| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154949600 | DREDLA | MARKA | JANE | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | |
| 1003926973 | HUSAYN | FAROOQ | JAMEEL | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | |
| 1497308399 | NNABUIFE | EMEKA | 11055 ARMOR ARCH | SAN ANTONIO | TX | 782541881 | ||
| 1912231861 | PARKER | STACY | LYNNE | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |