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1997 DIRECTORY OF MANAGED CARE PROVIDERS ( TEXAS)

Posted On: Dec. 28, 1997 12:00 AM CST

Prudential HealthCare HMO-Austin
7700 Chevy Chase Drive, Suite 200, Austin, Texas 78752; 512-323-0440; fax: 512-323-5908
Staff/Facilities
Primary practitioners105
Board-certified78%
Specialists474
Hospitals5
Pharmacies39
Primary care locations9
Users
Single coverage11,807
Family coverage8,433
Employees & dependents37,591
Total37,591Operational date: October 1980.
Federally qualified.
Licensed in: Texas.
NCQA fully accredited.
Model type: IPA.
Service area: Texas: Bastrop, Caldwell, Hays, Travis and Williamson counties.
Services: General medical, dental, vision, prescription drug, mental health. Services available unbundled.
Officers: Ken Janda, executive director; Jeff Reagan, marketing director; Gloria Robichaud, provider relations; Dr. William S. Taylor, medical director; Mary Cris Crawford, case management.
Contact: Jeff Reagan, 512-323-0440.
See Prudential HealthCare HMO consolidated listing under New Jersey.
Prudential HealthCare HMO-Corpus Christi
1 Prudential Circle, Mail Stop 300-H, Sugar Land, Texas 77478; 281-276-3856; fax: 281-276-8803
Staff/Facilities
Primary practitioners98
Board-certified68%
Specialists245
Hospitals8
Pharmacies16
Primary care locations10
Users
Single coverage531
Family coverage639
Employees & dependents3,094
Total3,094Operational date: June 1995.
Federally qualified.
Licensed in: Texas.
NCQA fully accredited.
Model type: IPA.
Service area: Texas: Aransas, Calhoun, Duval, Goliad, Jim Wells, Kleberg, Nueces and Refugio counties.
Services: General medical, dental, vision, prescription drug, mental health. Services available unbundled.
Officers: Cynthia Patella, executive director; Cindy Miller, marketing director; Catherine Harper, provider relations; Dr. Richard Armstrong, medical director; Connie Evans, case management.
Contact: Cindy Miller, 210-366-1921.
See Prudential HealthCare HMO consolidated listing under New Jersey.
Prudential HealthCare HMO-El Paso
100 N. Stanton, Suite 1301, El Paso, Texas 79901; 915-532-0700; fax: 915-532-0342
Staff/Facilities
Primary practitioners94
Board-certified76%
Specialists252
Hospitals8
Pharmacies15
Primary care locations10
Users
Single coverage1,070
Family coverage1,202
Employees & dependents5,353
Total5,353Operational date: July 1994.
Federally qualified.
Licensed in: Texas.
NCQA fully accredited.
Model type: IPA.
Service area: Texas: El Paso County.
Services: General medical, dental, vision, prescription drug, mental health. Services available unbundled.
Point-of-service contracts: 2% of members are enrolled.
Officers: Russell Hill, executive director; John Jackson, marketing director; Waynette Detter, provider relations; Dr. William M. Crutcher, medical director; Margaret Aldaco, case management.
Contact: John Jackson.
See Prudential HealthCare HMO consolidated listing under New Jersey.
Prudential HealthCare HMO-Houston
1 Prudential Circle, Sugar Land, Texas 77478; 281-494-5000; fax: 281-276-8254
Staff/Facilities
Primary practitioners379
Board-certified63%
Specialists891
Hospitals24
Pharmacies22
Primary care locations41
Users
Single coverage34,418
Family coverage37,517
Employees & dependents168,089
Medicare7,417
Total175,506Operational date: June 1976.
Federally qualified.
Licensed in: Texas.
NCQA fully accredited.
Model type: IPA.
Service area: Texas: Bandera, Bastrop, Brazoria, Chambers, Comal, Fort Bend, Jefferson, Kendall, Galveston, Gillespie, Gonzales, Harris, Lavaca, Liberty, Montgomery, Waller, Wharton and Williamson counties.
Services: General medical, dental, vision, prescription drug, mental health, laboratory. Services available unbundled*.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries.
Officers: Vic Lazarro, executive director; Dennis McDowell, marketing director; Becky Monroe, provider relations; Dr. Greg Cortez, medical director; Connie Evans, case management.
**Dental only.
See Prudential HealthCare HMO consolidated listing under New Jersey.
Prudential HealthCare HMO-North Texas
4100 Alpha Road, Suite 400, Dallas, Texas 75244; 972-991-0014; fax: 972-448-3898
Staff/Facilities
Primary practitioners816
Board-certified79%
Specialists2,265
Hospitals36
Pharmacies204
Primary care locations48
Users
Single coverage18,028
Family coverage19,627
Employees & dependents86,927
Total86,927Operational date: July 1986.
Federally qualified.
Licensed in: Texas.
NCQA fully accredited.
Model type: IPA.
Service area: Texas: Cooke, Dallas, Denton, Gregg, Hood, Johnson, Marion, Navarro, Palo Pinto, Parker, Tarrant and Wise counties.
Services: General medical, vision, prescription drug, mental health.
Officers: C. Carleton Young, executive director; John Jackson, marketing director; Ellen McCully, provider relations; Dr. William Hauser, medical director; Pamela Lewis, case management.
Contact: John Jackson, 972-991-0014.
See Prudential HealthCare HMO consolidated listing under New Jersey.
Prudential HealthCare HMO-San Antonio
40 N.E. Loop 410, Suite 600, San Antonio, Texas 78216; 210-366-1921; fax: 210-366-1209
Staff/Facilities
Primary practitioners207
Board-certified74%
Specialists653
Hospitals10
Pharmacies33
Primary care locations23
Users
Single coverage9,525
Family coverage9,568
Employees & dependents48,138
Medicare2,790
Total50,928Operational date: October 1984.
Federally qualified.
Licensed in: Texas.
NCQA fully accredited.
Model type: Group/IPA.
Service area: Texas: Atascosa, Bexar, Caldwell, Chambers, Colorado, Fayette, Fort Bend, Galveston, Jackson and Zavala counties.
Services: General medical, dental, vision, prescription drug, mental health. Services available unbundled.
Point-of-service contracts: 13% of members are enrolled.
Enrollment options: Contracts with HCFA to enroll Medicare beneficiaries.
Officers: Robert L. Smith, executive director; Cindy Miller, marketing director; Alice Tejeda, provider relations; Dr. Charlene Kaiser, medical director; Cyndi Linkes, case management.
Contact: Cindy Miller, 210-366-1927.
See Prudential HealthCare HMO consolidated listing under New Jersey.