| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1205461985 | BURNETTE | ASHLEY | NICOLE | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | |
| 1023209202 | DAY | BARAKAH | LOUISE REGINA | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | |
| 1528025541 | DIAZ DE LEON | VICTOR | OCTAVIO | 9002 CULEBRA RD | SAN ANTONIO | TX | 782512873 | |
| 1487024279 | EAGLE | GOLDEN | 14041 NORTHWEST BLVD STE 1 | CORPUS CHRISTI | TX | 784105138 | ||
| 1427526839 | FERRIS | CHRISTINA | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | ||
| 1851445506 | HAWKINS-ALPRIN | LINDSEY | MARIE | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | |
| 1265002919 | HUMPHREY | SHANNON | MARIE | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | |
| 1033710074 | MENDIOLA | BROOKE | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | ||
| 1134710411 | SARABIA | JESSICA | LAURA | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | |
| 1255926424 | SIMS | PATRICK | STEPHEN | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |