EdgewoodISD_SBS by fanzhongqing

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									                                                                                                                             Edgewood ISD

                                                                                                             Side-BY-Side Network Comparison
 File PLA CUST #       PROV #       H   TAX ID #              PROV NAME                      SPECIALITY         TOT    TOT TOTAL NET      OF    OFFICE #          FIRST ADDR1            FIRST ADDR2        CITY     ST   ZIP     PLUS Participating Participating Participating
Name TFO                            O                                                                            AL     AL   PAID         FIC                                                                        AT                with National with HMO with Humana
      RM                            S                                                                           CLAI   CLAI                E                                                                         E                 POS - Open Premier fka       Preferred
                                    P                                                                            MS    MAN                TY                                                                                           Access with    National         PPO
                                                                                                                        TS                PE                                                                                            Lifesynch       HMO

HMO LV     248525 741967809N        D 741967809 ALFREDO A ESPINOZA MD              INTERNAL MEDICINE               2     1     $293.59 B                   PO BOX 2778                                 SAN ANTONIO   TX   78299 2778          Y            Y             Y
                                                                                   FACILITY PROVIDER NOT
HMO LV     248525 412092141C        H 412092141     CHRISTUS SANTA ROSA PHYSICIANS OTHERWISE SPECIF                2     1    $3,440.00 B                  PO BOX 2101                                 SAN ANTONIO   TX   78297 2101          Y            Y             Y
                                                    GREATER SAN ANTONIO
HMO LV     248525      742938811 D 742938811        EMERGENCY                      EMERGENCY MEDICINE              9     4    $1,853.71 B                  PO BOX 1221                                 SAN ANTONIO   TX   78294 1221          Y            Y             Y
                                                                                   PHYSICAL MEDICINE &
HMO LV     248525      260386592 D 260386592        ELLEN W LIN MD                 REHABILITATION                  4     1     $431.07 B                   PO BOX 1207                                 SAN ANTONIO   TX   78294 1207          Y            Y             Y
HMO LV     248525      271448946 D 271448946        MARIO R JUAREZ MD              FAMILY PRACTICE                 1     1      $34.30 B                   PO BOX 66510                                HOUSTON       TX   77266 6510          Y            Y             Y
HMO LV     248525      742895888 D 742895888        LISA A DAVIS MD PA             INTERNAL MEDICINE               1     1      $53.08 B                   520 CAMDEN ST                               SAN ANTONIO   TX   78215 1924          Y            Y             Y
                                                                                                                                                           RIVERWALK OB/GYN             414 NAVARRO
HMO LV     248525 742923024F        D 742923024 CRISTINA CARRENO SIMPSON MD          OBSTETRICS/GYNECOLOGY         2     1     $102.10 B                   ASSOCIATES                   STE 1200       SAN ANTONIO   TX   78205               Y            Y             Y
                                                                                                                                                                                        414 NAVARRO ST
HMO LV     248525 742923024K        D 742923024 HEATHER R WILLIAMS MD                OBSTETRICS/GYNECOLOGY         3     1     $281.94 B                   RIVERWALK OBGYN PLLC         STE 1200       SAN ANTONIO   TX   78205 2501          Y            Y             Y
                                                                                                                                                           12050 VANCE JACKSON RD
HMO   LV   248525 742993979K        D   742993979   FREDRICK L FOX MD                PSYCHIATRY                    1     1      $33.00    B                STE 201                                     SAN ANTONIO   TX   78230               Y            Y             Y
HMO   LV   248525     522364351     D   522364351   ABIGAIL R BARRERA MD             FAMILY PRACTICE               1     1      $96.15    B                PO BOX 12561                                SAN ANTONIO   TX   78212 561           Y            Y             Y
HMO   LV   248525 264333033W        D   264333033   PAULA M BILICA DO                OBSTETRICS/GYNECOLOGY         3     1     $624.53    B                1210 ARION PKWY                             SAN ANTONIO   TX   78216 2880          Y            Y             Y
HMO   LV   248525     331128828     D   331128828   MICHELLE D WELCH MD              ENDOCRINOLOGY                 1     1      $62.61    B                PO BOX 2241                                 SAN ANTONIO   TX   78298 2241          Y            Y             Y

HMO   LV   248525   742752180A      D   742752180   DIGESTIVE DISEASE CENTER OF SO GASTROENTEROLOGY                2     1     $320.89    B                PO BOX 17650                                SAN ANTONIO   TX   78217               Y            Y             Y
HMO   LV   248525   000090894L      D   203059260   JOHN B METERSKY MD             SURGERY, GENERAL                2     1     $563.26    B                PO BOX 840081                               DALLAS        TX   75284   81          Y            Y             Y
HMO   LV   248525       743020306   D   743020306   MARGARET M ONTIVEROS MD        CARDIOLOGY                      4     1    $1,733.95   B                PO BOX 690264                               SAN ANTONIO   TX   78269               Y            Y             N
HMO   LV   248525   742782325D      D   742782325   GREGORY GUZLEY MD              HEMATOLOGY                      7     1     $397.75    B                PO BOX 911234                               DALLAS        TX   75391 1234          Y            Y             Y
HMO   LV   248525   000021293D      D   742083988   NAVID Q SAIGAL MD              NEPHROLOGY                      1     1     $102.12    B                PO BOX 701008                               SAN ANTONIO   TX   78270               Y            Y             Y
HMO   LV   248525   742994700B      D   742994700   MARY B HARR MD                 FAMILY PRACTICE                 2     1     $126.89    B                7940 FLOYD CURL DR STE 630                  SAN ANTONIO   TX   78229 3907          Y            Y             Y
HMO   LV   248525   000091816G      D   742932237   KATHY A LACIVITA MD            ENDOCRINOLOGY                   2     2     $140.22    B                PO BOX 87                                   SAN ANTONIO   TX   78291   87          Y            Y             Y
                                                                                   PHYSICAL MEDICINE &
HMO LV     248525 742503534J        D 742503534     DAVID M HIRSCH DO              REHABILITATION                  1     1     $351.38 B                   PO BOX 9326                                 BELFAST       ME    4915 9326          Y            Y        Y-TINONLY
HMO LV     248525 742231775A        D 742231775     TEXAS MEDCLINIC                URGENT CARE CLINIC/CENTER       9     7    $1,191.62 B                  13722 EMBASSY ROW                           SAN ANTONIO   TX   78216 2000          Y            Y             Y
                                                                                   FACILITY PROVIDER NOT
HMO LV     248525         46027 H 742730328         METHODIST SPEC & TRANSPLANT HS OTHERWISE SPECIF                3     2    $4,055.44 B                  PO BOX 406178                               ATLANTA       GA   30384 6178          Y            Y             Y
HMO LV     248525     262713471 D 262713471         DANIEL R CRUZ DPM              PRIMARY PODIATRIC MEDICINE      2     1       $67.26 B                  1423 GUADALUPE ST STE 102                   SAN ANTONIO   TX   78207 5567          Y            Y             Y
HMO LV     248525 742815582A    D 742815582         ANTONIO L RUIZ MD              INTERNAL MEDICINE               1     1       $62.61 B                  5282 MEDICAL DR STE 312                     SAN ANTONIO   TX   78229 6044          Y            Y             N
                                                                                   FACILITY PROVIDER NOT
HMO   LV   248525   741109665R      H   741109665   CHRISTUS SANTA ROSA MEDICAL CE OTHERWISE SPECIF                1     1     $623.00    B                PO BOX 280                                  SAN ANTONIO   TX   78291 280           Y            Y             Y
HMO   LV   248525   741654878D      D   741654878   KARL W SWANN MD                NEUROLOGY & NEUROSURGERY        1     1      $55.36    B                4410 MEDICAL DR STE 610                     SAN ANTONIO   TX   78229 3755          Y            Y             Y
HMO   LV   248525   742524427F      D   742524427   HOLY CROSS FAMILY PRACTICE     FAMILY PRACTICE                 6     3     $291.44    B                PO BOX 2017                                 SAN ANTONIO   TX   78297 2017          Y            Y             Y
HMO   LV   248525   742979042D      D   742979042   LAURA A VILLARREAL MD          FAMILY PRACTICE                 1     1      $56.56    B                525 OAK CENTRE DR STE 150                   SAN ANTONIO   TX   78258 3917          Y            Y             Y

HMO   LV   248525     742896068     D   742896068   SOUTH TEXAS RAD IMAGING CENTER   ROENTGENOLOGY                11     5    $4,622.00   B                PO BOX 29490                                SAN ANTONIO   TX   78229               Y            Y             Y
HMO   LV   248525     742939553     D   742939553   PETER A TARBOX MD                NEUROLOGY & NEUROSURGERY      2     1     $907.67    B                2425 BABCOCK RD STE 111                     SAN ANTONIO   TX   78229               Y            Y             Y
HMO   LV   248525 000059234V        D   741586031   KENNETH A KIST MD                ROENTGENOLOGY                 1     1       $46.33   B                PO BOX 528                                  SAN ANTONIO   TX   78292     528       Y            Y             Y
HMO   LV   248525 000002483N        D   741586031   KAREN C DIAZ MD                  OBSTETRICS/GYNECOLOGY         1     1       $94.86   B                PO BOX 528                                  SAN ANTONIO   TX   78292     528       Y            Y             Y
                                                                                     FACILITY PROVIDER NOT
HMO LV     248525      542095652 H 542095652 GAB ENDOSCOPY CENTER LTD                OTHERWISE SPECIF              1     1     $314.37 B                   PO BOX 17469                                SAN ANTONIO   TX   78217               Y            Y             Y
                                                                                     PHYSICAL MEDICINE &                                                   SAN ANTONIO ORTHOPAEDIC
HMO LV     248525 000029673O        D 743003947 NANCY E BULA PT                      REHABILITATION                4     1     $210.02 B                   GROUP                        PO BOX 2516    SAN ANTONIO   TX   78299               Y            Y             Y
                                                SOUTH TEXAS RADIOLOGY GROUP
HMO LV     248525 741671142B        D 741671142 PA                                  ROENTGENOLOGY                    3    3    $280.06 B      PO BOX 29407                                 SAN ANTONIO   TX   78229          Y          Y           Y
                                                                                                                                              7909 FREDERICKSBURG RD
HMO LV     248525 742559343D      D 742559343 ALLEN D NOORILY MD                    OTORHINOLARYNGOLOGY              1    1     $36.77 B      STE 100                                      SAN ANTONIO   TX   78229 3403     Y          Y           Y
                                              SOUTH TEXAS PATHOLOGY
HMO   LV   248525       742922218 D 742922218 ASSOCIAT                              PATHOLOGY                        3    1     $55.92    B   PO BOX 681149                                SAN ANTONIO   TX   78268   1149   Y          Y           Y
HMO   LV   248525   900088197Q    D 900088197 TEOFILO R SANCHEZ III MD              FAMILY PRACTICE                  4    2    $342.94    B   4002 TECHNOLOGY CTR                          LONGVIEW      TX   75605   2697   Y          Y           Y
HMO   LV   248525   000023373E    D 742959210 RAUL SANTOSCOY DO                     FAMILY PRACTICE                  1    1     $37.92    B   GMG HEALTH SYSTEMS PA        PO BOX 843816   DALLAS        TX   75284   3816   Y          Y           Y
HMO   LV   248525       742183068 D 742183068 MARCO A LOPEZ JR MD                   OBSTETRICS/GYNECOLOGY            1    1    $116.63    B   PO BOX 8952                                  BELFAST       ME    4915   8952   Y          Y           Y
HMO   LV   248525   000023373Y    D 742959210 PATRICIA K ARIZACA DILEO MD           FAMILY PRACTICE                  1    1     $62.61    B   PO BOX 843816                                DALLAS        TX   75284   3816   Y          Y           Y
                                                                                                                                              4511 HORIZON HILL BLVD STE
HMO LV     248525 562613565B    D 562613565 RODOLFO MOLINA MD                       RHEUMATOLOGY                     1    1    $164.29 B      150                                          SAN ANTONIO   TX   78229 2449     Y          Y             Y
HMO LV     248525 000072398A    D 840611484 LABORATORY CORP OF AMERICA              CLINICAL MEDICAL LABORATORY      1    1     $44.18 B      PO BOX 2270                                  BURLINGTON    NC   27216 2270     Y          Y             Y
HMO LV     248525     204056454 D 204056454 STEVEN J CYR MD                         ORTHOPEDIC                       1    1     $34.30 B      PO BOX 848827                                BOSTON        MA    2284 8827     Y          Y        Y-TINONLY
                                                                                                                                              COMMUNITY MEDICINE
HMO LV     248525 000050137K        D 742932237 DINAH S GEORGE MD                   FAMILY PRACTICE                  2    1    $125.22 B      ASSOCIATES                   PO BOX 87       SAN ANTONIO   TX   78291          Y          Y           Y

HMO   LV   248525   760714523I      D   760714523   VHS SAN ANTONIO PARTNERS LP     MULTI-SPECIALITY CLINIC CENTER    2   2     $16.00    B   DBA BAPTIST HEALTH SYSTEM PO BOX 848333      DALLAS        TX   75284   8333   Y          Y           Y
HMO   LV   248525   742938437N      D   742938437   FERNANDO AGUIRRE MD             INTERNAL MEDICINE                 3   1    $368.61    B   PO BOX 2448                                  SAN ANTONIO   TX   78298   2448   Y          Y           Y
HMO   LV   248525   457640976A      D   457640976   F JOHN SHERWOOD LMFT            COUNSELING PSYCHOLOGIST          16   1    $975.00    B   9480 HUEBNER RD STE 210                      SAN ANTONIO   TX   78240   1657   Y          Y           Y
HMO   LV   248525   010888167A      D    10888167   JOEL PENA JR MD                 INTERNAL MEDICINE                 2   1    $140.31    B   PO BOX 527                                   SAN ANTONIO   TX   78292          Y          Y           Y
HMO   LV   248525       202185468   D   202185468   ROBERTO J RUIZ MD               FAMILY PRACTICE                   4   1    $226.29    B   PO BOX 14027                                 SAN ANTONIO   TX   78214     27   Y          Y           Y
HMO   LV   248525   742719352G      D   742719352   UROLOGY SAN ANTONIO PA          UROLOGY                           5   3    $526.91    B   PO BOX 2952                                  SAN ANTONIO   TX   78299   2952   Y          Y           Y
HMO   LV   248525   742979042C      D   742979042   CYNTHIA S SAUCEDO MD            FAMILY PRACTICE                   2   2     $68.60    B   525 OAK CENTRE DR STE 150                    SAN ANTONIO   TX   78258   3917   Y          Y           Y
HMO   LV   248525   113676182J      D   113676182   ELIAS CHELEUITTE DPM            PRIMARY PODIATRIC MEDICINE        1   1     $75.66    B   PO BOX 1277                                  SAN ANTONIO   TX   78295          Y          Y           Y

HMO   LV   248525     742959210     D   742959210   GONZABA MEDICAL GROUP           MULTI-SPECIALITY CLINIC CENTER   7    3    $366.18    B   PO BOX 843816                                DALLAS        TX   75284 3816     Y          Y           Y
HMO   LV   248525 742246239I        D   742246239   MICHAEL S LINDNER MD            GASTROENTEROLOGY                 2    2    $125.22    B   PO BOX 840390                                DALLAS        TX   75284 390      Y          Y           Y
HMO   LV   248525     200376970     D   200376970   M & S RADIOLOGY ASSOCIATES PA   ROENTGENOLOGY                    1    1     $10.37    B   PO BOX 2947                                  SAN ANTONIO   TX   78299 2947     Y          Y           Y
HMO   LV   248525     450576052     D   450576052   RENE PEREZ MD                   OBSTETRICS/GYNECOLOGY            1    1     $23.55    B   3903 WISEMAN BLVD STE 300                    SAN ANTONIO   TX   78251          Y          Y           Y
HMO   LV   248525     742113337     D   742113337   HUGO CASTANEDA MD               INTERNAL MEDICINE                3    1    $222.58    B   343 W HOUSTON STE 310                        SAN ANTONIO   TX   78205          Y          Y           Y
HMO   LV   248525 900088197U        D   900088197   ARTHUR GONZALES MD              FAMILY PRACTICE                  1    1     $21.72    B   4002 TECHNOLOGY CTR                          LONGVIEW      TX   75605 2697     Y          Y           Y
                                                                                    PHYSICAL MEDICINE &                                       SAN ANTONIO ORTHOPAEDIC
HMO   LV   248525 743003947U        D   743003947   CHRISTOPHER J TROYER PT         REHABILITATION                   11   1    $580.22    B   GROUP                        PO BOX 2516     SAN ANTONIO   TX   78299 2516      Y           Y           Y
HMO   LV   248525 743003947C        D   743003947   RONALD W CONNOR MD              SURGERY, ORTHOPEDIC               1   1   $2,073.70   B   PO BOX 2516                                  SAN ANTONIO   TX   78299 2516      Y           Y           Y
HMO   LV   248525     264831620     D   264831620   PHILIP E GARCIA MD              ANESTHESIOLOGY                    1   1    $768.00    B   PO BOX 240098                                SAN ANTONIO   TX   78224           N           N           N
HMO   LV   248525     742681612     D   742681612   LEOPOLDO V TECUANHUEY MD        UROLOGY                           1   1    $180.88    B   PO BOX 23426                                 SAN ANTONIO   TX   78223           Y           Y      Y-TINONLY
HMO   LV   248525 900088197J        D   900088197   SARA J APSLEY AMBRIZ DO         FAMILY PRACTICE                   6   1    $412.89    B   4002 TECHNOLOGY CTR                          LONGVIEW      TX   75605 2697 Y-TINONLY   Y-TINONLY   Y-TINONLY
HMO   LV   248525     800220475     D   800220475   CHAD R CHRISTOPHERSON MD        SURGERY, CARDIOVASCULAR           3   1    $425.17    B   12446 WEST AVE STE 200                       SAN ANTONIO   TX   78216           Y           Y           Y
                                                                                                                                              DIABETES & ENDO
HMO LV     248525 742989234A        D 742989234 RAMON GARZA MD            ENDOCRINOLOGY                              2    1      $96.91 B     CONSULTANTS                  PO BOX 855      SAN ANTONIO   TX   78293 855      Y          Y           Y
HMO LV     248525 741735865D        D 741735865 GASTON L PRIETO MD        OBSTETRICS/GYNECOLOGY                      1    1   $1,040.00 B     730 N MAIN AVE STE 219                       SAN ANTONIO   TX   78205 1115     Y          Y           Y
                                                                          FACILITY PROVIDER NOT
HMO LV     248525      742976746 H 742976746 ORTHOPEDIC SURGERY CENTER OF OTHERWISE SPECIF                            1   1   $5,317.87 B     PO BOX 34533                                 SAN ANTONIO   TX   78265 4533     Y          Y           Y
HMO LV     248525      742959210 D 742959210 GONZABA MEDICAL GROUP        FAMILY PRACTICE                            11   3    $891.63 B      PO BOX 843816                                DALLAS        TX   75284 3816     Y          Y           Y

HMO   LV   248525 741619182B        D   741619182   CLINICAL PATHOLOGY ASSOCIATES   PATHOLOGY                        2    2    $540.88    B   PO BOX 28770                                 AUSTIN        TX   78755          Y          Y           Y
HMO   LV   248525     752296947     D   752296947   CONSULTANTS IN RADIOLOGY PA     ROENTGENOLOGY                    1    1    $226.00    B   1101 SIXTH AVE                               FORT WORTH    TX   76104 7307     Y          N           Y
HMO   LV   248525 000090894E        D   203059260   TROY R WILLIAMS MD              FAMILY PRACTICE                  2    1    $152.18    B   PO BOX 840081                                DALLAS        TX   75284   81     Y          Y           Y
HMO   LV   248525 742979042B        D   742979042   NEAL S MERITZ MD                FAMILY PRACTICE                  4    1    $346.14    B   525 OAK CENTRE DR STE 150                    SAN ANTONIO   TX   78258 3917     Y          Y           Y
                                                                                    FACILITY PROVIDER NOT
HMO LV     248525 760714523A    H 760714523 BAPTIST MEDICAL CENTER                  OTHERWISE SPECIF                 1    1   $7,645.18 B     PO BOX 848333                                DALLAS        TX   75284 8333     Y          Y           Y
HMO LV     248525     161751617 D 161751617 RHEUMATOLOGY ASSOCIATES OF              RHEUMATOLOGY                     1    1    $374.43 B      SOUTH TEXAS                  PO BOX 823      SAN ANTONIO   TX   78293 823      Y          Y           Y
                                                                                                                                              ALAMO MENTAL HEALTH          4242 MEDICAL
HMO LV     248525 010624198G    D 10624198 JOSEPH A SIMPSON MD                      PSYCHIATRY                       1    1      $50.00 B     GROUP                        DR STE 6300     SAN ANTONIO   TX   78229 5640     Y          Y           Y
HMO LV     248525     261613372 D 261613372 TEJANO EMERGENCY PHYSICIANS             EMERGENCY MEDICINE               1    1   $1,092.00 B     PO BOX 98608                                 LAS VEGAS     NV   89193 8608     N          N           N
                                                                                                                                              WOMEN'S CLINIC OF SAN ANT
HMO LV     248525      741774240 D 741774240 ROBERT L M HILLIARD MD                 OBSTETRICS/GYNECOLOGY            4    1   $1,144.45 B     PA                           710 AUGUSTA ST SAN ANTONIO    TX   78215 1904     Y          Y           Y
HMO LV     248525 264333033D    D 264333033 DANIEL A CALDERON MD                OBSTETRICS/GYNECOLOGY           2    1    $238.77 B                      1210 ARION PKWY                                SAN ANTONIO   TX   78216 2880        Y           Y           Y
HMO LV     248525     710892528 D 710892528 ANETA A SCHUENEMEYER MD             PSYCHIATRY                      7    1    $365.00 B                      9480 HUEBNER RD STE 210                        SAN ANTONIO   TX   78240 1657        Y           N           Y
                                            PATHOLOGY REFERENCE
HMO LV     248525 742959346A    D 742959346 LABORATORY                          CLINICAL MEDICAL LABORATORY     6    5    $287.38 B                      PO BOX 2037                                    SAN ANTONIO   TX   78297 2037        Y           Y           Y
                                                                                                                                                         ALAMO MENTAL HEALTH            4242 MEDICAL
HMO   LV   248525   010624198G      D    10624198   JOSEPH A SIMPSON MD         PSYCHIATRY                      1    1      $50.00   B                   GROUP                          DR STE 6300     SAN ANTONIO   TX   78229   5640      Y           Y           Y
HMO   LV   248525        10924737   D    10924737   ALLEN HARRIS LSA            SURGERY, GENERAL                1    1    $103.37    B                   902 ROLLING GROVE                              SAN ANTONIO   TX   78253             N           N           N
HMO   LV   248525       741474981   D   741474981   LUIS G CANTU MD             FAMILY PRACTICE                 3    1    $147.72    B                   730 N MAIN STE 702                             SAN ANTONIO   TX   78205   1117      Y           Y           Y
HMO   LV   248525   000056650R      D   752770291   KELLY G KNAPE MD            ANESTHESIOLOGY                  1    1   $1,045.20   B                   PO BOX 650426                                  DALLAS        TX   75265    426      Y           Y           Y
HMO   LV   248525   000023373Z      D   742959210   LENIBET M MONTEMAYOR MD     INTERNAL MEDICINE               6    2    $651.70    B                   PO BOX 843816                                  DALLAS        TX   75284   3816      Y           Y           Y
HMO   LV   248525       331082073   D   331082073   VHS SAN ANTONIO IMAGING     ROENTGENOLOGY                   6    6    $662.49    B                   PARTNERS LP                    PO BOX 849553   DALLAS        TX   75284   9553      Y           Y           Y
HMO   LV   248525   900088197U      D   900088197   ARTHUR GONZALES MD          FAMILY PRACTICE                 1    1      $21.00   B                   4002 TECHNOLOGY CTR                            LONGVIEW      TX   75605   2697      Y           Y           Y
                                                                                FACILITY PROVIDER NOT
HMO LV     248525 746002164F        H 746002164 UNIVERSITY HOSPITAL             OTHERWISE SPECIF                6    3    $183.48 B                      PO BOX 2096                                    SAN ANTONIO   TX   78297             Y           Y           Y
                                                                                                                                                                                        5300 BEE CAVE
HMO LV     248525 208913858B        D 208913858 WHITEGLOVE HOUSE CALL HEALTH I MULTI-SPECIALITY CLINIC CENTER   3    3    $858.58 B                      SUITE 100 BLDG 1               RD              AUSTIN        TX   78746             Y           Y           Y
HMO LV     248525 742988798A        D 742988798 GERALDO M SIOCO MD             SURGERY, CARDIOVASCULAR          7    1    $103.87 B                      1545 BENTON WOODS                              SAN ANTONIO   TX   78258 4494        Y           Y           Y
                                                                               FACILITY PROVIDER NOT
HMO   LV   248525         45721     H 742730328 METHODIST HOSPITAL             OTHERWISE SPECIF                 5    3   $6,181.63   B                   PO BOX 406180                                  ATLANTA       GA   30384   6180        Y           Y           Y
HMO   LV   248525     742910073     D 742910073 EVA M MASON MD                 FAMILY PRACTICE                  2    1    $174.90    B                   PO BOX 33670                                   SAN ANTONIO   TX   78265               Y           Y           Y
HMO   LV   248525     742221441     D 742221441 MARIO R JUAREZ MD              FAMILY PRACTICE                  1    1      $76.71   B                   PO BOX 66510                                   HOUSTON       TX   77266   6510   Y-TINONLY   Y-TINONLY   Y-TINONLY
HMO   LV   248525     264556307     D 264556307 RADIOLOGY OF SAN ANTONIO       ROENTGENOLOGY                    2    1    $377.00    B                   PO BOX 957389                                  DULUTH        GA   30095               N           N           N
HMO   LV   248525 000004711O        D 742712486 TEJAS ANESTHESIA PA            ANESTHESIOLOGY                   2    1    $616.00    B                   PO BOX 34717                                   SAN ANTONIO   TX   78265   4717        Y           Y           Y
HMO   LV   248525 161736034A        D 161736034 PLAZA ANESTHESIA GROUP         ANESTHESIOLOGY                   1    1   $2,191.41   B                   PO BOX 2408                                    SAN ANTONIO   TX   78298   2408        N           N           N
HMO   LV   248525 742830435A        D 742830435 WANDA D ANGUEIRA MD            FAMILY PRACTICE                  9    3    $729.09    B                   PO BOX 291028                                  SAN ANTONIO   TX   78229   1628        Y           Y           Y
                                                                                                                                                         8706 FREDERICKSBURG STE
HMO LV     248525      205940576 D 205940576 ALAMO CITY MRI                     ROENTGENOLOGY                   1    1    $202.31 B                      103                                            SAN ANTONIO   TX   78240             Y           Y           Y
                                                                                                                                                         8627 CINNAMON CREEK DR
HMO LV     248525 742913103B        D 742913103 JUAN J FERRERIS MD              PEDIATRICS                      3    2    $142.94 B                      BLDG 1                                         SAN ANTONIO   TX   78240 1480        Y           Y           Y

HMO LV     248525 743007129A   D 743007129 SOUTH TEXAS ANCILLARY SERVICES URGENT CARE CLINIC/CENTER             1    1     $70.69 B                      PO BOX 843816                                  DALLAS        TX   75284 3816        Y           Y           Y
                                                                          FACILITY PROVIDER NOT
HMO LV     248525    760714523 H 760714523 ST LUKES BAPTIST HOSPITAL      OTHERWISE SPECIF                      1    1   $3,712.00 B                     PO BOX 848333                                  DALLAS        TX   75284 8333      Y               Y           Y
HMO LV     248525     10798330 D 10798330 DANIEL JUAREZ MD                INTERNAL MEDICINE                     1    1    $141.25 B                      PO BOX 847                                     SAN ANTONIO   TX   78293 847       Y               Y           Y
PPO EM     528593 100912550288   741109643 JANNA M WELCH MD               EMERGENCY MEDICINE                    1    1    $417.65 BA      988312550340   7100 S Hwy 287BB                               Arlington     TX   76001 2806 Y-TINONLY       Y-TINONLY   Y-TINONLY
                                                                                                                                                         4511 HORIZON HILL BLVD STE
PPO   EM   528593   101193071695        562613565 RODOLFO MOLINA MD             RHEUMATOLOGY                     1   1     $43.13    BA   890306360920   150                                            SAN ANTONIO   TX   78229 2449        Y             Y           Y
PPO   EM   528593   101339254227        742989823 VINCENT N COLEMAN MD          PEDIATRICS                       3   3    $116.21    BA    71022522399   PO Box 897                                     San Antonio   TX   78293             Y             Y           Y
PPO   EM   528593   102118361230        742159014 JAMES L LOVELL MD             OBSTETRICS/GYNECOLOGY            2   2    $158.48    BA   830121271070   4499 Medical Dr Ste 150                        San Antonio   TX   78229             Y             Y           N
PPO   EM   528593   102420215167        742246239 EDDIE FLORES MD               GASTROENTEROLOGY                 7   4     $58.60    BA   904507053497   PO BOX 840390                                  DALLAS        TX   75284             Y             Y           Y
PPO   EM   528593   104078584977        742913697 MARY E ADKINS DC              CHIROPRACTOR                     6   1      $7.99    BA   752017015129   1802 NE Loop 410 Ste 104                       San Antonio   TX   78217             Y             Y           Y
PPO   EM   528593   104364073509         20752585 LEONARD E DEAL MD             PULMONARY DISEASE                3   2    $245.89    BA   382214083091   PO Box 65140                                   San Antonio   TX   78265             Y             Y           Y
PPO   EM   528593   104370595699        264556307 MARVIN J WEINGARTEN MD        RADIOLOGY, DIAGNOSTIC           15   8    $562.23    BA   942613450599   320 Robinson Ave                               Newburgh      NY   12550             N             N           N
PPO   EM   528593   104472064773        742719996 KIMBERLY N CRITTENDEN MD      OBSTETRICS/GYNECOLOGY            1   1     $19.15    BA   305212064818   PO BOX 17469                                   SAN ANTONIO   TX   78217 469         Y             Y           Y
PPO   EM   528593   104773022091        432020991 VICKI J SPARKS MD             MULTI-SPECIALTY                  2   1     $92.61    BA   745414354140   5018 San Pedro                                 San Antonio   TX   78212             Y             Y           Y
PPO   EM   528593   105399303485        741775525 CHRISTOPHER ALLEN FINCKE MD   GASTROENTEROLOGY                 1   1     $57.61    BA   914109303588   PO Box 1900                                    San Antonio   TX   78297 1900        Y        Y-TINONLY   Y-TINONLY
PPO   EM   528593   105579021306        742873699 SALVATORE A BARBARO III MD    CARDIOLOGY                       3   1    $752.58    BA    83416100443   PO Box 1196                                    San Antonio   TX   78294             Y             Y           N
PPO   EM   528593   105931520570        562613565 JOSE F ROLDAN MD              RHEUMATOLOGY                     2   1    $430.76    BA   864411520640   PO Box 528                                     San Antonio   TX   78292 528         Y             Y           Y
PPO   EM   528593   106008512469        742592013 PAULA S VOGEL MD              DERMATOLOGY                      1   1     $36.70    BA   955908272093   12602 Toepperwein Rd Ste 114                   San Antonio   TX   78233 3270        Y             Y           Y
PPO   EM   528593   106419002843        741665466 SHARON K SRA MD               OPHTHALMOLOGY                    4   2     $69.26    BA   906019290833   414 NAVARRO STE 400                            SAN ANTONIO   TX   78205             Y             N      Y-TINONLY
PPO   EM   528593    10654326995        760698947 JAMES H ATKINS JR MD          OTORHINOLARYNGOLOGY              2   1     $80.14    BA   860016580660   PO BOX 661                                     SAN ANTONIO   TX   78293 661         Y             Y           Y
                                                  HILL COUNTRY IMAGING
PPO   EM   528593    10654328957        742880684 ASSOCIATES PA                 RADIOLOGY, DIAGNOSTIC           1    1    $340.41 BA      64707354852 320 A WATER ST                                    KERRVILLE     TX   78028             Y        Y-TINONLY      Y

PPO   EM   528593    10654329236        741109643 BRACKENRIDGE HOSPITAL         GENERAL ACUTE CARE HOSPITAL     1    1    $347.00 BA      877008433138 PO BOX 33908                                     SAN ANTONIO   TX   78265             Y           Y           Y
                                                                                DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593    10654341024        311651314 EBI LP                        MED SUPPLIES                    1    1    $113.33 BA      996417303138 100 INTERPACE PKWY                               PARSIPPANY    NJ   7054              Y           Y           Y
PPO   EM   528593 10654345972      850106941   ST VINCENT HOSPITAL           GENERAL ACUTE CARE HOSPITAL   1    1     $1,396.80   BA   555415592177   PO BOX 842201                 DALLAS          TX   75284 2201      Y               N           N
PPO   EM   528593 10654347942      752990526   TOMY STARCK MD                OPHTHALMOLOGY                 1    1      $144.67    BA   853416014255   8200 IH 10 W Ste 730          San Antonio     TX   78230           Y               N           Y
PPO   EM   528593 10654348306      264333033   ELISA F CARROLL MD            OBSTETRICS/GYNECOLOGY         4    3      $267.67    BA    94511503520   6315 S Zarzamora St           San Antonio     TX   78211           Y               Y           Y
PPO   EM   528593 10654348331      743003947   BRYAN W KAISER MD             ORTHOPEDIC                    1    1      $471.64    BA   187215235337   PO Box 1938                   San Antonio     TX   78297           Y               Y           Y
PPO   EM   528593 106599463040     742145952   ROBERT F DONS MD              ENDOCRINOLOGY                 7    4      $530.70    BA   886521544916   1303 Mccullough Ave Ste 374   San Antonio     TX   78212           Y               Y           Y
PPO   EM   528593 10659947909      742779329   SERGIO A GARCIA MD            ANESTHESIOLOGY                1    1      $962.81    BA   970811114954   PO Box 29927                  San Antonio     TX   78265 9927 Y-TINONLY       Y-TINONLY   Y-TINONLY

PPO   EM   528593    10659948967   760714523 ST LUKES BAPTIST HOSPITAL       GENERAL ACUTE CARE HOSPITAL   39   29   $58,442.17 BA     953812403166 PO Box 848333                   Dallas          TX   75284 8333        Y           Y           Y

PPO   EM   528593    10659948972   621795572 SOUTHWEST GENERAL HOSPITAL      GENERAL ACUTE CARE HOSPITAL   19   10   $13,137.18   BA   428011352142   PO BOX 846395                 DALLAS          TX   75284           Y               Y           Y
PPO   EM   528593    10659950881    10624198 DIANE B CASTILLO MSW LCSW       CLINICAL SOCIAL WORKER         6    1     $110.00    BA   537109400445   4242 MEDICAL DR STE 6300      San Antonio     TX   78229 5372      Y               Y           Y
PPO   EM   528593    10659950935    10624198 JOSE R ODIO LPC LMFT            MENTAL HEALTH COUNSELOR        1    1       $65.00   BA   623508533215   4242 Medical Dr Bldg 6        San Antonio     TX   78229           Y               Y           Y
PPO   EM   528593    10659951353   421532983 NORMA JEAN ANDERSON DO          PSYCHIATRY                     3    2       $24.00   BA   861413112801   PO BOX 2326                   Boerne          TX   78006 6326      Y               Y           Y
PPO   EM   528593    10659953221   741586031 MIGUEL A RAMIREZ COLON MD       FAMILY PRACTICE                1    1       $16.00   BA   597213485816   PO Box 528                    San Antonio     TX   78292 528       Y               Y           Y
PPO   EM   528593    10659953531   203059260 DORIS D LING MD                 FAMILY PRACTICE                2    1       $58.60   BA   887910402516   PO Box 100570                 San Antonio     TX   78201           Y               Y           Y
PPO   EM   528593    10659953537   562373031 CARLOS E ALVAREZ MERAZ MD       INTERNAL MEDICINE             15    4     $720.73    BA   956608424442   PO BOX 790324                 SAN ANTONIO     TX   78216           Y               N           Y
PPO   EM   528593    10659953605   741724391 MICHAEL G BLANCHETT MD          FAMILY PRACTICE                5    3       $59.65   BA   979814315689   3066 E COMMERCE ST            SAN ANTONIO     TX   78220           Y               Y           Y
PPO   EM   528593    10659953617   202148889 STEVEN A MORALEZ MD             INTERNAL MEDICINE              4    1     $170.96    BA   668516214978   PO Box 961                    San Antonio     TX   78211           Y          Y-TINONLY        Y
PPO   EM   528593    10659953649   202148889 ARIS NIKAS MD                   INTERNAL MEDICINE              2    2       $60.89   BA   968113551872   PO Box 100570                 San Antonio     TX   78201           Y          Y-TINONLY        Y
PPO   EM   528593    10659957100   751093698 PROPATH SERVICES LLP            CLINICAL MEDICAL LABORATORY    4    2     $276.96    BA   481316484299   PO BOX 678175                 DALLAS          TX   75267           Y               Y           Y
PPO   EM   528593    10659966898   383452013 SARA L TYPHAIR MD               FAMILY PRACTICE                3    3     $240.98    BA   883709385514   273 E Ovilla Rd Ste 1         Red Oak         TX   75154      Y-TINONLY       Y-TINONLY   Y-TINONLY
                                             SENDERO IMAGING AND TREATMENT
PPO   EM   528593    10659972086   742822681 CENTER                          UNKNOWN PHYSICIAN SPECIALTY   16   13    $3,610.30 BA     579915452511 711 W 38th St Ste D1            Austin          TX   78705             Y           Y           Y

PPO   EM   528593    10659973220   205819700   LITHOLINK CORPORATION         UNKNOWN PHYSICIAN SPECIALTY    6    2     $305.02    BA   705616134387   2250 W Campbell Park Dr       Chicago         IL   60612             Y             Y           Y
PPO   EM   528593    10659982142   383452013   IN SEOK PARK MD               INTERNAL MEDICINE              1    1     $179.10    BA   437314232719   PO BOX 92729                  LOS ANGELES     TX   90009             Y             Y           Y
PPO   EM   528593   106929333433   742919120   JOSEPH A MAROTTA MD           INTERNAL MEDICINE              3    2     $237.40    BA   980921490025   414 Navarro ST Ste 1001       San Antonio     TX   78205             Y             N           Y
PPO   EM   528593   108116175323   743002424   DAVID W POPP MD               PEDIATRICS                     2    1       $58.60   BA   860909380980   PO Box 1221                   San Antonio     TX   78294             Y             Y           Y
PPO   EM   528593   108238484278   264333033   JOSE M RUIZ III MD            OBSTETRICS/GYNECOLOGY         18   10    $2,173.09   BA   994509490132   1210 ARION PKWY               SAN ANTONIO     TX   78216   2880      Y             Y           Y
PPO   EM   528593   108976525724   264556307   VENKAT REDDY MD               RADIOLOGY, DIAGNOSTIC          1    1       $29.70   BA   548806540331   Po Box 957389                 Duluth          GA   30095             N             N           N
PPO   EM   528593   109256534342   741833622   DANIEL H KELLUM SR DO         FAMILY PRACTICE               27   19    $1,931.19   BA   959316534392   7323 Marbach Rd Ste 104       San Antonio     TX   78227             Y             Y      Y-TINONLY
PPO   EM   528593   109438415192   113676182   ROBERT R VRANES DPM           PRIMARY PODIATRIC MEDICINE    13    6    $1,466.64   BA   828721294629   9150 Huebner Rd Ste 270       San Antonio     TX   78295             Y             Y           Y
PPO   EM   528593   109752470264   742625722   WILLIAM W GORDON MD           OTORHINOLARYNGOLOGY            1    1     $110.70    BA   450307375640   7940 Floyd Curl Ste 400       San Antonio     TX   78229             Y             Y           Y
PPO   EM   528593   110231031430   742447500   JORGE A ALVAREZ MD            CARDIOLOGY                     2    2       $58.86   BA   946722242525   204 E Rhapsody Dr             San Antonio     TX   78216             Y             Y      Y-TINONLY
PPO   EM   528593   110270283448   742143569   DARREN J BELL MD              OPHTHALMOLOGY                  5    2     $254.46    BA   948414131605   PO BOX 1000 DEPT 290          MEMPHIS         TN   38148             Y        Y-TINONLY        Y
PPO   EM   528593   110647231734   741586031   FRANCIS E SHARKEY MD          PATHOLOGY, ANATOMIC            1    1        $0.00   BA   905007231787   PO Box 528                    San Antonio     TX   78292   528       Y             Y           Y
PPO   EM   528593   111750560826   741586031   JOHN M MOREHEAD MD            OTORHINOLARYNGOLOGY            1    1     $126.81    BA   912307053259   12221 MERIT DR STE 1060       Dallas          TX   75251             Y             Y           Y
PPO   EM   528593   111888513972   157406247   GLENN C SAMMIS LPC            MENTAL HEALTH COUNSELOR        5    1       $60.00   BA   964413352833   642 CYPRESS PASS RD           SPRING BRANCH   TX   78070   5513      Y             Y           Y
PPO   EM   528593   112546271172   742402357   JANET M KINNUNEN OTR CHT      OCCUPATIONAL THERAPIST         2    1       $23.06   BA   998010425283   PO BOX 2966                   SAN ANTONIO     TX   78299   2966      Y        Y-TINONLY        Y
PPO   EM   528593   112569063516   202953752   AHMED S ATTIA MD              ANESTHESIOLOGY                 1    1     $283.50    BA   987407311635   PO BOX 195                    San Antonio     TX   78291    195      Y             Y           Y
PPO   EM   528593   114082065588   742821350   ROBERT L OCHS MD              DERMATOLOGY                    2    2       $52.80   BA   575912065653   14855 Blanco Rd Suite 214     San Antonio     TX   78216             Y        Y-TINONLY        Y
PPO   EM   528593   114869450553   202023766   LUIS A LOPEZ MD               PEDIATRICS                     5    1     $566.10    BA   579122382029   PO BOX 1470                   EAGLE PASS      TX   78853   1470      Y             Y           Y
                                                                             PATHOLOGY, ANATOMIC &
PPO   EM   528593   114882204137   311824513 MICHAEL T MATTISON MD           LABORATORY MED                 1    1       $64.71   BA   848212205727   PO BOX 99588                  RALEIGH         NC   27624          Y-TINONLY      N             N
PPO   EM   528593   115580510847    10624198 FERMIN BRIONES MD               PSYCHIATRY                     1    1     $155.00    BA   547310513550   4242 MEDICAL DR STE 6300      SAN ANTONIO     TX   78229               Y         Y             Y
PPO   EM   528593   115775315500   742625722 CHARLES P BIEDIGER MD           OTORHINOLARYNGOLOGY            4    2       $41.71   BA   926215315554   PO Box 2679                   San Antonio     TX   78299               Y         Y             Y
PPO   EM   528593   116478402370   742966374 VANCE E ZACHARY MD              FAMILY PRACTICE                4    1     $114.08    BA   738107013510   7355 Barlite Ste 101          Sanantonio      TX   78224               Y         Y        Y-TINONLY
PPO   EM   528593   116669304335   742467878 LEONARD R KAJS LCSW ACP         CLINICAL SOCIAL WORKER         2    1     $225.00    BA   935110301538   8207 CALAGHAN RD STE 425      San Antonio     TX   78230               Y         Y             Y
PPO   EM   528593   117070254585   742959210 DENISE L TARVER DO              FAMILY PRACTICE               37   14    $1,761.88   BA   573322590243   PO Box 974072                 Dallas          TX   75397               Y         Y             Y
PPO   EM   528593   117738290981   263094136 VERNON R BENSON MD              INTERNAL MEDICINE              2    1     $129.15    BA    94007101883   PO BOX 405458                 ATLANTA         GA   30384               Y         Y             Y
PPO   EM   528593   117758395022   742923024 GAIL I VAN WINGERDEN MD         OBSTETRICS/GYNECOLOGY         13    4    $1,008.46   BA   855021290872   414 Navarro ST Ste 1200       San Antonio     TX   78205               Y         Y             Y
PPO   EM   528593   118722430821   870716921 DAVID N LOPEZ MD                FAMILY PRACTICE                2    2     $180.86    BA   533509232421   5282 Medical Dr Ste 540       San Antonio     TX   78229               Y         Y             Y
                                             ELIZABETH A LOUDON CALDERON
PPO   EM   528593 119258543787     742833731 MD                              DERMATOLOGY                   7    4      $156.91 BA      854621343556 7434 Louis Pasteur Dr Ste 220   San Antonio     TX   78229             Y           Y             Y
PPO   EM   528593 119659024077     742763430 WILLIAM T KNIKER MD             ALLERGY & IMMUNOLOGY          1    1        $0.00 BA      915421381649 2414 Babcock Rd Ste 109         San Antonio     TX   78229             Y           Y        Y-TINONLY
PPO   EM   528593 120578455660     742072186 LUIS A CISNEROS MD              INFECTIOUS DISEASE            1    1      $152.86 BA       35205555040 8042 Wurzbach Rd Ste 280        San Antonio     TX   78229 3863        Y           Y             Y
PPO   EM   528593 120599272356     200449923 STONE OAK MRI                  UNKNOWN PHYSICIAN SPECIALTY     2    2    $1,127.19 BA     485709370041 PO BOX 171304                               SAN ANTONIO     TX   78217             Y           Y           Y
                                             KILLEEN EMERGENCY PHYSICIANS
PPO   EM   528593   121128432983   371532918 PA                             EMERGENCY MEDICINE               1    1    $467.50    BA   953308443490   PO BOX 2283                               MANSFIELD       TX   76063               N           N           N
PPO   EM   528593   122209114040   742478680 LAURA FLOYD DAVIS MD           PEDIATRICS                       1    1       $0.00   BA   687921411948   4499 Medical Dr Ste 280                   San Antonio     TX   78229               Y      Y-TINONLY        Y
PPO   EM   528593   122790564722   742698089 ARMANDO E QUINONES MD          FAMILY PRACTICE                  1    1    $148.76    BA   875309503411   PO Box 1810                               San Antonio     TX   78296               Y           Y           Y
PPO   EM   528593   124450200007   741833341 GERARDO M ORTEGA MD            SURGERY, GENERAL VASCULAR        1    1    $773.73    BA   822423034323   PO Box 276                                San Antonio     TX   78291               Y           Y           Y
PPO   EM   528593   125031551974   742145952 JEANNIE A BAQUERO MD           ENDOCRINOLOGY                    2    1    $115.66    BA    97711552059   1303 MCCULLOUGH STE 374                   SAN ANTONIO     TX   78212   5605        Y           Y           Y
PPO   EM   528593   127904474745   261613372 JESUS AVELAR NUNEZ MD          EMERGENCY MEDICINE               6    6   $5,832.00   BA   466014490985   PO Box 2995                               San Antonio     TX   78299               N           N           N
PPO   EM   528593   128088293400   742778964 PETER A PETROFF MD             INTERNAL MEDICINE                2    1      $75.64   BA   898909360043   PO Box 2078                               San Antonio     TX   78297               Y           Y           Y
PPO   EM   528593   128269113518   742938437 JOSE A SANCHEZ MD              INTERNAL MEDICINE                5    5    $379.38    BA   489722542155   PO Box 2448                               San Antonio     TX   78298               Y           Y           Y
PPO   EM   528593   128950443105   201435671 AARON A KING MD                UNKNOWN                          3    3    $154.51    BA   643215334578   11321 FALLBROOK DR                        HOUSTON         TX   77065   4232        Y           Y           Y
PPO   EM   528593   128981020296   742183068 MARCO A LOPEZ JR MD            OBSTETRICS/GYNECOLOGY            1    1      $41.72   BA   821304232241   4499 Medical Dr Ste 306                   San Antonio     TX   78229               Y           Y           Y
PPO   EM   528593   129068455469   741586031 JAMES M PAINE MD               OBSTETRICS/GYNECOLOGY            1    1      $23.20   BA   958213175270   PO BOX 528                                SAN ANTONIO     TX   78292   528         Y           Y           Y
PPO   EM   528593   129697291778   203857556 JEFFREY J MEFFERT MD           DERMATOLOGY                      2    2      $55.40   BA   822910195472   PO BOX 790187                             SAN ANTONIO     TX   78279               Y           Y           Y
PPO   EM   528593   130702443435   741586031 ROBERT W HUFF MD               OBSTETRICS/GYNECOLOGY            4    1    $517.40    BA   862212443526   PO Box 528                                San Antonio     TX   78292   528         Y           Y           Y
PPO   EM   528593   130870281425   510554507 BRANDY L MCCRAY MD FAAP        PEDIATRICS                       3    1    $146.58    BA   592609222973   16651 SW FWY STE 180                      SUGAR LAND      TX   77479               Y           Y           Y
PPO   EM   528593   131678383219   741742582 ANTONIO A SAN MARTIN MD        OPHTHALMOLOGY                    2    1      $80.04   BA   277815364638   4775 Hamilton Wolfe Rd Bldg 2             San Antonio     TX   78229               Y           N           Y
PPO   EM   528593   131888450038   742959431 KENNETH M LYSSY MD             FAMILY PRACTICE                  7    5    $351.66    BA   955821310397   6100 Bandera Rd Ste 403                   San Antonio     TX   78238               Y           Y           Y
PPO   EM   528593   132618453664   742907139 J NAJI T KAYRUZ MD             SURGERY, GENERAL                 4    3    $116.21    BA   608922504987   PO Box 781627                             San Antonio     TX   78278               Y           Y           Y
PPO   EM   528593   133170593126   742942631 CARLOS A LOZANO MD             FAMILY PRACTICE                  4    2    $180.42    BA   437504201886   525 Richmond                              San Antonio     TX   78215               Y           Y           Y
PPO   EM   528593   133310201348   742902045 JAIME L MAYORAL MD             SURGERY, COLON & RECTAL          2    1       $0.00   BA   496017342407   PO Box 596                                San Antonio     TX   78296               Y           Y           Y
PPO   EM   528593   133540254400   742915297 STEVEN P KALTER MD             HEMATOLOGY & ONCOLOGY            4    2    $203.48    BA   361323042493   PO Box 268                                San Antonio     TX   78291               Y           Y      Y-TINONLY
PPO   EM   528593   134288303431   742922021 HECTOR L NEVAREZ MD            OPHTHALMOLOGY                    2    2    $289.34    BA   958421243963   730 N Main Ave Ste 418                    San Antonio     TX   78205               Y           N           Y
PPO   EM   528593   134626260525   741586031 DENNIS S PEPPAS MD             SURGERY, UROLOGICAL              1    1      $18.78   BA    33216260589   PO Box 528                                San Antonio     TX   78292   528         Y           Y           Y
PPO   EM   528593   135592573729   742524427 DAVID A GUERRERO MD            FAMILY PRACTICE                110   50   $4,015.27   BA   873409405764   815 S Closner                             Edinburg        TX   78539               Y           Y           Y
PPO   EM   528593   136575383006   201012065 GOOD NIGHT PEDIATRICS PA       EMERGENCY MEDICINE               6    4    $317.54    BA    80207081498   PO BOX 1222                               SAN ANTONIO     TX   78294   1222        Y           Y           Y
PPO   EM   528593   136580320409   742377757 LIFESPAN HOME HEALTH           HOME HEALTH AGENCY               1    1    $457.40    BA   614210330434   6243 IH 10 West Ste 375                   San Antonio     TX   78201               Y           Y           Y
PPO   EM   528593   137635233719   841693822 ANGELA A HILGER MD             PEDIATRICS                       3    2      $72.90   BA   817716260987   11212 HWY 151                   STE 300   SAN ANTONIO     TX   78251               Y           Y           N
PPO   EM   528593   137685100035   741586031 JASON L HUFFMAN MD             UNKNOWN                          1    1    $115.31    BA   903115100112   PO BOX 528                                SAN ANTONIO     TX   78292    528   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   138069453450   742867876 JAWAD Z SHAIKH MD              CARDIOVASCULAR DISEASE           9    3   $1,125.49   BA   865416191527   343 W HOUSTON ST STE 1005                 SAN ANTONIO     TX   78205   2269        Y           Y           Y
PPO   EM   528593   139189434130   742939835 JAMES H WILD MD                RHEUMATOLOGY                     4    1    $114.19    BA   664414434066   14615 SAN PABLO STE 105                   San Antonio     TX   78232               Y           Y           Y
PPO   EM   528593   139629220683   742968847 MARISSA N LARGOZA MD           OBSTETRICS/GYNECOLOGY           17    3   $2,415.40   BA   270021440984   4499 Medical Dr Ste 191                   San Antonio     TX   78229               Y           Y           Y
PPO   EM   528593   139908543031   229987776 JAMES G TREVINO MD             FAMILY PRACTICE                  4    2    $107.20    BA   794813562763   8038 WURZBACH RD STE 250                  SAN ANTONIO     TX   78229   3812        Y           Y           Y
PPO   EM   528593   140398241091   203059260 AMY JEAN GUTIERREZ MD          FAMILY PRACTICE                  4    3    $207.16    BA   761108241154   PO BOX 840081                             Dallas          TX   75284     81        Y           Y           Y
PPO   EM   528593   140443573378   741933628 JOSE L PEREZ BECERRA MD        OPHTHALMOLOGY                    2    2    $169.94    BA   934813583246   730 N Main St Ste 418                     San Antonio     TX   78205               Y           N           N
PPO   EM   528593   140459392410   742779329 STEVEN W SCHMIDT MD            ANESTHESIOLOGY                   1    1      $21.48   BA   439722560384   PO Box 659                                San Antonio     TX   78293               Y           Y           Y
                                             VAUCHERIA CARTER RUBENSTEIN
PPO   EM   528593   141627432925   742779329 MD                             ANESTHESIOLOGY                  1    1     $900.29    BA   689922444416   PO Box 29927                              San Antonio     TX   78265 9927 Y-TINONLY       Y-TINONLY   Y-TINONLY
PPO   EM   528593   141628414672   742939835 JOHN P HUFF MD                 RHEUMATOLOGY                    4    2      $35.29    BA   852007373120   14615 SAN PEDRO STE 105                   San Antonio     TX   78232 4364      Y               Y           Y
PPO   EM   528593   141864055185   741619182 JAE H YOO MD                   PATHOLOGY                       4    3     $608.88    BA   854807155535   PO BOX 28770                              AUSTIN          TX   78755           Y               Y           Y
PPO   EM   528593   142728305565   742719996 JOSE M FARINA MD               OBSTETRICS/GYNECOLOGY           8    3     $634.93    BA   828311043800   PO Box 17469                              San Antonio     TX   78217           Y               Y           Y
                                                                            NURSE ANESTHETIST, CERTIFIED
PPO   EM   528593 142912275374     742779329 ROBERT B SCHOLES CRNA          REGISTERED                      1    1     $175.06 BA      559815001799 PO Box 659                                  San Antonio     TX   78293             Y           Y             Y
PPO   EM   528593 143862291372     742981597 ARTURO HOMMA MD                PULMONARY DISEASE               3    3     $174.06 BA      835306015284 7950 FLOYD CURL DR STE 620                  San Antonio     TX   78229 3924        Y           Y        Y-TINONLY
                                                                                                                                                    150 E SONTERRA BLVD STE
PPO   EM   528593   144082101760   201972784   RENATO A GERALDE DO          FAMILY PRACTICE                 6    2     $254.96    BA   284209420384 220                                         SAN ANTONIO     TX   78258 4098        Y           Y             N
PPO   EM   528593   144838441958   742980813   ROHIT KAPOOR MD              ONCOLOGY                        1    1       $96.70   BA   646422454309 PO Box 2336                                 San Antonio     TX   78298             Y           Y             Y
PPO   EM   528593   146138303210   742506891   JERRY J TOMASOVIC MD         NEUROLOGY                       1    1        $0.00   BA   993113391014 PO BOX 34713                                SAN ANTONIO     TX   78265             Y           Y             Y
PPO   EM   528593   146303280492   264556307   SANDRA J MUN MD              RADIOLOGY, DIAGNOSTIC           7    7     $233.00    BA   859013323879 PO BOX 957389                               DULUTH          GA   30095             N           N             N
PPO   EM   528593   146708301281   742662776   CLIFFORD T SARNACKI MD       SURGERY, UROLOGICAL             2    1     $261.63    BA   619321243084 4499 Medical Dr Ste 222                     San Antonio     TX   78229             Y           Y             N
PPO   EM   528593   146765493284   261613372   BENJAMIN C JONES MD          EMERGENCY MEDICINE              5    5    $3,768.00   BA   437715514858 PO BOX 98608                                LAS VEGAS       NV   89193             N           N             N
PPO   EM   528593   148530315956   383452013   JOHN T SORRELLS MD           INTERNAL MEDICINE               4    2     $608.51    BA   970610324692 PO Box 92729                                Los Angeles     CA   90009             Y           Y             Y
PPO   EM   528593   149742331845   203694609   GREGORY D ALES DO            NEUROLOGY                       3    2     $367.78    BA   974512340360 19 B Gruene Park Dr                         New Braunfels   TX   78155             Y           N             N
PPO   EM   528593   151018513797   742873164   MOSHIN KAPASI MD             OBSTETRICS/GYNECOLOGY           1    1       $41.72   BA   570109355348 PO BOX 242037                               San Antonio     TX   78224 7037        Y           Y             Y
PPO   EM   528593   151049020079   261827978   MICHELLE A HARDEN MD         OBSTETRICS/GYNECOLOGY           1    1       $33.04   BA     6722474906 PO Box 40129                                San Antonio     TX   78229             Y           Y             Y
PPO   EM   528593   152341420068   742447500   DANIEL J DONOVAN MD          CARDIOLOGY                     12    4    $2,131.24   BA   554511420124 PO BOX 119                                  San Antonio     TX   78291 119         Y           Y        Y-TINONLY
PPO   EM   528593   152821023014   742592013   DAVID W BRAY MD              DERMATOLOGY                     1    1       $36.70   BA   624811023041 7832 PAT BOOKER RD                          LIVE OAK        TX   78233 2601        Y           Y        Y-TINONLY
PPO   EM   528593 153198382019     467888016 ARMAND R RODRIGUEZ MD             ANESTHESIOLOGY                 1     1      $324.68 BA      944609282607 20770 HWY 281 N STE 108121                      SAN ANTONIO     TX   78258             Y           Y           Y

PPO   EM   528593 153908452198     264556307 BILLY E CUNNINGHAM DO             RADIOLOGY, DIAGNOSTIC          1     1        $0.00 BA      730710111675 PO BOX 9336                                     CORPUS CHRISTI TX    78469             N           N             N
PPO   EM   528593 154228303610     742554797 KIMBERLY K HELLER MD              FAMILY PRACTICE                5     1      $244.57 BA      351512262308 9647 HUEBNER RD                                 SAN ANTONIO    TX    91767 3027        Y           N             N
PPO   EM   528593 154790342308     742447500 MADHU BABU CHALLAPALLI MD         CARDIOLOGY                     4     3      $608.17 BA      857017021734 PO Box 119                                      San Antonio    TX    78291             Y           Y        Y-TINONLY
                                                                                                                                                        7711 LOUIS PASTEUR DR STE
PPO   EM   528593 155164220754     204543044 JOHN MASTROVICH MD                ALLERGY & IMMUNOLOGY           1     1       $88.68 BA      873210411049 901 90                                          SAN ANTONIO     TX   78229 3415        Y             Y         Y
PPO   EM   528593 155250091052     200468751 G STEVEN INGRAM MD                FAMILY PRACTICE                1     1       $86.24 BA      847607441087 PO BOX 1810                                     SAN ANTONIO     TX   78296 1810        Y             Y         Y
PPO   EM   528593 155270321857     202148889 ROWLAND S REYNA MD                INTERNAL MEDICINE             12     5      $476.49 BA      711216485191 PO Box 100026                                   San Antonio     TX   78201             Y        Y-TINONLY      Y
                                             EMERGENCY PEDIATRIC PHYSICIAN
PPO   EM   528593 155432441451     202214208 MANAGEMENT LLC                    EMERGENCY MEDICINE             1     1      $235.93 BA       52412441492 PO BOX 777                                      SAN ANTONIO     TX   78293   777       Y           Y           Y
PPO   EM   528593 155509292562     742460016 NANCY K HINITT MD                 FAMILY PRACTICE                5     2      $184.74 BA      543621470341 2826 Thousand Oaks Dr                           San Antonio     TX   78232             Y           Y           Y
                                             RAINBOW MEDICAL IMAGING
PPO   EM   528593   155559573198   742660863 CENTER                            UNKNOWN PHYSICIAN SPECIALTY    1     1       $54.98    BA    99414125654   4319 MEDICAL DR STE 131-316                   SAN ANTONIO     TX   78229 3381        Y           Y             Y
PPO   EM   528593   156245104279   741967809 MICHAEL J GUIRL MD                GASTROENTEROLOGY               1     1        $0.00    BA   425706494752   PO BOX 2778                                   SAN ANTONIO     TX   78299 2778        Y           Y             Y
PPO   EM   528593   156500061517   204025746 ANNA T CAVAZOS TOBON MD           INTERNAL MEDICINE              2     2      $134.44    BA   602922041261   5307 Broadway ST                              San Antonio     TX   78209             Y           Y             N
PPO   EM   528593   157248414331   870698631 MATTHEW P GIBBS MD                FAMILY PRACTICE                4     4      $311.74    BA   740910293095   12415 BANDERA RD STE 112                      HELOTES         TX   78023             Y           N             Y
PPO   EM   528593   157418332695   742763430 JOSEPH D DIAZ MD                  ALLERGY & IMMUNOLOGY          20     3      $815.78    BA   884810031957   PO BOX 2136                                   SAN ANTONIO     TX   78297             Y           Y        Y-TINONLY
PPO   EM   528593   157898284691   741921036 RAYMOND P HARLE MD                FAMILY PRACTICE                4     2      $210.44    BA   330521235325   8042 Wurzbach Rd Ste 240                      San Antonio     TX   78229             Y           Y             Y
                                                                               SPECIALIST/TECHNOLOGIST,
PPO   EM   528593   157986443991   262140478   JIMENEZ SURGICAL ASSISTANTS     OTHER-SURGICAL                 1     1         $0.00   BA   531306452362   11033 WHITE SANDS                             LIVE OAK        TX   78233             N           N           N
PPO   EM   528593   158227374166   743152380   LUBNA NAEEM MD                  INTERNAL MEDICINE              3     1      $153.74    BA   821312563925   PO BOX 782422                                 SAN ANTONIO     TX   78278             Y           Y           N
PPO   EM   528593   158249270866   743005986   CARL F ERICKSON MD              FAMILY PRACTICE                1     1        $50.31   BA   861121461063   6387 Babcock Rd Ste 1b                        San Antonio     TX   78240             Y           Y           Y
PPO   EM   528593   158770490913   200992313   JAMES C BRAMBLETT DC            CHIROPRACTOR                   1     1         $0.00   BA   936010501234   2397 N W Military Hwy                         San Antonio     TX   78231             Y           Y           N
PPO   EM   528593   159417120556   742935457   CATHERINE M TISDALL MD          DERMATOLOGY                    1     1        $26.45   BA   178907120669   PO BOX 116                                    SAN ANTONIO     TX   78291    116      Y           Y           Y
PPO   EM   528593   159602390912   741586031   GRISELDA COSSIO PA              PHYSICIAN ASSISTANT            5     4      $441.27    BA   720512391053   PO BOX 528                                    SAN ANTONIO     TX   78292    528      Y           Y           Y
PPO   EM   528593   159901400805   611463230   BRUCE I LOBAR MD                NEUROLOGY                      1     1        $63.80   BA   925108444042   414 NAVARRO ST STE 1420                       SAN ANTONIO     TX   78205   2516      Y           Y           Y
PPO   EM   528593   161258294731   742782325   DAVID H GORDON MD               HEMATOLOGY & ONCOLOGY          3     2     $1,415.06   BA   909513561109   PO BOX 911268                 PO BOX 911234   Dallas          TX   75391   1268      Y           Y           Y
PPO   EM   528593   161728293290   742719352   JUAN A REYNA MD                 SURGERY, UROLOGICAL            3     2      $430.29    BA   424017252202   PO BOX 2952                                   San Antonio     TX   78299   2952      Y           Y           Y
PPO   EM   528593   162392195918   203575618   STEPHEN J VREEKE MD             FAMILY PRACTICE                2     1      $123.12    BA   618005542238   6098 FM 311                                   SPRING BRANCH   TX   78070   7253      Y           N           Y
                                               NIX SPECIALTY HEALTHCARE
PPO   EM   528593   162829514150   200869609   SYSTEM                          GENERAL ACUTE CARE HOSPITAL    2     2     $2,247.50   BA    84717172792   414 NAVARRO ST STE 600                        SAN ANTONIO     TX   78205          Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   163165064459   742132046   RAYMOND M STEFKO MD             ORTHOPEDIC                     3     1      $273.75    BA   888413033722   569 Skyline Dr Ste 100                        Jackson         TN   38301               Y           Y           Y
PPO   EM   528593   163520251954   742867876   DAVID L BRISENO MD              CARDIOLOGY                     7     1      $100.04    BA   469023042063   PO Box 1700                                   San Antonio     TX   78296   1700        Y           Y           Y
PPO   EM   528593   163620230987   742556957   WILLIAM JOSEPH NELSON DC        CHIROPRACTOR                   1     1         $0.00   BA   994909204071   6416 Bandera Rd Ste B                         San Antonio     TX   78238               Y      Y-TINONLY        Y
PPO   EM   528593   164380251504   742858087   ALAN D BARIBEAU MD              OPHTHALMOLOGY                  1     1      $112.62    BA   990214044999   7830 LOUIS PASTEUR DR                         San Antonio     TX   78229   3404        Y           N           Y
PPO   EM   528593   164425591841   742698089   ALEXANDRA F GARCIA MD           FAMILY PRACTICE                9     4      $633.09    BA   516509294796   PO Box 1810                                   San Antonio     TX   78296               Y           Y           Y
PPO   EM   528593   164809453190   742779329   MARK D MUNOZ MD                 ANESTHESIOLOGY                 3     1     $2,319.49   BA   248022585964   PO Box 659                                    San Antonio     TX   78293               Y           Y           Y
PPO   EM   528593   166000584628   742698089   PEDRO A CALZADA MD              FAMILY PRACTICE               13     6     $1,040.41   BA   169210584657   PO BOX 1810                                   SAN ANTONIO     TX   78296   1810        Y           Y           Y
PPO   EM   528593   166172113952   742898674   FULGENCIO P SALINAS MD          FAMILY PRACTICE                3     2      $123.78    BA   283812114002   2601 CORNERSTONE BLVD                         EDINBURG        TX   78539   8479        Y           Y           Y
                                                                                                                                                          7909 FREDERICKSBURG RD
PPO   EM   528593   168414573541   742559343   TIMOTHY M HERR MD               OTORHINOLARYNGOLOGY             1     1       $76.30   BA   900914573589   STE 100                                       SAN ANTONIO     TX   78229   4815      Y           Y             Y
PPO   EM   528593   168499264762   743015485   LETICIA A PORET MD              INTERNAL MEDICINE               4     2     $255.25    BA   794310401189   6431 Pemwoods                                 San Antonio     TX   78240             Y           Y             Y
PPO   EM   528593   170358273478   742719352   KENNETH J STALLMAN MD           SURGERY, UROLOGICAL             3     2     $147.99    BA   612508294045   PO BOX 2952                                   San Antonio     TX   78299   2952      Y           Y             Y
PPO   EM   528593   170877494006   742231775   TEXAS MEDCLINIC                 CRITICAL CARE MEDICINE        311   241   $30,404.84   BA   629717494093   13722 EMBASSY ROW                             SAN ANTONIO     TX   78216   2000      Y           Y             Y
PPO   EM   528593   171400222497   742447500   JOSE FERNANDO TRIANA MD         CARDIOVASCULAR DISEASE          3     1     $361.17    BA    70709485271   PO Box 119                                    San Antonio     TX   78291             Y           Y        Y-TINONLY
PPO   EM   528593   171870055572   200376970   M & S RADIOLOGY ASSOCIATES PA   RADIOLOGY, DIAGNOSTIC          46    21    $2,258.83   BA   998510072415   PO Box 2947                                   San Antonio     TX   78299             Y           Y             Y
PPO   EM   528593   171980243734   742764739   CHARLES R HONORE MD             OBSTETRICS/GYNECOLOGY           1     1        $0.00   BA   945316161824   PO Box 40129                                  San Antonio     TX   78229             Y           Y             Y
PPO   EM   528593   172388570976   264556307   LANCE H KNECHT MD               RADIOLOGY, DIAGNOSTIC           1     1     $264.00    BA   977209364269   PO BOX 2994                                   KENNESAW        GA   30156   9181      N           N             N
PPO   EM   528593   172425104328   742979710   JOSEPH J MCGOWAN OD             OPTOMETRIST                     1     1        $1.62   BA   368315104391   2110 SLAUGHTER LN STE 129                     AUSTIN          TX   78748             Y           N             Y
PPO   EM   528593   173797412189    10549603   MARVIN SANCHEZ DPM              PRIMARY PODIATRIC MEDICINE      1     1       $39.68   BA   932808040851   PO BOX 40189                                  SAN ANTONIO     TX   78229   1189      Y           Y             Y
PPO   EM   528593   174377252970   331128828   PAULA L PHILLIPS MD             ENDOCRINOLOGY                   6     3     $287.99    BA   959910294967   PO BOX 2241                                   SAN ANTONIO     TX   78298   2241      Y           Y             Y
PPO   EM   528593   174882530861   261613372   MICHAEL C GLASSINGER MD         EMERGENCY MEDICINE              2     2     $647.89    BA   537610071251   PO Box 65074                                  Charlotte       NC   28265             N           N             N
PPO   EM   528593   175627293981   741586031   ANDRES RAHAL MD                 RADIOLOGY, DIAGNOSTIC           1     1       $57.20   BA   715508045232   PO BOX 528                                    SAN ANTONIO     TX   78292   528       Y           Y             Y
PPO   EM   528593   176408085286   742764739   TIFFANY M SATTERFIELD DO        OBSTETRICS/GYNECOLOGY           9     6     $645.33    BA   791510255550   PO Box 40129                                  San Antonio     TX   78229             Y           Y             Y
PPO   EM   528593   176608402823   201934215   ALAMO HEIGHTS SURGICARE LP      SURGERY, GENERAL                3     3    $1,603.24   BA   948610431375   PO BOX 1195                                   SAN ANTONIO     TX   78294             Y           Y             Y
PPO   EM   528593   178792143059   741833622   DENISE SOLIS PA C               FAMILY PRACTICE                 7     6     $321.99    BA   915512143109   7323 MARBACH RD STE 104                       SAN ANTONIO     TX   78227   1905      Y           Y        Y-TINONLY
PPO   EM   528593   179691554317   741587388   ROBERT C FLINN LPC              PSYCHOLOGIST                   11     1     $730.00    BA   960111561028   8310 Ewing Halsell Dr                         San Antonio     TX   78229             Y           Y             Y
PPO   EM   528593 179721022938     742913103 MARY HELEN PEREZ ADAMS MD      PEDIATRICS                     1    1      $24.30 BA      573804240765 8627 Cinnamon Creek Dr Bldg 1                       San Antonio      TX   78240 1480     Y          Y           Y
                                             SOUTHWEST DIAGNOSTIC CENTER
PPO   EM   528593 179790393302     760022799 PA                             RADIOLOGY, DIAGNOSTIC           8   6    $1,879.62 BA      17423055725 PO Box 241000                                       San Antonio      TX   78224          Y          Y           Y
PPO   EM   528593 179959110094     742916157 ALDO A PARODI MD               PULMONARY DISEASE              47   3    $4,046.43 BA     522022295393 PO Box 1566                                         San Antonio      TX   78296          Y          Y           N
PPO   EM   528593 180170201455     861147141 ROLANDO H SAENZ MD             SURGERY, COLON & RECTAL         1   1       $48.63 BA     542922412537 PO Box 1536                                         San Antonio      TX   78295          Y          Y           N

PPO   EM   528593   183130235274   742959210 RAUL M RODRIGUEZ MD            PREVENTIVE MEDICINE, GENERAL   1    1       $86.91   BA   727710235303   PO BOX 843816                                     DALLAS           TX   75284   3816   Y          Y             Y
PPO   EM   528593   183486412442   710884092 AMERITOX                       CLINICAL MEDICAL LABORATORY    1    1        $0.00   BA    82008330006   PO Box 201826                                     Dallas           TX   75320   1826   Y          Y             Y
PPO   EM   528593   183912273572   261251282 GREGORY A HAMON MD             SURGERY, GENERAL               1    1        $0.00   BA   581512273633   3903 WISEMAN BLVD STE 304                         SAN ANTONIO      TX   78251   4402   Y          Y             Y
PPO   EM   528593   185857511155   742693173 ABC PEDIATRICS PA              PEDIATRICS                     2    2       $48.60   BA   510022290288   PO Box 6070                                       Corpus Christi   TX   78466          Y          Y        Y-TINONLY
PPO   EM   528593   186150131476    55529207 MICHAEL P VAUGHN MD            ALLERGY & IMMUNOLOGY           1    1     $328.38    BA   899414442309   PO BOX 2954                                       SAN ANTONIO      TX   78299   2954   Y          Y             N
PPO   EM   528593   187017532959   741586031 LENA A VASQUEZ MD              FAMILY PRACTICE                2    2     $139.84    BA   185007533001   PO Box 528                                        San Antonio      TX   78292    528   Y          Y             Y
PPO   EM   528593   187024404868   741586031 BARBARA MCCORVEY MD            RADIOLOGY, DIAGNOSTIC          1    1        $0.00   BA   517013052841   PO Box 528                                        San Antonio      TX   78292    528   Y          Y             Y
PPO   EM   528593   187036083099   742447500 DEVANG N PATEL MD              CARDIOLOGY                     4    2     $927.31    BA   174516083141   PO Box 528                                        San Antonio      TX   78292    528   Y          Y        Y-TINONLY
PPO   EM   528593   187684571063   742719352 LEROY A JONES JR MD            SURGERY, UROLOGICAL            3    2       $33.04   BA   994506291744   7909 Fredericksburg Rd Ste 110                    San Antonio      TX   78229   3400   Y          Y             Y
PPO   EM   528593   187848500578   742929477 LISA BLUMENTHAL GURWITZ MD     OBSTETRICS/GYNECOLOGY          3    3     $184.65    BA   823121331386   4499 Medical Dr Ste 119                           San Antonio      TX   78229          Y          Y             Y
PPO   EM   528593   188200383062   742782325 ATHER J SIDDIQI MD             PULMONARY DISEASE              3    1    $1,478.25   BA   969622405247   PO Box 8307                                       The Woodlands    TX   77387          Y          Y             Y
PPO   EM   528593   188310245698   742698089 JOSEPH A LOPEZ MD              FAMILY PRACTICE                4    2     $172.37    BA   926811493029   PO BOX 5568                                       SAN ANTONIO      TX   78201          Y          Y             Y
PPO   EM   528593   190079455910   742938437 DENNIS C OLIVER MD             INTERNAL MEDICINE              7    7     $482.74    BA   344622565678   PO Box 2448                                       San Antonio      TX   78298          Y          Y             Y
                                             ORTHOPEDIC SURGERY CENTER OF                                                                                                             Attn: Accounts
PPO   EM   528593 191630545149     742976746 SAN ANTONIO                    SURGERY, GENERAL               3    3    $3,297.76 BA     950616232692 400 Concord Plaza Dr Ste 200       Payable          San Antonio      TX   78216          Y          Y           Y
PPO   EM   528593 191706175806     742881205 ADVANCED PHYSICAL THERAPY      PHYSICAL THERAPIST             4    1        $0.00 BA     821216300897 PO Box 15718                                        San Antonio      TX   78215          Y          Y           Y
                                                                            DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593 191715122880     751911559 DALLAS EYE PROSTHETICS         MED SUPPLIES                   1    1       $0.00 BA      950015132700 8226 Douglas Ave Ste 415                            Dallas           TX   75225          N          N           N
PPO   EM   528593 192040212235     742145952 RICHARD A BECKER MD            ENDOCRINOLOGY                  3    2     $168.00 BA      628022083425 1303 Mccullough Ave Ste 374                         San Antonio      TX   78212          Y          Y           Y
                                                                                                                                                   7922 EWING HALSELL DR STE
PPO   EM   528593   192292175682   205793689   PATIENCE B MILLER MD         OBSTETRICS/GYNECOLOGY          3    2     $223.13    BA    39612175799 160                                                 SAN ANTONIO      TX   78229 3897     Y          Y           Y
PPO   EM   528593   192901235959   742717646   DENNIS MARTIN CHANEY DPM     PRIMARY PODIATRIC MEDICINE     2    1     $122.62    BA   898516361348 PO Box 171082                                       San Antonio      TX   78217          Y          Y           N
PPO   EM   528593   193531570315   470851901   RYAN PATRICK O QUINN MD      DERMATOLOGY                    2    1     $259.29    BA   990111570376 PO Box 2317                                         San Antonio      TX   78298          Y          Y           Y
PPO   EM   528593   193620174534   203059260   NISHI THAKUR MD              INTERNAL MEDICINE              3    1     $171.17    BA   957614193316 7323 MARBACH RD STE 104                             SAN ANTONIO      TX   78227 1905     Y          Y           Y
PPO   EM   528593   194158351019   742719352   CLAYTON H HUDNALL MD         SURGERY, UROLOGICAL            4    2     $231.58    BA   799121263620 7909 Fredericksburg Rd Ste 110                      San Antonio      TX   78229 3400     Y          Y           Y
PPO   EM   528593   194198550013   742945079   LINDA S COOK MD              HOSPITALIST                    2    1       $0.00    BA   144221351167 7959 Broadway St Ste 600                            San Antonio      TX   78209          Y          Y           Y
                                                                            NURSE ANESTHETIST, CERTIFIED
PPO   EM   528593   194276023280    10672601   JIMMY A MACHETTA CRNA        REGISTERED                     1    1     $160.65    BA   486216071176   PO Box 306                                        Pleasanton       TX   78064      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   194391165369   742559343   WILLIAM J MCQUEEN MD         OTORHINOLARYNGOLOGY            2    1     $129.54    BA   599704594822   2727 BABCOCK RD STE A                             SAN ANTONIO      TX   78229           Y           Y           Y
PPO   EM   528593   195547024815   264333033   ELIZABETH A KING MD          OBSTETRICS/GYNECOLOGY          2    1     $129.96    BA   757717024830   PO Box 34537                                      San Antonio      TX   78265 4537      Y           Y           Y
PPO   EM   528593   196717064042   741967809   MARIO A GARZA MD             GASTROENTEROLOGY               2    2     $192.90    BA   863106495210   PO BOX 2778                                       SAN ANTONIO      TX   78299 2778      Y           Y           Y
PPO   EM   528593   196744163087   352222843   PAUL E MORTON MD             OBSTETRICS/GYNECOLOGY          1    1      $41.72    BA   656907464192   7711 LOUIS PASTEUR STE 400                        SAN ANTONIO      TX   78229           Y           N           Y
PPO   EM   528593   197417424483   742782325   ROGER M LYONS MD             HEMATOLOGY & ONCOLOGY          2    1     $144.76    BA   584222280168   PO Box 730065                                     Dallas           TX   75373           Y           Y           Y
                                                                            SPECIALIST/TECHNOLOGIST,
PPO   EM   528593   197827401384   352318351   WOODBRIDGE SA SERVICES       OTHER-SURGICAL                 1    1    $2,065.50   BA   725011064726   10039 Bissonnet St Ste 250                        Houston          TX   77036          N          N           N
PPO   EM   528593   198004053946   741619182   JOSEPH P PULCINI MD          PATHOLOGY                      1    1     $158.60    BA   273207160372   PO BOX 28770                                      AUSTIN           TX   78755          Y          Y           Y
PPO   EM   528593   198679012075   742132046   JOHN EDEEN III MD            ORTHOPEDIC                     2    2     $251.73    BA   894321374839   4499 Medical Dr Ste 235                           San Antonio      TX   78229          Y          Y           Y
PPO   EM   528593   199501034335   742106698   JENNIFER L WALLACE MD        INTERNAL MEDICINE              6    3     $504.35    BA    55204264732   1303 Mccullough Ave Ste 560                       San Antonio      TX   78212 5607     Y          Y           Y
                                               ASSOC OF ALEXANDRIA
PPO   EM   528593   199660485215   540858830   RADIOLOGISTS GP              RADIOLOGY, DIAGNOSTIC           1    1      $11.57   BA   719506582862   PO Box 658                                        Baltimore        MD   21203           N           N           N
PPO   EM   528593   100220104607   752740653   JEFFREY V PAUL MD            NEONATOLOGY                     2    2       $0.00   BA    96313313817   PO Box 29363                                      San Antonio      UT   84158 1100 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   100637133133   261220805   MARIE ELAINE VLASAK OD       OPTOMETRIST                     1    1      $40.00   BA   716707133253   PO Box 528                                        San Antonio      TX   78292 528       Y           N           Y
PPO   EM   528593   100830435692    10624198   ITALO A SAMANO PHD           PSYCHIATRY                      6    1    $330.00    BA   945114211783   PO BOX 141750                                     GAINESVILLE      FL   32614 1750 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   100862400325   742625722   BENJAMIN D WEBB MD           OTORHINOLARYNGOLOGY             3    2      $64.50   BA   628012400393   PO Box 2679                                       San Antonio      TX   78299           Y           Y           Y
PPO   EM   528593   102784172205   741586031   V SREENATH REDDY MD          SURGERY, THORACIC               2    1       $0.00   BA   819614172228   PO Box 528                                        San Antonio      TX   78292 528       Y           Y           Y
PPO   EM   528593   102908293191   746141855   HENRY J LIPSITT MD           PEDIATRICS                      2    1      $43.30   BA   708021240813   3111 San Pedro Ave                                San Antonio      TX   78212           Y           Y           Y
PPO   EM   528593   103603125601   742689162   DEVRAJ U NAYAK MD            CARDIOLOGY                      2    1    $382.05    BA   721812372371   1200 Brooklyn Ave Ste 200                         San Antonio      TX   78212           Y           Y           Y
PPO   EM   528593   104592470217   742803685   ROBERT D ROSS MD             FAMILY PRACTICE                21   12   $1,441.69   BA   832616204093   PO Box 830605                                     San Antonio      TX   78283 605       Y           Y           Y
PPO   EM   528593   105716042699   741463668   CITY OF LEON VALLEY EMS      AMBULANCE                       1    1    $183.53    BA    74916052164   PO Box 5393                                       San Antonio      TX   78201           N           N           N
PPO   EM   528593   106110403363   264556307   WILLIAM WATERS MD            RADIOLOGY, DIAGNOSTIC           1    1      $46.00   BA   370510411301   Po Box 957389                                     Duluth           GA   30095           N           N           N
                                                                            DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593    10654321289   954662001 MINIMED DISTRIBUTION CORP      MED SUPPLIES                   6    3    $1,866.08 BA     801115392689 13606 COLLECTIONS CTR DR                            CHICAGO          IL   60693          Y       Y-TINONLY      Y
PPO   EM   528593    10654324266   742781812   SOUTH AUSTIN HOSPITAL         GENERAL ACUTE CARE HOSPITAL    1    1      $374.00    BA   952309205708   PO Box 651747                                    Charlotte        NC   28265 1747     Y          Y           Y
PPO   EM   528593    10654324807   264410140   RODNEY P HORTON MD            CARDIOVASCULAR DISEASE         1    1      $189.44    BA   931811585226   7000 N MOPAC FL 2                                AUSTIN           TX   78731 3054     Y          Y           Y
PPO   EM   528593    10654325875   742109824   HILLARY MILLER MD             FAMILY PRACTICE                3    1      $254.27    BA    13809494711   PO Box 260179                                    Dallas           TX   75326          Y          Y           Y
PPO   EM   528593    10654329340   261613372   GREGORY B MEADOR MD           EMERGENCY MEDICINE             2    2     $2,184.00   BA   836015355342   720 W 34th St                                    Austin           TX   78705          N          N           N
PPO   EM   528593    10654339360   742842098   PRAFULLA C SINGH MD           ANESTHESIOLOGY                 1    1        $72.34   BA   806310133416   PO Box 4838                                      Houston          TX   77210          Y          Y           Y
                                               SOUTH TEXAS RADIOLOGY GROUP
PPO   EM   528593    10654345371   741671142   PA                            RADIOLOGY, DIAGNOSTIC         182   73   $10,859.42 BA     513309523073 PO Box 29407                                       San Antonio      TX   78229          Y          Y             Y
PPO   EM   528593    10659947589   741833622   JOHN H KELLUM MD              OBSTETRICS/GYNECOLOGY           2    2       $76.38 BA     283814082789 7323 MARBACH RD STE 104                            SAN ANTONIO      TX   78227 1905     Y          Y        Y-TINONLY
                                               METROPOLITAN METHODIST
PPO   EM   528593    10659948846   742730328   HOSPITAL                      GENERAL ACUTE CARE HOSPITAL   30    23   $74,236.59 BA     613107351865 PO Box 406180                                      Atlanta          GA   30384          Y          Y           Y
PPO   EM   528593    10659949411   742625722   WILLIAM C SMITH MD            OTORHINOLARYNGOLOGY            2     1     $126.99 BA      823510404952 7940 Floyd Curl Ste 400                            San Antonio      TX   78229          Y          Y           Y
                                               SURGERY CENTER AT PASTEUR                                                                             7909 FREDERICKSBURG RD
PPO   EM   528593    10659951135   631275972   PLAZA                         SURGERY, GENERAL               1    1      $573.47 BA       64212593198 STE 222                                            SAN ANTONIO      TX   78229          Y            Y         Y
PPO   EM   528593    10659953503   202148889   LUIS N TORRES MD              FAMILY PRACTICE                5    1      $146.79 BA       70610250680 PO Box 100026                                      San Antonio      TX   78201          Y       Y-TINONLY      Y
PPO   EM   528593    10659956941   742932237   MARIO SOSA MD                 PEDIATRICS                     1    1       $41.40 BA       93115354626 PO Box 87                                          San Antionio     TX   78291          Y            Y         Y
                                                                                                                                                     AUSTIN BONE & JOINT CLINIC        1015 E 32ND ST
PPO   EM   528593    10659957112   741664135   EARL J KILBRIDE MD            ORTHOPEDIC                     1    1        $33.86   BA   924713484117 PA                                STE 101          Austin           TX   78705 2700 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593    10659958567   742689162   JOSE A DIAZ WIDMANN MD        CARDIOLOGY                     1    1      $144.67    BA   856509121424 401 N San Saba                                     San Antonio      TX   78207           Y           Y           Y
PPO   EM   528593    10659965151   861147141   MOISES M SOULAS JR MD         SURGERY, GENERAL               1    1         $0.00   BA   899906500296 PO BOX 2058                                        San Antonio      TX   78296           Y           Y           N
PPO   EM   528593   106938500388   741654878   ARNOLD B VARDIMAN MD          SURGERY, NEUROLOGICAL          1    1      $120.69    BA   700621331230 4410 Medical Dr Ste 610                            San Antonio      TX   78229           Y           Y           Y
PPO   EM   528593   108579524562   741586031   TERRY D BAUCH MD              CARDIOLOGY                     1    1         $0.00   BA   183212433040 PO BOX 528                                         SAN ANTONIO      TX   78292 528 Y-TINONLY    Y-TINONLY   Y-TINONLY
PPO   EM   528593   108690240801   742830435   WANDA D ANGUEIRA MD           FAMILY PRACTICE               13    7      $945.34    BA   886213421125 7940 Floyd Curl Drive Ste 215                      San Antonio      TX   78229           Y           Y           Y
PPO   EM   528593   109221425757   742729778   MICHAEL A OZER MD             PEDIATRICS                     6    3      $176.56    BA    71605573365 7922 Ewing Halsell Dr Ste 440                      San Antonio      TX   78229           Y           Y           Y
PPO   EM   528593   110418481028   752740653   JOHN R BROWNLEE MD            PEDIATRIC CARDIOLOGY           1    1      $102.85    BA   955022511495 PO Box 331240                                      Corpus Christi   TX   78463           Y           Y           Y
PPO   EM   528593   112538412319   742478680   MARGARET D NEIHEISEL MD       PEDIATRICS                     4    2      $221.83    BA   675321293420 4499 Medical Dr Ste 280                            San Antonio      TX   78229           Y      Y-TINONLY        Y
PPO   EM   528593   112989415828   742779329   RAJUL M VAISHNANI DO          ANESTHESIOLOGY                 1    1      $175.06    BA   930909415914 PO Box 659                                         San Antonio      TX   78293 659       Y           Y           Y
PPO   EM   528593   115321294861   870697459   SUZANNE E ANDERSON OD         OPTOMETRIST                    1    1        $23.89   BA   863911302965 6301 NW Loop 410                                   San Antonio      TX   78238           Y           N           N
PPO   EM   528593   115579221523   742871135   DARRYL D CUDA MD              ORTHOPEDIC                     1    1         $0.00   BA   627621444868 12709 Toepperwein Rd Ste 101                       San Antonio      TX   78233           Y           Y           Y
PPO   EM   528593   115738421309   742711136   FRANCISCO BARRERA MD          FAMILY PRACTICE               13    6      $942.68    BA   983321294939 8223 Fredericksburg RD                             San Antonio      TX   78229           Y           Y           Y
PPO   EM   528593   116273591566   383452013   RAFAEL J FORNARIS MD          FAMILY PRACTICE                2    1      $143.82    BA   972007451580 434 N LOOP 1604 W STE 1204                         SAN ANTONIO      TX   78232           Y           Y           Y
PPO   EM   528593   116349251037   742867618   GREGORY MANN JACKSON MD       FAMILY PRACTICE                4    4      $301.20    BA   680721451958 5307 Broadway ST                                   San Antonio      TX   78209           Y           Y           Y
PPO   EM   528593   116467413267   741727892   JOHN THOMAS FITCH JR MD       PEDIATRICS                    12    2     $1,716.84   BA   892606350410 7959 BROADWAY ST STE 604                           SAN ANTONIO      TX   78209           Y           Y           Y
PPO   EM   528593   117090220145   742874885   BEVERLEY L HENWOOD MD         FAMILY PRACTICE                4    3      $359.79    BA   820622173479 9240 Guilbeau Rd Ste 128                           San Antonio      TX   78250           Y           N           N
PPO   EM   528593   119245053529   743003947   NANCY E BULA PT               PHYSICAL THERAPIST             5    1      $277.17    BA   634615071671 Po Box 2516                                        San Antonio      TX   78299           Y           Y           Y
                                                                             DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593   120089253646   742355547   SOUTH TEXAS MEDICAL SUPPLY    MED SUPPLIES                   6    1      $235.76    BA    81312262309   7510 REINDEER TRL                                SAN ANTONIO      TX   78238           Y           Y           Y
PPO   EM   528593   120840363825   710919618   JENNIFER NICOLE REYNARD MD    PEDIATRICS                     1    1       $24.30    BA   399115142471   PO BOX 120427                                    SAN ANTONIO      TX   78207      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   121276270494   741586031   GULAM H MUSHARAF MD           PEDIATRIC NEPHROLOGY           1    1       $35.14    BA   868010074300   PO BOX 528                                       SAN ANTONIO      TX   78292 528       Y      Y-TINONLY        Y
PPO   EM   528593   121448302221   742146518   JEROME S FISCHER MD           ENDOCRINOLOGY                  4    1      $337.46    BA   974006354013   5107 MEDICAL DR                                  SAN ANTONIO      TX   78229 4801      Y           Y           Y
PPO   EM   528593   121450233335   742972868   ESTHER G CRUZ DO              FAMILY PRACTICE                6    3      $178.91    BA   751008294637   PO BOX 460588                                    San Antonio      TX   78246 588       Y           Y           Y
                                                                                                                                                                                                        FREDERICKSBUR
PPO   EM   528593   121461265321   263617075   C LANCE LOVE MD               SURGERY, GENERAL               1    1       $99.94    BA   946412012586   205 W WINDCREST STE 350                          G                TX   78624          Y            N           Y
PPO   EM   528593   121755464930   756002868   THERESA T HUANG MD            RADIOLOGY, DIAGNOSTIC          1    1        $0.00    BA   392815464961   PO BOX 845347                                    DALLAS           TX   75284   5347   Y       Y-TINONLY        Y
PPO   EM   528593   122070143276   742420651   JORGE N MARTINEZ PRIETO MD    NEUROLOGY                      1    1      $145.85    BA   827012542555   343 W HOUSTON ST STE 502                         SAN ANTONIO      TX   78205          Y            Y           Y
PPO   EM   528593   122348304943   742944052   ROBERT A ZAJAC MD             INFECTIOUS DISEASE             2    1        $0.00    BA   725608572177   PO Box 2966                                      San Antonio      TX   78299   2966   Y            Y           Y
PPO   EM   528593   123052223781   742083988   CARLOS H ZEM MD               NEPHROLOGY                     1    1      $107.60    BA    75812223814   PO BOX 701008                                    SAN ANTONIO      TX   78270   1008   Y            Y           Y
PPO   EM   528593   123752235611   742966374   RICHARD P WILSON MD           FAMILY PRACTICE                2    1      $118.55    BA   864612235663   6200 UTSA BLVD STE 100                           SAN ANTONIO      TX   78249   1618   Y            Y      Y-TINONLY
PPO   EM   528593   124610194736   742959210   MANUEL MARTINEZ MD            INTERNAL MEDICINE              5    2      $288.30    BA   399212244955   PO Box 843816                                    Dallas           TX   75284   3816   Y            Y           Y
PPO   EM   528593   125119183326    30527039   VIRGINIA AGUILAR SITEK DO     OBSTETRICS/GYNECOLOGY          3    2      $707.41    BA   746821425714   414 Navarro ST Ste 1200                          San Antonio      TX   78205          Y            Y           Y
PPO   EM   528593   126097460698   113676182   ROBERT L CASTILLO DPM         PRIMARY PODIATRIC MEDICINE     1    1       $39.57    BA   490307460840   PO Box 1277                                      San Antonio      TX   78295   1277   Y            Y           Y
PPO   EM   528593   126689294638   742913103   CHRISTINA E MERRITT MD        PEDIATRICS                     4    3      $212.54    BA   835309294666   8627 Cinnamon Creek Dr Bldg 1                    San Antonio      TX   78240   1480   Y            Y           Y
PPO   EM   528593   131601484987   742712740   GABRIEL M PEREZ MD            PEDIATRICS                     1    1       $29.30    BA   251511500249   PO Box 120427                                    San Antonio      TX   78212          Y            Y           Y
PPO   EM   528593   131777544234   741724391   SHARON R FERNANDEZ MD         FAMILY PRACTICE                2    1       $31.24    BA   736617555196   PO Box 961                                       San Antonio      TX   78211          Y            Y           Y
PPO   EM   528593   131898311114   742406834   ROBY P JOYCE MD               PATHOLOGY                      5    2      $443.75    BA   889622493215   PO Box 29447                                     San Antonio      TX   78229          Y            Y           Y
PPO   EM   528593   132296234436   742072186   KIMBERLY A MORAN MD           INFECTIOUS DISEASE             7    2      $860.81    BA   836216234475   8042 Wurzbach Rd Ste 280                         San Antonio      TX   78229   3863   Y            Y           Y
PPO   EM   528593   132408303431   742747932   LA MAR J ALBRITTON MD         OBSTETRICS/GYNECOLOGY          6    4      $440.24    BA   823621242120   7922 Ewing Halsell Dr Ste 430                    San Antonio      TX   78229          Y            Y           Y
PPO   EM   528593   132621151109   742779329   JAMES H VERNIER MD            ANESTHESIOLOGY                 1    1      $831.52    BA    18211151153   PO Box 659                                       San Antonio      TX   78293   659    Y            Y           Y
PPO   EM   528593 132656445037     900120192 RICHARD T STEFFEN MD               ORTHOPEDIC                    3    2    $253.47 BA      930116445092 PO Box 196                                San Antonio     TX   78291             Y           Y           Y
                                             RADIOLOGY ASSOC OF NEW
PPO   EM   528593 132984322860     742783627 BRAUNFELS                          RADIOLOGY, DIAGNOSTIC         1    1     $26.05 BA      150614323049 777 N Loop 337                            New Braunfels   TX   78130             Y        Y-TINONLY      Y
PPO   EM   528593 133037331053     742782325 SRIDHAR BEERAM MD                  INTERNAL MEDICINE             1    1     $54.79 BA      619507331118 PO Box 911234                             Dallas          TX   75391 1234        Y             Y         Y

PPO   EM   528593   133317445839   742726932   SAN ANTONIO DIAGNOSTIC IMAGING   UNKNOWN PHYSICIAN SPECIALTY   8    7   $1,801.97   BA   870014140012   Po Box 31900 Ste 231                    Houston         TX   77231             Y             Y         Y
PPO   EM   528593   135389282483   261613372   JOHN F BRAGAN MD                 EMERGENCY MEDICINE            4    4   $2,409.35   BA   430609282582   PO BOX 636018                           CINCINNATI      OH   45263             N             N         N
PPO   EM   528593   135490133175   742822816   LINDSAY H WHITE MD               INTERNAL MEDICINE             1    1      $64.00   BA   699322143074   1954 E Houston ST Rm 103                San Antonio     TX   78202             Y             Y         Y
PPO   EM   528593   135492472876   810651320   NORTH CENTRAL URGENT CARE        EMERGENCY MEDICINE            3    1    $333.02    BA   862217272245   19223 STONEHUE                          San Antonio     TX   78258 3456        Y             N         Y
PPO   EM   528593   135951490968   741586031   KEDAR N CHINTAPALLI MD           RADIOLOGY, DIAGNOSTIC         1    1       $9.88   BA   969405374800   PO BOX 528                              SAN ANTONIO     TX   78292 528         Y             Y         Y
PPO   EM   528593   136178031629   752740653   PATRICK RAMSEY MD                NEONATAL-PERINATAL MEDICINE   4    2   $2,258.99   BA   417308031657   PO BOX 840384                           DALLAS          TX   75284 384         Y             Y         Y
PPO   EM   528593   136382200496    61047163   GENZYME GENETICS                 CLINICAL MEDICAL LABORATORY   3    1    $215.38    BA   864712215669   PO Box 371748                           Pittsburgh      PA   15251             Y             Y         Y
PPO   EM   528593   137180211165   742743906   CARL J BLOND MD                  NEPHROLOGY                    2    1      $90.08   BA   951506493911   PO BOX 1120                             San Antonio     TX   78294 1120        Y        Y-TINONLY      Y
PPO   EM   528593   137228342279   742546831   JOHN J GONZALEZ MD               DERMATOLOGY                   5    4    $163.56    BA   656421262156   2829 Babcock Rd Ste 629                 San Antonio     TX   78229             Y             Y         Y
PPO   EM   528593   137563071960   205805198   CONCENTRA URGENT CARE            URGENT CARE CLINIC/CENTER     3    3    $278.08    BA   622013074488   PO BOX 1149                             ADDISON         TX   75001             Y             Y         Y
PPO   EM   528593   137678290561   746141855   JOSEPH BORENSTEIN MD             PEDIATRICS                    5    3    $591.65    BA   158821235186   3111 San Pedro Ave                      San Antonio     TX   78212             Y             Y         Y
PPO   EM   528593   139860200795   264333033   VERNON D THEIS JR MD             OBSTETRICS/GYNECOLOGY         1    1      $87.31   BA   245823012323   PO Box 34537                            San Antonio     TX   78265 4537        Y             Y         Y
                                                                                PHYSICAL MEDICINE &
PPO   EM   528593   140759292662   742503534   DAVID M HIRSCH DO                REHABILITATION                 2   2    $648.64    BA   914814083724   322 S Flores                            San Antonio     TX   78204             Y           Y        Y-TINONLY
PPO   EM   528593   141660005568   465392551   SCOTT K SITTERLE OD              OPTOMETRIST                    4   1    $195.64    BA   896514410042   2950 Thousand Oaks Ste12                San Antonio     TX   78247   3346      Y           Y             Y
PPO   EM   528593   143190570959   742011840   JOSEPH E MARTIN MD               OBSTETRICS/GYNECOLOGY          1   1    $139.39    BA   726922260051   4499 Medical Dr Ste 200                 San Antonio     TX   78229   3717      Y           N             Y
PPO   EM   528593   144024470670   261827978   ALEXANDRA RUNNELS MD             OBSTETRICS/GYNECOLOGY          1   1      $48.14   BA   960005250860   PO Box 40129                            San Antonio     TX   78229             Y           Y             Y
PPO   EM   528593   144248461408   271448946   MARIO R JUAREZ MD                FAMILY PRACTICE               17   7   $1,346.52   BA   928115103718   4151 CALLAGHAN RD           SUITE 102   SAN ANTONIO     TX   78228             Y           Y             Y
PPO   EM   528593   144705303256   262422195   LISA MARTEN MD                   OPHTHALMOLOGY                  1   1    $242.37    BA    36513351617   2424 BABCOCK RD STE 101                 SAN ANTONIO     TX   78229   6031      Y           Y             Y
PPO   EM   528593   145188431556   742608033   SHANNON M AUSTIN MD              PEDIATRICS                     9   5   $1,285.54   BA    89208431591   5282 MEDICAL DR STE 310                 SAN ANTONIO     TX   78229   6044      Y           Y             Y
PPO   EM   528593   145382551494   204799780   GRACE M SALINAS GARCIA MD        PSYCHIATRY                     6   1    $270.00    BA   680916360872   1603 BABCOCK RD             STE 148     SAN ANTONIO     TX   78229             Y           Y             Y
PPO   EM   528593   145528455618   741850643   RUSSELL L WOODARD MD             SURGERY, GENERAL               1   1      $29.30   BA   498821312491   8042 Wurzbach Rd Ste 310                San Antonio     TX   78229   3807      Y           Y             Y
PPO   EM   528593   146110200688   264333033   SCOTT A FARHART MD               OBSTETRICS/GYNECOLOGY          3   3    $261.93    BA   301822582104   PO Box 34537                            San Antonio     TX   78265   4537      Y           Y             Y
PPO   EM   528593   146161180641   742967019   FRANCISCO J MONTEMAYOR MD        INTERNAL MEDICINE              7   3    $590.71    BA   969205042059   PO Box 782308                           San Antonio     TX   78278             Y           Y             Y
PPO   EM   528593   146176125564   742932237   KATHLEEN E HANDS MD              ENDOCRINOLOGY                  1   1       $0.00   BA   871916125632   PO Box 528                              San Antonio     TX   78292   528       Y           Y             Y
PPO   EM   528593   146638434029   741996875   HALEKOTE N KUMARA MD             EMERGENCY MEDICINE             1   1    $592.57    BA   381922293718   PO Box 5744                             San Antonio     TX   78201             Y           Y             Y
PPO   EM   528593   146888382111   742926947   JAVIER F RODRIGUEZ MD            INTERNAL MEDICINE              9   3    $725.81    BA   982521281106   311 Camden St Ste 408                   San Antonio     TX   78215             Y           Y             Y
PPO   EM   528593   149438014023   900088197   MOFFATT D ADAMS JR DPM           PRIMARY PODIATRIC MEDICINE     2   1      $30.69   BA   783108014071   8207 CALLAGHAN RD STE 320               SAN ANTONIO     TX   78230   4737      Y           Y             Y
PPO   EM   528593   150419090175   742764739   MARY S GALLAGHER MD              OBSTETRICS/GYNECOLOGY          4   3   $1,686.07   BA   855209112158   PO BOX 1506                             SAN ANTONIO     TX   78229             Y           Y             Y
PPO   EM   528593   150641595604   742803685   ROBERT P TREVINO MD              INTERNAL MEDICINE              1   1    $104.93    BA   878506282715   740 S Alamo St                          San Antonio     TX   78205             Y           Y             Y
                                                                                PEDIATRIC HEMATOLOGY -
PPO   EM   528593   150886485208   741586031   REGINALD H MOORE MD              ONCOLOGY                       6   1    $768.75    BA   821306344979   PO BOX 528                              SAN ANTONIO     TX   78292    528        Y           Y           Y
PPO   EM   528593   151025474972   202148889   MICHAEL J DOMINGUEZ MD           FAMILY PRACTICE               18   6    $794.10    BA   556215511191   PO Box 87                               San Antonio     TX   78291     87        Y      Y-TINONLY        Y
PPO   EM   528593   151567563009   741619182   JACQUELYN F VICKREY MD           PATHOLOGY                      3   3    $401.96    BA   836014054906   PO BOX 141699                           AUSTIN          TX   78714   1699        Y           Y           Y
PPO   EM   528593   152268422598   753000626   THOMAS O OEI MD                  OPHTHALMOLOGY                  1   1    $416.54    BA   823807463826   1100 N Main Ave                         San Antonio     TX   78212               Y           N           N
PPO   EM   528593   153692063230   742959210   RAUL MARCELO RODRIGUEZ MD        FAMILY PRACTICE                1   1    $142.16    BA   344012090936   3801 S Lamar                            Austin          TX   78704               Y           Y           Y
PPO   EM   528593   154038291131   742178175   SYBIL R MORGAN MD                FAMILY PRACTICE                5   3    $250.83    BA   905411530085   8038 WURZBACH STE 280                   SAN ANTONIO     TX   78229               Y           Y           Y
PPO   EM   528593   155467375674   741724391   ELEANOR GRAY NP                  NURSE PRACTITIONER             1   1      $26.08   BA   546607375723   3066 E COMMERCE ST                      SAN ANTONIO     TX   78220   1013        Y           Y           Y
PPO   EM   528593   155788415399   742897101   CATHERINE M REZENDES DPM         PRIMARY PODIATRIC MEDICINE     2   1      $79.03   BA   770817472442   12413 Judson Rd Ste 250                 San Antonio     TX   78233               Y           Y           Y
PPO   EM   528593   157102465910    20793829   NAJAH M AL SHALCHI MD            FAMILY PRACTICE                1   1      $98.29   BA   847310295070   7712 ECKHERT RD                         SAN ANTONIO     TX   78240   3008        Y           Y           Y
PPO   EM   528593   157301323768   900120192   MARQUE A ALLEN DPM FACFAS        PRIMARY PODIATRIC MEDICINE    14   2   $1,640.44   BA   881511323819   PO BOX 196                              SAN ANTONIO     TX   78291    196        Y           Y           Y
PPO   EM   528593   157428454148   592520709   XAVIER R CORTADA MD              PEDIATRICS                     3   3    $460.07    BA    81621312291   1322 Twilight Rdg                       San Antonio     TX   78258               Y           Y           Y
PPO   EM   528593   157589085815   742121149   MELANIE C MITCHELL MD            PEDIATRICS                     3   3    $160.19    BA   945321400858   8606 Village Dr Ste A                   San Antonio     TX   78217               Y           Y           Y
PPO   EM   528593   158381185119   640959906   BENJAMIN R MILLAR MD             NEUROLOGY                      1   1      $29.30   BA   438107274892   1130 Grove Rd                           Greenville      SC   29605               Y           Y           Y
PPO   EM   528593   158778055123   383452013   ALFONSO PEREZ DO                 UNKNOWN                        1   1    $353.53    BA   487205403772   PO BOX 4797 710                         HOUSTON         TX   77210   4797   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   158910190885   742719352   CRUMPTON R SPENCE MD             SURGERY, UROLOGICAL            2   1    $194.22    BA   959117245718   PO BOX 2952                             San Antonio     TX   78299   2952        Y           Y           Y
PPO   EM   528593   159190085930   743003947   STEPHEN C DRUKKER MD             SURGERY, PLASTIC               9   4    $758.16    BA   783922574486   PO Box 2516                             San Antonio     TX   78299               Y           Y           Y
PPO   EM   528593   159657212633   271470655   SHAYLON D RETTIG MD              SPORTS MEDICINE                1   1       $0.00   BA   764813032232   1218 ARION PARKWAY ST 122               SAN ANTONIO     TX   78216               Y           Y           Y
                                                                                UNDERSEAS MEDICINE:
PPO   EM   528593   163802031513   710906653   JAYESH B SHAH MD                 PREVENTIVE MEDICINE           8    1    $184.59    BA   765412031550   PO BOX 780764                           SAN ANTONIO     TX   78278             Y           Y           Y
PPO   EM   528593   164268365920   742383987   ALEXANDER MORA III MD            INTERNAL MEDICINE             2    1     $88.48    BA   532911494060   207 SW Military Dr                      San Antonio     TX   78221             Y           Y           Y
PPO   EM   528593   164560100217   742910790   MARIO A BUSTAMANTE MD            ORTHOPEDIC                    3    1    $300.31    BA   649411320532   343 W HOUSTON ST STE 406                SAN ANTONIO     TX   78205 2103        Y           Y           N
PPO   EM   528593   164560251184   743022535   TIN A HLA MD                     INTERNAL MEDICINE             4    1    $124.27    BA    94816211516   12501 JUDSON RD STE 202                 LIVE OAK        TX   78233 4117        Y           Y           Y
PPO   EM   528593 165271023539     742784179 LEONEL REYES JR MD               FAMILY PRACTICE                5    2     $271.50 BA      820804242169 311 Camden St Ste 104          San Antonio    TX   78215         Y           Y           N
                                                                                                                                                     19141 STONE OAK PKWY STE
PPO   EM   528593   166533004919   760773891   PERIN G SUTHAKAR MD            PSYCHIATRY & NEUROLOGY         4    3     $996.42    BA   688313005034 104 171                        SAN ANTONIO    TX   78258         Y           Y           Y
PPO   EM   528593   166566182722   742707676   KENNETH WILLIAMS DPM           PRIMARY PODIATRIC MEDICINE     1    1        $7.04   BA   993516303879 11103 San Pedro Ste 118        San Antonio    TX   78216         Y           Y           Y
PPO   EM   528593   166620504423   741586031   MANOJ M PANDAY MD              CARDIOLOGY                     3    1    $2,672.78   BA   320610221666 PO Box 528                     San Antonio    TX   78292   528   Y           Y           Y
PPO   EM   528593   167900103330   741586031   MICHAEL D BERKUS MD            OBSTETRICS/GYNECOLOGY          2    2     $274.79    BA   998611303906 PO BOX 528                     SAN ANTONIO    TX   78292   528   Y           Y           Y

PPO   EM   528593 168639100445     743012586 CARLOS A QUIROZ DO               PEDIATRICS                     2    2      $48.60 BA      189312373687 540 MADISON OAK DR STE 540     SAN ANTONIO    TX   78258         Y           Y           Y
                                                                                                                                                     8706 FREDERICKSBURG STE
PPO   EM   528593 169488233812     205940576 ALAMO CITY MRI                   UNKNOWN PHYSICIAN SPECIALTY     6   5    $2,963.32 BA     369518243465 103                            SAN ANTONIO    TX   78240         Y           Y           Y
PPO   EM   528593 169769455910     742938437 WILLIAM R BECK MD                PEDIATRICS                     16   8    $1,376.28 BA     936622590317 PO Box 2448                    San Antonio    TX   78298         Y           Y           Y
                                                                                                                                                     32665 US HIGHWAY 281 N STE
PPO   EM   528593   171340091447   742773647   MICHAEL W MANN MD              FAMILY PRACTICE                1    1       $60.37   BA    88206240337 208                            BULVERDE       TX   78163 3256    Y           Y           N
PPO   EM   528593   172380530578   201692217   BEDELL EMERGENCY PHYSICIANS    EMERGENCY MEDICINE             1    1    $1,202.00   BA   419220543255 PO Box 13972                   Philadelphia   PA   19101         N           N           N
PPO   EM   528593   172408454358   204114370   JAVIER G GONZALEZ MD           FAMILY PRACTICE                3    2     $238.25    BA   885321311990 226 W Bitters Rd Ste 100       San Antonio    TX   78216         Y           N           Y
PPO   EM   528593   172535291513   742083988   MICHAEL V DEGAETANO DO         NEPHROLOGY                     2    2     $251.58    BA   965610580556 PO BOX 701008                  SAN ANTONIO    TX   78270 1008    Y           Y           Y
PPO   EM   528593   173057305359   383452013   SEIN WIN MD                    INTERNAL MEDICINE              1    1        $0.00   BA   370117322153 PO BOX 92729                   LOS ANGELES    CA   90009         Y           Y           Y
PPO   EM   528593   173928574228   741586031   ABHIJIT G SUNNAPWAR MD         RADIOLOGY, DIAGNOSTIC          1    1       $37.66   BA    82308574287 PO Box 528                     San Antonio    TX   78292 528     Y           Y           Y
PPO   EM   528593   174258441408   741833341   WILLIAM O KIRK MD              SURGERY, GENERAL VASCULAR      4    2    $1,865.57   BA   480922454169 PO Box 276                     San Antonio    TX   78291         Y           Y           Y
                                                                                                                                                     5410 FREDERICKSBURG RD
PPO   EM   528593   174499264702   743013622   OSCAR J CERDA MD               FAMILY PRACTICE                 2   1     $105.22    BA   710605223538 STE 112                        SAN ANTONIO    TX   78229 3550    Y           Y           Y
PPO   EM   528593   174506152438   742782325   ANU DHAM MD                    HEMATOLOGY & ONCOLOGY           3   1     $110.90    BA   694306152498 PO Box 911234                  Dallas         TX   75391 1234    Y           Y           Y
PPO   EM   528593   174648432518   742953679   RONALD J REARDON MD            FAMILY PRACTICE                 1   1     $110.14    BA    56422453716 PO Box 690868                  San Antonio    TX   78269         Y           N           Y
PPO   EM   528593   175752414874   261755891   RUDYARD LANCE HILLIARD MD      FAMILY PRACTICE                 1   1      $41.40    BA   706313015220 PO Box 565                     Bandera        TX   78003         Y           Y           Y
PPO   EM   528593   175778460758   742707955   RICHARD E MARTINEZ MD          FAMILY PRACTICE                10   5     $473.46    BA   918906301100 PO BOX 8803                    BELFAST        ME    4915 8803    Y           Y           Y
                                                                              PEDIATRIC HEMATOLOGY -
PPO   EM   528593 176281044672     741586031 PAUL J THOMAS MD                 ONCOLOGY                       5    1     $184.55 BA       74011052642 PO BOX 528                     SAN ANTONIO    TX   78292         Y           Y           Y
PPO   EM   528593 176498494508     270189198 RELIEF JONES III MD              OPHTHALMOLOGY                  1    1     $100.74 BA      828208494580 800 MCCULLOUGH                 SAN ANTONIO    TX   78232         Y           N           Y
                                                                              DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593 177438534518     522165554 DJO LLC                          MED SUPPLIES                   2    2     $443.45 BA      683016242449 PO BOX 515471                  LOS ANGELES    CA   90051         Y           Y           Y
PPO   EM   528593 178709240261     205409837 KAREN T ALLSUP MD                OBSTETRICS/GYNECOLOGY          8    2     $215.44 BA      811109240330 315 N SAN SABA STE 1068        SAN ANTONIO    TX   78207         Y           Y           Y
                                                                              NURSE ANESTHETIST, CERTIFIED
PPO   EM   528593   178867273814   680528956   JOHN Z NAGY CRNA               REGISTERED                     1    1        $0.00   BA   777010503765   PO BOX 198                   SAN ANTONIO    TX   78291         Y           Y           Y
PPO   EM   528593   179435550560   450524383   DAVID J YANASE MD              DERMATOLOGY                    2    1       $57.45   BA    96015550647   343 W HOUSTON ST STE 909     SAN ANTONIO    TX   78205         Y           N           Y
PPO   EM   528593   180440194799   201791948   SHAY E FISH DPM                PRIMARY PODIATRIC MEDICINE     3    1     $185.00    BA   977006452515   PO BOX 690548                SAN ANTONIO    TX   78269 548     Y           N           Y
PPO   EM   528593   180649571562   261455666   AIRROSTI REHAB CENTERS LLC     CHIROPRACTOR                   3    2    $1,120.00   BA   508209571608   7410 BLANCO RD STE 400       SAN ANTONIO    TX   78216 4394    Y           Y           Y

PPO   EM   528593   181460501751   621682198   MEDICAL CITY DALLAS HOSPITAL   GENERAL ACUTE CARE HOSPITAL     1   1   $14,158.79   BA   502522455666   PO BOX 406460                ATLANTA        GA   30384         Y           N           Y
PPO   EM   528593   181828302500   264333033   DAVID R DOOLEY MD              OBSTETRICS/GYNECOLOGY           3   1        $8.69   BA   926309425460   1210 ARION PKWY              SAN ANTONIO    TX   78216 2880    Y           Y           Y
PPO   EM   528593   182376045423   742312850   LOIS STAUFFER CNM RN           MIDWIFE, CERTIFIED              1   1     $115.69    BA   596616045493   7950 FLOYD CURL DR STE 300   SAN ANTONIO    TX   78229         Y           Y           Y
PPO   EM   528593   182478592911   742842145   ANN D BASS MD                  NEUROLOGY                       1   1     $489.55    BA   661221365056   14607 N San Pedro Ste 220    San Antonio    TX   78232         Y           Y           Y
PPO   EM   528593   182827012896   204935811   EMILY R PINEDA MD              RHEUMATOLOGY                    5   1     $125.31    BA   952717012929   10130 Huebner Rd             San Antonio    TX   78240         Y           Y           Y
PPO   EM   528593   182960430762   742889254   ALEXANDER S ROKA MD            FAMILY PRACTICE                11   6     $527.14    BA   380911084829   PO Box 17469                 San Antonio    TX   78217         Y           Y           N
PPO   EM   528593   183599224323   742806531   RODRIGO D CANTU MD             FAMILY PRACTICE                 2   1     $148.99    BA   865210315138   PO Box 974072                SAN ANTONIO    TX   78291   87    Y           Y           Y
PPO   EM   528593   184519102464   264836567   WENDY BACA MD                  OPHTHALMOLOGY                   2   1     $176.89    BA    69616352054   PO BOX 65165                 SAN ANTONIO    TX   78265 5165    Y           N           Y
PPO   EM   528593   185389111074   264725220   BRUCE R LANTRY MD              PEDIATRICS                      1   1       $71.21   BA   750011351379   2040 BABCOCK RD STE 301      San Antonio    TX   78229 4428    Y           Y           Y
PPO   EM   528593   185810211607   742123257   RENE G JASO MD                 SURGERY, GENERAL                3   1     $256.75    BA   800522390779   PO Box 780876                San Antonio    TX   78278         Y           Y           Y
PPO   EM   528593   187179212040   202077965   JAMES A DONNEL JR MD           PEDIATRICS                      2   2     $105.22    BA   989819212165   2020 Babcock RD Suite 19     San Antonio    TX   78229         Y           Y           Y
                                               MARIA DELROSARIO AGUIRRE
PPO   EM   528593   187614121765   742365757   HERNANDEZ MD                   PEDIATRICS                      2   1      $96.12    BA   859516115426   1927 CERALVO ST              SAN ANTONIO    TX   78237      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   187991133108   742959210   LENIBET M MONTEMAYOR MD        INTERNAL MEDICINE              11   3     $550.87    BA   586307590787   PO Box 847109                Dallas         TX   75284           Y           Y           Y
PPO   EM   528593   188378295777   742477142   HECTOR R VILLASENOR MD         CARDIOLOGY                      1   1      $23.23    BA   840821242176   401 N San Saba               San Antonio    TX   78207           Y           Y           Y
PPO   EM   528593   190610574250   741586031   JASON A PARKER MD              OBSTETRICS/GYNECOLOGY           5   1     $189.44    BA   741608390576   PO BOX 87                    SAN ANTONIO    TX   78291   87      Y           Y           Y
PPO   EM   528593   191980222268   742429894   SAMMY C VICK MD                SURGERY, UROLOGICAL             6   5     $666.60    BA    70622122988   8038 Wurzbach Rd Ste 430     San Antonio    TX   78229           Y           Y      Y-TINONLY
PPO   EM   528593   192408320958   742285291   ROGER J BEAL DPM               PRIMARY PODIATRIC MEDICINE      3   2      $49.35    BA   824321253110   4499 Medical Dr Ste 343      San Antonio    TX   78229 3713      Y           Y           Y
PPO   EM   528593   192971162024   742835077   RAUL E GAONA JR MD             INTERNAL MEDICINE               2   1     $129.44    BA   385121180449   343 W Houston Ste 804        San Antonio    TX   78205           Y           Y           Y
PPO   EM   528593   193679463970   741833341   PATRICK A HARTSELL MD          SURGERY, GENERAL VASCULAR       1   1     $152.67    BA   731122534676   PO Box 276                   San Antonio    TX   78291           Y           Y           Y
PPO   EM   528593   194416333800   260842829   JUAN C GONZALEZ MD             HOSPITALIST                     8   2     $736.12    BA   921107020530   PO BOX 291096                SAN ANTONIO    TX   78229 1696      Y           Y           Y
PPO   EM   528593   194940134112   203211824   ANNE C MACHINENA MD             FAMILY PRACTICE                 2   2       $74.33    BA   532313313220   PO BOX 90208                 SAN ANTONIO     TX   78209   9081 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   194950244509   743022219   PAMELA MITCHELL DC              CHIROPRACTOR                   15   1      $100.45    BA   359410244540   9179 GRISSOM RD STE 131      SAN ANTONIO     TX   78251   2811      Y           N           Y
PPO   EM   528593   195630180285   710892528   ANETA A SCHUENEMEYER MD         PSYCHIATRY                      6   2      $345.00    BA   474817414171   9480 HUEBNER RD STE 210      SAN ANTONIO     TX   78240   1657      Y           N           Y
PPO   EM   528593   197220391268   741833622   MICHAEL C ROBINSON PA C         FAMILY PRACTICE                 1   1       $55.50    BA   306410391284   7323 MARBACH RD STE 104      SAN ANTONIO     TX   78227   1905      Y           Y      Y-TINONLY

PPO   EM   528593 197368351569     742926326 EDUARDO IBARGUEN SECCHIA MD       PEDIATRIC GASTROENTEROLOGY      2   1       $32.00 BA      960921263858 4499 Medical Dr Ste 360        San Antonio     TX   78229           Y           Y           Y
PPO   EM   528593 198908304822     742938437 MARK K SMITH MD                   FAMILY PRACTICE                 6   4      $581.37 BA      641422472720 PO Box 2448                    San Antonio     TX   78298           Y           Y           Y
PPO   EM   528593 199470430411     742688457 GREGORY ALAN BUSER MD             CARDIOLOGY                     14   1      $295.12 BA      974616450819 PO Box 690                     San Antonio     TX   78293           Y           Y           Y

PPO   EM   528593   199607590515   742978828   BANDERA FAMILY HEALTH CARE PA   FAMILY PRACTICE                 3   3      $107.36    BA   988108482126   PO BOX 268945                OKLAHOMA CITY   OK   73126 8945      Y           Y           Y
PPO   EM   528593   100108304160   113676182   RICHARD N GOAD DPM              PRIMARY PODIATRIC MEDICINE      3   3      $185.18    BA   598315465361   Po Box 1277                  San Antonio     TX   78295           Y           Y           Y
PPO   EM   528593   100434332924   208219771   ANDRES E BIAGGI DMD             DENTIST                         1   1        $0.00    BA   994014342763   6850 SAN PEDRO AVE           SAN ANTONIO     TX   78216           N           N           N
PPO   EM   528593   100848440325   741967809   DONNA M MCMYLER MD              INTERNAL MEDICINE               2   1      $110.62    BA   655413424301   PO BOX 2778                  SAN ANTONIO     TX   78299 2778      Y           Y           Y
PPO   EM   528593   100881552170   261264937   EDGARDO BENAVIDES DO            FAMILY PRACTICE                17   9      $663.15    BA   927611552279   12650 Nacogdoches Rd         San Antonio     TX   78217 2118      Y           Y           Y
PPO   EM   528593   102478582067   742798760   TIMOTHY P CLELAND MD            OPHTHALMOLOGY                   2   2      $230.65    BA   684307284302   11300 4th St N Ste 214       St Petersburg   FL   33716      Y-TINONLY        N           N
                                                                                                                                                         7929 BROOKDRIVER DR STE
PPO   EM   528593   102695372565   752625765   KENNETH J BROWN MD              GASTROENTEROLOGY               3    1     $1,484.34   BA   939015372625   300                          DALLAS          TX   75247 4946      Y        Y-TINONLY      Y
PPO   EM   528593   103279472901   741586031   MARTIN P FERNANDEZ MD           PATHOLOGY                      1    1         $0.00   BA   653309473038   PO BOX 528                   SAN ANTONIO     TX   78292 528       Y             Y         Y
PPO   EM   528593   104438295751   742221469   JORGE A SARAVIA MD              NEUROLOGY                      7    4     $1,211.94   BA   675621242180   2829 Babcock Rd Ste 436      San Antonio     TX   78229           Y             N         Y
PPO   EM   528593   105399393112   741586031   JAYSON B YOUNG PA               PHYSICIAN ASSISTANT            1    1      $125.46    BA   999609393171   PO BOX 87                    SAN ANTONIO     TX   78291   87      Y             Y         Y
PPO   EM   528593   105559141286   742975191   YOLANDA MARCOS MD               INTERNAL MEDICINE              5    3      $228.36    BA   773221415024   540 Oak Centre Dr Ste 280    San Antonio     TX   78258           Y             Y         N
PPO   EM   528593   106350593076   742759128   ARTURO MARROQUIN MD             SURGERY, GENERAL               1    1      $406.00    BA   707412404561   PO BOX 460649                San Antonio     TX   78246 649       N             N         N
                                                                                                                                                         8015 SHOAL CREEK BLVD STE
PPO   EM   528593    10654327233   741586031 STEVEN M KRYCH DPM                PRIMARY PODIATRIC MEDICINE     1    1       $38.58 BA       54704452471   119                          AUSTIN          TX   78757 8052      Y           Y           Y

PPO   EM   528593    10654341436   320052881 HOMER C REYES MD                  PREVENTIVE MEDICINE, GENERAL   8    1      $768.12 BA      914706144334 4115 MEDICAL DR STE 500        SAN ANTONIO     TX   78229 5638      Y             Y           Y
PPO   EM   528593    10654345742   741619182 TIMOTHY F KOLDA MD                PATHOLOGY                      1    1      $266.34 BA      969309403693 PO Box 141699                  Austin          TX   78714           Y             Y           Y
PPO   EM   528593    10654345810   742619659 MARK D STATLER MD                 PEDIATRICS                     2    1      $353.57 BA      413806463190 1535 E Common St               New Braunfels   TX   78130 3154      Y        Y-TINONLY   Y-TINONLY
                                             DIAGNOSTIC RADIOLOGY
PPO   EM   528593    10654346710   742736914 SPECIALISTS                       UNKNOWN PHYSICIAN SPECIALTY    1    1       $45.17 BA      915310520561 PO Box 938                     Killeen         TX   76540   938     Y           Y           Y
                                             CLINICAL PATHOLOGY ASSOCIATES
PPO   EM   528593    10654347572   741619182 OF AUSTIN                         PATHOLOGY                      4    4     $1,467.38 BA     224808243400 PO Box 141699                  Austin          TX   78714           Y           Y           Y
                                                                                                                                                       12602 TOEPPERWEIN RD STE
PPO   EM   528593    10654348806   742592013   LISA C WALKER MD                DERMATOLOGY                    3    1       $52.65    BA   963511564826 114                            LIVE OAK        TX   78233 3270      Y           Y        Y-TINONLY
PPO   EM   528593    10659947087   742320149   NASTARAN FATHI MD               NEPHROLOGY                     2    1       $80.14    BA   282912012613 PO Box 12747                   San Antonio     TX   75205           Y           N             Y
PPO   EM   528593    10659947212   742095043   JOSE A TREVINO MD               OBSTETRICS/GYNECOLOGY          1    1       $71.72    BA   380809300697 622 Camden St                  San Antonio     TX   78215           Y           Y             Y
PPO   EM   528593    10659948709   741967809   PATRICK A MASTERS MD            GASTROENTEROLOGY               3    2      $276.58    BA   513213562058 8214 Wurzbach Rd               San Antonio     TX   78229           Y           Y             Y

PPO   EM   528593    10659948965   760714523 NORTH CENTRAL BAPTIST HOSPITAL GENERAL ACUTE CARE HOSPITAL       24   20   $47,096.32 BA     743310501223 PO Box 848333                  Dallas          TX   75284 8333      Y           Y           Y

PPO   EM   528593    10659949927   432002326 LAUREL RIDGE TREATMENT CENTER GENERAL ACUTE CARE HOSPITAL        1    1      $653.80 BA      391811070391 PO BOX 415000 MSC 41026        NASHVILLE       TN   37241           Y        Y-TINONLY      Y

PPO   EM   528593    10659950043   270492434 MEDINA REGIONAL HOSPITAL          GENERAL ACUTE CARE HOSPITAL     1   1      $639.90    BA   211816123339   3100 AVE E                   HONDO           TX   78861           Y           Y           Y
PPO   EM   528593    10659950204   742559343 ANDAMO A GUILLAUME MD             OTORHINOLARYNGOLOGY             1   1       $13.62    BA   703610515700   2727 BABCOCK RD STE A        SAN ANTONIO     TX   78229           Y           Y           Y
PPO   EM   528593    10659950372   742850372 JEAN T MURPHREE MD                ALLERGY & IMMUNOLOGY           10   1       $79.70    BA   969216092996   13750 US Hwy 281 N Ste 850   San Antonio     TX   78232           Y           Y           Y
PPO   EM   528593    10659950390   261264937 RICHARD A HERNANDEZ JR MD         FAMILY PRACTICE                 6   2      $127.03    BA   928512035365   12650 NACOGDOCHES RD         San Antonio     TX   78217           Y           Y           Y
                                             CONNALLY MEMORIAL MEDICAL
PPO   EM   528593    10659950762   742019736 CENTER                            GENERAL ACUTE CARE HOSPITAL    1    1     $2,562.17 BA     535113454441 PO Box 200852                  Dallas          TX   75320           Y           N           Y
PPO   EM   528593    10659951027    10624198 JOSEPH A SIMPSON MD               PSYCHIATRY                     6    2      $305.00 BA      712208560595 4242 Medical Dr Bldg 6         San Antonio     TX   78229           Y           Y           Y

PPO   EM   528593    10659951138   746002164 UNIVERSITY HOSPITAL               GENERAL ACUTE CARE HOSPITAL    18   14   $52,106.10 BA     727513214603 4502 MEDICAL DR                SAN ANTONIO     TX   78229 4402      Y           Y           Y
PPO   EM   528593    10659951523    43613240 TERESITA G BALDERAS MD            PSYCHIATRY                      1    1        $0.00 BA     855009342483 84 NE Loop 410 Ste 140         San Antonio     TX   78216           Y           Y           Y
                                                                                                                                                       1931 NW MILITARY HWY SUITE
PPO   EM   528593    10659952184   262753078 ANTONIO M NAVARRO LCSW            CLINICAL SOCIAL WORKER         10   2      $450.00 BA      846010453418 222                            SAN ANTONIO     TX   78213           Y           Y           Y
                                             NEW BRAUNFELS EMERGENCY
PPO   EM   528593    10659952916   260012200 PHYSICIANS PA                     EMERGENCY MEDICINE              1   1     $2,012.96 BA      88913391266 7100 HIGHWAY 287               ARLINGTON       TX   76001 2806      Y           Y           Y
PPO   EM   528593    10659954573   741586031 GLENN M GARCIA MD                 RADIOLOGY, DIAGNOSTIC           1   1         $0.00 BA     994714551830 PO Box 528                     San Antonio     TX   78292 528       Y           Y           Y
PPO   EM   528593    10659957055   331128828 MICHELLE D WELCH MD               ENDOCRINOLOGY                  10   3     $1,038.09 BA     932610415861 540 MADISON OAKS STE 400       SAN ANTONIO     TX   78258           Y           Y           Y
PPO   EM   528593    10659957159   741724391 JOHN T NGUYEN MD                 OBSTETRICS/GYNECOLOGY         1    1      $113.96 BA      966105424518 3066 E COMMERCE ST              SAN ANTONIO        TX   78220 1013     Y         Y           Y
PPO   EM   528593    10659960552   742146518 MARK M DANNEY MD                 PEDIATRIC ENDOCRINOLOGY       5    3      $334.96 BA      643608270722 5107 Medical Dr                 San Antonio        TX   78229          Y         Y           Y
                                                                                                                                                     12602 TOEPPERWEIN RD STE
PPO   EM   528593    10659961836   742592013   RINNA CONOL JOHNSON MD         DERMATOLOGY                    1   1       $50.61    BA   899011570313 114                             LIVE OAK           TX   78233   3270   Y         Y        Y-TINONLY
PPO   EM   528593    10659961905   742850372   THEODORE M FREEMAN MD          ALLERGY & IMMUNOLOGY           1   1        $7.97    BA   965215501519 8285 Fredericksburg Rd          San Antonio        TX   78229          Y         Y             Y
PPO   EM   528593   107300255334   742953175   ALONZO GUZMAN JR MD            FAMILY PRACTICE                7   2      $355.11    BA   950509434690 3703 PRINCE GEORGE DR           SAN ANTONIO        TX   78230          Y         Y             Y
PPO   EM   528593   108332024613    10798330   DANIEL JUAREZ MD               INTERNAL MEDICINE             17   7      $898.64    BA   839106331579 1303 Mccullough Ave Ste 560     San Antonio        TX   78212   5607   Y         Y             Y
PPO   EM   528593   110359224447   742689162   SUBRATA K TALUKDAR MD          CARDIOLOGY                     1   1        $0.00    BA      709224522 1950 STREET RD                  BENSALEM           PA   19020   3755   Y         Y             Y
PPO   EM   528593   110492265074   200961397   BASSAM FARAH MD                INTERNAL MEDICINE              1   1      $114.00    BA   395208164587 125 Memorial Dr                 Luray              VA   22835   1016   Y         N             N
                                               VIRNALISIS MARRERO GONZALEZ                                                                           12602 TOEPPERWEIN RD STE
PPO   EM   528593   110699442358   742592013   MD                             DERMATOLOGY                    2   1      $166.01    BA   617109445889 114                             LIVE OAK           TX   78233 3270     Y           Y      Y-TINONLY
PPO   EM   528593   111551085360   741735865   GASTON PRIETO MD               OBSTETRICS/GYNECOLOGY          1   1        $57.83   BA   283104403962 730 N Main Ave Ste 219          San Antonio        TX   78205          Y           Y           Y
PPO   EM   528593   111612424931   200807170   MICHAEL D GARCIA MD            OBSTETRICS/GYNECOLOGY         10   6     $2,258.00   BA   559115595057 1200 BROOKLYN AVE STE 365       San Antonio        TX   78212 4803     Y           Y           Y
PPO   EM   528593   112940222051   742815582   ANTONIO L RUIZ MD              INTERNAL MEDICINE              2   2      $175.31    BA   840422174159 5809 Babcock Rd Ste 312         San Antonio        TX   78229          Y           Y           N
PPO   EM   528593   113290282127   261613372   CRISS C CROSS MD               EMERGENCY MEDICINE             1   1      $732.00    BA    35810293568 PO BOX 98608                    LAS VEGAS          NV   89193          N           N           N
PPO   EM   528593   114146330983   741586031   ELISA CHWOSCHTSCHINSKY MD      RADIOLOGY, DIAGNOSTIC          1   1         $0.00   BA   426506331016 PO Box 528                      San Antonio        TX   78292 528 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   114305240060   261613372   JOSEPH DAVID PENDON MD         EMERGENCY MEDICINE             3   2     $2,916.00   BA    33705274918 PO BOX 98608                    LAS VEGAS          NV   89193          N           N           N

PPO   EM   528593   115081510641   331007777   BAMC MCHE COU T DEPT 201       UNKNOWN PHYSICIAN SPECIALTY   9    1       $72.57    BA   982111520628   3851 Roger Brooke Dr          Fort Sam Houston   TX   78234          N         N           N
PPO   EM   528593   115168544628   742531032   RICHARD T SCHLOSBERG IV MD     PEDIATRICS                    2    2       $58.60    BA   681906164661   PO BOX 201836                 DALLAS             TX   75320 1836     Y         Y           Y
PPO   EM   528593   115512005805   300392468   RAMON G REYES MD               CRITICAL CARE MEDICINE        3    1       $59.71    BA   879011584402   PO BOX 269092                 OKLAHOMA CITY      OK   73126          Y         Y           Y
PPO   EM   528593   116414022907   741586031   BARBARA LOPEZ MD               FAMILY PRACTICE               1    1       $84.37    BA   101114022968   PO BOX 528                    SAN ANTONIO        TX   78292 528      Y         Y           Y

PPO   EM   528593   116891063406   752550947   HILTON HEAD HOSPITAL           GENERAL ACUTE CARE HOSPITAL    1    1    $2,159.48   BA   557007192960   Po Box 740787                 Atlanta            GA   30374          Y         N             N
PPO   EM   528593   116901031695   741936369   DALE A WOOD MD                 ALLERGY & IMMUNOLOGY          34    2    $1,110.58   BA   276604252518   341 E Hildebrand Ave          San Antonio        TX   78212          Y         Y             N
PPO   EM   528593   117095054849   742625722   JOHN D EDWARDS MD              OTORHINOLARYNGOLOGY            1    1     $175.30    BA   817415054918   PO Box 2679                   San Antonio        TX   78299          Y         Y             Y
PPO   EM   528593   117224172753   204237392   AMISTAD AMBULANCE TRANSPORT    AMBULANCE                      1    1    $1,875.60   BA   238914203482   918 PHIL ST                   DEL RIO            TX   78840          N         N             N
PPO   EM   528593   118108295032   742192397   GERMAN BENAVIDES MD            ORTHOPEDIC                     1    1       $50.74   BA   383521240038   7333 Barlite Blvd Ste 310     San Antonio        TX   78224          Y         Y             Y
PPO   EM   528593   118109550683   264333033   ASPEN E SMITH MD               OBSTETRICS/GYNECOLOGY          2    2     $237.07    BA   929709550722   1210 ARION PKWY               SAN ANTONIO        TX   78216   2880   Y         Y             Y
PPO   EM   528593   118305032958   741586031   ALAMPADY K SHANBHOGUE MD       RADIOLOGY, DIAGNOSTIC          1    1        $0.00   BA   599415033005   PO Box 528                    San Antonio        TX   78292    528   Y         Y             Y
PPO   EM   528593   120010231376   264333033   CESAR REYES MD                 OBSTETRICS/GYNECOLOGY          4    2     $449.09    BA   882509465080   1210 ARION PKWY               SAN ANTONIO        TX   78216   2880   Y         Y             Y
PPO   EM   528593   121699464680   742726528   CHARLES H MACHELL MD           CARDIOLOGY                     3    2     $275.84    BA   814722591067   PO Box 2600                   San Antonio        TX   78299   2600   Y         Y        Y-TINONLY
PPO   EM   528593   125100205305   264333033   CARLOS A CARDENAS MD           OBSTETRICS/GYNECOLOGY          2    2     $340.65    BA   708311452435   367 E Ramsey Rd               San Antonio        TX   78216          Y         Y             Y
PPO   EM   528593   125737413115   742968290   KATHLEEN JANE LYSSY MD         INTERNAL MEDICINE             20   12     $887.78    BA   506714062523   6100 Bandera Rd Ste 403       San Antonio        TX   78238          Y         Y             Y
PPO   EM   528593   125756505424   742280885   CHARLES D BRODRICK MD          OPHTHALMOLOGY                  2    1     $102.56    BA   854706505480   PO Box 911791                 Dallas             TX   75391   1791   Y         Y             Y
PPO   EM   528593   125798293381   742653032   MARY KUSUM GEORGE MD           PEDIATRICS                     8    5     $586.10    BA   475821241039   9179 Grissom Rd Ste 135       San Antonio        TX   78251          Y         Y             Y
PPO   EM   528593   127774550434   202363325   HECTOR X SAMANIEGO JR MD       FAMILY PRACTICE                5    2     $234.69    BA   432213534736   1712 Buena Vista St           San Antonio        TX   78207          Y         Y             Y
PPO   EM   528593   128950443105   201435671   AARON A KING MD                FAMILY PRACTICE                1    1       $75.41   BA   643215334578   11321 FALLBROOK DR            HOUSTON            TX   77065   4232   Y         Y             Y
PPO   EM   528593   130579020856   742938437   FERNANDO AGUIRRE MD            INTERNAL MEDICINE             12    4     $732.66    BA   354722484075   PO Box 2448                   San Antonio        TX   78298          Y         Y             Y
PPO   EM   528593   130583402897   741742582   JAMES D LEHMANN                OPHTHALMOLOGY                  3    2     $503.24    BA   269513402921   PO BOX 845347                 DALLAS             TX   75284   5347   Y         N             Y
                                               WHITEGLOVE HOUSE CALL HEALTH                                                                            5300 BEE CAVE RD BLDG 1 STE
PPO   EM   528593   131846071144   208913858   INC                            UNKNOWN PHYSICIAN SPECIALTY   81   65   $15,432.23   BA   845107340449   100                           AUSTIN             TX   78746          Y         Y           Y
PPO   EM   528593   132491442208   742286812   WILLIAM W ROBBINS DO           ANESTHESIOLOGY                 1    1       $91.74   BA   714506002306   PO Box 67                     San Antonio        TX   78291          Y         Y           Y
PPO   EM   528593   134860163086   742609006   SUZANNE K GAZDA MD             NEUROLOGY                      3    2     $172.92    BA   955814595605   PO Box 293879                 Kerrville          TX   78028          Y         Y           Y
PPO   EM   528593   135171092962   742559343   ALLEN D NOORILY MD             OTORHINOLARYNGOLOGY            2    2     $398.95    BA   783504411977   2727 BABCOCK RD STE A         SAN ANTONIO        TX   78229          Y         Y           Y
PPO   EM   528593   135362470306   742625722   THOMAS W NAU MD                OTORHINOLARYNGOLOGY            1    1       $96.36   BA   699617440214   PO Box 2679                   San Antonio        TX   78299          Y         Y           Y

PPO   EM   528593 135518325620     742730328 TEXAS TRANSPLANT INSTITUTE       GENERAL ACUTE CARE HOSPITAL   1    1    $71,930.00 BA     642408055995 PO Box 405544                   Atlanta            GA   30384          Y         Y           Y

PPO   EM   528593 135829193925     741747383 HEBERTO GARZA JR MD              INTERNAL MEDICINE             2    1       $48.60 BA      818312553613 4402 Vance Jackson Rd Ste 202   San Antonio        TX   78230 5334     Y         Y           Y
                                                                              PHYSICAL MEDICINE &
PPO   EM   528593   136099024186   742770912   ELLEN I LEONARD MD             REHABILITATION                1    1         $0.00   BA   649914261852   PO BOX 224861                 DALLAS             TX   75222          Y           Y           Y
PPO   EM   528593   136210252372   741916103   DAVID B ABRAMS MD              OPHTHALMOLOGY                 7    5      $619.31    BA   702313321499   PO BOX 25943                  OKLAHOMA CITY      OK   73125          Y           Y           Y
PPO   EM   528593   136377432682   455130920   RAUL VELA III MD               DERMATOLOGY                   4    2        $41.71   BA   996017432770   7950 FLOYD CURL DR STE 909    SAN ANTONIO        TX   78229          Y           N           N
PPO   EM   528593   137282304286   261613372   SALVADOR ABRAMS MD             EMERGENCY MEDICINE            1    1     $1,092.00   BA   574607205048   33 W Higgins Rd Ste 4040      S Barrington       IL   60010          N           N           N
PPO   EM   528593   137407163064   742734272   MARK A MORAN MD MS             PAIN MEDICINE                 1    1     $1,049.00   BA   335214072660   PO BOX 2208                   SAN ANTONIO        TX   78298 2208     Y           Y           Y
PPO   EM   528593   137620250209   742915297   ALEXANDER R MILLER MD          SURGERY, GENERAL              3    1     $1,447.76   BA   741006385438   PO BOX 26168                  OKLAHOMA CITY      OK   73126 168 Y-TINONLY   Y-TINONLY   Y-TINONLY
                                                                              DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593   139391165493   741211710 HOPE MEDICAL CC                  MED SUPPLIES                  1    1      $107.22    BA   660311200803   1010 AYERS ST                         CORPUS CHRISTI   TX   78404             Y           Y           Y
PPO   EM   528593   140330200685   742995734 RAFAEL PARRA MD                  SURGERY, NEUROLOGICAL         2    1      $129.88    BA   133622075961   1303 Mccullough Ave Ste 440           San Antonio      TX   78212             Y           Y           Y
PPO   EM   528593   140349505761   741586031 RONDA L LANTZ FNP                FAMILY PRACTICE               1    1       $61.15    BA   188809505798   PO Box 528                            San Antonio      TX   78292 528         Y           Y           Y
PPO   EM   528593   140988143366   742554797 ALAINA D HALLMARK MD             FAMILY PRACTICE               3    2      $248.07    BA   912708143427   4318 Woodcock Dr Ste 120              San Antonio      TX   78228             Y           N           N
PPO   EM   528593   141123394528   264333033 JOSEPH A GARZA MD                OBSTETRICS/GYNECOLOGY         7    2      $422.94    BA   432513394610   PO Box 34537                          San Antonio      TX   78265 4537        Y           Y           Y
                                             TEXAS PARTNERS IN ACUTE CARE
PPO   EM   528593 141556260827     202313462 DBA BOERNE ACUTE CARE            EMERGENCY MEDICINE             6    4     $498.01 BA      774816304931 PO Box 951                              San Antonio      TX   78294             Y           Y             Y
PPO   EM   528593 142121124054     741833622 ARACELI SIERRA PA C              FAMILY PRACTICE                2    2     $128.91 BA      492911124149 7323 MARBACH RD STE 104                 SAN ANTONIO      TX   78227 1905        Y           Y        Y-TINONLY
PPO   EM   528593 142189501069     742959210 VINCENT G GONZABA MD             INTERNAL MEDICINE             35   14    $1,292.37 BA     968522551733 PO Box 974072                           Dallas           TX   75397             Y           Y             Y
                                                                                                                                                     7909 FREDERICKSBURG RD
PPO   EM   528593   142210395752   742719352   TIMOTHY C HLAVINKA MD          SURGERY, UROLOGICAL            5    1     $264.09    BA   886806194407 STE 110                                 San Antonio      TX   78229   3400        Y           Y           Y
PPO   EM   528593   142350114838   742445868   WILLIAM T WALTON MD            OPHTHALMOLOGY                  1    1       $39.20   BA   645522040853 12709 Toepperwein Rd Ste 206            San Antonio      TX   78233               Y           Y           N
PPO   EM   528593   143158450239   742246239   BELINDA RAMIREZ MD             GASTROENTEROLOGY               6    4     $387.37    BA   929013113857 520 E Euclid Ave                        San Antonio      TX   78212               Y           Y           Y
PPO   EM   528593   143798493218   383452013   JAIME S GARCIA MD              FAMILY PRACTICE                1    1        $0.00   BA   994207592002 PO Box 847109                           Dallas           TX   75284          Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   144235482112   208968783   ORTHOPEDIC PHYSICAL THERAPY    PHYSICAL THERAPIST             3    1     $173.29    BA   983715490145 9150 HUEBNER RD SUITE 115               SAN ANTONIO      TX   78240               Y           Y           Y
PPO   EM   528593   145009482382   752474011   AMERICAN MEDICAL RESPONSE      AMBULANCE                      3    3     $437.49    BA   835909490111 11911 Radium St                         San Antonio      TX   78216          Y-TINONLY        N      Y-TINONLY
PPO   EM   528593   145259045406   742121149   ISHAM WALKER PAULI JR MD       PEDIATRICS                     1    1       $45.74   BA   427217131733 525 Oak Center Ste 140                  San Antonio      TX   78256               Y           Y           Y
PPO   EM   528593   147120220755   743003368   PETER F HOLMES MD              ORTHOPEDIC                     4    3     $488.15    BA   264822592027 PO Box 847877                           Dallas           TX   75284               Y           Y           Y
PPO   EM   528593   148456393915   262400924   MICHAEL D KWAN MD              CARDIOVASCULAR DISEASE         1    1    $1,499.61   BA   914908451739 PO Box 2078                             San Antonio      TX   78297   2078        Y           Y           Y
PPO   EM   528593   149170252067   203211824   EFREM L CASTILLO MD            FAMILY PRACTICE                7    4     $209.87    BA   992806413314 PO BOX 90208                            SAN ANTONIO      TX   78209   9081   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   149558571752   742766712   RONALD D WONG MD               INTERNAL MEDICINE              4    2     $149.40    BA   465821354817 11765 West Ave PMB 192                  San Antonio      TX   78216               Y           Y           Y
PPO   EM   528593   149710242326   742726528   JOSE A PEREZ MD                CARDIOLOGY                     5    2     $535.05    BA   833015561521 PO Box 409222                           Atlanta          GA   30384          Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   150459513461   742959210   PATRICIA K ARIZACA DILEO MD    INTERNAL MEDICINE             15    5     $758.93    BA   570209513623 PO BOX 843816                           DALLAS           TX   75284   3816        Y           Y           Y
PPO   EM   528593   150728302121   742764739   PARKE J HEDGES MD              OBSTETRICS/GYNECOLOGY          1    1       $88.66   BA   664822472455 PO Box 40129                            San Antonio      TX   78229               Y           Y           Y
PPO   EM   528593   150818404839   742801159   JAY M RUBIN MD                 OPHTHALMOLOGY                  1    1       $80.14   BA   424721291411 999 E Basse Rd Ste 128b                 San Antonio      TX   78209               Y      Y-TINONLY        Y
PPO   EM   528593   152948402390   742989678   LAZARO H ZAGORIN MD            FAMILY PRACTICE               12    4     $612.31    BA    69521290395 7390 Barlite Blvd Ste 230               San Antonio      TX   78224               Y           Y           Y
PPO   EM   528593   153596323440   742959210   DAVID D ELLIS DO               FAMILY PRACTICE                2    1       $99.66   BA   584005382234 PO BOX 843816                           DALLAS           TX   75284   3816        Y           Y           Y
PPO   EM   528593   153738555046   742943662   JAMES EDWARD III GARRISON MD   RADIOLOGY, DIAGNOSTIC          2    2     $297.82    BA   952808494764 5282 Medical Dr Ste 500                 San Antonio      TX   78229   6046        Y           Y           Y
PPO   EM   528593   154157402060   741967809   ALFREDO A ESPINOZA MD          INTERNAL MEDICINE              8    5     $365.30    BA   823606084304 PO BOX 528                              SAN ANTONIO      TX   78292    528        Y           Y           Y
PPO   EM   528593   154253263725   742689162   KIRAN K CHERUKU MD             CARDIOVASCULAR DISEASE         2    2        $7.92   BA   578313263754 1200 BROOKLYN AVE STE 200               SAN ANTONIO      TX   78212   4829        Y           Y           Y
PPO   EM   528593   155407345372   680496454   JAY M HOELSCHER MD             INTERNAL MEDICINE              3    1     $165.83    BA   823411011098 PO BOX 830847                           SAN ANTONIO      TX   78283    847        Y           Y           Y
PPO   EM   528593   155438303710   742855042   JAVIER C BOCANEGRA MD          FAMILY PRACTICE               44   17    $3,861.31   BA   981212273679 PO Box 847109                           Dallas           TX   75284               Y      Y-TINONLY   Y-TINONLY
PPO   EM   528593   155946241054   383452013   MARICHEL LLEGO MARCOLINO MD    HOSPITALIST                    3    1     $201.30    BA   455306255371 PO BOX 92729                            LOS ANGELES      CA   90009               Y           Y           Y
PPO   EM   528593   156049173505   742779329   NAM THUY DUC NGUYEN MD         RADIOLOGY, DIAGNOSTIC          1    1     $350.11    BA   838322530984 PO Box 740968                           Dallas           TX   75374               Y      Y-TINONLY        Y
PPO   EM   528593   156308582356   742944725   JOSEPH R LUNA III MD           FAMILY PRACTICE                6    3     $261.63    BA    79721361986 8038 Wurzbach Rd Ste 120                San Antonio      TX   78229               Y           Y           Y
PPO   EM   528593   156488300560   742849908   MICHAEL F SAROSDY MD           SURGERY, UROLOGICAL            1    1       $59.85   BA   635306482438 4499 MEDICAL DR STE 218                 SAN ANTONIO      TX   78229   3712        Y           Y           N
PPO   EM   528593   156949112109   741654878   CHRISTOPHER A BOGAEV MD        SURGERY, NEUROLOGICAL          1    1        $0.08   BA   507421411654 4410 Medical Dr Ste 610                 San Antonio      TX   78229               Y           Y           Y
PPO   EM   528593   157630310491   200743330   LUIS E VELEZ MD                NEPHROLOGY                     1    1       $29.30   BA   863216593709 PO BOX 528                              SAINT LOUIS      TX   78292   528         Y      Y-TINONLY        Y
PPO   EM   528593   157758415399   742868337   GEORGE S REYNA MD              OPHTHALMOLOGY                  1    1       $69.20   BA   868412451081 1100 N Main Ave                         San Antonio      TX   78212               Y           Y           Y

PPO   EM   528593 159679281912     741109665 CHRISTUS SANTA ROSA HOSPITAL     GENERAL ACUTE CARE HOSPITAL   79   54   $98,967.15 BA     566821463333 333 N Santa Rosa Ave Fl 8               San Antonio      TX   78207             Y           Y             Y
PPO   EM   528593 159909263135     742977000 RAFATH QURAISHI MD               FAMILY PRACTICE                1    1       $38.98 BA      87013081062 PO Box 8215                             Weslaco          TX   78599 8215        Y           N             Y
PPO   EM   528593 160418300560     742805559 ALAN J MERIN MD                  NEPHROLOGY                     4    1     $145.51 BA      133722472205 PO Box 291169                           San Antonio      TX   78294             Y           Y        Y-TINONLY

PPO   EM   528593   161419013512   202600903   ELIZABETH HUGHES TICHY MD      DERMATOLOGY                   6    1      $213.31    BA   589209013551   7940 FLOYD CURL DR STE 1010           SAN ANTONIO      TX   78229 3906        Y           N           N
PPO   EM   528593   162260201345   741880422   WILLIAM E BODE MD              PROCTOLOGY                    2    1       $32.10    BA   744822582183   PO Box 1536                           San Antonio      TX   78295             Y           Y           Y
PPO   EM   528593   164637462721   741586031   JAMES H ROGERS JR MD           PEDIATRIC CARDIOLOGY          2    2      $135.37    BA   869207462765   PO BOX 528                            SAN ANTONIO      TX   78292 528         Y           Y           Y
PPO   EM   528593   164865234356   841693822   HEATHER B BRANDON MD           PEDIATRICS                    3    1       $84.63    BA   467116261897   11212 HWY 151               STE 300   SAN ANTONIO      TX   78251             Y           Y           N

PPO   EM   528593 165159452141     200869609 NIX HEALTH CARE SYSTEM           GENERAL ACUTE CARE HOSPITAL   11   8      $503.84 BA      368409455404 PO BOX 974158                           DALLAS           TX   75397          Y-TINONLY   Y-TINONLY   Y-TINONLY
                                                                              PATHOLOGY, ANATOMIC &
PPO   EM   528593   166829505290   311824513   TANNER L MATTISON MD           LABORATORY MED                 1   1      $100.54    BA   882309505341   PO Box 671002                         Dallas           TX   75267      Y-TINONLY          N           N
PPO   EM   528593   168458285636   741557984   JOSE F CAVAZOS MD              FAMILY PRACTICE                3   3      $151.05    BA   600621235782   1303 Mccullough Ave Ste 533           San Antonio      TX   78212           Y             Y           Y
PPO   EM   528593   168788003017   742719352   PATRICIA P CECCONI MD          SURGERY, UROLOGICAL            2   1        $97.95   BA   635308003043   7909 Fredricksburg Rd Ste 110         San Antonio      TX   78229           Y             Y           Y
PPO   EM   528593   169128495292   742782325   DAVID J FRIEDMAN MD            HEMATOLOGY & ONCOLOGY         23   2    $33,291.76   BA   700422493756   PO Box 730065                         Dallas           TX   75373           Y             Y           Y
PPO   EM   528593   169183141468   741586031   DARYL R MOCZYGEMBA             PEDIATRICS                     7   1      $254.01    BA   478613141518   PO Box 2078                           San Antonio      TX   78297 2078      Y             Y           Y
                                                                                DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593   169565382739   742983932   CHAMPS MEDICAL                   MED SUPPLIES                  1    1      $166.04    BA   705915321290   LOCKBOX 1267                 SAN ANTONIO   TX   78295      Y-TINONLY       Y-TINONLY   Y-TINONLY
PPO   EM   528593   170480293408   262400924   LUKE Y SHEN MD                   SURGERY, GENERAL              1    1     $1,908.55   BA   951310293443   PO BOX 102398 68 ANNEX       ATLANTA       GA   30368 2398 Y-TINONLY       Y-TINONLY   Y-TINONLY
PPO   EM   528593   171099240192   753000626   IVAN G CASTILLO SALAZAR MD       OPHTHALMOLOGY                 1    1      $118.02    BA   673506163170   1100 N MAIN AVE              SAN ANTONIO   TX   78212 4701      Y               N           N
PPO   EM   528593   171600212212   202148889   JOHN H CHOE MD                   FAMILY PRACTICE               1    1        $41.40   BA   638310212283   PO BOX 100026                San Antonio   TX   78201 1326      Y          Y-TINONLY        Y
PPO   EM   528593   172109310987   205053918   INSTANT DIAGNOSTIC SYSTEM        CLINICAL MEDICAL LABORATORY   1    1         $0.00   BA   854112244566   1740 4TH AVE SE STE A        DECATUR       AL   35601           N               N           N
PPO   EM   528593   172408350309   741602529   LOUIS D HOLST MD                 FAMILY PRACTICE               1    1        $71.55   BA   393021264408   7405 Broadway ST Ste 103     San Antonio   TX   78209           Y               Y           N
                                               RYKE REHABILITATION LIMITED      PHYSICAL MEDICINE &                                                      3875 E SOUTHCROSS BLVD
PPO   EM   528593   172656010066   201772872   PARTNERSHIP                      REHABILITATION                 5   1        $26.40   BA   702913443882   STE B                        SAN ANTONIO   TX   78222             Y             Y           Y
PPO   EM   528593   172847461378   741586031   JOHN C BROWNING SR MD            DERMATOLOGY                    3   2        $46.46   BA   743507461562   PO BOX 528                   SAN ANTONIO   TX   78292    528      Y             Y           Y
PPO   EM   528593   173561403391   752566987   COURTNEY K BARTON MD             FAMILY PRACTICE                1   1      $118.17    BA   661013085561   3323 COLORADO BLVD STE B     DENTON        TX   76210   6867      Y        Y-TINONLY        Y
PPO   EM   528593   173863400812   205448551   FRANCISCO ARREDONDO MD           OBSTETRICS/GYNECOLOGY          2   1      $142.03    BA   979309273405   19296 STONE OAK PKWY         SAN ANTONIO   TX   78258   3222      Y             Y           Y
PPO   EM   528593   174048273041   861147141   SARA L MARCINISZYN MD            SURGERY, COLON & RECTAL        1   1         $0.00   BA   792708142332   PO BOX 596                   SAN ANTONIO   TX   78292    596      Y             Y           N
PPO   EM   528593   174170255010   742938437   ANA I RODRIGUEZ MD               INTERNAL MEDICINE              7   5      $666.18    BA   704023020278   PO Box 2448                  San Antonio   TX   78298             Y             Y           Y
PPO   EM   528593   174218295400   743006774   ROBERT F YERRINGTON MD           FAMILY PRACTICE               20   4     $2,424.83   BA   942113334860   PO BOX 1848                  SAN ANTONIO   TX   78297   1848      Y             Y           Y
PPO   EM   528593   174364254461   742796322   PATRICIA L GOMEZ DINGER MD       ALLERGY & IMMUNOLOGY           1   1      $273.74    BA   874814265440   PO Box 92729                 Los Angeles   CA   90009   2729      Y             Y      Y-TINONLY
PPO   EM   528593   174959223075   261613372   TRI D DANG DO                    INTERNAL MEDICINE              2   2     $1,464.00   BA   994909223117   7430 BARLITE BLVD STE 103    SAN ANTONIO   TX   78224   1366      N             N           N
PPO   EM   528593   175684522047   820587015   VICTOR M MARTINEZ SORIA MD       HOSPITALIST                    4   1      $777.34    BA   607015090201   409 SW MILITARY DR           SAN ANTONIO   TX   78221             Y             Y           Y
                                               AMERIPATH SAN ANTONIO 5 01 A
PPO   EM   528593 176544594196     742886173   CORPORATION                      PATHOLOGY                      1   1        $23.80 BA     773312322048 PO Box 844859                  Dallas        TX   75284             Y           Y           Y
PPO   EM   528593 176840244597     742782325   JESSE E MEDELLIN MD              HEMATOLOGY & ONCOLOGY         44   5    $16,876.65 BA     713417100950 PO Box 911234                  Dallas        TX   75391 1234        Y           Y           Y

PPO   EM   528593 177014333153     202321513 COMPLETECARE HOME HEALTH LLC       HOME HEALTH AGENCY            3    1        $0.00 BA      888308591441 1112 BLANCO RD                 SAN ANTONIO   TX   78212 3244        Y           Y           Y

PPO   EM   528593   177425351288   743007129   SOUTH TEXAS ANCILLARY SERVICES   URGENT CARE CLINIC/CENTER     38   35    $1,651.33   BA   115215351405   PO BOX 843816                DALLAS        TX   75284 3816        Y           Y           Y
PPO   EM   528593   178058304831   113676182   STEVEN P SNIDER DPM              PRIMARY PODIATRIC MEDICINE     1    1       $65.02   BA   959012331511   PO Box 1277                  San Antonio   TX   78295 1277        Y           Y           Y
PPO   EM   528593   178581450083   202107202   ALEJANDRO G GARCIA II MD         FAMILY PRACTICE                7    4     $293.07    BA   920114104186   4315 Moonlight Way Ste 102   San Antonio   TX   78230 1690        Y           Y           N
PPO   EM   528593   178888472821   742336851   HOWARD H GALARNEAU JR DO         FAMILY PRACTICE                9    4     $234.29    BA   718421315665   929 Manor Dr Ste 5           San Antonio   TX   78228             Y           Y           N
                                                                                                                                                         7909 FREDERICKSBURG RD
PPO   EM   528593   180963533327   742719352   ARTHUR S CENTENO MD              SURGERY, UROLOGICAL            8    3     $952.87    BA   968406193871   STE 110                      San Antonio   TX   78229 3400        Y             Y           Y
PPO   EM   528593   181229455951   742938437   MANUEL J RODRIGUEZ MD            INTERNAL MEDICINE             12    7    $1,791.60   BA    14822543344   PO Box 2448                  San Antonio   TX   78298             Y             Y           Y
PPO   EM   528593   182036062151   741833622   BETTY J RAMOS PA C               FAMILY PRACTICE               26   17    $1,595.74   BA   270816062250   7323 MARBACH RD STE 104      SAN ANTONIO   TX   78227 1905        Y             Y      Y-TINONLY
PPO   EM   528593   182057494797   741586031   AMANDA B LOQUIAS MSN             REGISTERED NURSE               1    1        $4.72   BA   770917473069   PO Box 528                   San Antonio   TX   78292 528         Y             Y           Y
PPO   EM   528593   185510033939   742385676   LINDA R ELLSWORTH MD             OBSTETRICS/GYNECOLOGY          3    2     $127.44    BA   756622030082   4499 Medical Dr Ste 380      San Antonio   TX   78229             Y             N           Y
PPO   EM   528593   186109141534   202148889   NORA O GARZA MD                  FAMILY PRACTICE                3    1       $27.69   BA   703216071944   PO BOX 100026                San Antonio   TX   78201 1326        Y        Y-TINONLY        Y
                                                                                                                                                         4511 HORIZON HILL BLVD STE
PPO   EM   528593   186834015704   562613565   PENDLETON B WICKERSHAM MD        RHEUMATOLOGY                   1    1     $395.60    BA   984013074114   150                          SAN ANTONIO   TX   78229   2449        Y         Y           Y
PPO   EM   528593   187340593592   850213470   REGINA A VALENCIA MD             RADIOLOGY, DIAGNOSTIC          1    1       $29.00   BA   713003524199   PO Box 22310                 Santa Fe      NM   87502          Y-TINONLY      N           N
PPO   EM   528593   187609112264   468277737   KHUSRO RASHID MD                 INTERNAL MEDICINE              1    1        $0.00   BA     8822541825   PO Box 327                   Big Wells     TX   78830               Y         Y           Y
PPO   EM   528593   188189185656   742146518   JACOB J VADAKEKALAM MD           ENDOCRINOLOGY                 17    6    $1,546.23   BA   983706355739   5107 MEDICAL DR              SAN ANTONIO   TX   78229   4801        Y         Y           Y
PPO   EM   528593   189919091195   742506786   JOHN D WORRELL MD                FAMILY PRACTICE                1    1       $18.93   BA   963421401925   5201 N 10th St               McAllen       TX   78504               Y         N           Y
PPO   EM   528593   189928504857   742898674   JORGE C ZAMORA QUESADA MD        RHEUMATOLOGY                   3    1     $588.33    BA   848209245415   2601 CORNERSTONE BLVD        EDINBURG      TX   78539   8479        Y         Y           Y
PPO   EM   528593   190027313327   383452013   RAJASEKHAR BORRA MD              INTERNAL MEDICINE              3    2        $0.00   BA   345817321721   PO Box 92729                 Los Angeles   CA   90009   2729        Y         Y           Y
PPO   EM   528593   190034331156   264556307   OSCAR CANO MD                    RADIOLOGY, DIAGNOSTIC          7    7     $230.00    BA   108214353794   PO BOX 957389                DULUTH        GA   30095               N         N           N
PPO   EM   528593   190067515945   742712486   TEJAS ANESTHESIA PA              ANESTHESIOLOGY                31   26   $17,696.97   BA   988407112082   PO BOX 34717                 San Antonio   TX   78265   4717        Y         Y           Y
PPO   EM   528593   191729250363   742922865   CARLOS R PORTER MD               FAMILY PRACTICE                6    2     $414.50    BA   935207283547   5282 MEDICAL DR STE 250      SAN ANTONIO   CA   78229   6039        Y         Y           N
PPO   EM   528593   192666391816   263027650   BRAD A DEYKIN MD                 EMERGENCY MEDICINE             1    1     $124.02    BA   510306391841   PO BOX 47044                 SAN ANTONIO   TX   78265   7044        Y         Y           Y
PPO   EM   528593   193479172031    10624198   JORGE L MALDONADO MD             PSYCHIATRY                     1    1     $115.00    BA   708019182072   4242 Medical Dr Ste 6300     San Antonio   TX   78229   5372        Y         Y           Y
PPO   EM   528593   193481545865   742779329   OSCAR R SALTER MD                ANESTHESIOLOGY                 1    1     $506.41    BA   848711545888   PO BOX 528                   SAN ANTONIO   TX   78292    528        Y         Y           Y
PPO   EM   528593   194350292814   742312850   MICHELE A CERNY LEECOCK MD       OBSTETRICS/GYNECOLOGY          8    1     $311.94    BA   936710292870   7950 FLOYD CURL DR STE 300   SAN ANTONIO   TX   78229               Y         Y           Y
PPO   EM   528593   195738310082   742242408   HORACIO R RAMIREZ MD             FAMILY PRACTICE                4    2     $379.56    BA   705821244304   9179 Grissom Rd Ste 101      San Antonio   TX   78251               Y         N           Y
PPO   EM   528593   197553513758   161736034   PLAZA ANESTHESIA GROUP           ANESTHESIOLOGY                 1    1     $262.80    BA   955315291625   PO BOX 2408                  SAN ANTONIO   TX   78298               N         N           N

                                               THEDA OAKS GASTROENTEROLOGY
PPO   EM   528593   197638391720    20594510   & ENDOSCOPY CENTER LTD           SURGERY, GENERAL              5    3     $2,217.19   BA   922208410813   19226 STONE HUE STE 103      SAN ANTONIO   TX   78258             Y           Y           Y
PPO   EM   528593   197938300162   203573385   JOYCELYN M THEARD MD             GASTROENTEROLOGY              2    2        $58.60   BA   729512523665   3338 OAKWELL CT STE 205      SAN ANTONIO   TX   78218             Y           Y           Y
PPO   EM   528593   198618334220   742111492   ROY J ELIZONDO JR MD             OBSTETRICS/GYNECOLOGY         2    2      $153.27    BA   335321255575   4499 Medical Dr Ste 355      San Antonio   TX   78229             Y           Y           Y
PPO   EM   528593   199098291560   741832605   DANIEL RODRIGUEZ MD              FAMILY PRACTICE               3    2      $125.31    BA   793021235964   8038 Wurzbach Rd Ste 510     San Antonio   TX   78229             Y           Y           Y
PPO   EM   528593   199751480925   300028914   EDDIE A GARCIA MD              ORTHOPEDIC                      1     1       $96.36   BA   974511480964   7950 Floyd Curl Dr Ste 709   San Antonio    TX   78229 3924     Y            Y           Y
PPO   EM   528593   101288292251   741965088   STUART A TERRY MD              OPHTHALMOLOGY                   2     1     $281.04    BA   506021240137   1100 N Main Ave              San Antonio    TX   78212          Y       Y-TINONLY   Y-TINONLY
PPO   EM   528593   103570175966   742959210   ZEBA GILL MD                   INTERNAL MEDICINE              10     6     $510.15    BA   477106071933   PO Box 843816                Dallas         TX   75284          Y            Y           Y
PPO   EM   528593   105678433256   363632588   JOSHUA B STOLOW MD             RHEUMATOLOGY                    8     2    $1,045.58   BA   716221302596   8527 Village Dr Ste 103      San Antonio    TX   78217          Y            Y           Y
PPO   EM   528593   106309264120   382084239   QUEST DIAGNOSTICS              CLINICAL MEDICAL LABORATORY   625   351   $25,684.04   BA    51314180217   PO BOX 41691                 PHILADELPHIA   PA   19101          Y            Y           Y

PPO   EM   528593    10654324540   742225672 METROPLEX ADVENTIST HOSPITAL     GENERAL ACUTE CARE HOSPITAL    1     1     $2,486.65 BA     945710204635 PO BOX 951557                  Dallas         TX   75395 1563     Y          Y           Y
                                                                              DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593    10654328842   742579862 PREMIER SPECIALTIES INC          MED SUPPLIES                   3     3      $382.65 BA      898409560135 8800 SHOAL CREEK BLVD          AUSTIN         TX   78757          Y          Y           Y
                                             GREATER SAN ANTONIO
PPO   EM   528593    10654345738   742938811 EMERGENCY PHYSICIANS PA          EMERGENCY MEDICINE            54    48    $11,036.68 BA     884107535418 PO BOX 1221                    SAN ANTONIO    TX   78294 1221     Y          Y           Y
PPO   EM   528593    10654348516   742959210 RAUL SANTOSCOY DO                FAMILY PRACTICE               40    21     $1,958.73 BA     919412190059 PO Box 843816                  Dallas         TX   75284 3816     Y          Y           Y
PPO   EM   528593    10659948768   742083988 LISA O CABRERA MD                NEPHROLOGY                     2     1      $136.02 BA      640617361412 PO Box 291109                  San Antonio    TX   78229          Y          Y           Y

PPO   EM   528593    10659948935   741603120 UVALDE MEMORIAL HOSPITAL         GENERAL ACUTE CARE HOSPITAL    1     1     $2,063.63 BA     139508082296 1025 Garner Field Rd           Uvalde         TX   78801 4809     Y          N           Y
                                             SOUTH TEXAS REGIONAL MEDICAL
PPO   EM   528593    10659948974   743011840 CENTER                           GENERAL ACUTE CARE HOSPITAL    2     2    $10,123.21 BA     966211433199 PO BOX 847974                  DALLAS         TX   75284          Y          Y           Y

PPO   EM   528593 10659950043      300126353   MEDINA REGIONAL HOSPITAL       GENERAL ACUTE CARE HOSPITAL    1     1         $0.00   BA   211816123339 3100 AVE E                     HONDO          TX   78861          Y          Y           Y
PPO   EM   528593 10659950883       10624198   MICHAEL G CASTILLO PH D        PSYCHOLOGIST                   5     1      $155.00    BA   947017061503 4242 Medical Dr Bldg 6         San Antonio    TX   78229          Y          Y           Y
PPO   EM   528593 10659953077      742842145   DAVID J ALTMAN MD              NEUROLOGY                      1     1      $220.54    BA   656613385467 14607 San Pedro Ste 220        San Antonio    TX   78232   4356   Y          Y           Y
PPO   EM   528593 10659953370      264333033   VINCENZO SABELLA MD            OBSTETRICS/GYNECOLOGY          4     2     $2,348.40   BA   846309423357 1210 ARION PKWY                SAN ANTONIO    TX   78216   2880   Y          Y           Y
PPO   EM   528593 10659956039      266868829   SUSAN M BERRY MD               OPHTHALMOLOGY                  2     1      $169.62    BA   709408552076 11601 TOEPPERWEIN RD           LIVE OAK       TX   78233   3147   Y          Y           Y
PPO   EM   528593 10659962135      742121149   FREDERICK T RHAME MD           PEDIATRICS                     6     3      $771.10    BA   592214111194 8606 Village Dr Ste A          San Antonio    TX   78217          Y          Y           Y
PPO   EM   528593 10659965606      330685751   BERKELEY HEARTLAB              CLINICAL MEDICAL LABORATORY    3     1      $489.92    BA   730507030267 839 Mitten Rd                  Burlingame     CA   94010          Y          N           N
PPO   EM   528593 107598503153     742715858   RITA E CUEVAS MD               RHEUMATOLOGY                  11     5      $643.43    BA   692513530268 215 E Quincy Ste 417           San Antonio    TX   78215          Y          Y           Y
PPO   EM   528593 107808363250     742782325   JOSEPH DEAN MCCRACKEN MD       HEMATOLOGY & ONCOLOGY          4     2        $43.58   BA   948522444795 PO Box 730065                  Dallas         TX   75373          Y          Y           Y
PPO   EM   528593 108094380755     760714523   VHS SAN ANTONIO PARTNERS LTD   RADIOLOGY, DIAGNOSTIC         23    17      $175.00    BA   233014391069 PO Box 848333                  Dallas         TX   75284   8333   Y          Y           Y
                                                                                                                                                       10 MEDICAL PKWY PLAZA 3
PPO   EM   528593 108766343181     742981597 WILLIAM J RYAN MD                PULMONARY DISEASE              5     1      $372.58 BA      477816343240 STE 301                        DALLAS         TX   75234 7846      Y         Y        Y-TINONLY
PPO   EM   528593 110834355530     742866987 ROMAN SITEK MD                   PEDIATRICS                     4     3        $0.00 BA      267414355591 PO Box 120427                  San Antonio    TX   78212      Y-TINONLY      N             N

PPO   EM   528593 113514225667     742112082 SOUTH TEXAS HCS                  GENERAL ACUTE CARE HOSPITAL    3     1      $382.13 BA       93818491967 PO BOX 400050 STVHCS ALMD      SAN ANTONIO    TX   78229          Y          Y           Y
                                             MARY MARGARET CALEY BRUCE
PPO   EM   528593 113998324613     261763151 LPC MA                           MENTAL HEALTH COUNSELOR        2     1       $35.00 BA      472708324790 3903 WISEMAN BLVD STE 204      SAN ANTONIO    TX   78251 4417     Y          Y           Y
PPO   EM   528593 114325204848     742932237 RACHEL Y RUSINKO MD              ENDOCRINOLOGY                  1     1        $0.00 BA       98715204911 PO Box 528                     San Antonio    TX   78292 528      Y          Y           Y
                                                                              DURABLE MEDICAL EQUIPMENT &                                              21195 W INTERSTATE 10 STE
PPO   EM   528593   114898383240   742260643   MED MART                       MED SUPPLIES                   8     3      $577.08    BA   849213065526 1101                           SAN ANTONIO    TX   78257      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   116290071547   203109371   STEP EMERGENCY PHYSICIAN       EMERGENCY MEDICINE             1     1      $769.00    BA   729810080609 PO Box 8348                    Philadelphia   PA   19101           N           N           N
PPO   EM   528593   117278482707   742222891   EDUARDO ATKINSON MD            FAMILY PRACTICE                1     1       $59.00    BA    30821322728 351 N Sam Houston Blvd         San Benito     TX   78586           Y      Y-TINONLY        Y
PPO   EM   528593   117690080719   262400924   FRANCIS H WRIGHT JR MD         SURGERY, GENERAL               3     1      $181.98    BA   575511292220 PO Box 2078                    San Antonio    TX   78297 2078      Y           Y           Y
PPO   EM   528593   118131145793   261613372   JIMMY L COOPER MD              EMERGENCY MEDICINE             1     1      $490.00    BA    63621153554 PO BOX 98608                   LAS VEGAS      NV   89193           N           N           N
PPO   EM   528593   118380221065   202148889   MANUEL M QUINONES MD           FAMILY PRACTICE                7     2      $191.60    BA   810517085074 PO Box 681568                  San Antonio    TX   78268 1568      Y      Y-TINONLY        Y
PPO   EM   528593   119099241176   742779329   ABELARDO G GONZALEZ MD         ANESTHESIOLOGY                 1     1      $315.07    BA   808316391122 PO Box 34717                   San Antonio    TX   78265           Y           Y           Y
                                                                                                                                                       7711 LOUIS PASTEUR DR STE
PPO   EM   528593 119489232603     742992560 KAREN H FEINSTEIN MD             OBSTETRICS/GYNECOLOGY          1     1       $65.86 BA      708408414169 105                            San Antonio    TX   78229          Y          Y           Y
PPO   EM   528593 120330244058     742974353 ROBERT G NOBLES III MD           INTERNAL MEDICINE              1     1       $73.79 BA       75115214327 PO BOX 690547                  SAN ANTONIO    TX   78249          Y          Y           Y
PPO   EM   528593 120588305664     264333033 LUIS L CASTELLANOS MD            OBSTETRICS/GYNECOLOGY          2     2      $220.00 BA      959906461289 1210 ARION PKWY                SAN ANTONIO    TX   78216 2880     Y          Y           Y
                                             MEDICAL DIAGNOSTIC
PPO   EM   528593 120612041360     223510467 LABORATORIES                     CLINICAL MEDICAL LABORATORY    4     3      $390.76 BA      480112083557 133 Gaither Dr Suite C         Mount Laurel   NJ    8054          Y          Y           Y
PPO   EM   528593 120841162038     742955569 MELINDA B MCFARLAND MD           MATERNAL & FETAL MEDICINE      3     1      $763.52 BA      539104580797 525 Oak Centre Dr Ste 340      San Antonio    TX   78258          Y          Y           Y
                                             SOUTH TEXAS PATHOLOGY
PPO   EM   528593   121025092927   742922218 ASSOCIATES                       PATHOLOGY                     175   51    $11,681.37   BA   993814075272   PO BOX 681149                San Antonio    TX   78268 1149     Y          Y           Y
PPO   EM   528593   121419023856   742989234 JAIME O CRUZ MD                  ENDOCRINOLOGY                  10    8      $540.17    BA   378122525684   PO Box 855                   San Antonio    TX   78293          Y          Y           Y
PPO   EM   528593   122110020669   742338593 BAILEY PEYTON DELANEY MD         NEUROLOGY                       1    1      $163.41    BA   323222021961   4499 Medical Dr Ste 122      San Antonio    TX   78229          Y          N           Y
PPO   EM   528593   122339320080   113676182 ARUSH K ANGIRASA DPM             PRIMARY PODIATRIC MEDICINE      3    2        $49.14   BA   394709320141   PO Box 1277                  San Antonio    TX   78295 1277     Y          Y           Y
PPO   EM   528593   122664415120   264333033 ROBIN L WOMACK MD                OBSTETRICS/GYNECOLOGY           1    1        $57.31   BA   892607401486   PO Box 34537                 San Antonio    TX   78265 4537     Y          Y           Y
PPO   EM   528593   123110213715   742929477 ROBERT E SCHORLEMER MD           OBSTETRICS/GYNECOLOGY           1    1        $30.71   BA   206122142193   4499 Medical Dr Ste 119      San Antonio    TX   78229          Y          Y           Y
PPO   EM   528593 124574213239     202148889 GABRIEL ORTIZ MD                  FAMILY PRACTICE                1    1     $29.30 BA      716414525191 PO Box 847109                  Dallas        TX   75284          Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593 124869094538     550832571 AAMIR S MALIK MD                  PULMONARY DISEASE              4    1    $378.20 BA      455921403702 730 N Main Ste 409             San Antonio   TX   78205               Y           Y           Y
                                                                               NURSE ANESTHETIST, CERTIFIED
PPO   EM   528593 125486284167     680528956 GILBERT W WOLFE CRNA              REGISTERED                     1    1    $302.40 BA      948113015165 PO BOX 331594                  CRP CHRISTI   TX   78463 1594        Y             Y         Y
PPO   EM   528593 125966385872     742143569 JEFFREY H COHEN MD                OPHTHALMOLOGY                  1    1     $69.20 BA      668009502677 9157 HUEBNER RD                SAN ANTONIO   TX   78240 1502        Y        Y-TINONLY      Y
                                                                               PHYSICAL MEDICINE &
PPO   EM   528593   126739434796   742770912   ALEX C WILLINGHAM MD            REHABILITATION                 2    1      $0.00    BA   298621535101   2833 Babcock Rd Ste 315      San Antonio   TX   78229             Y           Y           Y
PPO   EM   528593   130260201459   743003947   GERALD Q GREENFIELD JR MD       ORTHOPEDIC                     3    1    $648.19    BA   501022582265   PO Box 2516                  San Antonio   TX   78299             Y           Y           Y
PPO   EM   528593   131540105772   742938437   JOSEPH WYSOKI DO                FAMILY PRACTICE                3    3    $123.30    BA   188223001973   PO Box 2448                  San Antonio   TX   78298             Y           Y           Y
PPO   EM   528593   132008345820   741996652   GORDON T HILL JR MD             FAMILY PRACTICE                2    2    $220.47    BA   744213560147   3338 OAKWELL CT STE 107      SAN ANTONIO   TX   78218 3087        Y           Y           Y
PPO   EM   528593   132781541658   742653603   MICHELLE M PRINCE MD            ORTHOPEDIC                     1    1    $718.00    BA   584611541753   1410 North IH 35 Ste 300     Austin        TX   78701 1948        Y           Y           Y
                                                                                                                                                       1303 MCCULLOUGH AVE STE
PPO   EM   528593   132848295107   742748295 HAROLD G FELTER MD                CARDIOVASCULAR DISEASE          1   1      $56.01   BA   825406040933   300                          SAN ANTONIO   TX   78212   5605      Y           Y           Y
PPO   EM   528593   133000325775   742803685 JEFF D ETHRIDGE MD                FAMILY PRACTICE                 4   3    $227.73    BA   786710334353   13722 Embassy Row            San Antonio   TX   78216             Y           Y           Y
PPO   EM   528593   133290215165   742246239 RICHARD L OTERO MD                GASTROENTEROLOGY                2   1    $306.92    BA   845214552572   PO BOX 840390                DALLAS        TX   75284   390       Y           Y           Y
PPO   EM   528593   133990521601   264556307 RICHARD J FRACHTMAN MD            RADIOLOGY, DIAGNOSTIC           3   3    $611.90    BA   291812022102   Po Box 957389                Duluth        GA   30095             N           N           N
PPO   EM   528593   134139221043   742312850 LAURA ANN DE LOS SANTOS MD        OBSTETRICS/GYNECOLOGY          14   4   $2,759.83   BA   902016551849   7950 Floyd Curl Dr Ste 300   San Antonio   TX   78229   3916      Y           Y           Y
PPO   EM   528593   134178314410   742752180 HECTOR D ALLENDE MD               GASTROENTEROLOGY                3   1    $101.01    BA   137322441685   PO Box 17650                 San Antonio   TX   78217             Y           Y           Y
PPO   EM   528593   134928522084   741654878 DONALD PAUL ATKINS MD             SURGERY, NEUROLOGICAL           4   2    $180.73    BA   398408522149   PO Box 528                   San Antonio   TX   78292    528      Y           Y           Y
PPO   EM   528593   135727435572   742312850 VANAJA R KETHIREDDY MD            OBSTETRICS/GYNECOLOGY           1   1      $55.61   BA   544007435651   7950 Floyd Curl Dr Ste 300   San Antonio   TX   78229   3916      Y           Y           Y
PPO   EM   528593   136118310152   742608033 LEWIS M PURNELL MD                PEDIATRICS                      1   1      $24.30   BA   117421245419   5282 Medical Dr Ste 310      San Antonio   TX   78229             Y           Y           Y
PPO   EM   528593   136264441632   770620165 DONALD DILWORTH MD                EMERGENCY MEDICINE              1   1       $0.00   BA    82214441730   8715 VILLAGE DR STE 608      SAN ANTONIO   TX   78217             Y           Y           Y
PPO   EM   528593   136724253659   270743639 IMPACT URGENT CARE                CRITICAL CARE MEDICINE          1   1      $60.05   BA    89614253733   PO BOX 1716                  SAN ANTONIO   TX   78296   1716      Y           Y           Y
PPO   EM   528593   136778302637   900088197 TEOFILO R SANCHEZ III MD          FAMILY PRACTICE                 4   3    $193.54    BA   509506254971   4002 TECHNOLOGY CTR          LONGVIEW      TX   75605   2697      Y           Y           Y
PPO   EM   528593   137480423548   263013517 CONCEPCION MARTINEZ MD            OBSTETRICS/GYNECOLOGY           2   1    $106.51    BA   533910423572   PO BOX 2966                  SAN ANTONIO   TX   78299             Y           Y           Y
                                             CHRISTUS SANTA ROSA HOSPITAL
PPO   EM   528593 137607045905     741109665 WESTOVER HILLS                    GENERAL ACUTE CARE HOSPITAL    2    2   $1,146.00 BA      88707045946 PO BOX 290                     SAN ANTONIO   TX   78291   290       Y           Y           Y
                                                                               SURGERY, HAND: ORTHOPEDIC
PPO   EM   528593 138326495468     742718567 MICHAEL L JONES MD                SURGERY                        2    2     $79.70 BA      243216512320 8550 Data Point Dr Ste 110     San Antonio   TX   78229             Y           Y             Y
PPO   EM   528593 138428313810     742962976 RICHARD C ADAM DPM                PRIMARY PODIATRIC MEDICINE     6    4     $75.80 BA      869321250346 2829 Babcock Rd Ste 115        San Antonio   TX   78229             Y           Y        Y-TINONLY
                                                                                                                                                     150 E SONTERRA BLVD STE
PPO   EM   528593 138885532203     201972784 DEAN A EARP MD                    FAMILY PRACTICE                 2   1    $173.72 BA      892912090685 220                            SAN ANTONIO   TX   78258 4098        Y           Y           N
PPO   EM   528593 139782405086     542093566 LANCE E JACKSON MD                OTORHINOLARYNGOLOGY            11   4   $2,217.25 BA     924306042851 1961 Floyd ST Ste A            Sarasota      FL   34239             Y           Y           Y
                                                                               SLEEP DISORDER DIAGNOSTIC
PPO   EM   528593 141929210006     742691598 SAN ANTONIO SLEEP CENTER          CLINIC/CENTER                  1    1    $526.70 BA      988622311017 PO BOX 29833                   SAN ANTONIO   TX   78229             Y           Y           Y
                                             BAYLOR REGIONAL MEDICAL
PPO   EM   528593   142388465512   820551704 CENTER AT PLANO                   GENERAL ACUTE CARE HOSPITAL    1    1    $199.50    BA   909608475731   PO BOX 849829                DALLAS        TX   75284             Y           N             Y
PPO   EM   528593   142600244157   731644560 LUIS F BIELER MD                  INTERNAL MEDICINE              8    1    $206.54    BA    66711225527   PO BOX 240698                SAN ANTONIO   TX   78224    698      Y           Y             Y
PPO   EM   528593   142649100762   264333033 MARK E THOMPSON MD                OBSTETRICS/GYNECOLOGY          1    1      $87.31   BA   785322540775   PO Box 34537                 San Antonio   TX   78265   4537      Y           Y             Y
PPO   EM   528593   143230053719   742779329 DAVID C LEW MD                    ANESTHESIOLOGY                 1    1   $1,531.74   BA   975416301712   PO Box 34717                 San Antonio   TX   78265             Y           Y             Y
PPO   EM   528593   143428385690   742317397 CLAY R SKINNER MD                 MULTI-SPECIALTY                1    1       $0.00   BA   324921284836   124 Dallas St                San Antonio   TX   78205             Y           Y        Y-TINONLY
PPO   EM   528593   143439383909   264333033 ADRIENNE W ASKEW MD               OBSTETRICS/GYNECOLOGY          2    1      $86.20   BA   370509383953   PO BOX 1976                  SAN ANTONIO   TX   78297   1976      Y           Y             Y
PPO   EM   528593   145728555797   800220475 CHAD R CHRISTOPHERSON MD          CARDIOVASCULAR DISEASE         3    1    $519.03    BA   881808555880   343 W HOUSTON ST STE 1005    SAN ANTONIO   TX   78205   2269      Y           Y             Y
PPO   EM   528593   145798435218   264333033 VICTOR L CASIANO MD               OBSTETRICS/GYNECOLOGY          2    1    $157.26    BA   851309425774   1210 ARION PKWY              SAN ANTONIO   TX   78216   2880      Y           Y             Y
PPO   EM   528593   145842083213   742932237 STACIE L JOHNSON MD               ENDOCRINOLOGY                  5    1    $273.84    BA   548906532741   PO Box 528                   San Antonio   TX   78292    528      Y           Y             Y
PPO   EM   528593   147605230343   742782325 YUHOE G DICE MD                   HEMATOLOGY & ONCOLOGY          2    2    $132.52    BA   861615275866   PO Box 911234                Dallas        TX   75391             Y           Y             Y
                                             EMERGENCY PHYSICIANS CENTRAL
PPO   EM   528593 147708334978     364610201 TX                                EMERGENCY MEDICINE             1    1    $475.51 BA       36918343389 PO BOX 2283                    MANSFIELD     TX   76063             Y           Y           Y
PPO   EM   528593 148030112300     383805238 JAMES M BROMLEY MD                FAMILY PRACTICE                1    1    $107.68 BA      840310112357 PO Box 240098                  San Antonio   TX   78224             Y           N           Y
                                                                                                                                                     7711 LOUIS PASTEUR DR STE
PPO   EM   528593 148303255968     742796322 ROBERTO RODRIGUEZ MD              ALLERGY & IMMUNOLOGY           7    3   $1,246.84 BA     712813280027 901                            San Antonio   TX   78229 3424        Y           Y        Y-TINONLY

PPO   EM   528593   149750190145   810561015   AMERIPATH SEVERANCE 5.01 CORP   CLINICAL MEDICAL LABORATORY    1    1     $37.40    BA   916122411966   PO BOX 1794                  SAN ANTONIO   TX   78296             Y             Y         Y
PPO   EM   528593   151267410991   742782325   GREGORY J GUZLEY MD             INTERNAL MEDICINE              1    1     $65.21    BA   460215402587   PO Box 911234                Dallas        TX   75391 1234        Y             Y         Y
PPO   EM   528593   151448543597   742784188   JEAN A BLUESTEIN MD             DERMATOLOGY                    1    1     $85.47    BA   730021345653   7950 Floyd Curl Ste 1009     San Antonio   TX   78229             Y             Y         Y
PPO   EM   528593   151538300781   742246239   STEVEN R RAMOS MD               GASTROENTEROLOGY               4    2     $95.66    BA    94712380200   520 E EUCLID AVE             SAN ANTONIO   TX   78212 4414        Y             Y         Y
PPO   EM   528593   153454450938   742512943   STEVEN A DAVIS MD               DERMATOLOGY                    7    4     $55.37    BA   826617004015   Po Box 1072                  San Antonio   TX   78294             Y        Y-TINONLY      N
PPO   EM   528593   154322542894   742430251   DAVID W PERSON MD               SURGERY, GENERAL               5    2    $158.05    BA   728709403908   21 SPURS LN STE 310          SAN ANTONIO   TX   78240             Y             Y         Y
PPO   EM   528593   154500260054   743003947   RONALD W CONNOR MD              ORTHOPEDIC                      12     4     $2,404.53   BA   657923042797 PO Box 2516                    San Antonio     TX   78299           Y             Y         Y
PPO   EM   528593   154792372487   742121149   ELIZABETH B HAGEE MD            PEDIATRICS                       7     2     $1,168.78   BA   942512372557 PO Box 528                     San Antonio     TX   78292 528       Y             Y         Y
PPO   EM   528593   154901200724   741586031   CARLOS A ROSENDE MD             OPHTHALMOLOGY                    2     1      $101.07    BA   923807404369 PO BOX 528                     SAN ANTONIO     TX   78292 528       Y        Y-TINONLY      Y
PPO   EM   528593   155551162104   383452013   LINO P RAMOS MD                 HOSPITALIST                      2     2         $0.00   BA   716117293158 2620 Ridgewood Rd              Akron           OH   44313           Y             Y         Y
PPO   EM   528593   155967522278   742895888   LISA A DAVIS MD PA              INTERNAL MEDICINE               12     7      $832.64    BA   859212530496 414 NAVARRO ST STE 1023        San Antonio     TX   78205           Y             Y         Y
PPO   EM   528593   156753382455   264556307   VIRGINIA Y YIP MD               RADIOLOGY, DIAGNOSTIC            3     3      $493.60    BA   515108370029 PO BOX 843770                  DALLAS          TX   75284 3770      N             N         N
                                                                                                                                                          7922 EWING HALSELL DR STE
PPO   EM   528593 156790185995     383452013 FEDERICO R NG MD                  INTERNAL MEDICINE                1     1      $117.94 BA       78411235036 270                            SAN ANTONIO     TX   78229           Y           Y           Y
PPO   EM   528593 156938300760     752770291 DONALD G LENOIR MD                ANESTHESIOLOGY                   1     1      $587.92 BA      758808483459 PO Box 659                     San Antonio     TX   78293   659     Y           Y           Y
                                             CLINICAL PATHOLOGY
PPO   EM   528593 157448265833     742554159 LABORATORIES INC                  CLINICAL MEDICAL LABORATORY     343   211   $13,740.00 BA     466008281973 PO BOX 141669                  AUSTIN          TX   78714           Y           Y           Y
PPO   EM   528593 157478444288     742115927 PRAKASH R NANCHERLA MD            NEPHROLOGY                        4     1     $874.57 BA      868621305309 7515 Barlite Blvd              San Antonio     TX   78224           Y           N           Y
PPO   EM   528593 157502593379     383452013 JUDY T SHUMWAY DOMD               INTERNAL MEDICINE                 8     2    $1,402.53 BA     441713261300 PO BOX 92729                   LOS ANGELES     CA   90009           Y           Y           Y
                                             CITY OF SAN ANTONIO EMERGENCY
PPO   EM   528593 157931240921     746002070 MEDICAL SERVICE                   AMBULANCE                       13    13     $2,343.72 BA     980912540207 115 Auditorium Circle          San Antonio     TX   78205           N           N           N
PPO   EM   528593 158022354895     203138513 ROMAN T PACHULSKI MD              CARDIOLOGY                       2     1        $80.84 BA     866012415571 19016 Stone Oak Pkwy Ste 260   San Antonio     TX   78258 3337      Y           Y           N
PPO   EM   528593 159518343972     451987468 GRAHAM T HALL MD                  PEDIATRICS                       2     1      $381.45 BA      187921263097 7959 Broadway St Ste 600       San Antonio     TX   78209           Y           Y           Y
                                             PRESCOTTS ORTHOTICS &             DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593   160177413704   741915839 PROSTHETICS                       MED SUPPLIES                     1     1      $100.14    BA   643409485541   6715 SAN PEDRO AVE           SAN ANTONIO     TX   78216             Y           Y           Y
PPO   EM   528593   160248501868   870729299 HELEN LAURA GOLDBERG MD           HEMATOLOGY & ONCOLOGY            3     1      $148.25    BA   870816433880   PO Box 911234                Dallas          TX   75391   1234 Y-TINONLY   Y-TINONLY        N
PPO   EM   528593   161059361871   742619659 TIMOTHY W OWENS MD                PEDIATRICS                       1     1        $94.86   BA   908006464078   1535 E Common St             New Braunfels   TX   78130   3154      Y      Y-TINONLY   Y-TINONLY
PPO   EM   528593   161580425594   270004157 MARY TORRES LPC                   MENTAL HEALTH COUNSELOR          1     1      $130.00    BA   968722225379   4242 Medical Dr Bldg 6       San Antonio     TX   78229   5640      Y           Y           Y
PPO   EM   528593   161848302000   900154137 LAWRENCE B MCNALLY MD             FAMILY PRACTICE                  1     1        $94.82   BA   967607530223   6029 BELT LINE RD STE 105    Dallas          TX   75254   7873      Y           N           Y
PPO   EM   528593   161932064147   742497909 RUBEN L TENORIO DO                INTERNAL MEDICINE               14     7      $686.73    BA   750206410094   432 Castroville RD           San Antonio     TX   78207             Y           Y           Y
PPO   EM   528593   162770593072   742625722 CARY E STRATTON MD                OTORHINOLARYNGOLOGY              5     2      $149.10    BA   868220141689   PO Box 2679                  San Antonio     TX   78299             Y           Y           Y
PPO   EM   528593   163080124146   742959210 ANDREW ORTEGA MD                  FAMILY PRACTICE                 45    19     $1,716.71   BA   866011530017   PO Box 843816                Dallas          TX   75284   3816      Y           Y           Y

PPO   EM   528593 163549243292     741916103 SORA H HAHN NAVAS MD              OPHTHALMOLOGY                    2     1      $144.84 BA      381609243322 11300 4TH ST N STE 124         ST PETERSBURG FL     33716 2939      Y           Y        Y-TINONLY
PPO   EM   528593 163920251724     742862156 METRO AMBULANCE INC               AMBULANCE                        2     2      $264.50 BA      920023042014 PO Box 912                     Schertz       TX     78154           Y           Y             Y
PPO   EM   528593 164139000636     861147141 DANIEL E GUTIERREZ DO             SURGERY, NEUROLOGICAL            1     1        $0.00 BA      981410352852 315 N SAN SABA STE 1105        San Antonio   TX     78207 3155      Y           Y             N

PPO   EM   528593 164613314571     200870549 LARRY K LONG DDS                  SURGERY, ORAL & MAXILLOFACIAL    1     1        $0.00 BA      612513314703 1218 SW MILITARY DR            SAN ANTONIO     TX   78221           N           N           N
PPO   EM   528593 166597164966     264660061 DAMON A MIMARI MD                 SURGERY, GENERAL                 3     2      $320.37 BA      824107165018 8042 WURZBACH RD STE 630       SAN ANTONIO     TX   78229 3810      Y           Y           N
                                             PARK VENTURA ENDOSCOPY
PPO   EM   528593   166989292555   412059014 CENTER LTD                        SURGERY, GENERAL                 1     1        $0.00    BA   665515033693   7610 STEMMONS FWY STE 500    Dallas          TX   75247 4251      Y             N           Y
PPO   EM   528593   167711005090   742243494 LEWIS S CHRISTIAN MD              EMERGENCY MEDICINE               1     1      $219.35    BA   776410262437   3040 E MAIN ST STE Z         UVALDE          TX   78801 6403      Y             N           Y
PPO   EM   528593   168145415944   741586031 WILLIAM H MATTHEWS MD             ORTHOPEDIC                       1     1       $89.43    BA   210415415968   PO Box 528                   San Antonio     TX   78292 528       Y             Y           Y
PPO   EM   528593   168208292188   742644624 DAVID G SHULMAN MD                OPHTHALMOLOGY                    1     1       $70.74    BA   763321234731   999 E Basse Rd Ste 127       San Antonio     TX   78209           Y        Y-TINONLY        Y
PPO   EM   528593   168300051297   742698089 SUSAN M GARTON DO                 FAMILY PRACTICE                  6     4      $501.36    BA   911706355793   PO BOX 1810                  SAN ANTONIO     TX   78296 1810 Y-TINONLY     Y-TINONLY   Y-TINONLY
PPO   EM   528593   169259361893   742612270 HECTOR A OYARZABAL MD             INTERNAL MEDICINE                1     1       $41.18    BA   192121502893   1911 Pleasanton RD           San Antonio     TX   78221           Y             N           Y
PPO   EM   528593   169420015158   742824455 URFAN A DAR MD                    ANESTHESIOLOGY                   6     1      $606.63    BA   987123004483   PO Box 659                   San Antonio     TX   78293           Y             Y           Y
PPO   EM   528593   170109271872   770600362 NORA I VALDES MD                  FAMILY PRACTICE                  3     2       $97.39    BA   886121460664   7323 Marbach Rd Suite 104    San Antonio     TX   78227           Y             Y           Y
PPO   EM   528593   170307492363   261525357 OLGA JOUKOVSKI MD                 INTERNAL MEDICINE                4     1      $359.69    BA   743907455247   PO BOX 2521                  SAN ANTONIO     TX   78299           Y             Y           Y
PPO   EM   528593   171048463528   742978828 RAMON G REYES MD                  FAMILY PRACTICE                  3     3      $216.74    BA   953222460364   PO Box 780848                San Antonio     TX   78278           Y        Y-TINONLY   Y-TINONLY
PPO   EM   528593   172268292844   742597544 ALAN R BRAID MD                   OBSTETRICS/GYNECOLOGY            1     1       $81.55    BA    47721240588   4499 Medical Dr Ste 230      San Antonio     TX   78229           Y             Y           Y
PPO   EM   528593   173502152514   710865313 MAGDALENA C TRAUDT MD             FAMILY PRACTICE                  5     1      $195.07    BA   502206565650   8431 Fredericksburg RD       San Antonio     TX   78229           Y             Y           Y
PPO   EM   528593   174008431868   742978502 RICHARD LELAND DELAY JR OD        OPTOMETRIST                      1     1       $50.62    BA   943421302456   2929 Mossrock Dr Ste 104     San Antonio     TX   78230           Y             N           Y
PPO   EM   528593   175729245666   204909249 ALICIA V VALDEZ MD                FAMILY PRACTICE                  4     2      $137.61    BA   871721452004   98 Briggs ST Ste 800         San Antonio     TX   78224           Y             Y           Y

PPO   EM   528593   177467571979   741619182   CLINICAL PATHOLOGY ASSOCIATES   PATHOLOGY                        2     2      $182.20    BA   866807594623   PO BOX 28770                 AUSTIN          TX   78755           Y             Y           Y
PPO   EM   528593   177498430688   742648823   ANA M BALLESTER FIALLO MD       RHEUMATOLOGY                    10     4      $971.73    BA   278322484086   PO Box 781089                San Antonio     TX   78278           Y             Y           Y
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PPO   EM   528593   178128201867   710919614   CAROL A CHINCANCHAN MD          PEDIATRICS                       1     1      $104.45    BA    86508201937   2833 BABCOCK RD STE 300      SAN ANTONIO     TX   78220           Y             Y           Y
PPO   EM   528593   178750251086   742905174   JOSHUA W GOLDMAN MD             NEUROLOGY                        4     2      $230.44    BA    55614354737   414 Navarro Suite 933        San Antonio     TX   78205           Y             Y           Y
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                                                                               NURSE ANESTHETIST, CERTIFIED
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                                               AMERIPATH TEXAS LP DFW 5 01
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                                                                                                                                                         12050 VANCE JACKSON RD
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                                             PATHOLOGY REFERENCE
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PPO   EM   528593   102109103955    10888167 JOEL PENA JR MD                   INTERNAL MEDICINE                5     3     $405.55    BA    94810361992   PO BOX 527                    SAN ANTONIO    TX   78292          Y        Y           Y
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                                                                               DURABLE MEDICAL EQUIPMENT &
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PPO   EM   528593    10654325887   742959210   ROBERT R RAMIREZ MD             INTERNAL MEDICINE              17     6      $938.63    BA   600810441642   PO Box 260179                 Dallas         TX   75326          Y        Y           Y
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PPO   EM   528593    10659947521   261613372   ASHISH SINGHAL MD               EMERGENCY MEDICINE              1     1     $1,092.00   BA   452515095425   PO Box 34936 Dept 4003        Seattle        WA   98124          N        N           N
                                               SPECIALTY SURGERY AND PAIN
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PPO   EM   528593    10659950786   742940602   MAHENDRA C PATEL MD             HEMATOLOGY                      1     1       $98.83    BA   940408400140   PO Box 781646                 San Antonio    TX   78278 1646     Y      Y           Y
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PPO   EM   528593 10659960885      752296947   WESLEY E CHANG MD              RADIOLOGY, DIAGNOSTIC         4    3      $741.03    BA   542214380086   1101 6th Ave                  Fort Worth       TX   76104            Y           N           Y
PPO   EM   528593 10659961963      291786094   KIM M ROSS GARCIA MD           DERMATOLOGY                   3    2        $45.35   BA   668017263385   1303 Mccullough Ave Ste 525   San Antonio      TX   78212            Y           N           N
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PPO   EM   528593 109630452062     741586031   AMY L MUMBOWER MD              RADIOLOGY, DIAGNOSTIC         1    1         $0.00   BA   927910532000   PO Box 528                    San Antonio      TX   78292 528        Y           Y           Y
                                                                                                                                                       11212 STATE HIGHWAY 151
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PPO   EM   528593   111658290351   741698263   KARL H HEMPEL MD               INTERNAL MEDICINE             1    1       $64.38    BA    35221233692   414 Navarro St Ste 703        San Antonio      TX   78205            Y        Y-TINONLY      Y
PPO   EM   528593   112428293681   742278949   JANET M NOLL MD                PEDIATRICS                    3    3      $630.12    BA    59021241266   7007 Bandera Rd Ste 19        San Antonio      TX   78238            Y             Y         Y
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                                                                              PEDIATRIC HEMATOLOGY -
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PPO   EM   528593   115981374322   743003947   CASEY D TABER MD               ORTHOPEDIC                     9   4     $1,606.89   BA   589911390937   PO Box 660706                 Dallas           TX   75266           Y              Y           Y
PPO   EM   528593   116040132542   264333033   JENATTA FREEMAN MD             OBSTETRICS/GYNECOLOGY          2   1      $209.14    BA   832010132585   701 W 5TH ST                  ODESSA           TX   79763           Y              Y           Y
PPO   EM   528593   116250333475   742430251   STACE S RUST MD                ORTHOPEDIC                     2   2      $122.71    BA   902610371127   9150 Huebner Rd Ste 290       San Antonio      TX   78240           Y              Y           Y
PPO   EM   528593   116898472518   742689162   IMAN EKO TJAHJA MD             CARDIOLOGY                     2   1         $0.00   BA    61414143867   PO Box 409222                 Atlanta          GA   30384 9222 Y-TINONLY      Y-TINONLY   Y-TINONLY
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PPO   EM   528593   118708472208   742715291   STEVEN M PISANO MD             SURGERY, PLASTIC               1   1        $92.10   BA   552021315362   4499 Medical Dr Ste 311       San Antonio      TX   78229           Y              Y           Y
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PPO   EM   528593   121040221935   743003947 MAYO J GALINDO JR MD             ORTHOPEDIC                    4    1       $74.02    BA   503923035975   PO Box 2516                   San Antonio      TX   78299            Y           Y           Y
PPO   EM   528593   121333045142   383452013 FELIX AGUIRRE MD                 HOSPITALIST                   2    2      $151.28    BA   996413045196   PO BOX 92729                  LOS ANGELES      CA   90009 2729       Y           Y           Y
PPO   EM   528593   121419020506   742591869 MICHELLE M VILLA OLVERA MD       OBSTETRICS/GYNECOLOGY         2    2       $75.39    BA   670422474966   PO Box 1698                   San Antonio      TX   78296            Y           Y           Y
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PPO   EM   528593   124680495661   742815582 MARVIN R MOSZKOWICZ MD           INTERNAL MEDICINE             1    1       $24.30    BA   653509315141   5282 MEDICAL DR STE 312       SAN ANTONIO      TX   78229 6044       Y           Y           N
                                             HILTON HEAD EMERGENCY
PPO   EM   528593 125166514366     200495416 PHYSICIANS INC                   EMERGENCY MEDICINE            1    1      $378.00 BA      726316532409 PO Box 634125                   Cincinnati       OH   45263            N           N           N
                                             SOUTHEASTERN EMERGENCY
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PPO   EM   528593 126074501930     741586031 RAFAEL ELENES MD                 ANESTHESIOLOGY                2    2      $962.42 BA      727714501982 PO BOX 528                      SAN ANTONIO      TX   78292 528        Y             Y         Y
                                                                                                                                                     6035 BURKE CENTER PKWY
PPO   EM   528593 127010592383     742898674 LAMA HASHISH MD                  RHEUMATOLOGY                  3    1       $58.87 BA      769910592420 STE 280                         BURKE            VA   22015         Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593 127820031952     202252313 RAUL HIDALGO DPM                 PRIMARY PODIATRIC MEDICINE    3    2       $28.76 BA      552710061394 5807 BABCOCK STE 112            SAN ANTONIO      TX   78240              Y           Y           Y
                                             TEXAS PHYSICAL THERAPY
PPO   EM   528593   129176144070   201238109 SPECIALISTS                      PHYSICAL THERAPIST            6    1       $48.61    BA   709110141181   1324 COMMON ST STE 307        New Braunfels    TX   78130            Y           N           Y
PPO   EM   528593   130689020296   463760759 SAMUEL ADELMAN MD                DERMATOLOGY                   5    3       $32.10    BA   899721375505   8534 Village Dr Ste C         San Antonio      TX   78217            Y           N           Y
PPO   EM   528593   131212470230   742691591 BELLUR S RAMANATH MD             PEDIATRICS                    4    3      $170.54    BA   915916172574   PO BOX 29450                  San Antonio      TX   78294            Y           Y           Y
PPO   EM   528593   131434445797   202106367 JUAN C GARZA MD                  FAMILY PRACTICE               5    2      $279.25    BA   948208595533   13722 EMBASSY ROW             SAN ANTONIO      TX   78216 2000       Y           Y           Y
PPO   EM   528593   131751065796   752740653 ALEXANDER B KENTON MD            NEONATOLOGY                   4    4        $0.00    BA   688711383646   PO BOX 840384                 DALLAS           TX   75284 384        Y           Y           Y
PPO   EM   528593   132900202557   741916103 DUDLEY H HARRIS MD               OPHTHALMOLOGY                 1    1       $69.20    BA   779813174295   800 McCullough Ave            San Antonio      TX   78215            Y           Y           Y

PPO   EM   528593 133266371031     742763625 SOUTHERNCROSS AMBULANCE INC      AMBULANCE                     1    1      $131.08 BA      633316381751 PO Box 311295                   New Braunfels    TX   78131            N           N           N
                                                                              DURABLE MEDICAL EQUIPMENT &
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                                                                              SURGERY, HAND: ORTHOPEDIC
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                                                                              DURABLE MEDICAL EQUIPMENT &
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PPO   EM   528593   135882223052   741586031   DAVID F JIMENEZ MD             SURGERY, NEUROLOGICAL          1    1       $2.97    BA   639812223118   PO Box 528                    San Antonio      TX   78292   528      Y           Y           Y
PPO   EM   528593   136568295233   742945663   ROBERT KEYIRCE JOHNSON MD      PEDIATRICS                    15   10     $818.93    BA   830621241797   401 W Summit                  San Antonio      TX   78212            Y           Y           Y
PPO   EM   528593   136601325719   741590659   GUADALUPE D RAMOS APN          NURSE PRACTITIONER             4    2      $44.00    BA   714307113383   3031 W IH 10                  SAN ANTONIO      TX   78201            Y           Y           Y
PPO   EM   528593   136618512491   741833341   LORI L POUNDS MD               SURGERY, GENERAL VASCULAR      1    1       $1.77    BA   791205300990   PO BOX 276                    San Antonio      TX   78291   276      Y           Y           Y
PPO   EM   528593   137181022769   742317852   AGNES L PALYS OD              OPHTHALMOLOGY                  2     2     $175.00    BA   861908574630   4930 EVERS RD                                    San Antonio    TX   78228 2118    Y           N           Y
PPO   EM   528593   138531075959   741586031   MARK S FUNK MD                OBSTETRICS/GYNECOLOGY          3     2     $322.94    BA    98911080023   PO Box 528                                       San Antonio    TX   78292 528     Y           Y           Y
PPO   EM   528593   139351193843   383452013   DAWN T LANGELAND MD           HOSPITALIST                    2     1     $143.48    BA    87311193884   PO Box 92729                                     Los Angeles    CA   90009 2729    Y           Y           Y
PPO   EM   528593   140128160174   264707931   BENJAMIN A STAHL MD           FAMILY PRACTICE                1     1     $158.69    BA   985508160227   PO BOX 9013                                      BELFAST        ME    4915 9013    Y           Y           Y
                                               TAMMY L BOTELLO CASTILLO MS
PPO   EM   528593 141452070260     320181033   LPC                           PROFESSIONAL COUNSELOR         4     2      $20.00 BA      600012070300 PO BOX 28645                                       SAN ANTONIO    TX   78228   645   Y           Y           Y
                                               VHS SAN ANTONIO IMAGING
PPO   EM   528593   141599124867   331082073   PARTNERS LP                   UNKNOWN PHYSICIAN SPECIALTY   101   79   $24,360.34   BA   843009171020   215 E QUINCY STE 221                             SAN ANTONIO    TX   78229           Y           Y           Y
PPO   EM   528593   143139141744   742957005   KENNETH HIGBY MD              OBSTETRICS/GYNECOLOGY           6    2    $1,736.80   BA   730409580334   7909 Fredericksburg Rd Ste 227                   San Antonio    TX   78229           Y           Y           Y
PPO   EM   528593   143816215863   383452013   GREGORY A PAGE MD             HOSPITALIST                     2    1     $111.66    BA   663316334924   PO Box 847192                                    Dallas         TX   75237      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   144705303256   742898650   LISA MARTEN MD                OPHTHALMOLOGY                   1    1     $135.05    BA    36513351617   2424 BABCOCK RD STE 101                          SAN ANTONIO    TX   78229 6031      Y           Y           Y
PPO   EM   528593   144808294300   742165601   JOSE A CARDENAS JR MD         PEDIATRICS                     13    5    $1,208.56   BA   837707575441   2020 BABCOCK RD STE 19                           San Antonio    TX   78229 4437      Y           Y           Y

PPO   EM   528593 144970201125     205395564 KEISHA L LOFTIN MD              OBSTETRICS/GYNECOLOGY         18     3    $1,817.03 BA      64610201199 7922 EWING HALSELL STE 170                         SAN ANTONIO    TX   78229         Y           Y           Y
PPO   EM   528593 146200231415     264333033 RONALD A VALDEZ MD              OBSTETRICS/GYNECOLOGY          4     2    $1,054.23 BA     494809200162 367 E Ramsey Rd                                    San Antonio    TX   78216         Y           Y           Y
PPO   EM   528593 146248312693     742646237 MARTHA M GARZA MD               OBSTETRICS/GYNECOLOGY          1     1       $96.70 BA     869121245697 7355 Barlite Blvd Ste 405                          San Antonio    TX   78224         Y           N           Y

PPO   EM   528593 146257141379      10841878 ROBERT ONOFRE OD                OPTOMETRIST                   11    10     $626.85 BA      792717141432 107 TALAVERA PKWY APT 125                          SAN ANTONIO    TX   78232 1050    Y           N           Y
PPO   EM   528593 146349133498     261781350 KENNETH F DESROSIER MD          RHEUMATOLOGY                   2     1     $372.63 BA      913409133564 8527 VILLAGE DR STE 105                            SAN ANTONIO    TX   78217         Y           Y           Y
PPO   EM   528593 146859200496     742807286 ALEJANDRO LOPEZ JR MD           FAMILY PRACTICE                2     1     $101.02 BA      951822310580 PO Box 2110                                        Alice          TX   78333         Y           Y           Y
                                             EVANGELINE K RAMOS GONZALES
PPO   EM   528593   146869074725   264333033 MD                              OBSTETRICS/GYNECOLOGY          3     2     $301.23    BA   921221395444   367 E Ramsey Rd                                  San Antonio    TX   78216          Y            Y           Y
PPO   EM   528593   147420593005   741710216 HECTOR A ESCAMILLA MD           SURGERY, THORACIC              1     1     $154.55    BA    75304201614   Po Box 2540                                      San Antonio    TX   78299 2540     Y            Y           Y
PPO   EM   528593   148397203863   741586031 KEVIN L HALL MD                 ONCOLOGY, GYNECOLOGIC          3     2     $197.18    BA   718717203924   PO Box 528                                       San Antonio    TX   78292 528      Y            Y           Y
PPO   EM   528593   148569001069    10672601 CHRISTOPHER A BRACKEN MD        ANESTHESIOLOGY                 1     1     $189.00    BA   760110471292   PO Box 528                                       San Antonio    TX   78292 528 Y-TINONLY    Y-TINONLY   Y-TINONLY
PPO   EM   528593   149285231525   742863419 LINDA J R COFFEY MD             DERMATOLOGY                    3     1      $17.54    BA   941714124082   19222 STONEHUE STE 103                           San Antonio    TX   78258          Y            N           Y
                                                                             DURABLE MEDICAL EQUIPMENT &
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PPO   EM   528593   151298301900   742083988   RONALD W HAMNER MD            NEPHROLOGY                     2     1      $58.60    BA   333910573464   PO BOX 701008                                    SAN ANTONIO    TX   78270 1008    Y           Y           Y
PPO   EM   528593   151380195555   742946068   MOIZ A TAJKHANJI MD           FAMILY PRACTICE                1     1      $74.81    BA   675722362528   PO Box 1221                                      San Antonio    TX   78294         Y           Y           Y
PPO   EM   528593   151480251994   742867876   SOCRATES B ARAMBURU MD        CARDIOLOGY                     6     2     $561.79    BA   419123015798   PO Box 1700                                      San Antonio    TX   78296 1700    Y           Y           Y
                                                                                                                                                                                        98 BRIGGS AVE #
PPO   EM   528593 151489275642     742780060 ROBERT E GRASER DPM             PRIMARY PODIATRIC MEDICINE     7     2     $187.32 BA      805015502854 98 BRIGGS AVE# 925                 925             San Antonio    TX   78224         Y           Y           Y
                                             SOUTH TEXAS
PPO   EM   528593 151498390550     742418988 DERMATOPATHOLOGY LAB PA         UNKNOWN PHYSICIAN SPECIALTY   10    10    $1,087.54 BA     453721285119 5430 Fredericksburg Rd Ste 604                     San Antonio    TX   78229         Y           Y           Y
PPO   EM   528593 151688584887     742288120 LORETTA M C MIRAMONTES MD       OPHTHALMOLOGY                  1     1       $10.02 BA     933721364066 315 N San Saba Ste 1175                            San Antonio    TX   78207         Y           N           Y
PPO   EM   528593 151987585807     264023067 RENEE L CEVEY MD                PEDIATRICS                     1     1       $48.07 BA     657607585826 7959 Broadway St Ste 600                           San Antonio    TX   78209         Y           Y           Y

PPO   EM   528593   152090125826   742730328   METHODIST HOSPITAL            GENERAL ACUTE CARE HOSPITAL   88    62 $235,899.53 BA      647622573052   PO BOX 406180                                    ATLANTA        GA   30384         Y           Y           Y
PPO   EM   528593   152098375899   742165601   RAYMOND RUENES MD             PEDIATRICS                     2     1    $142.56 BA       666721275640   2020 Babcock Rd Ste 19                           San Antonio    TX   78229         Y           Y           Y
PPO   EM   528593   152298352691   742246239   JOSEPH E JOHNSON IV MD        GASTROENTEROLOGY               2     1      $86.91 BA      527615080695   PO BOX 840390                                    DALLAS         TX   75284 390     Y           Y           Y
PPO   EM   528593   152978300678   741666545   ROBERT N JONES MD             OPHTHALMOLOGY                  1     1    $110.14 BA       543621240898   311 Camden ST Ste 206                            San Antonio    TX   78215         Y           N           Y
PPO   EM   528593   155050011440   742312850   TOLULOPE O OSOWO MD           OBSTETRICS/GYNECOLOGY          2     2      $72.43 BA      470210011492   7950 Floyd Curl Dr Ste 300                       San Antonio    TX   78229 3916    Y           Y           Y
PPO   EM   528593   155519415840   742719352   ANDREW A TOBON MD             SURGERY, UROLOGICAL            1     1    $152.71 BA       888308293588   PO BOX 2952                                      San Antonio    TX   78299 2952    Y           Y           Y

PPO   EM   528593 156133551226     222405059 BIO REFERENCE LABORATORIES INC CLINICAL MEDICAL LABORATORY     1     1     $211.96 BA      974713554019 487 Edward H Ross Dr                               Elmwood Park   NJ    7407           Y           Y           Y
PPO   EM   528593 157039113615      43733029 LINDSAY R IRVIN MD             PEDIATRICS                      2     1     $120.31 BA      845722355057 PO Box 201845                                      Houston        TX   77210 4439 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593 157788311446     264333033 MICHAEL J TROY MD              OBSTETRICS/GYNECOLOGY          10     6     $629.46 BA      905411445159 367 E RAMSEY RD                                    SAN ANTONIO    TX   78216 4636      Y           Y           Y

PPO   EM   528593   159908363724   742559343   KEIKO MCMANUS MD              OTORHINOLARYNGOLOGY            5     1     $686.29    BA   943921272465   4402 Vance Jackson Rd Ste 230                    San Antonio    TX   78230         Y             Y           Y
PPO   EM   528593   160497505432   331091516   JIMENEZ PHYSICAL THERAPY      PHYSICAL THERAPIST             4     1      $18.61    BA   914907572989   705 N BISHOP                                     SAN MARCOS     TX   78666         Y             N           Y
PPO   EM   528593   160760064962   383452013   TIMOTHY OSONMA MD             HOSPITALIST                    3     2     $551.37    BA   943610065023   PO BOX 92729                                     LOS ANGELES    CA   90009 2729    Y             Y           Y
PPO   EM   528593   160940232550   741586031   NICOLE M BUDRYS MD            OBSTETRICS/GYNECOLOGY          1     1       $0.00    BA   218010232570   PO Box 528                                       San Antonio    TX   78292 528     Y             Y           Y
PPO   EM   528593   161340260354   742246239   CLIFF M RICHMOND MD           PATHOLOGY                      1     1       $0.00    BA   678812272228   PO BOX 747                                       SAN ANTONIO    TX   78293         Y             Y           Y
PPO   EM   528593   162338500611   203266605   JORGE R BROTHERS MD           SURGERY, UROLOGICAL            3     1     $245.76    BA   696607403878   3805 22ND ST STE A                               Lubbock        TX   79410 1142    Y             N           Y
PPO   EM   528593   162728304420   742888454   MORRIS A STRIBLING DPM        PRIMARY PODIATRIC MEDICINE     2     1      $53.70    BA    88512261154   8042 Wurzbach Rd Ste 450                         San Antonio    TX   78229         Y             Y      Y-TINONLY
PPO   EM   528593   164852350497   742143569   SCOTT A THOMAS MD             OPHTHALMOLOGY                  4     4     $227.51    BA   865212350618   PO BOX 1358                                      SAN ANTONIO    TX   78295         Y        Y-TINONLY        Y
PPO   EM   528593   165081153822   720701964   ACADIAN AMBULANCE SERVICES INC   AMBULANCE                        1   1     $563.86    BA   865111173943   Po Box 92970                                  Lafayette          LA   70509               Y           Y           N
PPO   EM   528593   166188273199   383452013   SWAPNA GHATTAMANENI MD           HOSPITALIST                      4   3        $0.00   BA   967814023594   PO Box 92729                                  Los Angeles        CA   90009   2729        Y           Y           Y
PPO   EM   528593   166198301360   742357119   TERRY L WESTFIELD MD             SURGERY, PLASTIC                 1   1     $136.17    BA   583811501112   540 Madison Oak Ste 370                       San Antonio        TX   78258               Y           Y           Y
PPO   EM   528593   166297135106   742798985   EILEEN A SMITH MD                PSYCHIATRY                       1   1       $45.00   BA   984617140402   PO Box 34567                                  San Antonio        TX   78265               Y           Y           Y
PPO   EM   528593   166812401361   383452013   VENKATA R YERRAMILLI MD          INTERNAL MEDICINE                3   1        $0.00   BA   968214515356   PO BOX 501078                                 SAINT LOUIS        MO   63150          Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   168742065195   742913103   CHRISTOPHER G GULDE MD           PEDIATRICS                      12   6     $730.96    BA   852805561647   8627 Cinnamon Creek Dr Bldg 1                 San Antonio        TX   78240   1480        Y           Y           Y
PPO   EM   528593   168846542378   742972962   EMILY F FRYE MD                  FAMILY PRACTICE                  3   1     $158.62    BA   828514015316   DEPT 321                        PO BOX 3108   HOUSTON            TX   77253               Y           Y           Y
PPO   EM   528593   168900593270   742796322   BRUCE G MARTIN DO                ALLERGY & IMMUNOLOGY            13   6     $693.99    BA   528504202124   7711 Louis Pasteur Dr Ste 901                 San Antonio        TX   78229               Y           Y      Y-TINONLY
PPO   EM   528593   169168382269   742766753   HUGO A ROJAS MD                  INTERNAL MEDICINE                2   1     $157.41    BA   912521280877   2115 Pleasanton Rd Ste 101                    San Antonio        TX   78221               Y           Y           Y
PPO   EM   528593   169350382403   562567385   CHARLES S THURSTON MD            DERMATOLOGY                      3   3     $142.41    BA   179110391433   343 W HOUSTON ST STE 909                      SAN ANTONIO        TX   78205               Y           Y           Y
PPO   EM   528593   169926492541   261613372   SAMUEL G MORALE MD               EMERGENCY MEDICINE               5   4    $4,858.00   BA   916616492585   PO Box 528                                    San Antonio        TX   78292    528        N           N           N
PPO   EM   528593   170519192273   741586031   SONJA D BRUNE CNS                CARDIOLOGY                       1   1       $48.13   BA   808222510359   PO Box 1700                                   San Antonio        TX   78296   1700   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   170884475470   741586031   IHAB M ISTAFANOUS MD             PSYCHIATRY                       2   1     $177.00    BA   551114495928   PO Box 528                                    San Antonio        TX   78292    528        Y           Y           Y
PPO   EM   528593   172388294336   742579931   SHELDON G GROSS MD               NEUROLOGY                        4   3     $671.36    BA   524521241198   4499 Medical Dr Ste 396                       San Antonio        TX   78229   3713        Y           Y           Y
PPO   EM   528593   172821035610   264556307   SANDRA K HEARD MD                RADIOLOGY, DIAGNOSTIC           11   4     $190.00    BA   836611183512   PO Box 971064                                 Dallas             TX   75397               N           N           N
PPO   EM   528593   174238370059   742288732   KAY MORRIS MD                    OBSTETRICS/GYNECOLOGY            3   1     $174.82    BA   766015545036   PO BOX 202                                    San Antonio        TX   78291    202        Y           N           Y
PPO   EM   528593   176030094024   270458950   JEFFREY A FEINSTEIN MD           RHEUMATOLOGY                     9   3     $850.35    BA   485710094063   8527 VILLAGE DR STE 103                       SAN ANTONIO        TX   78217   5507        Y           Y           Y

PPO   EM   528593   176910531574   331007777   BAMC MCHE COU T DEPT 201         GENERAL ACUTE CARE HOSPITAL     6    1    $3,900.72   BA   842910551926   3851 Roger Brooke Dr Dept 201                 Fort Sam Houston   TX   78234             N           N             N
PPO   EM   528593   178038465463   742995365   JEREMIAS M ABUEME MD             INTERNAL MEDICINE               2    2       $83.48   BA    77421314650   5282 Medical Dr Ste 130                       San Antonio        TX   78229             Y           Y             Y
PPO   EM   528593   178718304130   742855569   JOHN S MATLOCK MD                INTERNAL MEDICINE               1    1       $84.82   BA   422421243567   8401 Datapoint Dr Ste 401                     San Antonio        TX   78229 5925        Y           Y             Y
PPO   EM   528593   178850432432   742915297   JAMES E MARK MD                  ONCOLOGY, GYNECOLOGIC           6    4    $1,786.84   BA   800623063122   PO Box 730065                                 Dallas             TX   75373             Y           Y        Y-TINONLY
PPO   EM   528593   181618291950   264660061   GEORGE E MIMARI MD               SURGERY, GENERAL                2    1    $1,281.54   BA     5121240199   8042 Wurzbach Rd Ste 630                      San Antonio        TX   78229             Y           Y             N
PPO   EM   528593   182117475910   741586031   ELLY M XENAKIS MD                OBSTETRICS/GYNECOLOGY           1    1       $54.77   BA   981117475959   PO Box 528                                    San Antonio        TX   78292 528         Y           Y             Y
                                                                                                                                                          2200 Bergquist Dr 59MDW
PPO   EM   528593   183762420301   742688457   MICHAEL D ALMALEH MD             CARDIOLOGY                      1    1       $59.02   BA    83615574003   MSBBR St                                      Lackland AFB       TX   78236             Y           Y           Y
PPO   EM   528593   184188362619   742145442   ROBERTO SAN MARTIN MD            OPHTHALMOLOGY                   1    1     $165.05    BA   124121271628   315 N San Saba Ste 100                        San Antonio        TX   78207 3123        Y           N           Y
PPO   EM   528593   184288294531   264333033   JOSEPH R GARZA MD                OBSTETRICS/GYNECOLOGY           4    2     $359.97    BA   801613390236   1210 ARION PKWY                               SAN ANTONIO        TX   78216 2880        Y           Y           Y
PPO   EM   528593   184518421458   742764739   CHRISTINE M DE LA GARZA MD       OBSTETRICS/GYNECOLOGY           3    3     $234.42    BA   773122462639   PO Box 40129                                  San Antonio        TX   78229             Y           Y           Y
PPO   EM   528593   184790252514   261613372   ROGER S WILLIS MD                EMERGENCY MEDICINE              3    3    $2,314.00   BA   254423015944   PO Box 2099                                   San Antonio        TX   78297             N           N           N
PPO   EM   528593   185378301184   742504442   LAWRENCE L LENDERMAN MD          ORTHOPEDIC                      1    1       $11.40   BA   891221242180   2424 Babcock Rd Ste 200                       San Antonio        TX   78229             Y           Y           Y
PPO   EM   528593   186177432305   742322947   BERNARD R CAVAZOS JR MD          OBSTETRICS/GYNECOLOGY           5    3     $780.13    BA   582711325742   9639 HUEBNER RD                               SAN ANTONIO        TX   78240 1512        Y           N           Y

PPO   EM   528593   186530050789   492649686 RAYMOND W KAERCHER DDS MD          SURGERY, ORAL & MAXILLOFACIAL   1    1       $0.00    BA    81608315037   14500 SAN PEDRO AVE STE 102                   SAN ANTONIO        TX   78232   4354        Y           N           Y
PPO   EM   528593   186700231504   537442348 BARRY N FLANDERS MD                RADIOLOGY, DIAGNOSTIC           1    1       $5.32    BA   800522363456   PO Box 1888                                   Greenville         TX   75403          Y-TINONLY        N      Y-TINONLY
PPO   EM   528593   189265272484   219565359 FLORA H GARB LCSW                  CLINICAL SOCIAL WORKER          1    1      $35.00    BA   394617123259   9480 HUEBNER RD STE 210                       San Antonio        TX   78240   1657        Y           Y           Y
PPO   EM   528593   189559463666   741833622 LUIS A GUIMBARDA MD                FAMILY PRACTICE                 1    1      $66.71    BA   987210202776   7323 MARBACH RD STE 104                       SAN ANTONIO        TX   78227   1905   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   190057434676   742830435 LYDIA NAVARRO ROMAN MD             MULTI-SPECIALTY                 5    3     $337.01    BA    61308195677   PO Box 291028                                 San Antonio        TX   78229   1628   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   190841322980   900120192 DAVID R SCHMIDT MD                 ORTHOPEDIC                      2    2     $196.86    BA   951211323088   PO BOX 196                                    SAN ANTONIO        TX   78291    196        Y           Y           Y
PPO   EM   528593   191298352019   202148889 ROBERT G JAKUBOWSKI MD             INTERNAL MEDICINE               1    1      $31.50    BA   302621265868   613 Elizabeth St Ste 509                      Corpus Christi     TX   78404               Y      Y-TINONLY        Y
PPO   EM   528593   191771414496   710919614 OLGA M CAJAS MD                    PEDIATRICS                      4    1     $523.58    BA   863211433825   PO BOX 120427                                 SAN ANTONIO        TX   78212   427         Y           Y           Y
PPO   EM   528593   192345233017   841693822 VALESKA S GONZALEZ MD              PEDIATRICS                      5    2     $773.12    BA   295715233055   PO BOX 848586                                 BOSTON             MA    2284               Y           Y           N
                                             PATHOLOGY ASSOCIATES OF SAN
PPO   EM   528593 193490232110     746106575 ANTONIO LLP                        PATHOLOGY                       17   11   $1,797.47 BA     667210240808 343 W Houston St Ste C1                         San Antonio        TX   78205             Y           Y           Y
PPO   EM   528593 194460593061     741736189 WILLIAM J PECHE MD                 OBSTETRICS/GYNECOLOGY            4    3    $378.78 BA      325809425098 205 E EVERGREEN ST STE 3                        San Antonio        TX   78212 4316        Y           Y           Y
PPO   EM   528593 194701263940     264556307 RIC A BRADFORD DO                  RADIOLOGY, DIAGNOSTIC            4    3    $289.93 BA      919909113251 800 ROCKMEAD DR STE 210                         KINGWOOD           TX   77339 2113        N           N           N

PPO   EM   528593   195830220053   742880532   STEVEN B BUCKLEY DDS MD          SURGERY, ORAL & MAXILLOFACIAL    1    1       $0.00   BA   617722092320   4499 Medical Dr Ste 190                       San Antonio        TX   78229           N               N           N
PPO   EM   528593   195849254332   742959210   GINA ESPARZA MD                  FAMILY PRACTICE                 56   18   $2,966.98   BA   975106070754   PO Box 843816                                 Dallas             TX   75284           Y               Y           Y
PPO   EM   528593   196046221877   466351466   RHONDA M OCANA LPC               MENTAL HEALTH COUNSELOR          2    1      $75.00   BA   661809582139   7223 FERNVIEW                                 SAN ANTONIO        TX   78212           Y               Y           Y
PPO   EM   528593   196050244373   742312850   PATRICK L WILLIAMSON MD          OBSTETRICS/GYNECOLOGY            1    1      $75.39   BA   935022101702   2829 Babcock Rd Ste 540                       San Antonio        TX   78229           Y               Y           Y
PPO   EM   528593   197778302500   742764739   BRYAN M COX MD                   OBSTETRICS/GYNECOLOGY            2    1      $91.84   BA   884106022734   PO BOX 1506                                   SAN ANTONIO        TX   78295 1506      Y               Y           Y
PPO   EM   528593   199768255788   742782325   ARUN R RAO MD                    HEMATOLOGY & ONCOLOGY            1    1       $0.00   BA   926018255867   PO Box 911234                                 Dallas             TX   75391 1234      Y               Y           Y
PPO   EM   528593   100125472541   203059260   CYBELE MATHAI MD                 INTERNAL MEDICINE                2    1      $91.01   BA   320005472585   PO BOX 840081                                 Dallas             TX   75284   81      Y               Y           Y
PPO   EM   528593   101475541806   205769353   JOSHUA R HEDMAN DPM              PRIMARY PODIATRIC MEDICINE       2    1      $43.44   BA   368515541836   10130 Huebner Rd                              San Antonio        TX   78240           Y               Y           Y
PPO   EM   528593   102097124730   742959210   JEFFREY BRASFIELD PA             PHYSICIAN ASSISTANT              1    1       $0.00   BA   136709333469   PO Box 843816                                 Dallas             TX   75284      Y-TINONLY       Y-TINONLY   Y-TINONLY
PPO   EM   528593   102127440497    43655732   PABLO M FEUILLET MD              INFECTIOUS DISEASE               8    2   $3,275.05   BA   672221044310   500 E Caesar Ave                              Kingsville         TX   78363           Y               N           Y
PPO   EM   528593 103348582302     742145952 HARRY L UY MD                    ENDOCRINOLOGY                  6     4     $526.05 BA      878121362679 1303 Mccullough Ave Ste 374                 San Antonio      TX   78212         Y           Y           Y
                                                                              NURSE ANESTHETIST, CERTIFIED
PPO   EM   528593   103386274124   742246239   JAMES A SPIVEY CRNA            REGISTERED                     3     3    $1,120.00   BA   997016283954   PO Box 771522                             Memphis          TN   38177      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   103778432019   742592013   ELOISE L BEIGHTLER MD          DERMATOLOGY                    1     1       $36.70   BA   899613230318   7832 PAT BOOKER RD                        SAN ANTONIO      TX   78233           Y           Y      Y-TINONLY
PPO   EM   528593   104310593987   742559343   MARK W HATCH MD                OTORHINOLARYNGOLOGY            3     3       $15.39   BA   586704203414   2727 BABCOCK RD STE A                     SAN ANTONIO      TX   78229           Y           Y           Y
PPO   EM   528593   105465211233   742806531   DAVID D ORTIZ MD               FAMILY PRACTICE                2     1     $163.42    BA   907810114374   PO BOX 9067                               BELFAST          ME    4915 9067      Y           Y           Y
PPO   EM   528593   105473340704    10624198   WALTER W ROOT MD               PSYCHIATRY                     2     1       $90.00   BA   803713343394   4242 Medical Dr Ste 6300                  San Antonio      TX   78229 5372      Y           Y           Y

PPO   EM   528593 105724012814     742730328   METHODIST STONE OAK HOSPITAL   GENERAL ACUTE CARE HOSPITAL    11    8 $176,825.07 BA      617314301785   PO BOX 405653                             ATLANTA          GA   30384 5653    Y           Y             Y
PPO   EM   528593 105838420859     743003947   BRAD S TOLIN MD                ORTHOPEDIC                      4    1    $281.84 BA       516722502755   PO Box 2516                               San Antonio      TX   78299         Y           Y             Y
PPO   EM   528593 10654326207      742443906   CAPITOL EMERGENCY ASSOCS PA    EMERGENCY MEDICINE              2    2   $1,035.00 BA       91317065339   PO Box 300024                             Dallas           TX   75303         Y           Y             Y
PPO   EM   528593 10654336800      741833622   DANIEL H KELLUM JR MD          FAMILY PRACTICE                 2    1      $58.60 BA      943315480414   7323 MARBACH RD STE 104                   SAN ANTONIO      TX   78227         Y           Y        Y-TINONLY
                                               SELECT PHYSICAL THERAPY
PPO   EM   528593    10654339867   631133454   HOLDINGS INC                   PHYSICAL THERAPIST             8     2     $132.20    BA   852015292468   1227 GOSS AVE                             LOUISVILLE       KY   40217 1239    Y           Y        Y-TINONLY
PPO   EM   528593    10659947044   743003947   ALAN E HIBBERD MD              ORTHOPEDIC                     5     1     $677.39    BA   729416222169   PO Box 1938                               San Antonio      TX   78297         Y           Y             Y
PPO   EM   528593    10659948710   741967809   MICHAEL K BAY MD               GASTROENTEROLOGY               4     2      $60.79    BA   998213404484   8214 Wurzbach Rd                          San Antonio      TX   78229         Y           Y             Y
PPO   EM   528593    10659948809   743003947   ALEXANDER S ROWLAND MD         ORTHOPEDIC                     6     4     $885.27    BA   776313483234   PO Box 2516                               San Antonio      TX   78299         Y           Y             Y
PPO   EM   528593    10659949326   742960485   MARIANNE J PINKSTON MD         FAMILY PRACTICE                1     1      $81.55    BA   714818272201   PO Box 29425                              San Antonio      TX   78229         Y           Y             Y

PPO   EM   528593    10659949614   760714523 BAPTIST HEALTH SYSTEM            GENERAL ACUTE CARE HOSPITAL    29   15 $187,022.84 BA      742816141308 PO Box 848333                               Dallas           TX   75284 8333    Y           Y           Y
                                             WARM SPRINGS REHAB HOSPITAL      PHYSICAL MEDICINE &
PPO   EM   528593    10659949877   383743546 OF SAN ANTONIO                   REHABILITATION                  1    1   $10,750.00   BA    58114292628   5101 Medical Drive                        San Antonio      TX   78229           Y           Y           Y
PPO   EM   528593    10659950346   742068489 MARGARET A KELLEY MD             OBSTETRICS/GYNECOLOGY           6    3     $770.84    BA   997717013929   PO Box 240098                             San Antonio      TX   78224   98      Y           Y           Y
PPO   EM   528593    10659950941   742143569 MICHAEL A OROZCO OD              OPTOMETRIST                     3    3     $215.95    BA   776613541133   PO BOX 1358                               SAN ANTONIO      TX   78240           Y      Y-TINONLY        Y
PPO   EM   528593    10659951658   106249018 JEANNETTE N DUPONT LPC PHD       MENTAL HEALTH COUNSELOR         1    1       $65.00   BA   868907400941   8217 Fredericksburg Rd                    San Antonio      TX   78229           Y           Y           Y
PPO   EM   528593    10659953375   742312850 JENNIFER D JACOBS MD             OBSTETRICS/GYNECOLOGY          12    2     $182.39    BA   837216315379   7950 Floyd Curl Dr Ste 300                San Antonio      TX   78229 3916      Y           Y           Y
PPO   EM   528593    10659953600   202185468 ROBERTO JAVIER RUIZ MD           FAMILY PRACTICE                19   12     $720.89    BA   910916131587   PO Box 961                                San Antonio      TX   78211      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593    10659953630   202148889 STELLA V YU MD                   INTERNAL MEDICINE               1    1       $59.81   BA   860814571424   PO Box 100026                             San Antonio      TX   78201           Y      Y-TINONLY        Y
PPO   EM   528593    10659953637   202148889 ROBERT A TAVERA MD               INTERNAL MEDICINE              14    4     $723.69    BA   882316264402   PO Box 961                                San Antonio      TX   78211           Y      Y-TINONLY        Y
                                                                              SLEEP DISORDER DIAGNOSTIC
PPO   EM   528593    10659955478   742865330   SOUTHERN SLEEP DIAGNOSTICS INC CLINIC/CENTER                  1     1     $606.86    BA   966510434274   8600 Wurzbach Rd Ste 601                  San Antonio      TX   78240         Y           Y           Y
PPO   EM   528593    10659961875   260622744   DAVID M CASTRO MD              PEDIATRICS                     1     1      $80.24    BA   893906251033   343 W Houston ST Ste 302                  San Antonio      TX   78205         Y           Y           Y
PPO   EM   528593    10659965567   742227206   VIJAY N KOLI MD                FAMILY PRACTICE                1     1      $24.30    BA   994111122513   660 SW MILITARY DR STE E                  San Antonio      TX   78221         Y           Y           Y
PPO   EM   528593   108448414969   742708985   RICHARD A KEH DPM              PRIMARY PODIATRIC MEDICINE     4     2      $54.97    BA   549621294340   314 N Hackberry Ste 101                   San Antonio      TX   78202         Y           Y           Y
PPO   EM   528593   108688404469   742855569   THOMAS W MIERAS MD             INTERNAL MEDICINE              4     2     $516.45    BA   192321290717   8401 Datapoint Dr Ste 401                 San Antonio      TX   78229 5925    Y           Y           Y
PPO   EM   528593   108856463978   208668253   SAN ANTONIO EMERGENCY PHYS     EMERGENCY MEDICINE             2     2     $882.00    BA   710206472987   PO BOX 203365                             HOUSTON          TX   77216         N           N           N
PPO   EM   528593   109553081743   742779329   THOMAS L RAIRDON II MD         ANESTHESIOLOGY                 1     1     $812.76    BA   662506320439   PO BOX 650426                             DALLAS           TX   75265 426     Y           Y           Y
PPO   EM   528593   109663144991   510596026   BOBBY D HUNT MS                MENTAL HEALTH COUNSELOR        1     1     $170.00    BA   808713145041   4415 W PIEDRAS DR               STE 202   SAN ANTONIO      TX   78228 1216    Y           Y           Y
                                                                              DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593 110201491924     760547182   ACCESS MEDIQUIP LLC            MED SUPPLIES                   1     1    $1,309.50 BA     911616064684 2724 MOMENTUM PL                            CHICAGO          IL   60689    1    Y           Y           Y
                                               HELOTES PHYSICAL THERAPY AND
PPO   EM   528593 110542175641     330997613   SPORTS REHAB                   PHYSICAL THERAPIST             15    3     $161.05 BA       96213133177 12918 BANDERA RD                            HELOTES          TX   78023         Y           Y           Y
                                                                              DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593   110925445364   742713093   ALAMO RESPIRATORY SERVICES     MED SUPPLIES                   13    3    $1,387.78   BA   841415453418   2128 BABCOCK RD BLDG #2                   SAN ANTONIO      TX   78229          Y            Y           Y
PPO   EM   528593   110938503592   742420829   WILLIAM H PINKLEY MD           FAMILY PRACTICE                10    4     $647.26    BA   746121332765   5230 Dezavala Rd Ste 212                  San Antonio      TX   78249          Y            Y           Y
PPO   EM   528593   110999265567   742312850   ANNA BRENDA BECEIRO MD         OBSTETRICS/GYNECOLOGY           5    4     $500.94    BA   946214353071   7950 FLOYD CURL DR STE 400                San Antonio      TX   78229 3916     Y            Y           Y
PPO   EM   528593   111849395881   134334288   KURT J SHERICK MD              PSYCHIATRY                      3    1     $268.37    BA   940309381029   PO BOX 137                                TULIA            TX   79088 137 Y-TINONLY    Y-TINONLY   Y-TINONLY
PPO   EM   528593   112596490061   742233669   DAVID A KLING DC               CHIROPRACTOR                    2    2     $171.57    BA   927417183189   225 E Sonterra Blvd Suite 113             San Antonio      TX   78258          Y            N           N
PPO   EM   528593   113625350789   261699544   RICHARD P BRANSON PA           FAMILY PRACTICE                 2    1       $81.94   BA   848615362895   PO Box 2578                               Universal City   TX   78148          Y            Y           Y
                                                                                                                                                        11901 TOEPPERWEIN RD STE
PPO   EM   528593   115151224966   742517354   JEFFREY A CANNON MD            FAMILY PRACTICE                2     1      $76.91    BA   606111225036   1201                                      SAN ANTONIO      TX   78233 3160    Y             Y           Y
PPO   EM   528593   115839375441   742992560   NANCY A RECTOR FINNEY MD       OBSTETRICS/GYNECOLOGY          4     1     $433.19    BA   990622533437   PO Box 2757                               San Antonio      TX   78299         Y             Y           Y
PPO   EM   528593   116542022579   741586031   LUIS R ZUNIGA MONTES MD        RHEUMATOLOGY                   1     1      $90.34    BA   568412022626   PO Box 528                                San Antonio      TX   78292 528     Y             Y           Y
PPO   EM   528593   117519235633   742619659   SARAH E RIEGER MD              PEDIATRICS                     1     1      $94.86    BA    91821443005   1535 E Common St                          New Braunfels    TX   78130         Y        Y-TINONLY   Y-TINONLY
PPO   EM   528593   117848302421   742014230   KEVIN B BROWNE MD              OTORHINOLARYNGOLOGY            1     1      $71.71    BA    15921243233   4499 Medical Dr Ste 330                   San Antonio      TX   78229         Y             Y      Y-TINONLY
PPO   EM   528593   118394272941   742368935   LUISA M THOMPSON OD            OPTOMETRIST                    1     1       $8.61    BA   466614291204   8089 Callaghan at IH 10                   San Antonio      TX   78230         Y             N           Y
PPO   EM   528593   120137195033   113676182   ELIAS R CHELEUITTE DPM         PRIMARY PODIATRIC MEDICINE     6     4     $147.56    BA   907717195114   Po Box 1277                               San Antonio      TX   78295         Y             Y           Y
PPO   EM   528593   120198503918   741849254   JEFFREY L GLASS MD             SURGERY, GENERAL               1     1       $0.00    BA   657522472369   PO Box 23409                              San Antonio      TX   78223         Y             Y           Y
                                                                                SPECIALIST/TECHNOLOGIST,
PPO   EM   528593 120931572391     261255636 SAN ANTONIO ASSISTING SERVICES     OTHER-SURGICAL                1    1       $0.00 BA      155411581415 3463 MAGIC DR STE T21                    SAN ANTONIO   TX   78229             N           N           N
PPO   EM   528593 121059035130      50589923 DIRK A KOESTER MD                  RADIOLOGY, DIAGNOSTIC         2    1     $560.60 BA       82609035177 7418 JOHN SMITH DR STE 218               DALLAS        TX   75397    1        Y           N           Y
PPO   EM   528593 121200394822     753000626 BARBARA L KU MD                    OPHTHALMOLOGY                 1    1     $106.31 BA      859310394856 1100 N MAIN AVE                          SAN ANTONIO   TX   78212 4701        Y           N           N
                                                                                                                                                      1919 Oakwell Farms Pkwy Ste
PPO   EM   528593   121238301382   742739681   DONALD F ADAMS MD                OPHTHALMOLOGY                  1   1       $27.61   BA   721421243132 120                                      San Antonio   TX   78218           Y               N           Y
PPO   EM   528593   121600413153   264333033   CELYNA D DELGADO MD              OBSTETRICS/GYNECOLOGY          7   4     $629.40    BA    83711452792 367 E Ramsey Rd                          San Antonio   TX   78216           Y               Y           Y
PPO   EM   528593   122750211605   742121149   RENE M ORNES MD                  PEDIATRICS                     5   5     $466.82    BA   591522090455 8606 Village Dr Ste A                    San Antonio   TX   78217           Y               Y           Y
PPO   EM   528593   122890211605   742121149   WILLIAM P GROOS MD               PEDIATRICS                     1   1       $24.30   BA   936922171819 8606 Village Dr Ste A                    San Antonio   TX   78217           Y               Y           Y
PPO   EM   528593   122958415512   300266566   MARK L CANALES MD FACC FS        CARDIOLOGY                     2   1        $0.00   BA   711310353279 PO Box 33295                             San Antonio   TX   78265      Y-TINONLY       Y-TINONLY   Y-TINONLY
PPO   EM   528593   123058394822   742998188   LUCINA B TREVINO MD              FAMILY PRACTICE               21   6    $1,141.43   BA   830722501398 PO Box 831026                            San Antonio   TX   78283           Y               Y           Y
PPO   EM   528593   124491481363   752296947   MICHAEL B JONES MD               RADIOLOGY, DIAGNOSTIC          1   1       $64.91   BA   563911481421 PO Box 102398 68 Annex                   Atlanta       GA   30368           Y               N      Y-TINONLY
PPO   EM   528593   125199563830   742935457   STEPHEN MILLER MD                DERMATOLOGY                    3   3     $296.74    BA   979213092567 Po Box 116                               San Antonio   TX   78291           Y               Y           Y
PPO   EM   528593   126040385913   383452013   MEHMOOD KHAN MD                  HOSPITALIST                    3   1        $0.00   BA   160710385951 PO Box 92729                             Los Angeles   CA   90009 2729      Y               Y           Y

PPO   EM   528593 126730583586     540505861 INOVA ALEXANDRIA HOSPITAL          GENERAL ACUTE CARE HOSPITAL   1    1     $887.60 BA      433507140338 PO Box 37022                             Baltimore     MD   21297             Y           N           N
PPO   EM   528593 126899220593     742554797 JUANITA H SPRUTE MD                FAMILY PRACTICE               2    1     $105.87 BA      584112261531 9647 HUEBNER RD                          SAN ANTONIO   TX   91767 3027        Y           N           N
PPO   EM   528593 127390463999     742406834 PATRICIA JEFFREYS MD               PATHOLOGY                     3    3     $177.85 BA      672210474971 PO Box 29447                             San Antonio   TX   78229             Y           Y           Y
                                                                                                                                                      19422 N US HIGHWAY 281 STE
PPO   EM   528593   128115545828   262840539   QUALITY URGENT CARE OF AMERICA   CRITICAL CARE MEDICINE        1    1     $145.91    BA   523905545930 106                                      SAN ANTONIO   TX   78258   7615      Y           Y           Y
PPO   EM   528593   130257015074   262400924   ADAM W BINGAMAN MD               SURGERY, GENERAL              1    1      $62.31    BA   864511092548 PO Box 2078                              San Antonio   TX   78297   2078      Y           Y           Y
PPO   EM   528593   130338115146   742531032   SAMUEL D TRESSLER MD             PEDIATRICS                    3    2     $151.40    BA   599509103538 PO BOX 201836                            DALLAS        TX   75320   1836      Y           Y           Y
PPO   EM   528593   130829140101   742945079   SUZANNA P GARZA MD               HOSPITALIST                   1    1       $0.00    BA    90904494909 PO BOX 528                               SAN ANTONIO   TX   78292    528      Y           Y           Y
PPO   EM   528593   131431205542   204025746   JOCELYN V ZARATE MD              INTERNAL MEDICINE             6    3     $398.84    BA   413121212440 414 NAVARRO STE 1422                     SAN ANTONIO   TX   78205             Y           Y           N
PPO   EM   528593   132090215715   742959210   RAYLEEN VILLANUEVA MD            INTERNAL MEDICINE             9    4     $520.83    BA   970315544513 PO Box 974072                            Dallas        TX   75397   4072      Y           Y           Y
PPO   EM   528593   132576314104   205756072   DAVID T HUGHES DPM               PRIMARY PODIATRIC MEDICINE    1    1      $18.28    BA   573306195492 10114 HUEBNER RD                         SAN ANTONIO   TX   78240   1319      Y           Y           Y
PPO   EM   528593   133037331053   742782325   SRIDHAR BEERAM MD                HOSPITALIST                   4    2     $491.93    BA   619507331118 PO Box 911234                            Dallas        TX   75391   1234      Y           Y           Y
PPO   EM   528593   133311102606   742803685   CRISTINA CORTEZ MD               FAMILY PRACTICE               7    4     $390.31    BA   727611102729 740 SOUTH ALAMO ST                       SAN ANTONIO   TX   78205             Y           Y           Y
PPO   EM   528593   135640593218   742225018   MICHEL N LAHAM MD                ALLERGY & IMMUNOLOGY          4    3     $725.93    BA   644204202030 1303 Mccullough Ave Ste 161              San Antonio   TX   78212             Y           Y           Y
PPO   EM   528593   136789103930   742752180   RAVI BOTLA MD                    INTERNAL MEDICINE             3    2     $139.67    BA   219422520826 PO Box 17650                             San Antonio   TX   78217             Y           Y           Y

PPO   EM   528593 136859170714     742926326 BEN J ELIZONDO MD                  PEDIATRIC GASTROENTEROLOGY    2    1      $32.00 BA      570621423986 4499 Medical Dr Ste 360                  San Antonio   TX   78229             Y           Y           Y
PPO   EM   528593 137031323536     900120192 TIMOTHY S PALOMERA MD              FAMILY PRACTICE               4    2     $314.15 BA       72607440155 PO BOX 196                               SAN ANTONIO   TX   78291 196         Y           Y           Y
PPO   EM   528593 137245474781     261613372 PAUL T MAYER MD                    EMERGENCY MEDICINE            1    1     $732.00 BA      651015474812 PO BOX 845347                            DALLAS        TX   75284 5347        N           N           N
                                             RADIOLOGY ASSOCIATES OF SAN
PPO   EM   528593   138169505159   741405282 ANTONNIO PA                        RADIOLOGY, DIAGNOSTIC         23   20   $2,952.67   BA   232509512847   PO Box 101500                          San Antonio   TX   78201             Y           Y           Y
PPO   EM   528593   138873453678   263749619 TARAK J PATEL MD                   PULMONARY DISEASE              1    1       $0.00   BA    75610314192   1150 N 1604 W Ste 108 426              San Antonio   TX   78248             Y           Y           Y
PPO   EM   528593   139079331558   371551781 JENNIFER M ARZOLA                  OBSTETRICS/GYNECOLOGY          8    4    $993.43    BA   825708243313   3903 WISEMAN BLVD            STE 300   SAN ANTONIO   TX   78251             Y           Y           Y
PPO   EM   528593   140076240301   742548242 UVALDE EMS                         AMBULANCE                      1    1   $1,364.40   BA   932306273195   Po Box 64                              Uvalde        TX   78802             N           N           N
PPO   EM   528593   140078504323   741724391 LUIS O MORALES MD                  OBSTETRICS/GYNECOLOGY          1    1      $29.30   BA   889221331886   1200 Brooklyn Ave Ste 170              San Antonio   TX   78212             Y           Y           Y

PPO   EM   528593 140081592394     264521533 CYPRESS IMAGING                    UNKNOWN PHYSICIAN SPECIALTY   1    1       $0.00 BA      953612005351 1222 N MAIN LL20                         SAN ANTONIO   TX   78212             Y           Y           Y
                                             LOVELESH KUMAR MANOCHA MD
PPO   EM   528593 140231070357     742317397 MISC                               INTERNAL MEDICINE             4    3     $151.54 BA      936411085507 124 Dallas St                            San Antonio   TX   78205          Y-TINONLY   Y-TINONLY   Y-TINONLY
                                                                                                                                                      20726 STONE OAK PKWY STE
PPO   EM   528593   141039060888   760448912 CHRISTOPHER W SERRANO MD           OBSTETRICS/GYNECOLOGY         1    1        $0.00   BA   638808570532 101                                      SAN ANTONIO   TX   78258 7551        Y           Y           Y
PPO   EM   528593   141321453546   742760437 TARA A MILLS MD                    OBSTETRICS/GYNECOLOGY         2    1     $492.77    BA    45710292039 12201 RENFERT WAY STE 340                AUSTIN        TX   78758             Y           Y           Y
PPO   EM   528593   141544500561   856000168 SANTA FE FIRE DEPARTMENT           AMBULANCE                     1    1     $765.73    BA   922314515739 PO Box 5466                              Santa Fe      NM   87502             N           N           N
PPO   EM   528593   142895140266   746001774 NEW BRAUNFELS FIRE DEPT            AMBULANCE                     1    1    $1,558.93   BA   470815162572 PO Box 940249                            Houston       TX   77094             N           N           N
PPO   EM   528593   143230053719   752770291 DAVID C LEW MD                     ANESTHESIOLOGY                1    1     $814.05    BA   975416301712 PO Box 34717                             San Antonio   TX   78265             Y           Y           Y
PPO   EM   528593   143439523763   205478670 DOROTHEA RENE SAENGER MD           OBSTETRICS/GYNECOLOGY         4    4     $582.66    BA   681909523825 PO BOX 17469                             SAN ANTONIO   TX   78217 469         Y           Y           Y
PPO   EM   528593   143457334283   262119001 LINDA INGEBORG ALFONSO MD          FAMILY PRACTICE               3    2       $69.71   BA   296410325183 11212 HWY 151 STE 240                    SAN ANTONIO   TX   78251             Y           Y           Y
PPO   EM   528593   143838370191   742654495 JESSE MOSS JR MD                   OTORHINOLARYNGOLOGY           4    1     $117.20    BA    77621275382 12602 Toepperwein Rd Ste 211             San Antonio   TX   78233             Y           N           N
                                             METHODIST SPECIALTY
PPO   EM   528593 144320405996     742730328 TRANSPLANT HOSPITAL                GENERAL ACUTE CARE HOSPITAL   3    3    $1,571.36 BA     927723060684 PO BOX 406178                            ATLANTA       GA   30384             Y           Y           Y

PPO   EM   528593 144714343905     710294390 MERCY MEDICAL CENTER               GENERAL ACUTE CARE HOSPITAL   1    1     $242.40 BA      727414360439 1200 W WALNUT                            ROGERS        AR   72756             Y           N           N
PPO   EM   528593 145102084010     752740653 THERESA L STEWART MD               OBSTETRICS/GYNECOLOGY         1    1     $688.05 BA      572312084065 7622 Louis Pasteur Ste 210               San Antonio   TX   78229             Y           Y           Y
PPO   EM   528593 146096303468     742494278 SOUTH TEXAS MRI LTD           UNKNOWN PHYSICIAN SPECIALTY     2   2     $2,326.14 BA     536316311225 PO BOX 291088                   SAN ANTONIO    TX   78229          Y          Y           Y
PPO   EM   528593 146238581381     741996652 DAVID JAMES SANDERCOCK DO     FAMILY PRACTICE                11   9     $1,028.35 BA     909514001192 3338 OAKWELL CT STE 107         SAN ANTONIO    TX   78218 3087     Y          Y           Y
                                             METHODIST SPECIALTY
PPO   EM   528593 146704380219     742730328 TRANSPLANT HOSPITAL           GENERAL ACUTE CARE HOSPITAL    19   9    $25,820.04 BA     757214393800 PO BOX 406178                   ATLANTA        GA   30384          Y          Y           Y
PPO   EM   528593 147314032726     383452013 NAGALAKSHINI NALLAPANENI MD   INTERNAL MEDICINE               1   1      $307.60 BA      585614032766 PO BOX 92729                    LOS ANGELES    CA   90009 2729     Y          Y           Y

PPO   EM   528593 148951470828     742479545 WILFORD HALL MED CENTER       GENERAL ACUTE CARE HOSPITAL    21   5    $15,168.28 BA     465113591744 2200 BERGQUIST DR STE 1         LACKLAND AFB   TX   78236      Y-TINONLY   Y-TINONLY      N
PPO   EM   528593 150742005525     742913103 JUAN J FERRERIS MD FAAP       PEDIATRICS                     10   7      $652.84 BA      892805560166 8627 Cinnamon Creek Dr Bldg 1   San Antonio    TX   78240 1480      Y           Y         Y
PPO   EM   528593 150985313173     742957005 MICHAEL C GORDON MD           OBSTETRICS/GYNECOLOGY           2   2      $586.30 BA      993115313293 PO BOX 528                      SAN ANTONIO    TX   78292 528       Y           Y         Y
                                                                                                                                                   155 E SONTERRA BLVD STE
PPO   EM   528593   151279272354   743019577   REBECCA A QUIROZ MD         INTERNAL MEDICINE               7   2      $482.07    BA   861711082549 111                             San Antonio    TX   78258   3988   Y            Y           Y
PPO   EM   528593   152348301381   742484538   LAURA S AKRIGHT MD          ENDOCRINOLOGY                   3   2      $198.04    BA   403821242271 8715 Village Dr Ste 508         San Antonio    TX   78217          Y       Y-TINONLY        Y
PPO   EM   528593   152639012684   743003947   MARC DESCHAINE PA           PHYSICIAN ASSISTANT             1   1        $36.57   BA   661409024119 PO Box 2516                     San Antonio    TX   78299   2516   Y            Y           Y
PPO   EM   528593   152768304740   264333033   RANDALL K SADLER MD         OBSTETRICS/GYNECOLOGY           2   1        $81.55   BA   832322452346 PO Box 34537                    San Antonio    TX   78265   4537   Y            Y           Y
PPO   EM   528593   154349065346   201953710   LINDA D PARSI MD            PEDIATRICS                      6   5      $345.73    BA    80216294875 9150 Huebner Rd Ste 260         San Antonio    TX   78240          Y            Y           Y
PPO   EM   528593   154798303610   742503534   JERJIS J DENNO MD           ORTHOPEDIC                      1   1        $18.00   BA   252122472592 PO Box 120037                   San Antonio    TX   78212   9237   Y       Y-TINONLY   Y-TINONLY
PPO   EM   528593   156919545373   770641213   MARY C GOMEZ CURLL NP       NURSE PRACTITIONER              2   1      $113.32    BA   421019552489 1025 S PRESA                    SAN ANTONIO    TX   78210          Y            Y           Y
PPO   EM   528593   156938300760   742779329   DONALD G LENOIR MD          ANESTHESIOLOGY                  1   1         $0.00   BA   758808483459 PO Box 659                      San Antonio    TX   78293   659    Y            Y           Y
PPO   EM   528593   157056243519   742959210   WILLIAM T GONZABA MD        INTERNAL MEDICINE              30   9     $1,659.51   BA   977010395343 PO Box 298                      San Antonio    TX   78291          Y            Y           Y
                                                                           NURSE ANESTHETIST, CERTIFIED
PPO   EM   528593 157578090237     742246239 GLYNN COOPER CRNA             REGISTERED                     2    2      $486.00 BA        4908090265 1300 Murchison Dr Ste 180       El Paso        TX   79902 4838     Y       Y-TINONLY   Y-TINONLY
                                                                           NURSE ANESTHETIST, CERTIFIED
PPO   EM   528593   157640381455   742246239   PAMELA D HOLLAND CRNA       REGISTERED                     1    1        $0.00    BA   779014004188   PO BOX 5865                   LUBBOCK        TX   79408 5865     Y       Y-TINONLY      Y
PPO   EM   528593   158343011662   741586031   PATRICK HOLDEN MD           PSYCHIATRY                     1    1      $169.00    BA   788118115981   PO Box 528                    San Antonio    TX   78292          Y            Y         Y
PPO   EM   528593   158773110247   510599870   MOISES A CHICA MD           OPHTHALMOLOGY                  2    1       $76.04    BA    93513132290   PO Box 200831                 Houston        TX   77216 831      Y            N         Y
PPO   EM   528593   159230254904   264333033   KAREN M CARCAMO MD          OBSTETRICS/GYNECOLOGY          5    5      $397.56    BA   926722103761   367 E Ramsey Rd               San Antonio    TX   78216          Y            Y         Y
                                                                                                                                                     7922 EWING HALSELL DR STE
PPO   EM   528593   159718295711   742529053   LILLIAN MARTIN JONES MD      OBSTETRICS/GYNECOLOGY          6    4     $168.86    BA   826111410567   420                           SAN ANTONIO    TX   78229 3726     Y          Y           Y
PPO   EM   528593   159886192521   746141855   DAVID W JOHNSON MD           PEDIATRICS                     6    6     $463.20    BA   227216313040   3111 San Pedro Ave            San Antonio    TX   78212          Y          Y           Y
PPO   EM   528593   160943250646    61823122   NICK S AGUILAR MD            FAMILY PRACTICE               21    7    $1,283.64   BA   951514530822   PO Box 847109                 Dallas         TX   75284          Y          Y           Y
PPO   EM   528593   161008295206   742608033   MARSHALL J BENBOW MD         PEDIATRICS                     4    4     $234.02    BA   596421241977   5282 Medical Dr Ste 310       San Antonio    TX   78229          Y          Y           Y
PPO   EM   528593   162360215058   742246239   ERNESTO GUERRA JR MD         GASTROENTEROLOGY              18   10    $1,277.86   BA   817812372680   520 E EUCLID AVE              SAN ANTONIO    TX   78212 4414     Y          Y           Y
PPO   EM   528593   165889592215   741586031   PHILIP T VALENTE MD          PATHOLOGY                      1    1        $0.00   BA   923008150203   PO BOX 528                    SAN ANTONIO    TX   78292 528      Y          Y           Y
PPO   EM   528593   166207383914   742806531   AMY L THOMAS MD              FAMILY PRACTICE                1    1       $53.26   BA   991017383940   PO BOX 843256                 BOSTON         MA    2284 3256     Y          Y           Y
PPO   EM   528593   167828312990   742883076   PATRICIA K BROUGHER MD       OBSTETRICS/GYNECOLOGY          1    1       $27.16   BA   985821245816   4499 Medical Dr Ste 191       San Antonio    TX   78229          Y          Y           Y
                                                                            DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593 169209371760     742402357 HAND REHABILITATION ASSOCIATES MED SUPPLIES                  1    1        $0.00 BA      601409382384 PO BOX 2966                     SAN ANTONIO    TX   78299 2966     Y       Y-TINONLY      Y
PPO   EM   528593 169228452535      10624198 YOUSUF J ALLAWALA MD           PSYCHIATRY                    1    1       $15.00 BA      971917325340 4242 Medical Dr Suite 6300      San Antonio    TX   78229          Y            Y         Y
                                                                                                                                                   12050 VANCE JACKSON RD
PPO   EM   528593 172958570196     742993979 VIKKI L VAIANI APN APRN       PSYCHIATRY                     2    1       $90.00 BA       91009165379 STE 201                         SAN ANTONIO    TX   78230 1183     Y          Y           Y
PPO   EM   528593 172960045338     742779329 JAMES A GARZA MD              ANESTHESIOLOGY                 1    1      $350.11 BA      151423010394 PO Box 659                      San Antonio    TX   78293          Y          Y           Y
PPO   EM   528593 173858430058     742278949 DIANE E JENDRZEY MD           PEDIATRICS                     4    3      $103.35 BA      740421302967 7007 Bandera Rd Ste 19          San Antonio    TX   78238          Y          Y           Y
                                                                                                                                                   6800 PARK TEN BLVD STE 240
PPO   EM   528593   174729565443   742699861   BARRETT K HAYS MD           FAMILY PRACTICE                16   5      $961.26    BA   639414394416 E                               San Antonio    TX   78213          Y          Y           Y
PPO   EM   528593   175128343770   742528629   NEIL FORREST HADDOCK MD     DERMATOLOGY                     3   2        $15.06   BA   989321263859 14615 San Pedro Ave Ste 120     San Antonio    TX   78232          Y          N           Y
PPO   EM   528593   176268303031   710919624   DIANNA M BURNS MD           PEDIATRICS                      1   1      $338.75    BA   571321241978 1954 E Houston St Rm 104        San Antonio    TX   78202          Y          Y           Y
PPO   EM   528593   176500155675   742248445   JAMES W SPEIGHTS MD         OPHTHALMOLOGY                   6   3     $1,083.64   BA   390622122951 7940 Floyd Curl Ste 820         San Antonio    TX   78229          Y          N           N
PPO   EM   528593   176924502800   742246239   ANTONIO SERNA IV MD         GASTROENTEROLOGY                3   1         $0.00   BA   328415574929 PO BOX 840390                   DALLAS         TX   75284          Y          Y           Y
PPO   EM   528593   178578252629   752740653   LISSA K MAGLOIRE MD         OBSTETRICS/GYNECOLOGY          11   2     $6,502.70   BA   676909563599 PO Box 29067                    San Antonio    TX   78229          Y          Y           Y
PPO   EM   528593   178637445538   741654878   ROBERTO J ARANIBAR MD       NEUROLOGY                       2   1      $582.96    BA    39921045571 4410 Medical Dr Ste 610         San Antonio    TX   78229          Y          Y           Y
                                                                           SPECIALIST/TECHNOLOGIST,
PPO   EM   528593 179164383015     263134329 SAMUEL B HENDERSON CST CFA    OTHER-SURGICAL                 1    1        $0.00 BA      895214395437 10602 SPRINGWOOD SQ             UNIVERSAL CITY TX   78148          N          N           N
                                             ELIZABETH LOUISE MAGNABOSCO
PPO   EM   528593   179469193703   742132046 MD                            ORTHOPEDIC                     9    3     $1,876.15   BA   999506273039   4499 Medical Dr Ste 235       San Antonio    TX   78229          Y          Y             Y
PPO   EM   528593   179949214684   638501337 MAGED M MINA MD               PAIN MEDICINE                  2    1        $55.22   BA   460722561084   PO Box 659                    San Antonio    TX   78293          Y          Y             Y
PPO   EM   528593   180224574782   742592013 CHANTAL O BARLAND MD          DERMATOLOGY                    2    2      $135.85    BA   943104574832   7832 PAT BOOKER RD            LIVE OAK       TX   78233 2601     Y          Y        Y-TINONLY
PPO   EM   528593   183000195453   741810745 RICHARD PORTER WILSON MD      ORTHOPEDIC                     3    3      $281.40    BA   986322134275   2829 Babcock Rd Ste 525       San Antonio    TX   78229          N          N             N
PPO   EM   528593 184509523949     742698089 SCOTT M THOMAS MD                  FAMILY PRACTICE               2    1      $146.27 BA      645209523981 PO BOX 792547                    SAN ANTONIO    TX   78279 2547 Y-TINONLY       Y-TINONLY   Y-TINONLY

PPO   EM   528593 186048235262     741109643 SETON MEDICAL CENTER HAYS          GENERAL ACUTE CARE HOSPITAL   1    1      $281.00 BA      503908235300 PO BOX 2301                      SAN ANTONIO    TX   78298 2301        Y             Y         Y
PPO   EM   528593 186559462933     752625765 SON T DO MD                        GASTROENTEROLOGY              1    1      $157.20 BA      859213002520 2101 NE 139TH ST STE 265         VANCOUVER      WA   98686 2311        Y        Y-TINONLY      Y
PPO   EM   528593 186608470598     742715291 PETER R LEDOUX MD                  SURGERY, PLASTIC              1    1      $153.81 BA      954721315253 4499 Medical Dr Ste 311          San Antonio    TX   78229             Y             Y         Y
                                                                                                                                                       1531 E BRADFORD PKWY STE
PPO   EM   528593 187299183223     742143569 JORGE A DE LA CHAPA DO             OPHTHALMOLOGY                 1    1      $146.78 BA      957807195150 100                              SPRINGFIELD    MO   65804 6539        Y        Y-TINONLY      Y

PPO   EM   528593   187328282294   741109665   CHRISTUS CHILDRENS HOSPITAL      GENERAL ACUTE CARE HOSPITAL   15    4   $16,796.94   BA   454721234031 333 N Santa Rosa Ave Fl 8        San Antonio    TX   78207             Y           Y             Y
PPO   EM   528593   187628293190   741810973   JERRY E KRUSE MD                 SURGERY, UROLOGICAL            4    2     $166.17    BA   180121235151 1303 Mccullough Ave Ste 561      San Antonio    TX   78212             Y           Y             N
PPO   EM   528593   188889183533   742990394   LETICIA A CERDA MD               FAMILY PRACTICE                4    2     $223.99    BA   872417055656 1202 W Bitters Rd Bldg 4         San Antonio    TX   78216             Y           Y             Y
PPO   EM   528593   189834454069   133757370   LABCORP OF AMERICA HOLDINGS      CLINICAL MEDICAL LABORATORY   12   11    $1,374.72   BA   662910474657 PO Box 2270                      Burlington     NC   27216             Y           Y             Y
PPO   EM   528593   190250215829   261264937   HARRY HERNANDEZ DO               FAMILY PRACTICE               15   10     $998.69    BA   717310321893 5975 FM 78 Ste 300               San Antonio    TX   21094             Y           Y             Y
PPO   EM   528593   191640140679   742726652   GERARDO R VAZQUEZ MD             FAMILY PRACTICE                1    1       $57.61   BA   957123004957 PO Box 691168                    San Antonio    TX   78269             Y           Y        Y-TINONLY
PPO   EM   528593   192020260057   743003947   MARVIN R BROWN MD                ORTHOPEDIC                     3    3     $241.59    BA   687823020546 PO Box 2516                      San Antonio    TX   78299             Y           Y             Y
PPO   EM   528593   192529170413   742907091   CHAD E WERSELL DC                CHIROPRACTOR                   1    1       $48.27   BA   938121423870 15150 Nacogdoches Rd Ste 185     San Antonio    TX   78247             Y           N             Y
PPO   EM   528593   193069383871   742779329   LAURENCE ROSEN MD                ANESTHESIOLOGY                 1    1    $1,500.48   BA   252822534413 PO Box 659                       San Antonio    TX   78293             Y           Y             Y
PPO   EM   528593   193198351452   270492434   MILES A HUTSON MD                FAMILY PRACTICE                1    1       $53.42   BA   851611423034 3100 Ave E                       Hondo          TX   78861             Y           Y             Y
PPO   EM   528593   193287460299   200468751   ARMANDO E QUINONES MD            EMERGENCY MEDICINE             3    2     $414.77    BA   791407460373 PO BOX 1810                      SAN ANTONIO    TX   78296             Y           Y             Y
PPO   EM   528593   193394425131   743003947   LAURA L GRIFFITH PT              PHYSICAL THERAPIST             1    1       $52.73   BA   796614425194 PO Box 2516                      San Antonio    TX   78299 2516        Y           Y             Y
                                                                                                                                                       225 E SONTERRA BLVD STE
PPO   EM   528593 193464464579     205954281 DAVID SALAZAR MD                   PULMONARY DISEASE             1    1      $183.35 BA      541112491170 217                              SAN ANTONIO    TX   78258             Y             Y         Y
PPO   EM   528593 193583020678     742503534 JAMES W SIMMONS III DO             ORTHOPEDIC                    6    2     $3,271.89 BA     549013060775 PO Box 120037                    San Antonio    TX   78212 9237        Y        Y-TINONLY      Y
PPO   EM   528593 193811501158     741724391 AMY M MCCLELLAN FNP                FAMILY PRACTICE               3    1        $34.46 BA      72311501195 3066 E COMMERCE ST               SAN ANTONIO    TX   78220 1013        Y             Y         Y
                                             UT SOUTHWESTERN ST PAUL
PPO   EM   528593 194640261137     753175630 HOSPITAL                           GENERAL ACUTE CARE HOSPITAL   1    1        $0.00 BA      960512505153 8303 ELMBROOK DR                 DALLAS         TX   75247             Y           N           Y
PPO   EM   528593 195237575635     742873267 IMPACT MEDICAL SERVICES PA         EMERGENCY MEDICINE            4    3      $560.25 BA      987522235113 PO Box 2099                      San Antonio    TX   78297             Y           Y           Y
                                             ALAMO SLEEP DISORDERS CENTER
PPO   EM   528593 195890591301     203491930 INC                                UNKNOWN PHYSICIAN SPECIALTY   5    3     $3,020.17 BA     908512083066 4865 FREDERICKSBURG RD           SAN ANTONIO    TX   78229 3627        Y           Y           Y
                                                                                                                                                                                        HUNTINGTON
PPO   EM   528593   196583581559   112659192   NTD LABORATORIES INC             CLINICAL MEDICAL LABORATORY   2    2       $57.08    BA   919313593280   403 OAKWOOD RD                 STATI          NY   11746               Y           N           N
PPO   EM   528593   196774230464   383676463   DENISE A WOODY GROSS MD          OBSTETRICS/GYNECOLOGY         4    1      $140.15    BA   897315062851   PO BOX 780836                  SAN ANTONIO    TX   78278               Y           N           N
PPO   EM   528593   196953281658    10624198   VIKRAM KASHYAP MD                PSYCHIATRY                    5    2      $140.00    BA   987710352678   4242 MEDICAL DR STE 6300       SAN ANTONIO    TX   78229               Y           Y           Y
PPO   EM   528593   197104340620   203211824   JOSE LOPEZ MD                    FAMILY PRACTICE               3    2      $163.04    BA    49314340655   PO BOX 90208                   SAN ANTONIO    TX   78209   9081   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   197404063996   742269166   SAMUEL R NEELEY MD               NEUROLOGY                     4    2      $140.86    BA   978114094759   4410 Medical Dr Ste 520        San Antonio    TX   78229               Y           N           Y
PPO   EM   528593   199298454379   742570595   TY H GOLETZ MD                   ORTHOPEDIC                    5    1      $147.18    BA   654622455670   PO Box 1038                    San Antonio    TX   78294   1038        Y           Y           N
PPO   EM   528593   199926275540   383452013   RAVI SANTHANAM MD                INTERNAL MEDICINE             3    1      $583.53    BA   803016275604   1180 N INDIAN AVE STE 205      PALM SPRINGS   CA   92262          Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   101448332371   741847982   PEDRO A DE LEON MD               FAMILY PRACTICE               7    4      $304.45    BA   321807545683   7430 Barlite Blvd Ste 108      San Antonio    TX   78224               Y           Y           Y
PPO   EM   528593   102048353900   742199329   SHANTHA KESAVULU MD              PEDIATRICS                    2    1      $283.85    BA   623821265301   4242 E Southcross Blvd Ste 6   San Antonio    TX   78222               Y           Y           Y
PPO   EM   528593   102322502942   264333033   ANNA L CHAVANA MD                OBSTETRICS/GYNECOLOGY         2    2      $114.62    BA    17612513599   PO Box 34537                   San Antonio    TX   78265   4537        Y           Y           Y
PPO   EM   528593   103198300982   741694904   BARBARA P BELCHER MD             PEDIATRICS                    7    3      $331.98    BA   235321242975   203 E Evergreen St             San Antonio    TX   78212               Y           Y           Y
PPO   EM   528593   103980253616   742989234   RAMON GARZA MD                   ENDOCRINOLOGY                 2    1       $86.91    BA   564223020136   PO Box 855                     San Antonio    TX   78293               Y           Y           Y
PPO   EM   528593   104128455209   742280885   W DARELL WILLERSON JR MD         OPHTHALMOLOGY                 5    2      $410.77    BA   886810095259   303 E QUINCY ST STE 100        SAN ANTONIO    TX   78215   1922        Y           Y           Y
PPO   EM   528593   104230045533   741586031   SHADI M TOLAYMAT MD              HOSPITALIST                   5    1      $645.70    BA   794910045628   PO BOX 528                     SAN ANTONIO    TX   78292    528        Y           Y           Y
                                                                                PHYSICAL MEDICINE &
PPO   EM   528593 104408290665     741833230 ROBERTO G ROLFINI MD               REHABILITATION                2    2      $508.15 BA      825621233892 343 W Houston ST Ste 102         San Antonio    TX   78205             Y           Y           Y
                                                                                PHYSICAL MEDICINE &
PPO   EM   528593 105589301953     742770912 WILLIAM W JANES MD                 REHABILITATION                2    1         $0.00 BA     896721473324 2833 Babcock Rd Ste 315          San Antonio    TX   78229             Y           Y             Y
PPO   EM   528593 105650065828     203059260 MICHAEL A CENTENO MD               FAMILY PRACTICE               7    2      $255.21 BA      343422593374 PO Box 400094                    San Antonio    TX   78229             Y           Y             Y
PPO   EM   528593 106378393860     742447500 ANATOLE D TRAKHTENBROIT MD         CARDIOLOGY                    6    3     $1,321.15 BA     991309583957 PO Box 119                       San Antonio    TX   78291             Y           Y        Y-TINONLY

PPO   EM   528593    10654325532   742575462 CENTRAL TEXAS MEDICAL CENTER       GENERAL ACUTE CARE HOSPITAL   1    1     $1,440.51 BA      83909143133 PO Box 890088                    Dallas         TX   75389             Y           Y           Y
PPO   EM   528593    10654326152   470868080 PATRICK W SLATER II MD             OTORHINOLARYNGOLOGY           5    5         $0.00 BA     763515264200 12201 RENFERT WAY STE 100        AUSTIN         TX   78758 5367        Y           Y           Y

PPO   EM   528593    10654326203   741703601   AUSTIN PATHOLOGY ASSOCIATES PA   PATHOLOGY                     1    1       $15.00    BA   207115591606   PO Box 164106                  Austin         TX   78716             Y           Y           Y
PPO   EM   528593    10654345881   741586031   JAMES G FLOURNOY MD              RADIOLOGY, DIAGNOSTIC         1    1       $10.73    BA   930511262761   1215 E Ct St                   Seguin         TX   78155             Y           Y           Y
PPO   EM   528593    10659946935    43734064   PATRICIO VILLARREAL MD           EMERGENCY MEDICINE            1    1      $149.49    BA   660616133891   1215 E Ct St                   Seguin         TX   78155             N           N           N
PPO   EM   528593    10659947056   742842145   DAVID W WENZEL MD                NEUROLOGY                     4    2      $237.28    BA    56317441588   14607 San Pedro Ste 220        San Antonio    TX   78232             Y           Y           Y
PPO   EM   528593    10659953238   742932237   ANNIE CHACKO MBBS             INTERNAL MEDICINE             1    1      $80.07   BA   922712115491   PO BOX 528                              SAN ANTONIO      TX   78292 528       Y           Y           Y
PPO   EM   528593    10659953244   741586031   EDWARD J LEFEBER JR MD        INTERNAL MEDICINE             2    1    $147.42    BA   123913594917   PO Box 528                              San Antonio      TX   78292 528       Y           Y           Y
PPO   EM   528593    10659953310   300185398   SUNEETA NAIK MD               FAMILY PRACTICE               2    1    $158.77    BA   645011222722   2009 Pat Booker Rd                      Universal City   TX   78148           Y           Y           Y
PPO   EM   528593    10659953553   571173818   TIMOTHY A HERNANDEZ MD        INTERNAL MEDICINE             2    2    $209.25    BA   822514361354   PO BOX 780789                           SAN ANTONIO      TX   78278           Y           N           Y
PPO   EM   528593    10659953604   742932237   SALVADOR C VAZQUEZ MD         FAMILY PRACTICE               1    1      $36.40   BA    99612262962   PO Box 961                              San Antonio      TX   78211           Y           Y           Y
PPO   EM   528593    10659960090   741586031   MARK K SPARKMAN MD            EMERGENCY MEDICINE            1    1      $46.43   BA   982509422426   PO BOX 528                              SAN ANTONIO      TX   78292 528       Y           Y           Y
PPO   EM   528593    10659961620   742719996   CHRISTINA E GUTIERREZ MD      OBSTETRICS/GYNECOLOGY         8    6    $455.10    BA   931910170224   2050 North Loop W Ste 224               Houston          TX   77018           Y           Y           Y
PPO   EM   528593    10659961905   742798880   THEODORE M FREEMAN MD         ALLERGY & IMMUNOLOGY          4    2      $34.17   BA   965215501519   8285 Fredericksburg Rd                  San Antonio      TX   78229           Y           Y           Y
PPO   EM   528593    10659967713   752740653   MELISSA A AERTS MD            OBSTETRICS/GYNECOLOGY         3    1   $1,844.90   BA   636411302584   PO Box 29363                            San Antonio      TX   77210 4613      Y           Y           Y
                                               WESLACO ADVANCED MEDICAL
PPO   EM   528593    10659969217   742967281   IMAGING                       UNKNOWN PHYSICIAN SPECIALTY    1   1      $87.24   BA   897015514299   PO Box 567                              Welasco          TX   78596           Y           N           Y
PPO   EM   528593   106887411768   742950472   PRAFUL MEHTA MD               INTERNAL MEDICINE              3   2      $86.91   BA   458921035290   12318 Autumn Vista ST                   San Antonio      TX   78249           Y           Y           Y
PPO   EM   528593   107087434747   742983828   SEGUNDO A BRIONES MD          FAMILY PRACTICE                1   1      $66.71   BA   670222445195   PO Box 2546                             San Antonio      TX   78299           Y           Y           Y
PPO   EM   528593   108682320772   202750245   TRACY L SCHILLERSTROM MD      PSYCHIATRY                     2   2    $160.00    BA   381512330998   9150 Huebner Rd Ste 255                 San Antonio      TX   78240           Y           Y           Y
PPO   EM   528593   109467404514   743003947   CHERYL C OBREGON PT           PHYSICAL THERAPIST            24   4   $1,138.61   BA   831410230558   PO Box 2516                             San Antonio      TX   78299 2516      Y           Y           Y

PPO   EM   528593 111389462520     742923024 CRISTINA P CARRENO SIMPSON MD   OBSTETRICS/GYNECOLOGY         2    1    $127.18 BA      737821544852 414 Navarro ST Ste 1200                   San Antonio      TX   78205             Y         Y             Y
PPO   EM   528593 111678551058     741665466 JOHN A CAMPAGNA MD              OPHTHALMOLOGY                 1    1     $40.02 BA      845712340483 250 S 17TH ST STE 101                     PHILADELPHIA     PA   19103        Y-TINONLY      N        Y-TINONLY
                                                                                                                                                                                4TH FLOOR
PPO   EM   528593 112168500708     264333033 SUSAN A CROCKETT MD             OBSTETRICS/GYNECOLOGY         4    2    $269.10 BA      997511491418 PO BOX 5568                   SUITE B     San Antonio      TX   78201           Y           Y           Y
PPO   EM   528593 113377113599     742932237 NATALIE R NYREN PA              HOSPITALIST                   1    1     $13.82 BA      981210191692 PO BOX 87                                 SAN ANTONIO      TX   78291   87      Y           Y           Y
                                                                                                                                                  1303 MCCULLOUGH AVE STE
PPO   EM   528593   113508310481   742600365   GEORGE M RICHMOND JR MD       FAMILY PRACTICE               4    3    $134.34    BA   944611564994 135                                       SAN ANTONIO      TX   78212 5600      Y           Y           Y
PPO   EM   528593   113770593209   742914710   MARSHALL D NATHAN MD          OTORHINOLARYNGOLOGY           1    1     $87.98    BA    37413442495 PO BOX 17934                              SAN ANTONIO      TX   78217 934       Y           Y           N
PPO   EM   528593   113837243862   201711965   KATHY D GROVE MD              SURGERY, GENERAL              1    1    $260.14    BA   924017243922 PO Box 528                                San Antonio      TX   78292 528       Y           Y           N
PPO   EM   528593   114278284785   464263607   THOMAS ROMO JR MD             FAMILY PRACTICE               1    1    $110.88    BA   743121235436 400 Baltimore Ave                         San Antonio      TX   78215           Y           N           N

PPO   EM   528593   114802093737   200894669 CONCORD IMAGING                 UNKNOWN PHYSICIAN SPECIALTY    5   5    $446.32    BA   360812130677   PO BOX1888                              GREENVILLE       TX   74503           Y        Y-TINONLY   Y-TINONLY
PPO   EM   528593   115389260806   741916103 JASON MING ZHAO MD              OPHTHALMOLOGY                  1   1    $102.56    BA   866315005494   800 McCullough Ave                      San Antonio      TX   78215           Y             Y           Y
PPO   EM   528593   115458541397   264333033 VALENTIN ALMENDAREZ JR MD       OBSTETRICS/GYNECOLOGY          3   3    $278.68    BA    61721342572   367 E Ramsey Rd                         San Antonio      TX   78216           Y             Y           Y
PPO   EM   528593   115512005805   300392468 RAMON G REYES MD                URGENT CARE CLINIC/CENTER     11   9    $621.61    BA   879011584402   PO BOX 269092                           OKLAHOMA CITY    OK   73126           Y             Y           Y
                                             SAN ANTONIO PODIATRY
PPO   EM   528593 115877461220     742199807 ASSOCIATES PC                   PRIMARY PODIATRIC MEDICINE    10   6   $1,010.08 BA     832210564692 8042 WURZBACH STE 510                     SAN ANTONIO      TX   78229           Y           Y           Y
                                                                                                                                                  1303 MCCULLOUGH AVE STE
PPO   EM   528593   116160212425   742162581   ROBERT J MAGNON MD            DERMATOLOGY                   2    2     $87.76    BA   924204533416 525                                       SAN ANTONIO      TX   78212 5607      Y             N         Y
PPO   EM   528593   116669304335   742467878   LEONARD R KAJS LCSW ACP       MARRIAGE & FAMILY THERAPIST   9    1    $715.00    BA   935110301538 8207 CALAGHAN RD STE 425                  San Antonio      TX   78230           Y             Y         Y
PPO   EM   528593   117156583820   742899823   MELISSA G WAMPLER MD          OBSTETRICS/GYNECOLOGY         1    1     $21.89    BA   950607524709 PO BOX 291465                             KERRVILLE        TX   78029 1465      Y        Y-TINONLY      Y
PPO   EM   528593   117598415579   742719996   AVERELL H SUTTON MD           OBSTETRICS/GYNECOLOGY         2    2    $145.35    BA   922211043577 PO Box 17469                              San Antonio      TX   78217           Y             Y         Y

PPO   EM   528593   118722171642   752834692   AHI OF DALLAS                 UNKNOWN PHYSICIAN SPECIALTY    1   1    $784.34    BA   207412344613   PO Box 933367                           Atlanta          GA   31193           Y        Y-TINONLY      Y
PPO   EM   528593   118858510065   742993979   LUZ C STARCK MD               PSYCHIATRY                     4   1      $0.00    BA   838522472655   PO Box 200837                           Houston          TX   76107 6530      Y             Y         Y
PPO   EM   528593   119818292792   742608033   LANNING D JONES MD            PEDIATRICS                    11   3    $359.49    BA   514421240433   5282 Medical Dr Ste 310                 San Antonio      TX   78229           Y             Y         Y
PPO   EM   528593   119988500839   742762720   MICHAEL T MONTGOMERY DDS      DENTIST                        1   1      $0.00    BA   522021325946   7551 Callaghan Rd Ste 210               San Antonio      TX   78229           N             N         N

PPO   EM   528593   120599473200   810655398   AMERICAN DYNAMIC IMAGING      UNKNOWN PHYSICIAN SPECIALTY   1    1    $424.07    BA   551709482594   797 LONESOME DOVE TRAIL                 HURST            TX   76054           Y        Y-TINONLY        Y
PPO   EM   528593   122690294268   261827978   ASH M DABBOUS MD              OBSTETRICS/GYNECOLOGY         2    1    $162.80    BA   764413482730   PO BOX 1976                             San Antonio      TX   78297           Y             Y           Y
PPO   EM   528593   123290004393   742779329   ANTHONY E CLARK MD            ANESTHESIOLOGY                1    1    $568.93    BA   523322551730   PO Box 659                              San Antonio      TX   78293           Y             Y           Y
PPO   EM   528593   123888341350   742337161   RICARDO A GARZA MD            CARDIOLOGY                    5    2   $1,110.50   BA     9609472801   PO BOX 33295                            SAN ANTONIO      TX   78265 3295      Y             Y           Y
PPO   EM   528593   124648403911   742712740   JORGE A HERNANDEZ MD          PEDIATRICS                    1    1      $36.03   BA   998908551342   PO Box 120427                           San Antonio      TX   78212           Y             Y           Y
PPO   EM   528593   124980112917   742337161   FERNANDO LOPEZ MD             CARDIOLOGY                    3    1    $689.52    BA   930308020752   PO Box 848333                           Dallas           TX   75284 3816 Y-TINONLY     Y-TINONLY   Y-TINONLY
                                               RHEUMATOLOGY ASSOCIATES OF
PPO   EM   528593   126420320650   161751617   SOUTH TEXAS                   RHEUMATOLOGY                  9    5   $5,083.37   BA   882310320677   PO BOX 823                              San Antonio      TX   78293 823       Y           Y           Y
PPO   EM   528593   127500554813   742447500   ART R TONTIPLAPHOL MD         CARDIOLOGY                    2    1    $164.85    BA   311110554850   PO BOX 2600                             SAN ANTONIO      TX   78299 2600      Y           Y           Y
PPO   EM   528593   127508345541   741586031   MUHAMMAD AKRAM MD             FAMILY PRACTICE               1    1      $66.19   BA   853108345565   PO BOX 528                              SAN ANTONIO      TX   78292 528       Y           Y           Y
PPO   EM   528593   128178300125   562613565   GERALD T ROSENBERG MD         RHEUMATOLOGY                  1    1    $248.49    BA   844021241900   4319 Medical Dr Ste 211                 San Antonio      TX   78229           Y           Y           Y
PPO   EM   528593   128219094635   742283401   CHARLES A SYMS III MD         OTORHINOLARYNGOLOGY           5    3    $864.63    BA   951510560444   PO Box 811                              San Antonio      TX   78293 811       Y           Y           Y
                                                                             SPECIALIST/TECHNOLOGIST,
PPO   EM   528593 128275212662     271286283 GABRIEL ALVARADO SA             OTHER-SURGICAL                1    1      $0.00 BA      715805221785 170 TERRY LN                              LYTLE            TX   78052           N           N           N
PPO   EM   528593   128410514078   742932237   MIGUEL A PEREZ DO             FAMILY PRACTICE               1    1     $52.61    BA    59410514127   PO BOX 87                        SAN ANTONIO     TX   78291    87     Y             Y           Y
PPO   EM   528593   128510390402   770644336   ECARDIO DIAGNOSTICS           RADIOLOGY, DIAGNOSTIC         1    1      $0.00    BA   902010401197   1442 Lake Front Cir              The Woodlands   TX   77380           N             N           N
PPO   EM   528593   129994131182   383452013   MARIA DOLORES CHAPA MD        HOSPITALIST                   1    1      $0.00    BA   683514151947   PO BOX 92729                     LOS ANGELES     CA   90009           Y             Y           Y
PPO   EM   528593   130499431551   742619659   JAY S WEINBERG MD             PEDIATRICS                    1    1    $116.92    BA   119821535483   1535 E Common St                 New Braunfels   TX   78130           Y        Y-TINONLY   Y-TINONLY
                                               BULVERDE URGENT CARE AND
PPO   EM   528593   131017392678    20738450   OCCUPATIONAL HEALTH CENTE     URGENT CARE CLINIC/CENTER     1    1     $70.65    BA   951118390579   PO Box 17469                     San Antonio     TX   78217           Y           Y           Y
PPO   EM   528593   131843221055   741586031   RONALD P WILLIAMS MD          ORTHOPEDIC                    4    2    $108.00    BA   351011571048   PO BOX 528                       SAN ANTONIO     TX   78292 528       Y           Y           Y
PPO   EM   528593   132097205205   741787031   DEBORAH L MELENDEZ MD         FAMILY PRACTICE               1    1     $41.40    BA   825408101234   3750 COMMERCIAL AVE              San Antonio     TX   78221 3117      Y           Y           Y
PPO   EM   528593   132240172290   741586031   AMY M ARISCO MD               SURGERY, UROLOGICAL           4    2    $257.41    BA   807305293044   PO BOX 528                       SAN ANTONIO     TX   78292 528       Y           Y           Y
PPO   EM   528593   132339102505   742803685   NINZA A SANCHEZ MD            INTERNAL MEDICINE             2    2     $63.66    BA   545108002101   PO Box 830605                    San Antonio     TX   78283 605       Y           Y           Y
PPO   EM   528593   132580121348   450475960   RONALD K GARCIA MD            INTERNAL MEDICINE             2    2     $76.91    BA   429911042267   2829 Babcock Rd Ste 636          San Antonio     TX   78229           Y           Y           Y
                                                                             DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593 133352455638     113676182 PODIATRY GRP OF S TEXAS         MED SUPPLIES                  1    1       $0.00                                                                                             Y           Y           Y
PPO   EM   528593 133370535893     741613878 JOSEPH JANKOVIC MD              NEUROLOGY                     1    1   $2,064.00 BA     981910445844 PO BOX 4850                        HOUSTON         TX   77210           Y           Y           Y
PPO   EM   528593 133386400151      10784663 LAURA R TAMAYO MD               PEDIATRICS                    6    2   $1,639.60 BA     680205153335 PO BOX 528                         SAN ANTONIO     TX   78292   528     Y           Y           Y

PPO   EM   528593   133451002815    10677237   720 RAD LTD                   UNKNOWN PHYSICIAN SPECIALTY   4    3      $0.00    BA    37711014500   PO Box 843816                    Dallas          TX   75284           N           N           N
PPO   EM   528593   133738291471   742979042   NEAL S MERITZ MD              FAMILY PRACTICE               2    2    $136.55    BA   438709364176   525 Oak Centre Dr Ste 150        San Antonio     TX   78258 3917      Y           Y           Y
PPO   EM   528593   133847075171   741698263   DINA X GOYTIA-LEOS MD         INTERNAL MEDICINE             2    2    $167.75    BA   846817075212   PO BOX 896                       SAN ANTONIO     TX   78293 896       Y           Y           Y
PPO   EM   528593   136936551199   741586031   LISA DUPUIS NP                NURSE PRACTITIONER            2    1    $199.61    BA   932416551266   PO Box 528                       San Antonio     TX   78292 528       Y           Y           Y
PPO   EM   528593   137450225904   742764739   HEIDI R HECK MD               OBSTETRICS/GYNECOLOGY         1    1     $78.14    BA   944222592428   PO Box 40129                     San Antonio     TX   78229           Y           Y           Y
PPO   EM   528593   138902314952   262387895   WARD W PETERSON DC            CHIROPRACTOR                  1    1      $0.00    BA   696014432914   4230 GARDENDALE BLDG 201         SAN ANTONIO     TX   78229           N           N           N
PPO   EM   528593   139051044550   742791472   RAYMOND H HERNANDEZ JR MD     FAMILY PRACTICE               4    3    $296.05    BA   544304295903   505 Howard St                    San Antonio     TX   78212 5532      Y           Y           Y
PPO   EM   528593   139990251185   741724391   IGNACIO A CHAVES MD           FAMILY PRACTICE               1    1      $9.49    BA   616122183030   114 Trade Ave                    Boerne          TX   78006           Y           Y           Y
PPO   EM   528593   140519025106   746141855   STEPHEN A MAXWELL MD          PEDIATRICS                    1    1    $568.07    BA   348121380191   3111 San Pedro Ave               San Antonio     TX   78212           Y           Y           Y
                                               VAUCHERIA CARTER RUBENSTEIN
PPO   EM   528593   141627432925   752770291   MD                            ANESTHESIOLOGY                 2   2    $562.80    BA   689922444416   PO Box 29927                     San Antonio     TX   78265   9927 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   144178453989   741880422   RICHARD BLAIR JACKSON MD      PROCTOLOGY                     3   1   $2,145.42   BA   359422464766   PO Box 1536                      San Antonio     TX   78295             Y           Y           Y
PPO   EM   528593   144260434717   742915297   GLADYS I RODRIGUEZ MD         ONCOLOGY, MEDICAL              5   3    $157.98    BA   870923024276   PO Box 268                       San Antonio     TX   78291             Y           Y      Y-TINONLY
PPO   EM   528593   144621533143   742072186   CAROLINE C DEWITT MD          INFECTIOUS DISEASE             1   1      $32.20   BA    38411533206   8042 Wurzbach Rd Ste 280         San Antonio     TX   78229   3863      Y           Y           Y
PPO   EM   528593   145808453988   270085759   JOSEPHINE H RUIZ HEALY MD     PEDIATRICS                    11   2   $1,011.30   BA   968309501393   PO Box 2277                      San Antonio     TX   78298             Y           Y           Y
PPO   EM   528593   145810230344   742925318   JEROME T WASHINGTON MD        OBSTETRICS/GYNECOLOGY          7   3    $345.34    BA   810922175009   7922 Ewing Halsell Dr Ste 170    San Antonio     TX   78229             Y           Y           Y
PPO   EM   528593   146838434989   742688457   JUAN L GARZA MD               CARDIOLOGY                     1   1      $27.61   BA   965211121494   1933 NE LOOP 410                 San Antonio     TX   78217   5320      Y           Y           Y
PPO   EM   528593   147491515880   743002424   LEAH R GARGUENA BACUTA MD     PEDIATRICS                     1   1      $36.03   BA    87708565411   1954 E HOUSTON ST #104           SAN ANTONIO     TX   78202   2952      Y           Y           Y
PPO   EM   528593   147526343472   741109743   HOWARD B KRAVITZ MA           PROFESSIONAL COUNSELOR         5   2    $100.00    BA    50616360052   1840 Lockhill Selma Rd Ste 102   San Antonio     TX   78213             Y           Y           Y
PPO   EM   528593   147546265833   742959210   JESUS G GARCIA GALLEGOS MD    FAMILY PRACTICE               19   6   $1,480.94   BA   981716304516   PO Box 848333                    Dallas          TX   75284   3816      Y           Y           Y
                                               SOUTHWEST GENERAL EMERGENCY
PPO   EM   528593 148022322146      30427714   PHYSICIANS PLLC               EMERGENCY MEDICINE            8    7   $1,592.00 BA     895011340118 Po Box 203298                      Houston         TX   76634 549       Y           Y           Y
PPO   EM   528593 148060243959     300292237   TEXAS EMERGENCY STAFFING      EMERGENCY MEDICINE            1    1    $783.00 BA      531210262319 PO Box 96118                       Oklahoma City   OK   73143           N           N           N
PPO   EM   528593 148809330516     262199004   SHERRIE PIERCE FNP C          INTERNAL MEDICINE             2    2    $119.14 BA      469110275236 PO BOX 281222                      ATLANTA         GA   30384 1222      Y           Y           Y
                                                                                                                                                  2210 NW MILITARY HWY STE
PPO   EM   528593   149067391253   830448413   CATALYST PHYSICAL THERAPY     REHABILITATION MEDICINE       3    1      $18.61   BA   780117391322 101                                SAN ANTONIO     TX   78213 1815      Y             Y           Y
PPO   EM   528593   149234292829   261615152   TRAVIS EMERGENCY PHYSICIANS   EMERGENCY MEDICINE            4    3   $2,900.00   BA   125814303016 PO BOX 98610                       LAS VEGAS       NV   89193           N             N           N
PPO   EM   528593   149654364312   741586031   ERIN L NELSON MD              OBSTETRICS/GYNECOLOGY         1    1      $48.04   BA    70314364396 2950 VILLAGE DR STE 100            FAYETTEVILLE    NC   28304 3815      Y             Y           Y
PPO   EM   528593   149931145805   200807170   MARY C CHANG DO               OBSTETRICS/GYNECOLOGY         9    6    $856.36    BA    92813303508 104 Babcock Rd                     San Antonio     TX   78201           Y             Y           Y
PPO   EM   528593   150640170187   202340665   MARK STEWART LEE MD           DERMATOLOGY                   1    1      $42.70   BA   303722360446 PO Box 200668                      Houston         TX   77216      Y-TINONLY     Y-TINONLY   Y-TINONLY
                                                                                                                                                  11901 TOEPPERWEIN RD STE
PPO   EM   528593   150800593382   742517354   DAVID W TALAFUSE MD           FAMILY PRACTICE                4   2    $227.88    BA    28211344898 1201                               SAN ANTONIO     TX   78233   3160      Y           Y           Y
PPO   EM   528593   150828500388   742796812   KATHRYN A WAGNER MD           SURGERY, GENERAL               1   1     $29.30    BA   774407500673 PO BOX 26168                       OKLAHOMA CITY   OK   73126    168 Y-TINONLY   Y-TINONLY        N
PPO   EM   528593   150990255904   742994700   PAUL B DESCHNER MD            FAMILY PRACTICE               10   8    $445.07    BA   476423020441 PO Box 2687                        San Antonio     TX   78299             Y           Y           Y
PPO   EM   528593   152026405942   742089103   GLORIA G GALLEGOS CNS         NURSE PRACTITIONER             1   1     $23.28    BA   696116405999 310 W Oaklawn Rd                   Pleasanton      TX   78064             Y           Y           Y
PPO   EM   528593   152618543698   742973971   MARIA M JIRKA MD              INTERNAL MEDICINE              6   5    $476.34    BA   620106544537 PO BOX 1281                        HELOTES         TX   78023   1281      Y           Y           Y
PPO   EM   528593   152948300398   742719996   JEROME C HIGHSMITH MD         OBSTETRICS/GYNECOLOGY          1   1      $0.00    BA   952611044024 PO Box 17469                       San Antonio     TX   78217             Y           Y           Y
PPO   EM   528593   152989172517   742618405   JAMES E FRANKLIN DC           CHIROPRACTOR                   4   2      $0.00    BA   996317552028 12802 NACOGDOCHES RD               San Antonio     TX   78217   1964      Y           Y      Y-TINONLY
PPO   EM   528593   153678383370   383452013   SUMIT MAMUN MD                INTERNAL MEDICINE              1   1      $0.00    BA   592014313068 105 E Hackberry St Suite A         Pearsall        TX   78061             Y           Y           Y
PPO   EM   528593   153827415679   742779329   BETTY J HEALY MD              ANESTHESIOLOGY                 1   1    $787.75    BA   491522432844 PO Box 659                         San Antonio     TX   78293             Y           Y           Y
PPO   EM   528593   154139570996   330062481   JOHN S GARCIA MD              FAMILY PRACTICE               10   4    $680.26    BA   782716212966 PO Box 2458                        San Antonio     TX   78298   2462      Y           N           Y
PPO   EM   528593   156140593100   742037201   DAVE W KITTRELL MD            OBSTETRICS/GYNECOLOGY          1   1     $61.38    BA   741809480825 PO BOX 8939                        BELFAST         ME    4915   8939      Y           Y           Y
PPO   EM   528593 156459385035     134334288 MARIA A PALAFOX MD              SURGERY, GENERAL               2     1      $510.44 BA      990209385090 1540 W GOODWIN ST                  PLEASANTON      TX   78064 3804        Y           Y           Y
                                                                                                                                                      7922 EWING HALSELL DR STE
PPO   EM   528593 156790185995     742956482 FEDERICO R NG MD                INTERNAL MEDICINE              3     1      $124.44 BA       78411235036 270                                SAN ANTONIO     TX   78229             Y           Y           Y
                                                                             DERMATOPATHOLOGY:
PPO   EM   528593   157612535314   742592013 JULIAN A GARCIA MD              DERMATOLOGY                    4     3      $263.36    BA   860006572851   7832 PAT BOOKER RD               SAN ANTONIO     TX   78233               Y           Y      Y-TINONLY
PPO   EM   528593   157967562634   383452013 TING WEI LU MD                  HOSPITALIST                    1     1         $0.00   BA   360417112612   PO BOX 92729                     LOS ANGELES     CA   90009               Y           Y           Y
PPO   EM   528593   158517452007   742734272 RAUL G MARTINEZ MD              ANESTHESIOLOGY                 2     1        $94.02   BA   228822491595   PO Box 2208                      San Antonio     TX   78298   2208        Y           Y           Y
PPO   EM   528593   158604161320   742782325 MICHAEL J GAGNON                RADIATION ONCOLOGY            73     2    $19,455.01   BA   393714161374   1001 WATER ST BLDG J             KERRVILLE       TX   78028   3569        Y           Y           Y
PPO   EM   528593   159088300250   742923082 GEORGE D HILLIARD MD            OBSTETRICS/GYNECOLOGY          6     4      $237.06    BA   502121240587   7922 Ewing Halsell Dr Ste 170    San Antonio     TX   78229   3724        Y           Y           Y
PPO   EM   528593   159088364282   113676182 CHARLES MURPH MELTON DPM        PRIMARY PODIATRIC MEDICINE     3     1        $64.11   BA   995513124138   1804 NE LOOP 410 STE 200         SAN ANTONIO     TX   78217               Y           Y           Y
PPO   EM   528593   160528394259   742712740 CLEVERT H TSENG MD              PEDIATRICS                     1     1        $24.30   BA   836122461100   PO Box 120427                    San Antonio     TX   78212   9627        Y           Y           Y
PPO   EM   528593   162171190241   203059260 LORRAINE L SHIRLEY WENZEL MD    INTERNAL MEDICINE              3     1      $147.52    BA   939507443087   PO BOX 1810                      SAN ANTONIO     TX   78296   1810        Y           Y           Y
PPO   EM   528593   162324412469   742819262 TRACY D WALTERS DMD             DENTIST                        1     1         $0.00   BA   709114431654   11115 WURZBACH RD                SAN ANTONIO     TX   78230               N           N           N
PPO   EM   528593   163054512296   742972962 FILOMENO P GONZALEZ JR MD       FAMILY PRACTICE                1     1      $105.14    BA   945114512389   4360 GRECO DR                    SAN ANTONIO     TX   78222   2725        Y           Y           Y
PPO   EM   528593   163380145956   203211824 JAIME ESQUIVEL MD               FAMILY PRACTICE                1     1        $27.30   BA   164610150009   PO BOX 90208                     SAN ANTONIO     TX   78209   9081   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   163850200126   741833341 JEFFREY M MARTINEZ MD           SURGERY, GENERAL VASCULAR      4     1      $144.14    BA   415823012213   PO Box 276                       San Antonio     TX   78291               Y           Y           Y
PPO   EM   528593   163969055515   742083988 LUZ A MORENO MD                 NEPHROLOGY                     5     1      $763.92    BA   420714541028   PO BOX 701008                    SAN ANTONIO     TX   78270   1008        Y           Y           Y
PPO   EM   528593   165110134711   741586031 MARIJAN D GILLARD MD            FAMILY PRACTICE                1     1        $66.19   BA   828810134793   2826 Thousand Oaks Dr            San Antonio     TX   78232               Y           Y           Y
PPO   EM   528593   166539064095   342058017 SURESH KONERU MD                SURGERY, PLASTIC               6     1     $2,898.23   BA   861309123748   423 TREELINE PARK STE 300        SAN ANTONIO     TX   78209   1997        Y           N           Y
PPO   EM   528593   167847055982   203059260 JANET I LIN MD                  INTERNAL MEDICINE              4     2      $251.33    BA    80408243061   PO BOX 840081                    Dallas          TX   75284     81        Y           Y           Y
                                             SOUTH TEXAS RADIOLOGY IMAGING
PPO   EM   528593 168847412127     742896068 CENTERS                         UNKNOWN PHYSICIAN SPECIALTY   203   137   $53,917.70 BA     562217342165 PO BOX 29490                       SAN ANTONIO     TX   78229             Y             Y         Y
PPO   EM   528593 170638433518     742954509 BROOK T JIMMA MD                INTERNAL MEDICINE               1     1     $129.21 BA       12022311908 PO Box 781807                      San Antonio     TX   78278             Y             Y         Y
PPO   EM   528593 170845113484     741586031 KENT L ANDERSON MD              OPHTHALMOLOGY                   1     1       $65.65 BA      83815113570 PO Box 528                         San Antonio     TX   78292   528       Y        Y-TINONLY      Y

PPO   EM   528593   170933184631   760714523   SOUTHEAST BAPTIST HOSPITAL    GENERAL ACUTE CARE HOSPITAL    1     1      $431.00    BA   568108440909   PO BOX 848333                    DALLAS          TX   75284               Y           Y           Y
PPO   EM   528593   171264160838   200383232   CAROLINE M HERNANDEZ MD       INTERNAL MEDICINE              7     5      $451.08    BA   875014160924   1739 SW LOOP 410 STE 402         SAN ANTONIO     TX   78227               Y           Y           Y
PPO   EM   528593   172388302540   743011169   KARIS M MCCARROLL MD          DERMATOLOGY                    7     4      $288.62    BA   656722452155   PO Box 116                       San Antonio     TX   78291               Y           Y           Y
PPO   EM   528593   172418092289   450576052   RENE PEREZ MD                 OBSTETRICS/GYNECOLOGY          5     2      $885.37    BA   738808092340   PO BOX 269084                    OKLAHOMA CITY   OK   73126   9084        Y           Y           Y
PPO   EM   528593   173148304201   113676182   PETER J WILLIAMS DPM          PRIMARY PODIATRIC MEDICINE     4     1        $77.69   BA   990114415356   1303 Mccullough Ave Ste 348      San Antonio     TX   78212               Y           Y           Y
PPO   EM   528593   173168301790   742622383   SABAS F ABUABARA MD           SURGERY, GENERAL               4     2     $1,647.14   BA   491521242976   730 N Main Ste 704               San Antonio     TX   78205               Y           Y           N
PPO   EM   528593   173317090076   200870549   KHALED TARBOUSH DDS           DENTIST                        1     1         $0.00   BA   307607090105   1218 SW MILITARY DR              SAN ANTONIO     TX   78221   1535        N           N           N
PPO   EM   528593   173778442218   742719352   JOAN T MEANEY MD              SURGERY, UROLOGICAL            3     3      $116.70    BA   302321304770   7909 Fredericksburg Rd Ste 110   San Antonio     TX   78229   3400        Y           Y           Y
PPO   EM   528593   174290252064   742867876   ROGER K MUSE MD               CARDIOLOGY                     1     1         $0.00   BA    92416451524   PO Box 409222                    Atlanta         GA   30384          Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   176798450128   522364351   ABIGAIL R BARRERA MD          FAMILY PRACTICE               19    11     $1,413.13   BA   935011550565   PO BOX 12561                     SAN ANTONIO     TX   78212   561         Y           Y           Y
PPO   EM   528593   177996391813   742779329   WILLIAM L THORNTON JR MD      ANESTHESIOLOGY                 1     1      $624.49    BA   515116391882   PO Box 659                       San Antonio     TX   78293   659         Y           Y           Y
PPO   EM   528593   179066490868   800456664   KOLAWOLE ODULAJA MD           HOSPITALIST                    1     1      $174.00    BA   951317243484   PO BOX 2300                      SAN ANTONIO     TX   78298               N           N           N
PPO   EM   528593   179089322551   741586031   CARLAYNE E JACKSON MD         NEUROLOGY                      1     1        $90.34   BA   624716070134   PO Box 225529                    Dallas          TX   75222               Y           Y           Y
PPO   EM   528593   179474270262   611565708   JOSE A GARCIA MD              OBSTETRICS/GYNECOLOGY         11     4      $423.01    BA    42414270312   414 NAVARRO ST STE 1200          SAN ANTONIO     TX   78205   2501   Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   179578454470   742971218   CHARLES R CERVANTES JR MD     INTERNAL MEDICINE              3     1         $0.00   BA   867414493875   415 PALO ALTO RD                 SAN ANTONIO     TX   78211               N           N           N
PPO   EM   528593   180628364579    10624198   SHIRLEY G MERRITT MD          PSYCHIATRY                     1     1        $45.00   BA   801122305931   PO Box 297066                    Houston         TX   77297          Y-TINONLY   Y-TINONLY   Y-TINONLY
                                                                             PHYSICAL MEDICINE &
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PPO   EM   528593 180912550823     742730328 NORTHEAST METHODIST HOSPITAL    GENERAL ACUTE CARE HOSPITAL    4     4    $32,835.85 BA     598212554076 PO BOX 406174                      ATLANTA         GA   30384             Y           Y           Y
                                                                                                                                                      1303 MCCULLOUGH AVE STE
PPO   EM   528593   181476164424   261462757   JOSE C ORTIZ JR MD            INTERNAL MEDICINE              8     4      $257.03    BA   550410163295 600                                SAN ANTONIO     TX   78212 5608        Y           Y           Y
PPO   EM   528593   181994594774   742072186   JEFFREY C JONES MD            INFECTIOUS DISEASE             4     2      $418.78    BA   964214594814 8042 Wurzbach Rd Ste 280           San Antonio     TX   78229 3863        Y           Y           Y
PPO   EM   528593   182546362677   742752180   ERIC J LAWITZ MD              GASTROENTEROLOGY               2     2        $96.36   BA   704816362768 PO Box 17650                       San Antonio     TX   78217             Y           Y           Y
PPO   EM   528593   183155135835   743003368   KATHREN D MCCARTY DPM         PRIMARY PODIATRIC MEDICINE     1     1        $85.85   BA   343811294028 PO Box 847877                      Dallas          TX   75284             Y           Y           Y
PPO   EM   528593   183399170596   260082697   VIVIAN W BUCAY MD             DERMATOLOGY                    1     1        $80.14   BA   811616183876 7940 Floyd Curl Dr Ste 610         San Antonio     TX   78229             Y           Y           Y
PPO   EM   528593   184428391783   264333033   ORLANDO J SURIS MD            OBSTETRICS/GYNECOLOGY          3     3      $754.51    BA   711921283860 367 E Ramsey Rd                    San Antonio     TX   78216             Y           Y           Y
PPO   EM   528593   184928173080   300266566   JARETT TODD MCGEHEE MD        CARDIOLOGY                     4     2        $58.60   BA   931108173147 7434 LOUIS PASTEUR STE 209         SAN ANTONIO     TX   78229 4540        Y           Y           Y
PPO   EM   528593   185538303230   742520243   ARMANDO ANTONIO SANCHEZ MD    FAMILY PRACTICE                4     3      $180.73    BA   907805341807 PO BOX 680819                      SAN ANTONIO     TX   78268 819         Y           N           Y
PPO   EM   528593   186433003850   261613372   PAUL TOOTE DO                 EMERGENCY MEDICINE             1     1     $1,092.00   BA   838506161527 PO BOX 13587                       PHILADELPHIA    PA   19101             N           N           N
PPO   EM   528593   187730195898   741833341   DANIEL D TAMEZ JR MD          SURGERY, GENERAL VASCULAR      1     1         $0.00   BA   898222581853 PO Box 276                         San Antonio     TX   78291             Y           Y           Y

PPO   EM   528593 189078470274     263127876 JACK W ROUNTREE JR OD           OPTOMETRIST                    3     2      $242.22 BA      419708470302 9091 FAIR OAKS PKWY STE 307        BOERNE          TX   78015             Y           N           Y
                                                                                                                                                                                                  FREDERICKSBUR
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                                                                            DURABLE MEDICAL EQUIPMENT &
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PPO   EM   528593 191159452469     741586031 ANTONIO R ANZUETO MD           PULMONARY DISEASE              1    1       $90.34 BA      597005022422 PO BOX 528                                    SAN ANTONIO      TX   78292   528       Y           Y           Y
                                                                            NURSE ANESTHETIST, CERTIFIED
PPO   EM   528593   191187420421   742246239 MARY M NEELY CRNA              REGISTERED                     1    1      $575.00    BA   881207420464   PO Box 847408                               Dallas           CA   95695 4321 Y-TINONLY       Y-TINONLY   Y-TINONLY
PPO   EM   528593   192370254236   742906219 JAMES KEITH ROSE MD            EMERGENCY MEDICINE             1    1       $52.25    BA   862622153440   11559 Leopard St                            Corpus Christi   TX   78410           Y               Y           Y
PPO   EM   528593   193036471839   742815582 DAWN M RUDD MD                 INTERNAL MEDICINE              2    1      $115.22    BA   567306471922   5282 MEDICAL DR STE 312                     SAN ANTONIO      TX   78229 6044      Y               Y           N
PPO   EM   528593   195668493857   742143569 MICHAEL A SINGER MD            OPHTHALMOLOGY                  1    1      $106.86    BA    84713050373   9157 HUEBNER RD                             SAN ANTONIO      TX   78240 1502      Y          Y-TINONLY        Y
                                             ABRAHAM ANWAR ALECOZAY MD
PPO   EM   528593 195798551389     742759411 PHD                            OBSTETRICS/GYNECOLOGY          4    2      $398.32 BA      853621351102 7430 Barlite Blvd Ste 105                     San Antonio      TX   78224             Y           Y             Y
PPO   EM   528593 195928304641     742532648 MICHAEL R NATALINO MD          PULMONARY DISEASE              1    1      $779.16 BA      968522441066 PO Box 17156                                  San Antonio      TX   78217             Y           Y        Y-TINONLY
                                             SPINE HOSPITAL OF SOUTH TEXAS
PPO   EM   528593   197153231279   364412922 LP                             GENERAL ACUTE CARE HOSPITAL     1   1    $10,559.41   BA   124913242540   18600 N Hardy Oak Blvd                      San Antonio      TX   78258             N           N             N
PPO   EM   528593   197678361396   742453568 EDMUNDO O GARCIA MD            FAMILY PRACTICE                12   8      $493.48    BA   518808564625   9673 MARBACH RD                             SAN ANTONIO      TX   78245   1821      Y           Y             Y
PPO   EM   528593   198990253394   113676182 MICHAEL L DEMPSEY DPM          PRIMARY PODIATRIC MEDICINE      2   2        $36.63   BA   723314593139   PO Box 240098                               San Antonio      TX   78224             Y           Y             Y
PPO   EM   528593   199748294830   742146518 SHERWYN L SCHWARTZ MD          ENDOCRINOLOGY                   9   4     $1,066.35   BA   764821241500   5107 Medical Dr                             San Antonio      TX   78229             Y           Y             Y
PPO   EM   528593   100109045437   742972962 HO S PAK DO                    INTERNAL MEDICINE               3   2        $82.90   BA   867114011935   DEPT 321                      PO BOX 3108   HOUSTON          TX   77253             Y           Y             Y
PPO   EM   528593   100138421409   742779329 LEONEL M FUENTES MD            ANESTHESIOLOGY                  1   1      $731.48    BA   611322483500   PO Box 659                                  San Antonio      TX   78293             Y           Y             Y
PPO   EM   528593   100538294441   742270286 RANDALL D ROGERS MD            SURGERY, COLON & RECTAL         1   1      $381.12    BA   974121241554   1303 Mccullough Ave Ste 265                 San Antonio      TX   78212             Y           Y             Y
PPO   EM   528593   100842024601   742106698 JOHN C ANES MD                 INTERNAL MEDICINE               5   2      $375.28    BA    97306331545   1303 Mccullough Ave Ste 560                 San Antonio      TX   78212   5607      Y           Y             Y
PPO   EM   528593   102028293881   742241490 DENNIS R GUTZMAN MD            ORTHOPEDIC                      3   2      $156.93    BA   616521241348   2424 Babcock Rd Ste 201                     San Antonio      TX   78229             Y           Y             Y
PPO   EM   528593   102038295971   742222460 C SCOTT HORN MD                FAMILY PRACTICE                 2   1        $78.48   BA   606321242267   303 W Sunset Rd Ste 101                     San Antonio      TX   78209             Y           Y             Y
PPO   EM   528593   102058123131   741833622 LOUIS NISTAL PA C              FAMILY PRACTICE                 7   7      $302.49    BA   150408123192   7323 MARBACH RD STE 104                     SAN ANTONIO      TX   78227   1905      Y           Y        Y-TINONLY
PPO   EM   528593   103599084566   261826167 ADELNERY L GONZALEZ MD         PEDIATRICS                      3   2      $327.36    BA   755606154990   20642 STONE OAK PKWY                        SAN ANTONIO      TX   78258             Y           Y             Y
PPO   EM   528593   104929275022   260622744 ARACELY I FERRER MD            PEDIATRICS                      3   2      $449.80    BA   637509275075   740 S Alamo                                 San Antonio      TX   78205             Y           Y             Y
PPO   EM   528593   105580370103   264333033 DANIEL A CALDERON MD           OBSTETRICS/GYNECOLOGY           9   4      $231.20    BA   769513055597   1210 ARION PKWY                             SAN ANTONIO      TX   78216   2880      Y           Y             Y
                                                                                                                                                      3030 NACOGDOCHES RD STE
PPO   EM   528593 105694541712     742534224 WILLIAM S YATES PH D           PSYCHOLOGIST                   12   2      $605.00    BA   527206021063   101                                         SAN ANTONIO      TX   78217 4502        Y           Y             Y
PPO   EM   528593 105740250655     742984404 LAURA A SUAREZ MD              RHEUMATOLOGY                    2   1       $88.56    BA   954222585327   PO Box 1877                                 San Antonio      TX   78297             Y           Y             Y
PPO   EM   528593 106416545010     742915297 MARISA SANDERA MD              ONCOLOGY, MEDICAL               2   1      $206.97    BA   989112425551   PO Box 268                                  San Antonio      TX   78291 268         Y           Y        Y-TINONLY
PPO   EM   528593 10654322511       61128081 DIANON SYSTEMS INC             CLINICAL MEDICAL LABORATORY     1   1      $825.96    BA   903112361510   PO Box 2270                                 Burlington       NC   27216             Y           Y             Y
                                             AUSTIN RADIOLOGICAL
PPO   EM   528593    10654324860   741597116 ASSOCIATION PA                 RADIOLOGY, DIAGNOSTIC           1   1       $20.11 BA      851816470725 PO Box 4099                                   Austin           TX   78765             Y           Y           Y
PPO   EM   528593    10654326906   742702283 DONALD A HOLLSTEN MD           OPHTHALMOLOGY                   1   1       $29.30 BA      986508565134 5717 BALCONES DR                              Austin           TX   78731 4203        Y           Y           Y
PPO   EM   528593    10654328513   742698089 ALAMO CITY MEDICAL GROUP PA    URGENT CARE CLINIC/CENTER      11   7      $540.01 BA      428710025721 PO BOX 792547                                 SAN ANTONIO      TX   78240             Y           Y           Y
                                                                            PHYSICAL MEDICINE &
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PPO   EM   528593    10654345769   850236178 HEALTHFRONT PC                 EMERGENCY MEDICINE             1    1      $362.00 BA      702516330500 PO Box 2505                                   Salem            OR   97308             N           N           N

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PPO   EM   528593    10654347956   741698263   DINA X GOYTIA LEOS MD        INTERNAL MEDICINE              3    3      $241.28    BA   998514033304   PO BOX 92729                                LOS ANGELES      CA   90009 2729        Y           Y           Y
PPO   EM   528593    10654348215   742470052   ANTONIO CAVAZOS III MD       OBSTETRICS/GYNECOLOGY          3    2      $113.44    BA   766613162074   7950 Floyd Curl Dr Ste 800                  San Antonio      TX   78229             Y           Y           Y
PPO   EM   528593    10659948441   261462757   BRIAN E WINN MD              INTERNAL MEDICINE              1    1        $24.30   BA   469008511698   1303 Mccullough Ave Ste 600                 San Antonio      TX   78212             Y           Y           Y
                                                                            END STAGE RENAL DISEASE
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                                             GASTROENTEROLOGY
PPO   EM   528593    10659948719   741967809 CONSULTANTS SURGERY CENTER     SURGERY, GENERAL               8    8     $1,240.92 BA     983914083559 8214 Wurzbach Rd                              San Antonio      TX   78229             Y           Y           Y
                                             ACCESS QUALITY THERAPY
PPO   EM   528593    10659949875   742883377 SERVICES INC                   HOME HEALTH AGENCY             2    1     $1,940.00 BA     830811044376 PO Box 29036                                  San Antonio      TX   78229             Y           Y           Y

                                             SAN ANTONIO GASTROENTEROLOGY
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PPO   EM   528593    10659951081   742159236 DARLENE D JIMENEZ MA           MENTAL HEALTH COUNSELOR         1    1       $80.00 BA      59111342571 134 E Mistletoe Ave                           San Antonio      TX   78212             Y           Y           Y
PPO   EM   528593    10659952124   741830887 HABIB NATHAN MD                PSYCHIATRY                      2    1       $20.00 BA     781407503123 9480 HUEBNER RD STE 210                       SAN ANTONIO      TX   78240 1657        Y           Y           Y
                                             BEXAR CARE HOME MEDICAL        DURABLE MEDICAL EQUIPMENT &
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PPO   EM   528593 10659953308      203059260   JOHN B METERSKY MD              SURGERY, GENERAL              2    1      $37.29    BA   945111020384   7950 Floyd Curl Dr Ste 810               San Antonio     TX   78229           Y             Y           Y
PPO   EM   528593 10659953525      741724391   DORA L GONZALEZ MD              FAMILY PRACTICE               5    3     $278.68    BA   949410350287   PO Box 100570                            San Antonio     TX   78201           Y             Y           Y
PPO   EM   528593 10659955636      742712740   ANGEL GARCIA DEL VILLA MD       PEDIATRICS                    3    3     $147.23    BA   701009211547   315 San Saba Road Ste 1075               San Antonio     TX   78207      Y-TINONLY     Y-TINONLY   Y-TINONLY
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PPO   EM   528593 10659957197      742478680   VALERIE G OSTROWER MD           PEDIATRICS                    2    2     $536.20    BA   908312514090   4499 Medical Dr Ste 280                  San Antonio     TX   78229           Y        Y-TINONLY        Y
PPO   EM   528593 10659961887      742945079   DEANNA L DANCE KWAN MD          HOSPITALIST                   1    1       $0.00    BA   379519241993   PO Box 436                               San Antonio     TX   78292           Y        Y-TINONLY        Y
PPO   EM   528593 107019044285     741586031   JOSEPH P MURGO MD               CARDIOLOGY                    1    1     $150.85    BA   739614172332   PO BOX 1700                              San Antonio     TX   78296 1700      Y             Y           Y
PPO   EM   528593 107325090489     752990642   RICHARD B NEIMAN MD             NEUROLOGY                     1    1     $362.88    BA   480715095641   1722 9th St                              Wichita Falls   TX   76301           Y             N           Y
PPO   EM   528593 108309340892     900088197   SARA J APSLEY AMBRIZ DO         FAMILY PRACTICE               7    4     $485.62    BA   963008342869   4002 TECHNOLOGY CTR                      LONGVIEW        TX   75605 2697 Y-TINONLY     Y-TINONLY   Y-TINONLY
                                               RIVER CITY EMERGENCY
PPO   EM   528593   108537543988   742783721   PHYSICIANS LLC                  EMERGENCY MEDICINE            34   29   $8,401.89   BA   810717283654   PO Box 298                               San Antonio     TX   78291           Y           Y           Y
PPO   EM   528593   108669460867   742752180   RAVI L GANESHAPPA MD            GASTROENTEROLOGY               1    1       $0.00   BA   879009460923   PO Box 17650                             San Antonio     TX   78217           Y           Y           Y
PPO   EM   528593   108678381190   742153485   RONALD J RESSMANN MD            DERMATOLOGY                    3    1      $87.90   BA   968121280760   8601 Village Dr Ste 104                  San Antonio     TX   78217           Y           N           Y
PPO   EM   528593   109568293293   742924293   ROBERT M YOUNG MD               OBSTETRICS/GYNECOLOGY          6    5   $1,586.92   BA   656222335597   PO Box 60130                             Midland         TX   79711           Y           Y           Y
PPO   EM   528593   110030223265   741787031   ROBERT S REYNA MD               INTERNAL MEDICINE              6    1    $195.37    BA   902116474424   PO Box 961                               San Antonio     TX   78211           Y           Y           Y

PPO   EM   528593 110123200019     463760759 SAMUEL ADELMAN MD PA GROUP        UNKNOWN PHYSICIAN SPECIALTY   1    1       $0.00 BA      924213200092 8534 Village Dr Ste C                      San Antonio     TX   78217           Y           N           Y

PPO   EM   528593   110198293973   113676182   JOSE F HILARIO DPM              PRIMARY PODIATRIC MEDICINE    9    2     $249.10    BA   776210495178   7210 MCPHERSON RD STE 202                LAREDO          TX   78041 6505      Y           Y             Y
PPO   EM   528593   110408462999   742531032   J LAURA ARNOLD MD               PEDIATRICS                    1    1      $52.76    BA   731910392614   PO BOX 201836                            DALLAS          TX   75320 1836      Y           Y             Y
PPO   EM   528593   110831262579   260513290   ERIC D BERNSTEIN MD             FAMILY PRACTICE               9    3     $261.39    BA     9707475704   MAIL STOP 163              PO BOX 5087   PORTLAND        OR   97208           Y           Y             Y
PPO   EM   528593   111280210178   742062761   MARK BERTON WEINSTEIN MD        DERMATOLOGY                   7    6     $289.92    BA   930414501700   7950 Floyd Curl Dr Ste 909               San Antonio     TX   78229 3926      Y           N             Y
PPO   EM   528593   111712071215   742592013   MARK FRANKLIN NAYLOR MD         DERMATOLOGY                   2    1     $106.93    BA    84612074883   4805 S Western Ave                       Oklahoma City   OK   73109           Y           Y        Y-TINONLY
                                               METHODIST AMBULATORY SURGICAL
PPO   EM   528593   111828321253   742730328   HOSPITAL                        GENERAL ACUTE CARE HOSPITAL   2    2    $2,213.10   BA   281307270322 PO BOX 405648                              ATLANTA         GA   30384   5648 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   112200024559   742121149   BYRON SCOTT DOOLEY MD           PEDIATRICS                    1    1       $24.30   BA   653122024141 8606 Village Dr Ste A                      San Antonio     TX   78217             Y           Y           Y
PPO   EM   528593   112523301243   113676182   CAROLINE D GAYNOR DPM           PRIMARY PODIATRIC MEDICINE    5    3     $213.55    BA   897713301264 PO Box 1277                                San Antonio     TX   78295   1277      Y           Y           Y
PPO   EM   528593   112839193811   383452013   OBINNA M OZIGBO MD              HOSPITALIST                   3    2     $405.76    BA   653106464071 PO BOX 92729                               LOS ANGELES     CA   90009   2729      Y           Y           Y
PPO   EM   528593   112848290665   742719352   RANDALL P SINGLETON MD          SURGERY, UROLOGICAL           2    1       $33.04   BA   335421235248 7909 Fredericksburg Rd Ste 110             San Antonio     TX   78229   3400      Y           Y           Y
                                                                                                                                                     1303 MCCULLOUGH AVE STE
PPO   EM   528593 112980215825     742600365 BURTON G SHAW JR MD               FAMILY PRACTICE               10   5     $257.58 BA      837411564641 135                                        SAN ANTONIO     TX   78212 5600      Y           Y           Y
PPO   EM   528593 113377113599     742932237 NATALIE R NYREN PA                PHYSICIAN ASSISTANT            1   1      $18.82 BA      981210191692 PO BOX 87                                  SAN ANTONIO     TX   78291   87      Y           Y           Y

PPO   EM   528593   113935560866   221773439   KENNEDY HEALTH SYSTEM           GENERAL ACUTE CARE HOSPITAL    1   1        $0.00   BA   757815570638   PO Box 48023                             Newark          NJ    7101           N           N           N
PPO   EM   528593   114691003825   742113337   HUGO CASTANEDA MD               INTERNAL MEDICINE              2   1     $108.97    BA   853604214252   343 W Houston ST Ste 310                 San Antonio     TX   78205           Y           Y           Y
PPO   EM   528593   115729070186   742959210   JUDITH A MOSS DO                FAMILY PRACTICE               15   6    $1,085.01   BA   961409052611   PO BOX 843816                            DALLAS          TX   75284 3816      Y           Y           Y
PPO   EM   528593   116908500208   742083988   MELISSA R ISBELL MD             NEPHROLOGY                     7   1     $379.55    BA   338022285225   PO Box 291109                            San Antonio     TX   78229           Y           Y           Y
PPO   EM   528593   117339100545   752190540   SAMUEL C SPIKES MD              RADIOLOGY, DIAGNOSTIC          1   1     $119.34    BA   978221404836   2232 Indiana Ave Ste D                   Lubbock         TX   79410           Y           N           Y
                                               ARMISTEAD LANDON WELLFORD IV
PPO   EM   528593   117581254875   742688457   MD                              CARDIOLOGY                    1    1       $43.75   BA   521109592414   PO Box 848333                            Dallas          TX   75284 3816      Y             Y           Y
PPO   EM   528593   118369011073   203573385   SEEMA A DAR MD                  GASTROENTEROLOGY              9    3     $384.76    BA   684906035632   PO BOX 500                               SAN ANTONIO     TX   78292 500       Y             Y           Y
PPO   EM   528593   119148291263   742681612   LEOPOLDO V TECUANHUEY MD        SURGERY, UROLOGICAL           5    3       $80.14   BA   937722451506   PO Box 23426                             San Antonio     TX   78223           Y             Y      Y-TINONLY
PPO   EM   528593   121199021466   263747461   DEVEN K BHACHAWAT MD            HEMATOLOGY & ONCOLOGY         5    2     $158.50    BA   861114330942   PO Box 781905                            San Antonio     TX   78278           Y             Y           Y
PPO   EM   528593   121318435004   742447500   ROBERT M SAAD MD                CARDIOLOGY                    4    2    $1,036.73   BA   968722484588   PO Box 119                               San Antonio     TX   78291           Y             Y      Y-TINONLY
PPO   EM   528593   121348582797   742865587   LEE KIRCHNER MD                 PEDIATRIC PULMONOLOGY         3    1     $377.90    BA   877721360947   4499 Medical Dr Ste 370                  San Antonio     TX   78229           Y             Y           Y
PPO   EM   528593   122621395586   263027650   MATTHEW LIPPSTONE MD            EMERGENCY MEDICINE            2    2     $177.30    BA   856309034773   PO BOX 47044                             SAN ANTONIO     TX   78265      Y-TINONLY     Y-TINONLY   Y-TINONLY
PPO   EM   528593   122908572107   742447500   RICHARD ALLEN BAUM MD           CARDIOLOGY                    3    1     $281.94    BA   578007424578   PO Box 119                               San Antonio     TX   78291           Y             Y           Y
PPO   EM   528593   123549271953   742930765   JAMES GREGORY JENNINGS MD       FAMILY PRACTICE               5    2     $201.51    BA   327821453654   24165 Ih 10 W Ste 118                    San Antonio     TX   78257           Y             N           Y
PPO   EM   528593   125588185647   261613372   MARTIN G GUERRERO JR MD         EMERGENCY MEDICINE            2    2    $1,824.00   BA   479008223148   PO BOX 98608                             LAS VEGAS       NV   89193           N             N           N
PPO   EM   528593   127158513428   743003947   SERGIO VIROSLAV MD              ORTHOPEDIC                    4    2     $639.05    BA    45209320414   PO Box 2516                              San Antonio     TX   78299 2516      Y             Y           Y
PPO   EM   528593   127208303231   820556204   CHARLES T GAY MD                NEUROLOGY                     1    1     $365.10    BA   745921243130   4410 Medical Dr Ste 400                  San Antonio     TX   78229           Y             Y           Y
                                                                                                                                                       225 E SONTERRA BLVD STE
PPO   EM   528593   128000083638   742951434   JOHN N PHILLIPS MD              FAMILY PRACTICE               8    5     $460.03    BA   416507591204   100                                      SAN ANTONIO     TX   78258 3993      Y        Y-TINONLY        Y
PPO   EM   528593   128668374381   412201458   DONALD S PHILLIPS DC            CHIROPRACTOR                  1    1       $47.41   BA   778908294864   12802 NACOGDOCHES RD                     San Antonio     TX   78217 1964      Y             Y           Y
PPO   EM   528593   128728355520   710919622   MARGARET F LARRUMBIDE MD        PEDIATRICS                    1    1       $85.02   BA   291921270034   1954 E Houston St Rm 104                 San Antonio     TX   78202           Y             Y           Y
PPO   EM   528593   128918404549   752740653   AMIL ORTIZ MD                   NEONATOLOGY                   4    2    $1,147.38   BA   915613150392   PO Box 29363                             San Antonio     UT   84158 1100 Y-TINONLY     Y-TINONLY   Y-TINONLY
PPO   EM   528593   129749021366   742912541   GUILLERMO A REYES MD            CARDIOLOGY                    6    3    $1,695.58   BA   473621380187   2833 Babcock Rd Ste 210                  San Antonio     TX   78229           Y             Y           Y
PPO   EM   528593   130204165395   200122447   MARK K DAVIS OD                 OPTOMETRIST                   1    1     $100.00    BA   869415264687   PO BOX 592060                            San Antonio     TX   78259 152       Y             N           Y
PPO   EM   528593   132459114507   752296947   MIGUEL R ALDAY MD                RADIOLOGY, DIAGNOSTIC         1    1    $139.29    BA   975021412403   1101 6th Ave                  Fort Worth      TX   76104         Y             N         Y
PPO   EM   528593   132479135754   742803685   MIGUEL A AYALA MD                INTERNAL MEDICINE             5    3    $296.62    BA   784016195024   PO Box 830605                 San Antonio     TX   78283 605     Y             Y         Y
PPO   EM   528593   132507580343   742934350   BRAZOS VALLEY PATHOLOGY          PATHOLOGY                     1    1       $0.00   BA   793811102122   PO Box 163567                 Austin          TX   78716 3567    Y             Y         Y
PPO   EM   528593   133988351353   742743906   CLAUDIA E HURA MD                NEPHROLOGY                    1    1       $3.10   BA   883613021685   7142 San Pedro Ave Ste 120    San Antonio     TX   78216         Y        Y-TINONLY      Y
PPO   EM   528593   134426455730   742929149   LEOPOLDO A TECUANHUEY MD         NEPHROLOGY                    1    1       $3.10   BA   892316455775   PO BOX 291169                 SAN ANTONIO     TX   78229 1769    Y        Y-TINONLY      Y
PPO   EM   528593   134522172383   205384198   CHARLES E BALDWIN MD             SURGERY, PEDIATRIC            1    1    $188.57    BA   759004405560   1600 7th Ave S Ste 553        Birmingham      AL   35233         Y             Y         Y
PPO   EM   528593   134868460758   741866009   NICK H SHANNON MD                FAMILY PRACTICE               4    3    $292.15    BA    70021312962   3326 E Southcross Blvd        San Antonio     TX   78223         Y             Y         Y
PPO   EM   528593   135688294232   742514179   GEORGE S BEST MD                 SURGERY, UROLOGICAL           1    1      $19.15   BA   581121235597   8601 Village Dr Ste 206       San Antonio     TX   78217         Y             Y         Y
PPO   EM   528593   136178031629   752740653   PATRICK RAMSEY MD                MATERNAL & FETAL MEDICINE     2    1   $1,255.40   BA   417308031657   PO BOX 840384                 DALLAS          TX   75284 384     Y             Y         Y
                                               CHANDRASEKHAR R KUNAVARAPU
PPO   EM   528593   136343382403   262400924   MD                               CARDIOVASCULAR DISEASE        1    1    $160.74    BA   747213382433   PO BOX 730                    AUGUSTA         GA   30903 730     Y           Y           Y
PPO   EM   528593   136789103930   742752180   RAVI BOTLA MD                    GASTROENTEROLOGY              2    1      $55.22   BA   219422520826   PO Box 17650                  San Antonio     TX   78217         Y           Y           Y
PPO   EM   528593   139451491315   741586031   ERIC W KRAUS MD                  DERMATOLOGY                   1    1      $32.32   BA     7911502320   PO Box 528                    San Antonio     TX   78292 528     Y           Y           Y
PPO   EM   528593   139532122855   742782325   SUNEETHA CHALLAGUNDLA MD         HOSPITALIST                   4    3   $1,426.15   BA   537012122900   PO Box 911234                 Dallas          TX   75391 1234    Y           Y           Y
                                                                                                                                                       2300 W COMMERCE ST STE
PPO   EM   528593   139594533274   741787031   CARLOS E LICON MD                FAMILY PRACTICE                3   1      $84.75   BA   766113135514   300                           SAN ANTONIO     TX   78207           Y           Y           Y
PPO   EM   528593   140948415940   742764739   BRIAN W HARLE MD                 OBSTETRICS/GYNECOLOGY          3   1      $46.15   BA   440522502585   PO Box 40129                  San Antonio     TX   78229           Y           Y           Y
PPO   EM   528593   141142101904   742803685   DAVID J GOMEZ PA                 PHYSICIAN ASSISTANT            1   1      $34.97   BA   500608201522   PO BOX 830605                 SAN ANTONIO     TX   78283 605       Y           Y           Y
PPO   EM   528593   141188454258   742789421   THEODORE W BEDARD MD             RHEUMATOLOGY                   2   1    $168.42    BA   455221311844   8527 Village Dr Ste 104       San Antonio     TX   78217           Y           Y           Y
PPO   EM   528593   141321453546   742760437   TARA A MILLS MD                  OBSTETRICS/GYNECOLOGY          1   1       $0.00   BA    45710292039   12201 RENFERT WAY STE 340     AUSTIN          TX   78758           Y           Y           Y
PPO   EM   528593   142429471620   742988798   GERALDO M SIOCO MD               CARDIOLOGY                     6   5    $808.33    BA   823111160336   9465 HUEBNER RD               San Antonio     TX   78240 1508      Y           Y           Y
PPO   EM   528593   142726102441   383452013   DEBRA A VASQUEZ MD               HOSPITALIST                   19   2   $1,363.14   BA   809306110429   PO Box 8747                   Fort Worth      TX   75397 5341 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   143398183073   383452013   SHAILESH S NANDISH MD            HOSPITALIST                    1   1       $0.00   BA   766615021628   PO BOX 2451                   BLOOMINGTON     IL   61702 2451 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   144120211165   742743906   TERRANCE A FRIED MD              NEPHROLOGY                     9   1    $473.61    BA    97313035511   7142 San Pedro Ave Ste 120    San Antonio     TX   78216           Y      Y-TINONLY        Y
PPO   EM   528593   144207405832   261613372   SAMBIT K GUPTA MD                INTERNAL MEDICINE              4   4   $3,231.05   BA      517413969   810 S BROADWAY ST             CHURCH POINT    LA   70525           N           N           N
                                               CHRISTUS SANTA ROSA HOSPITAL
PPO   EM   528593   144387502558   741109665   NEW BRAUNFELS                    GENERAL ACUTE CARE HOSPITAL   1    1   $2,066.03   BA   881217510944   600 N UNION AVE               NEW BRAUNFELS   TX   78130         Y           N           Y
PPO   EM   528593   145260222265   742591869   MARILYN J VANOVER MD             OBSTETRICS/GYNECOLOGY         1    1      $63.21   BA   615906081057   PO BOX 1698                   SAN ANTONIO     TX   78296 1698    Y           Y           Y
PPO   EM   528593   145798301960   742727952   RICARDO A HERNANDEZ MD           GASTROENTEROLOGY              1    1    $114.67    BA   949721242524   1804 N E Loop 410 Ste 101     San Antonio     TX   78217 5211    Y           Y           Y
PPO   EM   528593   145999040169   261264937   BETH A WICHMAN MD                FAMILY PRACTICE               5    2    $302.33    BA   991321382648   7333 Barlite Blvd Suite 100   San Antonio     TX   78224         Y           Y           Y
                                                                                SURGERY, THORACIC
PPO   EM   528593   146035542716   742447500   KIRAN N JAYARAM MD               CARDIOVASCULAR                10   3    $275.17    BA   959213275260   PO BOX 119                    San Antonio     TX   78291   119   Y           Y        Y-TINONLY
PPO   EM   528593   146488353635   742068489   HARMON W KELLEY MD               OBSTETRICS/GYNECOLOGY          4   3    $101.10    BA   826417220366   PO Box 240098                 San Antonio     TX   78224         Y           Y             Y
PPO   EM   528593   146990134516   742945079   ROSE Z PAYNE MD                  HOSPITALIST                    1   1      $0.00    BA   763607573407   PO Box 436                    San Antonio     TX   78292         Y           Y             Y
PPO   EM   528593   148280260117   300028914   ADAM I HARRIS MD                 ORTHOPEDIC                     3   2    $200.24    BA   404716503719   7950 Floyd Curl Dr Ste 709    San Antonio     TX   78229         Y           Y             Y
PPO   EM   528593   148420001161   741586031   BONNY LYNN CARTER MD             ANESTHESIOLOGY                 1   1    $522.00    BA   828522551500   PO Box 5865                   Lubbock         TX   79408         Y           Y             Y
                                                                                                                                                       4775 HAMILTON WOLFE RD
PPO   EM   528593   148781043215   741742582   KENNETH J MAVERICK MD            OPHTHALMOLOGY                 2    1     $40.02    BA   457411043298   BLDG 2                        SAN ANTONIO     TX   78229 3329      Y           N           Y
PPO   EM   528593   149825565630   200019114   ANDREW L WHALEY MD               ORTHOPEDIC                    1    1      $6.20    BA   825609163620   PO Box 843185                 Boston          MA    2284 3185 Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   149940201455   741881065   MARVIN S BELASCO MD              RADIOLOGY, DIAGNOSTIC         8    8    $530.99    BA   165422135182   1303 Mccullough Ave Ste 125   San Antonio     TX   78212           Y           Y           Y
PPO   EM   528593   151322563940   203211824   LAURA K HUETE MD                 FAMILY PRACTICE               2    1     $47.62    BA   580312564058   5018 SAN PEDRO AVE            SAN ANTONIO     TX   78212      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   151920593188   742447517   TOMAS CORONADO MD                OPHTHALMOLOGY                 2    1    $218.74    BA   620204201976   730 N Main Ave Ste 719        San Antonio     TX   78205           Y           N           Y
PPO   EM   528593   152475530089   742503534   BRENT M ADCOX MD                 ORTHOPEDIC                    1    1      $0.00    BA   987117440737   PO BOX 120037                 SAN ANTONIO     TX   78212 9237      Y           Y      Y-TINONLY

PPO   EM   528593 152749310346     742968437 NANCY E AMIR OD                    OPTOMETRIST                   1    1     $79.71 BA      962511403609 9577 HUEBNER RD BLDG STE 4      SAN ANTONIO     TX   78240         Y           Y             Y
PPO   EM   528593 152798392882     741665466 ARLO C TERRY MD                    OPHTHALMOLOGY                 2    2    $138.40 BA      979421283867 414 Navarro St Ste 703          San Antonio     TX   78205         Y           N        Y-TINONLY
                                                                                DURABLE MEDICAL EQUIPMENT &
PPO   EM   528593   153043465417   742767006   HUNTLEIGH HOME MEDICAL LTD       MED SUPPLIES                  3    2    $151.86    BA   847013211753   5626 RANDOLPH BLVD STE 2      SAN ANTONIO     TX   78233 6161    Y             Y         Y
PPO   EM   528593   153849230333   264333033   EDUARDO R RAEZ MD                OBSTETRICS/GYNECOLOGY         1    1    $101.31    BA    41413512398   1210 ARION PKWY               SAN ANTONIO     TX   78216 2880    Y             Y         Y
PPO   EM   528593   154020240674   742973971   ANTON J JIRKA MD                 FAMILY PRACTICE               7    5    $374.18    BA   610322593354   PO Box 792547                 San Antonio     TX   78279         Y             Y         Y
PPO   EM   528593   156920442667   742743906   ASHUTOSH K MAHAJAN MD            NEPHROLOGY                    1    1    $147.77    BA   973313244534   PO BOX 220                    GRAND RAPIDS    MI   49546         Y        Y-TINONLY      Y

PPO   EM   528593   158189055221   205540603   PEDIATRIC PLASTIC SURGERY PLLC   SURGERY, PLASTIC               3   1   $4,415.23   BA   204909080006   6757 Arapaho Rd Ste 725       Dallas          TX   75248           N           N           N
PPO   EM   528593   158278304333   742646236   DAVID E GARZA MD                 OBSTETRICS/GYNECOLOGY          9   3    $351.43    BA   886514442480   4499 MEDICAL DR STE 151       SAN ANTONIO     TX   78229 3714      Y           Y           Y
PPO   EM   528593   158641421087   742932237   ROBERT P MORIN JR MD             HOSPITALIST                    1   1      $32.28   BA   782010081355   127 North ST                  Batavia         NY   14020      Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593   159379442029   742430251   MARK A KATZ MD                   ORTHOPEDIC                     1   1      $94.64   BA   345215395894   21 SPURS LN STE 310           SAN ANTONIO     TX   78240           Y           Y           Y
PPO   EM   528593   159788295300   742278949   CHRISTINE A LITTLEFIELD MD       PEDIATRICS                     1   1    $272.80    BA   164821241897   7007 Bandera Rd Ste 19        San Antonio     TX   78238           Y           Y           Y
PPO   EM   528593   159878305153   742717646   WALTER W STRASH DPM              PRIMARY PODIATRIC MEDICINE    12   1    $436.94    BA   938021244255   7424 BROADWAY ST              SAN ANTONIO     TX   78217           Y           Y           N
PPO   EM   528593   160959181594   742592013   THUSHAN N DESILVA MD             DERMATOLOGY                     3   2       $87.31   BA   962718285968   12602 Toepperwein Rd Ste 114   San Antonio      TX   78233 3270        Y             Y      Y-TINONLY
PPO   EM   528593   160970200795   264333033   BRUCE D AKRIGHT MD               OBSTETRICS/GYNECOLOGY          10   4     $470.02    BA   801223034446   PO Box 34537                   San Antonio      TX   78265 4537        Y             Y           Y
PPO   EM   528593   163405201538   742445868   AARON B PITTARD MD               OPHTHALMOLOGY                   1   1       $70.74   BA   260815201644   11601 Toepperwein Rd           San Antonio      TX   78233             Y             Y           N
PPO   EM   528593   163592512924   262713471   DANIEL R CRUZ DPM                PRIMARY PODIATRIC MEDICINE      1   1        $0.00   BA   828712512954   114 Trade Ave                  Boerne           TX   78006             Y             Y           Y
PPO   EM   528593   163620230987   742556957   WILLIAM JOSEPH NELSON DC         CHIROPRACTOR                    5   1       $48.27   BA   994909204071   6416 Bandera Rd Ste B          San Antonio      TX   78238             Y        Y-TINONLY        Y
PPO   EM   528593   164210255123   261613372   GREGORY S ROTH MD                EMERGENCY MEDICINE              2   2    $1,303.00   BA   811722590441   PO Box 1221                    San Antonio      TX   78294             N             N           N
                                               KOMARANAHALLI P GANESHAPPA
PPO   EM   528593   165088453938   742752180   MD                               GASTROENTEROLOGY                3   2      $57.61    BA   502815461956   PO Box 17650                   San Antonio      TX   78217             Y             Y         Y
PPO   EM   528593   165708442418   742923024   RICARDO MUNOZ JR MD              OBSTETRICS/GYNECOLOGY           4   3     $253.87    BA   447121304817   414 Navarro ST Ste 1200        San Antonio      TX   78205             Y             Y         Y
PPO   EM   528593   166788380813   742867876   BAL T REDDY MD                   CARDIOLOGY                      2   1      $37.28    BA   718411291126   PO Box 1700                    San Antonio      TX   78296 1700        Y             Y         Y
PPO   EM   528593   168668350225   742219823   CHARLES A HOLSHOUSER JR MD       OBSTETRICS/GYNECOLOGY           2   1      $74.33    BA    97921264149   4499 Medical Dr Ste 183        San Antonio      TX   78229             Y             Y         Y
PPO   EM   528593   168938310890   742550497   KAREN S SHIMOTSU MD              FAMILY PRACTICE                 9   4     $399.38    BA   805421243711   14855 Blanco Rd Ste 204        San Antonio      TX   78216             Y        Y-TINONLY      Y
PPO   EM   528593   170208443569   742741151   JOSEPH H LUNA MD                 FAMILY PRACTICE                 6   5     $373.83    BA   956508354025   94 BRIGGS ST STE 300           San Antonio      TX   78224 1229        Y             Y         Y
PPO   EM   528593   170942171194   300266566   PEDRO A RIVAS MD                 CARDIOLOGY                      2   1      $88.04    BA   945212171298   7434 Louis Pasteur Ste 209     San Antonio      TX   78229             Y             Y         Y
PPO   EM   528593   171529114344   742870657   MARK E COIRA DC                  CHIROPRACTOR                    1   1      $26.56    BA   497021410415   8014 Kitty Hawk                Converse         TX   78109             Y             Y         Y
PPO   EM   528593   173356152784   542095652   GAB ENDOSCOPY CENTER             SURGERY, GENERAL                7   7     $408.64    BA   927913275855   C X R Ltd PO Box 33938         San Antonio      TX   78265             Y             Y         Y
PPO   EM   528593   175280253614   742994700   MARY B HARR MD                   FAMILY PRACTICE                17   9     $661.89    BA   375522590094   PO Box 2687                    San Antonio      TX   78299             Y             Y         Y
PPO   EM   528593   175611442561   742338595   RICHARD A RODRIGUEZ MD           OPHTHALMOLOGY                   3   2     $241.50    BA   883906003021   7390 Barlite Blvd Ste 315      San Antonio      TX   78224             Y             Y         Y

PPO   EM   528593   176390500460   741087689   NING HUANG MD                    RADIOLOGY, DIAGNOSTIC          1    1      $50.98    BA   678511193932   PO BOX 6010                    CORPUS CHRISTI   TX   78466 6010      Y               Y      Y-TINONLY
PPO   EM   528593   176699413450   611565708   SUSAN Y RIVERA MD                OBSTETRICS/GYNECOLOGY          2    2      $66.36    BA   713506342215   PO BOX 2377                    SAN ANTONIO      TX   78298           Y               Y           Y
PPO   EM   528593   178268544448   741586031   LARRY E BECKER MD                DERMATOLOGY                    2    1      $62.39    BA   524121350138   1414 E Blanco Rd Ste 9         Boerne           TX   78006           Y               Y           Y
PPO   EM   528593   178553353148   742706271   LUCILLE MARIE GOTANCO MD         PSYCHIATRY, CHILD              3    1     $195.00    BA   398113370578   8535 TOM SLICK                 SAN ANTONIO      TX   78229      Y-TINONLY       Y-TINONLY   Y-TINONLY
                                                                                PEDIATRIC ALLERGY &
PPO   EM   528593 178979190453     743009460 DENNIS E DILLEY MD                 IMMUNOLOGY                     45   7    $3,212.31 BA     432621434153 7711 Louis Pasteur Ste 407       San Antonio      TX   78229               Y           Y           Y
PPO   EM   528593 179310244707     743000095 MICHAEL R MAGOON MD                EMERGENCY MEDICINE              1   1       $50.31 BA     994116080080 1401 Foucher St                  New Orleans      LA   70115          Y-TINONLY   Y-TINONLY   Y-TINONLY
PPO   EM   528593 179558303906     741758923 JERRY W PATTERSON DPM              PRIMARY PODIATRIC MEDICINE      5   1       $75.06 BA     811016123626 423 TREELINE PARK STE 315        SAN ANTONIO      TX   78209               Y           N           N
                                             SAN ANTONIO HEAD AND NECK
PPO   EM   528593   182058041548   741895428 SURGICAL ASSOCIATES PA             OTORHINOLARYNGOLOGY            33   14   $2,093.73   BA   928222255722   PO Box 29487                   San Antonio      TX   78229 487         Y           Y             Y
PPO   EM   528593   182068455288   510599870 CALVIN E MEIN MD                   OPHTHALMOLOGY                   2    1    $221.28    BA   864910235714   9480 HUEBNER RD STE 310        San Antonio      TX   78229             Y           N             Y
PPO   EM   528593   184328571427   393448550 KAREN J CABRAL MA LPC LMF          MENTAL HEALTH COUNSELOR        16    2    $560.00    BA   873313060101   5805 Callaghan Rd Ste 100      San Antonio      TX   78228             Y           Y             Y
PPO   EM   528593   185161413031   202791396 APEX HOME HEALTH                   HOME HEALTH AGENCY              1    1      $70.00   BA   891711424355   6326 SOVEREIGN DR STE 144      SAN ANTONIO      TX   78229             Y           Y             Y
PPO   EM   528593   186389131453   593205549 TOTAL RENAL LABORATORIES INC       CLINICAL MEDICAL LABORATORY    17    1    $769.48    BA   395609131536   PO BOX 100244                  ATLANTA          GA   30384 244         Y           Y             Y
PPO   EM   528593   187036083099   742447500 DEVANG N PATEL MD                  DIETICIAN, REGISTERED           1    1       $0.00   BA   174516083141   PO Box 528                     San Antonio      TX   78292 528         Y           Y        Y-TINONLY
PPO   EM   528593   187193371855   264333033 PAULA M BILICA DO                  OBSTETRICS/GYNECOLOGY           2    2    $186.46    BA   907013371896   1210 ARION PKWY                SAN ANTONIO      TX   78216 2880        Y           Y             Y
PPO   EM   528593   187289185413   742698089 ANTHONY M DEEP MD                  FAMILY PRACTICE                 2    2    $132.29    BA   908007442483   PO BOX 1810                    SAN ANTONIO      TX   78296 1810        Y           Y             Y
PPO   EM   528593   188309322021   461066372 ROBERT A BORREGO III MD            INTERNAL MEDICINE               1    1      $29.30   BA    96121482857   359 E Hildebrand Ave Ste 200   San Antonio      TX   78212             Y           N             N

                                               CHRISTUS SANTA ROSA PHYSICIANS
PPO   EM   528593   188570391531   412092141   ASC SAN ANTONIO-ALA              SURGERY, GENERAL                2   2     $156.70    BA   513310395034   PO BOX 2101                    SAN ANTONIO      TX   78297             Y             Y           Y
PPO   EM   528593   189009023876   263094136   HARRISON W YOO MD                INTERNAL MEDICINE               2   1       $68.52   BA   798106060709   PO BOX 867                     SAN ANTONIO      TX   78293   867       Y             Y           Y
PPO   EM   528593   189227520037   202054016   HONDO EMERGENCY PHYSICIANS       EMERGENCY MEDICINE              1   1       $95.35   BA   463517524257   PO Box 8557                    Philadelphia     PA   19101             N             N           N
PPO   EM   528593   189970211607   742123754   THOMAS C WASCHER MD              FAMILY PRACTICE                 5   4     $216.58    BA   978822090511   2221 Buena Vista St            San Antonio      TX   78207             Y             Y           Y
PPO   EM   528593   190500223663   742600365   KATHLEEN A LEINEN DO             FAMILY PRACTICE                15   6    $1,002.86   BA   600110223754   PO BOX 3806                    Corpus Christi   TX   78463             Y             Y           Y
PPO   EM   528593   190728293711   742312850   PETER V KUHL MD                  OBSTETRICS/GYNECOLOGY           6   2     $170.21    BA   713814383240   7950 FLOYD CURL DR STE 400     San Antonio      TX   78229   3916      Y             Y           Y
PPO   EM   528593   192604035825   202148889   RAMON COLEN MD                   INTERNAL MEDICINE              22   7     $659.13    BA   781013403209   PO BOX 100026                  San Antonio      TX   78201   1326      Y        Y-TINONLY        Y
PPO   EM   528593   193152460207   742146518   WILLIAM F TRIGOSO MD             ENDOCRINOLOGY                   4   2     $700.26    BA   966712555185   5645 N Green Bay Ave           Glendale         WI   53209             Y             Y           Y
PPO   EM   528593   195658454081   261301309   PEDRO SEPULVEDA MD               PULMONARY DISEASE               5   1     $489.92    BA   933505480513   910 SAN PEDRO AVE              SAN ANTONIO      TX   78212   4642      Y             Y      Y-TINONLY
PPO   EM   528593   195942470317   742646867   RODERICK DONALD MOE MD           OTORHINOLARYNGOLOGY             3   2     $140.10    BA   747807375680   PO Box 29749                   San Antonio      TX   78229             Y             Y           Y
PPO   EM   528593   196456170879   743003947   CHRISTOPHER J TROYER PT          PHYSICAL THERAPIST             17   2    $1,454.87   BA   771016170947   PO Box 2516                    San Antonio      TX   78299   2516      Y             Y           Y
PPO   EM   528593   197482290579   208523222   YVONNE G MIRANDA MD              PEDIATRICS                      2   2       $60.70   BA   765013091773   PO BOX 813                     SAN ANTONIO      TX   78293    813      Y             Y           Y
                                                                                NURSE ANESTHETIST, CERTIFIED                                             4040 N CENTRAL EXPWY STE
PPO   EM   528593   198489580799   320255970 PRISCILLA ANN BARDWELL CRNA        REGISTERED                      1   1        $0.00   BA   769511173600   600                            DALLAS           TX   75204             N           N           N
PPO   EM   528593   198818544119   830380160 CLAY GRUESBECK MD                  FAMILY PRACTICE                18   8     $952.32    BA   890715530784   PO BOX 315                     SAN ANTONIO      TX   78292             Y           Y           Y
PPO   EM   528593   199769113515   742938437 BRIAN P SENGER MD                  INTERNAL MEDICINE               9   5     $462.60    BA    22722542198   PO Box 2448                    San Antonio      TX   78298             Y           Y           Y
PPO   EM   528593   199922510694   261613372 MARK GREENLEE MD                   EMERGENCY MEDICINE              3   3    $2,072.00   BA    51613015257   PO Box 951                     San Antonio      TX   78294   951       N           N           N
                                             CHRISTINE D CRISCUOLO HIGGINS
PPO   EM   528593 199981330086     742806531 MD                                 FAMILY PRACTICE                1    1      $76.20 BA      651610114592 PO BOX 9067                      BELFAST          ME   4915 9067         Y           Y           Y

								
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