Email received from: ProspectiveProviderTX@wellcare.com  Subject: 	Re: Enrollment Query || CBUC & GWMC || Providers & Groups || Wellcare ||  Good Morning,   Here are the providers that are active and par for HMO and PPO lines of business   ACCEPT NEW PATIENTS	LINE OF BUSINESS	EFFECTIVE DATE	TERM DATE	PCP FLAG	MEMB COUNT	PROVIDER ID	LAST NAME	FIRST NAME	PROVIDER TYPE	SPECIALTY TYPE	PRIMARY SPECIALTY	IPA ID	IPA AFFIL	NATIONAL PROVIDER ID	PRIMARY NPI	DEFAULT VENDOR ADDR	VENDOR ID	VENDOR NAME	IRS TAX ID Y	TLR	7/1/2021 12:00:00 AM	 	N	0	2695112	PATERSON	KATHERINE	ALLIED	NURPRC	Y	 	TX15205	1164776548	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	UXR	7/1/2021 12:00:00 AM	 	N	0	2695112	PATERSON	KATHERINE	ALLIED	NURPRC	Y	 	TX15205	1164776548	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	TLR	7/1/2021 12:00:00 AM	 	N	0	2695133	FLYNN	MERCEDITA	ALLIED	NURPRC	Y	 	TX15205	1619166188	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	UXR	7/1/2021 12:00:00 AM	 	N	0	2695133	FLYNN	MERCEDITA	ALLIED	NURPRC	Y	 	TX15205	1619166188	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	TLR	7/1/2021 12:00:00 AM	 	N	0	2695406	TUDOR	JENNIFER	ALLIED	NURPRC	Y	 	TX15205	1720455835	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	UXR	7/1/2021 12:00:00 AM	 	N	0	2695406	TUDOR	JENNIFER	ALLIED	NURPRC	Y	 	TX15205	1720455835	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	TLR	10/18/2021 12:00:00 AM	 	N	0	2734519	GONZALEZ	MONICA	ALLIED	NURPRC	Y	 	TX15205	1871132811	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	TLR	10/18/2021 12:00:00 AM	 	N	0	2734519	GONZALEZ	MONICA	ALLIED	REGIST	N	 	TX15205	1871132811	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	UXR	10/18/2021 12:00:00 AM	 	N	0	2734519	GONZALEZ	MONICA	ALLIED	NURPRC	Y	 	TX15205	1871132811	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349 Y	UXR	10/18/2021 12:00:00 AM	 	N	0	2734519	GONZALEZ	MONICA	ALLIED	REGIST	N	 	TX15205	1871132811	Y	Y	879621	COSTAL BEND URGENT CARE LLC	811890349  Sincerely,     Network Management– Texas | www.wellcare.com | www.superiorhealthplan.com  1634667499561