INVIERNO

WINTER / INVIERNO 2016 ProviderDirectory Directory Provider Directoriode deProveedores Proveedores Directorio CHIP CHIP We are ready to help! ¡Estam...
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WINTER / INVIERNO 2016

ProviderDirectory Directory Provider Directoriode deProveedores Proveedores Directorio CHIP CHIP

We are ready to help! ¡Estamos listos para ayudar! Call / Llame al

Primary Care Providers / Proveedores De Cuidado Primario

1-800-783-5386

Lubbock service area / Área de servicio Lubbock Carson, Crosby, Deaf Smith, Floyd, Garza, Hale, Hockley, Hutchinson,Lamb, Lubbock, Lynn, Potter, Randall, Swisher, Terry counties / condados

2100 South IH-35, Suite 200 Austin, TX 78704

1-800-783-5386 SuperiorHealthPlan.com LU57-C-1216

SuperiorHealthPlan.com SHP_20161509V

LU57-C-1216

Welcome to Superior HealthPlan! Superior members receive important benefits such as: Access to Superior’s nurse advice line. They can answer your health questions 24 hours a day, 7 days a week. A member newsletter with tips on keeping you and your family healthy. Access to a list of providers and health plan information at www.SuperiorHealthPlan.com.

Value added services for you/your child such as a $150 allowance for prescription eyewear, annual sports physicals and a diaper bag starter supply for pregnant members. A bilingual Member Services team to answer your questions and help you find a doctor.

For more information, visit / para más información, visite SuperiorHealthPlan.com.

¡Bienvenido a Superior HealthPlan!

Los miembros de Superior reciben importantes beneficios tales como: Acceso a la línea de consejos de enfermeras de Superior. Pueden contestar sus preguntas de salud las 24 horas al día, 7 días a la semana. Un boletín informativo para miembros con consejos para mantenerlo saludable a usted y su familia. Acceso a una lista de proveedores y la información del plan de salud en www.SuperiorHealthPlan.com.

Servicios de valor agregado para usted/su hijo, como por ejemplo: una provisión de 150 dólares para anteojos recetados, exámenes físicos anuales y un suministro de inicio de pañales para los afiliados que estén embarazadas. Personal bilingüe de Servicios para el Miembro para contestar sus preguntas y ayudarle a encontrar a un médico.

CHIP SHP_2013332D

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

TABLE OF CONTENTS / TABLA DE CONTENIDO

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Choosing Your Primary Care Provider (doctor) . . . . . . 2 When you need a Specialist . . . . . . . . . . . . . . . . . . . . . 2 Where to Call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Introducción . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Cómo escoger a su Proveedor de Cuidado Primario (doctor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Cuándo debe ir a un especialista . . . . . . . . . . . . . . . . . 3 A dónde debe llamar . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Primary Care Providers (doctor) . . . . . . . . . . . . . . . . . . . . . 4 Clinics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Family Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 General Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Internal Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Obstetrics/Gynecology . . . . . . . . . . . . . . . . . . . . . . . . 27 Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Proveedores de Cuidado Primario (doctor) . . . . . . . . . . . . . 4 Clínicas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Medicina familiar . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Medicina general . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Medicina interna . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Obstetricia/Ginecologia . . . . . . . . . . . . . . . . . . . . . . . 27 Pediatría . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Listing of Specialist Descriptions . . . . . . . . . . . . . . . . . . . 34

Lista de descripción de especialistas . . . . . . . . . . . . . . . . . 34

Specialists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Especialistas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Hospitales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Laboratories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Laboratorios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Radiología . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Other Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Otras Proveedores de Servicios Médicos . . . . . . . . . . . . . . 46

Behavioral Health Providers . . . . . . . . . . . . . . . . . . . . . . . 47

Proveedores de Servicios de Salud Mental . . . . . . . . . . . . 47

Vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Visíon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Perinatal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Perinatal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Indices Participating Provider Index . . . . . . . . . . . . . . . . . . . 68 Hospital/Other Index . . . . . . . . . . . . . . . . . . . . . . . . . 77 Behavioral Health Index . . . . . . . . . . . . . . . . . . . . . . 78 Perinatal Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

Índice Índice de Proveedores Participantes . . . . . . . . . . . . . . 68 Índice de Hospitales/Otros . . . . . . . . . . . . . . . . . . . . . 77 Índice de Servicios de salud mental y de abuso de substancias . . . . . . . . . . . . . . . . . . . . . . . 78 Indice de Perinatal . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

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LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

INTRODUCTION / INTRODUCCIÓN Welcome to Superior HealthPlan Superior HealthPlan provides health care for Medicaid and CHIP members across Texas. Superior works with many doctors, clinics, and hospitals in your community to give you the medical care you need. This directory lists the Primary Care Providers (PCPs) that are on Superior’s list of primary care doctors and clinics. Superior wants you to pick the doctor or clinic that is best to take care of all of your basic health care needs. Superior Service for You and Your Family If you have any questions about Superior HealthPlan or about this directory, call Member Services at 1-800-783-5386. Choosing Your Primary Care Provider (Doctor) Choosing your own Primary Care Provider is easy with Superior. Just pick one for you and one for each eligible family member from the list in this book. Each member can pick his or her own Primary Care Provider. If you are a woman, you may be able to choose an obstetrician (OB) or gynecologist (GYN) as your doctor. Once you have picked a doctor, call Member Services at 1-800-783-5386. If you need help or don’t see your doctor on this list, call Superior’s Member Services at 1-800-783-5386. Choosing an OB/GYN You may choose any OB/GYN doctor from the Superior Provider Network to take care of your female health care needs without a referral from your doctor. An OB/GYN can help you with your pregnancy care, yearly checkups and any female problems you may have. Call Superior’s Member Services at 1-800-783-5386 if you need help choosing an OB/GYN. *CHIP Perinatal If you are a CHIP Perinatal Member, you can only choose an OB/GYN doctor from the Perinatal Section, which starts on page 50. You will not be able to choose a doctor from any other section in this book. Behavioral Health Behavioral health refers to mental health and alcohol and drug abuse treatment. Superior’s behavioral health provider, Cenpatico, has a group of specialists that can help you. Call Cenpatico at 1-888-471-4357, 24 hours a day, 7 days a week. You do not need a referral from your doctor for behavioral health services. Pharmacy Superior provides prescriptions for all its members through Envolve Pharmacy Solutions (formerly known as US Script), Superior’s partner who provides your Superior pharmacy services for you. You can get your prescriptions filled at most drug stores in Texas, including CVS, HEB, Randall’s, Target, Walgreens, as well as many other pharmacies. To find out which pharmacies are in Superior's network, you can call us at 1-800-783-5386 or look on our website at providersearch.superiorhealthplan.com. Remember - always take your Superior I.D. card and your Texas Medicaid card with you to the drug store.

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LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

INTRODUCTION / INTRODUCCIÓN Bienvenidos al Superior HealthPlan Superior HealthPlan ofrece atención médica a miembros de Medicaid y de CHIP en todo Tejas. Superior colabora con muchos médicos, clínicas y hospitales de su comunidad para ofrecerle la atención médica que necesita. Este directorio incluye los Proveedores de Cuidado Primario (PCP) que aparecen en la lista que mantiene Superior de los médicos y clínicas que ofrecen atención primaria. Superior quiere que usted escoja el médico o la clínica que sirva mejor para todas sus necesidades de atención médica. Servicio Superior para usted y su familia Si tiene alguna pregunta sobre Superior HealthPlan o sobre este directorio, llame a Servicios para Miembros al 1-800-783-5386. Cómo escoger su Proveedor de Cuidado Primario (Doctor) Escoger su propio Proveedor de Cuidado Primario es fácil con Superior. Simplemente seleccione uno de ellos para usted y para cada uno de los miembros de su familia que califique, de la lista que aparece en este libro. Cada Miembro puede escoger su propio Proveedor de Cuidado Primario. Si usted es mujer, podría escoger a un obstetra (OB) o un ginecólogo (GYN) como su médico. Una vez que haya escogido su médico, llame a Servicios para Miembros al 1-800-783-5386. Si necesita ayuda o no encuentra a su médico en esta lista, llame a Servicios para Miembros de Superior al 1-800-783-5386. Cómo escoger un ginecoobstetra (OB/GYN) Puede escoger a cualquier médico ginecoobstetra (OB/GYN) de la Red de Proveedores de Superior para que se encargue de las necesidades de salud de la mujer sin un referido de su médico. El ginecoobstetra le puede ayudar con la atención de su embarazo, los exámenes anuales y cualquier problema de la mujer que pudiera tener. Llame a Servicios para miembros de Superior al 1-800-783-5386 si necesita ayuda para escoger un ginecoobstetra. *CHIP Perinatal Si usted es Miembro de CHIP Perinatal, sólo puede escoger a los médicos ginecoobstetras de la lista en la Sección Perinatal, que empieza en la página 50. No podrá escoger a un médico de ninguna otra sección de este libro. Salud del comportamiento La salud del comportamiento se refiere a la salud mental y el tratamiento del abuso de alcohol y drogas. El proveedor de salud del comportamiento de Superior, Cenpatico, cuenta con un grupo de especialistas que le pueden ayudar. Llame a Cenpatico al 1-888-471-4357, las 24 horas al día, 7 días a la semana. No necesita un referido de su médico para recibir servicios de salud del comportamiento. Farmacia Superior proporciona medicinas de receta por todos sus miembros a través de Envolve Pharmacy Solutions (conocido anteriormente como US Script), que junta con Superior para proveer los servicios de farmacia de Superior a usted. Puede pedir que le dispensen sus recetas en casi todas las farmacias de Texas, tales como CVS, HEB, Randall's, Target, Walgreens, Walmart, así como muchas otras farmacias. Si necesita ayuda para encontrar una farmacia, llame a Superior al 1-800-783-5386. También hay una lista en Internet en providersearch.superiorhealthplan.com. Recuerde – lleve su tarjeta de identificación de Superior junto con su tarjeta de Medicaid de Texas siempre que vaya a la farmacia.

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Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PHYSICIAN LISTING DESCRIPTIONS / LA DESCRIPCIÓN

Family Practice (General Family Medical Care) Medicina familiar (atención médica general para la familia) General Practice (General Medical Care) Medicina general (atención médica general)

Obstetrics/Gynecology (Pregnancy, Women's Health) Obstetricia/Ginecología (embarazo, salud de la mujer) Pediatrician (Babies, Children) Pediatría (bebés, niños)

Internal Medicine (General Medical Care) Medicina interna (atencion medica general)

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LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Clinics / Clinicas

Federally Qualified Health Centers (FQHC)

LUBBOCK COUNTY / CONDADO DE LUBBOCK

POTTER COUNTY / CONDADO DE POTTER

LUBBOCK DEAF SMITH COUNTY / Chatman Community Health CONDADO DE DEAF SMITH Center Lubbock PCP ID # 109469 HEREFORD 2301 Cdr Ave Regence Health Network Inc PCP ID # 109452 Lubbock, TX 79404 125 W Park Ave (806) 749-0024 Hereford, TX 79045 Community Health Center of (806) 364-7688 Lubbock PCP ID # 193874 PCP ID # 137164 1318 Broadway Lubbock, TX 79401 HALE COUNTY / (806) 765-2611 CONDADO DE HALE PCP ID # 137164 3301 Clovis Rd PLAINVIEW Lubbock, TX 79415 Regence Health Network Inc (806) 765-2611 PCP ID # 109452 2601 Dimmitt Rd PCP ID # 186177 Plainview, TX 79072 5424 19th St Ste 200 (806) 293-8561 Lubbock, TX 79407 (806) 722-4453 PCP ID # 109452 715 Amarillo St PCP ID # 191427 Plainview, TX 79072 2401 Fulton Ave Apt B (806) 293-4253 Lubbock, TX 79407 (806) 776-4943 PCP ID # 193851 2601 Dimmitt Rd PCP ID # 193866 Plainview, TX 79072 1313 Broadway (806) 293-2921 Lubbock, TX 79401 (806) 345-7917 PCP ID # 193867 2606 Yonkers St Ste 4 PCP ID # 193878 Plainview, TX 79072 1313 Broadway Ste 5 (806) 293-2270 Lubbock, TX 79401 (806) 765-2611 PCP ID # 193869 2601 Dimmitt Rd Ste 4 Parkway Community Health Plainview, TX 79072 Center of Lubbock (806) 293-2270 PCP ID # 109476 406 Mlk Blvd HOCKLEY COUNTY / Lubbock, TX 79403 CONDADO DE HOCKLEY (806) 767-9744 LEVELLAND Texas Tech University Health Science South Plains Rural Health PCP ID # 212324 Services 1950 Aspen Ave Bldg 100 PCP ID # 116297 Lubbock, TX 79404 1000 Fm 300 (806) 740-1448 Levelland, TX 79336 (806) 894-7842 PCP ID # 212324 301 40th St Lubbock, TX 79404 (806) 743-9355 Note/Nota: TTUHSC Son Lubbock PCP ID # 109478 M-F: lunes a viernes 301 40th St M: lunes Lubbock, TX 79404 T: martes (806) 747-2102 W: miércoles TH: jueves PCP ID # 193509 F: viernes S: sábado SU: domingo

AMARILLO Regence Health Network Inc PCP ID # 109452 200 S Tyler St Amarillo, TX 79101 (806) 345-7917 PCP ID # 109452 850 Martin Rd Amarillo, TX 79107 (806) 374-7341 PCP ID # 193850 200 S Tyler St Amarillo, TX 79101 (806) 345-7917 PCP ID # 193851 125 W Park Ave Amarillo, TX 79101 (806) 364-7688 PCP ID # 193851 200 S Tyler St Amarillo, TX 79101 (806) 345-7917

Physician Group HALE COUNTY / CONDADO DE HALE PLAINVIEW Covenant Medical Group PCP ID # 209137 2606 Yonkers St Plainview, TX 79072 (806) 293-5113 HOCKLEY COUNTY / CONDADO DE HOCKLEY LEVELLAND Covenant Medical Group PCP ID # 201487 409 8th St Levelland, TX 79336 (806) 298-5884 Levelland Clinic North PCP ID # 140361 103 John Dupree Dr Levelland, TX 79336 (806) 894-2465 HUTCHINSON COUNTY / CONDADO DE HUTCHINSON BORGER Texas Panhandle PCP ID # 109990 412 N Main St Borger, TX 79007 (806) 274-2297

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

FRITCH Fritch Medical Clinic PCP ID # 111413 700 W Broadway St Fritch, TX 79036 (806) 857-2311 LAMB COUNTY / CONDADO DE LAMB SUDAN Sudan Medical Clinic PCP ID # 137527 611 Us Hwy 84 Sudan, TX 79371 (806) 227-2292 LUBBOCK COUNTY / CONDADO DE LUBBOCK LUBBOCK Covenant Medical Group PCP ID # 209137 3506 21st St Ste 401 Lubbock, TX 79410 (806) 725-4130 PCP ID # 209137 3825 22nd Pl Lubbock, TX 79410 (806) 791-2305 L Brit Lawrence MD PA PCP ID # 182439 4002 22nd St Lubbock, TX 79410 (806) 771-1386 Limited to Females/Sólo Atiende A Mujeres Lubbock Childrens Health Clinic PCP ID # 109477 1301 Redbud Ave Lubbock, TX 79403 (806) 749-3800 = 5 years/años éMandarin Spanish Cobbs, Lauren, MD PCP ID # 128395 3601 4th St Lubbock, TX 79430 (806) 743-2981 Cochran, Beth, MD PCP ID # 153561 9812 Slide Rd Lubbock, TX 79424 (806) 725-4014 Cogburn, Robyn, FNP PCP ID # 210366 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088 M T TH F 8A-6P W 8A-5:45P S 10A-2P éSpanish Coleman, Jennifer, FNP PCP ID # 177108 1126 Slide Rd Ste 4 Lubbock, TX 79416 (806) 793-8447 1318 Broadway Lubbock, TX 79401 (806) 765-2611 Collier, Raymond, MD PCP ID # 112911 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 Cook, Ronald, DO PCP ID # 109433 3601 4th St Lubbock, TX 79430 (806) 743-7337 éSpanish

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

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LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Family Practice / Medicina Familiar Cornwell, Darlene, FNP PCP ID # 199190 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 Cottenoir, Kezia, NP PCP ID # 163376 1318 Broadway Lubbock, TX 79401 (806) 765-2611 Cox, Kari, FNP PCP ID # 192315 2703 82nd St Lubbock, TX 79423 (806) 761-0428 Cox, Vivian, FNP PCP ID # 180960 3502 9th St Ste 430 Lubbock, TX 79415 (806) 744-1171 3606 21st St Ste 200 Lubbock, TX 79410 (806) 725-1720 3801 50th St Lubbock, TX 79413 (806) 771-5525 3825 22nd Pl Lubbock, TX 79410 (806) 791-2305 4102 24th St Ste 303 Lubbock, TX 79410 (806) 725-5120 #Crossnoe, Chetlen, MD PCP ID # 139672 2412 50th St Lubbock, TX 79412 (806) 744-7223 éSpanish 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 éSpanish Crow, Steven Michael, MD PCP ID # 117472 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 éSpanish Mandarin Crowson, Sammy PCP ID # P10003338687 3601 4th St Lubbock, TX 79415 (806) 743-2898 Culberson, John PCP ID # P10003658207 3601 4th St Ste 4b174 Lubbock, TX 79430 (806) 743-7337

Dabu, Darnel, MD PCP ID # 170083 3301 Clovis Rd Lubbock, TX 79415 (806) 763-5557 Dahl, Mindy PCP ID # P10003434615 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 éSpanish Dalton, Stephen, DO PCP ID # 109436 3601 4th St Lubbock, TX 79430 (806) 743-2757 éSpanish 4004 82nd St Lubbock, TX 79423 (806) 722-3180 éSpanish Damron, Tina Michelle, FNP PCP ID # 167769 1313 Broadway Ste 5 Lubbock, TX 79401 (806) 741-3004 1318 Broadway Lubbock, TX 79401 (806) 765-2611 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 Day, Mercedes, NP PCP ID # 180002 4004 82nd St Lubbock, TX 79423 (806) 796-8537 602 Indiana Ave Lubbock, TX 79415 (806) 743-2898 6630 Quaker Ave Ste C Lubbock, TX 79413 (806) 743-8000 Decker, Sandra, NP PCP ID # 119772 4102 24th St Ste 100 Lubbock, TX 79410 (806) 788-1111 #Dennis, Melynda PCP ID # 192761 3502 9th St Lubbock, TX 79415 (806) 762-8461 Dixon, Joseph, MD PCP ID # 117537 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223

Doctolero, Susan, ACNP PCP ID # 204650 301 40th St Lubbock, TX 79404 (806) 743-9355 3506 21st St Ste 302 Lubbock, TX 79410 (806) 725-1908 3601 4th St Medical Pavilion Ms 7208 Lubbock, TX 79430 (806) 743-2860 #Donaldson, Ashley PCP ID # 208861 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 éSpanish Dubose, Jack, MD PCP ID # 119351 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 M-F 8A-7P S SU 9A-5P Dunlap, Kourtney PCP ID # P10003809463 1318 Broadway Lubbock, TX 79401 (806) 765-2611 3502 9th St Ste 310 Lubbock, TX 79415 (806) 761-0747 7202 Slide Rd Ste 303 Lubbock, TX 79424 (806) 722-3110 Durham, Heather PCP ID # P10003988609 301 40th St Lubbock, TX 79404 (806) 743-9355 éSpanish 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 éSpanish Durham, Patricia, FNP PCP ID # 134811 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566 Durrett, Laura, FNP PCP ID # 196647 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

Dyer, Jack, MD PCP ID # 109439 3601 4th St Lubbock, TX 79430 (806) 743-2981 éSpanish #English, Darrell, DO PCP ID # 116031 808 Joliet Ave Ste 130 Lubbock, TX 79415 (806) 761-0545 Espe, Morgan PCP ID # P10004105264 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 #Ezell, Jennifer, FNP PCP ID # 130015 2703 82nd St Lubbock, TX 79423 (806) 385-6424 5130 82nd St Lubbock, TX 79424 (806) 794-9378 Fant, Rebecca, FNP PCP ID # 110500 3502 9th St Ste 110 Lubbock, TX 79415 (806) 761-0707 M-TH 8A-5P F 8A-1P Fernandez, Emily Suzanne, MD PCP ID # 157919 3502 9th St Ste 240 Lubbock, TX 79415 (806) 761-0707 Flathouse, Emily, FNP PCP ID # 205713 4105 Interstate 27 Lubbock, TX 79404 (806) 762-2633 M-F 8A-8P S 9A-5P SU 1P-5P Fowler, Melanie, NP PCP ID # 109443 3601 4th St Lubbock, TX 79430 (806) 743-2981 éSpanish Franklin, Rodney, MD PCP ID # 143804 3106 50th St Ste 400 Lubbock, TX 79413 (806) 698-8088 Gage, James Terry, MD PCP ID # 189010 4102 24th St Ste 404 Lubbock, TX 79410 (806) 793-5683

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

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LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Family Practice / Medicina Familiar #Galey, Jennifer, FNP PCP ID # 205724 3502 9th St Ste 430 Lubbock, TX 79415 (806) 744-1171 M-TH 8A-5P F 8A-12P Garcia, Charity, FNP PCP ID # 133244 4110 22nd Pl Lubbock, TX 79410 (806) 792-4329 Gard, Ruth PCP ID # P10003642974 301 40th St Lubbock, TX 79404 (806) 743-9355 Garrett, James PCP ID # P10003892198 3621 22nd St Ste 400 Lubbock, TX 79410 (806) 791-8484 416 Frankford Ave Lubbock, TX 79416 (806) 725-5410 Ginn, Stacy, FNP PCP ID # 158486 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566 5520 4th St Lubbock, TX 79416 (806) 761-0475 Glenn, Camilla PCP ID # P10004636852 3601 4th St Stop 8182 Lubbock, TX 79430 (806) 743-2981 4105 Interstate 27 Lubbock, TX 79404 (806) 762-2633 Glover, Krystal PCP ID # P10004982361 3502 9th St Ste 260 Lubbock, TX 79415 (806) 761-0747 4105 Interstate 27 Lubbock, TX 79404 (806) 762-2633 608 Joliet Ave Ste 130 Lubbock, TX 79410 (806) 761-0545 808 Joliet Ave Ste 130 Lubbock, TX 79415 (806) 761-0545 Golden, James, ACNP PCP ID # 196649 3502 9th St Lubbock, TX 79415 (806) 762-8461

3514 21st St Lubbock, TX 79410 (806) 725-1801 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088 #Gonzalez, Lucia, MD PCP ID # 194437 7501 Quaker Ave Lubbock, TX 79424 (806) 792-8843 Gordy, Karen PCP ID # P10003409571 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 Graham, Kimberly, FNP PCP ID # 135036 3502 9th St Ste 110 Lubbock, TX 79415 (806) 762-8461 >= 18 years/años Grant, Annalee, FNP PCP ID # 172732 301 40th St Lubbock, TX 79404 (806) 743-9355 4004 82nd St Bldg 200 Lubbock, TX 79423 (806) 798-7244 Gray, Chad, MD PCP ID # 112062 602 Indiana Ave Lubbock, TX 79415 (806) 761-0845 éSpanish Halfmann, Jennifer, FNP PCP ID # 185056 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 éSpanish Hall, Joe, FNP PCP ID # 203788 3514 21st St Lubbock, TX 79410 (806) 725-1801 406 Mlk Blvd Lubbock, TX 79403 (806) 767-9744 Hammonds, Shannon, FNP PCP ID # 180124 602 Indiana Ave Lubbock, TX 79415 (806) 761-0845 éSpanish

Hannel, Jeffrey, MD PCP ID # 112220 2107 Oxford Ave Ste 300 Lubbock, TX 79410 (806) 795-9300 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 Hart, Marie, ANP PCP ID # 113835 4102 24th St Ste 412 Lubbock, TX 79410 (806) 725-6451 Limited to Females/Sólo Atiende A Mujeres >= 10 years/años Hayes, Kelli, FNP PCP ID # 156402 5219 Cty Bank Pkwy Lubbock, TX 79407 (706) 785-2045 M-TH 8A-5P éSpanish 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088 M-F 8A-6P S 10A-2P éSpanish Haynes, Jamie Lynn, MD PCP ID # 154994 3601 4th St Lubbock, TX 79430 (806) 743-1842 Hendershot, Kerry, MD PCP ID # 119767 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 M-F 8A-7P S 9A-5P SU 12P-5P Henry, Melissa PCP ID # 179527 2412 50th St Lubbock, TX 79412 (806) 744-7223 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 Hill, Damon, MD PCP ID # 117802 3516 22nd Pl Lubbock, TX 79410 (806) 797-3322 M T TH 8A-5P W F 8A-12P 4102 24th St Ste 100 Lubbock, TX 79410 (806) 725-9875

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

Hilliard, Tara Colleen PCP ID # P10003565866 301 40th St Lubbock, TX 79404 (806) 743-9355 éSpanish Hirsch, Andrea, FNP PCP ID # 169050 3502 9th St Ste 430 Lubbock, TX 79415 (806) 744-1171 3601 4th St Lubbock, TX 79430 (806) 743-7337 Holmes, Maddie PCP ID # P10003563508 1910 Quaker Ave Ste 101 Lubbock, TX 79407 (806) 725-4440 Hood, Dwight, MD PCP ID # 109336 5520 4th St Lubbock, TX 79416 (806) 761-0475 M-F 8A-8P S 9A-5P SU 9A-1P éSpanish #Hood, Patricia, MD PCP ID # 109339 3601 4th St Lubbock, TX 79430 (806) 743-2981 éSpanish 7501 Quaker Ave Lubbock, TX 79424 (806) 792-8843 éSpanish Houghton, Michelle, NP PCP ID # 112534 4102 24th St Ste 504 Lubbock, TX 79410 (806) 725-6550 M-F 8:30A-5P éSpanish Howard, Kourtney PCP ID # P10003686177 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566 3601 4th St Lubbock, TX 79430 (806) 743-2757 5520 4th St Lubbock, TX 79416 (806) 761-0475 6803 Indiana Ave Lubbock, TX 79413 (806) 761-0722

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

12

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Family Practice / Medicina Familiar #Hubbard, Vicki, MD PCP ID # 143725 406 Mlk Blvd Lubbock, TX 79403 (806) 767-9744 Jimenez, Rosalinda, APN PCP ID # 211143 3502 9th St Ste 430 Lubbock, TX 79415 (806) 744-1171 éSpanish Johnson, Judith Faye, FNP PCP ID # 145718 3601 4th St Medical Pavilion Ms 7208 Lubbock, TX 79430 (806) 743-2860 éSpanish Johnson, Lori PCP ID # P10004407605 3502 9th St Ste 260 Lubbock, TX 79415 (806) 761-0747 4105 Interstate 27 Lubbock, TX 79404 (806) 762-2633 Johnson, Sarah PCP ID # P10004257335 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566 #Kemp, Melissa, PA-C PCP ID # 180492 5015 University Ave Lubbock, TX 79413 (806) 797-4357 éSpanish Key, Mark Richard, MD PCP ID # 157922 5219 Cty Bank Pkwy Lubbock, TX 79407 (706) 785-2045 Khan, Zaurez PCP ID # P10003566053 1910 Quaker Ave Ste 101 Lubbock, TX 79407 (806) 725-4440 #Lampe, Janice, PA PCP ID # 208192 2703 82nd St Lubbock, TX 79423 (806) 761-0428 Landry, Joel, MD PCP ID # 121301 5915 82nd St Lubbock, TX 79424 (806) 794-3000

Lear, Kye, MD PCP ID # 119708 5915 82nd St Lubbock, TX 79424 (806) 794-3000 Lee, Christy PCP ID # 205147 6002 Slide Rd Ste P12 Lubbock, TX 79414 (806) 761-0450 #Leins, Edward, DO PCP ID # 118004 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 éSpanish #Lentz, Jason, MD PCP ID # 145613 4105 Interstate 27 Lubbock, TX 79404 (806) 762-2633 éJapanese Italian Hindi German French Korean Arabic Mandarin Lindgren, Cherrylene, DO PCP ID # 155517 4105 Interstate 27 Lubbock, TX 79404 (806) 762-2633 éSpanish 5015 University Ave Lubbock, TX 79413 (806) 797-4357 M-W F 8A-1P éSpanish Linton, Kitten, MD PCP ID # 109827 3601 4th St Lubbock, TX 79430 (806) 743-2757 éSpanish 602 Indiana Ave Lubbock, TX 79415 (806) 761-0845 éSpanish Lloyd, Roxanne, NP PCP ID # 109359 302 N University Ave Lubbock, TX 79415 (806) 749-3803 éSpanish 6630 Quaker Ave Lubbock, TX 79413 (806) 743-7660 éSpanish Lobo, Charmaine, MD PCP ID # 164989 1318 Broadway Lubbock, TX 79401 (806) 765-2611

3301 Clovis Rd Lubbock, TX 79415 (806) 765-5557 Long, David, MD PCP ID # 131217 5130 82nd St Lubbock, TX 79424 (806) 794-9378 602 Indiana Ave Lubbock, TX 79415 (806) 761-0845 Luna, Laurie PCP ID # P10004825329 3502 9th St Ste 260 Lubbock, TX 79415 (806) 761-0747 3612 22nd Pl Lubbock, TX 79410 (806) 795-1393 4105 Interstate 27 Lubbock, TX 79404 (806) 762-2633 608 Joliet Ave Ste 130 Lubbock, TX 79410 (806) 761-0545 Makia, David PCP ID # P10004353251 3502 9th St Ste 260 Lubbock, TX 79415 (806) 761-0747 Mandrell, Cody, NP PCP ID # 171595 3502 9th St Ste 430 Lubbock, TX 79415 (806) 744-1171 3601 4th St 2nd Lubbock, TX 79430 (806) 743-3150 Mankin, Sarah PCP ID # P10004034121 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 M-SU 8A-7P Martin, Mary PCP ID # P10003921402 301 40th St Lubbock, TX 79404 (806) 743-9355 Limited to Females/Sólo Atiende A Mujeres éSpanish 3601 4th St Lubbock, TX 79430 (806) 743-2981 Limited to Females/Sólo Atiende A Mujeres éSpanish

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

Martinez, Robert, FNP PCP ID # 105223 5022 Ave Q Lubbock, TX 79412 (806) 762-3597 éSpanish Martinez, Sheree PCP ID # P10003347706 602 Indiana Ave Lubbock, TX 79415 (806) 743-2898 #May, Patti, MD PCP ID # 131801 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 éSpanish #McCarty, Elmore Jack, DO PCP ID # 142327 5520 4th St Lubbock, TX 79416 (806) 761-0475 McDonald, James, MD PCP ID # 136031 3601 4th St Lubbock, TX 79430 (806) 743-7337 McMurry, Michael, NP PCP ID # 140658 3601 4th St Lubbock, TX 79430 (806) 743-2981 3621 22nd St Lubbock, TX 79410 (806) 791-8484 Mello, Inola, FNP PCP ID # 133100 3514 21st St Lubbock, TX 79410 (806) 723-1801 3601 4th St Lubbock, TX 79430 (806) 743-2981 Mendez, Michael PCP ID # 198129 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088 Merrill, Emily, FNP PCP ID # 114008 3601 4th St Lubbock, TX 79430 (806) 743-7337 éSpanish Milam, Mary, FNP PCP ID # 170593 406 Mlk Blvd Lubbock, TX 79403 (806) 767-9744 éSpanish

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

13

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Family Practice / Medicina Familiar Mitchell, Jennifer, MD PCP ID # 113744 3601 4th St Lubbock, TX 79415 (806) 743-2757 éSpanish Mitchell, Rita Sue, FNP PCP ID # 145382 3502 9th St Ste 210 Lubbock, TX 79415 (806) 762-8461 éSpanish Morales, Felix, MD PCP ID # 144646 3601 4th St 1st Fl Lubbock, TX 79430 (806) 743-2757 éSpanish Morris, Heather, FNP PCP ID # 176348 3502 22nd St Lubbock, TX 79410 (806) 799-4192 4004 82nd St Lubbock, TX 79423 (806) 799-4192 M-TH 8A-5P F 8A-1P #Mwaura, Rosalia, NP PCP ID # 167092 1701 50th St Lubbock, TX 79412 (806) 761-0429 5520 4th St Lubbock, TX 79416 (806) 761-0475 Ndungu, Sam, FNP PCP ID # 185200 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566 Nickens, Wesley, MD PCP ID # 162667 4210 D 50th St Lubbock, TX 79413 (806) 795-1431 O'Neall, Bryan, PA PCP ID # 198185 2102 Oxford Ave Lubbock, TX 79410 (806) 793-1192 Onger, Frederick, MD PCP ID # 123188 3601 4th St Lubbock, TX 79430 (806) 743-2981 Ordonez, Robert, MD PCP ID # 141631 3709 22nd Pl Ste B Lubbock, TX 79410 (806) 797-2616

Owen, Jeffrey, MD PCP ID # 154988 3506 21st St Ste 302 Lubbock, TX 79410 (806) 725-1908 9812 Slide Rd Lubbock, TX 79424 (806) 725-4014 Paine, Carrie, MD PCP ID # 144971 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 M-F 8A-7P S 9A-5P SU 12A-5P Parmar, Kompal PCP ID # P10003017816 9812 Slide Rd Lubbock, TX 79424 (806) 725-4014 Paxton, Jeff, MD PCP ID # 111416 3601 4th St Lubbock, TX 79430 (806) 743-2981 Payne, Libby PCP ID # P10004518896 1610 5th St Lubbock, TX 79401 (806) 765-2611 Peck, Elizabeth, MD PCP ID # 109381 3601 4th St Lubbock, TX 79430 (806) 743-2757 éSpanish Percy, Marie, MD PCP ID # 111584 4210 D 50th St Lubbock, TX 79413 (806) 795-1431 Phillips, Michelle PCP ID # P10004993527 3506 21st St Ste 507 Lubbock, TX 79410 (806) 725-1920 Pinto Kini, Premilla Diana, MD PCP ID # 164994 1318 Broadway Lubbock, TX 79401 (806) 765-2611 Polly, Mika PCP ID # P10004143877 3502 9th St Ste 110 Lubbock, TX 79415 (806) 762-8461

Prabhu, Fiona, MD PCP ID # 109387 3601 4th St Lubbock, TX 79430 (806) 743-7337 éSpanish Price, Mark PCP ID # 201846 4105 Interstate 27 Lubbock, TX 79404 (806) 762-2633 M-F 8A-8P S 9A-5P SU 1P-5P Price, Matthew, FNP PCP ID # 202026 1910 Quaker Ave Ste 101 Lubbock, TX 79407 (806) 725-4440 M-S 9A-9P SU 12P-6P 2412 50th St Lubbock, TX 79412 (806) 744-7223 3606 21st St Ste 200 Lubbock, TX 79410 (806) 725-1720 602 Indiana Ave Lubbock, TX 79415 (806) 761-0845 Purdy, Tyson, MD PCP ID # 179203 5015 University Ave Lubbock, TX 79413 (806) 797-4357 7301 Milwaukee Ave Lubbock, TX 79424 (806) 761-0464 Qubti, Wael, MD PCP ID # 167015 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 éSpanish #Ragain, Roger, MD PCP ID # 109383 3601 4th St 1st Fl Lubbock, TX 79430 (806) 743-2757 éSpanish 4004 82nd St Lubbock, TX 79423 (806) 743-7800 éSpanish Rascon, Lisa PCP ID # P10004152707 5219 Cty Bank Pkwy Lubbock, TX 79407 (706) 785-2045

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

Reast, Ruan PCP ID # P10003596922 3601 4th St Ste 4a174 Lubbock, TX 79430 (806) 743-2757 #Rebong, Hannah, FNP PCP ID # 195813 7501 Quaker Ave Lubbock, TX 79424 (806) 792-8843 Reynolds, Lisa Diane, FNP PCP ID # 146286 2412 50th St Lubbock, TX 79412 (806) 744-7223 éSpanish 2424 50th St Ste 202 Lubbock, TX 79412 (806) 776-0891 éSpanish 3502 9th St Ste 430 Lubbock, TX 79415 (806) 744-1171 éSpanish Risdon, Lindsey PCP ID # 207773 5520 4th St Lubbock, TX 79416 (806) 761-0475 #Rivera, Diego, MD PCP ID # 110617 111 N University Ave Lubbock, TX 79415 (806) 747-4415 M-F 8A-5P S 9A-1P éSpanish Robinson, Tanya PCP ID # P10004221354 1701 50th St Lubbock, TX 79412 (806) 761-0429 3502 9th St Ste 260 Lubbock, TX 79415 (806) 761-0747 Roffers III, Gene PCP ID # P10003422020 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088 Rosalez, Missy PCP ID # 209527 4004 82nd St Lubbock, TX 79423 (806) 743-7800 602 Indiana Ave Lubbock, TX 79415 (806) 775-8754

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

14

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Family Practice / Medicina Familiar #Rose, Christophe, MD PCP ID # 145251 3709 22nd Pl Ste A Lubbock, TX 79410 (806) 791-3999 M-W F 8A-5P TH 8A-12P Ross, Casey, FNP PCP ID # 194438 1910 Quaker Ave Ste 101 Lubbock, TX 79407 (806) 725-4440 Saleem, Kashif, MD PCP ID # 196694 3502 9th St Lubbock, TX 79415 (806) 762-8461 Satterfield, Bruce PCP ID # P10004993526 3506 21st St Ste 507 Lubbock, TX 79410 (806) 725-1920 Scheel, Sarah, DO PCP ID # 119712 4004 82nd St Lubbock, TX 79423 (806) 743-7800 éSpanish Schmidt, Rita, MD PCP ID # 111189 3601 4th St Lubbock, TX 79430 (806) 743-7337 #Scott, Karen Jane, DO PCP ID # 109409 2424 50th St Ste 202 Lubbock, TX 79412 (806) 776-0891 éSpanish 3502 9th St Ste 430 Lubbock, TX 79415 (806) 744-1171 éSpanish Shanklin, Christophe, MD PCP ID # 153562 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088 M-F 8A-6P S 10A-2P éSpanish 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 éSpanish Shell, Ashley PCP ID # P10004832418 602 Indiana Ave Lubbock, TX 79415 (806) 761-0845

Sikes, Amy PCP ID # P10003187280 4004 82nd St Lubbock, TX 79423 (806) 743-7800 602 Indiana Ave Lubbock, TX 79415 (806) 761-0845 Skinner, Derek, MD PCP ID # 137066 7601 Quaker Ave Lubbock, TX 79424 (806) 725-9444 #Slavik, Stacey, FNP PCP ID # 111580 2301 Cdr Ave Lubbock, TX 79404 (806) 765-2611 éSpanish Smith, Mark PCP ID # P10003685961 301 40th St Lubbock, TX 79404 (806) 743-9355 Limited to Females/Sólo Atiende A Mujeres 3615 19th St Lubbock, TX 79410 (800) 579-7777 Limited to Females/Sólo Atiende A Mujeres 3621 22nd St Ste 400 Lubbock, TX 79410 (806) 791-8484 Limited to Females/Sólo Atiende A Mujeres Soler, Carla PCP ID # P10004169126 4004 82nd St Lubbock, TX 79423 (806) 743-7800 Stewart, Rebecca, FNP PCP ID # 182460 1910 Quaker Ave Ste 101 Lubbock, TX 79407 (806) 725-4440 3502 9th St Ste 260 Lubbock, TX 79415 (806) 761-0747 3801 50th St Ste 5 Lubbock, TX 79413 (806) 725-7700 608 Joliet Ave Ste 130 Lubbock, TX 79410 (806) 761-0545

Stice, Jamie, FNP PCP ID # 192373 4102 24th St Ste 101 Lubbock, TX 79410 (806) 725-5540 éSpanish 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088 éSpanish Stratton, Brittanee PCP ID # P10004993798 1610 5th St Lubbock, TX 79401 (806) 765-2611 Suit, Carol, MD PCP ID # 110715 3502 9th St Ste 310 Lubbock, TX 79415 (800) 872-2956 4102 24th St Ste 300 Lubbock, TX 79410 (806) 725-6905 Sun, Grace, FNP PCP ID # 134705 3502 9th St Ste 310 Lubbock, TX 79415 (806) 743-4115 éChinese 3601 4th St Lubbock, TX 79430 (806) 743-2981 M-TH 8A-5P F 8A-12P éChinese Thal, Wendy PCP ID # 138747 301 40th St Lubbock, TX 79404 (806) 743-9355 Limited to Females/Sólo Atiende A Mujeres Thompson, Kida PCP ID # P10004978528 3502 9th St Ste 260 Lubbock, TX 79415 (806) 761-0747 808 Joliet Ave Ste 130 Lubbock, TX 79415 (806) 761-0545 Tibbets, Gay, NP PCP ID # 170393 2107 Oxford Ave Ste 300 Lubbock, TX 79410 (806) 725-5855 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

Toney, Donna, NP PCP ID # 168172 3601 4th St Stop 8182 Lubbock, TX 79430 (806) 743-2981 Toon, Molly, NP PCP ID # 153419 1301 Redbud Ave Lubbock, TX 79403 (806) 749-3800 = 18 years/años #Ashley, Cheri Renee, FNP PCP ID # 184550 1411 E Amarillo Blvd Amarillo, TX 79107 (806) 351-7200 1901 Medi Park Dr Ste 6 Amarillo, TX 79106 (806) 359-7627 5211 Sw 9th Ave Ste 140 Amarillo, TX 79106 (806) 622-2725 6601 W I40 Ste 300 Amarillo, TX 79106 (806) 331-7905 Axe Lewis, Beverly, DO PCP ID # 109407 1 Medical Dr Amarillo, TX 79106 (806) 322-3599 éSpanish Baker, Jennifer, FNP PCP ID # 196342 1301 S Coulter St Ste 405 Amarillo, TX 79106 (803) 358-9111 6601 W I40 Ste 300 Amarillo, TX 79106 (806) 331-7905

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

16

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Family Practice / Medicina Familiar Baltz, Susan, NP PCP ID # 151437 6601 W I40 Ste 300 Amarillo, TX 79106 (806) 331-7905 = 18 years/años Sappington, Amy PCP ID # 192712 11 Medical Dr Amarillo, TX 79106 (806) 353-6400 Selvan, Vani, MD PCP ID # 157552 1400 S Coulter St Amarillo, TX 79106 (806) 354-5630 Shell, Ashley PCP ID # P10004832418 1501 S Coulter St Amarillo, TX 79106 (800) 840-9441 Sikes, Amy PCP ID # P10003187280 1501 S Coulter St Amarillo, TX 79106 (800) 840-9441 Slaton, John, DO PCP ID # 202794 1400 S Coulter St Amarillo, TX 79106 (806) 354-5696 Sorelle, Julia, FNP PCP ID # 156958 1400 S Coulter St Amarillo, TX 79106 (806) 354-5696 Spohn-Ledford, Tina PCP ID # P10004287243 713 N Taylor St Amarillo, TX 79107 (806) 331-2962 Tagwerker, Bernhard, MD PCP ID # 181897 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129 Tan, Cristiane PCP ID # 179584 6 Medical Dr Amarillo, TX 79106 (806) 212-6604

Tan, Marion PCP ID # 212298 1400 S Coulter St Amarillo, TX 79106 (806) 354-5696 Tate, Brittany, PA PCP ID # 174146 1400 S Coulter St Amarillo, TX 79106 (806) 354-5630 Thomas, Christine, PA PCP ID # 114147 1400 S Coulter St Amarillo, TX 79106 (806) 354-5630 éSpanish Vo, Nguyen PCP ID # P10003928565 850 Martin Rd Amarillo, TX 79107 (806) 374-7341 éJapanese German Italian Arabic French Hindi Korean Walton, Cynthia PCP ID # 140757 801 Martin Rd Amarillo, TX 79107 (806) 468-4390 Limited to Females/Sólo Atiende A Mujeres >= 10 years/años éSpanish #Wilhelm, Lorina PCP ID # P10002719223 6842 Plum Creek Dr Amarillo, TX 79124 (806) 353-7000 Woodburn, Georjane PCP ID # P10003316319 1411 E Amarillo Blvd Amarillo, TX 79107 (806) 351-7200 Yaws, Jennifer, FNP PCP ID # 191314 6601 W I40 Ste 300 Amarillo, TX 79106 (806) 331-7905 Young, Rodney, MD PCP ID # 109421 1400 S Coulter St Amarillo, TX 79106 (806) 351-3777 éSpanish 1501 S Coulter St Amarillo, TX 79106 (806) 354-1250 éSpanish

RANDALL COUNTY / CONDADO DE RANDALL AMARILLO Andrus, Courtni, NP PCP ID # 177607 5807 Sw 45th Ave Ste 100 Amarillo, TX 79109 (806) 355-2900 M-F 8A-7P S 8A-5P SU 10A-3P Bitting, Janetta, NP PCP ID # 133157 1900 Se 34th Ave Ste 1800 Amarillo, TX 79118 (806) 351-7540 éSpanish Brewer, Cecelia PCP ID # 203916 1900 Se 34th Ave Ste 1700 Amarillo, TX 79118 (806) 351-7530 = 18 years/años Fanelli, Melissa, FNP PCP ID # 130826 911 23rd St Canyon, TX 79015 (806) 655-2104 Fithen, Dawn PCP ID # 203146 911 23rd St Canyon, TX 79015 (806) 655-2104

Gutierrez, Robert, FNP PCP ID # 204951 911 23rd St Canyon, TX 79015 (806) 655-2104 M-F 8A-5P S SU 12A-11:59P éSpanish #Hunley, April, FNP PCP ID # 206393 911 23rd St Canyon, TX 79015 (806) 655-2104 éSpanish Irwin, Marc, MD PCP ID # 109315 911 23rd St Canyon, TX 79015 (806) 655-2104 >= 1 year/año McAfee, Lawrence, MD PCP ID # 109316 911 23rd St Canyon, TX 79015 (806) 655-2104 >= 1 year/año Patterson, Lindsaye PCP ID # P10003675588 911 23rd St Canyon, TX 79015 (806) 655-2104 M-SU 12A-11:59P Russell Jr, James, FNP PCP ID # 111576 911 23rd St Canyon, TX 79015 (806) 655-2104 >= 18 years/años Snow, Lisa PCP ID # P10002873925 911 23rd St Canyon, TX 79015 (806) 655-2104 Sullivan, Carisa PCP ID # P10004257336 1400 Coulter Canyon, TX 79016 (806) 354-5600 Limited to Females/Sólo Atiende A Mujeres #Trimmier, Melissa Ann PCP ID # P10004454454 911 23rd St Canyon, TX 79015 (806) 655-2104 Turnbow, Patricia PCP ID # 177598 911 23rd St Canyon, TX 79015 (806) 655-2104

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

Wallace, Randy, FNP PCP ID # 195419 911 23rd St Canyon, TX 79015 (806) 655-2104 Wilson, Jessica PCP ID # 205013 1619 4th Ave Canyon, TX 79015 (806) 557-4138 Woodburn, Georjane PCP ID # P10003316319 911 23rd St Canyon, TX 79015 (806) 655-2104 #Woods, Elizabeth, FNP PCP ID # 165410 911 23rd St Canyon, TX 79015 (806) 655-2104 Yaws, Jennifer, FNP PCP ID # 191314 911 23rd St Canyon, TX 79015 (806) 655-2104 SWISHER COUNTY / CONDADO DE SWISHER TULIA #Blakeman, Scot, DO PCP ID # 109290 105 Hospital Ave Tulia, TX 79088 (806) 995-4122 éSpanish #Marnell, Tori Irlbeck, MD PCP ID # 109292 105 Hospital Ave Tulia, TX 79088 (806) 995-4122 M-TH 8A-6P F 8A-5P S 8A-1P éSpanish #Rossi, Steven, MD PCP ID # 113521 105 Hospital Ave Tulia, TX 79088 (806) 995-3581 éSpanish TERRY COUNTY / CONDADO DE TERRY BROWNFIELD Hisel, Christophe, MD PCP ID # 109883 706 E Felt St Brownfield, TX 79316 (806) 637-0344 éSpanish

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

20

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Family Practice / Medicina Familiar Hord, Michael Shane, MD PCP ID # 111950 706 E Felt St Brownfield, TX 79316 (806) 637-0344 M-F 8:30A-5P éSpanish Kendrick, Roy, MD PCP ID # 127141 706 E Felt St Brownfield, TX 79316 (806) 637-0344 M-F 8:30A-5P éSpanish Tedford, Dennis, MD PCP ID # 110299 703 E Felt St Brownfield, TX 79316 (806) 637-1955 éGerman Spanish

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

21

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO General Practice / Medicina General

General Practice / Medicina General

POTTER COUNTY / CONDADO DE POTTER

HALE COUNTY / CONDADO DE HALE

AMARILLO Reel, Julie PCP ID # 141541 1901 Medi Park Dr Ste 65 Amarillo, TX 79106 (806) 468-4317 = 18 years/años HOCKLEY COUNTY / CONDADO DE HOCKLEY LEVELLAND #Balch, Michael Tol, MD PCP ID # 117215 103 John Dupree Dr Levelland, TX 79336 (806) 894-2465 1900 College Ave Levelland, TX 79336 (806) 894-4963

Bigit Milla, Walter PCP ID # P10003017710 116 John Dupre Dr Ste A Levelland, TX 79336 (793) 366-3000 éSpanish Kubacak, Stephanie, MD PCP ID # 140469 1804 College Ave Levelland, TX 79336 (806) 894-3141 >= 12 years/años éSpanish Oreilly Flores, Daphne PCP ID # P10003017815 116 John Dupre Dr Ste A Levelland, TX 79336 (793) 366-3000 éSpanish HUTCHINSON COUNTY / CONDADO DE HUTCHINSON BORGER Perales, Jesse, MD PCP ID # 109906 202 S Mcgee St Borger, TX 79007 (806) 273-7118 >= 12 years/años éSpanish LUBBOCK COUNTY / CONDADO DE LUBBOCK LUBBOCK Aguas, Enrico, MD PCP ID # 110822 3506 21st St Ste 605 Lubbock, TX 79410 (806) 725-4130 Ahmad, Salman, MD PCP ID # 109346 3620 Interstate 27 Lubbock, TX 79404 (806) 701-5797 éSpanish #Alvizo, Stephanie, FNP PCP ID # 198033 1313 Broadway Lubbock, TX 79401 (806) 345-7917 4004 82nd St Lubbock, TX 79423 (806) 743-7800 Anderson, Jamie, MD PCP ID # 181829 2215 Nashville Ave Lubbock, TX 79410 (806) 725-8660

#Balch, Michael Tol, MD PCP ID # 117215 2412 50th St Lubbock, TX 79412 (806) 744-7223 #Batra, Swaran, MD PCP ID # 117233 9812 Slide Rd Lubbock, TX 79424 (806) 725-4014 #Beals, Roberta, DO PCP ID # 109382 7501 Quaker Ave Lubbock, TX 79424 (806) 792-8843 éSpanish #Bisbee, Robert, MD PCP ID # 104985 4004 82nd St Lubbock, TX 79423 (806) 743-7800 #Brinker, Jared, MD PCP ID # 164222 4515 Marsha Sharp Fwy Lubbock, TX 79407 (806) 744-7223 éSpanish Buscemi, Dolores, MD PCP ID # 108511 602 Indiana Ave Lubbock, TX 79415 (806) 743-2155 Chen, Hua, MD PCP ID # 176072 301 40th St Lubbock, TX 79404 (806) 743-9355 éGerman Spanish Hindi 3615 19th St Lubbock, TX 79410 (800) 579-7777 éGerman Spanish Hindi Dawson, Brittany PCP ID # P10003017729 9812 Slide Rd Lubbock, TX 79424 (806) 725-4014 Dcunha, Nicholas, MD PCP ID # 111412 3601 4th St Ste 4c201 Lubbock, TX 79430 (806) 743-3150 602 Indiana Ave Lubbock, TX 79430 (806) 743-2981 Dihenia, Chanda, MD PCP ID # 117534 3615 19th St Lubbock, TX 79410 (800) 579-7777

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

3619 22nd Pl Lubbock, TX 79410 (806) 771-7720 Durrett, Laura, FNP PCP ID # 196647 3601 4th St Lubbock, TX 79430 (806) 743-2981 Edwards, David Sanjeev, MD PCP ID # 163800 3601 4th St 1st Fl Lubbock, TX 79430 (806) 743-1177 Faisal, Jamal, MD PCP ID # 191563 3601 4th St Ste 1b350k Lubbock, TX 79430 (806) 775-8500 4004 82nd St Bldg 200 Lubbock, TX 79430 (806) 798-7244 Farthing, Vernon, MD PCP ID # 109442 3502 9th St Ste 360 Lubbock, TX 79415 (806) 761-0747 4004 82nd St Lubbock, TX 79423 (806) 743-7800 Ferguson, Angela, DO PCP ID # 203887 2215 Nashville Ave Lubbock, TX 79410 (806) 725-8660 Garcia, Juan, FNP PCP ID # 196008 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566 #Gonzalez, Enrique, MD PCP ID # 196391 4210 D 50th St Lubbock, TX 79413 (806) 795-1431 = 17 years/años 3711 22nd St Ste A Lubbock, TX 79410 (806) 500-2056 >= 17 years/años

Marcum, Kathleen, PA PCP ID # 194440 3801 21st St Ste 200 Lubbock, TX 79410 (806) 687-0338 M-TH 8A-5P F 8A-12P McDonald, Rebecca, MD PCP ID # 154406 3601 4th St Lubbock, TX 79430 (806) 743-2981 éSpanish McPherson, Michael, MD PCP ID # 110504 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566 602 Indiana Ave Lubbock, TX 79415 (806) 761-0845 Mitchell, Rita Sue, FNP PCP ID # 145382 7008 Indiana Ave Ste A Lubbock, TX 79413 (806) 698-8088 éSpanish Mitchell, Teddy, MD PCP ID # 169275 3601 4th St Lubbock, TX 79430 (806) 743-7337 Mittal, Neha, MD PCP ID # 137607 3601 4th St 2nd Fl Lubbock, TX 79430 (806) 743-3150 éSpanish Mittal, Piyush, MD PCP ID # 130060 3801 50th St Ste 5 Lubbock, TX 79413 (806) 725-7700 M-TH 8A-5P F 8A-12P Mulkey, Zachary Paul, MD PCP ID # 144037 3601 4th St Lubbock, TX 79430 (806) 743-2981 éSpanish Patel, Nilesh, MD PCP ID # 111606 9812 Slide Rd Lubbock, TX 79424 (806) 725-4014 Phy, Michael, DO PCP ID # 121880 3601 4th St Medical Pavilion 2nd Fl Lubbock, TX 79430 (806) 743-3150

#Pirtle, Floyd, MD PCP ID # 109385 3502 9th St Ste 110 Lubbock, TX 79415 (806) 761-0707 Popat, Shital PCP ID # P10003563449 416 Frankford Ave Lubbock, TX 79416 (806) 725-5410 Ravi, Hima, MD PCP ID # 119743 3516 22nd Pl Lubbock, TX 79410 (806) 797-3322 éSpanish 3615 19th St Lubbock, TX 79410 (800) 579-7777 éSpanish Richard A Henderson MD PA PCP ID # 193993 9812 Slide Rd Lubbock, TX 79424 (806) 725-8400 Rodriguez, Enrique, MD PCP ID # 121581 1902 50th St Lubbock, TX 79412 (806) 368-6757 M-TH 8A-5P F 8A-12P >= 18 years/años éSpanish Snodgrass, Brad, MD PCP ID # 208214 3801 50th St Lubbock, TX 79413 (806) 771-5525 Soriano, Mark, MD PCP ID # 121314 4004 82nd St Lubbock, TX 79423 (806) 743-7800 éSpanish Stachowiak, Janice, MD PCP ID # 109399 3601 4th St Medical Pavilion 2nd Fl Lubbock, TX 79430 (806) 743-3150 éSpanish Stewart, Holly, MD PCP ID # 184872 12002 Trafalgar Ave Ste 201 Lubbock, TX 79424 (806) 744-7764 M-TH 9A-5P F 9A-1P 9812 Slide Rd Lubbock, TX 79424 (806) 725-4014

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

Tarafdar, Kaiser, MD PCP ID # 130134 2107 Oxford Ave Ste 300 Lubbock, TX 79410 (806) 725-5855 4102 24th St Ste 409 Lubbock, TX 79410 (806) 725-7015 Thomas, Ira Lee, MD PCP ID # 153927 3502 9th St Ste 110 Lubbock, TX 79415 (806) 762-8461 5219 Cty Bank Pkwy Ste 35 Lubbock, TX 79407 (806) 785-2045 Wolcott, Joseph, MD PCP ID # 160775 3502 9th St Ste 170 Lubbock, TX 79415 (254) 744-0566 Yarbrough, Shannon Dee, MD PCP ID # 159557 3601 4th St Medical Pavilion 2nd Fl Lubbock, TX 79430 (806) 743-3150 éSpanish LYNN COUNTY / CONDADO DE LYNN TAHOKA #Balch, Michael Tol, MD PCP ID # 117215 2600 Lockwood St Tahoka, TX 79373 (806) 998-5501 POTTER COUNTY / CONDADO DE POTTER AMARILLO #Ahmed, Mashrafi, MD PCP ID # 190012 1400 S Coulter St Amarillo, TX 79106 (806) 354-5630 Al-Ahmad, Amin PCP ID # 205033 6200 W Interstate 40 Amarillo, TX 79106 (806) 354-9764 >= 15 years/años Beggs, Daniel, MD PCP ID # 185208 6700 Sw 9th Ave Amarillo, TX 79106 (806) 358-0200

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

24

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Internal Medicine / Medicina Interna Bell, Todd, MD PCP ID # 139856 1400 S Coulter St Amarillo, TX 79106 (806) 354-5600 #Bharadwaj, Ravindra, MD PCP ID # 191608 1400 S Coulter St Amarillo, TX 79106 (806) 354-5600 éHindi Bush, Jon, MD PCP ID # 175895 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129 #Carrizo, Ricardo, MD PCP ID # 175419 1411 E Amarillo Blvd Amarillo, TX 79107 (806) 351-7200 M-F 7:30A-5P Chen, Hua, MD PCP ID # 176072 1501 S Coulter St Amarillo, TX 79106 (800) 840-9441 éGerman Spanish Hindi Clark, Kathleen, MD PCP ID # 158301 1400 S Coulter St Amarillo, TX 79106 (806) 354-5630 Cutts, Karen, MD PCP ID # 109327 1400 S Coulter St Amarillo, TX 79106 (806) 354-5600 Dalston, John Scott, MD PCP ID # 152436 1301 S Coulter St Ste 405 Amarillo, TX 79106 (806) 358-9111 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129 Family Medicine Center of Amarillo P PCP ID # 178005 1500 S Coulter St Ste 2 Amarillo, TX 79106 (806) 463-5635 Gopalachar, Anuradha, MD PCP ID # 197378 850 Martin Rd Amarillo, TX 79107 (806) 374-7341 M-TH 7:30A-5:30P F 7:30A-2P éSpanish

Holland, William PCP ID # 179533 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129 6 Medical Dr Amarillo, TX 79106 (806) 212-6604 Islam, Asm PCP ID # 201375 1400 S Coulter St Amarillo, TX 79106 (806) 354-5696 >= 16 years/años Ismaael, Thayer PCP ID # 202828 1301 S Coulter St Ste 405 Amarillo, TX 79106 (806) 358-9111 Jaber, Mouin, MD PCP ID # 108177 3504 Ne 24th Ave Amarillo, TX 79107 (806) 381-1732 >= 15 years/años éSpanish Russian French Arabic Jenkins, Marjorie, MD PCP ID # 109341 1400 S Coulter St Amarillo, TX 79106 (806) 354-5630 Jou Tindo, Adeline, MD PCP ID # 159063 1301 S Coulter St Ste 405 Amarillo, TX 79106 (806) 358-9111 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129 Khandheria, Bharat, MD PCP ID # 109349 1400 S Coulter St Amarillo, TX 79106 (806) 354-5600 Lamanteer, Michael PCP ID # 179521 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129 Leak, Morgan, MD PCP ID # 181602 1301 S Coulter St Ste 200 Amarillo, TX 79106 (806) 322-3273 M-W 8A-5:30P TH 8A-5:50P F 8A-12:30P >= 18 years/años

1501 S Coulter St Amarillo, TX 79106 (806) 354-1250 >= 18 years/años Martindale, James, MD PCP ID # 173505 1411 E Amarillo Blvd Amarillo, TX 79107 (806) 351-7200 M-F 7:30A-5P #Miranda, Hernan, MD PCP ID # 155199 1215 S Coulter St Ste 400 Amarillo, TX 79106 (806) 358-8331 éSpanish #Mitchell, Holly, MD PCP ID # 187913 6700 Sw 9th Ave Amarillo, TX 79106 (806) 358-0200 Omer, Abdel Rahman PCP ID # P10003911229 1400 S Coulter St 1400 S Coulter St Amarillo, TX 79106 (806) 354-5630 >= 16 years/años 1600 S Coulter St Ste F600 Amarillo, TX 79106 (806) 468-4300 >= 16 years/años Perrien, Craig, NP PCP ID # 209859 1400 S Coulter St Amarillo, TX 79106 (806) 354-5696 >= 16 years/años Pham, Mary, MD PCP ID # 204239 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129 Ranin, Maria, MD PCP ID # 144960 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-3500 Ravipati, Anita PCP ID # 183861 1500 Wallace Blvd Amarillo, TX 79106 (806) 359-4673 Saeed, Qaiser PCP ID # 179535 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

Smalligan, Roger, MD PCP ID # 162669 1400 S Coulter St Amarillo, TX 79106 (806) 354-5630 Smirnova, Olga, MD PCP ID # 175903 1600 Wallace Blvd Amarillo, TX 79106 (806) 212-2129 #Stewart, Randy, MD PCP ID # 109413 1400 Wallace Blvd Amarillo, TX 79106 (806) 354-5620 Sule, Aditi, MD PCP ID # 161667 17 Care Cir Amarillo, TX 79124 (806) 468-6277 = 10 years/años éSpanish HALE COUNTY / CONDADO DE HALE PLAINVIEW Charest, Jessica PCP ID # P10004151239 2222 W 24th St Plainview, TX 79072 (806) 293-5113 >= 10 years/años Smith, Charles DO PCP ID # 120321 2222 W 24th St Ste 6 & Ste 6 Plainview, TX 79072 (806) 293-5113 >= 10 years/años HOCKLEY COUNTY / CONDADO DE HOCKLEY LEVELLAND Kulkarni, Rishikesh PCP ID # P10003017780 116 John Dupree Dr Levelland, TX 79336 (806) 894-1515 >= 10 years/años HUTCHINSON COUNTY / CONDADO DE HUTCHINSON BORGER Myers, Shirley NP PCP ID # 110513 300 W Grand St Borger, TX 79007 (806) 274-3947 >= 10 years/años

Romeo, Bruno MD PCP ID # 183431 100 N Mcgee St Ste 40 Borger, TX 79007 (806) 663-5671 M-S 8A-5P >= 10 years/años LAMB COUNTY / CONDADO DE LAMB OLTON Elmore, Mary NP PCP ID # 154242 524 8th St Olton, TX 79064 (806) 285-2633 >= 10 years/años LUBBOCK COUNTY / CONDADO DE LUBBOCK LUBBOCK Blann, David MD PCP ID # 117276 2102 Oxford Ave Lubbock, TX 79410 (806) 725-7878 >= 10 years/años Broome, Edward MD PCP ID # 110771 4102 24th St Lubbock, TX 79410 (806) 725-6280 >= 10 years/años Burke, Joanna MD PCP ID # 133086 4102 24th St Ste 503 Lubbock, TX 79410 (806) 725-4850 >= 10 years/años Chambers, Lana WHNP PCP ID # 109914 4004 82nd St Lubbock, TX 79423 (806) 796-8537 Elmore, Mary NP PCP ID # 154242 3502-9th St Ste 170 Lubbock, TX 79415 (806) 744-0566 >= 10 years/años 4102 24th St 300 Lubbock, TX 79410 (806) 725-5497 >= 10 years/años Farooqi, Naghma MD PCP ID # 144973 3502 9th St Ste G70 Lubbock, TX 79415 (806) 761-0770 éSpanish

3601 4th St Lubbock, TX 79430 (806) 743-2981 éSpanish 4004 82nd St Lubbock, TX 79423 (806) 796-8537 éSpanish Hatton, Amanda MD PCP ID # 168427 4102 24th St Ste 300 Lubbock, TX 79410 (806) 725-6905 >= 10 years/años Henry, Melissa PCP ID # 179527 3711 20th St Ste A Lubbock, TX 79410 (806) 793-9733 Holt, Roxane MD PCP ID # 156566 301 40th St Lubbock, TX 79404 (806) 743-9355 >= 10 years/años 3601 4th St Lubbock, TX 79430 (806) 743-2981 >= 10 years/años Huang, Jaou-Chen MD PCP ID # 150303 3502 9th St Ste G70 Lubbock, TX 79415 (806) 761-0770 >= 10 years/años Killeen, Joseph K MD PCP ID # 117929 4102 24th St Ste 502 Lubbock, TX 79410 (806) 725-6745 >= 10 years/años Lawrence, Larry MD PCP ID # 133075 2102 Oxford Ave Ste B Lubbock, TX 79410 (806) 687-8889 M-TH 8:30A-5P F 8A-12P >= 10 years/años 4000 24th St Lubbock, TX 79410 (806) 725-4800 >= 10 years/años 4002 22nd St Lubbock, TX 79410 (806) 771-1386 >= 10 years/años

Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

#Lentz, Jason MD PCP ID # 145613 301 40th St Lubbock, TX 79404 (806) 743-9355 éJapanese Italian Hindi German French Korean Arabic Mandarin Owen, Jennifer MD PCP ID # 137094 4102 24th St Lubbock, TX 79410 (806) 725-6280 >= 10 years/años Owen, Michael MD PCP ID # 111144 2102 Oxford Ave Lubbock, TX 79410 (806) 725-7878 >= 10 years/años 3601 4th St Lubbock, TX 79430 (806) 743-4263 >= 10 years/años Page, Lola D MD PCP ID # 118112 4102 24th St Ste 412 Lubbock, TX 79410 (806) 725-6451 >= 10 years/años Schultz, Fred Michael MD PCP ID # 118362 3506 21st St Ste 605 Lubbock, TX 79410 (806) 725-4130 >= 10 years/años éSpanish POTTER COUNTY / CONDADO DE POTTER AMARILLO Griffin, Stephen PCP ID # P10004702209 1400 S Coulter St Amarillo, TX 79106 (806) 354-5696 >= 10 years/años Hampton, Raymond Moss MD PCP ID # 109563 1400 S Coulter St Amarillo, TX 79106 (806) 351-3777 >= 10 years/años Hickman, Thomas MD PCP ID # 109567 1400 S Coulter St Amarillo, TX 79106 (806) 354-5600 >= 10 years/años

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

27

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Obstetrics & Gynecology / Obstetricia & Ginecología #McCoy, Tonya NP PCP ID # 173813 1000 Craig Dr Amarillo, TX 79106 (806) 331-7905 Walton, Cynthia PCP ID # 140757 814 Martin Rd Amarillo, TX 79107 (806) 468-4390 >= 10 years/años éSpanish Wang, Jeffrey PCP ID # P10004253795 1400 S Coulter St Amarillo, TX 79106 (806) 354-5696 >= 10 years/años Wheatley, Catherine PCP ID # P10003650940 1501 S Coulter St Amarillo, TX 79106 (806) 354-1250 >= 10 years/años 22 Care Cir Amarillo, TX 79124 (806) 354-8300 >= 10 years/años 814 Martin Rd Amarillo, TX 79107 (806) 351-7600 >= 10 years/años

Vinson, Nika PCP ID # P10004257337 1400 Coulter Canyon, TX 79016 (806) 354-5600 >= 10 years/años Wang, Jeffrey PCP ID # P10004253795 1400 Coulter Canyon, TX 79016 (806) 354-5600 >= 10 years/años

RANDALL COUNTY / CONDADO DE RANDALL AMARILLO Hickman, Thomas MD PCP ID # 109567 1900 Se 34th Ave Ste 1800 Amarillo, TX 79118 (806) 351-7540 >= 10 years/años Wang, Jeffrey PCP ID # P10004253795 1900 Se 34th Ave Ste 1800 Amarillo, TX 79118 (806) 351-7540 >= 10 years/años Wheatley, Catherine PCP ID # P10003650940 1900 Se 34th Ave Ste 1700 Amarillo, TX 79118 (806) 351-7530 >= 10 years/años CANYON #McCoy, Tonya NP PCP ID # 173813 911 23rd St Canyon, TX 79015 (806) 655-2104 Office Hours are M-F, 8:00 am to 5:00 pm unless otherwise stated / Todos los proveedores atienden de lunes a viernes, de 8:00 am a 5:00 pm, amenos que se den otras horas

« Language spoken other than English / Idioma que habla además del inglés # Only current patients / Sólo atiende a pacientes actuales

28

LU57-C-1216

Superior HealthPlan, Winter/Invierno 2016

Member Services / Servicios para Miembros 1-800-783-5386

PRIMARY CARE PROVIDERS / PROVEEDORES DE CUIDADO PRIMARIO Pediatrics / Pediatria

Pediatrics / Pediatría HALE COUNTY / CONDADO DE HALE PLAINVIEW Qian, Baoping, MD PCP ID # 163610 2601 Dimmitt Rd Plainview, TX 79072 (806) 293-2921 M-TH 8A-5P F 8A-12P HOCKLEY COUNTY / CONDADO DE HOCKLEY LEVELLAND #Asmussen, Maurice, MD PCP ID # 112371 1000 Fm 300 Levelland, TX 79336 (806) 894-7842