First Name
Last Name
Email
Home Phone (xxx-xxx-xxxx)
Date of Birth (XX/XX/XXXX)
Street 1
City
Zip
Medicaid Yes No
UHC MA HMO Plan AARP Medicare Advantage SecureHorizons (H4590-010) AARP Medicare Advantage (H4590-045) UHC Dual Complete (H4590-022) UHC Chronic Complete (H4590-037) AARP Medicare Advantage Patriot (H4590-029)
Member ID
Plan Effective Date (XX/XX/XXXX)
Primary Care Doctor/Clinic Aguero MD, Claudia-Val Verde (Habla Espanol) Aguilar MD, Jesus - Highlands (Hablo Espanol) Arevalo MD, Ricardo - Leon Valley (Hablo Espanol) Bahr MD, Douglas - New Braunfels Calderon MD, Ana Maria - Wurzbach (Hablo Espanol) Casiwa MD, Mary Faith - Ingram Park Caulfield MD, Christopher - Perrin Beitel Clark MD, Kristi - Wurzbach Colen MD, Ramon - Las Palmas (Hablo Espanol) Dominguez MD, Michael - Holy Cross (Hablo Espanol) Gneco MD, Cynthia - Southwest Military (Hablo Espanol) Grant MD, Andrine - San Pedro Hunt DO, Rebecca - Stone Oak Indira MD, Priya - Westover Hills Konopacki MD, Michael - Hill Country Kosmatka MD, Timothy - Wurzbach Kumar MD, Amita - Blanco (Hablo Espanol) Lim MD, John Brian - Perrin Beitel Martinez MD, Marie Mae - Alamo Heights McClelland MD, Tamre (Hablo Espanol) Montemayor MD, Lenibet - Southwest Military (Hablo Espanol) Nguyen DO, ThanhVi D - Stone Oak Ortiz MD, Gabriel - Blanco (Hablo Espanol) Ortiz MD, Jose - San Pedro (Hablo Espanol) Pola DO, Bharath - Westover Hills Powell MD, Dan - Stone Oak (Hablo Espanol) Quiñones MD, Manuel - Helotes (Hablo Espanol) Ramos MD, Steven - San Pedro Rodriguez MD, Orlando - Las Palmas (Hablo Espanol) Santoscoy DO, Raul - Ingram Park (Hablo Espanol) Sepulveda MD, Mae - Wurzbach Soza DO, Iveth - Val Verde (Hablo Espanol) Torres MD, Francisco - Southwest Military (Hablo Espanol) Torres MD, Luis - Southwest Military (Hablo Espanol) Walter MD, James - Wurzbach
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