Tasha A Despault (NPI# 1740479153, PAC ID# 1456400019) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1740479153 |
| PAC ID by PECOS | 1456400019 |
| Professional Enrollment ID | I20090601000486 |
| Full Name | Tasha A Despault |
| Organization Legal Name | REDICLINIC LLC |
| Address |
5401 S Fm Kyle TX 78640 |
| Phone Number | 8666077334 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0941275390 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 170 E Whitestone Blvd, Cedar Park, TX 78613-1900 | 5125281500 | REDICLINIC AUSTIN LLC |
| 5401 S Fm, Kyle, TX 78640 | 8666077334 | REDICLINIC LLC |
| 5401 S Fm, Suite 1626, Kyle, TX 78640 | 8666077334 | REDICLINIC LLC |
| Organization Legal Name | REDICLINIC LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvette L Brooks | Nurse Practitioner | Rediclinic LLC | 1150 N Loop 1604, Clinic Inside Heb Store, San Antonio, TX 78248-4503 |
| Janet Judith Westgate | Nurse Practitioner | Rediclinic LLC | 20725 Hwy 46 W, Spring Branch, TX 78070-6270 |
| Leanne R Putnam | Nurse Practitioner | Rediclinic LLC | 20935 Us Hwy 281, Clinic Inside Heb Store, San Antonio, TX 78258-7587 |
| Adam N Casillas | Physician Assistant | Rediclinic LLC | 5401 S Fm, Suite 1626, Kyle, TX 78640 |
| Natalia Farias | Nurse Practitioner | Rediclinic LLC | 20725 Hwy 46 W, Spring Branch, TX 78070-6270 |
| Jill M Gore | Physician Assistant | Rediclinic LLC | 20725 Hwy 46 W, Spring Branch, TX 78070-6270 |
| Rhonda Honeycutt | Nurse Practitioner | Rediclinic LLC | 20935 Us Hwy 281, Clinic Inside Heb Store, San Antonio, TX 78258-7587 |
| Mandy B Cameron | Nurse Practitioner | Rediclinic LLC | 20725 Hwy 46 W, Spring Branch, TX 78070-6270 |
| Amanda V Ramirez | Nurse Practitioner | Rediclinic LLC | 20725 Hwy 46 W, Spring Branch, TX 78070-6270 |
| Cynthia Gutierrez | Nurse Practitioner | Rediclinic LLC | 20725 Hwy 46 W, Spring Branch, TX 78070-6270 |
| Street Address |
5401 S FM |
| City | KYLE |
| State | TX |
| Zip | 78640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam N Casillas | Physician Assistant | Rediclinic LLC | 5401 S Fm, Suite 1626, Kyle, TX 78640 |
| Anne V Curtis | Nurse Practitioner | Rediclinic LLC | 5401 S Fm, Suite 1626, Kyle, TX 78640 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia H Kekahuna | Optometry | 4217 Benner, Suite 450, Kyle, TX 78640-2138 | |
| Robert A Foster | Hand Surgery | Texas Orthopedics Sports and Rehabilitation Associates Pa | 4215 Benner, Suite 300, Kyle, TX 78640-2138 |
| Jason Robert Somogyi | Orthopedic Surgery | Texas Orthopedics Sports and Rehabilitation Associates Pa | 4215 Benner, Suite 300, Kyle, TX 78640-2138 |
| Courtney Alisha Miller | Physician Assistant | Texas Orthopedics Sports and Rehabilitation Associates Pa | 4215 Benner, Suite 300, Kyle, TX 78640-2138 |
| David Dean Teuscher | Orthopedic Surgery | Texas Orthopedics Sports and Rehabilitation Associates Pa | 4215 Benner, Suite 300, Kyle, TX 78640-2138 |
| David Savage | Orthopedic Surgery | Texas Orthopedics Sports and Rehabilitation Associates Pa | 4215 Benner, Suite 300, Kyle, TX 78640-2138 |
| Kristin W Jarzombek | Interventional Pain Management | Alan D Silberberg Md Pa | 4210 Benner Rd, Kyle, TX 78640-2230 |
| Alan D Silberberg | Pain Management | Alan D Silberberg Md Pa | 4210 Benner Rd, Kyle, TX 78640-2230 |
| Christopher Padilla | Physician Assistant | Post-acute Physicians of Texas Pllc | 5980 Kyle Pkwy, Kyle, TX 78640-2400 |
| Amita Aghera | Nurse Practitioner | Jason Martin Medical Consulting LLC | 5980 Kyle Pkwy, Kyle, TX 78640-2400 |
| Find all physicians in zip 78640 | |||
| City | KYLE |
| Zip Code | 78640 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KYLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Tasha A Despault.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.