| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003488255 | AVILES | STEPHANIE | ANNE | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 | |
| 1164161295 | GALABEAS | SHERENE | 12377 MERIT DR STE 300 | DALLAS | TX | 752513126 | ||
| 1295480457 | VALERO | JESSICA | 277 BUDDY GANEM DR STE A | PORTLAND | TX | 783743202 |