Aetna MedicareSM Plan (HMO) (PPO)

Aetna MedicareSM Plan (HMO) (PPO) Aetna MedicareSM Plan (HMO) (PPO)

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Acute Rehabilitation Facility Other Participating Providers ACUTE REHABILITATION FACILITY Memorial Hermann Rehabilitation Hospital Katy 21720 Kingsland Blvd. Katy, TX 77450 (281) 579-5555 Sugar Land Rehabilitation Hospital 1325 Hwy. 6 Sugar Land, TX 77478 (281) 276-7574 The Transitional Learning Center at Galveston 1528 Post Office Street Galveston, TX 77550 (409) 797-1413 ALLERGY EXTRACTS - NATIONAL Nelco Laboratories, Inc. (800) 541-0790 AMBULATORY SURGICENTER Bay Area Endoscopy Center, LC 444 FM 1959 Road Suite B Houston, TX 77034 (281) 481-9400 Bay Area Houston Endoscopy Center 1015 Medical Center Blvd. Suite 1200 Webster, TX 77598 (281) 554-3494 Bayside Surgery Center 4001 Preston Avenue Suite 175 Pasadena, TX 77505 (281) 487-6111 Beaumont Surgical Affiliates, LLC 3560 North College Beaumont, TX 77701 (409) 835-7070 Caplan Surgery Center 3100 Weslayan Street Suite 400 Houston, TX 77027 (713) 526-1600 Christus St. Elizabeth Outpatient Surg 3050 Liberty Street Beaumont, TX 77702 (409) 835-5355 Christus St. Mary Outpatient Surgery Center 3701 Hwy. 73 Port Arthur, TX 77642 (409) 983-1621 Conroe Surgery Center 1501 River Pointe Drive Suite 200 Conroe, TX 77304 (936) 760-3443 Doctors’ Surgical Center 8111 Southwest Frwy. Houston, TX 77074 (713) 272-6300 East Houston Surgery Center 12950 East Frwy. Suite 100 Houston, TX 77015 (713) 330-3887 Foundation Surgery Affiliate of Dickinson LLP 3810 Hughes Court Dickinson, TX 77539 (281) 337-7001 Foundation West Houston Surgical Center 15775 Park Ten Place Houston, TX 77084 (281) 647-2300 Katy St. Catherine Surgery Center, L.P. 707 South Fry Road Suite 150 Katy, TX 77450 (281) 646-4200 Mann Cataract Surgery Center 18850 South Memorial Blvd. Humble, TX 77338 (281) 446-7900 or 5115 Main Street Houston, TX 77002 (713) 580-2550 MedCenter Ambulatory Surgery 2459 South Braeswood Blvd. Houston, TX 77030 (713) 529-8600 North Houston GI Center 7333 North Frwy. Suite 400 Houston, TX 77076 (713) 699-3018 Pearland Premier Surgery Center 2813 Smith Ranch Road Pearland, TX 77584 (713) 436-8844 Physicians Cardiovascular Diagnostic Center, LLP d/b/a Cardiovascular Diagnostic Center 2955 Harrison Street Suite 300 Beaumont, TX 77702 (409) 924-3996 Richmond Bone & Joint Surgical, LLC 1517 Thompson Road Richmond, TX 77469 (281) 344-1715 River Oaks Surgical Center, LLP 4120 Southwest Frwy. Suite 100 Houston, TX 77027 (713) 626-8500 ROC ASC, LLP 4126 Southwest Frwy. Suite 200 Houston, TX 77027 (713) 400-2330 Sterling Ridge Surgery Center 6701 Lake Woodlands Drive The Woodlands, TX 77382 (281) 367-9099 Summit Ambulatory Surgery Center, L.L.P. 4126 Southwest Frwy. Suite 108 Houston, TX 77027 (713) 622-4995 Texas International Endoscopy Center, L.P. 6620 Main Street Suite 1500 Houston, TX 77030 (713) 520-8432 The Diagnostic Heart Center of St. Luke’s 6620 Main Street Suite 1520 Houston, TX 77030 (713) 275-2200 The Endoscopy Center 109 Parking Way Street Lake Jackson, TX 77566 (979) 292-0033 The Endoscopy Center of Southeast Texas, LP 950 North 14th Street Suite 200 Beaumont, TX 77702 (409) 833-5555 The O’Quinn Tower at St. Luke’s 6624 Fannin Street Houston, TX 77030 (832) 355-8177 The Surgery Center of The Woodlands 1441 Woodstead Court Suite 100 The Woodlands, TX 77380 (281) 363-0058 304

Other Participating Providers Dialysis Center Town Park Surgery 9901 Town Park Drive Houston, TX 77036 (713) 773-0556 Travis Center Angiography 6655 Travis Street Suite 250 Houston, TX 77030 (713) 580-0401 West Houston Ambulatory Surgical Associates 970 Campbell Road Houston, TX 77024 (713) 461-3547 Woodlands Endoscopy Center 111 Vision Park Blvd. Suite 160 Shenandoah, TX 77384 (936) 321-8910 Yeung Institute Surgery Center, LLP 1107 Banks Street Houston, TX 77006 (713) 807-7823 DIAGNOSTIC TESTING CENTER I. Imaging, P.A. 837 FM 1960 West Suite 108 Houston, TX 77090 (281) 453-7999 or 24727 Tomball Pkwy. Suite 110 Tomball, TX 77375 (281) 453-7999 or 8850 Six Pines Drive Suite 109 The Woodlands, TX 77380 (281) 453-7999 Infinity MRI & Diagnostics Center 1718 Fry Road Suite 350 Houston, TX 77084 (281) 579-2991 One Step Diagnostic 17320 Red Oak Drive Suite 100 Houston, TX 77090 (832) 249-9300 One Step Diagnostic II 7227 Fannin Street Suite 102 Houston, TX 77030 (713) 795-9200 DIAGNOSTIC TESTING CENTER - NATIONAL Cardiac Evaluation Services, Inc. (614) 293-3948 Cardiac Telecom Corporation (800) 355-2594 HealthServ, Inc. (800) 258-0982 Heart-Care Corporation of America (800) 222-2842 Instant Diagnostic Systems, Inc. (800) 355-0691 LifeWatch, Inc. (877) 774-9846 or (561) 522-9690 Medicomp Inc. (800) 234-3297 Philips Remote Cardiac Services (800) 367-1095 Physician Diagnostic Services, LLC (866) 689-8996 DIALYSIS CENTER Biotronics Kidney Center of Beaumont, Inc. 2755 Liberty Street Beaumont, TX 77702 (409) 839-8204 or 1301 South Martin Luther King Drive Orange, TX 77631 (409) 886-7714 Brazoria Kidney Center 405 This Way Street Suite 3 Lake Jackson, TX 77566 (979) 299-1936 Central Houston Dialysis 610 South Wayside Drive Suite B Houston, TX 77011 (713) 655-0900 Channelview Dialysis 777 Sheldon Road Suite C Channelview, TX 77530 (281) 860-0600 Cleveland Dialysis Center 600 East Houston Avenue Suite 630 Cleveland, TX 77327 (281) 593-3288 or 8560 Monroe Road Houston, TX 77061 (713) 378-6094 Conroe Dialysis Center 500 Medical Blvd. Suite 175 Conroe, TX 77304 (936) 756-3299 Cy-Fair Dialysis Center 9110 Jones Road Suite 110 Houston, TX 77065 (281) 517-0527 Deerbrook Dialysis 9660 FM 1960 Bypass Humble, TX 77338 (281) 312-6362 Dialysis Clinic, Inc. 4731 Northeast Stallings Drive Nacogdoches, TX 75965 (936) 569-9900 DVA Healthcare, Inc. Island Dialysis 5920 Broadway Street Galveston, TX 77551 (409) 740-1109 First Colony Dialysis Center 1447 Hwy. 6 Suite 140 Sugar Land, TX 77478 (713) 520-6878 Fresenius Medical Care Tyler Home Dialysis 3826 Troup Hwy. Suite 3826K Tyler, TX 75703 (903) 581-8707 or Falls County Kidney Center 602 Hwy. 6 South Marlin, TX 76661 (254) 883-3699 or Hereford Dialysis Center 533 North 25 Mile Avenue Suite A Hereford, TX 79045 (806) 364-4292 or FMC Falfurrias 720 North St. Mary’s Street Falfurrias, TX 78355 (361) 325-3528 or FMC Nacogdoches 3226 University Drive Suite 100 Nacogdoches, TX 75962 (936) 559-0031 Other Providers 305

Other Participating Providers<br />

Dialysis Center<br />

Town Park Surgery<br />

9901 Town Park Drive<br />

Houston, TX 77036<br />

(713) 773-0556<br />

Travis Center<br />

Angiography<br />

6655 Travis Street<br />

Suite 250<br />

Houston, TX 77030<br />

(713) 580-0401<br />

West Houston<br />

Ambulatory Surgical<br />

Associates<br />

970 Campbell Road<br />

Houston, TX 77024<br />

(713) 461-3547<br />

Woodlands Endoscopy<br />

Center<br />

111 Vision Park Blvd.<br />

Suite 160<br />

Shenandoah, TX 77384<br />

(936) 321-8910<br />

Yeung Institute Surgery<br />

Center, LLP<br />

1107 Banks Street<br />

Houston, TX 77006<br />

(713) 807-7823<br />

DIAGNOSTIC TESTING<br />

CENTER<br />

I. Imaging, P.A.<br />

837 FM 1960 West<br />

Suite 108<br />

Houston, TX 77090<br />

(281) 453-7999<br />

or<br />

24727 Tomball Pkwy.<br />

Suite 110<br />

Tomball, TX 77375<br />

(281) 453-7999<br />

or<br />

8850 Six Pines Drive<br />

Suite 109<br />

The Woodlands, TX 77380<br />

(281) 453-7999<br />

Infinity MRI &<br />

Diagnostics Center<br />

1718 Fry Road<br />

Suite 350<br />

Houston, TX 77084<br />

(281) 579-2991<br />

One Step Diagnostic<br />

17320 Red Oak Drive<br />

Suite 100<br />

Houston, TX 77090<br />

(832) 249-9300<br />

One Step Diagnostic II<br />

7227 Fannin Street<br />

Suite 102<br />

Houston, TX 77030<br />

(713) 795-9200<br />

DIAGNOSTIC TESTING<br />

CENTER - NATIONAL<br />

Cardiac Evaluation<br />

Services, Inc.<br />

(614) 293-3948<br />

Cardiac Telecom<br />

Corporation<br />

(800) 355-2594<br />

HealthServ, Inc.<br />

(800) 258-0982<br />

Heart-Care Corporation<br />

of America<br />

(800) 222-2842<br />

Instant Diagnostic<br />

Systems, Inc.<br />

(800) 355-0691<br />

LifeWatch, Inc.<br />

(877) 774-9846<br />

or<br />

(561) 522-9690<br />

Medicomp Inc.<br />

(800) 234-3297<br />

Philips Remote Cardiac<br />

Services<br />

(800) 367-1095<br />

Physician Diagnostic<br />

Services, LLC<br />

(866) 689-8996<br />

DIALYSIS CENTER<br />

Biotronics Kidney<br />

Center of Beaumont,<br />

Inc.<br />

2755 Liberty Street<br />

Beaumont, TX 77702<br />

(409) 839-8204<br />

or<br />

1301 South Martin Luther<br />

King Drive<br />

Orange, TX 77631<br />

(409) 886-7714<br />

Brazoria Kidney Center<br />

405 This Way Street<br />

Suite 3<br />

Lake Jackson, TX 77566<br />

(979) 299-1936<br />

Central Houston Dialysis<br />

610 South Wayside Drive<br />

Suite B<br />

Houston, TX 77011<br />

(713) 655-0900<br />

Channelview Dialysis<br />

777 Sheldon Road<br />

Suite C<br />

Channelview, TX 77530<br />

(281) 860-0600<br />

Cleveland Dialysis<br />

Center<br />

600 East Houston Avenue<br />

Suite 630<br />

Cleveland, TX 77327<br />

(281) 593-3288<br />

or<br />

8560 Monroe Road<br />

Houston, TX 77061<br />

(713) 378-6094<br />

Conroe Dialysis Center<br />

500 Medical Blvd.<br />

Suite 175<br />

Conroe, TX 77304<br />

(936) 756-3299<br />

Cy-Fair Dialysis Center<br />

9110 Jones Road<br />

Suite 110<br />

Houston, TX 77065<br />

(281) 517-0527<br />

Deerbrook Dialysis<br />

9660 FM 1960 Bypass<br />

Humble, TX 77338<br />

(281) 312-6362<br />

Dialysis Clinic, Inc.<br />

4731 Northeast Stallings<br />

Drive<br />

Nacogdoches, TX 75965<br />

(936) 569-9900<br />

DVA Healthcare, Inc.<br />

Island Dialysis<br />

5920 Broadway Street<br />

Galveston, TX 77551<br />

(409) 740-1109<br />

First Colony Dialysis<br />

Center<br />

1447 Hwy. 6<br />

Suite 140<br />

Sugar Land, TX 77478<br />

(713) 520-6878<br />

Fresenius Medical Care<br />

Tyler Home Dialysis<br />

3826 Troup Hwy.<br />

Suite 3826K<br />

Tyler, TX 75703<br />

(903) 581-8707<br />

or<br />

Falls County Kidney Center<br />

602 Hwy. 6 South<br />

Marlin, TX 76661<br />

(254) 883-3699<br />

or<br />

Hereford Dialysis Center<br />

533 North 25 Mile Avenue<br />

Suite A<br />

Hereford, TX 79045<br />

(806) 364-4292<br />

or<br />

FMC Falfurrias<br />

720 North St. Mary’s<br />

Street<br />

Falfurrias, TX 78355<br />

(361) 325-3528<br />

or<br />

FMC Nacogdoches<br />

3226 University Drive<br />

Suite 100<br />

Nacogdoches, TX 75962<br />

(936) 559-0031<br />

Other Providers<br />

305

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