuleshoe, TX 79347(806) 272-4524901 S Sweetwater StWheeler, TX 79096(806) 826-5581

Durgin, Jeffrey D, MD1416 George Dieter DrEl Paso, TX 79936(915) 849-5100

East, David R, DO304 S Daugherty AveEastland, TX 76448(281) 363-3156608 Ave BBallinger, TX 76821(325) 365-7976

Esparza, Luis M, MD320 N Main StLockney, TX 79241(800) 962-3303720 Hospital DrAndrews, TX 79714(432) 523-2200

August 15, 2021

Page 106: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

106

MULESHOE AREAMEDICAL CENTER (cont.)

EMERGENCY MEDICINE (cont.)

Foster, Matthew D, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411708 S 1st StMuleshoe, TX 79347(806) 272-4524

Funk, Kevin A, MD1 Ave NHaskell, TX 79521(940) 864-26211500 S Sunset AveLittlefield, TX 79339(806) 385-64112200 N Bryan AveLamesa, TX 79331(806) 872-5943304 S Daugherty AveEastland, TX 76448(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S 1st StMuleshoe, TX 79347(806) 272-4524

Genraich, Melvyn H, MD600 E Interstate 20Stanton, TX 79782(281) 363-3156

Guy, Eric C, MD412 Mustang DrDenver City, TX 79323(806) 592-2121515 N Adams AveOdessa, TX 79761(800) 962-3303

Helak, Joseph P, DO1500 S SunsetLittlefield, TX 79339(800) 962-33031500 S Sunset AveLittlefield, TX 79339(806) 385-64112202 N Bryan AveLamesa, TX 79331(806) 872-5943708 S 1st StMuleshoe, TX 79347(806) 272-4524

Jones, Timothy B, MD101 Ave JAnson, TX 79501(281) 363-31564810 N Loop 289Lubbock, TX 79416(850) 437-7736

Kissling, Carl J, MD100 Medical DrBorger, TX 79007(806) 273-1100

Lansang, Francis A, MD708 S FirstMuleshoe, TX 79347(806) 272-4524

Lavelle, John P, MD1000 SweetwaterWheeler, TX 79096(806) 826-55811500 S Sunset AveLittlefield, TX 79339(806) 385-64112200 N Bryan AveLamesa, TX 79331(806) 872-2183

Lipscomb, Larry B, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411708 S 1st StMuleshoe, TX 79347(806) 272-4524

McNeill, Scott S, MD320 N Main StLockney, TX 79241(800) 962-3303

Morton, James W, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303901 S Sweetwater StWheeler, TX 79096(806) 826-5581

Nitzel, Grant E, MD708 S 1st StMuleshoe, TX 79347(806) 272-4524

Ogeda, Fidel L, MD1601 W 11th PlBig Spring, TX 79720(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Patel, Satish U, MD1601 W 11th PlaceBig Spring, TX 79720(800) 962-3303200 S McGeeBorger, TX 79007(806) 273-1100

Patel, Gaurav J, MD400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Patterson, Jeffrey C, DO100 Medical DrBorger, TX 79007(806) 273-11001900 College AveLevelland, TX 79336(432) 523-2200304 S Daugherty AveEastland, TX 76448(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Philips, Robert J, DO1500 S SunsetLittlefield, TX 79339(800) 962-3303200 S McGee StBorger, TX 79007(806) 273-1100

Purdy, Bruce D, MD708 S 1st StMuleshoe, TX 79347(806) 272-4524

Ricaldi, Carlos A, MD1500 S SunsetLittlefield, TX 79339(800) 962-33031500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Sample, Heather S, MD600 Interstate 20Stanton, TX 79782(800) 962-3303

Sasin, Edwin J, MD708 S FirstMuleshoe, TX 79347(806) 272-4524720 Hospital DrAndrews, TX 79714(432) 523-2200

Sheets, Harry K, MD1 Ave NHaskell, TX 79521(940) 864-2621400 Southwest 25th AveMineral Wells, TX 76067(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Siddique, Muhammad T,MD400 Southwest 25th AveMineral Wells, TX 76067(806) 652-3373

Smith, Darvin W, MD1 Ave NHaskell, TX 79521(940) 864-2621

Smith, Thomas E, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-2000

Smith, Darvin W, MD600 I 20 EStanton, TX 79782(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Springer, Terry W, MD1 Ave NHaskell, TX 79521(940) 864-2621304 S Daugherty AveEastland, TX 76448(281) 363-3156900 E 4th StOdessa, TX 79761(800) 962-3303901 S Sweetwater StWheeler, TX 79096(806) 826-5581903 W Hamilton StOlney, TX 76374(940) 564-8114

Thornton, Janet L, DO1 Ave NHaskell, TX 79521(940) 864-2621320 N Main StLockney, TX 79241(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Williams, James S, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Wood, Roy C, MD320 N Main StrLockney, TX 79241(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Young, Michael R, DO101 Ave JAnson, TX 79501(432) 756-33451500 S SunsetLittlefield, TX 79339(806) 385-64111601 W 11th PlaceBig Spring, TX 79720(432) 263-1211

August 15, 2021

Page 107: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

107

MULESHOE AREAMEDICAL CENTER (cont.)

EMERGENCY MEDICINE (cont.)

304 S Daugherty StEastland, TX 76448(254) 629-2601308 Hudspeth StSonora, TX 76950(325) 387-2521320 N Main StLockney, TX 79241(432) 756-3345400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891901 SweetwaterWheeler, TX 79096(806) 826-5581901 W Hamilton StOlney, TX 76374(940) 413-7400

Zambrano, Raul H, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Zawislak, Walter J, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

GENERAL SURGERYDurgin, Jeffrey D, MD1811 W Wall StMidland, TX 79701(800) 218-48701900 College AveLevelland, TX 79336(806) 894-4963400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303708 S 1st StMuleshoe, TX 79347(806) 272-4524

Zamora, Jose L, MD708 S 1st StMuleshoe, TX 79347(806) 272-4524

RADIOLOGYAndrew, John L, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Archer, Branch T, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Archer, Richard K, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Brooks, Charles D, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Campin, Richard C, MD1901 Medi Park Ste 2050Amarillo, TX 79106(806) 355-3352

Cassuto, James, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Clark, Crandon F, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Cook, Stanley D, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Currie, Tully J, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Daniel, Michael E, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Elliott, Aaron M, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Hall, Michael J, MD1901 Medi ParkSte 2050Amarillo, TX 79106(806) 355-3352

Khu, Richard C, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Lennard, Luke A, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Mehta, Rahul C, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Pan, Paul P, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Pinkston, Robert L, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Scalapino, Matthew C,MD1901 Medi Park #2050Amarillo, TX 79106(806) 355-3352

Shah, Rakesh R, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Uszynski, Martin, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Waugh, Kimberly A, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

Zarian, Lawrence P, MD1901 Medi Park DrSte 2050Amarillo, TX 79106(806) 355-3352

STONEWALL MEMORIALHOSPITAL

EMERGENCY MEDICINEBowman, Conrad B, MD7007 Indiana AveLubbock, TX 79413(801) 701-4141(806) 701-4141

Passmann, Frederic K,MD821 N Broadway StAspermont, TX 79502(940) 989-3551

Wofford, Bert W, MD400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Woodward, Harold L,MD100 Medical DrBorger, TX 79007(806) 273-1100101 Ave JAnson, TX 79501(325) 823-323110201 Hwy 16Comanche, TX 76442(254) 879-49001416 George Dieter DrEl Paso, TX 79936(915) 849-51001500 S SunsetLittlefield, TX 79339(806) 385-64111601 W 11th PlaceBig Spring, TX 79720(432) 263-1211304 S Daugherty StEastland, TX 76448(254) 629-2601320 N Main StLockney, TX 79241(800) 962-3303400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891600 Interstate 20Stanton, TX 79782(432) 756-3345901 W Hamilton StOlney, TX 76374(940) 564-5521

UNIVERSITY MEDICALCENTER

ANESTHESIOLOGYBanister, Ronald E, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981602 IndianaLubbock, TX 79415(806) 743-7246

Blanco, Adolfo A, MD4815 Alameda AveEl Paso, TX 79905(700) 665-0070

August 15, 2021

Page 108: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

108

UNIVERSITY MEDICALCENTER (cont.)

ANESTHESIOLOGY (cont.)

Bouchra Hanna, Hani K,MD4815 Alameda AveEl Paso, TX 79905(706) 650-0705

Chaudhuri, Kallol, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-28984815 Alameda AveEl Paso, TX 79905(915) 545-6560

Davis, Kaye E, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

Day, Miles R, MD4515 Marsha Sharp FrwyLubbock, TX 79407(806) 743-7223

Farag, Ashraf N, MD3601 4th St 1b350kLubbock, TX 79430(806) 743-2898

Fishkin, Semyon, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

Haggard, Corey J, MD3615 18th StLubbock, TX 79410(706) 650-0705

Ibrahim, Ali D, MD11331 James WattBldg 200El Paso, TX 79936(915) 260-82561416 George Dieter DrEl Paso, TX 79936(915) 598-42401801 N Oregon StEl Paso, TX 79902(915) 774-55501815 N Stanton StEl Paso, TX 79902(915) 533-84123909 N Mesa StEl Paso, TX 79902(915) 540-48644815 Alameda AveEl Paso, TX 79905(915) 521-7040

6955 N Mesa StEl Paso, TX 79912(915) 613-58427835 Corral DrEl Paso, TX 79915(915) 595-3353

Johnsen, Michael W, MD4815 Alameda AveEl Paso, TX 79905(706) 650-0705

Johnson, Philip M, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

Johnston, Robert V, MD4515 Marsha Sharp FrwyLubbock, TX 79407(806) 744-7223

Khalil, Sabry, MD4815 Alameda AveEl Paso, TX 79905(706) 650-0705

Lachmansingh, JineshS, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

Latour, Jonathan G, MD3615 19th StLubbock, TX 79410(706) 650-0705

Mandal Chaudhuri,Swapna, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

Narra, Koteswara, MD3819 22nd PlaceLubbock, TX 79410(806) 799-1400

Negrete, Margaret, DO1755 Curie DrSte AEl Paso, TX 79902(316) 281-37001755 Curie StSte AEl Paso, TX 79902(915) 544-36361801 N OregonEl Paso, TX 79902(915) 521-12002001 N Oregon StEl Paso, TX 79902(972) 715-50002930 N Stanton StEl Paso, TX 79902(915) 271-4569

4815 Alameda AveEl Paso, TX 79905(706) 650-0705

Nelson, Amanda L,CRNA1600 Wallace BlvdAmarillo, TX 79106(806) 212-5011

Northcutt, Suzanne, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981602 IndianaLubbock, TX 79415(806) 743-7246

Owen, Philip G, MD4815 Alameda AveEl Paso, TX 79905(412) 937-5700

Parikh, Nitin P, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-29813819 22nd PlLubbock, TX 79410(806) 300-0289

Phillips, Cooper W, MD3601 4th StLubbock, TX 79430(806) 743-2981

Pritchard, David G, MD4815 Alameda AveEl Paso, TX 79905(706) 650-0705

Ricaldi, Carlos A, MD708 S 1st StMuleshoe, TX 79347(806) 272-4524

Rivas, Elizabeth R, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

Sahinler, Bolkar E, MD3300 N A St Bldg 5Ste 110Midland, TX 79705(432) 400-34013419 22nd StLubbock, TX 79410(806) 796-3000

Santos, Alan C, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

Schmitz, Bettina, MD3601 4th St1st Fl Medical PavilionLubbock, TX 79430(806) 743-2981

602 IndianaLubbock, TX 79415(806) 743-7246

Siddiqui, Ata U, MD3601 4th StLubbock, TX 79430(806) 743-2981

Spraitzar, Sarah R, MD1302 N Stanton StEl Paso, TX 79902(316) 281-37141416 George Dieter DrEl Paso, TX 79936(941) 360-15661900 Denver AveEl Paso, TX 79902(316) 281-37144815 Alameda AveEl Paso, TX 79905(706) 650-0705

Tyler, Debra S, MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

Vogt Harenkamp,Christiane, MD3601 4th St Ste 1b350kLubbock, TX 79430(806) 743-2981

Walker, Trevor V, MD3601 4th St Ste 1b350kLubbock, TX 79430(806) 743-2981

Warfel, Joel W, MD1416 George Dieter DrEl Paso, TX 79936(915) 598-42402000 Transmountain RdEl Paso, TX 79911(915) 577-84674815 Alameda AveEl Paso, TX 79905(706) 650-0705

Wasnick, John D, MD3601 4th St Ste 1b350kLubbock, TX 79430(806) 743-29814810 N Loop 289Lubbock, TX 79416(806) 687-7777602 Indiana AveLubbock, TX 79430(806) 743-2898

Watson Millet, Marilyn K,MD3601 4th StSte 1b350kLubbock, TX 79430(806) 743-2981

August 15, 2021

Page 109: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

109

UNIVERSITY MEDICALCENTER (cont.)

ANESTHESIOLOGY (cont.)

3615 18th StLubbock, TX 79410(800) 394-4445

Wilson, Selma P, MD10905 Quaker AveLubbock, TX 79424(806) 796-7246

Wyant, Glen R, MD4815 Alameda AveEl Paso, TX 79905(706) 650-0705

Yazdani, Shiraz, MD3300 N A StBldg 5 Ste 110Midland, TX 79705(432) 400-34013419 22nd StLubbock, TX 79410(806) 796-3000

EMERGENCY MEDICINEAddington, Charles E,DO1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374400 Southwest 25th AveMineral Wells, TX 76067(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777708 S First StMuleshoe, TX 79347(806) 272-4524

Agler, Karen S, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Aguas, Enrico G, MD1601 W 11th PlaceBig Spring, TX 79720(281) 363-31564810 N Loop 289Lubbock, TX 79416(806) 687-7777

Allen, Charla B, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Banister, Ronald E, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Banister, Melinda D, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Banister, Ronald E, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Banister, Melinda D, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-64111601 W 11th PlBig Spring, TX 79720(281) 363-3156

Bowman, Conrad B, MD7007 Indiana AveLubbock, TX 79413(801) 701-4141(806) 701-4141

Chen, Michael, DO4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Davis, Susan R, MD101 Ave JAnson, TX 79501(325) 823-32311500 S Sunset AveLittlefield, TX 79339(806) 385-64111601 W 11th PlaceBig Spring, TX 79720(432) 263-1211304 S Daugherty AveEastland, TX 76448(254) 629-2601320 N Main StLockney, TX 79241(806) 652-3373400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891600 Interstate 20Stanton, TX 79782(432) 756-3345901 W Hamilton StOlney, TX 76374(940) 564-5521

De Moor, Carrie E, MD7007 Indiana AveLubbock, TX 79413(801) 701-4141(806) 701-4141

Dickerson, Sandra D,MD1500 S SunsetLittlefield, TX 79339(806) 385-64114810 N Loop 289Lubbock, TX 79416(806) 687-7777

Fargason, William E, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

7007 Indiana AveLubbock, TX 79413(801) 701-4141

Fernando, Victoria D,MD1601 W 11th PlaceBig Spring, TX 79720(254) 629-2601

Frezza, Eldo E, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Gallegos Garcia,Fernando S, MD100 Medical DrBorger, TX 79007(806) 273-1100

Gomez, Laura, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 992-3303

Gray, Chad E, MD1500 S SunsetLittlefield, TX 79339(800) 962-3303

Hase, Vivian R, MD400 Southwest 25th AveMineral Wells, TX 76067(806) 385-6411

Helak, Joseph P, DO1500 S SunsetLittlefield, TX 79339(800) 962-33031500 S Sunset AveLittlefield, TX 79339(806) 385-64112202 N Bryan AveLamesa, TX 79331(806) 872-5943708 S 1st StMuleshoe, TX 79347(806) 272-4524

Holmes, Justin W, MD400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Hughes Bass, Ann C,MD400 Southwest 25th AveMineral Wells, TX 76067(432) 756-3345

Jones, Timothy B, MD101 Ave JAnson, TX 79501(281) 363-31564810 N Loop 289Lubbock, TX 79416(850) 437-7736

Khan, Muhammad S, MD400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Khan, Suhail R, MD7007 Indiana AveLubbock, TX 79413(801) 701-4141(806) 701-4141

Klapproth, Shawn, MD400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Kunkov, Sergey, MD3601 4th StLubbock, TX 79430(806) 743-6624

Leach, Christopher M,MD400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Lewis, Ryan L, MD7007 Indiana AveLubbock, TX 79413(801) 701-4141(806) 701-4141

Manson, Paul V, MD1700 Cogdell BlvdSnyder, TX 79549(800) 355-08084810 N Loop 289Lubbock, TX 79416(806) 687-7777

Marsh, David, MD10201 Hwy 16 NComanche, TX 76442(254) 879-4900400 Southwest 25th AveMineral Wells, TX 76067(254) 879-4900

Martin, Lance S, MD100 Medical DrBorger, TX 79007(806) 273-1100

McKee, Desirae M, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Molina, Isabel, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303

Onger, Frederick A, MD304 S Daugherty AveEastland, TX 76448(800) 962-3303

Pena, Mario, MD7501 Quaker AveLubbock, TX 79424(806) 788-3306

Ricaldi, Carlos A, MD1500 S SunsetLittlefield, TX 79339(800) 962-3303

August 15, 2021

Page 110: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

110

UNIVERSITY MEDICALCENTER (cont.)

EMERGENCY MEDICINE (cont.)

1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Robinson, Eldon S, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Sasin, Edwin J, MD708 S FirstMuleshoe, TX 79347(806) 272-4524720 Hospital DrAndrews, TX 79714(432) 523-2200

Skelton, Jonathan D, MD7007 Indiana AveLubbock, TX 79413(801) 701-4141(806) 701-4141

Smith, Derek A, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374

Stickles, Jimmy L, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Thomas, Griffith W, MD4810 N Loop 289Lubbock, TX 79416(806) 687-7777

Weatherford, Zachary R,MD7007 Indiana AveLubbock, TX 79413(801) 701-4141(806) 701-4141

Wyatt, Brent M, MD7007 Indiana AveLubbock, TX 79413(801) 701-4141

Xu, Ke T, MD1700 Cogdell BlvdSnyder, TX 79549(850) 437-7736

GENERAL SURGERYBanister, Melinda D, MD1501 W 11th PlaceSte 100Big Spring, TX 79720(432) 263-6018

1501 W 11th Place Ste100Big Spring, TX 79720(432) 263-60182600 Hwy 118 NAlpine, TX 79830(432) 837-0041

Baucom, Rebeccah, MD3601 4th StLubbock, TX 79430(806) 743-23734102 24th St 507Lubbock, TX 79410(806) 743-7334

Bayouth, Charles V, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 799-79284102 24th St Ste 304Lubbock, TX 79410(806) 743-7874

Brooks, Steven E, MD3601 4th StLubbock, TX 79430(806) 743-2373

Buschman, Job O, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-2222

Deeb, Sammy A, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-2222

Dissanaike, Sharmila,MD3601 4th St 2nd FlMedical PavilionLubbock, TX 79430(806) 743-2373

Goyal, Vinay, MD3601 4th StLubbock, TX 79430(806) 743-23734102 24th St 507Lubbock, TX 79410(806) 743-7334

Griswold, John A, MD3601 4th St 2nd FlMedical PavilionLubbock, TX 79430(806) 743-2373

Haggard, Derick R, MD3509 22nd StLubbock, TX 79410(306) 799-7928

3611 22nd PlLubbock, TX 79410(806) 771-22224102 24th StSte 304Lubbock, TX 79410(806) 743-7874

Halff, Glenn A, MD1900 N Oregon StSte 310El Paso, TX 79902(888) 336-9633

Haynes, Allan L, MD3506 21 St StLubbock, TX 79410(806) 743-2373602 Indiana AveLubbock, TX 79415(806) 775-8600

Hollands, Celeste M, MD4102 24th St Ste 507Lubbock, TX 79410(806) 743-2388

Howe, Thomas L, MD3506 21st StSte 610Lubbock, TX 79410(806) 743-2373

Layeequr Rahman,Rakhshanda, MD3601 4th StLubbock, TX 79430(806) 743-2373602 Indiana AveLubbock, TX 79415(806) 775-8600

Mangold, David E, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd StLubbock, TX 79410(806) 771-22224102 24th St Ste 304Lubbock, TX 79410(806) 743-7874

Nickels, Melinda B, MD3506 21st St Ste 601Lubbock, TX 79410(806) 743-78743509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-2222705 E Felt StBrownfield, TX 79316(806) 637-1955(806) 637-3551

Norkiewicz, Brian J, MD3506 21st StSte 610Lubbock, TX 79410(806) 743-2373

3711 22nd StSte CLubbock, TX 79410(806) 771-3680

Onkendi, Edwin O, MD3502 9th StSte 310Lubbock, TX 79415(806) 743-41153601 4th StLubbock, TX 79430(806) 743-2373

Purtell, Adam K, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-22224102 24th StSte 304Lubbock, TX 79410(806) 743-7874

Richmond, Robyn E, MD3601 4th StLubbock, TX 79430(806) 743-2373

Rivas, Sammy D, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-22224102 24th StSte 304Lubbock, TX 79410(806) 743-7874

Ronaghan, Catherine A,MD3601 4th StLubbock, TX 79430(806) 743-2373

Rosen, Richard A, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-22224102 24th StSte 304Lubbock, TX 79410(806) 743-7874

Sallee, Caleb, MD3509 22nd StLubbock, TX 79410(806) 799-79283611 22nd PlLubbock, TX 79410(806) 771-22224102 24th StSte 304Lubbock, TX 79410(806) 743-7874

August 15, 2021

Page 111: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

111

UNIVERSITY MEDICALCENTER (cont.)

GENERAL SURGERY (cont.)

Santana, Dixon, MD3601 4th St1st Fl Medical PavilionLubbock, TX 79430(806) 743-2373

Santos, Ariel P, MD3601 4th StLubbock, TX 79430(806) 743-2373

Thames, Elbert A, MD1700 Cogdell BlvdSnyder, TX 79549(325) 573-13003711 22nd St Ste CLubbock, TX 79410(806) 370-0478

Thomas, John P, MD1120 W Loop 289Ste 230Lubbock, TX 79416(806) 744-8600

Williams, Vernon M, MD3502 9th St Ste 310Lubbock, TX 79415(806) 743-23773601 4th StLubbock, TX 79430(806) 743-2373

NEONATAL-PERINATALMEDICINEArellano, Jose B, MD4015 22 PlaceLubbock, TX 79410(806) 725-3107

Bowman, Thomas A, MD10301 Gateway Blvd WEl Paso, TX 79925(915) 595-90001600 Wallace BlvdAmarillo, TX 79106(806) 212-20001625 Medical Ctr StEl Paso, TX 79902(915) 747-40001801 N Oregon StEl Paso, TX 79902(915) 521-12002000 N Resler DrEl Paso, TX 79912(915) 500-65602000 Transmountain RdEl Paso, TX 79911(915) 500-6560

2001 N Oregon StEl Paso, TX 79902(915) 577-60113280 Joe Battle BlvdEl Paso, TX 79938(915) 577-6000602 Indiana AveLubbock, TX 79415(888) 822-2855

Montanez, Ana M, MD1801 N Oregon StEl Paso, TX 79902(915) 521-16643601 4th StLubbock, TX 79430(806) 743-1000602 Indiana AveLubbock, TX 79415(806) 775-8200

Perez Benavid,Fortunato, MD602 Indiana AveLubbock, TX 79415(800) 243-3839

Piepkorn, Melissa S, MD1600 Wallace BlvdAmarillo, TX 79106(806) 212-20004015 22nd PlaceLubbock, TX 79410(806) 725-1011602 Indiana AveLubbock, TX 79415(888) 822-2855

Sorrell, Michael W, MD602 Indiana AveLubbock, TX 79415(806) 775-8200

Tenpenny, Joy C, MD1801 N Oregon StEl Paso, TX 79902(915) 521-12002000 Transmountain RdEl Paso, TX 79911(423) 267-93002001 N Oregon StEl Paso, TX 79902(423) 267-93003601 4th StLubbock, TX 79430(423) 267-93004015 22nd PlLubbock, TX 79410(806) 725-1011520 E 6th StOdessa, TX 79761(432) 582-8000602 Indiana AveLubbock, TX 79415(806) 775-8200

Weiss, Katherine J, MD1801 N OregonEl Paso, TX 79902(915) 521-1200

Yadav, Deepak, MD10301 Gateway Blvd WEl Paso, TX 79925(800) 243-38391625 Medical Ctr StEl Paso, TX 79902(800) 243-3839

Yadav, Deepak, MD1801 N Oregon StEl Paso, TX 79902(915) 521-1200

Yadav, Deepak, MD2000 Transmountain RdEl Paso, TX 79911(800) 243-38392001 N Oregon StEl Paso, TX 79902(800) 243-38393280 Joe Battle BlvdEl Paso, TX 79938(800) 243-3839

Yadav, Deepak, MD602 Indiana AveLubbock, TX 79415(800) 243-3839

PATHOLOGYBrandi, Luis, MD3601 4th StLubbock, TX 79430(806) 775-8360

Dunn, Dale M, MD3601 4th StSte 1a115Lubbock, TX 79430(806) 743-21556630 Quaker AveSte GLubbock, TX 79413(806) 743-2178

Labib, Safaa S, MD3601 4th StLubbock, TX 79430(806) 743-2155

Stuart, Rodney W, MD410 N Utica AveLubbock, TX 79416(806) 687-7284

Warraich, Irfan A, MD3601 4th StSte 1a115Lubbock, TX 79430(806) 743-2155

RADIOLOGYBallenger, Zachary E,MD4005 24th StLubbock, TX 79410(806) 792-2767

Beville, Lee W, MD10301 Gateway Blvd WEl Paso, TX 79925(915) 595-90002001 N Oregon StEl Paso, TX 79902(713) 461-3573

Blackwell, David E, MD602 Indiana Ave Ste B70Lubbock, TX 79415(806) 743-4462808 Joliet Ave Ste 130Lubbock, TX 79415(806) 743-1810

Blakely, Gail E, MD10301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000

Bruening, Brian J, MD3525 19th StLubbock, TX 79410(806) 687-83464005 24th StLubbock, TX 79410(806) 792-2767

Callahan, Thomas E, MD4005 24th StLubbock, TX 79410(806) 792-27674400 Buffalo Gap RdSte 2600Abilene, TX 79606(325) 677-2201

Chandler, Nancy, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cook, Cassy L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cox, Cody A, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cushman, Walter H, MD4005 24th StLubbock, TX 79410(806) 792-2767

Dar, Nabeel S, MD10301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000

Donaldson, David L, MD4005 24th StLubbock, TX 79410(806) 792-2767

August 15, 2021

Page 112: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

112

UNIVERSITY MEDICALCENTER (cont.)

RADIOLOGY (cont.)

Frazier, Stephen D, MD10301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000

Furlong, Joseph B, MD1111 Hawkins BlvdSte 2aEl Paso, TX 79925(915) 771-83462270 Joe Battle BlvdSte JEl Paso, TX 79938(915) 996-9222423 Executive CenterBlvdEl Paso, TX 79902(915) 261-7688

Giyanani, Vishan L, MD10301 Gateway Blvd WEl Paso, TX 79925(915) 595-90001416 George Dieter DrEl Paso, TX 79936(915) 598-4240

Gouvion, Michael D, MD4005 24th StLubbock, TX 79410(806) 792-2767

Johnson, Carson L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Kakarala, Bharat, MD500 W 4th StOdessa, TX 79761(432) 640-1273

Kaura, Samantha H, MD4400 Buffalo Gap RdSte 2600Abilene, TX 79606(325) 677-2201

Knapp, Michael E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Kurapati, Surender, MD2404 Yonkers StSte 4Plainview, TX 79072(806) 293-2735

Martinez, Waldo M, MD4005 24th StLubbock, TX 79410(806) 792-2767

Montgomery, James, MD4005 24th StLubbock, TX 79410(806) 792-2767

Muff, David F, MD4005 24th StLubbock, TX 79410(806) 792-2767

Panapitiya, Narendra C,MD2001 N Oregon StEl Paso, TX 79902(713) 461-3573

Poe, Greg S, MD4005 24th StLubbock, TX 79410(806) 792-2767

Porter, Scott C, MD4005 24th StLubbock, TX 79410(806) 792-2767

Simmons, Gary E, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Steven C, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

Winn, William E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wolfe, James T, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wright, Douglas H, MD4005 24th StLubbock, TX 79410(806) 792-2767

W J MANGOLDMEMORIAL HOSPITAL

EMERGENCY MEDICINEBrooks, John A, MD320 N Main StLockney, TX 79241(281) 466-1141

Brown, Lisa L, MD320 N Main StLockney, TX 79241(281) 363-3156

720 Hospital DrAndrews, TX 79714(800) 962-3303

Chizen, Robert P, MD1416 George Dieter DrEl Paso, TX 79936(915) 598-4240320 N Main StLockney, TX 79241(281) 363-3156

Esparza, Luis M, MD320 N Main StLockney, TX 79241(800) 962-3303720 Hospital DrAndrews, TX 79714(432) 523-2200

Healing, Robert D, MD320 N Main StLockney, TX 79241(281) 363-3156

Hughes, Charles V, MD320 N Main StLockney, TX 79241(800) 962-3303

Lipscomb, Larry B, MD1500 S Sunset AveLittlefield, TX 79339(806) 385-6411708 S 1st StMuleshoe, TX 79347(806) 272-4524

Matos Serrano,Gregorio, MD320 N Main StLockney, TX 79241(281) 363-3156400 Southwest 25th StMineral Wells, TX 76067(800) 000-0000

McBride, Luke, MD1 Ave NHaskell, TX 79521(940) 864-26211500 S Sunset AveLittlefield, TX 79339(806) 385-6411320 N Main StLockney, TX 79241(281) 363-3156

McNeill, Scott S, MD320 N Main StLockney, TX 79241(800) 962-3303

Moore, Sharman A, MD320 N Main StLockney, TX 79241(806) 652-3373

Schlueter, Cynthia K, DO320 N Main StLockney, TX 79241(281) 363-3156

Thornton, Janet L, DO1 Ave NHaskell, TX 79521(940) 864-2621320 N Main StLockney, TX 79241(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Torio, Rolando N, MD320 N Main StLockney, TX 79241(281) 363-3156720 Hospital DrAndrews, TX 79714(800) 962-3303

Wood, Roy C, MD320 N Main StrLockney, TX 79241(281) 363-3156708 S 1st StMuleshoe, TX 79347(806) 272-4524

Woodward, Harold L,MD100 Medical DrBorger, TX 79007(806) 273-1100101 Ave JAnson, TX 79501(325) 823-323110201 Hwy 16Comanche, TX 76442(254) 879-49001416 George Dieter DrEl Paso, TX 79936(915) 849-51001500 S SunsetLittlefield, TX 79339(806) 385-64111601 W 11th PlaceBig Spring, TX 79720(432) 263-1211304 S Daugherty StEastland, TX 76448(254) 629-2601320 N Main StLockney, TX 79241(800) 962-3303400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891600 Interstate 20Stanton, TX 79782(432) 756-3345901 W Hamilton StOlney, TX 76374(940) 564-5521

August 15, 2021

Page 113: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

113

W J MANGOLDMEMORIAL HOSPITAL (cont.)

EMERGENCY MEDICINE (cont.)

Young, Michael R, DO101 Ave JAnson, TX 79501(432) 756-33451500 S SunsetLittlefield, TX 79339(806) 385-64111601 W 11th PlaceBig Spring, TX 79720(432) 263-1211304 S Daugherty StEastland, TX 76448(254) 629-2601308 Hudspeth StSonora, TX 76950(325) 387-2521320 N Main StLockney, TX 79241(432) 756-3345400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891901 SweetwaterWheeler, TX 79096(806) 826-5581901 W Hamilton StOlney, TX 76374(940) 413-7400

Zepeda, Maria C, MD200 S McGee StBorger, TX 79007(806) 273-11003101 Garrett DrPerryton, TX 79070(915) 849-5100320 N Main StLockney, TX 79241(281) 363-3156

PATHOLOGYWarraich, Irfan A, MD3601 4th StSte 1a115Lubbock, TX 79430(806) 743-2155

RADIOLOGYAmilineni, Venkata K,MD10201 Hwy 16Comanche, TX 76442(877) 406-2916

1900 Pine StAbilene, TX 79601(877) 406-29164400 Buffalo Gap RdSte 2600Abilene, TX 79606(325) 677-2201750 N 18th StAbilene, TX 79601(877) 406-2916

Anderson, Jon, MD10201 Hwy 16Comanche, TX 76442(877) 406-29161900 Pine StAbilene, TX 79601(877) 406-29164400 Buffalo Gap RdSte 2600Abilene, TX 79606(325) 677-2201750 N 18th StAbilene, TX 79601(877) 406-2916

Garvish, John F, MD2404 Yonkers StSte 4Plainview, TX 79072(806) 293-42312404 Yonkers St Ste 4Plainview, TX 79072(806) 293-4231

Kimball, Jason, DO1900 Pine StAbilene, TX 79601(325) 670-2932(877) 406-2916850 N 18thAbilene, TX 79601(325) 437-0560

Wiginton, Clark D, MD10201 Hwy 16Comanche, TX 76442(877) 406-29161900 Pine StAbilene, TX 79601(877) 406-29164400 Buffalo Gap RdSte 2600Abilene, TX 79606(325) 677-2201750 N 18th StAbilene, TX 79601(877) 406-2916

YOAKUM COUNTYHOSPITAL

EMERGENCY MEDICINEBoyd, Larry C, MD387 W Ih 10Ste 1Fort Stockton, TX 79735(432) 336-2068400 Southwest 25th AveMineral Wells, TX 76067(940) 325-7891

Chamales, Michael H,MD412 Mustang DrDenver City, TX 79323(806) 592-2121

Cotton, Christoph D, MD412 Mustang DrDenver City, TX 79323(806) 592-2121

Frankfather, Jay S, MD412 Mustang DrDenver City, TX 79323(806) 592-2121

Guy, Eric C, MD412 Mustang DrDenver City, TX 79323(806) 592-2121515 N Adams AveOdessa, TX 79761(800) 962-3303

Morton, James W, MD400 Southwest 25th AveMineral Wells, TX 76067(800) 962-3303901 S Sweetwater StWheeler, TX 79096(806) 826-5581

Odom, Lynda G, MD412 Mustang AveDenver City, TX 79323(806) 592-2121

Way, Peter C, MD1900 College AveLevelland, TX 79336(806) 894-4963200 S McGee StBorger, TX 79007(800) 962-3303412 Mustang DrDenver City, TX 79323(806) 592-2121

GENERAL SURGERYHarden, Samuel J, MD412 Mustang AveDenver City, TX 79323(806) 592-2121412 Mustang DrDenver City, TX 79323(806) 592-2121

RADIOLOGYBallenger, Zachary E,MD4005 24th StLubbock, TX 79410(806) 792-2767

Chandler, Nancy, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cook, Cassy L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Cox, Cody A, MD4005 24th StLubbock, TX 79410(806) 792-2767

Donaldson, David L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Gouvion, Michael D, MD4005 24th StLubbock, TX 79410(806) 792-2767

Johnson, Carson L, MD4005 24th StLubbock, TX 79410(806) 792-2767

Knapp, Michael E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Martinez, Waldo M, MD4005 24th StLubbock, TX 79410(806) 792-2767

Montgomery, James, MD4005 24th StLubbock, TX 79410(806) 792-2767

Muff, David F, MD4005 24th StLubbock, TX 79410(806) 792-2767

Poe, Greg S, MD4005 24th StLubbock, TX 79410(806) 792-2767

Porter, Scott C, MD4005 24th StLubbock, TX 79410(806) 792-2767

Simmons, Gary E, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

August 15, 2021

Page 114: Blue Advantage HMO - BCBSTX

Facility-based Physicians

- This Location is Handicap Accessible

114

YOAKUM COUNTYHOSPITAL (cont.)

RADIOLOGY (cont.)

White, Steven C, MD4005 24th StLubbock, TX 79410(806) 792-2767

White, Kenneth K, MD4005 24th StLubbock, TX 79410(806) 792-2767

Winn, William E, MD4005 24th StLubbock, TX 79410(806) 792-2767

Wolfe, James T, MD4005 24th StLubbock, TX 79410(806) 792-2767

August 15, 2021

Wright, Douglas H, MD4005 24th StLubbock, TX 79410(806) 792-2767

Page 115: Blue Advantage HMO - BCBSTX

Ancillary ProvidersLaboratory Services Quest Diagnostics (Quest) is the PREFERRED STATEWIDE provider of outpatient clinical

reference laboratory services for Blue Advantage HMO.

- This Location is Handicap Accessible

115

ACQUIRED BRAININJURY

LUBBOCKTransitional LearningCtr Lubbock4000 22nd Place 3rd Flr(806) 281-5401

AMBULANCE - AIR

LUBBOCKMed Trans Corporation6006 N Cedar Ave(806) 724-3306

PLAINVIEWMed Trans Corporation3 Miller Dr(877) 288-5340

SEMINOLEMed-Trans Corporation802 Hobbs Hwy(432) 245-2175

AMBULANCE SERVICES

PLAINVIEWMed Trans Corporation3 Miller Dr(469) 549-5300

AMBULATORYSURGICAL CENTER(ASC)

LUBBOCKCataract Surgical CenterOf Lubbock5109 80th St(806) 792-5900

Lubbock Surgery CenterLlc3416 22nd St(806) 412-6583

Lubbock VascularAccess1126 Slide Rd Ste 1(806) 792-2222

South Plains EndoscopyCenter3610 24th St(806) 793-3141

Wilson Surgicenter4315 28th St(806) 792-2104

CARDIAC CATHETERLAB

LUBBOCKSouth Plains SurgeryCenter Llc4412 6th St(806) 451-5005

CLINICAL ANDANATOMICALLABORATORIES

GRAND RAPIDSNxgen Mdx Llc801 Broadway Ave NwSte 203(855) 776-9436

LUBBOCKQuest Diagnostics3417 20th St(806) 791-1235

SEATTLEHematologicsIncorporated3161 Elliott AveSte 200(800) 860-0934

DURABLE MEDICALEQUIPMENT

LUBBOCKByram HealthcareMail Order Supplier(866) 321-0900

Edgepark SurgicalSupplyMail Order Supplier(800) 321-0591

Express Medical SupplyLtd4224 Boston Ave(806) 792-1418

Family Mobility5002 34th St Unit B(806) 771-9701

J And R MedicalMail Order Supplier(887) 505-4207

Lincare Inc5920 66th StSte 3(806) 796-2555

Major Medical6102 45th StSte D(806) 797-1977

Medway MedicalEquipment3448 W Loop 289(806) 797-8888

PLAINVIEWRhema Medical4436 Olton Rd(806) 296-7665

FREE STANDING ER(24/7)

LUBBOCKStar Er7007 Indiana Ave(806) 701-4141

HEARING AID SUPPLIER

LUBBOCKKing Hearing Center2821 74th St(806) 745-7878

Livingston Hearing AidCenter Inc5303 50th St(806) 799-8950(940) 665-4327

Miracle Ear Center8215 University AveSte 100(806) 698-1083

R And D Burd Inc15409 N Cr 1900(806) 331-5282

The Hearing Doctor4505 82nd St #8(806) 798-3600

PLAINVIEWLivingston Hearing AidCenters2200 W 5th StSte B(806) 293-8874

SNYDERLivingston Hearing AidCenter Inc1707 30th St(325) 574-1040

HOME HEALTH

BROWNFIELDBrownfield RegionalMedical Center HomeCare801 E Tahoka Rd(806) 637-0063

LAMESASu Casa Home HealthServices Llc1009 N 7th St(432) 520-2556

LEVELLANDAccolade Home Care219 Cactus DrSte B(806) 897-1467

LOCKNEYMangold MemorialHospital Home HealthCare214 N Main St(806) 652-2895

LUBBOCKAccolade Home Care5201 Indiana AveSte 200(806) 791-2100

American Star HomeHealth Care3620 I 27Ste A(806) 687-6547

Aveanna Healthcare5225 S Loop 289Ste 210(806) 780-4180

Brightstar Healthcare6701 Aberdeen AveSte 6(806) 745-9996

Caprock Home HealthServices Inc8806 University(806) 791-0077

Cuidado Casero HomeHealth2118 Broadway Ave(806) 785-7903

Direct Health Care Inc7402 University Ave(806) 793-3999

LUBBOCK August 15, 2021

Page 116: Blue Advantage HMO - BCBSTX

Ancillary ProvidersLaboratory Services Quest Diagnostics (Quest) is the PREFERRED STATEWIDE provider of outpatient clinical

reference laboratory services for Blue Advantage HMO.

- This Location is Handicap Accessible

116

HOME HEALTH (cont.)

LUBBOCK (cont.)

Essential Home Health2501 BaylorSte 100(806) 747-4229

Outreach Home Care4413 82nd StSte 204(806) 794-3796

Thrive Skilled PediatricCare1303 82nd StSte 150(806) 687-3124

PLAINVIEWAccolade Home Care510 Ash(806) 293-2990

SNYDERCogdell Home HealthAnd Hospice Services1700 Cogdell Blvd(325) 574-7340

HOME INFUSIONTHERAPY

LUBBOCKMaxor SpecialtyPharmacy6101 43rd StSte C(806) 791-4663

HOSPICE

LUBBOCKHospice Of Lubbock Inc3702 21st St(806) 795-2751

Interim Hospice WestTexas3305 101st StSte 100(806) 791-0043

Kindred Hospice7202 Slide Rd Ste 301(806) 748-1041

PLAINVIEWInterim Hospice Of WestTexas113 W 8th St(806) 288-9482

SNYDERCogdell Home Health &Hospice1700 Cogdell Blvd(325) 574-7340

IMAGING CENTER

LUBBOCKLubbock Open Air MriInc3720 20th St(806) 792-6736

Texas Mri Of Lubbock3501 22nd St(806) 785-6740

IMMUNIZATION CLINIC

LUBBOCKUnited Market StreetAmigos United ExpressFuFor Current LocationsSeeWww.Albertsons.Com/Pharmacy(630) 948-6285

SHALLOWATERThornhill Healthcare Inc600 8th St(806) 832-0300

PROSTHESES,ORTHOTICS &PEDORTHISTS

LUBBOCKLubbock Artificial LimbAnd Brace4421 19th St(806) 799-1518

REHABILITATIONFACILITY

LUBBOCKSouth Plains RehabHospital An Affiliate OfU5406 Colgate St(806) 507-1600

RENAL DIALYSISFACILITY

BROWNFIELDBrownfield Dialysis710 E Felt St(806) 637-6373

LAMESAFresenius Kidney CareStanbaugh1600 N Bryan Ave(806) 872-9239

LUBBOCKAngelo KidneyConnection HomeTherapies Pllc3626 50th St(806) 368-8620

Dialysis Center OfLubbock6630 Quaker Ave #102(806) 793-1414

Fresenius Kidney CareCaprock8704 University Ave(806) 748-0002

Fresenius Medical CareLubbock2710 Ave Q(806) 744-1252

Kidney Care Center1126 Slide RdSte 4b(806) 771-0906

Kidney Center OfLubbock3801 21st StSte 100(806) 771-9933

Lubbock Dialysis CenterRedbud1126 Slide Rd #4(806) 785-6285

Us Renal Care NorthLubbock1826 Parkway DrSte 200(806) 747-1366

PLAINVIEWFmc Dialysis ServicesPlainv3304 Olton Rd(806) 296-6661

SKILLED NURSINGFACILITY

BROWNFIELDBrownfield Rehab CareCtr510 S 1st(806) 637-4307

CROSBYTONCrosbyton NursingRehab Ctr222 N Farmer St(806) 675-2342

LEVELLANDLevelland Nursing AndRehab Ctr210 W Ave(806) 894-5053

LUBBOCKHeritage Oaks NursingAnd Rehabil5301 University Ave(806) 795-8792

Lakeside Rehab CareCtr4306 24th St(806) 793-2555

Lubbock HospitalityNursing And R4710 Slide Rd(806) 797-3481

The Mildred And ShirleyL Garriso3710 4th St(806) 763-4455

Whisperwood NursRehab Ctr5502 W 4th St(806) 793-1111

August 15, 2021 LUBBOCK

Page 117: Blue Advantage HMO - BCBSTX

Ancillary ProvidersLaboratory Services Quest Diagnostics (Quest) is the PREFERRED STATEWIDE provider of outpatient clinical

reference laboratory services for Blue Advantage HMO.

- This Location is Handicap Accessible

117

SKILLED NURSINGFACILITY (cont.)

MATADORMatador Health AndRehabilitation805 Harrison St(806) 347-1000

PLAINVIEWPrairie House LivingCenter1301 Mesa Dr(806) 293-4855

SLATONSlaton Care Center630 S 19th St(806) 828-6268

SLEEP STUDIESCENTER

LUBBOCKAlpha Sleep Labs11931 Frankford Ave(806) 785-9600

URGENT CARE CENTER

IRVINGCarenow2675 N Belt Line Rd(615) 373-7600

MATADOR August 15, 2021

LUBBOCKConcentra Urgent Care6048 Marsha Sharp Frwy(866) 944-6046

Page 118: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

118

ASPERMONT

LICENSEDPROFESSIONALCOUNSELORGonzales, Teri J, LPC821 N Broadway St(940) 989-3551

Hecht, Belinda, LPC821 N Broadway St(940) 989-3551Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH18-64 Abuse (Physicaland/or Sexual), BH 65+Abuse (Physical and/orSexual), BH 6-12 AnxietyDisorders

Kerestly, Laura, LPC821 N Broadway St(940) 989-3551

Ponder, Andrea L, LPC821 N Broadway St(940) 989-3551

PSYCHIATRYBarnhart, Benny L, MD821 N Broadway St(940) 989-3551Practice Information:BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 0-5Schizophrenia and otherPsychotic Disorders, BH13-17 Schizophrenia &other Psych Disorders,BH 18-64 Schizophrenia& other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

BROWNFIELD

LICENSED CLINICALSOCIAL WORKERAdams, Johnny M,LCSW1715 E Broadway St(806) 438-1141Practice Information:BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 6-12 Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders

BROWNFIELD

LICENSED CLINICALSOCIAL WORKER

BH 6-12 PainManagement, BH 6-12Schizophrenia & otherPsych Disorders

HERMLEIGH

LICENSEDPROFESSIONALCOUNSELORWarren Hicks, VickieLEANN, LPC244 W Fm 1606(325) 725-4395Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Pastoral Counseling, BH18-64 PastoralCounseling, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5 PastoralCounseling, BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

August 15, 2021 ASPERMONT

Page 119: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

119

LAMESA

LICENSEDPROFESSIONALCOUNSELORTolbert, Lance M, LPC1502 N Ave K(806) 872-3069Practice Information:BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders

LEVELLAND

LICENSEDPROFESSIONALCOUNSELORDewbre, Tamra DAWN,LPC1000 Fm 300(806) 872-3069Practice Information:BH 0-5 AnxietyDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 6-12Anxiety Disorders

Kuehler, KaseyDEEANN, LPC613 Austin St(806) 414-1244

Skinner, Peggy J, LPC1401 College Ave(806) 893-1890Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 Gay/LesbianIssues, BH 13-17 Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 Gay/LesbianIssues, BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders

Tolbert, Lance M, LPC1000 Fm 300(806) 872-3069Practice Information:BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders

LITTLEFIELD

LICENSEDPROFESSIONALCOUNSELORHarmon, Karen F, LPC1465 Fm 54(806) 930-5651

LUBBOCK

BOARD CERTIFIEDBEHAVIOR ANALYSTCerda, Mari LUCI, MED1614 Ave MSte 42(855) 832-6727

Crider, Tawnya Y, MA1614 Ave MSte 42(855) 832-6727

Daniel, Dana CAMILLE,MS6104 66th St Unit 100(806) 317-1071Practice Information:BH 6-12 Attention DeficitDisorders, BH 0-5Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

Fierro, Christin HOPE,MED1614 Ave MSte 42(855) 832-6727

Harmon, Malaney, MED6104 66th St Unit 100(806) 317-1071

Leatherwood, Kirsten,MED1614 Ave MSte 42(855) 832-6727

Logsdon, Joscelyn R,MA6104 66th St Unit 100(806) 317-1071

McKay, Cortni S, MSED6102 82nd StSte 10(806) 790-3831

Miller, Mikayla DONICE,MED6104 66th St Unit 100(806) 317-1071

Sisomphou, Devin N,MED6102 82nd StSte 10(806) 790-3831

Terry, Dianna JEAN,MED6104 66th St Unit 100(806) 317-1071

Walker, Kathleen P, MED6104 66th St Unit 100(806) 317-1071

LAMESA August 15, 2021

Page 120: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

120

LUBBOCK (cont.)

LICENSED CLINICALSOCIAL WORKERAndress, Wenona Y,LCSW3403 73rd StSte 7(806) 474-5787Practice Information:BH 6-12 Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement, BH 6-12Anxiety Disorders, BH6-12 Pain Management

Coates, Sally T, LCSW2424 50th St Rm 300(806) 743-2424301 40th St(806) 743-9355Practice Information:BH 18-64 Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders,BH 18-64 PainManagement, BH 65+Pain Management

Jackson, Natalia O,LCSW3311 81st StSte M(806) 441-1939Practice Information:BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 13-17Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 Gay/LesbianIssues, BH 6-12 AnxietyDisorders, BH 6-12 PainManagement

Tuley, Derek, LCSW301 40th St(325) 696-0600Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Gay/Lesbian Issues, BH6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders,BH 6-12 PainManagement, BH 6-12Schizophrenia & otherPsych Disorders, BH6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 13-17Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH13-17 PastoralCounseling, BH 65+Pastoral Counseling, BH6-12 Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych DisordersBH 65+ Schizophreniaand other PsychoticDisorders

Walisky, Desiree, LCSW6610 Quaker Ave(806) 743-4270

Wittmaack, Jena M,LCSW3305 81st StSte 8(530) 415-6078Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Gay/Lesbian Issues, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders, BH 6-12 PainManagement, BH 0-5Abuse (Physical and/orSexual), BH 6-12 Abuse(Physical and/or Sexual),BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisordersBH 0-5 PainManagement, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement

August 15, 2021 LUBBOCK

Page 121: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

121

LUBBOCK (cont.)

LICENSED MARRIAGE/FAMILY THERAPYDerderian, Gregory,LMFT7606 University AveSte B4(806) 370-7435Practice Information:BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 13-17Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH13-17 PastoralCounseling, BH 65+Pastoral Counseling, BH6-12 PsychologicalTesting, BH 13-17Psychological Testing,BH 18-64 PsychologicalTesting, BH 65+Psychological Testing,BH 6-12 Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 Gay/LesbianIssues, BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders

LICENSED MARRIAGE/FAMILY THERAPY

BH 6-12 Attention DeficitDisorders

Ford, Michael, LMFT2545 74th St(806) 780-0003

Gamble, April, LMFT8008 Slide RdSte 31(806) 300-0898Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH18-64 Abuse (Physicaland/or Sexual), BH 65+Abuse (Physical and/orSexual), BH 6-12 AnxietyDisorders

Jefferson, Cynthia,LMFT4216 102nd St Ofc 15(682) 738-5482

Shapiro, Beth A, LMFT2232 Indiana AveSte 1(806) 793-6160Practice Information:BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 6-12Psychological Testing,BH 13-17 PsychologicalTesting, BH 18-64Psychological Testing,BH 6-12 Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 18-64Abuse (Physical and/orSexual), BH 6-12 Gay/Lesbian Issues, BH 6-12Anxiety Disorders

LICENSEDPROFESSIONALCOUNSELORAduddell, Amanda D,LPC2402 52nd StSte 6(806) 317-2101

Allison, James, LPC8008 Slide RdSte 31(806) 300-0898

Anderson, Sheila S, LPC8207 Hudson AveSte A(806) 778-4148

Anderson, Cheryl L, LPC9507 Indiana Ave(806) 794-1504

Baker, Kevin L, LPC3417 73rd StSte A(806) 786-0250

Barden, Heather N, LPC2505 79th StSte A(806) 370-0335

Bjorgo, Lyn L, LPC1610 5th St(806) 765-26112401 Fulton AveSte B(806) 776-4943Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 0-5 PainManagement, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 Gay/LesbianIssues

LUBBOCK August 15, 2021

Page 122: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

122

LUBBOCK (cont.)

LICENSEDPROFESSIONALCOUNSELOR (cont.)

BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 6-12 PainManagement

Black, Nicole L, LPC3805 22nd StSte 1c(806) 577-2844

Bonin, Minerva, LPC4630 50th StSte 412(806) 993-0412

Borges, Anne R, LPC4630 50th StSte 412(806) 577-5899

Brower, Melissa L, LPC8008 Slide RdSte 31(806) 300-0898

Chavez, Kristine LEA,LPC8212 Ithaca AveSte E15(806) 441-3959

Copeland, Kimberly E,LPC3717 27th St(806) 798-8485Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 6-12 Gay/LesbianIssues, BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH0-5 Abuse (Physical and/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 0-5 Gay/LesbianIssues, BH 13-17 Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 0-5 PastoralCounseling, BH 13-17Pastoral Counseling, BH0-5 PsychologicalTesting, BH 6-12Psychological Testing,BH 13-17 PsychologicalTesting, BH 18-64Psychological Testing

Dennis, Maribeth E, LPC2421 27th St(806) 535-4268Practice Information:BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH6-12 Gay/LesbianIssues, BH 6-12 AnxietyDisorders

Fortney, RobertBROWN, LPC3302 34th St(806) 790-9090Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Gay/Lesbian Issues, BH6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5 Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 Pastoral Counseling,BH 13-17 PastoralCounseling, BH 65+Pastoral Counseling, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

August 15, 2021 LUBBOCK

Page 123: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

123

LUBBOCK (cont.)

LICENSEDPROFESSIONALCOUNSELOR (cont.)

Gatlin, Richard E, LPC2402 52nd StSte 5(806) 252-2854Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Pastoral Counseling, BH18-64 PastoralCounseling, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5Chemical Dependency,BH 6-12 ChemicalDependency, BH 13-17Chemical Dependency,BH 18-64 ChemicalDependency, BH 65+Chemical Dependency,BH 0-5 PastoralCounseling, BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

Gilster, Crystal, LPC5121 69th StSte B707(806) 831-2197Practice Information:BH 18-64 PastoralCounseling, BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 13-17 Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders

Greak, Betty, LPC3223 S Loop 289Ste 240u(806) 794-4261Practice Information:BH 18-64 PastoralCounseling, BH 13-17Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH13-17 PastoralCounseling, BH 65+Pastoral Counseling, BH13-17 Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement

Green, Leigh A, LPC6500 Quaker AveSte E(806) 445-3763Practice Information:BH 6-12 Gay/LesbianIssues, BH 6-12 AnxietyDisorders, BH 0-5Chemical Dependency,BH 6-12 ChemicalDependency, BH 13-17Chemical Dependency,BH 18-64 ChemicalDependency, BH 65+Chemical Dependency,BH 0-5 Gay/LesbianIssues, BH 13-17 Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders

Guillory, Marie D, LPC5822 91st St(806) 939-5673Practice Information:BH 18-64 PastoralCounseling, BH 65+Pastoral Counseling, BH18-64 Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders

Gutierrez, Steven MARK,LPC2424 50th St Rm 300(806) 743-2424

Hayes, Timothy W, LPC3303 67th StSte 100(806) 470-1461Practice Information:BH 18-64 ChemicalDependency, BH 65+Chemical Dependency,BH 65+ PastoralCounseling, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders,BH 18-64 PastoralCounseling

LUBBOCK August 15, 2021

Page 124: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

124

LUBBOCK (cont.)

LICENSEDPROFESSIONALCOUNSELOR (cont.)

Hensley, Sharon A, LPC8212 Ithaca AveSte W6(806) 789-9152Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 0-5 Gay/LesbianIssues, BH 13-17 Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 0-5 AffectiveMood Disorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 0-5Schizophrenia and otherPsychotic Disorders, BH13-17 Schizophrenia &other Psych Disorders,BH 18-64 Schizophrenia& other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders, BH 18-64Abuse (Physical and/orSexual), BH 6-12 Gay/Lesbian Issues

BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders

Hernandez, Melisa, LPC7204 Joliet AveSte 5(806) 317-9476

Hicks Jr, EdmondBRYAN, LPC3305 81st StSte 8(806) 370-0431Practice Information:BH 18-64 ChemicalDependency

Hooten, David A, LPC5147 69th StSte D(806) 794-21137015 Wayne Ave(806) 794-2113

Hosek, Kristi L, LPC6500 Quaker AveSte D(806) 445-4190Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Gay/Lesbian Issues, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5Chemical Dependency,BH 6-12 ChemicalDependency, BH 13-17Chemical Dependency,BH 18-64 ChemicalDependency, BH 65+Chemical Dependency,BH 0-5 Gay/LesbianIssues, BH 13-17 Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

Huey, Billy D, LPC1804 E 2nd St(806) 790-54702522 Parkway Dr(806) 790-5470

Hutton, Doreen J, LPC3301 101st St(806) 281-9966

3311 81st StSte K(806) 281-9966

Johnson, Barbara G,LPC2321 50th StSte F 1(806) 239-64002321 50th StSte F-1(806) 239-6400Practice Information:BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 Pastoral Counseling,BH 13-17 PastoralCounseling, BH 65+Pastoral Counseling, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH6-12 Gay/LesbianIssues, BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders

Johnston, GregoryDALE, LPC6520 University Ave Spc5(806) 472-4630

Kerr, Melinda S, LPC8008 Slide RdSte 31(806) 300-0898(806) 416-8347

August 15, 2021 LUBBOCK

Page 125: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

125

LUBBOCK (cont.)

LICENSEDPROFESSIONALCOUNSELOR (cont.)

Kroyerhaggard,Christine, LPC4412 74th StSte B103(806) 771-2712Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5Chemical Dependency,BH 6-12 ChemicalDependency, BH 13-17Chemical Dependency,BH 18-64 ChemicalDependency, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

Lee, Angela M, LPC5506 Grinnell St(806) 239-3609

Lee, Shelley, LPC8200 Nashville AveSte 208(806) 438-7737Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Pastoral Counseling, BH13-17 PastoralCounseling, BH 65+Pastoral Counseling, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders

Martinez, Margarita T,LPC5701 Ave P(806) 747-3488

Moffitt, Bryan C, LPC5701 Ave P(806) 747-3488Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 Gay/LesbianIssues, BH 6-12 AttentionDeficit Disorders

Perez, Abigail C, LPC1610 5th St(806) 765-26112401 Fulton AveSte B(806) 776-4943

Power, Shirley J, LPC8212 Ithaca AveSte Ec(806) 414-4175Practice Information:BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective Mood Disorders

LUBBOCK August 15, 2021

Page 126: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

126

LUBBOCK (cont.)

LICENSEDPROFESSIONALCOUNSELOR (cont.)

Rayburn, Beverly A, LPC8302 Indiana AveSte 7(806) 239-1717Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Pastoral Counseling, BH13-17 PastoralCounseling, BH 65+Pastoral Counseling, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders

Rivers, Keith, LPC5701 Ave P(806) 747-3488

Robinson, Gena B, LPC1923 14th St(806) 789-84405601 19th St(806) 789-8440Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5 AffectiveMood Disorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

Rocha, Staci L, LPC8008 Slide RdSte 31(806) 787-0701Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders

Rosenthal, David B, LPC8302 Indiana AveSte 11(806) 799-3188Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders, BH6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 13-17Pastoral Counseling, BH6-12 Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

Ruthardt, Kimberly, LPC6610 Quaker Ave(806) 743-4270

Sawyer, Shari, LPC5701 Ave P(806) 747-3488

Scott, Elizabeth A, LPC301 40th St(803) 743-9355

Skinner, Peggy J, LPC5121 69th StSte B 707(806) 893-1890Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 Gay/LesbianIssues, BH 13-17 Gay/Lesbian Issues, BH18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 Gay/LesbianIssues, BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders

Smith, Rachel A, LPC3011 58th St(806) 219-0500Practice Information:BH 0-5 PastoralCounseling, BH 0-5Anxiety Disorders

Swoap, Kristin G, LPC3305 66th StSte 5(806) 791-1800

Terrell, Stacy, LPC8008 Slide RdSte 24(806) 632-5210

August 15, 2021 LUBBOCK

Page 127: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

127

LUBBOCK (cont.)

LICENSEDPROFESSIONALCOUNSELOR (cont.)

Thornton, Kimberly, LPC4601 50th StSte 201(806) 445-20096500 Quaker AveSte E(806) 445-2000

Torres, Nigel, LPC3805 22nd StSte 1c(806) 577-28444630 50th StSte 610(806) 577-2844

Torres, Sarah H, LPC5717 66th StSte 127(806) 698-1114Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 18-64Pastoral Counseling, BH65+ Pastoral Counseling,BH 18-64 Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders

Trevino, Sylvia, LPC5701 Ave P(806) 747-3488Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Anxiety Disorders, BH6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders

Van Rensburg, ElizabethA, LPC2714 82nd StSte A(806) 281-1000Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 6-12 Gay/LesbianIssues, BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5Chemical Dependency,BH 6-12 ChemicalDependency, BH 13-17Chemical Dependency,BH 18-64 ChemicalDependency, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

Vick, Cathy L, LPC8207 Hudson AveSte A(806) 549-5900Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Pastoral Counseling, BH18-64 PastoralCounseling, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5 PastoralCounseling, BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

Waddell, Holly, LPC2402 52nd StSte 3(806) 412-4720

Wilbanks, Brenda J, LPC19 Briercroft Office Park(806) 767-9007Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 13-17Pastoral Counseling

LUBBOCK August 15, 2021

Page 128: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

128

LUBBOCK (cont.)

LICENSEDPROFESSIONALCOUNSELOR (cont.)

Wilder, Rachel R, LPC5731 68th StSte 201(806) 789-51466500 Quaker AveSte E(806) 789-5146

Wisdom, Skylar S, LPC8008 Slide RdSte 24(806) 340-0446

Wood, Kirby, LPC4430 S Loop 289(806) 743-28006610 Quaker Ave(806) 743-4270

PHYSICIANS ASSISTANTRitchie Ii, KennethALAN, MPAS3601 4th StSte 3a105(806) 743-2820

PSYCHIATRYAligeti, Manish, MD3601 4th St(806) 743-28003601 4th StSte 3a105(806) 743-2820

Chavez, Marina, MD3601 4th StSte 3a105(806) 743-2820

Cobb, John M, MD6837 82nd StSte 102(806) 791-5100Practice Information:BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

Ibrahim, Yasin, MD301 40th St(806) 743-93553601 4th St(806) 743-2800

Kallepalli, BhupalaRAJU, MD1202 Main St(806) 766-0310

3301 101st St(806) 281-9966Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders, BH 0-5Abuse (Physical and/orSexual), BH 6-12 Abuse(Physical and/or Sexual),BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 0-5Schizophrenia and otherPsychotic Disorders, BH13-17 Schizophrenia &other Psych Disorders,BH 18-64 Schizophrenia& other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

McCorkle, Allan J, MD7021 Kewanee Ave(888) 622-6755

McMahon, Terry CALVIN,MD2424 50th St Rm 300(806) 743-2424301 40th St(806) 743-9355

3601 4th StSte 3a105(806) 743-2820Practice Information:BH 18-64 ChemicalDependency, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders,BH 18-64 Schizophrenia& other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

Nelson, Jessica, MD3601 4th StSte 3a105(806) 743-2820

Sullivan, Zachary JOEL,DO301 40th St(803) 743-93553601 4th St(806) 743-28003601 4th StSte 3a105(806) 743-2820

August 15, 2021 LUBBOCK

Page 129: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

129

LUBBOCK (cont.)

PSYCHIATRY (cont.)

Wakefield, SarahMALLARD, MD3601 4th StSte 3a105(806) 743-2820Practice Information:BH 6-12 ChemicalDependency, BH 13-17Chemical Dependency,BH 18-64 ChemicalDependency, BH 65+Chemical Dependency,BH 6-12 Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders

Williams, MarionOPHELIA, MD301 40th St(806) 743-9355

Yaqoob, Feroz, MD3601 4th StSte 3a105(806) 743-2820Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 18-64Gay/Lesbian Issues, BH65+ Gay/Lesbian Issues,BH 18-64 Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders,BH 18-64 AttentionDeficit Disorders, BH 65+Attention DeficitDisorders, BH 18-64Schizophrenia & otherPsych Disorders, BH 65+Schizophrenia and otherPsychotic Disorders

PSYCHOLOGYBillings, Maralyn, PHD5717 66th StSte 120(806) 799-3011Practice Information:BH 18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH18-64 Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders,BH 18-64 AttentionDeficit Disorders, BH 65+Attention DeficitDisorders, BH 18-64Pain Management, BH65+ Pain Management,BH 18-64 Schizophrenia& other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual)

Buchanan, King, PHD8008 Slide RdSte 25(806) 632-7955Practice Information:BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 6-12 Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 PastoralCounseling, BH 18-64Pastoral Counseling, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders

Carr, Brian D, PHD3709 22nd Pl Unit C(806) 795-3911Practice Information:BH 18-64 Gay/LesbianIssues, BH 65+ Gay/Lesbian Issues, BH18-64 PsychologicalTesting, BH 65+Psychological Testing,BH 18-64 Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders

Friedman, AndrewNATHAN, PHD4401 6th St(806) 793-7491

4401 6th StSte A(806) 793-7491Practice Information:BH 13-17 Abuse(Physical and/or Sexual),BH 13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH13-17NeuropsychologicalTesting, BH 18-64NeuropsychologicalTesting, BH 65+NeuropsychologicalTesting, BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 13-17 PsychologicalTesting, BH 18-64Psychological Testing,BH 65+ PsychologicalTesting, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 18-64 PastoralCounseling

LUBBOCK August 15, 2021

Page 130: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

130

LUBBOCK (cont.)

PSYCHOLOGY (cont.)

Giles, Charles L, PHD3601 4th StSte 3a105(806) 743-2820Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 18-64Gay/Lesbian Issues, BH65+ Gay/Lesbian Issues,BH 18-64 PsychologicalTesting, BH 65+Psychological Testing,BH 18-64 Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 18-64Anxiety Disorders, BH65+ Anxiety Disorders,BH 18-64 AttentionDeficit Disorders, BH 65+Attention DeficitDisorders, BH 18-64Schizophrenia & otherPsych Disorders, BH 65+Schizophrenia and otherPsychotic Disorders

Gradel, Addison E, PHD5701 Ave P(806) 741-0713Practice Information:BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders, BH 0-5NeuropsychologicalTesting, BH 6-12NeuropsychologicalTesting, BH 13-17NeuropsychologicalTesting, BH 18-64NeuropsychologicalTesting, BH 65+NeuropsychologicalTesting, BH 0-5Psychological Testing,BH 6-12 PsychologicalTesting, BH 13-17Psychological Testing,BH 18-64 PsychologicalTesting, BH 65+Psychological Testing,BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 0-5Schizophrenia and otherPsychotic Disorders, BH13-17 Schizophrenia &other Psych Disorders,BH 18-64 Schizophrenia& other Psych DisordersBH 65+ Schizophreniaand other PsychoticDisorders

Ivey, David C, PHD5502 58th StSte 600(806) 797-3020Practice Information:BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Psychological Testing,BH 6-12 PsychologicalTesting, BH 13-17Psychological Testing,BH 18-64 PsychologicalTesting, BH 65+Psychological Testing,BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 0-5 PainManagement, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders, BH 6-12 PainManagement

Milan, Maritza J, PHD2424 50th St Rm 300(806) 743-2424301 40th St(806) 743-9355

6309 Indiana AveSte D(806) 787-1812Practice Information:BH 6-12 Gay/LesbianIssues, BH 6-12 AnxietyDisorders, BH 6-12 PainManagement, BH 6-12Schizophrenia & otherPsych Disorders, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 NeuropsychologicalTesting, BH 6-12NeuropsychologicalTesting, BH 13-17NeuropsychologicalTesting, BH 18-64NeuropsychologicalTesting, BH 65+NeuropsychologicalTesting, BH 0-5Psychological Testing,BH 6-12 PsychologicalTesting, BH 13-17Psychological Testing,BH 18-64 PsychologicalTesting, BH 65+Psychological Testing,BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Pain Management,BH 13-17 PainManagement, BH 18-64Pain Management, BH65+ Pain Management,BH 0-5 Schizophreniaand other PsychoticDisordersBH 13-17 Schizophrenia& other Psych Disorders,BH 18-64 Schizophrenia& other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

Schwartz, Esther N, PHD1003 Flint Ave(806) 743-2757

August 15, 2021 LUBBOCK

Page 131: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

131

LUBBOCK (cont.)

PSYCHOLOGY (cont.)

Thompson, Kimberly D,PHD4401 6th StSte A(806) 793-7491Practice Information:BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH6-12 Anxiety Disorders

Trotter, David, PHD3601 4th StSte 3a105(806) 743-2820

Woodward, GeorgeDAVID, PHD6502 Slide RdSte 207(806) 789-8401Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 18-64Pastoral Counseling, BH13-17 Abuse (Physicaland/or Sexual), BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 13-17 PsychologicalTesting, BH 18-64Psychological Testing,BH 65+ PsychologicalTesting, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 13-17Pain Management, BH18-64 Pain Management,BH 65+ PainManagement, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

REGISTERED NURSEGray, Chirise A, RN7021 Kewanee Ave(888) 622-6755

Turner, Cristopher J, RN7021 Kewanee Ave(888) 622-6755

Williams, Valarie, RN7021 Kewanee Ave(888) 622-6755

OLTON

LICENSEDPROFESSIONALCOUNSELORMcCasland, Christi R,LPC715 4th St(903) 715-0821Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 Attention DeficitDisorders

PLAINVIEW

LICENSED CLINICALSOCIAL WORKEREvanson Lass, Erin E,LCSW812 W 8th StSte 6a(806) 429-8088Practice Information:BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 13-17Anxiety Disorders, BH18-64 Anxiety Disorders,BH 65+ AnxietyDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 18-64Abuse (Physical and/orSexual), BH 65+ Abuse(Physical and/or Sexual),BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders

LUBBOCK August 15, 2021

Page 132: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

132

PLAINVIEW (cont.)

LICENSEDPROFESSIONALCOUNSELORCollins, Perry L, LPC2601 Dimmitt RdSte 104(806) 291-0297Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders, BH 0-5Abuse (Physical and/orSexual), BH 6-12 Abuse(Physical and/or Sexual),BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 0-5Schizophrenia and otherPsychotic Disorders, BH13-17 Schizophrenia &other Psych Disorders

LICENSEDPROFESSIONALCOUNSELOR

BH 18-64 Schizophrenia& other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

Collins, Cassondra J,LPC2601 Dimmitt RdSte 104(806) 291-0297Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Gay/Lesbian Issues, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders, BH 0-5Abuse (Physical and/orSexual), BH 6-12 Abuse(Physical and/or Sexual),BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

BH 0-5 Schizophreniaand other PsychoticDisorders, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

Edwards, Mirandi JEAN,LPC3109 Olton Rd(806) 808-6690Practice Information:BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders

Kellison, Amy L, LPC812 W 8th StSte 6a(806) 778-8800

August 15, 2021 PLAINVIEW

Page 133: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

133

RANSOM CANYON

PSYCHOLOGYGradel, Addison E, PHD5515 Ransom Rd(806) 741-0713Practice Information:BH 6-12 AnxietyDisorders, BH 6-12Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders, BH 0-5NeuropsychologicalTesting, BH 6-12NeuropsychologicalTesting, BH 13-17NeuropsychologicalTesting, BH 18-64NeuropsychologicalTesting, BH 65+NeuropsychologicalTesting, BH 0-5Psychological Testing,BH 6-12 PsychologicalTesting, BH 13-17Psychological Testing,BH 18-64 PsychologicalTesting, BH 65+Psychological Testing,BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders, BH 0-5Schizophrenia and otherPsychotic Disorders, BH13-17 Schizophrenia &other Psych Disorders,BH 18-64 Schizophrenia& other Psych Disorders

RANSOM CANYON

PSYCHOLOGYBH 65+ Schizophreniaand other PsychoticDisorders

SEMINOLE

LICENSEDPROFESSIONALCOUNSELORRussell, Sheila N, LPC110 Se Ave B(432) 813-0137Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Gay/Lesbian Issues, BH6-12 Anxiety Disorders,BH 6-12 Attention DeficitDisorders, BH 6-12Schizophrenia & otherPsych Disorders, BH 0-5Abuse (Physical and/orSexual), BH 6-12 Abuse(Physical and/or Sexual),BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 ChemicalDependency, BH 6-12Chemical Dependency,BH 13-17 ChemicalDependency, BH 18-64Chemical Dependency,BH 65+ ChemicalDependency, BH 0-5Gay/Lesbian Issues, BH13-17 Gay/LesbianIssues, BH 18-64 Gay/Lesbian Issues, BH 65+Gay/Lesbian Issues, BH0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

SEMINOLE

LICENSEDPROFESSIONALCOUNSELOR

BH 0-5 Schizophreniaand other PsychoticDisorders, BH 13-17Schizophrenia & otherPsych Disorders, BH18-64 Schizophrenia &other Psych Disorders,BH 65+ Schizophreniaand other PsychoticDisorders

SLATON

LICENSED CLINICALSOCIAL WORKERRudd, Bonnie ANNE,LCSW125 E Dickens St(806) 777-3269

LICENSED MARRIAGE/FAMILY THERAPYGamble, April, LMFT145 W Lubbock St(806) 773-2545Practice Information:BH 0-5 Abuse (Physicaland/or Sexual), BH 6-12Abuse (Physical and/orSexual), BH 13-17 Abuse(Physical and/or Sexual),BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH18-64 Abuse (Physicaland/or Sexual), BH 65+Abuse (Physical and/orSexual), BH 6-12 AnxietyDisorders

RANSOM CANYON August 15, 2021

Page 134: Blue Advantage HMO - BCBSTX

Behavioral Health Providers

- This Location is Handicap Accessible

134

SNYDER

LICENSEDPROFESSIONALCOUNSELORWarren Hicks, VickieLEANN, LPC1911 40th St(325) 235-4700Practice Information:BH 18-64 Abuse(Physical and/or Sexual),BH 65+ Abuse (Physicaland/or Sexual), BH 6-12Pastoral Counseling, BH18-64 PastoralCounseling, BH 6-12Anxiety Disorders, BH6-12 Attention DeficitDisorders, BH 0-5 Abuse(Physical and/or Sexual),BH 6-12 Abuse (Physicaland/or Sexual), BH 13-17Abuse (Physical and/orSexual), BH 0-5 PastoralCounseling, BH 13-17Pastoral Counseling, BH65+ Pastoral Counseling,BH 0-5 Affective MoodDisorders, BH 6-12Affective MoodDisorders, BH 13-17Affective MoodDisorders, BH 18-64Affective MoodDisorders, BH 65+Affective MoodDisorders, BH 0-5Anxiety Disorders, BH13-17 Anxiety Disorders,BH 18-64 AnxietyDisorders, BH 65+Anxiety Disorders, BH0-5 Attention DeficitDisorders, BH 13-17Attention DeficitDisorders, BH 18-64Attention DeficitDisorders, BH 65+Attention DeficitDisorders

SPUR

LICENSEDPROFESSIONALCOUNSELORGoff, Christina L, LPC135 River Point Rd(214) 543-8917

August 15, 2021 SNYDER

WOLFFORTH

LICENSEDPROFESSIONALCOUNSELORDivine, Dana, LPC617 N 8th StSte F(806) 790-5405

Page 135: Blue Advantage HMO - BCBSTX

Behavioral Health Hospitals

- This Location is Handicap Accessible

135

BROWNFIELDWest Texas CtrsFormhmr502 W Broadway St(806) 637-3206

DENVER CITYWest Texas CtrsFormhmr104 W 2nd St(432) 264-4228

LAMESAWest Texas CtrsFormhmr211 N Main Ave(806) 872-5987

LUBBOCKAspire Addctn Recvyctr3330 70th StSte 120(806) 589-5911

Stages Of Recvy Inc4413 71st StSte G101(806) 412-4721

The Ranch At Dove Tree1406 Quinlan St(806) 746-67771811 13th St(806) 746-6777

PLAINVIEWCtrl Plains MhmrPlainview Tx710 Quincy St(806) 293-2636

Ctrl Plains Mhmr QuincySt2700 Yonkers St(806) 293-2636

Mhmr Ctrl Plains Ctr715 Houston St(806) 296-2726

POSTWest Texas CtrsFormhmr411 S Ave C(806) 495-2813

SEMINOLEWest Texas CtrsFormhmr702 Hobbs Hwy(432) 758-4028

BROWNFIELD August 15, 2021

SNYDERWest Texas CtrsFormhmr1300 26th StSte 100(325) 573-4947

Page 136: Blue Advantage HMO - BCBSTX

Behavioral Health Groups

- This Location is Handicap Accessible

136

BEHAVIORAL HEALTHGROUPSAllan J McCorkle Mdpa4510 27th St(806) 355-13137021 Kewanee Ave(888) 622-6755

Beacon Of RedemptivePower Cnslng4630 50th StSte 412(806) 993-0412

Behavioral Innovations6102 82nd StSte 10(806) 790-3831

Caprock BehavioralSolutions Llc6104 66th St Unit 100(806) 317-1071

Cmnty Hlth Ctr OfLubbock Inc1610 5th St(806) 765-26112401 Fulton AveSte B(806) 776-4943

Collaborative AutismResrcs & Educ1001 Main StSte 600

Crossroads Mntl HlthSvcs Pllc812 W 8th StSte 6a(806) 778-8800

Divine Spirit Cnslng Pllc4630 50th StSte 412(806) 577-5899

Every Story Cnslng Pllc6520 University Ave Spc5(806) 472-4630

Fmly Cnslng Svcs5701 Ave P(806) 747-3488

Gateways Cnslng Pc2232 Indiana AveSte 1(806) 793-6160

John Cobb Md Pllc6837 82nd StSte 102(806) 791-5100

Leaning Red Oak Llc3305 66th StSte 5(806) 791-1800

Lubbock Regl Mhmr Ctr1202 Main St(806) 766-03102424 50th St Rm 301(806) 749-22223804 I 27(806) 766-0310

Mmt Cnslng Svcs Llc7204 Joliet AveSte 5(806) 317-9476

Positive Bhvr SupportsCorp1614 Ave MSte 42(855) 832-6727

Regence Hlth Ntwrk Inc2601 Dimmitt RdSte 104(806) 291-0297

Rise Cnslng Pllc8008 Slide RdSte 31(806) 300-0898

Sarah Torres Inc5717 66th StSte 127(806) 698-1114

Sheila N Russell Pllc110 Se Ave B(432) 813-0137201 S Main St(432) 813-0137

Stonewall Meml Hospital821 N Broadway St(940) 989-3551

Strait Cnslng Llc8008 Slide RdSte 24(806) 340-0446

Texas Tech Univ HlthSciences Ctr1003 Flint Ave(806) 743-27572424 50th St Rm 300(806) 743-2424301 40th St(803) 743-9355(806) 743-93553502 9th St(806) 743-28003601 4th St(806) 743-2800

3601 4th StSte 2a1003601 4th StSte 3a105(806) 743-28203601 4th St Stop 7208Ms(806) 743-28003615 19th St(806) 743-79994000 24th St(806) 743-79994004 82nd StSte 200(806) 743-28004004 82nd St A(806) 796-85374015 22nd Pl4102 24th St4302 A Princeton St4430 S Loop 289(806) 743-2800602 Indiana Ave(806) 743-2800(806) 743-79996610 Quaker Ave(806) 743-4270

The Lighted Path RecvyCtr Pllc4216 102nd St Ofc 15(682) 738-5482

The Prac Healing BodyMind A3805 22nd StSte 1c(806) 577-2844

True Aba4414 82nd St Unit 212Pmb(603) 692-8173

Waypoints Cnslng Pllc812 W 8th StSte 6a(806) 429-8088Po Box 37

West Texas Devtl Pedtrc& Behavioral Hlt3301 101st St(806) 281-9966

FAMILY PLANNINGPROVIDERSouth Plains Rur HlthCtr1000 Fm 300(806) 872-3069

1502 N Ave K(806) 872-3069

FQHC (FEDERALLYQUALIFIED HEALTHCENTER)South Plains Rur HlthCtr1000 Fm 300(806) 872-3069

August 15, 2021 LUBBOCK

1502 N Ave K(806) 872-3069

Page 137: Blue Advantage HMO - BCBSTX

Essential Community Providers

- This Location is Handicap Accessible- This Provider May Not Be Accepting New Patients- This Provider Has Extended Hours

137

FAMILY PLANNINGPROVIDER

FAMILY PLANNING(INCLUDES ONLY TITLEX FUNDED)Planned Parenthood OfGreater Tx3716 22nd PlLubbock, TX 79410(214) 363-2004(806) 577-4186

FQHC (FEDERALLYQUALIFIED HEALTHCENTER)

RURAL HEALTH CLINICPlains Clinic602 State Hwy 214Plains, TX 79355(806) 456-6365

Spur MedicalCorporation907 E Hill StSpur, TX 79370(806) 271-3306

Stonewall Rural HealthClinic819 N Broadway StAspermont, TX 79502(940) 989-3551

Texas Tech HealthSciences Cntr301 40th StLubbock, TX 79404(806) 743-93553601 4th StLubbock, TX 79430(806) 743-3155

West Texas MedicalCenter415 N Ave F StDenver City, TX 79323(806) 592-9501

HOSPITAL

CRITICAL ACCESSHOSPITALCochran MemorialHospital201 E Grant StMorton, TX 79346(806) 266-5565

Lynn County HospitalDistrict2600 Lockwood StTahoka, TX 79373(806) 998-4533

Muleshoe Area MedicalCenter708 S 1st StMuleshoe, TX 79347(806) 272-4524

Stonewall MemorialHospital821 N BroadwayAspermont, TX 79502(940) 989-3551

W J Mangold MemorialHospital320 N Main StLockney, TX 79241(806) 652-3373

Yoakum County Hospital412 Mustang AveDenver City, TX 79323(806) 592-5484

DISPROPORTIONATESHARE HOSPITALBrownfield RegionalMedical Center705 E Felt StBrownfield, TX 79316(806) 637-3551

Cochran MemorialHospital201 E Grant StMorton, TX 79346(806) 266-5565

D M Cogdell MemorialHospital1700 Cogdell BlvdSnyder, TX 79549(325) 573-6374

Lamb Healthcare Center1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

Lynn County HospitalDistrict2600 Lockwood StTahoka, TX 79373(806) 998-4533

Muleshoe Area MedicalCenter708 S 1st StMuleshoe, TX 79347(806) 272-4524

University MedicalCenter602 Indiana AveLubbock, TX 79415(806) 775-8200

W J Mangold MemorialHospital320 N Main StLockney, TX 79241(806) 652-3373

Yoakum County Hospital412 Mustang AveDenver City, TX 79323(806) 592-5484

SOLE COMMUNITYHOSPITALBrownfield RegionalMedical Center705 E Felt StBrownfield, TX 79316(806) 637-3551

Lamb Healthcare Center1500 S Sunset AveLittlefield, TX 79339(806) 385-6411

LUBBOCK August 15, 2021

Medical Arts Hospital2200 N Bryan AveLamesa, TX 79331(806) 872-2183

Page 138: Blue Advantage HMO - BCBSTX

Medical Group & Other Type

- This Location is Handicap Accessible

138

DENVER CITY

RURAL HEALTH CLINICWest Texas MedicalCenter415 N Ave F St(806) 592-9501

IRVING

URGENT CARE CENTERCarenow2675 N Belt Line Rd(615) 373-7600

LUBBOCK

RURAL HEALTH CLINICTexas Tech HealthSciences Cntr301 40th St(806) 743-93553601 4th St(806) 743-3155

August 15, 2021 DENVER CITY

URGENT CARE CENTERConcentra Urgent Care6048 Marsha Sharp Frwy(866) 944-6046

Page 139: Blue Advantage HMO - BCBSTX

Primary Care Practitioners Index

139

A

Ackerman, Christopher D, APN 4Acosta, Kristy R, MD 2Acuna, Chelsea F, APN 24Addington, Charles E, DO 6Ahmad, Salman, MD 15Akin, Betty M, APN 6Al Alami, Bachar, MD 17Alexander, Tonya S, APN 6Allen, Cathy, APN 17Allen, Charla B, MD 6Allen, Lisa M, PA 24Alley, Steve B, MD 20, 23Alvizo, Stephanie N, APN 7Anderson Hill, Jessamy, APN 7Arandia Antel, Luis F, MD 17Arnwine, Vanessa D, PA 22Asmussen, Maurice D, MD 5, 6Augustyniak, Jobeth R, DO 6B

Babb, Franklyn C, MD 7Baker, Cara G, APN 22Barker, Craig W, MD 7Barnard, Life, MD 7Bazaldua, Carlos, MD 3Bean, Carlie J, APN 7Bearden, Tara L, APN 7Beier, Kayla R, APN 7Benham, Dlinda G, APN 2Bennett, Kelly A, MD 7Bernardo, Ramoncito, APN 7Billingsley, Kimberly A, APN 7, 24Bisbee, Robert J, MD 15Blair, Caitlin S, APN 7Blanco, Marissa L, APN 7Bolyard, Vanessa L, APN 15Brazell, Donna L, APN 3Brown, Gary S, DO 17Bruce, Kellie E, APN 7Bullard, Ryan C, APN 4, 5Bunker, Suzanne R, PA 20Burk, Kenneth H, DO 20Burke, Karen F, APN 7Burleson, James R, MD 22Burson, Rebecca L, MD 23Buscemi, Dolores M, MD 15C

Cabrera, Leopoldo A, MD 17Camacho, Allan C, MD 7Camp, Tammy M, MD 17Cantrell, Audra K, PA 7Caporale, Ronald S, PA 7

Carreon, Brian K, MD 22Castaneda, Joanna W, APN 7Castillo, Maribel, APN 17Cervantes, Karla A, APN 8Chapanos, Petros K, MD 4, 5Chebib, Paul F, MD 3Chen, Hua, MD 15Chesser, Andrea E, PA 23Clinton, Stacy J, MD 18Cobbs, Lauren S, MD 15Cogburn, Robyn N, APN 8Coker, Amy V, APN 25Conser, Carole E, MD 18Cook, Caleb, MD 18Cook, Ronald L, DO 8Cook, Tonia L, APN 2, 3, 23Cooper, Bid A, MD 23Cooper, Cheyenna K, APN 2, 3, 24Cordova, Lisa M, APN 8Cornwell, Brian A, APN 8Cotton, Christopher D, MD 3Couch, Robert E, MD 18Covey, Keith O, APN 21Cox, Jamie W, MD 8Craig, Crystal N, MD 18Crockett, Shakisha D, APN 8, 18Crowson, Sammy W, APN 8Culberson, John W, MD 8Cuneo, Sarah A, APN 8Cunningham, Barbee J, APN 8Curran, Terry A, APN 8D

Dayton, Harvey H, MD 5Dihenia, Chanda S, MD 15Dixon, Joseph A, MD 8Djajadi, Wei Min, MD 18Dominguez, Claudia V, APN 22Donnell Kowalik, Jenifer R, MD 4, 5Dunn, Cynthia G, MD 17Dyer, Jack W, MD 8E

Eberly, MacKenzi B, APN 22Edwards, David S, MD 15Eggart, Cathi L, APN 2, 3, 24Elkins, Jessica M, APN 21Estrada, Veronica L, APN 8Evans, Tanner A, MD 23F

Fant, Rebecca J, APN 8Flathouse, Emily G, APN 8Fletcher, Jamie A, PA 8Fox, Taylor B, PA 8

Frankfather, Jay S, MD 3, 21Franklin, Rodney T, MD 9Frazee, Marietta M, APN 2G

Gage, Terry J, MD 9Galey, Jennifer S, APN 9Garcia, Erin C, APN 9Garoy, Albina O, APN 9Garrison, Kristen D, PA 9Garza, Beatriz F, APN 4, 5George, Cindy L, MD 6George, Thomas V, MD 15Gipson, Anthony R, MD 4Glenn, Camilla L, APN 9Gonzales, Erin J, APN 21, 24Gooss, Samantha D, APN 9Grace, Lindsey, APN 9Graham, Kimberly A, APN 15Gray, Jessica L, MD 9Green, Hal L, MD 15Green, Megan B, PA 9Gutierrez, Kimberlee C, APN 9H

Hadzic, Daniel B, MD 6, 21Hafner, Justin M, APN 18Hale, Samuel A, MD 9Hammonds, Shannon R, APN 24Hannaway, Angela M, PA 22Harden, Samuel J, MD 3Harris, Kelli D, APN 9Harvey, Talynn O, PA 9Hatch, Daniel F, APN 9Haterius, Jennifer L, APN 3Haynes, Jamie L, MD 9Hernandez, Benita A, APN 9Hernandez, Donna G, APN 24Herrera, Angelita, APN 4, 5Hill, Damon H, MD 9Hilliard, Tara C, APN 9Hines, Kathryn M, MD 15Hisel, Christopher G, MD 2Hobart, Keeley L, MD 10Hodges, John C, APN 10Hood, Dwight D, MD 10Hood, Patricia C, MD 10Hord, Michael S, MD 2Horton, Kenneth C, MD 21Hough, Jared, PA 23Hough, Kevin A, DO 23House Bullock, Linda N, APN 21Howard, Kourtney M, APN 10Howard, Kyle M, MD 18Howell, Michelle, APN 4, 5

Page 140: Blue Advantage HMO - BCBSTX

Primary Care Practitioners Index

140

H - cont.

Huestis, Alisha D, APN 23Huffhines, Brittani W, PA 3, 10Hughes Bass, Ann C, MD 6Hughes, Charles V, MD 20J

Jakeway, Kimberly L, APN 10James, Brittanee, APN 15Janson, Megan E, MD 6Jimenez, Rosalinda R, APN 10Johnson, Lara W, MD 18Johnson, Lori A, APN 21K

Kerr, David C, MD 23Kerr, Thomas, MD 23Key, Mark R, MD 4King, Travis G, MD 3, 21Klein, Kelly L, MD 10Klepper, Douglas R, MD 18Kline, Rhonda D, APN 10L

Ladd, Camella D, APN 10Lalmuanpuii, Judy, MD 15Lampe, Janice H, PA 10Lane, Mark S, MD 5Layman, Mark B, MD 22Leach, Christopher M, MD

21, 24, 25Lehrmann, Emily J, APN 10Leins, Edward J, DO 10Lentz, Jason B, MD 10Liles, Sarah A, APN 15Lindgren, Cherrylene A, DO 10Linton, Kitten S, MD 11Lipo, Kelsey N, PA 11Little, Donald D, MD 15Lloyd, Roxanne M, APN 18, 19Long, David R, MD 11Luna, Laurie, APN 11Lust, Micah D, PA 11M

Madison, Arrington, MD 19Madura, Judith M, MD 5, 6Maldonado, Andie E, PA 11Maldonado, Angie R, APN 11Malick, Erika L, APN 15Malouf, Cathy Y, MD 16Mangold, Gary B, MD 6Mantooth, Shaun, PA 11Marin, Luisa F, MD 16

Martinez, Jessica R, APN 6Martinez, Oscar, MD 23Martinez, Robert L, APN 11Masters, Amanda S, MD 19Mauldin, Tessa N, APN 16Mayers, Hillary, APN 11McCartney, Susan M, MD 16McCarty, Elmore J, DO 11McClanahan, John R, DO 21McClanahan, Mark L, DO 3, 21, 24McClendon, Sarah C, PA 11McLaurin, Latisha, MD 19McPherson, Michael G, MD

5, 16, 22McQueen, Mandy D, APN 2Mello, Inola T, APN 11Mendez, Michael P, MD 11Merrill, Emily S, APN 11Messer, Ann H, MD 11Milam, Mary L, APN 11Miller, Virginia G, APN 17Mills Bownds, Lindsey, PA 16Minefee, Jarred, PA 19Mitchell, Jennifer J, MD 11Mitchell, Rita S, APN 11Mitchell, T L, MD 16Mittal, Neha, MD 16Molina, Anais, APN 24, 25Molina, Audra, APN 2, 24Montanez, Ana M, MD 19Morales, Felix G, MD 12Morris, Heather, APN 12Morris, Ryan E, DO 23Motheral, Lesley C, MD 19Mulkey, Zachary P, MD 16Myrick, Leila K, MD 22N

Narayanan, Roshni, MD 16Neely Gilbert, Kristen R, APN 12, 21Nerios, Lauriana, APN 12Nicolas, Fania M, APN 12Nieto, Elvira M, APN 12Nunez, Bethany A, MD 19O

Odom, Lynda G, MD 3Odom, Theresa A, APN 2, 4, 24Olivas, Lark M, APN 4, 5Onger, Frederick A, MD 12Ontiveros, Julia M, APN 21Ordonez, Robert L, MD 12Owen, Jeffrey M, MD 12, 23

P

Pankratz, Michal M, MD 19Passmann, Frederic K, MD 2, 24Patino, Chelsea M, APN 12Patterson, Patti J, MD 19Payne, John A, DO 16Peck, Elizabeth K, MD 23Peck, Ricky C, MD 23Pena, Mario, MD 12Pennington, Saul H, PA 2, 4, 24Perry, Jordan, MD 23Pham, Teresia T, MD 19Phillips, Michelle L, APN 12Phy, Michael P, DO 16Pirtle, Floyd E, MD 16Polly, Mika K, APN 12Pomeroy, Brian J, MD 19Pomeroy, Lisa, MD 19Prabhu, Fiona R, MD 12Price, MacKenzie D, PA 22Price, Mark M, APN 12Purdy, Bruce D, MD 21Q

Quick, Hailey A, APN 21R

Radford, Erika F, MD 12Ragain, Roger M, MD 12Ramamurthy, Hariharan, MD 5Ravi, Hima B, MD 17Reynolds, Lisa, APN 12Richards, Summer B, PA 22Richburg, Melanie A, APN 25Rivera, Diego, MD 13Robbins, Esther R, MD 13Robinson, Kirsten K, MD 20Robinson, Tanya R, APN 13Rodriguez, Enrique, MD 22Rodriguez, Rolando, MD 6Rogers, Bailee L, PA 13Rohra, Lakhu J, MD 17Rose, Christopher R, MD 13Ross, Jarrett H, MD 25Ruiz, Antonio, PA 13Rupley, Marcelina P, MD 20S

Saleem, Kashif, MD 13Schlueter, Cynthia K, DO 6Schmoker, Jennifer J, APN 2Schneider, Cynde L, APN 21, 25Schoof, Jacob, DO 20Schulz, Krisann E, PA 22

Page 141: Blue Advantage HMO - BCBSTX

Primary Care Practitioners Index

141

S - cont.

Scott, Karen J, DO 13Scott, Robert W, MD 20Seifu, Michael, APN 13Sepeda, Jennifer A, APN 13Settle, Kristal L, APN 20Shanklin, Christopher L, MD 13Shaw, Leslie S, APN 13Sheets, Randall E, MD 13Siegel, Jennifer S, APN 13Skinner, Derek I, MD 13Skrabanek, Ashley S, APN 25Slavik, Stacey L, APN 13Sledge, Elizabeth M, MD 20Sliger, Cody J, APN 13Smith, Honey M, APN 13Soriano, Mark H, MD 17Soto, Jana R, APN 4, 5Spolec, Georgia R, APN 13Sprecher, Sydni D, APN 25Sprys, Eileen M, MD 4Sprys, Michael J, DO 4Stennett, Kevin T, MD 6Stewart, Rebecca J, APN 13Stice, Jamie R, APN 13Stout, Jennifer, APN 14Sun, Grace H, APN 14Swanson, Monte R, MD 22Swartz, Lauren, MD 6T

Taylor, Mitzi D, APN 14Thal, Wendy R, APN 14Thomas, Sedrick U, APN 4, 5Thompson, Haleigh S, APN 14Tibbets, Gay A, APN 14Tiemann, Kirk J, MD 14Toon, Molly F, APN 20Toor, Nadia N, MD 14Tran, Hoa H, MD 14Tran, Marbella Z, MD 14Trieu, Loc H, MD 17Truesdell, Alexis E, APN 14Turner, Johnny M, PA 14V

Villarreal, Miguel R, MD 14Vuelvas, Juan, MD 20, 25W

Walker, Danielle, MD 20Wall, Jalyn D, APN 14Ward, Jennifer D, MD 14Warmoth, Larry A, MD 17

Watkins, Jon R, MD 3, 22Watson, Michael Q, MD 22Weiss, Christopher J, MD 14White, Joyce C, APN 20Wilcox, Wendy J, APN 14Williams, Roger C, APN 14Williamson, Robin R, APN 14Wofford, Bert W, MD 2, 4, 24Wolcott, Benjamin M, MD 20Wright, Amber L, MD 20Y

Yarbrough, Shannon, MD 17Z

Zeitouni, Nawal S, MD 20Zimmerman, Emily L, APN 14Zube, Stacey L, APN 14, 15

Page 142: Blue Advantage HMO - BCBSTX

Specialists Index

142

A

Abdo, Ziad A, MD 46Abdul Hamed, Senan, MD 31Abdulrahman, Ramzi E, MD 77Abiodun, Oluwatoyin A, MD 69Adams, Jimmy G, DO 54Adams, Shelly L, MD 46Addington, Charles E, DO

46, 86, 90Agler, Karen S, MD 46Aguas, Enrico G, MD 46Aguilera, Holley, RD 34, 59Ahmed, Nagi H, MD 69Akbar, Syed A, MD 78Al Kharrat, Houssam, MD 49Al Rahawan, Mohamad M, MD 68Alam, Imtiaz, MD 50Alasmi, Mahmood M, MD 54Albracht, Tiffany E, LPT 34, 71Ali, Riyaz M, MD 37Altenberg, Leo L, MD 46Amaram, Arun K, MD 54Amjad, Ramak R, MD 54Ancell Cargile, Erin L, SLP 82Anderson, Chelsea, SLP 82Aneshansley, Autumn N, LPT 71Ansari, Mohammad M, MD 43Antigua, Maria, MD 54Appel, Jimmie R, MD 32, 86Appling, Deanna K, OT 89Arellano, Jose B, MD 54Argueta Sosa, Erwin E, MD 43Arif, Dauod, MD 67Arledge, Patricia R, MD 77Arnold, Cassie A, LPT 71Arnold, Courtney M, AUDIO 42Arreola, Aaron, LPT 72Arvandi, Aliakbar, MD 43Aryee, Irene N, MD 69Atkinson, Billy D, MD 60Attaya, Nabil M, MD 43Austin, Robert D, LPT 72Avila, Mirla, MD 59Awasthi, Sanjay, MD 64Azab, Andrew P, DC 44Aziz, Shahroz K, MD 78Azizad, Shameem, MD 78B

Baia, Catalina, MD 55Bakatsas, George C, DPM 77Baker, Pamela A, LPT 72Balch, Michael T, MD 46, 91Balkundi, Dhruv R, MD 69

Ballenger, Zachary E, MD 78Banister, Melinda D, MD 32Banister, Ronald E, MD 32, 37Bankhead Kendall, Brittany, MD 50Barbiero, Lisa M, MD 69Barbosa, Vera L, MD 37Barker, Edward, DO 32Barnett, Frederick M, MD 78Baronia, Benedicto C, MD 58, 59Barr, Erin K, MD 68Barrett, Lisa G, OT 62Bason, Jillian, LPT 72Bass, David K, MD 26, 27, 78Bassett, Perry E, MD 46, 89, 91Batenhorst, Haley, SLP 89Baucom, Rebeccah, MD 50Baum Baum, Laura, LPT 72Bayouth, Charles V, MD 50Beasley, Craig C, MD 28Beaver, Cody R, MD 66Beaverson, Anthony B, MD 91Beceiro, Jose R, MD 49Beck, Howard W, MD 85Beck, Nancy L, MD 68Bednarz, Nancy M, MD 93Belirgen, Muhittin, MD 69Belle, Troy A, MD 78Belle-Henry, Christina, MD 60Berdine, Gilbert G, MD 77Berk, Steven L, MD 53Bertelson, John A, MD 59Berven, Michael D, MD 78Bharadia, Deepak, MD 50Bharwani, Salim K, MD 55Bijak, Gregory J, MD 37Bilodeau, Lori A, LPT 34, 72Bingaman, Adam W, MD 51Black, Arica G, AUDIO 42Blackwell, David E, MD 78Block, Steven C, MD 50Blocker, David E, MD 91Boese, Elisa S, LPT 34, 72Boesiger, Tessa M, AUDIO 42Bogschutz, Renee J, SLP 82Bohn, Emily R, LPT 72Booe, Holli, RD 34, 59, 60Boop, James J, MD 64Boothe, William D, MD 64Borno, Mounir Y, MD 43Bourgeois, Michael J, MD 68Bourland, Bryan, DO 66Bowers, Patricia L, MD 37Bowman, Audra G, MD 69Bowman, Conrad B, MD 46, 47Bowman, Thomas A, MD 55

Boyd, Jena A, OT 62Boyer, Micah L, MD 47Brackeen, Amy R, MD 45Brackeen, Jeffrey S, MD 45Bradley, Jay C, MD 64Brake, Rika M, OT 62Brandi, Luis, MD 67Bredeweg, Arthur C, DO 92Bremer, Lee A, SLP 82Briceno Brito, Eudys E, MD 69Brindley, George W, MD 66Brints Viner, Nicole K, LPT 34, 72Britton, Carl L, MD 85Brogan, Walter C, MD 43Brooks, John A, MD 35Brooks, Michele, RD 60Brooks, Patrick A, MD 37Brooks, Steven E, MD 51Brothers, Jorge R, MD 85Brough, Royce D, MD 47Broussard, Andre A, DC 44Brown, Gilbert C, MD 37Brown, Lisa L, MD 35Brown, Luke E, MD 37Bruce, Mark, MD 29Bruening, Brian J, MD 78Brull, James, DO 78Buhavac, Milos, MD 51Burke, Patrick J, MD 78Burleson, James R, MD 91Burley, Ronnelle S, MD 60Buschman, Job O, MD 51Bushan, Naga S, MD 81Buzzella, Bridget V, MD 55C

Caldwell, Jon L, MD 85Callahan, Thomas E, MD 78Calmes, James M, MD 81Camfield, Angela S, MD 37Cammack, James T, MD 85Campbell, Kelly M, LPT 72Caroom, Cyrus T, MD 66Carr, Heather L, SLP 82Carr, Robert V, MD 66Carroll, Mary A, MD 60Carroll, Travis R, MD 55Cartaya, Alfredo B, MD 55Carter, Anthony N, MD 91Cash, Madison, OT 62Cavin, Lillian W, MD 27, 28Cazares, Guillermo N, MD 28, 47Cedillo, Olando, OT 62Cervera, Aurelio R, MD 45Chamales, Michael H, MD 27

Page 143: Blue Advantage HMO - BCBSTX

Specialists Index

143

C - cont.

Chambless, Jared D, DC 28, 44, 88Chandler, Nancy, MD 78Chap, Kevin S, MD 37Chaudhry, Mohammad A, MD 37Chaudhuri, Kallol, MD 38Chavda, Chaitanya, MD 69Chebib, Paul F, MD 26Chen, Michael, DO 47Cheng, Huaxu, MD 47Chick, Kirstie R, SLP 89Chizen, Robert P, MD 35Chou, Jui Lien, MD 77, 78Choudhury, Moumita, AUDIO 42Clark, Alicia, OT 62Clark, Justin W, MD 45, 90Clark, Sarah B, SP 82Clavijo, Catalina, LPT 72Clayton, Amanda J, SLP 82Clemmons, Jason R, DC 44Cobb, Kenyatta, LPT 72Cockings, Curt W, MD 65Cole, Aria F, OT 62Coleman, Jessie D, MD 88Colon Ledee, Athos G, MD 68Colvin, Jeffrey N, MD 67Contreras, Edwing A, MD 55Cook, Cassy L, MD 79Coon, Amber M, MD 60Cordero, Joehassin, MD 67Corrales, Christina M, AUDIO 42Cotton, Christoph D, MD 27Cowden, Hannah, SLP 82Cox, Cody A, MD 79Crabtree, Lesli A, SLP 82Craigmiles, Laura A, DO 91Crawford, Jerry A, MD 38Crist, Christopher J, MD 53Cunningham, Cordell, MD 91Cunningham, Thomas N, DC 88Curry, Kathryn S, LPT 34, 72Cushman, Walter H, MD 79Cyrus, Muriel P, MD 32D

Dabbs, Kimberly A, DO 47Daggubati, Subba R, MD 91D'alise, Mark D, MD 59Dalley, Ethan B, MD 71Danchak, R Michael, MD 38Daneshfar, Bahraum D, MD 26Dannemiller, Timothy M, MD 28, 36Dansby, Thomas J, MD 32Das, Kanak, MD 50

Davidson, Krisha T, OT 62Davies, Summer D, MD 69Davis, Arlene N, MD 70Davis, Kaye E, MD 38Davis, Susan R, MD 32, 35Davis, William J, MD 38Day, Kerri L, SP 82Day, Miles R, MD 38Dcunha, Nicholas, MD 53De Moor, Carrie E, MD 47De Riese, Cornelia, MD 26De Riese, Johannes, MD 38De Riese, Werner T, MD 85Dean, Thurston E, MD 29, 86Deaver, Brian C, MD 38Deeb, Sammy A, MD 51Degroot, Lorlyn L, SLP 82Del Giudice, Jose A, MD 82Delahunt, Kimberly M, SLP 82Dembowski, James S, SLP 82Demke, Joshua C, MD 67Deoskar, Dhananjay S, MD 55Detoledo, John C, MD 59Dexter, Richard D, DO 47Diab, Michel G, MD 70Dickerson, Sandra D, MD 32, 47Dileo, Steven J, MD 79Dissanaike, Sharmila, MD 51Dominguez, Leonardo, MD 65Donaldson, David L, MD 79Draughon, Matthew L, MD 38Drennan, Sarah E, MD 55Dubose, Jara D, LPT 34, 72Dubovsky, Elizabeth C, MD 79Dudensing, Emily, RD 60Dudhbhai, Asgar A, MD 70Dundar, Yusuf, MD 67Dunn, Cynthia G, MD 60Dunn, Dale C, MD 91Dunn, Dale M, MD 67Dupont, Tara L, MD 55Durgin, Jeffrey D, MD 31, 88Dwyer, Michael J, MD 31Dye, Emily, SLP 82E

Eastman, Ann R, MD 67Eaves, Kristen E, LPT 89Edwards, David S, MD 70Eggl, Travis D, DO 51Eltaha, Chadi, MD 55Eppright, Brian C, MD 38Escamilla, Claire E, MD 47Esparza, Luis M, MD 35Esposito, Salvatore, MD 85

F

Fahey, Evin L, SLP 82Farag, Ashraf N, MD 38Fargason, William E, MD 47Farzan, Thahir, MD 53Faubion, Alexandria, RD 60Fell, William R, MD 67Felton, Carol K, MD 60, 61Felton, Jason A, MD 59Felton, Shaili K, MD 49Fennerty, June M, OT 62Fenton, Boyd S, MD 29, 50Ferdous, Mst J, MD 59Ferguson, Matthew P, MD 66Fike, Frankie B, MD 51Fischenich, Debra D, AUDIO

42, 88, 90Fishkin, Semyon, MD 38Flinn, Sara E, LPT 28Flores, Gina, AUDIO 42Florez Garcia, Alberto, LPT 72Ford, Kimberly E, SLP 82Foster Truehill, Lakeitha R, MD 70Foster, Matthew D, MD 32, 87Fowlier, Katherine, SLP 82Fox, Emilee E, OT 62Frank, Burton H, LPT 72Frankfather, Jay S, MD 27Franklin, Katy R, RD 60Freedman, Kenn A, MD 65Freitag, Joshua K, LPT 29Frezza, Eldo E, MD 47Frick, Kimberly J, LPT 34, 72Fried, Bruce D, MD 32Frishman, David S, LPT 73Fryar, Brett L, DC 44, 92Fultz, Jordan D, LPT 73Funk, Kevin A, MD 28, 32, 47, 87G

Gafford, Hayley R, LPT 34, 73Gage, Gayle L, RD 60Gajewski, David W, MD 48Gallardo, Mark J, MD 65Gallinghouse, Gerald J, MD 43Ganga, Usha K, MD 29, 50Garcia, Katherine C, OT 62Garvish, John F, MD 89Gates, Stephen, MD 49George, Lekha K, MD 58Geralde, Nicolo B, DO 70Gertsch, Matthew C, MD 38Gibbons, Ronald O, MD 27Gibson, Alex J, SLP 82

Page 144: Blue Advantage HMO - BCBSTX

Specialists Index

144

G - cont.

Gillean, Lexington K, LPT 73Gillett, David P, MD 28Givens, Lucy H, SLP 89Gogia, Rajesh, MD 79Gomez De Jesus, Rosa, MD 70Gonzalez, Amanda M, SLP 82Gonzalez, Andrea, OT 62Gonzalez, Marco T, MD 55Gore, Lisa H, SLP 82Gouvion, Michael D, MD 79Goyal, Vinay, MD 51Granados, Sarai, SLP 82Grattan, James G, MD 43Graves, Michael T, MD 90Gray, Andy J, MD 48Gray, Chad E, MD 32Gregg, Clint W, MD 65Grimes, Jerry S, MD 66Griswold, John A, MD 51Grochmal, Joey K, MD 59Grossman, Jeffrey W, MD 79Guerrero Miranda, Cesar Y, MD 53Gunter, Jeffrey R, MD 88Gustafson, Tori J, AUDIO 42Guy, Eric C, MD 27H

Haacke, David E, DO 37Hacker, Clint W, LPT 35, 73Hacker, Jacquelyn E, LPT 73Hadzic, Daniel B, MD 32, 33Haggard, Corey J, MD 38Haggard, Derick R, MD 51Haider, A Zia, MD 55Hajj, Hanine, MD 55Hall, Brittany L, SLP 83Hall, Matthew B, MD 48, 91Halldorsson, Ari O, MD 84Hanrahan, Corey, DO 79Harden, Samuel J, MD 27Hardin, Leslie A, OT 34, 62Hardwicke, Fred L, MD 64Harper, Sean A, DPM 77Harrell, Kristyn L, LPT 73Harris, Bryan D, MD 45Hart, Nikah N, OT 62Hassett, Robert, DO 85Hattenbach, Sean, MD 33Hawksworth, Shane A, MD 28Haynes, Allan L, MD 51, 85Head, Erin, SLP 83Headrick, Jeff D, MD 66Healing, Robert D, MD 35

Helak, Joseph P, DO 28, 33, 87Helton, Jason C, DC 28, 44Hensley, Rhealan A, SLP 83Herrera, Moses, MD 33Hewett, Lee, MD 79Heyda, Brandon, OT 34, 62Hicks, Candace B, AUDIO 42Hicks, Michelle, DO 48, 91Hidalgo, Jesus E, MD 51Hildebrandt, Samye A, SLP 83Hill, Shelley R, LPT 73Hillbrick, Timothy J, MD 49Hinojos, Kalin, SLP 83Hirsch, Benjamin A, MD 84Hirsch, John B, MD 67Hobbs, Jill A, MD 38Hodges, Holli J, SLP 83Hoffman, Bret M, DC 44Hoffman, Cale G, DC 44Hogg, Carol S, LPT 73Holdman, Jennifer R, AUDIO 42Holland, Hesper Y, SLP 83Hollands, Celeste M, MD 51Honkan, Vibha A, MD 55Hooper, Kristina, RD 60Hope, Richard H, MD 45, 90Horn, Sarah E, RD 60Hosea, Alexandria R, LPT 73Hosford, Sarah L, MD 61Hotz, Isaac M, MD 29Howe, Thomas L, MD 51Hsu, Shen T, MD 38Huang, Jaou Chen, MD 61Huang, Jonathan, MD 38Hubik, Julie W, AUDIO 42Hudman, Taylor, SLP 83Hughes, Charles V, MD 35Hughston, Haley K, MD 43Hunt, Carley, LPT 73Hunt, Robert K, LPT 73Hurst, Daniel L, MD 59Hust, Christie, RD 60Hutchison, Alison, OT 34, 62Hutto, Debbi V, SLP 83, 89Huynh, Dung N, MD 38Hyland, Mary P, LPT 73I

Iafolla, Ayne K, MD 55Iafrate, William J, LPT 73Idicula, Winslo K, MD 69Igbaseimokumo, Usiakimi, MD 59Islam, Ebtesam A, MD 77Islam, Rafiul S, MD 50Izgur, Vitaly Z, MD 79

J

Jabor, Miled A, MD 29, 50Jahan, Nusrat, MD 53Jain, Alok, MD 55Jav, Leo, MD 38Jenkins, Leigh A, MD 43Jenkins, Mark D, MD 66Jesurun, Carlos A, MD 70Jeyaraj, Jenitha, MD 56Joe, Marie K, OT 62Johnson, Alicia L, DPM 28Johnson, Carson L, MD 79Johnson, Caytelynn M, OT 63Johnson, Philip M, MD 39Johnson, Robert L, MD 48Johnson, Tayla A, OT 63Johnston, Jennifer P, SP 83Johnston, Robert V, MD 39Jones Salaam, Imani S, LPT 73Jones, Catherine A, MD 64Jones, Frederick A, MD 79Jones, Jeremy R, MD 71Jones, Timothy B, MD 48Jordan, Dallas J, LPT 73Jose, Cherrie L, MD 39Juarez, John, MD 79Julayanont, Parunyou, MD 59Jumper, Cynthia J, MD 53K

Kabbur, Prakash M, MD 56Kachhwaha, Priya, MD 39Kairalla, Andrew B, MD 56Kang, Sunjun, MD 56Kanu, Adaobi, MD 70Kapoor, Ravish, MD 39Karkoutly, Ayman, MD 43Karrenbrock Blackloc, Nanette, LPT

73Kendrick, Roy B, MD 26Kennedy, William J, MD 58Kensing, Kelly P, MD 29, 50Kerr, David C, MD 91Kerr, Thomas, MD 92Ketchersid, Kathryn B, SLP 83Khan, Liaqat H, MD 56Khan, Suhail R, MD 48Khater, Tim T, MD 65Khurana, Divya, MD 68Khurana, Gurvir S, MD 56Kidwell, John T, MD 45Kim, Jongyeol, MD 59King, Abby, RD 60, 89Kitten, Justine M, OT 63

Page 145: Blue Advantage HMO - BCBSTX

Specialists Index

145

K - cont.

Klatt, Tamara D, LPT 35, 74Knapp, Michael E, MD 79Kong, Lingkun, MD 65Koshy, Santhosh K, MD 43Kothmann, Korey D, DC 44Kozlovsky, Lindsey N, AUDIO 42Krakosky, Jessie, SLP 83Kroll, Tobias A, SLP 83Kuforiji, Theresa A, MD 56Kumar, Dharmendra, MD 56Kumar, Kartik S, MD 65Kunkov, Sergey, MD 48Kurapati, Surender, MD 89Kurdi, Juan, MD 43Kwan, Howsen, MD 92L

Labib, Safaa S, MD 67Lacey, Nkem L, LPT 74Lachmansingh, Jinesh S, MD 39Lafave, Deeann, AUDIO 42Lahoti, Ankush, MD 54Lam, Christopher N, DO 39Lansang, Francis A, MD 87Lapointe, Genevieve M, MD 59Latour, Jonathan G, MD 39Laumbach Kirk, Angel, OT 63Lavelle, John P, MD 29, 33Lawrence, Mark E, DO 92Layeequr Rahman, Rakhshanda,MD 51Layher, Heather A, DO 45Ledesma, Amadeo E, LPT 74Lee, Sue S, SLP 83Lee, Thomas W, MD 39Leighton Wolboldt, Kimberly A, MD

85Lenhart, Megan, MD 61Lenox, Chelsea D, OT 63Lewis, Chad E, MD 31Lewis, Ryan L, MD 48Lewis, William S, LPT 35, 74Li, Wei, MD 53Liao, Teresa H, MD 39Lim, Elmer V, LPT 74Lin, Vickie Y, OT 63Lincecum, Lindsey A, LPT 74Lindsey, Allison R, LPT 74Lipscomb, Larry B, MD 33, 87Lizarribar, Jose L, MD 30Loeffler, Aundrea C, SLP 83Long, Clarice M, LPT 31, 74Long, Michael D, MD 45

Lorenz, Kimberly A, DC 32Lorenz, Richard F, DO 33Loyd, Debby B, SLP 83Lucena, Jose E, MD 56Lucio, Anthony M, OT 63Lux, Louis J, MD 49Lyon, Malcolm K, DO 30M

MacAdams, Michael R, MD 49MacKay, Brendan J, MD 53MacLachlan, Andrew A, MD 39Mahal, Kanwaljit S, MD 85Mahan, Carla S, SLP 83Maheshwari, Mukul P, MD 80Mallik, Subodh K, MD 89Mandal Chaudhuri, Swapna, MD 39Maneevese, Michelle N, MD 80Mangold, David E, MD 51, 52Mannon, Sarah, OT 63Manohar, Crystal M, MD 39Manson, Paul V, MD 48, 92Marchal, Darren J, MD 39Marin, Gregory, DC 29, 44Martinez, Albert R, LPT 74Martinez, Waldo M, MD 80Masgras, Jennifer L, LPT 74Mason, David P, MD 84Mata, Alexandria, RD 60Mataska, Nicholas C, LPT 74Matos Serrano, Gregorio, MD 36Matthews, Kayla R, DO 39Mattison, Michael T, MD 68May, Ross W, LPT 26McAlpin, Kevin S, DC 44McBride, Luke, MD 33, 36McCarthy, Justin H, MD 54McCartney, David L, MD 65McClain, Chase W, MD 39McClain, Gregory D, MD 90McCombs, Spencer D, LPT 31, 74McCrory, Beau L, MD 33McCulloch, Taylor, LPT 74McDaniel, Dawn D, MD 56McDonald, Sarah B, OT 63McDougal, Jared C, LPT 74McGill, Thomas W, MD 69McInerney, Samantha, RD 60McKaskle, Michael B, LPT 35, 74McKee, Desirae M, MD 48, 53McKinney, William B, MD 90McNeill, Scott S, MD 36McQueen, Sarah, OT 63Mehta, Sanjay C, MD 78Mercado, Thomas M, MD 33

Merritt, Cotton D, DC 45Messer, Colita L, SLP 83Mikel, Eryn M, LPT 74Miller, Elizabeth S, SLP 83Miller, Gina G, SLP 83Miller, Steven L, MD 90Miller, Timothy D, MD 29, 50Miller, William D, DO 39Minielly, Robin C, MD 39Minter, Clinton M, DC 45Mitchell Tapping, George J, MD 39Mitchell, Kelly T, MD 65Mogollon Duffo, Francis P, MD 54Moin, Furqan, MD 56Molinar, Alexandria D, LPT 31, 74Molnar, Arthur F, MD 40Molnar, Barbara W, MD 40Monroe, Gary L, MD 40Montanez, Ana M, MD 56Montgomery, James, MD 80Moore, Sharman A, MD 36Mooty, Robert C, MD 77Morlan, Caroline A, OT 63Moskos, Bill N, MD 80Mousa, Elmoutaz, MD 58Moya, Christian, MD 30Muff, David F, MD 80Murillo Russell, Dilia, OT 63Murphy, Brandi A, AUDIO 42Muru, Andrea, SLP 83N

Nagy, Laszlo, MD 69Nair, Nandini, MD 44Nairn, Meagan, LPT 75Najjar, Amy C, OT 63Narra, Koteswara, MD 40Nath, Sarath G, MD 54Nauert, Landon, LPT 75Nauert, Morgan M, OT 63Nava, Andrea L, AUDIO 88, 90Neffendorf, Stacie L, SLP 83Nelius, Thomas, MD 85Nelson, Josh R, DC 45Nguyen, Adam, DPM 77Nguyen, Bao C, MD 80Nguyen, Hoa H, MD 44Nguyen, Nhung H, MD 40Nguyen, Phong, DO 40Nguyen, Tam Q, MD 67Nichols, Jacob W, MD 53Nickels, Melinda B, MD 26, 52Nieto, Karina, LPT 75Nitzel, Grant E, MD 87Norbury, John W, MD 71

Page 146: Blue Advantage HMO - BCBSTX

Specialists Index

146

N - cont.

Nordmeyer, Debra A, MD 40Nordyke, Mark D, MD 92Norkiewicz, Brian J, MD 52Northcutt, Suzanne, MD 40Novak, Zuzana E, MD 56Nugent, Kenneth M, MD 77Nwankwo, John I, MD 80Nymeyer, Lincoln, MD 40O

Obasi, Patrick C, MD 30Obregon, Joel H, LPT 75Odo, Ugochukwu A, MD 92Odom, Lynda G, MD 27Ogeda, Fidel L, MD 87Ogunjimi, Esther O, MD 61Ohearn, Charles J, MD 30Olguin, Mary E, MD 56Oliva, Michel C, MD 40Olson, Bryce H, LPT 75Olson, Liesl L, LPT 75Omalley, Brandon M, LPT 28Onkendi, Edwin O, MD 52Osuoji, Chibuzo, MD 68Owen, Haley J, AUDIO 88, 90Owen, Jennifer M, MD 61Owens, Shelia Y, MD 57P

Palacios, Raul, RD 60Paone, Ralph F, MD 84Parameswaran, Shamini, MD 84Parikh, Nitin P, MD 40Parker, Kristine K, SLP 83Parker, Shannon R, AUDIO 27Partain, Joshua L, DC 86Paskitti, Megan E, MD 40Passmann, Frederic K, MD 26Patel, Anupa K, MD 49Patel, Nayankumar A, MD 58Patterson, Bobby R, MD 30Patterson, Jeffrey C, DO 30, 87Patzig, Cassie F, OT 63Paulger, Brent R, MD 45Pavey, Ashleigh, MD 57Pena, Camilo, MD 58Pendergrass, Timothy L, LPT 75Perales Hull, Marsha R, MD 61Perez Benavid, Fortunato, MD 57Perez, Colbert R, MD 33, 44Perkins Hansen, Shauntae, LPT 75Perry, Carolyn, SLP 84Philipovskiy, Alexander, MD 64

Philips, Robert J, DO 33Phillips, Cooper W, MD 40Phillips, Dana S, MD 61Phillips, Rebeckah G, MD 70Phillips, William E, MD 80Phisitkul, Sorot, MD 58Phy, Jennifer L, DO 61Pickney, Lucille M, MD 40Pido Iledan, Jennifer, LPT 75Piepkorn, Melissa S, MD 57Pilika, Asti P, MD 80Pinto, David V, MD 92Piskun, Mary Ann, MD 89Pixley, John S, MD 54Poe, Greg S, MD 80Pollard, Monica E, SLP 84Pollock, Garry R, MD 53Poole, Amy B, SLP 84Porter, Matthew S, MD 65Porter, Scott C, MD 80Powell, Kayla M, LPT 32, 75Prabhakar, Sharma S, MD 58Prabhu, Varsha C, LPT 75Prado, Marya A, MD 57Prasertsuntarasai, Theerapol, MD

82Price Rodriquez, Amanda, LPT

35, 75Props, Erick, LPT 35, 75Purdy, Bruce D, MD 87Purtell, Adam K, MD 52Q

Qualls, Joellen K, LPT 89Quezada, Noelia, LPT 75Quirch, Miguel A, MD 54R

Rainbolt, Elizabeth S, OT 63Raju, Venkata N, MD 57Rakvit, Ariwan, MD 29, 37Ramos, Abel D, DC 28, 45Ramos, Anthony C, DC 45Ramos, Augusto P, MD 68Ramos, Matthew C, DC 29, 45Ramsey, Jason A, MD 66Ramzy, Peter I, MD 30, 90Rashid, Mousumy K, MD 92Ratheal, Ian M, MD 66Ratheal, Stephanie S, LPT 75Ratner, Ian M, MD 57Reddy, Shanti B, MD 70Redwine, Brittney R, LPT 75Reedy, Mark B, MD 53Reel, Leigh A, AUDIO 42

Reeves, Wesley D, MD 40Reichek, Brook, RD 60Reppa, Catherine M, MD 65Rhodes, Jeannie O, DO 30Ricaldi, Carlos A, MD 33, 86Richards, Amy M, MD 61Richmond, Robyn E, MD 52Rivas Mejia, Ana M, MD 54Rivas, Elizabeth R, MD 40Rivas, Sammy D, MD 52Rix, Natalie R, OT 63Rizo Patron, Carlos, MD 43Roberts, Clayton K, DO 67Robertson, Heather, RD 60Robinson, Eldon S, MD 48Roden Young, Lyndi L, SLP 84Rogers, Karen L, MD 46Roh, Seungwhan, MD 30Ronaghan, Catherine A, MD 52Roney, Braedon D, LPT 75Rose, James T, MD 58Rosen, Richard A, MD 52Row, Alan D, MD 65Rowell Hazel, Shonda, LPT 75Rowland, Kristi, LPT 75Rowley, Jane M, MD 77Roy, Anjali, MD 80Rubin, Lewis P, MD 57Rusnak, Wlliam J, MD 80S

Sadri Tafazoli, Faranak, MD 80Sahinler, Bolkar E, MD 40Salazar, Mario R, MD 31Sallee, Caleb, MD 52Sami, Faisal A, MD 80Sample, Heather S, MD 86Samuels, Alena E, OT 63Samuels, Todd R, MD 80Sancibrian, Cheryl L, SP 84Sanders, Ryan S, LPT 89Sands, Scott J, MD 65Sanford, Melissa T, MD 85, 86Sanschagrin, Aimee C, OT 63Santana, Dixon, MD 52Santos, Alan C, MD 40Santos, Ariel P, MD 52Sasin, Edwin J, MD 87Satterwhite, Ashli, LPT 76Sayegh, Gilbert G, MD 90Scherr, Jay M, MD 80Schlueter, Cynthia K, DO 36Schmid, Robert P, MD 77Schmitz, Bettina, MD 40Schulte, Caitlin D, SLP 89

Page 147: Blue Advantage HMO - BCBSTX

Specialists Index

147

S - cont.

Schultz, F Michael, MD 89Schwalk, Ryan T, LPT 35, 76Schwartz, Gary S, MD 85Schwartz, Nathan, DC 90Schwarzentraub, Paul H, DPM 77Schwarzentraub, Sean P, DPM 77Scioli, Mark W, MD 66Scott, Sheyenne, MD 30Sedlacek, Rachel, LPT 90Sethi, Pooja, MD 44Shabaneh Al Tamimi, Hamed A, MD

50Shah, Charvi A, MD 27Shah, Dishant G, MD 81Sharif, M A, MD 44Sharma, Anudeepa, MD 86Sharma, Meenu, MD 68Sharma, Pranav, MD 86Shaver, William A, MD 50Sheets, Harry K, MD 87Sherman, Mark P, MD 65Shi, Zheng, MD 78Shihab, Zuhair M, MD 65Shoukfeh, Omar, MD 66Shurmur, Scott W, MD 54Siddiqui, Ata U, MD 41Sikes, Tyler, LPT 29Silverthorn, Whitney F, SLP 84Simek, Robert Z, MD 68Simmons, Gary E, MD 81Simpson, Jordan B, MD 66Sims, Caitlin M, DC 45Sinclair, Jerry W, MD 61Skelton, Jonathan D, MD 48Sloan, Randall L, DO 30Smallwood, Justin R, LPT 35, 76Smith, Cynthia K, MD 86Smith, Darvin W, MD 87Smith, Derek A, MD 92Smith, Kaitlin, RD 46Smitherman, T B, MD 66Sneed, Susan, SLP 84Softley, Hannah K, OT 89Sokora, Catherine S, OT 63Solis, Roberto E, MD 44Sommers, Ross, MD 57Sopontammarak, Somkiat, MD 68Sorrell, Cari K, MD 29, 50Sorrell, Michael W, MD 57Sparks, John E, MD 57Sparks, Susan, OT 63Speed, James A, MD 48Spore, Scott S, MD 86

Springer, William E, MD 85Spruill, Jimmy W, MD 30St John, Lilian T, MD 70Stacy, Curtis C, DC 28, 45Stafford, Susan C, SLP 84Stegall, Kylee B, OT 63Stephens, Amanda A, SLP 84Stephenson, Kenneth A, MD 67Stepp, Rick D, LPT 35, 76Stern, Mitchell E, MD 57Stetson, Cloyce L, MD 46Stewart, George, LPT 32, 76Stewart, Megan J, LPT 76Stickles, Jimmy L, MD 92Stoeckel, Mark D, MD 49Stone, Scott A, MD 31Streit, John E, MD 66Stuart, Rodney W, MD 68Sturgeon, Ashley, MD 46Suarez, Jose A, MD 44Sullivan, Zachary, DO 77Supple, Monet, LPT 32, 76Sutterfield, Mary E, LPT 89Swaminath, Deephak, MD 45Swan, Janet K, MD 41Swarna, Udaya S, MD 26Swiacki, Colleen A, OT 64Syn, David, MD 52T

Tally, Erica L, OT 64Talusan Garcia, Eileen S, MD 37Tapia, Daniel R, MD 41Tarbox, James A, MD 37Tarbox, Michelle B, MD 46Tate, Jonathan J, LPT 76Tauferner, Dustin H, DO 49Taylor, Hillary E, AUDIO 42, 88, 90Taylor, Kimberly A, MD 81Tenpenny, Joy C, MD 57Test, Victor J, MD 77Thames, Elbert A, MD 52, 92Themas, Tiffany L, DC 45Thiel, Bailey E, LPT 76Thomas, Griffith W, MD 49Thomas, John P, MD 52Thomas, Sarah L, LPT 35, 76Thompson, Amy N, MD 70Thompson, Charles D, MD 61Thompson, Mark E, MD 41Thompson, Melissa L, MD 41Thornton, Janet L, DO 36, 88Thummala, Maheshwar R, MD 57Tijani, Lukman A, MD 64Timberlake, Matthew D, MD 86

Timmons, Kiley K, DC 26Todd, Bret R, DO 41Tomacruz, Yvette C, MD 58Torio, Rolando N, MD 36Torres, Carlos P, MD 78Torres, Jana, OT 64Tran, Doan Lam T, MD 41Travis, Sydney, SLP 84Trudeau, Joseph D, MD 81Tseng, Angela, MD 49Turebylu, Raghu R, MD 70Turner, John C, MD 49Turner, Megan L, OT 64Tyler, Debra S, MD 41U

Uddin, Qazi F, MD 81V

Valdez, Lydia N, LPT 89Vallabhan, Girish C, MD 86Van Sickle Bednarz, Angela J, SLP

84Van Zandt, Bryan L, MD 81Vanderhal, Andre L, MD 71Varma, Kamlesh, MD 61Varma, Surendra K, MD 68Vaughan, Justin G, MD 53Veal, Bradley J, LPT 76Verma, Udit N, MD 64Villa, Ruben D, MD 58Vintimilla, Antonio J, LPT 76Vogelpohl, Paula M, OT 64Vogt Harenkamp, Christiane, MD 41Vuong, Julie T, MD 41W

Wagle, Sameer U, MD 71Walker, Frank S, MD 90Walker, Trevor V, MD 41Walker, William E, MD 31Wallace, Megan, SLP 84Walyat, Nitin, MD 58Wann, Deanna L, AUDIO 42Warmoth, Taylor B, MD 54Warraich, Irfan A, MD 68Wasnick, John D, MD 41Watson Millet, Marilyn K, MD 41Way, Peter C, MD 27, 31Weatherford, Zachary R, MD 49Weatherly, Madison, SLP 84Weaver, Harry T, MD 31Weinstein, Jeffrey S, MD 50, 85Weinstein, Leslie N, OT 64Welch, Gregory, MD 58, 71

Page 148: Blue Advantage HMO - BCBSTX

Specialists Index

148

W - cont.

Wells, Guy A, MD 44Wheeler, Brooke R, LPT 76Wheeler, Clarence J, MD 58Whitaker, Melissa C, SLP 84White, Kenneth K, MD 81White, Ronald L, MD 41White, Steven C, MD 81Williams, David K, MD 81Williams, Vernon M, MD 53Willis, Anthony J, MD 81Wilmeth, April T, OT 64Wilms, Henrik, MD 59Wilson, Elaine H, LPT 76Wilson, Gibbs, MD 90Wilson, Golder N, MD 71Wilson, Jennifer E, MD 71Wilson, Joseph N, MD 67Wilson, Selma P, MD 41Windisch, Thomas R, MD 81Winn, Richard E, MD 53Winn, William E, MD 81Winston, Travis, MD 69Wischmeyer, Jason B, MD 44Wisniewski, Keith W, MD 46Wofford, Bert W, MD 26Wolcott, Joseph J, MD 54Wolcott, Randall D, MD 71Wolcott, Roger J, MD 71Wolfe, James T, MD 81Wood, Roy C, MD 36, 88Woodward, Harold L, MD 34, 36Worth, Ryan E, DO 31Wright, Douglas H, MD 81Wright, John L, MD 81Wyatt, Brent M, MD 49X

Xu, Ke T, MD 92Y

Yadav, Deepak, MD 58Yandell, Roger B, MD 61Yango, Angelito F, MD 58Yazdani, Madiha S, MD 41, 42Yazdani, Shiraz, MD 41Yeomans, Edward R, MD 61, 62Yi, Hoyoung, SLP 84York, Jeffrey C, OT 64Young, Derek A, LPT 35, 76, 77Young, Kenneth C, LPT 76Young, Michael R, DO 34, 36

Z

Zamora, Jose L, MD 88Zawislak, Walter J, MD 34Zepeda, Maria C, MD 36Zimmerman, Catherine R, AUDIO

42Zumwalt, Mimi A, MD 67Zupancic, Steven C, AUDIO 42