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MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY ANESTHESIOLOGY Treadwell Rabara, CARDIAC 920 Medical Plaza Dr Ste 300 Eisemann, Bradley, Evangeline, CRNA ELECTROPHIOLOGY The Woodlands, TX 77380 Benson, Dana, CRNA Phone: (281) 296-0788 Loverin, Katherine, USM Anesthesia Greet, , MD USM Anesthesia Fax: (281) 296-0780 Associates, LLC Associates LLC Specialty Associates of 129 Vision Park Blvd Suite 307 Respiratory Quality 3115 College Park Dr. #107 West Houston, PLLC Siddiqui, Hina, MD Conroe, TX 77384 Services, LLC Conroe, TX 77384 1200 Binz St Ste 380 Heart Rhythm Associates Phone: (936) 494-3002 Houston, TX 77004 920 Medical Plaza, #300 Sola, Christina, CNP Phone: (281) 979-5542 Fax: (936) 494-3006 Phone: 713-526-1814 The Woodlands, TX 77380 Speciality Associates of Tucker, David, CRNA Fax: 713-526-1835 Phone: (281) 296-0788 West Houston, PLLC Ellefson, Nancy, CRNA USM Anesthesia Fax: (281) 296-0780 1200 Binz St Ste 900 Associates, LLC USM Anesthesia 12121 Richmond Ave Ste 116 Houston, TX 77004 Associates, LLC 3115 College Park Dr, #107 Strickand, James, MD Conroe, TX 77384 Houston, TX 77082 Phone: 713-524-9300 3115 College Park Dr, #107 Phone: 713-526-1814 Heart Rhythm Associates Fax: 713-824-9301 Phone: (281) 979-5542 Conroe, TX 77384 Fax: 713-526-1835 920 Medical Plaza, #300 Fax: (936) 494-3006 Phone: (281) 979-5542 The Woodlands, TX 77380 3801 Vista Rd Ste 380 Fax: (936) 494-3006 Weyandt, Linda, CRNA 5151 Katy Fwy Ste 130 Phone: (281) 296-0788 Pasadena, TX 77504 Fax: (281) 296-0780 Goldsmith, William W, Do USM Anesthesia Houston, TX 77007 Associates, LLC Tindall, Crystal, CNP ICU Associates of West Suarez, Keith, MD 3115 College Park Dr, #107 Specialty Associates of Houston PLLC 508 Medical Center Blvd ste Heart Rhthm Associates PA Conroe, TX 77384 200 West Houston, PLLC 4000 Spencer Hwy 920 Medical Plaza Dr Ste 300 Phone: (281) 979-5542 Conroe, TX 77304 1200 Binz Ste 380 Pasadena, Tx 77054 The Woodlands, TX 77380 Fax: (936) 494-3006 Houston, TX 77004 Phone: 713-359-2000 Phone: (281) 296-0788 Phone: 713-526-1835 13635 Michel Rd AUDIOLOGY Fax: (281) 296-0780 Fax: 713-526-1835 McMichael, Martin, CRNA Tombal, TX 77375 USM Anesthesia Mellonig, Amy, PA CARDIOVASCULAR DISEASE Associates LLC 9055 Katy Frwy Ste 302 13635 Michel Rd Conroe Physician Abdullah, Arif, MD Tomball, TX 77375 3115 College Park Dr #107 Associates Houston, TX77024 Arif Abdullah, MD, PA Conroe, TX 77384 (936) 760-4600 ext. 5002 Zoll Services LLC CARDIAC 601 River Point Dr., #105 508 Medical Center Blvd., #200 121 Gamma Dr Millet, Yoann H, M D ELECTROPHYSIOLOGY Conroe, TX 77304 Conroe, TX 77304 Pittsburgh, PA 15238 Sprintz Center for Pain Phone: (936) 539-5577 Phone: (936) 760-4600 Ekervo, Ijeoma, MD 9303 Pinecroft Drive Suite#320 Fax: (936) 760-4601 Heart Rhythm Associates, Agusala, Pratap, MD ADDICTION MEDICINE Spring, Texas 77380 PA Phone: 713-714-1381 Cy Fair Cardiology Sprintz, Michael, DO 920 Medical Plaza Dr Ste 300 Fax: 713-389-5798 Associates Sprintz Center for Pain The Woodlands, TX 77380 25440 I-45 North, #300 and Dependency Mitchell, David, CRNA Phone: 281-296-0788 Spring, TX 77386-1343 111 Vision Park Blvd. USM Anesthesia Fax: 281-296-0780 Phone: (281) 890-4886 Suite#100 Associates, LLC Fax: (281) 894-2247 Shenandoah, TX 77384 Jozwik, Bartosz, MD 3115 College Park Dr, #107 Phone: (713) 714-1399 Heart Rhythm Associates, Bellur, Shashi, MD Conroe, TX 77384 PA Phone: (281) 979-5542 Shashi S. Bellur, MD, PA 920 Medical Plaza Dr Ste 300 Fax: (936) 494-3006 130 Medical Center Pkwy #10 The Woodlands, TX 77380 Huntsville, TX 77340 North Houston Phone: 832-299-1575 Phone: (936) 295-8484 Anesthesiologists, PA Fax: 281-296-0780 808 Russell Palmer Rd., #151 Manoukian, George, MD 600 River Pointe Dr., #101 Kingwood, TX 77339 Heart Rhythm Associates Conroe, TX 77304 Phone: (281) 540-7500 PA Phone: (936) 756-8484 Fax: (281) 540-7501

9/1/2021 Page 1 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Byrne, John, MD Phone: 281-265-8855 1315 St. Joseph Pkwy., #1605 Siddiqui, Adnan, MD CARDIOVASCULAR Surgical Specialists of Fax: 281-265-4327 Houston, TX 77002 MEDICINE Texas Cardiology Clear Lake, PLLC Phone: (713) 652-3025 Loyalka, Pranav, M D Associates of Greater Jaffer, Osman Arif, MD 450 Medical Center Blvd, Ste Rahman, Atiar, MD Houston 600 Specialty Associates of Conroe Montgomery West Houston, PLLC 601 River Pointe Dr #105 Physicians Group PLLC Webster, TX 77598 Conroe Physician 1200 Binz Street 900 Associates Conroe, TX 77304 508 Medical Center Blvd Ste Phone: 281-332-4596 Houston, Tx 77004 (936) 760-4600 ext. 5002 Phone: (936)539-5577 200 Fax: 281-332-9610 Phone: 713-524-9300 508 Medical Center Blvd., #200 Conroe, TX 77304 Siddiqui, Hina, MD DeBauche, Thomas, MD Fax: 713-522-0232 Conroe, TX 77304 Phone: (936) 760-4600 Heart Rhythm Associates Cypress Cardiology, PA Phone: (936) 760-4600 Fax: (936) 760-4601 Manoukian, George, MD 9303 Pinecroft #250 21212 Northwest Frwy #405 Fax: (936) 760-4601 Heart Rhythm Assoiates The Woodlands, TX 77380 Chiropratics Cypress, TX 77429 920 Medical Plaza Dr Ste 300 Ramineni, Rajesh, MD Phone: (281) 296-0788 Phone: (281) 890-8588 Custer, Todd, DC The Woodlands, TX 77380 Healing Hearts Clinic Fax: (281) 296-0780 Fax: (281) 894-0426 Better Care Chiropractic & Phone: (281) 296-0788 100 Medical Center Blvd Ste Small, Lawrence, MD Physical Therapy Desai, Preeti S., MD Fax: (281) 296-0780 200 Lawrence Small, MD 804 W Montgomery Adnan Afzal MD PA Conroe, TX 77034 Mobley, Alan, MD 521 I 45 South #12 Willis, TX 77378 100 Medical Center Blvd #200 Phone: 936-441-9680 Alan Mobley, MD, PA Huntsville, TX 77340 Conroe, TX 77304 Fax: 936-539-9685 CLINICAL PYSCHOLOGY 600 Riverpointe Dr., #100 Phone: (936) 291-0900 Phone: (936) 441-9680 Conroe, TX 77304 Quintero-Conk, Maria, PHD Fax: (936) 539-9685 504 Medical Center Blvd Phone: (936) 756-5866 Conroe, TX 77304 17191 St Luke’s Way Tri-County Behavioral Fernandes, Laura, MD The Woodlands, TX 77384 Healthcare Mohsin, Rabab, MD Woodlands Heart & Razeghi, Peter, MD Phone: (281) 210-2922 233 Sgt. Ed Holcomb Blvd S Vascular Institution PA Rabab Mohsin Cypress Cardiology, PA Conroe, TX 77304 Strickland, James, MD 920 Medical Plaza Drive #520 601 River Pointe Dr #105 21212 Northwest Frwy #405 Phone: 936-521-6100 Heart Rhythm Associates Spring, TX 77380 Conroe, TX 77304 Cypress, TX 77429 Fax: 936-760-2898 920 FM 1960 W., #3 Phone: (832) 562-3974 Phone: (936) 539-5577 Phone: (281) 890-8588 Houston, TX 77090 CLINICAL SOCIAL WORK Fax: (832) 663-9378 Fax: (936) 539-5550 Fax: (281) 894-0426 Phone: (281) 583-4000 Nasir, Nadim, MD Kennedy, Jennifer, LCSW Reddy, Karunakar, MD Fax: (281) 280-5079 600 River Point Drive #101 Tri-County Behavioral Willowbrook Montgomery County Conroe, TX 77304 Healthcare Cardiovascular Associates Cardiovascular Associates, Suarez, Keith, MD Phone: (832) 562-3974 PA PA Heart Rhythm Associates 233 Sgt Ed Holcomb Blvd S Fax: (832) 663-9378 Conroe, TX 77304 6560 Fannin St #620 2101 S. Loop 336 W. PA Phone: 9365216300 Houston, TX 77030 Conroe, TX 77304 920 Medical Plaza Dr Ste 300 116 Medical Park Lane #A Phone: (281) 890-4848 The Woodlands, TX 77380 Phone: (936) 441-8010 COLON & RECTAL Huntsville, TX 77340 Phone: (281) 296-0788 Novosad, Elena, MD SURGEON Phone: (832) 562-3974 Revana, Madaiah, MD Fax: (281) 296-0780 Fax: (832) 663-9378 Woodlands Heart & Humble Cardiology Acevedo, Victor Hugo, MD Vascular InstitutionPA Associates And Pacemaker Kumar, Esther H., NP Specialty Associates of 920 Medical Plaza Dr. #520 Clinic West Houston, PLLC Specialty Associates of Spring, Tx 77380 9950 Memorial Blvd., #201 6560 Fannin St Ste 1404 West Houston PLLC Phone: 832-562-3974 Humble, TX 77338 Houston, TX 77030 15200 Southwest Fwy #290 Phone: (281) 446-4638 Phone: 713-790-0600 Sugar Land, TX 77478 Podet, Ethan, MD Fax: 713-790-0616 Phone: (281) 980-2010 Cardiology Associates Siddiqui, Adnan, MD Fax: (281) 980-2321 7777 S. W. Frwy., #540 Arif Abdullah, MD, PA Ambe, Ronald W., MD Houston, TX 77074 601 River Point Dr #105 Texas Surgical Care PLLC 12121 Richmond Ave #116 Phone: (713) 779-8230 Conroe, TX 77304 350 Kingwood Medical Dr Houston, TX 77082 Phone: (936) 539-5577

9/1/2021 Page 2 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY #230 Phone: 713-790-0600 Fax: 713-790-0616 233 Sgt. Ed Holcomb Blvd S COUNSELOR Kingwood, TX 77339 Fax: 713-790-0516 Conroe, Tx 77304 PROFESSIONAL Phone: (832)732-7698 COUNSELING Phone: 936-521-6100 Elssworth, Rachel Joy, MD Cea, Jorge, LPC Fax: (281)608-7542 Booth, Allison, LPC Fax: 936-760-2898 Specialty Associates of Lone Star Community Tri-County Behavioral Azimuddin, Khawaja, MD West Houston, PLLC Simons, Ashby J, LPC Health Center Healthcare Northwest General & 1200 Binz St Ste 580 Tri-County Behavioral 605 S CONROE MEDICAL DR 233 Sgt. Ed Holcomb Blvd S Colon Rectal Surgery, PA Houston, TX 77004 Healthcare Conroe, Tx 77304 Conroe, Tx 77304 920 Medical Plaza Dr. Suite Phone: 713-790-0600 233 Sgt Ed Holcomb Blvd S Phone: 936-539-4004 Phone: 936-521-6100 550 Fax: 713-790-0616 Conroe, Tx 77304 Fax: 936-760-2898 The Woodlands, Tx 77380 Phone: 936-521-6300 13905 Grangerland Road Haas, Eric, MD Phone: 281-583-1300 Bragg, John, LPC Fax: 936-760-2898 Conroe, Tx 77306 Specialty Associates of Fax: 281-583-1303 Tri-County Behavioral West Houston, PLLC Sommers, Victor, LPC Healthcare 201 Lincoln Ridge 6560 Fannin St Ste 1404 Tri-County Behavioral 20207 Chasewood Park Dr Ste 233 Sgt. Ed Holcomb Blvd S Wilis, Tx 77378 203 Houston, TX 77303 Healthcare Conroe, TX 77304 Phone: 832-246-8700 Houston, Tx 77070 Phone: 713-790-0600 233 Sgt Ed Holcomb Blvd S Phone: 936-521-6100 Phone: 281-583-1300 Fax: 713-790-0616 Conroe, Tx 77304 Fax: 936-760-2898 440 Rayford Rd, Suite 150 Fax: 281-583-1303 Phone: 936-521-6300 Spring, Tx 77386 15015 Kirby Dr Ste 200 Fax: 936-760-2898 1020 Riverwood Court Phone: 832-246-8700 1125 Cypress Station Dr Ste G3 Houston, TX 77047 Conroe, TX 77304 Thomas, Tiffini, LPC Houston, Tx 77090 CRITICAL CARE Kim, Junuk, MD Phone: (936) 521-6300 Tri-County Behavioral Phone: 281-583-1300 Premier General & Fax: (936) 760-2898 Healthcare Hayes, Earle W, DO Fax: 281-583-1303 Colorectal Surgery, PA 233 Sgt Ed Holcomb Blvd S ICU Associates of West Carni, Christopher, LPC 129 Vision Park Blvd Ste 212 Conroe, Tx 77304 Houston PLLC 18955 N Memoral Dr. Ste 530 Tri-County Behavioral Shenadndoah, TX 77384 Phone: 936-521-6300 4000 Spencer Hwy Humble, Tx 77338 Healthcare Phone: (832) 303-2922 Fax: 936-760-2898 Pasadena, TX 77054 Phone: 281-583-1300 233 Sgt Ed Holcomb Blvd S Phone: 713-359-2000 Fax: 281-583-1303 Lefave, Jean Paul, MD Conroe, Tx 77304 Ward, Ashley, LPC

Specialty Associates of Phone: 936-521-6300 Tri-County Behavioral Coursey, Joshua, MD 12141 Richmond Ave West Houston, PLLC Fax: 936-760-2898 Healthcare Speciality Associates of houston, Tx 77082 12121 Richmond Ave Ste 218 233 Sgt Ed Holcomb Blvd S West Houston, PLLC Darvishian, Danelle, LPC Houston, TX 77082 Conroe, TX 77304 Pancrudo, Jacklyn, DO 6560 Fannin ST Ste 1404 Tri-County Behavioral Phone: 713-790-0600 Phone: (936)521-6300 ICU Associates Of West Houston, TX 77030 Healthcare Fax: 713-790-0616 Houston PLLC Phone: 713-790-0600 233 Sgt Ed Holcomb Blvd 4000 Spencer Hwy Fax: 713-790-0616 Raphaeli, Tal, MD Conroe, Tx 77304 Pasadena, Tx 77054 Phone: 936-521-6300 Northwest General & Phone: 713-359-2000 12121 Richmond Ave Ste 218 Colon Rectal Surgery, PA Fax: 936-760-2898 Houston, TX 77082 1125 Cypress Station Dr #G3 DERMATOLOGIC SURGERY Long, Kristi, LPC Houston, TX 77090 Ellsworth, Rachel, MD Tri-County Behavioral Conner, Christopher, MD Phone: 281-583-1300 Specialty Associates of Healthcare The Woodlands Skin Fax: 281-583-1303 West Houston, PLLC 233 Sgt . Ed Holcomb Blvd S Surgery Center PA 6560 Fannin St Ste 1404 Schulberg, Steven, DO Conroe, Tx 77304 8850 Six Pine Dr #290 Houston, TX 77030 Specialty Associates of Phone: 936-521-6100 The Woodlands, TX 77380 Phone: 713-790-0600 West Houston, PLC Fax: 936-760-2898 Phone: (281) 364-8844 Fax: 713-790-0516 6560 Fannin St Ste 1404 Fax: (281) 364-8833 Santistevan, Pei-Fen, LPC Houston, TX 77030 Tri-County Behavioral Cook-Norris, Robert, MD 12121 Richmond Ave Ste 218 Phone: 713-790-0600 Houston, TX 77062 Healthcare The Woodlands Skin

9/1/2021 Page 3 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Surgery Center PA The Woodlands Skin Home Care Supply, LLC EMERGENCY MEDICINE Dr A Family Clinic 8850 Six Pines Dr #290 Surgery Center 18227 Ammi Trail 920 Medical Plaza Dr #370 Kievlan, , MD The Woodlands, TX 77380 8850 Six Pines Dr #100 Houston, TX 77060 The Woodlands, TX 77380 Phone: (281) 364-8844 The Woodlands, TX 77380 Phone: 281-448-7299 Wael Asi MD PA Phone: (832) 246-8935 Fax: (281) 364-8833 Phone: 281-364-8844 Fax: 409-654-2068 1111 Medical Plaza Dr #250 Fax: (832) 246-8937 The Woodlands, TX 77380 Shook, Brent, MD Soares, Temitope, MD Bang, Richard, MD 3255 Executive Blvd. #105 Phone: 281-296-8788 The Woodlands Skin Advanced Associates In Beaumont, TX 77705 Specialty Associates of Surgery Center PA Dermatology EMERGENCY ROOM West Houston, PLLC Phone: (409) 835-3939 8850 Six Pines Dr #290 28517 Spring Trails Ridge #110 10028 West Rd 102 Fax: (409) 835-0380 Greater Houston The Woodlands, TX 77380 Spring, TX 77386 Houston, Tx 77064 Emergency Physicians Phone: (281) 364-8844 Phone: (281) 385-8189 Phone: 281-500-8900 6612 Garth Rd. PO Box 200472 Fax: (281) 364-8833 Fax: (281) 203-5037 Fax: 281-500-8899 Baytown, TX 77521 Houston, TX 77216 Phone: (800) 992-8021 DERMATOLOGY DURABLE MEDICAL Phone: (281) 421-9725 Berdayes, Maria, DO EQUIPMENT Millennium Physicians Babey, Lacy, MD J Star Medical Supply & ENDOCRINOLOGY Aerocare Home Medical Repairs 451 Kingwood Medical Dr Ste Advanced Associates in Ouais, Samir, MD 200 Dermatology Inc 13225 FM 529 Rd #109 Family Health Clinic Kingwood, TX 77339 28517 Spring Trails Ridge #110 11133 I-45 South #F Houston, TX 77041 403 E Dallas Street Phone: (281) 359-2080 Spring, TX 77386 Conroe, TX 77302 Phone: (281)858-8966 Cleveland, TX 77327 Fax: (281) 359-2421 Phone: 508-836-3663 Phone: (936) 441-2224 Fax: (281)858-8506 Phone: (281)659-9533 Fax: (936) 788-2225 Dubiel, , PA Lakeside Durable Medical Fax: (281)659-9543 17903 W Lake Houston Pkwy Ste 204 The Woodlands Skin First Class Medical Equipment Surgery Center Equipment & Supply, Inc. 123 Blue Heron Dr Ste 102 24042 Hwy 59N Humble, TX 77346 Kingwood, TX 77339 Phone: 281-359-2080 8850 Six Pines Dr #100 55 Lyerly St., #300 Montgomery, TX 77316 Houston, TX 77022 Phone: (281)852-9000 Fax: 281-359-2421 The Woodlands, TX 77380 Legends Medical Supply Phone: (713) 696-9363 Fax: (281)358-5311 Phone: 281-364-8844 4701 Fm 2920 Ste D-3 Bobadilla, Maribeth, MD

Spring, TX 77388 Fakhouri, Tarek, MD Great American Mobility 18455 W. Lake Houston Lone Star Community Phone: (281) 419-3535 Health Center Skin Cancer Specialist 2111 FM 1960 Rd East Humble, TX 77346 Humble, TX 77338 Fax: (281) 419-3537 9516 FM 1097 W #140 17510 W Grand Pwy S Ste 420 Phone: (281)201-0922 Phone: (832) 445-0956 Willis, TX 77318 Sugarland, TX 77479 MedHealth Medical Fax: (832)644-1241 Fax: (832) 445-0958 Phone: (936) 539-4004 Phone: 832-308-3470 Equipment, Inc. ENDOSCOPY CENTERS Fax: (936) 224-4205 Fax: 832-308-3471 Hanger Clinic 9900 West Park Ste 304

11155 South Main Street Houston, TX 77063 River Oaks Endoscopy 13905 Grangerland Road 1501 River Pointe Dr # 150 Houston, TX 77025 Phone: (832)849-1877 1501 River Pointe Dr., #260 Conroe, Tx 77306 Conroe, TX 77304 Phone: (713)747-4171 Fax: (832)849-1884 Conroe, TX 77304

Fax: (713)747-4249 Phone: (936) 494-3636 Perri, III, Anthony J., MD Medical Plus Supplies Inc. 605 S. Conroe Medical Drive

Perri Dermatology, PLLC 4025 W. Fuqua FAMILY PRACTICE Conroe, Tx 77304 8000 Hwy 242, #100 4015 I-45 North Houston, TX 77045 Phone: 832-246-8700 The Woodlands, TX 77385 Alonso, Kristen, DO Conroe, TX 77304 Phone: (800) 298-3948 Phone: (281)419-6638 Lone Star Family Health Phone: (936) 522-4966 Fax: (888) 331-4002 440 Rayford Rd, Suite 150 Fax: (281)419-7098 Center Fax: (936) 522-4998 Spring, Tx 77386 The Home Health Store 605 S Conroe Medical Dr Phone: 832-246-8700 1614 Louetta Rd. #E Tomball, Inc. Conroe, TX 77304 9305 Pinecroft #305 Spring, TX 77388 444 Holderrieth Blvd #6 Phone: (936)539-4004 Bogenrieder, Nancy, FNP The Woodlands, TX 77380 Phone: (281) 631-9400 Tomball, TX 77375 Fax: (936) 521-3964 Lone Star Community Phone: (281) 943-2749 Fax: (281) 631-9410 Phone: (800) 531-1465 Health Center Anugwom, Chinasa, MD Purtle, Michelle, PA 9516 FM 1097 W #140

9/1/2021 Page 4 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Willis, TX 77318 Fax: 713-839-7156 Lone Star Community Clinic, PA Phone: (281) 554-1690 Phone: (936)539-4004 Health Center 530 N. Belt E., #100 Katari, Singaraju, MD Fax: (936)224-4205 13020 DAIRY ASHFORD ROAD 605 S. Conroe Medical Dr. Houston, TX 77060 Health Center of #100 Conroe, TX 77304 Phone: (281) 448-5228 Southeast Texas 13905 Grangerland Road Sugar Land, TX 77478 Phone: (936)539-4004 Hamme, Cristina, MD 204 W Park Dr Conroe, Tx 77306 Phone: 281-277-8571 Fax: (936)539-3635 Livingston, TX 77351 Fax: 281-277-8564 Lone Star Family Health Center Phone: 281-592-2224 440 Rayford Rd, Suite 150 201 Lincoln Ridge 605 S Conroe Medical Dr Fax: 281-592-2225 Spring, Tx 77386 1414 S. FRAZIER SUITE #106 Willis, Tx 77378 Conroe, TX 77304 Phone: 832-246-8700 Conroe, TX 77301 Phone: 832-246-8700 Kirkwood, Toby, DO Phone: 936-539-4004 Phone: 936-441-2440 Occupational and Family Fax: 936-539-3635 201 Lincoln Ridge Fax: 800-249-5020 440 Rayford Rd, Suite 150 Medicne of South Texas Willis, Tx 77378 Spring, Tx 77386 Ho, Christina, D O 4001 Preston Ave Ste 110 255 NORTHPOINT DRIVE, Phone: 832-246-8700 Phone: 832-246-8700 Lone Star Community Pasasdena, TX 77505 SUITE 200 Health Center Breeling, Charles, MD Houston, TX 77060 Ferry, Pamela, MD Le, Di, MD 440 Rayford Rd #150 Corpus Christi Primary Phone: 832-300-8040 Lone Star Community Specilaty Associates of Spring, TX 77386 Care Associates Fax: 832-300-8041 Health Center West Houston, PLLC Phone: (281) 246-8700 3301 S Alameda St #201 605 S. Conroe Medical Center 250 Blossom St Ste 400 Cottingham, John, MD Fax: (281) 419-1395 Corpus Christi, TX 78411 Conroe, TX 77304 Webster, TX 77598

Phone: 361-857-2900 Specialty Associates of Phone: (936) 539-4004 605 S. Conroe Medical Drive Fax: 361-857-8321 West Houston, PLLC Fax: (936) 521-3964 Lee-McGee, Tracy, PA Conroe, TX 77304 1045 Gemini St Ste 200B Health Center of Caston, Natoya, F N P Phone: (936) 539-4004 Houston, TX 741714 201 Lincoln Ridge Southeast Texas Lone Star Family Health Fax: (936) 539-3635 Phone: (281) 461-6830 Willis, Tx 77378 307 N Williams Barnett Ave Center Fax: (281) 461-6833 Phone: 832-246-8700 Cleveland, TX 77327 440 Rayford Road Ste#150 201 Lincoln Ridge Phone: (281) 592-2224 Dennis, Steven, MD Spring, Teaxs 77386 Conroe, Tx 77306 Fax: (281) 592-2225 Specialty Associates of 440 Rayford Rd, Suite 150 Phone: 936-539-4004 Phone: 832-246-8700 West Houston, PLLC Spring, Tx 77386 Fax: 281-419-1395 1202 N. Travis 1045 Gemini St Ste 200B Phone: 832-246-8700 Holloway, Crystal, NP Shepherd, TX 77371 Choudhury, Tiyashi, MD Houston, TX 77058 Health Center of French, Mary R, PA Phone: (936) 628-1100 Specialty Associates of Southeast Texas Duff, Heather, F N P Neuro-Hospitalist of Clear Fax: (936) 628-1188 West Houston, PLLC 307 N William Barnett Ave Lone Star Family Health Lake, PLLC 24721 Tomball Pkwy Cleveland, TX 77327 Mathew, Nurzy, MSN Center 450 Medical Center Blvd Ste Tomball, TX 77375 600 Phone: (281) 592-2224 Health Center of 605 South Conroe Medical Phone: 281-571-7508 Fax: (281) 592-2225 Southeast Texas Drive Webster, Tx 77598 Fax: 844-301-3354 307 N Williams Barnett Ave Conroe, Texas 77304 Phone: 281-338-3270 Hughes, James, MD Fax: 855-405-5837 Cleveland, TX 77327 Choy, Stephen, MPA Phone: 936-536-4004 IPC- The Hospitalist Phone: (281) 592-2224 St. Hope Foundation, Inc Fax: 936-521-3964 Company Guadalquiver, Liwayway, Fax: (281) 592-2225 6807 Emmett F. Lowry Expy, Ellison-Hodges, Chante, FNP 4545 Post Oak Place #130 Ste 302 MD Health Center of Houston, TX 77027 Mckeown-Biagas, Cecilia, Texas City, Tx 77591 Phone: (713) 960-8008 MD Specialty Associates of Southeast Texas Phone: 832-431-5162 West Houston, PLLC 1202 N Travis St Fax: (713) 960-0965 St. Hope Foundation, Inc Fax: 832-431-5142 6807 Emmett F. Lowry Expy, 14502 Spring Cypress Rd #500 Liberty, TX 77575 Huysman, Holly, FNP Ste 302 Cypress, Tx 77429 Phone: (936) 334-1155 6800 WEST LOOP SOUTH, Houston Pediatric Texas City, Tx 77591 Phone: 281-807-0111 Fax: (936) 334-1178 SUITE 560 Specialty Group PLLC Phone: 832-431-5162 Fax: 281-807-0114 Bellaire, TX 77401 Guerrini, Joseph, MD 450 Medical Center Blvd Fax: 832-431-5142 Phone: 713-839-7111 Emerick, Carolyn, MD North Belt East Medical Webster, TX 77598

9/1/2021 Page 5 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY 6800 WEST LOOP SOUTH, Phone: 281-359-2080 Houston, TX 77058 Sugar Land, TX 77478 SUITE 560 Fax: 281-359-2421 201 Lincoln Ridge Phone: 281-277-8571 Pouzar, Linda, MD Bellaire, TX 77401 Willis, Tx 77378 Fax: 281-277-8564 Nguyen, Steven T., MD Phone: 713-839-7111 Phone: 832-246-8700 Specialty Associated of W Houston PLLC Fax: 713-839-7156 Primary Health Network 1414 S. FRAZIER SUITE #106 of South Texas 1045 Gemini ST Ste 200B 440 Rayford Rd Ste 150 Conroe, TX 77301 14815 Southwest Fwy Houston, TX 741714 13020 DAIRY ASHFORD ROAD Spring, Tx 77386 Phone: 936-441-2440 #100 Sugar Land, TX 77478 Phone: 832-246-8700 Rajan, Rajeswari, MD Fax: 800-249-5020 Sugar Land, TX 77478 Phone: (281) 565-2140 Specialty Associates of Phone: 281-277-8571 Fax: (281) 565-2174 Pinnapurreddy, Sandeep, West Houston, PLLC 255 NORTHPOINT DRIVE, Fax: 281-277-8564 DO Nino, , MD 250 Blossom St Ste 400 SUITE 200 Health Center of East Houston Primary Care Webster, TX 77598 Houston, TX 77060 1414 S. FRAZIER SUITE #106 Southeast Texas Phone: 832-300-8040 15055 East Freeway Conroe, TX 77301 307 N Williams Barnett Ave Fax: 830-300-8041 Channelview, TX 77530 450 W Medical Center Blvd Phone: 936-441-2440 Cleveland, TX 77327 Phone: 281-452-4747 Ste 400 Fax: 800-249-5020 Phone: 281-592-2224 Singleton, Reid, MD Webster, TX 77598 Fax: 281-592-2225 Lone Star Community 15055 East Fwy Ste A10 Phone: 800-661-3365 Health Center 255 NORTHPOINT DRIVE, Ponce, Frank, MD SUITE 200 Channeiview, TX 77530 Rider, Mary, ANP 605 S. Conroe Medical Dr. Ocuupational and Family Houston, TX 77060 Lone Star Community Conroe, Tx 77304 Norris, Kim, MD Medicine of South Texas Phone: 832-300-8040 Health Center Phone: 936-539-4004 Lone Star Family Health 7219 Fairmont Pkwy Ste 180 Fax: 832-300-8041 605 S Conroe Medical Drive Fax: 936-539-3635 Center Pasadena, TX 77505 Conroe, TX 77304 Mertz, Bruce L., MD 605 S Conroe Medical Dr Phone: (281) 249-2273 Phone: (936) 539-4004 440 Rayford Rd Ste 150 Corpus Christi Primary Conroe, TX 77304 Fax: (281) 249-2280 Fax: (936) 521-3964 Spring, Tx 77386 Care Associates PLLC Phone: 936-539-4004 Phone: 832-246-8700 3301 S Alameda #201 Fax: 936-539-3635 3801 Vista Road#100 201 Lincoln Ridge Corpus Christi, TX 78411 Pasadena, TX 77504 Ostrowski, Mary E., FNP Willis, Tx 77378 201 Lincoln Ridge Phone: (361) 857-2900 Phone: 281-249-2273 Conroe Physician Phone: 832-246-8700 Willis, Tx 77378 Fax: (361) 857-8321 Fax: 281-249-2282 Associates Phone: 832-246-8700 508 Medical Center Blvd., #200 Moore, Robin, DO Pondt, Rochelle, DO 440 Rayford Td, Ste 150 Sozi, Love, MD Specialty Associates of Conroe, TX 77304 Specialty Associates of Spring, Tx 77386 Phone: (936) 760-4600 Tri-County Behavioral West Houston, PLLC West Houston, PLLC Phone: 832-246-8700 Healthcare 1200 Binz St, #900 Fax: (936) 760-4601 20423 Kuykendahl Rd, #100 Rohde, Pennye, BPA, PA-C 233 Sgt Ed Holcomb Blvd S Houston, Tx 77004 Spring, Tx 77379 Pedroza, Richard, MD St. Hope Foundation, Inc Conroe, TX 77304 Phone: 713-524-9300 Phone: 281-500-8660 Specialty Associates of 6807 Emmett F. Lowry Expy, Phone: 936-521-6300 Fax: 713-524-9301 Fax: 281-500-8669 West Houston, PLLC Ste 302 Fax: 936-760-2898 12120 Jones Rd, #D Texas City, Tx 77591 Moses, Debra, DO Pour-Jafari, Bita, MD Stanton, RaNae, MD Houston, Tx 77070 Phone: 832-431-5162 Millennium Physicians Specialty Associates of Lone Star Community Phone: 832-678-8252 Fax: 832-431-5142 Association PLLC West Houston, PLLC Health Center Fax: 832-678-8253 451 Kingwood Medical Dr Ste 1200 Binz St, #900 605 S. Conroe Medical Drive 200 6800 WEST LOOP SOUTH, Phan, Vy N, DO Houston, Tx 77004 Conroe, TX 77304 Kingwod, TX 77339 SUITE 560 Lone Star Community Phone: 713-524-9300 Phone: (936) 539-4004 Phone: (281) 359-2080 Bellaire, TX 77401 Health Center Fax: 713-524-9301 Fax: (936) 521-3964 Fax: (281) 359-2421 Phone: 713-839-7111 605 S Conroe Medical Dr Pouzar JR, Joe, MD Fax: 713-839-7156 Conroe, Tx 77304 201 Lincoln Ridge 17903 West Lake Houston Specialty Associates of W Phone: 936-539-4004 Willis, TX 77378 Blvd # 204 Houston, PLLC 13020 DAIRY ASHFORD ROAD Fax: 936-539-3635 Phone: (936) 224-4200 Humble, TX 77346 1045 Gemini St Ste 200B #100

9/1/2021 Page 6 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Fax: (936) 224-4205 Vera Adames, Francisco J, One Step Diagnostic II, Inc. Phone: (281) 465-5200 Phone: (713) 799-8300 MD 7227 Fannin #102 Fax: (713) 799-8305 Tomball MRI 440 Rayford Rd, Ste 150 Specialty Associates of Houston, TX 77030 425 Holderrieth Ste 104 Awasum, Serge-Alain, MD Spring, Tx 77386 West Houston, PLLC Phone: (713) 795-9200 Tomball, Tx 77375 Greater Houston Digestive Phone: 832-246-8700 23221 Aldine Westfield Rd# Fax: (713) 795-9201 200 Phone: 281-207-8800 Disease Consultants Stella, Ana L, MD Spring, Tx 77373 One Step Diagnostic III, Inc. Fax: 281-207-8999 1120 Medical Plaza Dr #255 Lone Star Family Health 11770 FM 1960 Rd W. Shenandoah, TX 77380 Phone: 281-580-8660 Universal MRI & Center Phone: (281) 205-1111 Fax: 281-528-1738 Houston, TX 77065 Diagnostics, Inc. Dba 605 S Conroe Medical Dr. Phone: (281) 894-4000 Baytown Imaging And Fax: (281) 419-2111 Conroe, Tx 77304 Willens, Barry G, MD Fax: (281) 894-6056 Diagnostic Center Barrientos, Ryan R, MD Phone: 936-539-4004 Barry G. Willens, M.D., P.A One Step Diagnostic XI, LP 4310 Garth Rd Specialty Associates of Fax: 936-539-3635 20185 US HWY 59 #72 3117 College Park Dr #100 Baytown, TX 77521 West Houston, PLLC New Caney, Tx 77357 Stephens, Gwendolyn, Conroe, TX 77384 Phone: (281) 422-9900 1200 Binz St #1025 Phone: 281-399-8144 LCSW Phone: (936) 271-7800 Houston, Tx 77004 Fax: 281-399-2620 Universal MRI & Health Center of Fax: (936) 271-7801 Diagnostics, Inc. Dba Phone: 713-526-4263 Southeast Texas Willis, Branch, FNP Humble MRI Fax: 713-528-0730 One Step Diagnostic, Inc. 307 N William Barnett Ave Lone Star Community 19007 Hwy 59 # 100 17320 Red Oak Dr #100 Egwim, Chukwuma, MD Cleveland, TX 77327 Health Center Humble, TX 77338 Houston, TX 77090 Liver Associates Of Texas, Phone: (281) 592-2224 605 S Conroe Medical Drive Phone: (281) 446-0111 Phone: (832) 249-9300 PA Fax: (281) 592-2225 Conroe, TX 77304 Fax: (832) 249-9225 6410 Fannin St #225 Phone: 936-539-4004 GASTROENTEROLOGY Sweeney, Alexa, NP Houston, TX 77030 Fax: 936-539-3635 Pet Imaging of Houston Health Center of Al-Sabbagh, Mouhamad, Phone: (713) 799-8300 2493-A South Braeswood Southeast Texas MD Fax: (713) 799-8305 13905 Grangerland Road Houston, TX 77030 307 N. William Barnett Ave. Mouhamad Al-Sabbagh, Conroe, Tx 77306 Phone: (832) 200-2825 Hodges, David, M D Cleveland, TX 77327 MD Fax: (832) 200-2829 Phone: (281) 592-2224 Wren, Robert, APRN 200 E Booth #100 Specialty Associates of Cleveland, TX 77327 West Houston, PLLC Fax: (281) 592-2225 Lone Star Family Health Pet Imaging of Sugar Land Phone: (713) 467-1750 21216 Northwest Fwy Ste# Center 17320 W Grand Parkway S #A Tresvalles, Ana, FNP Fax: (713) 467-1410 Cypress, Tx 77429 605 S. Conroe Medical Dr. Sugar Land, TX 77479 Lone Star Community Phone: 281-949-5201 Conroe, Tx 77304 Phone: (832) 595-2713 Health Center Al-Sabbagh, Mouhamad, Fax: 832-912-3587 Phone: 936-539-4004 Fax: (832) 595-2714 440 Rayford Rd #150 MD Fax: 936-539-3635 Mouhamad Al-Sabbagh, Hussain, Ayub, MD Spring, TX 77386 PET Imaging Of The MD Ayub Hussain, MD Phone: (832) 246-8700 FREESTANDING Woodlands 200 E Booth #100 18220 Tomball Pkwy., #310 Fax: (281) 419-1395 DIAGNOSTIC IMAGING 3091 College Park Dr., #340 Cleveland, TX 77327 Houston, TX 77070 Conroe MRI Diagnostics, The Woodlands, TX 77384 605 S Conroe Medical Drive Phone: (713) 467-1750 Phone: (281) 477-9305 Ltd. Phone: (936) 271-4060 Conroe, TX 77304 Fax: (713) 467-1410 200 Riverpointe Dr., #130 Fax: (936) 271-4063 Phone: (936) 539-4004 21212 Northwest Frwy #625 Conroe, TX 77304 PET Imaging of 203 N College #2002 Cypress, TX 77429 Phone: (936) 441-6998 Willowbrook 13905 Grangerland Road Cleveland, TX 77327 Phone: (508) 836-3663 13300 Hargrave Rd., #130 Conroe, Tx 77306 Houston Premier Phone: (281) 419-4625 Houston, TX 77070 Jamali, Shabbir, MD Phone: 936-539-4004 Radiology Center, Inc. Phone: (832) 237-3900 Ankoma-Sey, Victor, MD Shabbir Hussain Jamali, 12853 Gulf Freeway Fax: (832) 237-3902 Liver Associates Of Texas, MD, PA Houston, TX 77034 201 Lincoln Ridge PA 421 School St., #110 Phone: (281) 464-8200 Willis, Tx 77378 Preventice Services LLC 6410 Fannin St #225 Tomball, TX 77375 Fax: (281) 464-4343 Phone: 936-539-4004 1442 Lake Front Circle #150 Houston, TX 77030 Phone: (281) 357-1977 The Woodlands, TX 77380

9/1/2021 Page 7 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Kelly, Stephen, MD GENERAL SURGERY 3801 Vista Rd #450 Phone: (832) 303-2922 Conroe-Woodlands 5151 Katy Fwy Ste 130 Pasadena, TX 77504 Ambe, Ronald W., MD Krishnankutty, Ranjith Gastroenterology, PA Houston, TX 77007 Phone: (713) 944-2240 Texas Surgical Care PLLC Kumar, MD 1501 River Pointe Dr., #240 Phone: 713-426-2400 Fax: (713) 944-2377 350 Kingwood Medical Dr. Specialty Associates of Conroe, TX 77304 Fax: 713-426-3204 #230 Helmer, S., MD West Houston, PLLC Phone: (936) 760-1900 Kingwood, TX 77339 Chaugle, Shabnam, MD Conroe Montgomery 21208 Northwest Fwy Ste 100 Kvapil, Peter, MD Phone: (832)732-7698 General Surgeons of Physicians Group PLLC Cypress, TX 77429 Peter Kvapil, MD Fax: (281)308-7542 Pasadena PLLC 508 Medical Center Blvd #200 Phone: 713-426-2400 3801 Vista Rd Ste 450 Conroe, TX 77304 Fax: 713-426-3204 3115 College Park Dr., #107 Amr, Ziad, MD The Woodlands, TX 77384 Pasadena, TX 77504 Phone: (936) 760-4600 Specialty Associates of Fax: (936) 460-4601 21208 Northwest Frwy Ste 100 Phone: (936) 321-5440 West Houston, PLLC 2800 Garth Rd Cypress, TX 77429 21208 Northwest Fwy Ste 100 Moparty, Ravi K., MD Baytown, TX 77521 508 Medical Center Blvd #150 Cypress, TX 77429 Spring Gastroenterology Phone: 281-425-3904 Conroe, TX 77304 235 W Palm Ste 107 Phone: (713) 426-2400 Associates, PA Fax: 281-425-3991 Phone: (936) 494-2201 Belville, TX 77418 Fax: (713) 426-3204 25440 I-45 North, #200 Fax: (936) 494-2217 The Woodlands, TX 77386 Dendy, Charlie F, DO Kuo Liang, Mike, MD Phone: (281) 583-5000 13219 Dotson Rd Ste 210 Conroe Montgomery James, Paul, MD Neurosurgery of Fax: (281) 583-5099 Houston, TX 77070 Physicians Group PLLC Paul James, MD Kingwood, PLLC Phone: 281-955-0338 508 Medical Center Blvd #150 2101 Crawford 22999 Hwy 59 N Ste 220 Reddy, Sunil, MD Fax: 866-346-1426 Conroe, TX 77304 Houston, TX 77002 Kingwood, TX 77339 Sunil Reddy, MD Phone: (936)760-4600 Phone: (713) 659-1728 Phone: 281-312-6457 1501 River Pointe Dr., #220 5151Kath Frwy Ste 130 Fax: 281-312-5128 Ellis, Robert, M D Johnson, Mark, MD Conroe, TX 77304 Houston, TX 77007 Miranda, Leonidas S, MD Phone: (936) 756-8144 Conroe Montgomery Mark Johnson, MD, PA Group Specialty Associates of 1431 Studemont St Ste 600 100 Medical Center Blvd., #100 504 Medical Center Blvd West Houston, PLLC 130 Medical Center Pkwy #10 Hoston, TX 77007 Conroe, TX 77304 Conroe, Tx 77304 17070 Red Oak Dr, #403 Huntsville, TX 77340 Phone: (936) 271-0665 Phone: 936-760-4600 Houston, Tx 77090 Phone: (936) 291-2166 21212 Northwest Frwy Ste 100 Phone: 832-353-2500 Cypress, TX 77429 1442 Kingwood Dr PMB 73 Tajong, Nelson, MD 508 Medical Center Blvd Ste Kingwood, TX 77339 Fax: 281-880-9483 Lakeside Gastroenterology Ayyar, Subramanyam, MD 200 Moncada, Edgar, MD 690 S Loop 336 West #215 Specialty Associates of Jordan, Blair, MD Gale, Stephen Carl, MD Southern Texas Physicians Conroe, TX 77304 West Houston, PLLC Conroe Physician Conroe Montgomery Network, Inc. Phone: (936) 828-3962 21208 Northwest Fwy Ste 100 Associates Physicians Group PLLC 100 E Alton Gloor Blvd #260B Fax: (866) 936-0301 Cypress, TX 77429 (936) 760-4600 ext. 5002 508 Medical Center Blvd. Ste Brownsville, TX 78526 Phone: (713) 426-2400 508 Medical Center Blvd., #200 150 Phone: 956-350-3901 9201 Pinecroft Dr Fax: (713) 426-3204 Conroe, TX 77304 Conroe, TX 77304 Fax: 956-350-3900 The Woodlands, TX 77380 Phone: (936) 760-4600 Phone: 936-494-2201 Phone: (281) 297-7680 Fax: (936) 760-4601 21208 Northwest Frwy Ste 100 Fax: 936-494-2217 Parmar, Stavan, MD Fax: (281) 297-6416 Cypress, TX 77429 Texas Surgery Center, PA 508 Medical Center Blvd Ste Phone: 713-426-2400 130 Medical Center Pkwy., #10 504 Medical Center Blvd 150 Fax: 713-426-3204 Huntsville, TX 77340 Conroe, TX 77304 Conroe, TX 77304 Phone: 936-539-2808 Phone: (936) 435-0833 1431 Studemont St Ste 600 Fax: 636-494-2217 Kim, Junuk, MD Fax: (936) 435-0395 Houston, TX 77007 Premier General & Przybyla, Alan, MD Gelber, David W, MD Colorectal Surgery, PA 13219 Dodson Rd Ste 201 General Surgeons of 129 Vision Park Blvd Ste 212 Southern Texas Physicians Network Houston, TX 77070 Pasadena PLLC Shenandoah, Tx 77384

9/1/2021 Page 8 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY 500 Medical Center Blvd., #340 McAllen, TX 78503 HEMATOLOGY ONCOLOGY Fax: 281-719-5928 Association, PLLC Conroe, TX 77304 Phone: 956-992-0404 9319 Pinecroft Dr Ste 100 Arani, Mohsen, MD Phone: (936) 494-2201 Fax: 956-992-0414 506 Graham Dr Ste 120 The Woodlands, TX 77380 Fax: (936) 494-2217 Millennium Physicians Tomball, TX 77375 Phone: (281) 298-8444 Association PLLC 3330 N McColl Rd Ste 101 Phone: 281-516-0236 Przybyla, Jeffrey A, MD 22710 Profefssional Dr Ste 100 McAllen, TX 78501 Fax: 281-7195930 22710 Professional Dr Ste 100 Conroe Montgomery Kingwood, TX 77339 Kingwood, TX 77339 Physicians Group PLLC Texas Surgery Center, P A Phone: (281) 358-2850 Guo, Shan, MD Phone: (281) 358-2850 508 Medical Center Blvd Suite 130 Medical Center Pkwy Ste Fax: (281) 719-5927 Millennium Physicians Fax: (281) 7195927 150 10 Association PLLC

Conroe, TX 77304 Huntsville, TX 77340 17323 Red Oak dr 17903 W Lake Houston Pkwy 17323 Red Oak Dr Phone: (936)760-4600 Phone: (936) 435-0833 Houston, TX 77090 #204 Houston, TX 77090 Phone: 281-440-5006 Huble, TX 77346 Quach, Giang, DO Villafani, J. Mario, MD Phone: (281) 440-5006 Fax: 281-719-5935 Phone: (281) 358-2850 Specialty Associates of Millennium Physicians Fax: (281) 719-5935

West Houston, PLLC 19701 Kingwood Dr Bldg 9 506 Graham Dr Ste 120 22710 Professional Dr Ste 102 6560 Fannin St Ste 144 Kingwood, TX 77339 213 S College Tomball, TX 77375 Kingwood, TX 77339 Houston, TX 77030 Phone: (281) 548-3555 Cleveland, TX 77327 Phone: 281-516-0236 Phone: 281-358-2850 Phone: 713-790-0600 Fax: (281) 548-3552 Fax: 281-719-5927 Phone: (281) 659-0420 Fax: 713-790-0616 Fax: 281-719-5930 HAND SURGEON Kodityal, Sandeep, MD Robinson, Diane, MD 4015 IH-45 N Ste 201 17323 Red Oak Dr Millennium Physicians Ciaglia, Mark, DO Mainland Multi-Specialty Conroe, Tx 77304 Houston, TX 77090 Association PLLC Woodlands Center for Group, PLLC Phone: 281-298-8444 Phone: 281-440-5006 506 Medical Center Blvd Ste Special Surgery 6807 Emmett F Lowry Expy Fax: 281-719-5928 Fax: 281-719-5935 304 #101 17450 St Lukes way #390 Conroe, TX 77304 Jeong, Woondong, MD Texas City, TX 77591 The Woodlands, Tx 77384 Phone: 281-569-2130 18488 Intersate 45 S Millennium Physicians Phone: 409-935-2930 Phone: 936-242-1437 Fax: 281-5692131 Shenandoah, TX 77384 Association PLLC Fax: 409-935-2931 Fax: 936-447-9672 Phone: 281-440-5006 9319 Pinecroft Dr # 100 18488 Interstate 45 South Shah, Dhruvil, MD Fax: 281-719-5936 Woodlands, TX 77380 Sheandoah, TX 77384 Surgical Specialists of Phone: (281) 298-8444 Phone: 281-569-2100 Clear Lake 506 Medical Center Blvd ste Fax: (281) 719-5928 304 Fax: 281-719-5936 450 Medical Center Blvd #600 Conroe, TX77304 Webster, TX 77598 506 Graham# 200 Pachipala, Krishna, MD Phone: 281-569-2130 Phone: 2813324596 Tomball, Tx 77375 Millennium Physicians Fax: 281-569-2131 Phone: 281-516-0236 Association, PLLC 500 Medical Center Blvd Bhuriwala, Murtaza, MD Fax: 281-719-5930 22710 Professional Dr # 101 Webster, TX 77598 Millennium Physicians Kingwood, TX 77339 Phone: 800-661-3365 Assoc 22710 Professional Dr Ste 102 Phone: (832) 262-8602 22710 Professional Dr Kingwood, TX 77339 Shukla, Urmil, MD Kingwood, TX 77339 Phone: 281-358-2850 18488 Interstate 45 S Texas Surgery Center, PA Phone: 281-298-8444 Fax: 281-719-5927 Shenandoah, TX 77384 130 Medical Center Pkwy., #10

Huntsville, TX 77340 17323 Red Oak Dr 17323 Red Oak DR 17323 Red Oak Dr Phone: (936) 435-0833 Houston, TX 77090 Housotn, TX 77090 Houston, TX 77090 Fax: (936) 435-0395 Phone: (281) 440-5006 Phone: 281-440-5006 Phone: 281-400-5006 Tamez, Angel, MD Fax: 281-719-5935 Fax: 281-719-5935 9319 Pinecroft Dr Ste 100 McAllen Comprehensive Khoury, Pierre, MD Upper Extremity Center Woodlands, TX 77380 21216 Northwest Frwy, Ste Millennium Physicians 222 East Ridge Rd Phone: 281-298-8444 230

9/1/2021 Page 9 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Cypress, TX 77429 22710 Professional Dr Ste 102 Cleveland, TX77327 HOSPITALISTS IMAGING Phone: 281-440-5006 Kingwood, TX 77339 Phone: (281) 659-0420 Fax: 281-719*5937 Phone: (832) 262-8602 Fax: (281) 719-5931 Lopez, Ulysses, MD Millennium Physicians Associations Inpatient Consultants Of 9319 Pinecroft Dr # 100 17903 West Lake Houston 9319 Pinecroft Dr Ste 100 18488 Interstate 45 South Texas, PLLC - Conroe Regional Medical Center Woodlands, TX 77380 Pkwy# 204 Woodlands, TX 77380 Shenandoah, Tx 77384 504 Medical Center Blvd Phone: 281-298-8444 Humble, TX 77346 Phone: (281) 298-8444 Phone: (281) 440-5006 Conroe, TX 77304 Fax: 281-719-5928 Phone: 281-358-2850 Fax: (281) 719-5928 Phone: (800) 630-5983 Fax: 281-719-5927 17903 West Lake Houston INFECTIOUS DISEASES Pkwy Ste 204 Patel, Umang, MD 506 Graham Dr Ste 120 Nasir, Aisha, MD Tomball, TX 77375 Humble, TX 77346 Cessac III, Hamilton, NP Millennium Physicians Inpatient Consultants Of Phone: (281) 516-0236 Phone: (281) 358-2850 Houston Center for 18488 Interstate 45 South Texas, PLLC - Conroe Fax: (281) 719-5930 Infectious Diseases PA Shenandoah, Tx 77384 Regional Medical Center 4015 IH 45 North Ste 201 1111 Medical Plaza Dr. #170 Phone: 281-569-2100 504 Medical Center Blvd 130 medical Center Pkwy Ste 5 Conroe, TX 77304 The Woodlands, TX 77380 Fax: 281-719-5936 Conroe, TX 77304 Huntsville, TX 77340 Phone: (281) 298-8444 Phone: (281)444-1303 Phone: (800) 630-5983 Phone: (936) 439-0500 Fax: (281)882-8269 17323 Red Oak Dr Yen, Charles, MD Ya, Aung, MD Houston, TX 77090 Millennium Physicians Chen, Timothy, DO 4015 IH-45 N Ste 201 Inpatient Consultants Of Phone: 281-440-5006 Association PLLC Houston Center for Conroe, TX77304 Texas, PLLC - Conroe Fax: 281-719-5935 18488 Interstate 45 South Regional Medical Center Infectious Diseases PA Phone: (281) 298-8444 1111 Medical Plaza Dr. #170 Shenandoah, TX 77384 504 Medical Center Blvd The Woodlands, TX 77380 9323 Pinecroft dr Ste 110 Suki, Samer, MD Phone: (281) 440-5006 Conroe, TX 77304 Phone: (281)444-1303 Woodlands, TX 77380 Millennium Physicians Fax: (281) 719-5936 Phone: (800) 630-5983 Phone: 281-943-2440 Association, PLLC Fax: (281)882-8269 21216 Northwest Frwy Ste 230 HOSPITALS Fax: 281-943-2404 130 Medical center Pkwy # 5 Coglianese, Carol Lynn, MD Cypress, TX 77429 Huntsville, TX 77340 CHI St Luke's of the Carol Lynn Coglianese, MD 13700 Medical Complex Dr Phone: (936) 439-0500 Phone: 281-440-5006 Woodlands 100 Medical Center Blvd., #212 Tomball, TX 77375 Fax: (281) 719.5932 Fax: 281-719-5937 17200 St Luke's Way Conroe, TX 77304 Phone: 281-943-2440 The Woodlands, TX 77384 Phone: (936) 756-1322 Fax: 281-943-2404 22710 Professional Dr # 102 17323 Red Oak Dr Phone: 936-266-2000 Kingswood, TX 77339 Houston, TX 77090 Desai, Vipul, MD 135 Vision Park Blvd Phone: (832) 262-8602 Phone: 281-440-5006 Conroe Regional Medical Houston Center for Center Shenandoah, TX 77384 Fax: 281-719-5938 Infectious Diseases PA 504 Medical Center Dr Phone: 281-943-2440 9319 Pinecroft Dr 1111 Medical Plaza Dr. #170 HOME HEALTH Conroe, TX 77304 Fax: 281-943-2404 Spring, TX 77380 The Woodlands, TX 77380 Phone: (936) 539-1111 Phone: (281) 298-8444 Allheal Home Health Phone: (281)444-1303 Fax: (855) 519-9682 22730 Professional Dr 16903 Redoak DR Ste 280.02 Fax: (281)882-8269 Kingwood, TX77339 17323 Red Oak Dr Houston, TX 77090 Kingwood Medical Center Diwan, Sharafali, MD Phone: 281-312-8545 Houston, TX 77090 Phone: 1 (866) 999-1899 22999 US Hwy 59 Sharafali Diwan, MD Fax: 281-312-8568 Phone: (281) 440-5006 Fax: 1 (866) 9981-899 Kingwood, TX 77339 18220 Tomball Pkwy., #230 Fax: (281) 719.5935 Phone: (281) 348-8000 Seymour, Gregory, MD GASPY Home Healthcare, Houston, TX 77070 Fax: (281) 348-8190 Millennium Physicians Inc. Phone: (832) 604-0005 506 Graham Dr Ste 120 Association PLLC (Serving Montgomery County) Tomball, TX 77375 North Cypress Medical 17323 Red Oak Dr 1919 North Loop West #400 Ghide, Solomon, MD Phone: (281) 516-0236 Center Houston, Tx 77090 Houston, TX 77008 Solomon G. Ghide, MD, PA Fax: (281) 719-5930 21214 Northwest Freeway Phone: (832) 262-8602 Phone: (713) 742-0615 101 Vision Park, #100 Cypress, TX 77429 Fax: (281) 364-9313 Fax: (713) 695-0323 Shenandoah, TX 77384 213 South College Phone: (832) 912-3500 Phone: (936) 273-5214

9/1/2021 Page 10 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Fax: (936) 273-5454 Houston, TX 77060 Phone: 281-296-8788 Bailey, Shane, MD Cherlo, Sreenivasulu, MD Phone: 832-300-8040 Fax: 281-719-5938 Specialty Associates of Miller, Sarah, MD Prime Medic, PA Fax: 832-300-8041 West Houston, PLLC Neudorf Infectious 211 S. College Ave. 1125 Cypress Station Ste E 1200 Binz Ste 380 Deseases Clinic Walker, Daniel, MD Cleveland, TX 77327 Houston, Tx 77090 Houston, TX 77004 601 River Pointe Dr Ste 100 Daniel R Walker, MD, PA Phone: (281) 592-8622 Phone: 281-537-6300 Phone: 713-526-1814 Conroe, TX 77304 100 Medical Center Blvd., Fax: 281-719-5933 Fax: 713-526-1835 Chitsaz Avval, Sam, MD Phone: (936) 539-0090 #212

Fax: (936) 788-2224 Conroe, TX 77304 Basi, Anand, MD Specialty Associates of 506 Medical Center Blvd Ste West Houston, PLLC Phone: (936) 756-1322 304 Prime Medic, PA Palau, Leonardo, MD 1200 Binz St Ste 900 Conroe, TX 77304 211 S. College Ave. Houston Center for INTERNAL MEDICINE Houston, TX 77004 Phone: 281-569-2130 Cleveland, TX 77327 Infectious Diseases PA Phone: 281-970-6500 Abdin, Hanni, MD Fax: 281-569-2131 Phone: (281) 592-8622 1111 Medical Plaza Dr. #170 Fax: 281-970-6510 ICU Associates of West The Woodlands, TX 77380 Bhuriwala, Ali, MD Houston PLLC 17201 Intersate 45 S Eni, Ike, MD Phone: (281)444-1303 Inpatient Consultants Of 12141 Richmond Ave The Woodlands, TX77385 IKE ENI MD PA Fax: (281)882-8269 Texas, PLLC - Conroe Houston, Tx 77082 9319 Pinecroft # 120 Alam, Ariffin, MD Regional Medical Center Siebert, W. Terry, MD Phone: 281-588-8081 The Woodlands, Tx 77380 Millennium Physicians 504 Medical Center Blvd W. Terry Siebert, MD Phone: 936-321-1946 Adusumilli, Srijhansi, MD Association PLLC Conroe, TX 77304 1315 St. Joseph Pkwy., #1710 Fax: 936-321-8271 Inpatient Consultants Of 18488 I-45 S Phone: (800) 630-5983 Houston, TX 77002 Texas, PLLC - Conroe Shenandoah, TX 77384 Gelman, Irene, MD Phone: (713) 757-7475 Burkland, David, MD Regional Medical Center Phone: 281-440-5006 Inpatient Consultants Of Specialty Associates of Sims, James, MD 504 Medical Center Blvd Fax: 281-719-5936 Texas, PLLC - Conroe West Houston, PLLC St. Hope Foundation, Inc. Conroe, TX 77304 Regional Medical Center 1200 Binz St Ste 380 6807 Emmett F. Lowry Expy Phone: (800) 630-5983 20207 Chasewood Park Dr Ste 504 Medical Center Blvd Houston, TX 77004 Ste 302 203 Conroe, TX 77304 Ahmed, Asiya, MD Texas City, Tx 77591 Houston, TX 77070 Phone: (800) 630-5983 Northwest Houston 600 Dr Michael DeBakey Dr Phone: 832-431-5162 Phone: 281-537-6300 Arthritis Center Lake Charles, TX 70601 Jilani, Usman, MD Fax: 832-431-5142 Fax: 281-719-5933 455 School St., #27 Phone: 512-807-3150 Health Center of Tomball, TX 77375 Fax: 512-458-7879 6800 WEST LOOP SOUTH, 1111 Medical Plaza Dr Ste 250 Southeast Texas Phone: (281) 357-0666 SUITE 560 Woodlands, TX 77380 204 W Park Dr Fax: (281) 255-2740 1200 Binz St Ste 900 Bellaire, TX 77401 Phone: 281-296-8788 Livingston, TX 77351 Houston, TX 71352 Phone: 713-839-7111 Al-Ahmad, Amrew, MD Fax: 281-719-5938 Phone: 281-592-2224

Fax: 713-839-7156 Millennium Physicians Fax: 281-592-2225 508 Medical Center Blvd Ste Association PLLC 1125 Cypress Station, Ste E 200 Le, David T., MD 13020 DAIRY ASHFORD ROAD 18488 Interstate 45 South Houston, TX 77090 Conroe, TX 77304 David T. Le, MD, PA #100 Shenandoah, TX 77384 Phone: 281-537-6300 455 School St., #40 Sugar Land, TX 77478 Phone: 281-440-5006 Fax: 281-719-5933 13635 Michel Rd Tomball, TX 77375 Phone: 281-277-8571 Fax: 281-719-5936 Atandeyi, Kolawole O, MD Tomball, tx 77375 Phone: (281) 255-6922 Fax: 281-277-8564 ICU Assoicates of West 20207 Chasewood Park Dr Ste Manolalapu, Tapasya, MD Houston PLLC 9055 Katy Frwy Ste 302 1414 S. FRAZIER SUITE #106 203 Healthy Living Primary, Houston, TX77024 Conroe, TX 77301 Houston, TX 77070 4000 Spencer Hwy PLLC Pasadena, Tx 77054-1202 Phone: 936-441-2440 Phone: 281-5376300 Chahal, Balbir S, MD 600 S Conroe Medical Dr Ste Phone: 713-359-2000 Fax: 800-249-5020 Fax: 281-719-5933 Balbir S. Chahal, MD, PA 101

455 School St # 44 Conroe, 77304 255 NORTHPOINT DRIVE, 12141 Richmond Ave 1111 Medical Plaza Dr Ste 203 Tomball, TX 77354 Phone: 936-234-5400 SUITE 200 Houston, Tx 77082 Woodlands, TX 77380 Phone: (281) 357-0661 Fax: 888-714-0097

9/1/2021 Page 11 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Martinez Miranda, Iadara, West Houston, PLLC Fax: (281) 359-2421 Santos, Luviza, MD INTERVENTIONAL MD 4002 Louetta Rd Inpatient Consultants Of CARDIOLOGY Spring, Tx 77388 9319 Pinecroft Dr, Ste 210 Texas, PLLC Wael Asi MD PA Afzal, Adnan, MD Phone: 281-719-9221 The Woodlands, TX 77380 504 Medical Center Blvd 1111 Medical Plaza Dr Ste 250 Adnan Afzal MD PA The Woodlands, TX 77380 Fax: 281-528-1615 Phone: 281-298-8444 Conroe, TX 77304 100 Medical Center Blvd., #200 Fax: 281-7195934 Phone: (800) 630-5983 Phone: 281-296-8788 Patel, Nimesh, MD Conroe, TX 77304 Morales, Percy Francisco, Montgomery Physician 18488 Interstate 45 South Sharpless, Gary, MD Phone: (936) 441-9680 MD Associates Shenandoah, TX 77384 Montgomery Physician Fax: (936) 539-9685 18059 Hwy 105 West, #120 Associates Specialty Associates of Phone: 281-315-8130 Banerjee, Arindam, MD West Houston, PLLC Montgomery, TX 77356 18059 Hwy 105 West, #120 Fax: 281-315-8132 Adnan Afzal MD PA 800 Peakwood Dr Ste 5D Phone: (936) 523-1402 Montgomery, TX 77356 100 Medical Center Blvd., #200 Houston, TX 77090 Fax: (936) 582-5643 Phone: (936) 760-4600 17323 Red Oak DR Conroe, TX 77304 Phone: 832-353-2498 Houston, TX 77090 Turner, John, M D Phone: (936) 441-9680 Fax: 832-353-22499 508 Medical Center Blvd #200 Phone: 281-315-8130 Specialty Associates of W Fax: (936) 539-9685 Conroe, Tx 77304 Fax: 281-315-8131 Houston PLLC 508 Medical Center Blvd Ste Phone: 936-760-4600 Gahremanpour, Amir, MD 450 W Medical Center Blvd 200 Fax: 936-760-4601 Raghavan, Rajeev, Md #400 Speciality Associates of Conroe, TX 77304 Specialty Associates of Patel, Viresh, MD Webster, Tx 77598 West Houston, pLLC West Houston, PLLC Specialty Associates of Phone: 281-316-6064 10970 Shadow Creek Pkwy Ste 10970 Shadow Creek Pkwy Ste 22751 Professional Dr Ste 120 100 West Houston, PLLC 160A Kingwood, TX 77339 Wills, Harold D., MD Pearland, TX 77584 7440 Cypress Creek Pkwy Pearland, TX 77584 Phone: 281-312-4838 IPC - The Hospitalist Phone: 713-436-0092 Houston, Tx 77070 Fax: 281-312-4866 Company Fax: 713-436-0094 Phone: 281-955-7777 13635 Michel Rd 18955 Memorial North, #190 Fax: 281-978-2899 Rao, Harish, MD Ketron, Lowell, Tomball, TX 77375 Humble, TX 77338 Inpatient Consultants Of Healing Hearts Moualla, Maan, MD Pepper, Gregory, MD Phone: (281) 446-5885 Texas, PLLC- Conroe 100 Medical Center Blvd # 200 Specialty Associates of ICU Associates of West Regional Medical Center Wui, Marilou, MD Conroe, TX 77304 West Houston PLLC DBA Houston PLLC 504 Medical Center Blvd Specialty Associates of Houston Heart Associates Phone: 936-441-9680 12141 Richmond Ave Conroe, TX 77304 West Houston, PLLC Fax: 936-539-9685 15200 SW Fwy #290 Houston, TX 77082 Phone: (800) 630-5983 6056 FM 2920 Sugar Land, TX 77478 Phone: (281) 588-8081 Spring, Tx 77379 Yamani, Hussain, MD Phone: (281) 265-8855 Recio, Salvador, MD Phone: 281-374-0011 Adnan Afzal MD PA Mouchli, Anas, MD Fax: (281) 265-4327 Millennium Physicians Fax: 281-374-0053 100 Medical Center Blvd., #200 ICU Associated of West 22710 Professional Dr Ste 203 Conroe, TX 77304 Houston PLLC 146 E Hospital Dr #201 Kingwood, TX 77339 18230 FM 1488 Ste 200 Phone: (936) 441-9680 4000 Spencer Hwy Angleton, TX 77515 Phone: (281) 312-8530 Magnolia, Tx 77354 Fax: (936) 539-9685 Pasadena, TX 77504 Phone: (713) 852-1538 Fax: (281) 312-8541 Phone: 281-807-0111 Phone: (713) 359-2000 Fax: (866) 590-4336 LABORATORY Reddy, Neeti Gajjala, MD Fax: 281-807-0114

Mukherjee, Bijoy S, DO Specialty Associates of Alliance Health Sciences, 109 Shult Drive #200 Zubieta, Juan Carlos, MD Specialty Associates of West Houston, PLLC LLC Columbus, TX 78934 Juan Carlos Zubieta MD. West Houston, PLLC 1200 Binz St Ste 900 3418 Midcourt Road #118 Phone: (713) 852-1538 PHPH, PLLC 20423 Kuykendahl Rd, #100 Houston, TX 77004 Carrollton, TX 75006 Fax: (866) 590-4336 1111 Medical Plaza r Ste 250 Spring, Tx 77379 Phone: 281-970-6500 Phone: (214)420-8200 the Woodlands, TX 77380 Phone: 281-500-8660 Perez, Carmen J., MD Fax: 281-970-6510 Fax: (214)420-8205 Phone: 281-397-3370 Fax: 281-500-8669 Millennium Physicians LabCorp 9055 Katy Frwy ste 302 Nguyen, Dawn, MD 22710 Professional Dr Ste 203 Kingwood, TX 77339 Houston, TX 77024 Pinnacle Laboratory Specialty Associates of Phone: (281) 312-8530 Services

9/1/2021 Page 12 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY 1410 NE 8th Ave NEPHROLOGY Phone: (281) 440-3005 200 River Pointe Dr., #120 The Woodlands, TX 77380 Ocala, FL 34470 Conroe, TX 77304 Phone: (936) 271-3400 Forrester, Gene, MD Phone: (877) 736-4240 Basford, Amanda W., MD Phone: (936) 756-2555 Fax: (352) 236-4240 Kidney Specialists of North North Houston 200 River Pointe Dr., #120 Nephrology & Diagnostic Shirsalkar, Advayanand, Houston Conroe, TX 77304 Associates, PA MD MAMMOGRAM 129 Vision Park Blvd #109 Phone: (936) 756-2555 Shenandoah, TX 77384 607 Timberdale Lane, #201 North Houston TOPS Breast Center Phone: (936) 273-0836 Houston, TX 77090 Nephrology & Associates, Younas, Nizar, MD 17030 Red Oak Dr Fax: (936) 321-2266 Phone: (281) 440-3005 P.A. North Houston Houston, TX 77090 607 Timberdale Lane, #201 Nephrology & Diagnostic Frome, Adam, MD Phone: 281-580-6171 Bhuriwala, Shujauddin, MD Houston, TX 77090 Associates, P.A. Kidney Center of North Kidney Specialists of North Phone: (281) 440-3005 607 Timberdale Lane #201 MENTAL HEALTH Houston Houston, PA Fax: (281) 444-9070 Houston, TX 77090 129 Vision Park Blvd #109 Brown, Deryl, 13406 Medical Complex Dr., Phone: (281) 440-3005 Psych/Mental Health #150 Shenandoah, TX 77384 Tolat, Darshan, MD Fax: (281) 444-9070 Tri-County Behavioral Tomball, TX 77375 Phone: (936) 273-0836 Renal Physicians of Healthcare Phone: (281) 357-1300 Fax: (936) 321-2266 Montgomery County NEUROLOGICAL SURGERY 706 Fm 2854 Rd Fax: (281) 357-1309 200 River Pointe Dr., #120 Kadri, Syed Rehan, MD Azimpoor, Ali F., MD Conroe, Tx 77301 Conroe, TX 77304 Bhuriwala, Shujauddin, MD North Houston Specialty Associates of Phone: 936-538-1102 Phone: (936) 756-2555 Kidney Center of North Nephrology & Associates, West Houston, PLLC Fax: 936-760-2898 Houston, PA P.A. Vuppali, Madhavilatha, MD 1140 Business Center Dr., #490 Schorck, Stephanie, PA 13406 Medical Complex Dr., 607 Timberdale Ln., #201 The Healing Kidneys Houston, TX 77043 Tri-County Behavioral #150 Houston, TX 77090 Institute of Houston Phone: (713) 932-1247 Healthcare Tomball, TX 77375 Phone: (281) 440-3005 845 FM 1960 W #103 Fax: (713) 932-1887 233 Sgt Ed Holcomb Blvd S Phone: (281) 357-1300 Fax: (281) 444-9070 Houston, TX 77090 Elengical, Salina, PA-C Conroe, TX 77304 Fax: (281) 357-1309 Phone: (832) 610-2822 Lee, Helen, MD Specialty Associates of Phone: 936-521-6300 Fax: (832) 998-8250 Chary, Achi, MD West Houston, PLLC North Houston Achi Chary, MD Nephrology & Diagnostic 11302 Fallbrook Dr, #201 Senn, Lisa, LPC 600 River Pointe Dr #101 22999 US Hwy 59 Ste. #232 Associates, PA Houston, Tx 77065 Health Center of Conroe, TX 77304 Kingwood, TX 77339 607 Timberdale Ln., #201 Phone: 713-464-6245 Southeast Texas Phone: (832) 610-2822 Phone: (281) 593-1000 Houston, TX 77090 Fax: 713-464-9134 307 N William Barnett Ave Fax: (832) 998-8250 Cleveland, TX 77327 Phone: (281) 440-3005 Elfallal, Samer, DO Phone: 281-592-2224 203 N. College Ave., #200 I Walls, Michael J, MD Naik, Ojas, MD Specialty Associates of Fax: 281-592-2225 Cleveland, TX 77327 Kidney Specialist of The Kidney Specialist of North West Houston, PLLC Phone: (281) 593-1000 Woodlands Houston PLLC 800 Peak Wood Dr Dte 5D Midwife 17450 St. Lukes Way Ste 250 Dahu, Jiries, MD 129 Vision Park Blvd #109 Houston, TX 77090 Eckhardt, Kari, CNM The Woodlands, Tx 77384 Jiries Suleiman Dahu MD Shenandoah, TX 77384 Phone: 832-353-2498 Phone: 936-520-8983 Specialty Associates of PA Phone: (936)273-0836 Fax: 832-353-2499 Fax: 832-521-5425 West Houston, PLLC 14700 N FM 2100 #2 Fax: (936)321-2266 Ezzeldin, Mohamad, MD 6875 FM 1488 Ste 1400 Crosby, TX 77532 Naqvi, Shahzeb, MD 4015 I -45 North Suite 220 Magnolia, TX 77354 Phone: (281)942-8001 Neuro-Hospitalist of Clear Nephrology Associates, PA Conroe, Tx 77304 Phone: 281-255-0000 Fax: (281)724-1919 Lake Fax: 281-255-0550 1120 Medical Plaza Dr., #310 Phone: 936-520-8983 27999 US Hwy 59 N Bldg B Ste Foley, Richard, MD The Woodlands, TX 77380 Fax: 936-463-6508 220 Kingwood, TX 77339 North Houston Phone: (832) 813-8074 Walls, Michael, MD Nephrology & Diagnostic Phone: (281) 312-6457 Renal Physicians of Associates, PA Neeland, Barry, MD Montgomery County Gleason, Patrick, MD 607 Timberdale Lane, #201 Renal Physicians Of 17198 St. Luke’s Way, #430 Specialty Associates of Houston, TX 77090 Montgomery County

9/1/2021 Page 13 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY West Houston, PLLC Neurologist Houston, TX 77090 Phone: (281) 240-3773 Houston, Tx 77090 3240 Fort Worth St Ste 104 Phone: 832-353-2498 Fax: (281) 239-6268 Phone: 281-377-1000 Leder, Stuart, MD Corpus Christi, TX 78411 Fax: 832-353-2499 Fax: 281-866-0344 Phone: 361-857-3556 Gulf Coast Center for 333 N. Rivershire Dr., #240 Neurological Disorders Kesari, Navin, MD Fax: 361-857-4405 Conroe, TX 77304 7440 Cypress Creek Pkwy 9200 New Trails Dr Ste 100A Northwest Houston Phone: (281) 407-6222 Houston, TX 77070 Harris Jones, Wesley, MD Neurology The Woodlands, Tx 77381 Fax: (281) 407-6221 Phone: 281-955-7777 455 School St # 20 Specialty Associates of Phone: (281) 364-9509 Fax: 281-978-2899 Tomball, TX 77375 West Houston, PLLC Fax: (281) 364-0984 29801 I-45 North, #101 Phone: (281) 357-5678 22999 Hwy 59 N Ste 210 The Woodlands, TX 77381 25305 Interstate 45 NEUROLOGY Fax: (281) 357-8765 Kingwood, TX 77339 Phone: (281) 297-6305 Spring, TX 77380

Phone: 281-571-7508 Cajavilica, Christian, MD Fax: (281) 297-6436 Phone: 832-403-2166 21216 Northwest Frwy # 680 Fax: 844-31-3354 Neuro-Hospitalist of Clear Fax: 281-528-1615 Lake, PLLC Cypress, TX 77429 Nguyen, Thai, MD 22999 Hwy 59 Bldg B Ste 220 710 Cypress Creek Pkwy Phone: (281) 357- 5678 Thai Nguyen, MD Rekerdres, Carolyn, MD Kingwood, TX 77339 Houston, TX 77090 Fax: (281) 357- 8765 9816 Memorial Blvd #202 Tri-County Behavioral Phone: 281-312-6457 Humble, TX 77338 Healthcare Phone: 832-353-2498 Lavender, Maggie G., FNP Fax: 281-312-5128 Phone: (281) 446-7316 706 FM 2854 Rd Fax: 832-353-2499 Comprehensive Sleep Fax: (281) 446-0551 Conroe, Tx 77301 Kareh, Victor, MD'''' Medicine Associates Durgam, Preethi, DO Phone: 936-538-1102 3200 Research Forest #A-4 Northwest Houston Brain and Spine Surgery Northwest Houston Fax: 936-760-2898 Associates Neurology, PA The Woodlands, TX 77381 Neurology, PA 21212 North West Freeway, 455 School St #20 Phone: (281) 297-6305 455 School St., Suite 20 Rodriguez, Michelle W., #255 Tomball, TX 77375 Fax: (281) 297-6436 Tomball, TX 77375 FNP Cypress, TX 77429 Phone: (281) 357-5678 Comprehensive Sleep Phone: (281) 357-5678 McMahon, Kevin, MD Phone: (281) 970-8225 Fax: (281) 357-8765 Fax: (281) 357-8765 Medicine Assoc Fax: (281) 970-8959 NeuroHospitalist of 3200 Research Forest #A-4 McAllen, PLLC 21212 Northwest Frwy., #680 The Woodlands, TX 77381 Kerr, Keith Allen, MD 21212 Northwest Freeway 101 E Ridge Rd #680 Cypress, TX 77429 Phone: (281) 297-6305 Specialty Assocites of McAllen, TX 78503 Cypress, TX 77429 Phone: (281) 357-5678 West Houston, PLLC Phone: (956) 632-6000 Saei, Hamzah, MD Phone: (281) 357-5678 Fax: (281) 357- 8765 21212 NorthWest Fwy Ste Fax: (866) 741-4076 NeuroHospitalist of Fax: (281) 357-8765 645A OU, Alexander, MD McAllen PLLC Cypress, TX 77429 El-Ghanem, Mohammad, 222 E Ridge Rd Ste 106 Neuro-Hospitalist of Clear 101 E Ridge Rd Phone: 281-894-5310 MD McAllen, TX 78503 Lake, PLLC McAllen, TX 78503 Fax: 281-894-5312 Neuro-Hospitalist of Clear Phone: 956-994-9940 500 W Medical Center Blvd Phone: 956-632-6000 Smith, Howard, MD Lake, PLLC Fax: 956-956-9948 Webster, TX 77598 Fax: 866-741-4076 Phone: 713*852-1538 Specialty Associates of 800 Peakwood Dr Ste 5D West Houston, PLLC Houston, TX 77090 707 savannah Ave 707 Savannah Ave McAllen, TX 78503 450 Medical Center Blvd Ste McAllen, TX 785103 3301 S Almeda St Ste 201 Phone: 832-353-2498 600B Corpus Christi, TX 78411 Fax: 832-353-2499 Monova, Pavlina, NP Webster, TX 77598 Santamaria, Adrian, MD Phone: (361) 883-3962 Javed, Shamaelah, MD Comprehensive Sleep Northwest Houston Fax: (381) 883-6563 Neuro-Hospitalist of Clear Medicine Associates 450 Medical Center Blvd Ste Neurology, PA Lake PLLC 2201 W. Holcombe Blvd., #325 600C 455 School Street, #20 3240 Fort Worth St Ste 104 710 Cypress Creek Pkwy Houston, TX 77030 Webster, TX 77598 Tomball, TX 77375 Corpus Christi, Tx 78411 Houston, TX 77090 Phone: (713) 668-4100 Phone: (281) 357-5678 Qiu, Cuie, MD Phone: (361) 857-3556 Phone: (832) 353-2498 Fax: (713) 668-4105 Fax: (281) 357-8765 Fax: (361) 857-4405 Fax: (832) 353-2499 Specialty Associates of West Houston, PLLC 15423 Creek Bend Dr. 21212 Northwest Frwy., #680 800 Peakwood Dr. #2E 800 Peakwood Dr Ste 5D Sugar Land, TX 77448 Cypress, TX 77429

9/1/2021 Page 14 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Phone: (281) 357-5678 NEUROPSYCHOLOGY Innis, Patricia, NP 6807 Emmett F. Lowry Expy Farris, Michael, CNP Ste 302 Fax: (281) 357-8765 Healng Hearts Clinic McAllen Comprehensive Knox, Michael, PHD Texas City, Tx 77591 100 Medical Center # 200 Upper Extremity Center, Simmons, Jerald, MD The Greater Houston Conroe, TX 77304 Phone: 832-431-5162 PLLC Comprehensive Sleep Neurosurgery Center, PA Fax: 832-431-5142 Phone: 936-441-9680 222 E Ridge Rd Medicine Associates 9200 New Trails Dr Ste 100 Fax: 936-539-9685 McAllen, TX 78503 2201 W Holcombe Ste 325 The Woodlands, TX 77381 6800 WEST LOOP SOUTH, Phone: 956-992-0404 Houston, TX 77030 Phone: 281-364-9509 Leggett, Codi, NP SUITE 560 Fax: 956-992-0414 Phone: (713) 668-4100 Fax: 281-364-0984 Healing Hearts Clinic Bellaire, TX 77401

100 Medical Center # 200 Phone: 713-839-7111 Singh, Balbir, MD NURSE MIDWIFE 3330 N McColl Rd Ste 101 Conroe, TX 77304 Fax: 713-839-7156 Northwest Houston McAllen, TX 78501

Neurology, PA Clark, Anna, FNP-C, CNM Phone: 936-441-9680 13020 DAIRY ASHFORD ROAD Gale, Alanna, FNP-C 255 School Street ,#20 HWCA, PLLC Fax: 936-539-9685 #100 7400 Fannin St #1050 Conroe Montgomery Tomball, TX 77375 Piascik, Lynne, NP Sugar Land, TX 77478 Physicians Group PLLC Phone: (281) 357-5678 Houston, TX 77054 Health Center of Phone: 281-277-8571 508 Medical Center Blvd #150 Fax: (281) 357-8765 Phone: 713-795-1000 Southeast Tesas Fax: 281-277-8564 Fax: 713-796-1037 Conroe, TX 77304 307 N William Barnett Ave Phone: 936-494-2201 21212 Northwest Frwy., #680 Cleveland, TX 77327 NURSE PRACITIONER 1414 S. FRAZIER SUITE #106 Fax: 936-494-2217 Cypress, TX 77429 Conroe, TX 77301 Phone: (281) 357-5678 Rojas, Maria, NP Wolfe, Healther, NP Phone: 936-441-2440 Jones, Julie, NP Fax: (281) 357-8765 Health Center of Healing Hearts Clinic Fax: 800-249-5020 Inpatient Consultants Of Southeast Texas 100 Medical Center # 200 Weir, Susan, NP Texas, PLLC - Conroe 204 W Park Dr Conroe, TX 77304 Regional Medical Center Comprehensive Sleep 255 NORTHPOINT DRIVE, Livingston, TX 77351 Phone: 936-441-9680 504 Medical Center Blvd Medicine Associates SUITE 200 Phone: 281-592-2224 Fax: 936-539-9685 Houston, TX 77060 Conroe, TX 77304 2201 W. Holcombe Blvd., #325 Fax: 281-592-2225 Phone: 832-300-8040 Phone: (800) 630-5983 Houston, TX 77030 Nurse Practitiner Nurse Practioner Fax: 832-300-8041 Phone: (713) 668-4100 Varghese, Liby Shibu, CNP Lea, Terry, NP Fax: (713) 668-4105 Breaux, Cheryl, NP Speciality Associates of Colston, Kris, APRN Inpatient Consultants Of

Surgical Specialist of Clear West Houston, PLLC Heart Rhythm Associates Texas, PLLC - Conroe 29801 I-45 North Regional Medical Center Lake 1200 Binz St ste 1300 PA The Woodlands, TX 77380 504 Medical Center Blvd 450 Medical Center Blvd #100 Houston, TX 77004 920 Medical Plaza Dr Ste 300 Phone: (281) 297-6305 Conroe, TX 77304 Webster, TX 77598 Phone: 713-942-2500 The Woodlands, TX 77380 Fax: (281) 297-6436 Phone: (800) 630-5983 Fax: 281-332-4596 Fax: 713-942-2536 Phone: (281) 296-0788 Fax: (281) 296-0780 Martin, Janice, FNP-C 333 N. Rivershire Dr., #240 Carroll, Kristy, NP 3801 Vista Rd Ste 380 Conroe, TX 77304 Inpatient Consultants Of Curl, Toni, NP Conroe Montgomery Pasadena, TX 77504 Phone: (281) 407-6222 Texas, PLLC - Conroe ICU Associates of West Physicians Group, PLLC 508 Medical Center Blvd #150 Fax: (281) 407-6221 Regional Medical Center NURSE PRACTITIONER Houston PLLC 504 Medical Center Blvd 12141 Richmond Ave Conroe, TX 77304 Carleton, Dorothy, CNP 15423 Creek Bend Dr. Conroe, TX 77304 Houston, TX 77082 Phone: 936-494-2201 Sugar Land, TX 77448 Phone: (800) 630-5983 health Center of Phone: 281-588-8081 Fax: 936-494-2217 Southeast Texas Phone: (281) 240-3773 Menke, Sheri, NP , Lindsey, NP 11Woodland Park Dr De La Fuente, Linda, MSN- Fax: (281) 239-6268 Healing Hearts Clinic Shepherd, TX 77371 FNP Occupational and Family 100 Medical Center # 200 Phone: 281-592-2224 Southern Texas Physicians Medicine of South Texas Conroe, TX 77304 Fax: 281-592-2225 Network, Inc 3801 Vista Rd #100 Phone: 936-441-9680 100 e Alton Gloor Blvd #260B Pasadena, TX 77504 Carter, Joyce A, FNP Fax: 936-539-9685 Brownsville, Tx 78526 Phone: 281-249-2273 St. Hope Foundation, Inc Phone: 956-350-7000 Fax: 281-249-2281

9/1/2021 Page 15 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Mopur, Pauline, NP NURSE PRACTITIONER - NURSE PRACTITIONER- NURSE PRACTITIONER- Phone: 281-277-8571 Health Center of FAMILY ADULT HEALTH FAMILY Fax: 281-277-8564

Southeast Texas Bamigbola, Afolashade, NP Vasquez, Manuel, ANP-BC, Dawson, Latrecia, NP 204 w Park Dr 1414 S. FRAZIER SUITE #106 Specialty Associates of MSN St. Hope Foundation, Inc. Livingston, TX 77351 Conroe, TX 77301 West Houston, PLLC St. Hope Foundation, Inc. 6807 Emmett F. Lowry Expy, Phone: 281-592-2224 Phone: 936-441-2440 605 Holderrieth Blvd 6807 Emmett F. Lowry Expy, Ste 302 Fax: 281-592-2225 Fax: 800-249-5020 Tomball, Tx 77375 Ste 302 Texas City, Tx 77591

Phone: 281-255-0000 Texas City, Tx 77591 Phone: 832-431-5162 Ogwumike, Grace, NP 255 NORTHPOINT DRIVE, Phone: 832-431-5162 Health Center of Fax: 281-225-0550 Fax: 832-431-5142 SUITE 200 Fax: 832-431-5142 Southeast Texas Houston, TX 77060 Cavallo, Francesco, MD 307 N William Barnett Ave 6800 WEST LOOP SOUTH, Phone: 832-300-8040 West Houston Radiology 6800 WEST LOOP SOUTH, SUITE 560 Cleveland, TX 77327 Fax: 832-300-8041 Associates SUITE 560 Bellaire, TX 77401 Phone: 281-592-2224 12951 S Frwy Bellaire, TX 77401 Phone: 713-839-7111 Isikwe, Sheela, MC, FNP-C Fax: 281-592-2225 Houston, Tx 77047 Phone: 713-839-7111 Fax: 713-839-7156 St. Hope Foundation, Inc Reid, Erline, NP Phone: 713-526-5771 Fax: 713-839-7156 6807 Emmett F. Lowry Expy, Ste 302 ICU Associates of West Kopnicky, Donald, LPC 13020 DAIRY ASHFORD ROAD Houston PLLC 13020 DAIRY ASHFORD ROAD #100 Texas City, Tx 77591 Lone Star Community #100 Sugar Land, TX 77478 Phone: 832-431-5162 4000 Spencer Hwy Health Center Pasadena, Tx 77054 Sugar Land, TX 77478 Phone: 281-277-8571 Fax: 832-431-5142 605 S Conroe Medical Drive Phone: 713-359-2000 Phone: 281-277-8571 Fax: 281-277-8564 Conroe, Tx 77304 Fax: 281-277-8564 6800 WEST LOOP SOUTH, Phone: 713-878-8500 Skalski, Kristina, NP 1414 S. FRAZIER SUITE #106 SUITE 560

Surgical Specialists of 1414 S. FRAZIER SUITE #106 Conroe, TX 77301 Bellaire, TX 77401 201 Lincoln Ridge Clear lake Conroe, TX 77301 Phone: 936-441-2440 Phone: 713-839-7111 Willis, Tx 77378 450 medical center blvd Suite Phone: 936-441-2440 Fax: 800-249-5020 Fax: 713-839-7156 600 Phone: 832-246-8700 Fax: 800-249-5020 Webster, Tx 77598-4233 255 NORTHPOINT DRIVE, 13020 DAIRY ASHFORD ROAD Phone: 281-332-4596 440 Rayford Rd Ste 150 255 NORTHPOINT DRIVE, SUITE 200 #100 Fax: 281-332-9610 Spring, Tx 77386 SUITE 200 Houston, TX 77060 Sugar Land, TX 77478 Phone: 832-246-8700 Houston, TX 77060 Phone: 832-300-8040 Phone: 281-277-8571 500 Medical Center Blvd Thompson-Lann, Jocelyn, Phone: 832-300-8040 Fax: 832-300-8041 Fax: 281-277-8564 Webster, TX 77598 Fax: 832-300-8041 NP Huckaby, Shelly, NP Phone: 281-332-2511 1414 S. FRAZIER SUITE #106 ICU Associates of West St. Hope Foundation, Inc. Tigtig, David, NP Houston Conroe, TX 77301 6807 Emmett F Lowry Expy Phone: 936-441-2440 Healing Hearts Clinic 12141 Richmond Ave #302 Fax: 800-249-5020 100 Medical Center Blvd Ste Houston, Tx 77082 Texas City, TX 77591

200 Phone: 281-588-8081 Phone: 832-431-5162 Conroe, TX 77304 255 NORTHPOINT DRIVE, Vassigh, Lauren, NP Fax: 832-431-5162 SUITE 200 Phone: 936-441-9680 Woodlands Heart & Houston, TX 77060 Fax: 936-539-9685 Vascular Instituation PA 6800 WEST LOOP SOUTH, Phone: 832-300-8040 SUITE 560 Zavala, Quetzalli, MS-FNP 920 Medical Plaza Dr Ste 520 Fax: 832-300-8041 Bellaire, TX 77401 Internal Medicine of Spring, Tx 77380 Phone: 713-839-7111 Moore, Shantrae, FNP Pasadena, PLLC Phone: 832-562-3974 Fax: 713-839-7156 St. Hope Foundation, Inc. 3326 Watters Rd Bld B 6807 Emmett F. Lowry Expy, Pasadena, Tx 77504 13020 DAIRY ASHFORD ROAD Ste 302 Phone: 713-947-9508 #100 Texas City, Tx 77591 Fax: 713-941-8052 Sugar Land, TX 77478 Phone: 832-431-5162

9/1/2021 Page 16 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Fax: 832-431-5142 Bellaire, TX 77401 NUTRITION, REGISTERED Phone: (936) 760-4600 255 NORTHPOINT DRIVE, Phone: 713-839-7111 DIETITIAN Fax: (936) 760-4601 6800 WEST LOOP SOUTH, SUITE 200 Fax: 713-839-7156 Hawthorne, Melissa, MS, Busch, Miriam, MD SUITE 560 Houston, TX 77060 RD, LF, CDE Bellaire, TX 77401 Phone: 832-300-8040 13020 DAIRY ASHFORD ROAD Specialty Associates of Phone: 713-839-7111 Fax: 832-300-8041 #100 St. Hope Foundation, Inc. West Houston, PLLC Fax: 713-839-7156 Sugar Land, TX 77478 6807 Emmett F. Lowry Expy, 929 Graham Dr Ste B Ste 302 NURSE PRACTITIONER- Phone: 281-277-8571 Tomball, TX 77375 PSYCHIATRY Texas City, Tx 77591 13020 DAIRY ASHFORD ROAD Fax: 281-277-8564 Phone: 832-431-5162 #100 Dejean, Gwendolyn, NP 13426 Medical Complex Dr Fax: 832-431-5142 Ste 200 Sugar Land, TX 77478 St. Hope Foundation, Inc 1414 S. FRAZIER SUITE #106 Tomball, TX 77375 Phone: 281-277-8571 6807 Emmett F. Lowry Expy, Conroe, TX 77301 6800 WEST LOOP SOUTH, Phone: 281-351-0356 Fax: 281-277-8564 Ste #302 Phone: 936-441-2440 SUITE 560 Fax: 281-351-5020 Texas City, Tx 77591 Fax: 800-249-5020 Bellaire, TX 77401 1414 S. FRAZIER SUITE #106 Phone: 832-431-5162 Phone: 713-839-7111 6875 FM 1488 Ste 1400 Conroe, TX 77301 Fax: 832-431-5142 255 NORTHPOINT DRIVE, Fax: 713-839-7156 Magnolia, Tx 77354 Phone: 936-441-2440 SUITE 200

Fax: 800-249-5020 6800 WEST LOOP SOUTH, Houston, TX 77060 13020 DAIRY ASHFORD ROAD Chabarria, Kristin, Md SUITE 560 Phone: 832-300-8040 #100 HWCA, PLLC 255 NORTHPOINT DRIVE, Bellaire, TX 77401 Fax: 832-300-8041 Sugar Land, TX 77478 7400 Fannin St Ste 1050 SUITE 200 Phone: 713-839-7111 Phone: 281-277-8571 Houston, TX 77054 Houston, TX 77060 Fax: 713-839-7156 NURSING Fax: 281-277-8564 Phone: 713-795-1000 Phone: 832-300-8040 Obebe-Anjorin, Fax: 713-796-1037 Fax: 832-300-8041 13020 DAIRY ASHFORD ROAD Aiyewande, NP 1414 S. FRAZIER SUITE #106 #100 Chan, Rexanna, DO Wallace, Cindy, MSN, FNP- Specialty Associates of Conroe, TX 77301 Sugar Land, TX 77478 West Houston PLLC Women Specialists of BC Phone: 936-441-2440 Phone: 281-277-8571 15200 Southwest FWY Clear Lake, PLLC St. Hope Foundation, Inc. Fax: 800-249-5020 Fax: 281-277-8564 Sugarland, TX 77478 400 Medical Center Blvd Ste 6807 Emmett F. Lowry Expy, 300 Ste 302 255 NORTHPOINT DRIVE, 1414 S. FRAZIER SUITE #106 Webster, TX 77598 Texas City, Tx 77591 12121 Richmond Ave Ste 116 SUITE 200 Conroe, TX 77301 Phone: (281) 557-0300 Phone: 832-431-5162 Houston, TX 77082 Houston, TX 77060 Phone: 936-441-2440 Fax: (281) 557-3301 Fax: 832-431-5142 Phone: (281) 265-8855 Phone: 832-300-8040 Fax: 800-249-5020 Fax: (281) 265-4327 Fax: 832-300-8041 10970 Shadow Creek Pkwy Ste 6800 WEST LOOP SOUTH, Peralta Hernandez, Luz, NP 250 SUITE 560 255 NORTHPOINT DRIVE, OBSTETRICS / SUITE 200 Surgical Specialists of Pearland, TX 77584 Bellaire, TX 77401 GYNECOLOGY Houston, TX 77060 Clear Lake PLLC Phone: 713-839-7111 Chu, Kim-Thu, MD Phone: 832-300-8040 501 Orchard St Ste 200 Barnett, Marcus, MD Fax: 713-839-7156 Specialty Associates of Fax: 832-300-8041 Webster, TX 77598 Specialty Associates of West Houston, PLLC West Houston, PLLC 13020 DAIRY ASHFORD ROAD Mayes, Jessica, NP Watson, Tammi, NP 11307 FM1960 Rd W, #210 15003 FM 529, A #100 St. Hope Foundation, Inc. Houston Womens Care Houston, Tx 77065 Houston, TX 77095 Sugar Land, TX 77478 6807 Emmett F. Lowry Expy, Assocaites Phone: 281-807-0111 Phone: 713-230-8677 Phone: 281-277-8571 Ste 302 7400 Fannin St Ste 1050 Fax: 281-807-0144 Fax: 281-345-7587 Fax: 281-277-8564 Texas City, Tx 77591 Houston, TX 77054 Phone: 832-431-5162 Phone: (713) 795-1004 Brock, Karen J, CNM 929 Grahm Dr Ste B 1414 S. FRAZIER SUITE #106 Fax: 832-431-5142 Conroe Montgomery Tomball, TX 77375 Conroe, TX 77301 Physicians Group PLLC Phone: (281) 351-0356 Phone: 936-441-2440 6800 WEST LOOP SOUTH, 508 Medical Center Blvd #320 Fax: 800-249-5020 SUITE 560 Conroe, TX 77304 Cohan, Leslie, MD

9/1/2021 Page 17 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Woman's Health Group Specialty Associates of HWCA, PLLC Klein, Geffrey, M D Maccato, Maurizio, MD PLLC DBA Leslie Cohan, West Houston, PLLC 7400 Fannin St #1050 Women Specialists of Woman's Health Group M.D. 13635 Michel Rd Houston, TX 77054 Clear Lake,PLLC PLLC DBA Woman's 7580 Fannin, Suite 235 Tomball, TX 77375 Phone: 713-795-1000 400 Medical Center Blvd OB/GYN Specialists Houston, TX 77054 Phone: 281-516-9441 Fax: 713-796-1037 STE#300 7900 Fannin #2650 Phone: (713) 795-0349 Fax: 284-516-9444 Webster, Tx 77598 Houston, TX 77054 Ibe, Ngozi, MD Fax: (713) 795-0334 Phone: 281-557-0300 Phone: (713) 797-1119 Ekwo, Temitope, MD Specialty Associates of Fax: 281-557-3301 Fax: (713) 796-9747 Cowan, MaryAlice, MD Specialists In Obstetrics West Houston PLLC Mary Alice Cowan MC PLLC and Gynesology, PLLC 455 School St Ste 29 Klein, Jr., Alexander, MD Marshall, June, MD 7400 Fannin #750 7400 Fannin St te 1200 Tomabll, Tx 77375 Conroe Physician Specialty Associates of Houston, TX 77054 Houston, TX 77054 Phone: 281-807-0111 Associates West Houston, PLLC Phone: 713-795-5053 Phone: 713-799-9900 Fax: 281-807-0114 (936) 760-4600 ext. 5002 11307 Fm 1960 Rd W, #220 Fax: 713-795-5390 Fax: 713-799-9028 508Medical Center Blvd., #200 Houston, Tx 77065 13426 Medical Complex Dr Conroe, TX 77304 Phone: 281-571-3818 Faro, Constance, MD 7600 Fannin St #750 Ste 200 Phone: (936) 760-4600 Fax: 281-571-3819 S. Faro, MD & C. Faro, Houston, TX 77054 Tomball, Tx 77375 Fax: (936) 760-4601 MD., PLLC McBride, James, MD Phone: 713-795-5053 Phone: 281-351-0356 7400 Fannin St Ste 1200 Korman, Erwin, MD Fax: 713-795-5390 Fax: 281-351-5020 Woman's Health Group Houston, Tx 77054 Women Specialists of PLLC DBA Ferdinand Clear Lake, PLLC Cunningham, Wyntrea, MD Phone: 713-799-9091 605 Holderrieth Blvd Plavidal, M.D. & James 400 Medical Center Blvd #300 McBride, M.D. S Faro MD & C Faro MD Fax: 713-799-9028 Tomball, Tx 77375 Webster, TX 77598 7580 Fannin Ste 335 PLLC Phone: 832-331-1125 Houston, TX 77054 7400 Fannin St Ste 1200 7400 Fannin St Ste 1200 6875 FM 1488 Ste 1400 Fax: 281-724-1077 Phone: (713) 795-5450 Houston, Tx 77054 Houston, Tx 77054 Magnolia, TX 77354 Phone: 713-799-9900 Phone: 713-799-9900 Fax: (713) 795-0250 Lawal, Sausan, DO Fax: 713-799-9028 Fax: 713-799-9028 Jayne, Christopher, M D Meyers, Stephanie E., NP Specialty Associates of Conroe Montgomery Davidson, Laura, MD Faro, Jonathan, MD West Houston, PLLC Physicians Group,PLLC S. Faro MD & C. Faro MD, 508 Medical Center Blvd PLLC Specialty Associates of S Faro MD & C Faro MD 1200 Binz Ste #1350 Suite#320 7400 Fannin St., #840 West Houston, PLLC PLLC Houston, Tx 77004 Conroe, Texas 77304 Houston, TX 77054 455 School St Ste 29 7400 Fannin St # 840 Phone: 832-924-8788 Phone: 936-760-4600 Phone: (713) 799-9091 Tomball, Tx 77375 Houston, TX 77054 Fax: 832-649-8375 Fax: 936-760-4601 Fax: (713) 799-9028 Phone: 281-807-0111 Phone: 713-799-9091 Fax: 281-807-0114 Gillespie, Jenni Lynne, DO 12121 Richmond Ave Ste 306 Lofton, Arielle, MD 7400 Fannin St Ste 1200 Houston, TX 77082 Specialty Associates of HWCA, PLLC Houston, TX 77054 13426 Medical Complex Dr Phone: 281-265-8855 West Houston, PLLC Ste 200 7400 Fannin St Ste 1050 Fax: 281-265-4327 12101 Grant Rd # G Miller, Jonna, MD Tomball, TX 77375 Houston, TX 77054 Cypress, Tx 77429 Phone: 281-351-0356 Phone: 713-795-1000 HWCA, PLLC Fax: 713-796-1037 10970 Shadow Creek Pkwy Ste Phone: 281-205-8236 7400 Fannin St #1050 Fax: 281-351-5020 250 Fax: 281-205-8237 Houston, TX 77054

Dell'orco, Kathleen M, NP Goolsby, Christen, NP-C Phone: 713-795-1000 Specialty Associates of 12121 Richmond Ave Ste 116 Lopez-Rosario, Vanessa, Specialty Associates of MD West Houston, PLLC West Houston, PLLC Houston, TX 77082 Molinar, Marlene, NP 11307 FM 1960 Rd W, #120 Specialty Associates of HWCA, PLLC 11307 FM 1960 RD W, #220 Johnson, Raphny, MD Houston, Tx 77065 West Houston, PLLC 7400 Fannin St #1050 Houston, Tx 77065 Women Specialists of Phone: 281-807-0111 11307 FM 1960 Rd W #220 Houston, TX 77054 Phone: 281-571-3818 Clear Lake, PLLC Fax: 281-807-0114 Houston, Tx 77065 Phone: 713-795-1000 Fax: 281-571-3819 1 Baylor Plz #BCM610 Phone: 281-807-0111 Fax: 713-796-1037 Eckhardt JR, Donald, MD Hendryx, Deborah, MD Houston, TX 77030 Fax: 281-807-0114

9/1/2021 Page 18 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Pinnell, Phillip, MD West Houston, PLLC Tomball, Tx 77375 Fax: 713-796-1037 Mendoza, Francisco, OT 929 Graham Dr Ste B Phone: 281-351-0356 Woman's Health Group Turner, Tracy, MD ROC Houston, PA PLLC DBA Woman's Tomball, Tx 77375 Fax: 281-351-5020 1200 Binz, #100 1st Choice Obstetrics & OB/GYN Specialists Phone: 281-351-0356 Soto, Wigberto, MD Gynecology Houston, TX 77004 7900 Fannin #2650 Fax: 281-351-5020 Phone: (713) 520-1210 Woman Speclialists of 920 Medical Plaza Drive #400 Houston, TX 77054 Fax: (713) 400-8302 Clear Lake, PLLC The Woodlands, TX 77380 Phone: (713) 797-1119 21216 Northwest Fwy Ste 670 400 Medical Center Blvd Ste Phone: (281) 882-8050 Fax: (713) 796-9747 Cypress, TX 77429 Puett, James, MS OTR CHT 300 Fax: (281) 882-8057 Phone: 281-949-5201 Shoulder, Elbow & Hand Plavidal, Ferdinand, MD Webster, TX 77598 Fax: 281-912-3587 Wiltz-Kargou, Benisha, MD Therapy Woman's Health Group Phone: 281-557-0300 8850 Six Pines Dr #240 Specialty Associates of PLLC DBA Ferdinand Fax: 281-557-3301 13426 Medical Complex DR West Houston PLLC Shenandoah, TX 77380 Plavidal, M.D. & James Phone: (281) 298-5811 Ste 200 455 School St #29 McBride, M.D. 1505 Winding Way Dr Ste 218 Fax: (281) 298-5849 Tomball, TX 77375 Tomball, TX 77375 7580 Fannin #335 Freindswood, TX 77546 Phone: 281-351-0356 Phone: 281-207-0111 Houston, TX 77054 Phone: 281-557-0300 Puett, James, OT Fax: 281-351-5020 Fax: 281-207-0111 Phone: (713) 795-5450 Fax: 281-557-3301 Kingwood Physical Therapy

Fax: (713) 795-0250 18001 Highway 105 w Suite 11307 FM 1960 Rd W Ste 230 St. Victor, Ruth, DO 11307 FM 1960 Rd W Ste 230 106 Rizzo, Gina, MD Houston, tx 77065 Conroe Montgomery Houston, TX 77065 Montgomery, Tx 77356 Women Specialists of Phone: 281-807-0111 Physicians Group, PLLC Phone: 281-807-0111 Phone: 936-582-2464 Clear Lake, PLLC Fax: 281-807-0114 508 Medical Center Blvd #320 Fax: 281-807-0114 Fax: 936-582-4697 301 University Blvd Conroe, TX 77304 Galveston, TX 77555 11307 FM 1960 Rd W Ste 220 Phone: (936)760-4600 13426 Medical Complex Dr Houston, Tx 77065 Fax: (936)760-4601 Ste 200 Robinson, Theresa, MD Tomball, TX 77375 Schnider, Geoffrey, MD Stinson Murray, Christine, Woman's Health Group Phone: 281-351-0356 Women's Health Group MD PLLC DBA Theresa Fax: 281-251-5020 Robinson, MD PLLC HWCA, PLLC 7580 Fannin #235 7580 Fannin St #310 7400 Fannin St Ste 1050 Young, Jerome, MD Houston, TX 77054 Houston, TX 77054 Houston, TX 77054 Conroe Physician Phone: (713) 795-0047 Phone: 713-795-1000 Associates Sievert, Rachel, MD Fax: (713) 795-4822 Fax: 713-796-1037 504 Medical Center Blvd S Faro, M.D. Faro, M.D., Conroe, TX 77304 Rodriguez, Michael A, MD PLLC 1135 e Cedar Phone: 936-523-5777 625 19th St S Specialty Associates of Angleton, TX 77515 West Houston PLLC Birmingham, AL 35233 Phone: 281-331-0530 OCCUPATIONAL THERAPY 929 Graham Dr. #B Smith-Sham, Stephanie, Brown, Kathy, OT Tomabll, Tx 77375 Summers, Kathy, MD MD ROC Houston, PA Phone: 281-351-0356 Kathy L. Summers, MD, Specialty Associates of 1200 Binz #100 Fax: 281-351-5020 PLLC West Houston, PLLC Houston, TX 77004 7400 Fannin #1150 Rowe, Guillermo, MD 11302 Fallbrook Dr, #101 Phone: (713) 520-1210 Houston, TX 77054 Houston, Tx 77065 Fax: (713) 400-8302 Woman's Health Group Phone: (713) 795-5054 PLLC DBA G. Rowe, MD Phone: 281-955-8780 Fax: (713) 795-5825 Griggs, Karen, OT 7580 Fannin #335A Fax: 832-688-8297 Kingwood Physical Therapy Houston, TX 77054 Tran, Nicole, MD Sohner, Marie, MD 23780 US 59 North Phone: (713) 795-4800 HWCA, PLLC Specialty Assoicates of Kingwood, TX 77339 Fax: (713) 795-4807 7400 Fannin St #1050 West Houston PLLC Phone: (281) 358-1838 Houston, TX 77054 Sanders, Rhonda, PA 13426 Medical Complex Dr Fax: (281) 358-1812 Phone: 713-795-1000 Specialty Associates of Ste 200

9/1/2021 Page 19 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY OCULAR ONCOLOGY Lufkin, Tx 75901 Houston, TX 77030 2906 Brentwood Dr Ste 300 23501 Cinco Ranch Blvd Ste Phone: 713-524-3434 Phone: 713-524-3434 Brown, David, MD Lufkin, Tx 75901 G205 Fax: 713-513-5613 Fax: 713-524-3220 Retina Consultants of Katy, TX 77494 Houston, PLLC 10119 US 59 Hwy Ste 4 10100 Katy Frwy Ste 100 10119 Hwy 59 6560 Fannin St #750 11460 Space Center Blvd Ste 2 Houston, TX 77043 Wharton, Tx 77488 Houston, TX 77030 6921 Brisbane Ct Ste 200 Houston, TX 77059 Phone: 800-833-5921 Phone: 713-524-3434 Sugarland, TX 77479 16605 SW Fwy Ste 305 Fax: 713-524-3434 Fax: 713-524-3220 9600 Bellaire Blv d Ste 211 Sugarland, TX77479 10907 Memorial Hermman Dr Houston, TX 77036 800 Peakwood DR STE# 1 C 10100 Katy Frwy Ste 100 Ste 450 21216 Northwest Fwy Ste 630 Houston, Tx 77090 Houston, Tx 77043 Pearland, TX 77584 350 Kingwood Medical Dr Ste Cypress, TX 77429 Phone: 281-587-1987 Phone: 713-524-3434 200 Fax: 281-587-1765 Fax: 713-524-3220 4460 Bissonnet St Ste 200 Kingwood, TX 77339 17350 St Lukes Way Ste 120 Bellaire, TX 77401 The Woodlands, TX 77385 2906 Brentwood Drive #300 800 Peakwood Dr Ste #1 C 2620 Hwy 36 S Chen, Eric, MD Lufkin, Tx 75901 Houston, Teaxs 77090 Brenham, TX 77833 23501 Cinco Ranch Blvd Ste Phone: 713-524-3434 Retina Consultants of Phone: 281-587-1987 G205 Fax: 713-513-5613 Houston, PLLC Fax: 281-587-1765 400 Bypass Lane Ste 105 Katy, TX 77494 6560 Fannin St #750 Livingston, TX 77351 10100 Katy Frwy Ste 100 Houston, Tx 77030 16605 SW Fwy Ste 305 14460 Space Center Blvd Ste 2 Houston, TX 77043 Phone: 713-524-3434 Sugarland, Tx 77479 6921 Brisbane Ct Ste 200 Houston, TX 77059 Fax: 713-524-3220 Phone: 713-524-3434 Sugarland, TX 77479 16605 Sw Fwy Ste 305

Fax: 713-513-5613 9600 Bellaire Blvd Ste 211 Sugarland, TX77479 10119 Hwy 59 10907 Memorial hermann Dr Houston, TX 77036 Wharton, Tx 77488 Ste 450 21216 Northwest Fwy Ste 360 21216 Northwest Fwy Ste 630 Phone: 800-833-5921 Pearland, TX 77584 Cypress, TX 77429 350 Kingwood Medical Dr Ste Cypress, TX 77429 Fax: 713-524-3434 200 4460 Bissonnet St Ste 200 17350 St Lukes Way Ste 120 Kingwood, TX 77339 17350 St Lukes Way Ste 120 800 Peakwood Dr. Ste# 1 C Bellaire, TX 77401 The Woodlands, Tx77385 The Woodlands, TX 77385 Houston, Texas 77090 Fish, Richard, MD 2620 Hwy 36 S 23501 Cinco Ranch Blvd Ste Phone: 281-587-1987 Brenham, TX 77833 Retina Consultants of 23501 Cinco Ranch Blvd Ste G205 Fax: 281-587-1765 Houston, PLLC G205 Katy, Tx 77494 400 Bypass Lane Ste 105 6560 Fannin St #750 Katy, TX 77494 2906 Brentwood Drive #300 Brenham, TX 77833 Houston, Tx 77030 11460 Space Center Blvd Ste 2 Lufkin, Tx 75901 Phone: 713-524-3434 11460 Space Center Blvd Ste 2 Houston, TX 77059 Phone: 713-524-3434 6921 Brisbane Ct Ste 200 Fax: 713-524-3220 Houston, TX . 77059 Fax: 713-513-5613 Sugarland, TX 77479

9600 Bellaire Blvd Ste 211 10119 Hwy 59 9600 Bellaire Blvd Ste 211 Houston, TX 77036 10100 Katy Frwy Ste 100 10907 Memorial Hermann Dr Wharton, Tx 77488 Houston, tx 77036 Houston, TX 77043 Ste 40 Phone: 800-833-5921 350 Kingwood Medical Dr Ste Pearland, TX 77584 Fax: 979-532-6785 350 Kingwood Medical Dre 200 16605 SW Fwy Ste 305 Ste 200

Kinwood, TX 77339 Sugarland, TX77479 4460 Bissonnet St Ste 200 Kingwood, TX 77339 800 Peakwood Dr. STE# 1 C Bellaire, TX 77401 Houston, Tx 77090 2620 Hwy 36 S 21216 Northwest Fwy Ste 630 2620 Hwy 36 S Phone: 281-587-1987 Kim, Rosa, MD Brenham, Tx 77833 Cypress, TX 77429 Brenham, TX 77833 Fax: 281-587-1765 Retina Consultants of

Houston, PLLC 400 Bypass Lane Ste 105 17350 St Lukes Way Ste 120 400 Bypass Lane Ste 105 Livingston, TX 77351 the Woodlands, TX 77385 2906 Brentwood Drive #300 6560 Fannin St #750

9/1/2021 Page 20 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Livingston, TX 77351 Bellaire, TX 77401 Phone: 281-587-1987 ONCOLOGY-OCULAR Fax: (713)524-3220 Fax: 281-587-1765 6921 Brisbane Ct Ste 200 10100 Katy Frwy Ste 100 Schefler, Amy C., MD 10119 Hwy 59 Wharton Sugarland, TX 77479 Houston, TX 77043 2906 Brentwood Drive #300 Retina Consultants of Wharton, TX 77448 Lufkin, Tx 75901 Houston Phone: 800-833-5921 Wong, Tien, MD 10907 Memorial Hermann Dr Phone: 713-524-3434 350 Kingwood Medical Dr. Fax: 713-524-3434 #200 Ste 450 Retina Consultants of Fax: 713-513-5613 Houston, PLLC Kingwood, TX 77339 Pearland, TX 77584 6750 West Loop South, #1060 65060 Fannin St #750 Phone: (713)524-3434 10907 Memorial Hermann Dr Bellaire, TX 77401 Houston, Tx 77030 Fax: (713)524-3220 4460 Bissonnet St Ste 200 Ste 450 Phone: (713)524-3434 Phone: 713-524-3434 Bellaire, TX 77401 Pearland, TX 77584 Fax: (713)524-3220 Fax: 713-524-3220 17350 St. Luke's Way, #120

Major, James, MD The Woodlands, TX 77384 10100 Katy Frwy Ste 100 2351 Cinco Ranch Blvd., #G205 Retina Consultants of 10119 Hwy 59 Phone: (713)524-3434 Houston, TX77043 Katy, TX 77494 Houston, PLLC Wharton, Tx 77488 Fax: (713)524-3220 Phone: (713)524-3434 6560 Fannin St #750 Phone: 800-833-5921 Fax: (713)524-3220 Houston, Tx 77030 Fax: 713-524-3434 10100 Katy Frwy Ste 100

Phone: 713-524-3434 Houston, TX 77043 11460 Space Center Blvd #2 Fax: 713-524-3220 800 Peakwood Dr. STE # 1 C Phone: (713)524-3434 Houston, TX 77059 Houston, Tx 77090 Fax: (713)524-3220 Phone: (713)524-3434 10119 Hwy 59 Phone: 281-587--1987 Fax: (713)524-3220 Wharton, Tx 77488 Fax: 281-587-1765 21216 Northwest Frwy., #630

Phone: 800-833-5921 Cypress, TX 77429 23501 Cinco Ranch Blvd Ste Fax: 713-524-3434 2906 Brentwood Drive #300 Phone: (713)524-3434 G205

Lufkin, Tx 75901 Fax: (713)524-3220 Katy, TX 77494 800 Peakwood Dr. Ste#1 C Phone: 713-524-3434 Houston, Tx 77090 Fax: 713-513-5613 800 Pealwood Dr. Ste #1 C 6921 Brisbane Ct Ste 200 Phone: 281-587-1987 Houston, TX 77090 Sugarland, TX 77479 Fax: 281-587-1765 10907 Memorial Hermann Dr Phone: 281-587-1987 Ste 450 Fax: 281-587-1765 10907 Memorial Hermann Dr 2906 Brentwood Drive #300 Pearland, TX 77584 Ste 450 Lufkin, Tx 75901 2620 Hwy 36 South Pearland, TX 77584 Phone: 713-524-3434 10100 Katy Frwy Ste 100 Brenham, TX77833 Fax: 713-513-5613 Houston, TX77043 Phone: (713)524-3434 4460 Bissonnet St Ste 200 Fax: (713)524-3220 Wykoff, Charles, MD Bellaire, TX 77401 23501 Cinco Ranch Blvd Ste Retina Consultants of G205 400 Bypass Lane, #105 ONCOLOGY-RADIATION Houston, PLLC Katy, TX 77494 Livingston, TX 77351 6560 Fannin St #750 D’Andrea, Mark, MD Phone: (713)524-3434 Houston, TX 77030 Gulf Coast Oncology 17350 St Lukes Way Ste 120 Fax: (713)524-3220 Phone: 713-524-3434 Associates The Woodlands, TX77385 Fax: 713-524-3220 12811 Beamer Rd 2906 Brentwood Drive #300 Houston, TX 77089 6921 Brisbane Ct Ste 200 Lufkin, TX 75901 10119 Hwy 59 Phone: (713) 474-1414 Sugarland, TX 77479 Phone: (713)524-3434 Wharton, Tx 77488 Fax: (713)513-5613 Gulf Coast Cancer & Phone: 800-833-5921 10907 Memorial Hermann Dr Diagnostics Center Ste 450 Fax: 713-524-3434 16605 Southwest Frwy., #305 12811 Beamer Rd Pearland, TX 77584 Sugar Land, TX 77479 Houston, TX 77089 800 Peakwood Dr. STE #1 C Phone: (713)524-3434 Phone: (713) 474-1414 4460 Bissonnet St Ste 200 houston, TX 77090

9/1/2021 Page 21 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Ko, Mi Kyung, MD OPHTHALMOLOGY 2855 Gramercy Phone: (713) 678-8288 Northwest Radiotherapy Houston, TX 77025 Fax: (713) 678-4013 13414 Medical Complex Drive, Alexander, Larry, MD Associates Phone: (713) 668-6828 Suite 4 Houston Eye Associates 18960 Memorial North Fax: (713) 668-3823 2855 Gramercy Tomball, TX 77375 5125 Fairmont Pkwy Humble, TX 77338 Houston, TX 77025 Phone: 281-351-5468 Pasadena, TX 77505 Phone: 713-867-4668 22659 Hwy 59 N #100 Phone: (713) 668-6828 Fax: 281-351-2421 Phone: (713) 477-6929 Fax: (281) 579-0093 Kingwood, TX 77339 Fax: (713) 668-3823 Fax: (281) 598-6475 Fradkin, Allan, MD Phone: 281-858-3937 Doucet, Timothy, MD Houston Eye Associates 13700 Medical Complex Dr Fax: 281-570-1068 Arnoult, Jeffrey B., MD Avery Eye Clinic 2302 Avenue P Tomball, TX 77375 Houston Eye Associates 400 S Loop 336 W Galveston, TX 77550 Phone: (281) 401-5900 13414 Medical Complex Dr #4 2855 Gramercy St. Conroe, TX 77304 Phone: (409) 765-6324 Tomball, TX77375 Houston, TX 77025 Phone: 936-539-4500 Fax: (409) 765-8475 920 Medical Plaza Dr #100 Phone: 281-351-5468 Phone: (713) 668-6828 Fax: 936-539-4050 The Woodlands, TX 77380 Fax: 281-351-2421 Fax: (713) 668-3823 1100 Gulf Frwy #114 Phone: (281) 364-5655 DeJean III, Baptiste, MD Doucet, Timothy W., M.D. League City, TX 77573 Sands, M. Elizabeth, MD 590 Chimney Rock Avery Eye Clinic Doucet, PLLC Phone: (281) 332-3937 690 S. Loop 336 West, #205 Northwest Radiotherapy Houston, TX 77056 400 S. Loop 336 W. Fax: (281) 332-0807 Associates Phone: (713) 782-4406 Conroe, TX 77304 Conroe, TX 77304 Phone: (936) 760-8570 Fredrickson, Becky, MD 18960 Memorial North Fax: (713) 782-2554 Phone: (936) 539-4500 Fax: (936) 521-8208 Houston Eye Associates Humble, TX 77338 Atkinson, Joshua, MD 1415 N Loop W #400 Phone: (713) 897-5655 129 Vision Park Blvd Ste 110 Houston Eye Associates Elchahal, Samih, MD Houston, TX 77008 The Woodlands, TX 77384 2855 Gramercy Houston Eye Associates Phone: 713-869-6400 13700 Medical Complex Dr Phone: 936-539-4500 Houston, TX 77025 590 Chimney Rock Fax: 713-869-6498 Tomball, TX 77375 Fax: 936-539-4050 Houston, TX 77056 Phone: (281) 401-5900 Bourgeois, Keith, MD Phone: (713) 782-4406 10907 Memorial Hermann Dr Keith A. Borgeois, MD, PA 3361 Montgomery RD Fax: (713) 782-2554 #150 920 Medical Plaza Dr #100 1315 St. Joseph Parkway Huntsville, TX 77340 Pearland, TX 77584 #1601 The Woodlands, TX 77380 2855 Gramercy Phone: 281-582-9100 Houston, TX 77002 Dhir, Prajay, MD Phone: (281) 364-5655 Houston, TX 77025 Fax: 832-280-3647 Phone: (713) 650-0391 Houston Eye Associates Phone: (713) 668-6828 Siddiqi, Ather, MD Fax: (713)650-0395 1447 Hwy 6, Suite 110 Greater Houston Sugar Land, TX 77478 Fax: (713) 668-3823 427 W 20th St #100 Chen, Carolyn, MD Houston, TX 77008 Radiation Oncology Phone: (281) 565-2020 Fish, Susan, MD Houston Eye Associates Phone: 713-862-6631 11950 Galveston Rd Fax: (281) 565-5794 Houston Eye Associates 333 N. Rivershire Dr., #160 Fax: 713-862-6632 Houston, TX 77034 333 N. Rivershire Dr., #160 Conroe, TX 77304 Phone: 713-512-3200 1601 Main, #408 Conroe, TX 77304 Phone: (936) 441-2020 2855 Gramercy Richmond, TX 77469 Phone: (936) 441-2020 Fax: (936) 756-0656 Houston, TX 77025 112 Medical Park Lane Phone: (281) 341-0405 Fax: (936) 756-0656 Phone: 713-668-6828 Huntsville, TX 77340 Fax: (281) 641-1000 1699 Research Forest Dr #150 Fax: 713-668-3823 Phone: (936)291-7900 1699 Research Forest Dr #150 Shenandoah, TX 77380 2855 Gramercy Shenandoah, TX 77380 Gonzales, Carlos A., MD Phone: (281) 363-2155 1140A Cypress Station Houston, TX 77025 Phone: (281) 363-2155 Houston Eye Associates Fax: (281) 465-4261 Houston, TX 77090 Phone: (713) 668-3828 Fax: (281) 465-4261 2855 Gramercy

Phone: (281)377-7555 Fax: (713) 668-3823 Houston, TX 77025 1250 Cypress Station Dr #A 2855 Gramercy Phone: (713) 668-6828 University Cancer Center Houston, TX 77090 Diaz, Maria Dolores, MD Houston, TX 77025 Fax: (713) 668-3823 605 Medical Court #101 Phone: (281) 444-1677 Houston Eye Associates Phone: 713-668-6828 Brenham, TX 77833 Fax: (281) 444-8631 5614 E. Sam Houston Pkwy. N. Fax: 713-668-3823 915 Gessner, #250 Phone: (979) 836-6067 Houston, TX 77015

9/1/2021 Page 22 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Houston, TX 77024 16605 SW Fwy Ste 305 2855 Gramercy Phone: (713) 467-6474 2855 Gramercy Sugarland, TX77479 27700 Hwy 290, Suite 300 Houston, TX 77025 Fax: (713) 973-8679 Houston, TX 77025 Cypress, TX 77433 Phone: (713) 668-6828 Phone: (713) 668-6828 21216 Northwest Fwy Ste 630 Phone: 832-280-3600 Fax: (713) 668-3823 590 Chimney Rock Fax: (713) 668-3823 Cypress, TX 77429 Fax: 832-280-3601 Khalil, Sherif K., MD Houston, TX 77056 Harris, Lindsey D., MD Phone: 713-782-4406 17350 St Lukes Way Ste 120 1250 Cypress Station Drive, Houston Eye Associates 915 Gessner #250 Fax: 713-782-2554 Houston Eye Associates The Woodlands, TX 77385 Suite A 2855 Gramercy Houston, TX 77090 Houston, TX 77024 Goosey, John D., MD Houston, TX 77025 23501 Cinco Ranch Blvd Ste Phone: 281-444-1677 Phone: (713) 467-6474 Houston Eye Associates Phone: (713) 668-6828 G205 Fax: 281-444-8631 Fax: (713) 973-8679 2855 Gramercy Fax: (713) 668-3823 Katy, TX 77494 Jan, Jonathan, MD Houston, TX 77025 1331 W. Grand Pkwy #120 Phone: (713) 668-6828 915 Gessner, #250 11460 Space Center Blvd Ste 2 Avery Eye Clinic Katy, TX 77493 Fax: (713) 668-3823 Houston, TX 77024 Houston, TX 77059 400 S Loop 336 West Phone: (281) 347-0176 Phone: (713) 467-6474 Conroe, TX 77304 Fax: (281) 347-0180 Grannis, Charity, MD Fax: (713) 973-8679 9600 Bellaire Blvd Ste 211 Phone: 936-539-4500 Houston Eye Associates Houston, TX 77036 Fax: 936-539-4050 2855 Gramercy 10907 Memorial Hermann Dr 1699 Research Forest Dr, Suite Houston, TX (713) 668-6828 #150 150 129 Vision Park Blvd Ste 110 Phone: (713) 668-3823 Pearland, TX 77584 350 Kingwood Medical Dr Ste Shenandoah, TX 77380 200 The Woodlands, TX 77384 Phone: 281-582-9100 Kopel, Andrew C., MD Phone: 281-363-2155 Kingwood, TX 77339 Phone: 936-539-4500 Fax: 832-280-3647 Houston Eye Associates Fax: 281-465-4261 Fax: 936-539-4050 2424 W. Holcombe, #203 2620 Hwy 36 S 1429 Hwy 6 #102 Henry, Christopher, MD Houston, TX 77030 Brenham, TX 77833 3361 Montgomery Rd Sugar Land, TX 77478 Retina Consultants of Phone: (713) 665-7600 Huntsville, TX 77340 Phone: 281-565-2020 Houston, PLLC Fax: (713) 665-7650 400 Bypass Lane Ste 105 Fax: 281-565-5794 6560 Fannin St #750 Jenkins, Mark S., MD Livingston, TX 77351 Houston, Tx 77030 Houston Eye Associates 2855 Gramercy

2855 Gramercy Phone: 713-524-3434 333 N. Rivershire Dr., #160 Houston, TX 77025 6921 Brisbane Ct Ste 200 Houston, TX 77025 Fax: 713-524-3220 Conroe, TX 77304 Phone: (713) 668-6828 Sugarland, Tx 77479 Phone: 713-668-6828 Phone: (936) 441-2020 Fax: (713) 668-3823

Fax: 713-668-3823 10119 Hwy 59 Fax: (936) 756-0656 10907 Memorial hermann Dr Wharton, Tx 77488 Ste 450 9230 Katy Frwy #550 5125 Fairmont Pkwy Phone: 800-833-5921 1699 Research Forest Dr #150 Pearland, TX 77584 Houston, TX 77055 Pasadena, TX 77505 Fax: 713-524-3434 Shenandoah, TX 77380 Phone: 713-467-6600 Phone: 713-477-6929 Phone: (281) 363-2155 4460 Bissonnet St Ste 200 Fax: 713-467-7914 Fax: 281-598-6475 800 Peakwood DR. STE# 1C Fax: (281) 465-4261 Bellaire, TX 77401 Houston, Tx 77090 Hamburg, Sol, MD 10907 Memorial Hermann Dr Phone: 281-587-1987 Hyde, Kenneth J., MD 1501 River Pointe Dr Ste 200 #150 Houston Eye Associates Fax: 281-587-1765 Houston Eye Associates Conroe, TX 77304 Pearland, TX 77584 12121 Richmond Ave #115 2855 Gramercy Phone: 936-441-2020 Phone: 281-582-9100 Houston, TX 77082 2906 Brentwood Drive #300 Houston, TX 77025 Fax: 832-280-3647 Phone: (281) 493-1733 Jong, Kevin Y., MD Lufkin, Tx 75901 Phone: (713) 668-6828 Fax: (281) 493-3731 Houston Eye Associates Phone: 713-524-3434 Fax: (713) 668-3823 5614 E Sam Houston Pkwy N 1415 N. Loop West, Suite 400 Fax: 713-513-5613 Houston, TX 77015 1601 Main #408 Houston, TX 77008 333 N. Rivershire Dr # 160 Phone: 713-678-8288 Richomond, Tx 77469 Phone: (713) 869-6400 10100 Katy Frwy Ste 100 Conroe, TX 77304 Fax: 713-678-4013 Phone: (281) 341-0405 Fax: (713) 869-6498 Houston, TX 77043 Phone: (936) 441-2020 Fax: (281) 341-1000 Fax: (936) 756-0656 590 Chimney Rock

9/1/2021 Page 23 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Houston, TX77056 Fax: (281) 565-5794 Lim, John M., MD Phone: 713-782-4406 800 Peakwood Dr Ste 1C 1306 W Frank Ave Houston Eye Associates Fax: 713-782-2554 590 Chimney Rock Lufkin, TX 75904 2855 Gramercy Houston, TX 77056 21216 Northwest Fwy Ste 630 Phone: 281-363-2155 Kovoor, Timmy, MD Houston, TX 77025 Phone: (713) 782-4406 Fax: 832-280-3655 Phone: (713) 668-6828 Houston Eye Associates Fax: (713) 782-2554 2620 Hsy 36 S Fax: (713) 668-3823 Milstein, Bernard, MD 9230 Katy Frwy #550 Lam, Michael, MD Houston, Tx 77055 17350 St. Luke Way Ste 120 Houston Eye Associates 915 Gessner, #250 Phone: (713) 467-6600 Houston Eye Associates 2302 Avenue P Houston, TX 77024 Fax: (713) 467-7914 2302 Avenue P 400 Bypass Ln Ste 105 Galveston, TX 77550 Phone: (713) 467-6474 Galveston, TX 77550 Livingston, TX 77351 Phone: (409) 765-6324 Phone: (409) 765-6324 Fax: (713) 973-8679 1447 Hwy 6 #110 Fax: (409) 765-8475 Sugar Land, TX 77478 Fax: (409) 765-8475 23501 Cinco Ranch Blvd Ste Lin, Linda H, MD Phone: 281-565-2020 1100 Gulf Frwy #114 G205 Avery Eye Clinic Fax: 281-565-5794 1100 Gulf Frwy #114 League City, TX 77573 400 S Loop 336 W League City, TX 77573 Phone: (281) 332-3937 2906 Brentwood Dr Conroe, TX 77304 5420 Dashwood #101 Phone: (281) 332-3937 Fax: (281) 332-0807 Lufkin, TX 75901 Phone: (936) 539-4534 Houston, TX 77081 Fax: (281) 332-0807

Phone: (713) 668-9118 7111 Medical Center Dr #110 1460 Space Center Blvd Ste 2 129 Vision Park Blvd Ste 100 Fax: (713) 663-1005 7111 Medical Center Dr #110 Texas City, TX 77591 Houston, TX 77059 The Woodlands, TX 77384 Texas City, TX 77591 Phone: (409) 938-8437 Phone: 936-539-4500 2855 Gramercy Phone: (409) 938-8437 Fax: (409) 938-7687 350 Kingwood Medical Dr Ste Fax: 936-539-4050 Houston, TX 77025 Fax: (409) 938-7687 200 Morales, Marlene E., MD Phone: (713) 668-6828 Kingwood, TX 77339 Larkin, Kelly L., MD 3361 Montgomery Rd Houston Eye Associates Fax: (713) 668-3823 Houston Eye Associates Huntsville, Tx 77340 455 School Street #47 10907 Memorial Hermann Dr Phone: 936-539-4500 Kuglen, Craig, MD 2855 Gramercy St. Ste 450 Tomball, TX 77375 Fax: 936-539-4050 Avery Eye Clinic Houston, TX 77025 Pearland, TX 77584 Phone: (281) 351-7483 400 S. Loop 336 W. Phone: (713) 668-6828 Miller, Aaron M., MD Fax: (281) 351-9771 Conroe, TX 77304 Fax: (713) 668-3823 Lee, Bailey L., MD Houston Eye Associates Phone: (936) 539-4500 Houston Eye Associates 2855 Gramercy 1699 Research Forest Dr., #150 1699 Research Forest Dr #150 2855 Gramercy Houston, TX 77025 Shenandoah, TX 77380 129 Vision Park Blvd Ste 110 Shenandoah, TX 77380 Houston, TX 77025 Phone: 713-668-6828 Phone: (281) 363-2155 The Woodlands, TX 77384 Phone: 281-363-2155 Phone: (713) 668-6828 Fax: 713-668-3823 Fax: (281) 465-4261 Phone: 936-539-4500 Fax: 281-465-4261 Fax: (713) 668-3823 Musgrove, Kathryn H., MD Fax: 936-539-4050 Larkin, Kelly, MD 13414 Medical Complex Dr., 4 Houston Eye Associates 915 Gessner, #250 Tomball, TX 77375 3361 Montgomery Rd Retina Consultants of Houston, TX 77024 2855 Gramercy Houston Phone: (281) 351-5468 Huntsville, TX 77340 Phone: (713) 467-6474 Houston, TX 77025 Fax: (281) 351-2421 6560 Fannin St Ste 750 Fax: (713) 973-8679 Phone: (713) 668-6828

Lai, James Z., MD Houston, TX 77030 Fax: (713) 668-3823 6560 Fannin, #450 Houston Eye Associates Phone: 713-524-3434 1250 Cypress Station Dr #A Houston, TX 77030 2855 Gramercy Fax: 713-524-3220 Houston, TX 77090 915 Gessner, #250 Phone: (281) 351- 5468 Houston, TX 77025 Phone: (281) 444-1677 Houston, TX 77024 Fax: (281) 351-2421 Phone: (713) 668-6828 10100 Katy Frwy Ste 100 Fax: (281) 444-8631 Phone: (713) 467-6474

Fax: (713) 668-3823 Houston, TX 77043 Fax: (713) 973-8679 2855 Gramercy 1447 Highway 6, #110 Houston, TX 77025 Nguyen, Tieu Vy, MD 1429 Highway 6, #102 6921 Brisbane Ct Ste 200 Sugar Land, TX 77478 Phone: (713) 668-6828 Retina Consultants of Sugar Land, TX 77478 Phone: (281) 565-2020 Fax: (713) 668-3823 Houston, Phone: (281) 5652020 10119 US 59 Hwy Ste 4 Fax: (281) 565-5794

9/1/2021 Page 24 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY 6921 Brisbane Ct Ste 200 1331 W. Grand Pkwy. N., #120 Houston, PLLC 901 E. Houston St. #B Fax: 713-395-1668 Sugarland, TX 77479 Katy, TX 77493 6560 Fannin #750 Cleveland, TX 77327 Urso, Richard G., MD Phone: 713-524-3434 Phone: (281) 347-0176 Houston, Tx 77030 Phone: (281) 659-2020 Houston Eye Associates Fax: 713-524-3220 Fax: (281) 347-0180 Phone: 713-524-3434 Fax: (281) 659-2030 2855 Gramercy Fax: 713-524-3220 Houston, TX 77025 4460 Bissonnet St Ste 200 27700 Hwy 290 #300 18700 W. Lake Houston Pkwy Phone: (713) 668-6828 Bellaire, TX 77401 Cypress, TX 77433 10119 Hwy 59 #B101 Fax: (713) 668-3823 Phone: 832-280-3600 Wharton, Tx 77488 Humble, TX 77346

10100 Katy Frwy Ste 100 Fax: 832-280-3601 Phone: 800-833-5921 Stewart, William Colby, 1447 Highway 6, #110 Houston, TX 77043 Fax: 713-524-3434 MD Sugar Land, TX 77478 2855 Gramercy Ou, Richard J., MD Houston Eye Associates Phone: (281) 565-2020 Houston, Tx 77025 800 Peakwood Dr. Ste# 1 C Houston Eye Associates 1415 N. Loop West #400 Fax: (281) 565-5794 Phone: (713) 668-6828 Houston, Tx 77090 12121 Richmond Ave., #220 Houston, TX 77008 Fax: (713) 668-3823 Phone: 281-587-1987 Houston, TX 77082 Phone: (713) 869-6400 22659 Highway 59 N., #100 Fax: 281-587-1765 Phone: (281) 556-5483 Quayle, William H., MD Fax: (713) 869-6498 Kingwood, TX 77339

Fax: (281) 556-5416 Houston Eye Associates Phone: (281) 858-3937 2906 Brentwood Drive #300 2855 Gramercy 2855 Gramercy Fax: (281) 570-1068 Lufkin, Tx 75901 1447 Highway 6, #110 Houston, TX 77025 Houston, TX 77025 Phone: 713-524-3434 Verstringhe, III, Louis E., Sugar Land, TX 77478 Phone: (713) 668-6828 Phone: (713) 668-6828 Fax: 713-513-5613 MD Phone: (281) 565-2020 Fax: (713) 668-3823 Fax: (713) 668-3823 Houston Eye Associates Fax: (281) 565-5794 10907 Memorial Hermann Dr Sun, Tom H., MD 1250 Cypress Station Dr., #A 590 Chimney Rock Ste 450 Houston Eye Associates Houston, TX 77090 7777 Southwest Frwy., #804 Houston, TX 77056 Pearland, TX 77584 455 School Street #47 Phone: (281) 444-1677 Houston, TX 77074 Phone: (713) 782-4406 Tomball, TX 77375 Fax: (281) 444-8631 Phone: (713) 777-6123 Fax: (713) 782-2554 4460 Bissonnet St Ste 20 Phone: (281) 351-7483 Fax: (713) 988-1224 Reddy, Ashvini, MD Bellaire, TX77401 Fax: (281) 351-9771 333 N. Rivershire Dr., #160

Conroe, TX 77304 915 Gessner, #250 Retina Consultants of Houston, PLLC 10100 Katy Frwy Ste 100 1250 Cypress Station Dr Ste A Phone: (936)441-2020 Houston, TX 77024 17350 St Lukes Way Houston, TX 77043 Houston, TX 77090 Fax: (936) 756-0656 Phone: (713) 467-6474 The Woodlands, TX 77385 Phone: 281-444-1677 Fax: (713) 973-8631 Shaikh, Adeel, MD Phone: (713) 524-3434 Fax: 281-444-8631 13414 Medical Complex Dr., Houston Eye Associates Fax: (713) 524-3220 Tomball, TX 77375 2855 Gramercy 1415 N Loop W #400 Thomas, Justus W., MD Phone: (281) 351-5468 Houston, TX 77025 Houston, TX 77008 Houston Eye Associates 10907 Memorial Hermann Dr Fax: (281) 351-2421 Phone: (713) 668-6828 Phone: 713-869-6400 22659 Highway 59 N., #100 Ste 450 Fax: (713) 668-3823 Fax: 713-869-6498 Kingwood, TX 77339 Pearland, TX 77584 1699 Research Forest Dr #150 Phone: (281) 858-3937 Shenandoah, TX 77380 6560 Fannin #450 2855 Gramercy Fax: (281) 570-1068 10100 Katy Frwy Ste 100 Phone: (281) 363-2155 Houston, TX77030 Houston, TX 77025 Houston, TX 77043 Fax: (281) 465-4261 Phone: 281-351-5468 Phone: 713-668-6828 2855 Gramercy

Fax: 281-351-2421 Salmonsen, Paul C., MD Fax: 713-668-3823 Houston, TX 77025 2855 Gramercy Houston Eye Associates Phone: (713) 668-6828 Porias, Mitchell M., DO Houston, TX 77025 2855 Gramercy 13414 Medical Complex Dr #4 Fax: (713) 668-3823 Houston Eye Associates Phone: (713) 668-6828 Houston, TX 77025 Tomball, TX 77375 1415 N Loop W #400 Fax: (713) 668-3823 Phone: (713) 668-6828 Phone: 281-351-5468 22777 Springwoods Village Houston, TX 77008 Fax: (713) 668-3823 Fax: 281-351-2421 Pkwy Ste C481 Vital, Mark C., MD Phone: 713-869-6400 Spring, TX 77389 Houston Eye Associates Fax: 713-869-6498 Shah, Ankoor, MD Shrum, K. Ray, MD Phone: 713-395-1877 2855 Gramercy Retina Consultants of Berkley Eye Center

9/1/2021 Page 25 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Houston, TX 77025 Houston Eye Associates Houston Phone: (713) 799-9975 Phone: (713) 668-6828 2855 Gramercy 6560 Fannin St #750 11460 Space Center Blvd #2 Fax: (713) 799-1095 Fax: (713) 668-3823 Houston, TX 77025 Houston, TX 77030 Houston, TX 77059 Phone: (713) 668-6828 Phone: (713) 524-3434 Phone: (713) 524-3434 1205 S Austin 915 Gessner, #250 Fax: (713) 668-3823 Fax: (713) 524-3220 Fax: (713) 524-3220 Brenham, TX 77833 Houston, TX 77024 Phone: (713) 799-9975 Phone: (713) 467-6474 590 Chimney Rock 10100 Katy Frwy Ste 100 17350 St Lukes Way #120 Fax: (713) 799-1095 Fax: (713) 973-8679 Houston, TX 77056 Houston, TX 77043 The Woodlands, TX 77384 Phone: (713) 782-4406 Phone: (713) 524-3434 Phone: (713) 524-3434 8588 Katy Frwy, #101 Watkins, Lowell Andrew, Fax: (713) 524-3220 Houston, TX 77024 MD Fax: (713) 782-2554 Fax: (713) 524-3220 Phone: (713) 799-9975 Houston Eye Associates 1250 Cypress Station Dr #A 800 Peakwood Dr. Ste# 1 C 23501 Cinco Ranch Blvd #G205 Fax: (713) 799-1095 427 W. 20th Street #100 Houston, TX 77090 Houston, TX 77090 Katy, TX 77494 Houston, TX 77008 Phone: (281) 444-1677 Phone: (281) 587-1987 Phone: (713) 524-3434 3345 Plaza 10 Dr #B Phone: (713) 862-6631 Fax: (281) 444-8631 Fax: (281)587-1765 Fax: (713) 524-3220 Beaumont, TX77707 Fax: (713) 862-6632 Phone: (713) 799-9975 Zuckerbrod, Stewart L., 16605 SW Frwy #305 10119 Hwy 59 Fax: (713) 799-1095 2855 Gramercy Houston Eye Associates Sugar Land, TX 77479 Wharton, Tx 77488 Houston, Tx 77025 Diaz-Rohena, Roberto, MD 5420 Dashwood, #101 Phone: (713) 524-3434 Phone: 800-833-5921 Phone: (713) 668-6828 Retina & Vitreous Of Houston, TX 77081 Fax: (713) 524-3220 Fax: 713-524-3434 Fax: (713) 668-3823 Texas, PLLC Phone: (713) 668-9118 2727 Gramercy, #200 Fax: (713) 663-1005 2620 Hwy 36 S 6921 Brisbane Ct Ste 200 27700 Hwy 290 #300 Houston, TX 77025 Brenham, TX 77833 Sugarland, TX 77479 Cypress, TX 77433 Phone: (713) 799-9975 10907 Memorial Hermann Dr Phone: (713) 524-3434 Phone: 832-280-3600 #150 Fax: (713) 524-3220 10907 Memorial Hermann Dr Dvorak, Andrew, MD Fax: 832-280-3601 Pearland, TX 77584 Ste 450 Phone: 281-582-9100 Avery Eye Clinic Wilkerson, Mark Howard, 400 Bypass Ln #105 Pearland, TX 77584 Fax: 832-280-3647 400 South Loop 336 West MD Livingston, TX77351 Phone: 713-524-3434 Conroe, TX 77304 Avery Eye Clinic Phone: (713) 524-3434 Fax: 713-524-3220 9810 Fm 1960 Rd W. #250 Phone: (936)539-4500 400 S Loop 336 W Fax: (713) 524-3220 Humble, TX 77338 Fax: (936)539-4050 Conroe, TX 77304 4460 bissonnet St Ste 200 Phone: (281) 446-9333 Phone: (936) 539-4500 2900 Brentwood Drive#211 Bellaire, TX 77401 Fax: (281) 446-6143 129 Vison Park Blvd Ste 110 Fax: (936) 539-1216 Lufkin, TX 75901 Phone: 713-524-3434 The Woodlands, TX 77384 Phone: (713) 524-3434 Fax: 713-524-3220 2855 Gramercy Phone: 936-539-4500 3361 Montgomery Rd Fax: 713-513-5613 Houston, TX 77025 Chang, Emmanuel Y., MD Fax: 936-539-4050 Huntsville, TX 77340 Phone: (713) 668-6828 Retina and Vitreous of Phone: (936)2940218 2100 Reginal Medical Dr Fax: (713) 668-3823 Texas PLLC 3361 Montgomery Rd Fax: (281) 719-5448 Wharton, TX 77488 2727 Gramercy #200 Huntsville, TX 77340 OPHTHALMOLOGY-RETINA Phone: (713) 524-3434 Houston, TX 77025 Holz, Eric, MD 129 Vision Park Blvd #110 SPECIALISTS Fax: (713) 524-3220 Phone: (713) 799-9975 Shenandoah, TX 77384 Retina & Vitreous Of Abdelghani, Wael, MD Fax: (713) 799-1095 Texas, PLLC 21216 Northwest Fwy #630 Wittenberg, Susan E., MD The Woodlands Retina 2727 Gramercy #200 Cypress, TX 77429 750 Westgreen Blvd, #250 Houston Eye Associates Center Houston, TX 77025 Phone: (713) 524-3434 Katy, TX 77450 2855 Gramercy 1001 Medical Plaza Dr., #240 Phone: (713) 799-9975 Fax: (713) 524-3220 Phone: (713) 799-9975 Houston, TX 77025 The Woodlands, TX 77380 Fax: (713) 799-1095 Fax: (713) 799-1095 Phone: (713) 668-6828 Phone: (281) 367-9700 350 Kingwood Medical Dr Ste Fax: (713) 668-3823 200 750 Westgreen Blvd #250 Benz, Matthew, MD 100 Medical Center Blvd, #218 Kingwood, TX 77339 Katy, TX 77450 Zaman, Fiaz, MD Retina Consultants of Conroe, TX 77304

9/1/2021 Page 26 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Phone: (713) 799-9975 Phone: (713) 799-9975 Fax: (713) 799-1095 Strut, Ivan, OD ORTHOPAEDIC Surgery Fax: (713) 799-1095 Fax: (713) 799-1095 St. Hope Foundation, Inc. Eager, John, MD 200 Ogletree Dr 6807 Emmett F. Lowry Expy, 100 Medical Center Blvd #218 2727 Gramercy, #200 Livingston, TX77351 Ste 302 Specialty Associated of Conroe, TX 77304 Houston, TX 77025 Phone: (713) 799-9975 Texas City, Tx 77591 West Houston, PLLC Phone: (713) 799-9975 Phone: (713) 799-9975 Fax: (713) 799-1095 Phone: 832-431-5162 12606 West Houston Center Blvd ste 350 Fax: (713) 799-1095 Fax: (713) 799-1095 Fax: 832-431-5142 Houston, TX 77082 2801 S John Redditt Dr #B Phone: 281-496-2482 3345 Plaza 10 Dr #B 1205 S Austin Lufkin, TX 75904 6800 WEST LOOP SOUTH, Fax: 281-496-8889 Beaumont, TX 77707 Brenham, TX 77833 Phone: (713) 799-9975 SUITE 560 Phone: (713) 799-9975 Phone: (713) 799-9975 Fax: (713) 799-1095 Bellaire, TX 77401 Elders, Gregory Jay, MD Fax: (713) 799-1095 Fax: (713) 799-1095 Phone: 713-839-7111 Surgical Specialists of 3804 John Stockbauer Dr #A Fax: 713-839-7156 Conroe, PLLC Khawly, Joseph, MD 8588 Katy Frwy #101 Victoria, TX 77904 500 Medical Center Blvd Ste Retina & Vitreous Of Houston, TX 77024 Phone: (713) 799-9975 13020 DAIRY ASHFORD ROAD 218 Texas, PLLC Phone: (713) 799-9975 Fax: (713) 799-1095 #100 Conroe, TX 77304 2727 Gramercy, Ste #200 Fax: (713) 799-1095 Sugar Land, TX 77478 Phone: 936-756-2229 Houston, TX 77025 OPTOMETRY Phone: 281-277-8571 Fax: 844-274-2115 Phone: (713) 799-9975 3345 Plaza 10 Dr #B Becker, Troy, OD Fax: 281-277-8564 Martin, Jerry, MD Beaumont, TX77707 Retina Consultants of 750 Westgreen Blvd #250 1414 S. FRAZIER SUITE #106 Surgical Specialists of Phone: (713) 799-9975 Houston Katy, TX 77450 Conroe, TX 77301 Conroe, PLLC Fax: (713) 799-1095 713-524-3220 Phone: 936-441-2440 129 Medical Park Ln Ste A 6560 Fannin St Ste 750 100 Medical Center Blvd #218 Tzu, Jonathan H., MD Fax: 800-249-5020 Huntsville, TX 77340 Houston, TX 77030 Conroe, TX 77304 Retina & Vitreous of Phone: 936-291-3459 Fax: 713-524-3434 Phone: (713) 799-9975 Texas, PLLC 255 NORTHPOINT DRIVE, Fax: 936-294-0027

Fax: (713) 799-1095 2727 Gramercy #200 SUITE 200 10907 Memorial Hermann Dr ORTHOPEDIC SPINE Houston, TX 77025 Houston, TX 77060 Ste 450 SURGERY 3345 Plaza 10 Dr # B Phone: (713) 799-9975 Phone: 832-300-8040 Pearland, TX 77584 Beaumont, TX 77707 Fax: (713) 799-1095 Fax: 832-300-8041 Dromsky, David Michael,

Phone: (713) 799-9975 MD 4460 Bissonnet St Ste 200 Williams, Renee, OD Fax: (713) 799-1095 100 Medical Center Blvd #218 Surgical Specialists of Bellaire, TX 77401 Avery Eye Clinic Conroe, TX 77304 Conroe, PLLC Lambert, H. Michael, MD Phone: 713-524-3434 400 South Loop 336 West Phone: (713) 799-9975 500 Medical Center Blvd ste Fax: 713-524-3220 Conroe, TX 77304 Retina & Vitreous Of Fax: (713) 799-1095 218 Texas, PLLC Phone: (936) 539-4500 Black, Paul, OD Conroe, TX 77304 2727 Gramercy, Ste #200 Fax: (936) 539-4050 750 Westgreen Blvd #250 Avery Eye Clinic Phone: 936-756-2229 Houston, TX 77025 Katy, TX 77450 400 S Loop 336 West Fax: 844-274-2115 Phone: (713) 799-9975 129 Vision Clinic Phone: (713) 799-9975 Conroe, TX 77304 Shenandoah, TX 77384 Rahman, Hassan T., MD Fax: (713) 799-1095 Phone: 936-539-4500 504 Medical Center Blvd

Retina and Vitreous of Fax: 936-539-4050 3361 Montgomery Rd Subramanian, Navin, MD Texas, PLLC 2734 Sunrise Lake Blvd #303 Huntsville, TX 77304 Orthopaedic Associates LLP Pearland, TX 77584 129 Vision Park Blvd Ste 110 750 Westgreen Blvd., #250 1900 North Loop West #670 Phone: (713) 799-9975 The Woodlands, TX 77384 Katy, TX 77450 Houston, TX 77018 Fax: (713) 799-1095 Phone: 936-539-4500 Phone: (713) 799-9975 Phone: (713) 650-6900 Fax: 936-539-4050 Fax: (713) 799-1095 Fax: (713) 655-0956 350 Pine Street #330

Beaumont, TX 77701 3361 Montgomery Rd 100 Medical Center Blvd., #218 22751 Professional Dr #250 Phone: (713) 799-9975 Huntsville, TX 77340 Conroe, TX 77304 Kingwood, TX 77339

9/1/2021 Page 27 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Phone: (713) 650-6900 Specialty Associates of 129 Medical Park Ln, Ste A Orthopaedic Associates LLP Fax: (713) 655-0956 12606 W Houston Center Blvd West Houston, PLLC Huntsville, TX 77340 1315 St Joseph Pkwy #800 Ste 350 800 Peakwood Dr, #5 Houston, TX 77002 Ward, Jesse, MD 1315 St Joseph Pkwy #800 Houston, TX 77082 Houston, Tx 77090 Phone: (713) 650-6900 Surgical Specialists of Houston, TX 77002 Phone: 832-353-2498 Fax: (713) 655-0956 Conroe, PLLC Phone: (713) 650-6900 13635 Michel Rd Fax: 832-353-2499 129 Medical Park Ln Fax: (713) 655-0956 Tombal, TX 77375 1900 North Loop West #670 Jaglowski, Jeffrey, MD Huntsville, TX 77340 Houston, TX 77018 ORTHOPEDIC SPORTS Carson, James, MD Speciality Associates of Phone: 936-291-3459 Phone: (713) 650-6900 MEDICINE Specialty Associates of West Houston, PLLC Fax: 936-294-0027 Fax: (713) 655-0956 West Houston, PLLC 6807 Emmet F Lowrey Expy Jordan, William, MD 24721 Tomball Pkwy Ste 101 Westmoreland, James B., MD 22751 Professional Drive #250 Mark Ciaglia Do Tombal, Tx 77375 Texas City, TX 77591 Kingwood, TX 77339 17450 St Lukes Way # 390 Phone: 281-571-7508 Phone: 281-486-7900 Surgical Specialists of Phone: (713) 650-6900 Conroe, TX 77384 Fax: 281-571-3806 Fax: 281-461-6833 Conroe Phone: (512) 750-9294 500 Medical Center Blvd #218 Fax: (713) 655-0956 Masson, Marcos, MD Conroe, TX 77304 Parameswaran, Angelo 22999 Highway 59N Ste 210 Kushwaha, Vivek, MD ROC Houston, PA Phone: (936) 756-2229 Dushi, MD Kingwood, TX 77339 Orthopaedic Associates LLP 1200 Binz #100 Fax: (844) 274-2115 ROC Houston, PA Phone: 281-571-7508 707 S Fry Rd #255 Houston, TX 77004 1200 Binz #100 Katy, TX 77450 Phone: (713) 520-1210 ORTHOPEDICS Houston, TX 77004 800 Peakwood Dr Ste 5D Phone: (713) 650-6900 Fax: (713) 400-8302 Barkoh, Kaku, Md Phone: (713) 520-1210 Houston, TX 77090 Fax: (713) 655-0956 Orthopaedic Associates LLP Fax: (713) 400-8302 Moulton, Darrell Lee, MD Chapel, Ross, MD 215 Kingwood Executive Dr Specialty Associaties of 5420 West Loop South #2300 McAllen Comprehensive Kingwood, TX 77339 ORTHOPEDIC SURGERY West Houston, PLLC Bellaire, TX 77401 Upper Extremity Center Phone: 281-358-0320 Buckle, Rosemary, MD 222 East Ridge Rd 6807 Emmett F Lowry Expwy, Phone: (713) 650-6900 Ste 101 Specialty Associates of McAllen, TX 78503 Chronister, Justin, MD Fax: (713) 655-0956 Texas City, TX 77591 West Houston, PLLC Phone: (956) 992-0404 Orthopaedic Associates LLP Phone: 281-461-7900 Lin, David L., MD 1200 Binz St Ste 580 Fax: (956) 992-0414 707 S Fry Rd #255 Fax: 281-461-6833 Orthopaedic Associates LLP Houston, TX 77004 Katy, TX 77450 22751 Professional Dr #250 Phone: 281-758-2695 3330 N McColl Rd Ste 101 Phone: (713) 650-6900 Neustein, Adam, MD Kingwood, TX 77339 Fax: 833-272-9433 McAllen, TX 78501 Fax: (713) 655-0956 Specialty Associates of Phone: (713) 650-6900 West Houston, PLLC , Maxim, MD Fax: (713) 655-0956 5151 Katy Fwy Ste 130 22999 Highway 59 N 22751 Professional Dr #250 Specialty Associates of Kingwood, TX 77339 Kingwood, TX 77339 Caldwell, Kenneth, MD West Houston, PLLC 1315 St Joseph Pkwy #800 Phone: 281-571-7508 Phone: (713) 650-6900 East Orthopedics, PLLC 22999 Hwy 59 N Ste 210 Houston, TX 77002 Fax: 281-571-7512 Fax: (713) 655-0956 13111 East Freeway Kingwood, TX 77339 Phone: (713) 650-6900

Houston, TX 77015 Phone: 281-571-7508 Fax: (713) 655-0956 O'Hara Low, Brandon, MD 1315 St Joseph Pkwy #800 Phone: (713)393-2000 Fax: 281-571-7512 Specialty Associates of Houston, TX 77002 Fax: (713)393-2770 1900 North Loop West #670 West Houston, PLLC Phone: (713) 650-6900 Dickson, Kyle F., MD Houston, TX 77018 Carayannopoulos, 6807 Emmett F Lowry Exwy , Fax: (713) 655-0956 Southwest Orthopedic Ste 101 Phone: (713) 650-6900 Nikoletta, DO Group Texas City, TX 77591 Fax: (713) 655-0956 Specialty Associates of 6560 Fannin #1016 1900 Noth loop West #670 Phone: 281-486-7900 West Houston, PLLC Houston, TX 77030 Houston, TX 77018 Fax: 281-461-6833 707 S Fry Rd #255 Phone: (713) 650-6900 720 W 11th St Phone: (713) 800-1080 Katy, TX 77450 Fax: (713) 655-0956 Houston, TX 77008 Fax: (713) 800-1081 Tanksley Jr, John, MD Phone: (713) 650-6900 Phone: (281) 496-2482 Surgical Specialists of Hubert, Mark G, MD Harvey, Gregory P., MD Fax: (713) 655-0956 Fax: (281) 496-8889 Conroe, PLLC

9/1/2021 Page 28 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Rechter, Alan J., MD OTOLARYNGOLOGY 9303 Pinecroft #320 Baylor Pathology Phone: 713-948-7000 Orthopaedic Associates LLP The Woodlands, TX 77380 Consultants Allen, Shawn, MD Fattor, Ron, MD 707 S Fry Rd #255 Phone: 713-714-1399 One Baylor Plaza Franklin Douglis, MD, PA Community Pathology Katy, TX 77450 Fax: 713-389-5798 Houston, TX 77030 3000 W Davis St Associates Phone: (713) 650-6900 Phone: (713) 798-4661 Conroe, TX 77304 Redko, Vladimir, MD One Baylor Plaza #286A Fax: (713) 655-0956 Phone: 936-539-9322 Pain And Health Brugo, Eduardo, MD Houston, TX 77030

Management Center Community Pathology Phone: (713) 798-3677 5420 West Loop South #2300 Douglis, Franklin, ENT 6560 Fannin St #2020 Associates Fax: (713) 798-6126 Bellaire, TX 77401 Franklin Douglis, MD, PA Houston, TX 77030 One Baylor Plaza #286A Phone: (713) 650-6900 3000 W. Davis St. Filipowicz, Ewa, MD Phone: (713) 790-1400 Houston, TX 77030 Fax: (713) 655-0956 Conroe, TX 77304 Community Pathology Fax: (713) 790-1499 Phone: (713) 798-3677 Phone: (936) 539-9322 Associates Riedel, Amy, DPM Fax: (713) 798-6126 Sanchez, Benny J., MD One Baylor Plaza #286A Orthopaedic Associates LLP Nguyen, Ninh, DO Benny J. Sanchez Chen, Chen, MD Houston, TX 77030 22751 Professional Dr #250 Specialty Associates of 25329 I45 #B Community Pathology Phone: (713) 798-3677 Kingwood, TX 77339 West Houston, PLLC The Woodlands, TX 77380 Associates Fax: (713) 798-6126 Phone: (713) 650-6900 11307 FM 1960 Rd W, 260 Phone: (281) 419-6888 One Baylor Plaza #286A Fax: (713) 655-0956 Houston, Tx 77065 Fletes, James, MD Fax: (281) 419-3705 Houston, TX 77030 Phone: 832-604-3636 Community Pathology Phone: (713) 798-3677 707 S Fry Rd #255 Fax: 281-469-8932 Sprintz, Michael, DO Associates Fax: (713) 798-6126 Katy, TX 77450 Sprintz Center for Pain One Baylor Plaza #286A Phone: (713) 650-6900 O'Neal, J. Patrick, MD and Dependency Cohen, Lisa, MD Houston, TX 77030 Fax: (713) 655-0956 Conroe Physician 111 Vision Park BLVD Community Pathology Phone: (713) 798-3677 Associates Suite# 100 Associates Fax: (713) 798-6126 (936) 760-4600 ext. 5002 1900 N Loop West #670 Shenandoah, TX 77384 One Baylor Plaza #286A 508 Medical Center Blvd., #200 Goodman, Jerry, MD Houston, TX 77018 Phone: (713) 714-1399 Houston, TX 77030 Conroe, TX 77304 Community Pathology Phone: (713) 650-6900 Phone: (713) 798-3677 Phone: (936) 760-4600 Wu, Kenneth, MD Associates Fax: (713) 655-0956 Fax: (713) 798-6126 Pain Addiction Consultants One Baylor Plaza #286A Fax: (936) 760-4601 9303 Pinecroft #320 Houston, TX 77030 1315 St Joseph Pkwy #800 Coonrod, Theodore, MD OUTPATIENT EEG The Woodlands, Tx 77380 Phone: (713) 798-3677 Houston, TX 77002 Community Pathology MONITORING Phone: 713-714-1399 Fax: (713) 798-6126 Phone: (713) 650-6900 Associates Fax: 713-389-5798 Fax: (713) 655-0956 BrainCare, LLC One Baylor Plaza #286A Grimmer, Daniel, MD Houston, TX 77030 2670 Firewheel Dr #B PATHOLOGY Community Pathology ORTOPAEDIC SURGERY Flower Mound, TX 75028 Phone: (713) 798-3677 Associates Ayala, Gustavo, MD Fax: (713) 798-6126 Heath, Dalton, MD Phone: (866) 848-2522 4600 E Sam Houston Pkwy S Fax: (877) 290-1544 Community Pathology Surgical Specialists of Curry, Jonathan, MD Pasadena, TX 77505 Associates Conroe, PLLC Phone: (713) 559-6929 PAIN MANAGEMENT One Baylor Plaza #286A Community Pathology 129 Medical Park Ln Ste A Associates Baumgartner Jr, Edward, Houston, TX 77030 Huntsville, TX 77340 One Baylor Plaza #286A 17200 St Lukes Way MD Phone: (713) 798-3677 Phone: 936-291-3459 Houston, TX 77030 The Woodlands, TX 77384 Fax: (713) 798-6126 Fax: 936-294-0027 Houston Pain Centers Phone: (713) 798-3677 Phone: (877) 257-4123 13636 Breton Ridge #B Banez, Eugenio, MD Fax: (713) 798-6126 Houston, TX 77070 Community Pathology 3200 Wilcrest Ste 600 Dhingra, Sadhna, MD Phone: (713) 973-7246 Associates Houston, TX 77042 Fax: (832) 553-1337 One Baylor Plaza #286A Community Pathology Phone: (713) 432-1500 Associates Dickens, Ella, MS, LPS, Houston, TX 77030 4600 E Sam Houston Guttierrez, M. Carolina, LCDC Phone: (713) 798-3677 Pasadena, Tx MD Fax: (713) 798-6126 Pain Addiction Consultants Community Pathology

9/1/2021 Page 29 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Associates Phone: (713) 798-3677 Houston, TX 77030 Palmer, Robert, MD One Baylor Plaza #286A One Baylor Plaza #286A Fax: (713) 798-6126 Phone: (713) 798-3677 Community Pathology Houston, TX 77030 Houston, TX 77030 Fax: (713) 798-6126 Associates Phone: (713) 798-3677 Ibanez, Joe, MD Phone: (713) 798-3677 One Baylor Plaza #286A Fax: (713) 798-6126 Community Pathology Martel, Armand, MD Fax: (713) 798-6126 Houston, TX 77030 Associates Community Pathology Rouah, Emilie, MD Phone: (713) 798-3677 Hartley, Lawrence, MD One Baylor Plaza #286A Associates Community Pathology Fax: (713) 798-6126 Community Pathology Houston, TX 77030 One Baylor Plaza #286A Associates Associates Phone: (713) 798-3677 Houston, TX 77030 Perez, Edward, MD One Baylor Plaza #286A One Baylor Plaza #286A Fax: (713) 798-6126 Phone: (713) 798-3677 Community Pathology Houston, TX 77030 Houston, TX 77030 Fax: (713) 798-6126 Associates Phone: (713) 798-3677 Inform Diagnostics Inc Phone: (713) 798-3677 One Baylor Plaza #286A Fax: (713) 798-6126 8400 Esters Blvd., #190 Mawad, Janine, MD Fax: (713) 798-6126 Houston, TX 77030 Irving, TX 77063 Community Pathology Shumate-Wilson, Anne, Phone: (713) 798-3677 Hebert, Michelle, MD Phone: (972) 331-3150 Associates MD Fax: (713) 798-6126 One Baylor Plaza #286A Community Pathology Community Pathology Jackson, David, MD Associates Houston, TX 77030 Powaser, Peter, MD Associates Community Pathology One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Associates Community Pathology Houston, TX 77030 Fax: (713) 798-6126 Associates Houston, TX 77030 One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Phone: (713) 798-3677 Houston, TX 77030 Monheit, Jacqueline, MD Fax: (713) 798-6126 Houston, TX 77030 Fax: (713) 798-6126 Phone: (713) 798-3677 Community Pathology Phone: (713) 798-3677 Helekar, Bharati, MD Fax: (713) 798-6126 Associates Sur, Nilanjana, MD Fax: (713) 798-6126 One Baylor Plaza #286A Community Pathology Community Pathology Knowles, Kurt, MD Associates Houston, TX 77030 Quadri, Syed, MD Associates Community Pathology One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Associates Community Pathology Houston, TX 77030 Fax: (713) 798-6126 Associates Houston, TX 77030 One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Phone: (713) 798-3677 Houston, TX 77030 Murphy, Kim, MD Fax: (713) 798-6126 Houston, TX 77030 Fax: (713) 798-6126 Phone: (713) 798-3677 Community Pathology Phone: (713) 798-3677 Heyns Jr., William, MD Fax: (713) 798-6126 Associates Wheeler, Thomas, MD Fax: (713) 798-6126 One Baylor Plaza #286A Community Pathology Community Pathology Koehl, Michael, MD Associates Houston, TX 77030 Ramos, Maria, MD Associates Community Pathology One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Associates Community Pathology Houston, TX 77030 Fax: (713) 798-6126 Associates Houston, TX 77030 One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Phone: (713) 798-3677 Houston, TX 77030 Naqvi, Jabeen, MD Fax: (713) 798-6126 Houston, TX 77030 Fax: (713) 798-6126 Phone: (713) 798-3677 Community Pathology Phone: (713) 798-3677 Hicks, M. John, MD Fax: (713) 798-6126 Associates Yawn, David, MD Fax: (713) 798-6126 One Baylor Plaza #286A Community Pathology Community Pathology Krull, Frank, MD Associates Houston, TX 77030 Ramos, Oscar, MD Associates Community Pathology One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Associates Community Pathology Houston, TX 77030 Fax: (713) 798-6126 Associates Houston, TX 77030 One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Phone: (713) 798-3677 Houston, TX 77030 Ostrowski, Mary, MD Fax: (713) 798-6126 Houston, TX 77030 Fax: (713) 798-6126 Phone: (713) 798-3677 Community Pathology Phone: (713) 798-3677 Huttenbach, Yve, MD Fax: (713) 798-6126 Associates Younes, Mamoun, MD Fax: (713) 798-6126 One Baylor Plaza #286A Community Pathology Community Pathology Lofton, Randall, DO Associates Houston, TX 77030 Reed, Jon, MD Associates Community Pathology One Baylor Plaza #286A Phone: (713) 798-3677 One Baylor Plaza #286A Associates Community Pathology Houston, TX 77030 Fax: (713) 798-6126 Associates Houston, TX 77030 One Baylor Plaza #286A

9/1/2021 Page 30 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Phone: (713) 798-3677 Kingwood Physical Therapy and 409 Spring, Tx 77379 Davis, Nancy, PT Fax: (713) 798-6126 18001 Highway 105 w Suite Humble, TX 77346 Phone: (281) 358-1838 Cleveland Physical 106 Phone: 281-812-6665 Therapy LTD. Henry, Casandra, PT PHYSICAL MEDICINE & Montgomery, Tx 77356 102 North Travis Griggs, Karen, ORT CHT REHABILITATION Phone: 936-582-2464 Kingwood Physical Therapy Cleveland, TX 77327 Cleveland Physical Hird, Travis, MD Fax: 936-582-4697 21301 Kuykendahl #B Phone: 281-592-2884 Therapy LTD. Spring, TX 77379 Travis Hird, MD Campbell, Deborah, PT 102 North Travis Phone: (281) 358-1838 117 Vision Park Blvd Fahrner, John, DPT Lake Houston Physical Cleveland, TX 77327 Shenandoah, TX 77384 Kingwood Physical Therapy Henry, CaSandra, PT Therapy Limited Phone: 281-592-2884 Phone: 888-609-7281 Partnership 18001 Highway 105 w Suite Cleveland Physical 106 Griggs, Karen, OTR CHT Therapy LTD. Jorgensen, Jason, DO 7840 FM 1960 E, Suites 408 and 409 Montgomery, Tx 77356 Lake Houston Physical 102 North Travis Breathing Center of Texas Humble, TX 77346 Phone: 936-582-2464 Therapy Limited Cleveland, TX 77327 17937 Interstate 45 S Phone: 281-812-6665 Fax: 936-582-4697 Partnership Phone: Shenandoah, TX 77385 7840 FM 1960 E, Suites 408 281-592-2884 Fahrner, Johnathan, PT Phone: (936) 273-0015 Campbell, Deborah, PT and 409 Fax: (713) 660-0931 Cleveland Physical Cleveland Physical Humble, TX 77346 Henry, CaSandra, PT Therapy LTD. Therapy LTD. Phone: 281-812-6665 Lake Houston Physical PHYSICAL THERAPY 102 North Travis 102 North Travis Therapy Limited Hampton, Kelly, PT Barranco, Jason, MPT Cleveland, TX 77327 Cleveland, TX 77327 Partnership Breathing Center of Texas Cleveland Physical Phone: 281-592-2884 Phone: 281-592-2884 7840 FM 1960 E, Suites 408 and 409 Therapy LTD. 17937 Interstate 45 S Cook, Dustin, PT Fahrner, Johnathan, PT Humble, TX 77346 102 North Travis Shenandoah, TX 77385 Better Care Phusical Lake Houston Physical Phone: 281-812-6665 Cleveland, TX 77327 Phone: (936) 273-0015 Therapy Therapy Limited Phone: 281-592-2884 Fax: (713) 660-0931 Hollis, Sharon, PT 18059 Hwy 105 W Ste 105 Partnership Montgomery Physical Barranco, Jason, MPT Montgomery, Tx 77356 7840 FM 1960 E, Suites 408 Happe, Dawn, PT and 409 Therapy Lake Houston Physical Phone: 936-494-8024 Montgomery Physical Humble, TX 77346 20873 Eva St Ste C Therpay Limited Fax: 936-449-8273 Therapy Phone: 281-812-6665 Montgomery, TX 77356 Partnership 20873 Eva Street, #C 7840 FM 1960 E suites 408 804 W Montgomery Graff, Megan, PT Montgomery, TX 77356 Karsteter, Page, DSCPT Phone: (936) 597-5323 and 409 Willis, Tx 77378 Cleveland Physical Cleveland Physical

Humble, Tx 77346 Phone: 936-856-8908 Therapy LTD. Therapy LTD. 1501 Riverpointe Dr., #130 Phone: 281-812-6665 Fax: 936-856-8022 102 North Travis 102 North Travis Conroe, TX 77304 Cleveland Cleveland, TX 77327 Barranco, Jason, PT Davis, Nancy, PT Phone: (936) 597-5323 Cleveland, TX 77327 Phone: 281-592-2884 Kingwood Physical Therapy Kingwood Physical Therapy Phone: 281-592-2884 Haren, MaryLou, PT 18001 Highway 105 w Suite 18001 Highway 105 w Suite Karsteter, Page, DSCPT 106 Cleveland Physical Therapy 106 Graff, Megan, PT Lake Houston Physical Montgomery, TX 77356 Montgomery, TX 77356 Kingwood Physical Therapy 102 N Travis Therapy Limited Phone: 936-582-2464 Phone: 936-582-2464 18001 Highway 105 w Suite Cleveland, TX 77327 Partnership Fax: 936-582-4697 Fax: 936-582-4697 106 Phone: (281) 592-2884 7840 FM 1960 E, Suites 408 Montgomery, Tx 77356 and 409 Brown, Christopher, PT Davis, Nancy, PT Haren, Marylou, PT Phone: 936-582-2464 Humble, TX 77346 Breathing Center of Texas Lake Houston Physical Kingwood Physical Therapy Fax: 936-582-4697 Phone: 281-812-6665 17937 Interstate 45 S Therapy Limited 23780 US 59 North Shenandoah, TX 77385 Partnership Graff, Megan, PT Kingwood, tx 77339 Karsteter, Page, PT Phone: (936) 273-0015 7840 FM 1960 E, Suites 408 Lake Houston Physical Phone: 281-358-1838 Kingwood Physical Therapy Fax: (713) 660-0931 and 409 Therapy Limited 23780 US 59N Humble, TX 77346 Partnership 21301 Kuykendahl Ste B Campbell, Deborah, PT Kingwood, TX 77339 Phone: 281-812-6665 7840 FM 1960 E, Suites 408

9/1/2021 Page 31 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Phone: (281) 359-1838 and 409 Cleveland Physical Riebl, Benjamin, PT DPT Ruzicka, Jonathan, PT Humble, TX 77346 Therapy LTD. Kaufman, Heather, DPT Lake Houston Physical Cleveland Physical Phone: 281-812-6665 102 North Travis Therapy Limited Lake Houston Physical Therapy LTD. Cleveland, TX 77327 Partnership Therapy Limited Lawhon, Brody, Pt 102 North Travis Phone: 281-592-2884 Partnership 7840 FM 1960 E, Suites 408 Cleveland, TX 77327 Montgomery Physical and 409 7840 FM 1960 E, Suites 408 Therapy Perry, Bradley, PT Phone: 281-592-2884 Humble, TX 77346 and 409 20873 Eva St Ste C Kingwood Physical Therapy Phone: 281-812-6665 Houston Spine & Humble, TX 77346 Montgomery, TX 77356 18001 Highway 105 w Suite Rehabiliation Phone: 281-812-6665 106 Riebl, Benjamin, PT DPT Mazuca, Arthur, PT Phone: 281-362-0006 Kaufman, Heather, DPT Montgomery, TX 77356 Cleveland Physical Cleveland Physical Phone: 936-582-2464 Therapy LTD. Shippey, Andrew, PT Cleveland Physical Therapy LTD. Fax: 936-582-4697 102 North Travis Lake Houston Physical Therapy LTD. 102 North Travis Cleveland, TX 77327 Therapy Limited 102 North Travis Cleveland, TX 77327 Perry, Bradley, PT Phone: 281-592-2884 Partnership Cleveland, TX 77327 Phone: 281-592-2884 Lake Houston Physical 7840 FM 1960 E, Suites 408 Phone: Therapy Limited Rowjee, Neemisha, PT and 409 281-592-2884 Mazuca, Arthur, PT Partnership Lake Houston Physical Humble, TX 77346 Lake Houston Physical Kaufman, Heather, PT 7840 FM 1960 E, Suites 408 Therapy Limited Phone: 281-812-6665 Therapy Limited and 409 Kingwood Physical Therapy Partnership Partnership Humble, TX 77346 Shippey, Andrew, PT 18001 Highway 105 W Ste 106 7840 FM 1960 E, Suites 408 7840 FM 1960 E, Suites 408 Phone: 281-812-6665 and 409 Cleveland Physical Montgomery, Tx 77356 and 409 Humble, TX 77346 Therapy LTD. Phone: 936-582-2464 Humble, TX 77346 Phillips, Laura, MPT Phone: 281-812-6665 102 North Travis Fax: 936-582-4697 Phone: 281-812-6665 Cleveland Physical Cleveland, TX 77327 Therapy LTD. Rowjee, Neemisha, PT Kelly, Kristin, PT MS Mazuca, Arthur, PT Phone: 281-592-2884 102 North Travis Cleveland Physical Pit Stop Rehab Kingwood Physical Therapy Cleveland, TX 77327 Therapy LTD. Smalling, Matthew, PT 119 N College Ave 23780 US 59N Phone: 281-592-2884 102 North Travis Kingwood Physical Therapy Cleveland, TX 77327 Kingwood, TX 77339 Cleveland, TX 77327 23780 US 59N Phone: (281) 592-3008 Phone: (281) 359-1838 Phillips, Laura, MPT Phone: 281-592-2884 Kingwood, TX 77339 Fax: (281) 592-3003 Lake Houston Physical Phone: (281) 359-1838 Miller, Debra, MHSPT, CHT Therapy Limited Rowjee, Neemisha, PT Kollister, Stephanie, PT ROC Houston, PA Partnership Kingwood Physical Therapy Smalling, Matthew, PT Kingwood Physical Therapy 1200 Binz, #100 7840 FM 1960 E, Suites 408 23780 US 59N Cleveland Physical 23780 US 59N Houston, TX 77004 and 409 Kingwood, TX 77339 Therapy LTD. Kingwood, TX 77339 Phone: (713) 520-1210 Humble, TX 77346 Phone: (281) 359-1838 102 North Travis Phone: (281) 359-1838 Fax: (713) 400-8302 Phone: 281-812-6665 Cleveland, TX 77327 Ruzicka, Jonathan, PT Kollister, Stephanie, PT Moore, Rachel, PT Phillips, Laura, PT Phone: 281-592-2884 Lake Houston Physical Cleveland Physical Lake Houston Physical Kingwood Physical Therapy Therapy Limited Smalling, Matthew, PT Therapy LTD. Therapy 18001 Highway 105 w Suite Partnership Lake Houston Physical 102 North Travis 106 7840 FM 1960 E Ste 408 Lake Houston Physical Therapy Limited Cleveland, TX 77327 Humble, TX 770346 Montgomery, TX 77356 Therapy Limited Partnership Partnership Phone: Phone: (281) 812-6665 Phone: 936-582-2464 Humble, TX 77346 7840 FM 1960 E, Suites 408 281-592-2884 Fax: 936-582-4697 Phone: 281-812-6665 and 409 Performance Physical Humble, TX 77346 Kollister, Stephanie, PT Therapy & Sports Medicine Riebl, Benjamin, PT Ruzicka, Jonathan, PT Phone: 281-812-6665 Lake Houston Physical 19053 I 45 # B Kingwood Physical Therapy Kingwood Physical Therapy Therapy Limited Conroe, TX 77358 23780 US 59N 23780 US 59N Soileau, Matthew, PT Partnership Phone: (936) 321-1101 Kingwood, TX 77339 Kingwood, TX 77339 Montgomery Physical 7840 FM 1960 E, Suites 408 Phone: (281) 359-1838 Therapy Perry, Bradley, PT Phone: (281) 359-1838

9/1/2021 Page 32 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY 20873 Eva Street, #C Montgomery Physical 102 North Travis McMillan, Amanda, PA Fax: (936) 760-4601 Montgomery, TX 77356 Therapy Cleveland, TX 77327 Health Center of Phone: (936) 597-5323 20873 Eva Street, #C Southeast Texas 18059 Hwy 105 West #120 Watson, Kelly, PT Montgomery, TX 77356 307 N William Barnett Ave Montgomery, Tx 77356 Kingwood Physical Therapy 1501 Riverpointe Dr., #130 Phone: (936) 597-5323 Cleveland, TX 77327 Phone: 936-582-5640 23780 US 59N Conroe, TX 77304 Fax: (936) 597-8914 Fax: 936-582-5643 Kingwood, TX 77339 Phone: (936) 597-5323 Murphy, John, PA Phone: (281) 359-1838 Green, Janelle, PA 1501 Riverpointe Dr., #130 Specialty Associates of Stowe, Walter, PT West Houston, PLLC Heart Rhythm Associaties Conroe, TX 77304 Yap, Howard, PT Better Care Chiropractic & 21208 Northwest Fwy Ste 100 Pa Phone: (936) 597-5323 Texan Physical Therapy & Physical Therapy Cypress, TX 77429 920 Medical Plaza Dr Ste 300 Rehabilitation Services 804 W Montgomery Vander Bloomen, Kelly, PT Phone: (713) 426-2400 The Woodlands, TX 77380 206 S College Willis, TX 77378 Kingwood Physical Therapy Fax: (713) 426-3204 Phone: (281) 296-0788 Cleveland, TX 77327 Phone: (936) 856-8908 18001 Highway 105 w Suite Fax: (281) 296-0780 106 Phone: 832-480-5212 Qualls, Lindsey, PA Sutherby-Fields, Ann- Lehman, Jennifer, PA Montgomery, TX 77356 Fax: 936-273-8885 Occupational & Family Marie, PT Medicine of S TX Elite Heart, Lund and Vein Phone: 936-582-2464 PHYSICAL THERAPY & Better Care Physical Theray 3801 Vista Rd Ste 100 Surgeons PLLC Fax: 936-582-4697 SPORTS MEDICINE 18059 Hwy 105 W Ste 105 Pasadena, TX 77504 920 Medical Plaza Dr Ste 360 Montomery, Tx 77356 VanVuuren, Maria, MPT Access Physical Therapy Phone: (281) 249-2273 Shenandoah, TX 77380 Phone: 936-449-8024 Lake Houston Physical 1501 Riverpointe Dr., #130 Phone: (281) 803-8482 Williams, Terri, NP Fax: 936-449-8273 Therapy Limited Conroe, TX 77304 Fax: (281) 803-8432 Partnership Phone: (936) 756-0086 Specialty Associates of 804 W 7840 FM 1960 E, Suites 408 West Houston, PLLC PHYSICIANS ASSTISTANT Montgomery, Willis Tx and 409 PHYSICIAN ASSISTANT 1045 Gemini St Ste 200B Shearer, Melissa, PA Humble, TX 77346 Houston, TX 77058 Phone: 936-449-8024 Dore, Kyle Wayne, PA The Woodlands Skin Phone: 281-812-6665 Phone: (281) 461-6830 Fax: 936-449-8273 Specialty Associates of Surgery Center Fax: (281) 461-6833 Tenido, Galicano, PT VanVuuren, Maria, MPT West Houston, PLLC 8850 Six Pines Dr Ste 100 Shenandoah, TX 77380 Better Care Chiropractic & Cleveland Physical 12606 W Houston Center Blvd PHYSICIAN ASSTISTANT Therapy LTD. Ste 350 Phone: (281) 364-8844 Physical Therapy Pardo, Beatriz, PA 102 North Travis Houston, TX 77082 804 W Montgomery Surgical Specialists of PODIATRY Cleveland, TX 77327 Phone: 281-496-2482 Willis, TX 77378 Clear Lake PLLC Phone: 281-592-2884 Fax: 281-496-2482 Armstrong, Jason, DPM Phone: (936) 890-2273 2815 E Wisconsin Rd Foot & Ankle Center of VanVuuren, Maria, PT Edinburg, TX 78542 Thibodeaux, Cristina, MS 4720 Washington Ave Unit A North Houston PT Kingwood Physical Therapy Houston, TX 77007 PHYSICIANS ASSISTANT 17215 Red Oak Dr. #102 Lake Houston Physical 23780 US 59N Gentry, Alicia, PA Houston, TX 77090 Therapy Limited Kingwood, TX 77339 Andrews, Susannah, PA Phone: (281) 444-4114 Partnership Phone: (281) 359-1838 Specialty Associates of The Woodlands Skin West Houston PLLC Fax: (281) 453-1269 7840 FM 1960 E, Suites 408 Surgery Center Watson, Kelly, MPT and 409 929 Graham Dr. #B 8850 Six Pines Dr Ste 100 Lake Houston Physical 17215 Red Oak Dr #102 Humble, TX 77346 Tomball, Tx 77375 The Woodlands, TX 77380 Therapy Limited Houston, TX 77090 Phone: 281-812-6665 Phone: 281-351-0356 Phone: (281) 364-8844 Phone: (281) 444-4114 Partnership Fax: 281-351-5020 Thibodeaux, Cristina, PT 7840 FM 1960 E, Suites 408 Cullers, Suzanne, PA Fax: (281) 453-1269 and 409 Jasch, Crystal, PA Kingwood Physical Therapy Conroe Montgomery Butts, Turner, DPM Humble, TX 77346 Surgical Specialists of 23780 US 59 N Physicians Group, PLLC Foot & Ankle Center of Phone: 281-812-6665 Clear Lake Kingwood, TX 77339 508 Medical Center Blvd., #200 North Houston 500 Medical Center Blvd Phone: (281) 359-1838 Watson, Kelly, PT Conroe, TX 77304 17215 Red Oak Dr. #102 Webster, Tx 77598 Phone: (936) 760-4600 Thorell, Alan, PT Cleveland Physical Therapy Houston, TX 77090

9/1/2021 Page 33 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Phone: (281) 444-4114 Kutchback, James, DPM Phone: (281) 444-4114 Phone: (936) 760-1200 Fax: (281) 453-1269 Kutchback Podiatry Fax: (281) 453-1269 Fax: (936) 760-1210 13020 DAIRY ASHFORD ROAD #100 17191 St. Luke's Way #290 McKinney, Lorraine, DPM Sugar Land, TX 77478 17215 Red Oak Dr #102 The Woodlands, TX 77384 690 South Loop 336 West St. Hope Foundation, Inc Phone: 281-277-8571 Houston, TX 77090 Phone: (936)273-3311 Conroe, TX 77304 Phone: (281) 444-4114 6807 Emmett F. Lowry Expy Fax: 281-277-8564 Fax: (936)273-3368 Ste 302 Patel, Hemali, DPM Fax: (281) 453-1269 MacTavish, Scott, DPM Texas City, Tx 77591 Mark Ciaglia DO PC 1414 S. FRAZIER SUITE #106 Phone: 832-431-5162 Casperson, Timothy, DPM Foot & Ankle Center of 17450 St Lukes # 390 Conroe, TX 77301 (o) North Houston Fax: 832-431-5142 Conroe, TX 77384 Phone: 936-441-2440 Conroe Foot Specialists 17215 Red Oak Dr. #102 Phone: 936-242-1437 Fax: 800-249-5020 100 Medical Center Blvd #216 Houston, TX 77090 6800 WEST LOOP SOUTH, Fax: 936-447-9672 SUITE 560 Conroe, TX 77304 Phone: (281) 444-4114 255 NORTHPOINT DRIVE, Bellaire, TX 77401 Reed, Lauren, DPM Phone: (936) 291-7878 Fax: (281) 453-1269 SUITE 200 Phone: 713-839-7111 Foot & Ankle Center of Fax: (936) 295-5716 Houston, TX 77060 North Houston MacTavish, II, Lawrence, Fax: 713-839-7156 Phone: 832-300-8040 Dupuis, Travis, DPM DPM 17215 Red Oak Dr. #102 Fax: 832-300-8041 Ankle & Foot Specialists Of Foot & Ankle Center of 13020 DAIRY ASHFORD ROAD Houston, Tx 77090 Conroe North Houston #100 Phone: (281) 444-4114 Sweeney, D. , DPM 2010 S. Loop 336 W., #100 17215 Red Oak Dr. #102 Sugar Land, TX 77478 Fax: (281) 453-1269 Sweeney Foot And Ankle Conroe, TX 77304 Houston, TX 77090 Phone: 281-277-8571 Specialists Reed, Thomas, DPM Phone: (936) 756-0800 Phone: (281) 444-4114 Fax: 281-277-8564 10700 Kuykendahl Rd #J Ankle & Foot Specialists Of Fax: (936) 756-0812 Fax: (281) 453-1269 The Woodlands, TX 77381 Conroe 1414 S. FRAZIER SUITE #106 Phone: (281) 292-4944 2010 S. loop 336 West, #100 1501 River Pointe Dr., #110 18838 Memorial S. #106 Conroe, TX 77301 Fax: (281) 292-6744 Conroe, TX 77304 Conroe, TX 77304 Humble, TX 77388 Phone: 936-441-2440 Phone: (936) 756-0800 Wolf, Lance, DPM Phone: (936) 756-9191 Phone: (281) 446-7773 Fax: 800-249-5020 Ankle and Foot Specialist Fax: (281) 446-2223 Sellars, Ginger, DPM Gordon, Michael, DPM 2010 S Loop 336 W #100 255 NORTHPOINT DRIVE, Texas Foot Surgeons, PLLC Foot & Ankle Center of Mantzoros, Dimitrios, SUITE 200 Conroe, TX 77304 508 Medical Center Blvd #390 North Houston DPM (o) Houston, TX 77060 Phone: 936-756-0800 Conroe, TX 77304 17215 Red Oak Dr. #102 Dimitrios Mantzoros, DPM Phone: 832-300-8040 Fax: 936-756-0812 Phone: (936) 760-1200 Houston, Tx 77090 1501 River Pointe Dr., #110 Fax: 832-300-8041 Fax: (936) 760-1210 Phone: (281) 444-4114 Conroe, TX 77304 PROSTHETICS & ORTHOTICS Fax: (281) 453-1269 Phone: (936) 756-9191 Miles, Jerry, DPM 690 South Loop 336 West Foot & Ankle Center of Hauser Ortho & Prostetics Griffin, Bailey, DPM North Houston Conroe, TX 77304 17198 St. Luke's Way, #550 507 Waco St Foot & Ankle Center of 17215 Red Oak Dr. #102 The Woodlands, TX 77385 Steinhauser, Gian, DPM Conreo, TX 77301 North Houston Houston, TX 77090 Phone: (936) 321-1221 St. Hope Foundation, Inc. Phone: 936-441-1133 17215 Red Oak Dr. #102 Phone: (281) 444-4114 6807 Emmett F. Lowry Expy, Fax: 936-788-1156 Houston, TX 77090 Margolis, Scott, DPM Fax: (281) 453-1269 Ste 302 Phone: (281) 444-4114 Foot & Ankle Center of Texas City, Tx 77591 PSYCHIATRY Fax: (281) 453-1269 North Houston 17215 Red Oak Dr #102 Phone: 832-431-5162 Abbott-Rhodes, Rachel, D 17215 Red Oak Dr. #102 Houston, TX 77090 Hammonds, Charles, DPM Fax: 832-431-5142 O Houston, TX 77090 Phone: (281) 444-4114 Foot & Ankle Center of Corpus Christi Psychiatric Phone: (281) 444-4114 Fax: (281) 453-1269 North Houston 6800 WEST LOOP SOUTH, Specialists, PLLC Fax: (281) 453-1269 17215 Red Oak Dr. #102 Pack, William E., DPM SUITE 560 6629 Wooldridge Road Bellaire, TX 77401 Houston, TX 77090 Texas Foot Surgeons, PLLC Corpus Christi, Tx 78414 17215 Red Oak Dr #102 Phone: 713-839-7111 Phone: (281) 444-4114 9205 Pinecroft #304 Phone: 361-986-8200 Houston, TX 77090 Fax: 713-839-7156 Fax: (281) 453-1269 The Woodlands, TX 77380

9/1/2021 Page 34 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Adeshola, Terri, LPC Fax: (936) 760-2898 1414 S. FRAZIER SUITE #106 PULMONARY Pulmonary Critical Care & Tri-County Behavioral Conroe, TX 77301 Sleep Associates, PA Hale, Teresa, ANP Asi, Wael, MD Healtcare Phone: 936-441-2440 100 Medical Center Blvd, #224 Tri-County Behavioral Millennium Physicians 233 Sgt Ed Holcomb Blvd S Fax: 800-249-5020 Conroe, TX 77304 Healthcare 20207 Chasewood Park Dr Ste Conroe, Tx 77304 Phone: (936) 242-6957 233 Sgt. Ed Holcomb Blvd S 203 Phone: 936-521-6300 255 NORTHPOINT DRIVE, Fax: (936) 242-6958 Conroe, TX 77304 Houston, Tx 77339 Fax: 936-760-2898 SUITE 200 Phone: 936-521-6100 Houston, TX 77060 Phone: (281) 537-6300 Ejammal, Sam, Md Bains, Iqnoor, MD Fax: 936-760-2898 Phone: 832-300-8040 Fax: (281) 719-5933 ICU Associates of West Tri-County Behavioral Fax: 832-300-8041 Houston PLLC Healthcare 1020 Riverwood Court 135 Vision Park Blvd 12141 Richmond Ave 233 Sgt. Ed Holcomb Blvd S Conroe, TX 77304 Rezaee, Ziba, MD Shenandoah, TX 77384 Houston, Tx 77082 Conroe, TX 77304 Phone: (936) 521-6300 Tri-County Behavioral Phone: 281-943-2440 Phone: 281-588-8081 Phone: 936-521-6100 Fax: (936) 760-2898 Healthcare Fax: 281-943-2404 Fares, Salah, MD Fax: 936-760-2898 706 Fm 2854 Rd Memon, Naim A, MD Conroe, Tx 77301 1111 Medical Plaza Dr Ste 250 Millennium Physicians Tri-County Behavioral Bennett, Girly, MD Phone: 936-538-1102 Woodlands, TX 77380 18488 Interstate 45 South Healthcare Tri-County Behavioral Fax: 936-760-2898 Phone: 281-296-8788 Shenandoah, TX 77384 706 Fm 2854 Rd Healthcare Fax: 281-719-5938 Phone: 281-440-5006 Conroe, Tx 77301 PSYCHOLOGY 706 FM 2854 Rd Fax: 281-719-5936 Phone: 936-538-1102 Conroe, Tx 77301 Balaram, Manjunath, MD 1125 Cypress Station Ste E Fax: 936-760-2898 Phone: 936-538-1102 Corpus Christi Psychiatric Houston, TX 77090 20207 chasewood Park Dr Ste Fax: 936-760-2989 203 O'Connor, David, MD Specailists PLLC Phone: 281-537-6300 Houston, TX 77070 6629 Wooldridge Rd Fax: 281-719-5933 Byrd, Ashley, APN Tri-County Behavioral Phone: 281-537-6300 Healthcare Corpus Christi, Tx 78414 Tri-County Behavioral PULMONARY DISEASE Fax: 281-719-5933 706 FM 2854 Road Phone: 361-986-8200 Healthcare Bajwa, Mohsin, MD 233 Sgt. Ed Holcomb Blvd S Conroe, Tx 77301 Case, Robert, MD 1111 Medical Plaza Dr Ste 250 Phone: 936-538-1102 Millennuim Physicians Conroe, Tx 77304 West Houston Radiology Woodlands, TX 77380 Phone: 936-521-6100 Fax: 936-760-2898 Associates, LLC 18488 Interstate 45 South Phone: 281-296-8788 Fax: 936-760-2898 Shenandoah, Tx 77384 Pharies, Hugh, Md 2190 N Loop W #250 Fax: 281-719-5938 Phone: 281-296-8788 St. Hope Foundation, Inc. Houston, TX 77018 Dubois, Holly C, MD Fax: 281-719-5936 6807 Emmett F. Lowry Expy, 1125 Cypress Station Ste E Tri-County Behavioral Ste 302 6801 Emmit F Lowry Expy Houston, TX 77090 Healthcare 20207 Chasewood Park Dr Ste Texas City, Tx 77591 Texas City, Tx 77591 Phone: 281-537-6300 706 Fm 2854 Rd 203 Phone: 832-431-5162 Fax: 281-719-5933 Conroe, Tx 77301 Houston, TX 77070 Fax: 832-431-5142 22999 Hwy 59 n Phone: 936-536-1102 Phone: 281-537-6300 Kingwood, TX 77339 17350 St Lukes Way Ste 470 Fax: 936-760-2898 Fax: 281-719-5933 6800 WEST LOOP SOUTH, Woodlands, TX 77384 Nathan, Pradan A, MD Gunter-Austin, Sharon, MD SUITE 560 Phone: 281-296-8788 1111 Medical Plaza Dr Ste 250 Tri-County Behavioral Bellaire, TX 77401 Tri-County Behavioral Fax: 281-719-5938 Healthcare the Woodlands, TX 77380 Healthcare Phone: 713-839-7111 103 North Thompson Street Phone: 281-296-8788 233 Sgt. Ed Holcomb Blvd S Fax: 713-839-7156 506 Medical Center Blvd Ste Conroe, Tx 77301 Fax: 281-719-5938 Conroe, TX 77304 304 Phone: 936-521-6300 Phone: 936-521-6100 13020 DAIRY ASHFORD ROAD Conroe, TX77304 1125 Cypress Station, Ste E Fax: 936-760-2898 #100 Fax: 936-760-2898 Phone: 281-569-2130 Houston, TX 77090 Sugar Land, TX 77478 Fax: 281-569-2131 Phone: 281-537-6300 1020 Riverwood Court Phone: 281-277-8571 Fax: 281-719-5933 Flores, Edward, MD Conroe, TX 77304 Fax: 281-277-8564 Montgomery County Lung Phone: (936) 521-6300 Desai, Ashesh, MD

9/1/2021 Page 35 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Clinic, PA 203 Phone: 281-296-8788 Phone: 281-5376300 Fax: 281-719-5933 110 Commercial Cir Houston, TX 77070 Fax: 281-719-5938 Fax: 281-719-5933 Conroe, TX 77304 Phone: 281-537-6300 1111 Medical Plaza Dr Ste 250 Naeem, Mustafa, MD Rhoton, William, MD Phone: (936) 756-2488 Fax: 281-719-5933 Woodlands, TX 77380 Pulmonary Medical Millennium Physicians Phone: 281-296-8788 Gautreau, Roxane, NP Consultants, PA 1125 Cypress Station Ste E 18488 Interstate 45 South Fax: 281-719-5938 13406 Medical Complex Dr., Texas Institute of Houston, TX 77090 Shenandoah, TX 77384 #150 Phone: (281) 440-5006 Pulmonary and Sleep Phone: 281-537-6300 1125 Cypress Station Ste E Medicine Tomball, TX 77375 Fax: 281-719-5933 Fax: (281) 719-5936 Houston, Tx 77090 27933 Tomball Pkwy. Phone: (281) 357-1300 Phone: 281-5376330 Tomball, TX 77375 Fax: (281) 357-1309 17350 St Lukes Way Ste 470 1111 Medical Plaza Dr Ste 250 Fax: 281-719-5933 Phone: (281) 357-0111 Woodlands, TX 77384 Pirtle, Philip, MD Spring, TX 77380 Fax: (281) 255-9639 Phone: (314) 787-0681 Tiu, Alexander, MD Phone: 281-296-8788 Texas Institute Of Alexander Tiu, MD, PA Honeycutt, Gregory, MD Fax: 281-719-5938 Pulmonary And Sleep 20207 Chasewood Park Dr Ste 22999 Hwy. 59 N., #214 Texas Institute of Medicine Mattewal, Amarbir, MD 203 Kingwood, TX 77339 Pulmonary and Sleep 27933 Tomball Pkwy Wael Asi, MD PA Houston, TX 77070 Phone: (281) 359-5010 Medicine Tomball, TX 77375 1111 Medical Plaza Dr #250 Phone: 281-537-6300 27933 Tompall Pkwy. Phone: (281) 357-0111 The Woodlands, TX 77380 Fax: 281-719-5933 RADIATION ONCOLOGY Tomball, TX 77375 Fax: (281) 255-9639 Phone: (281) 296-8788 Berilgen, Jason, MD Phone: (281) 357-0111 Quinones, Jose, MD 1125 Cypress Station Ste E Fax: (281) 255-9639 Millennium Physicians Houston, TX 77090 22710 Professional Sr Houston Pediatric 9323 Pinecroft dr Ste 110 Phone: 281-537-6300 Lee, Rayman, MD Kingwood, TX 77339 Specialty Group PLLC The Woodlands, Tx 77380 Fax: 281-719-5933 Texas Institute Of Phone: (832) 262- 8602 450 Medical Center Blvd #600- Phone: 281-943-2440 C Pulmonary And Sleep Fax: 281-943-2404 Mattewal, Amarbir, MD Webster, TX 77598 Robertson, John, MD Medicine Millennium Physicians Houston Pediatric 27933 Tomball Pkwy 13700 Medical Comples Dr 18488 Interstate 45 South 22999 US Hwy 59N #264 Specialty Group PLLC Tomball, TX 77375 Tomball, TX 77375 Shenandoah, Tx 77384 Kingwood, TX 77339 7915 Cypress Creek Pkwy #210 Phone: (281) 357-0111 Phone: 281-943-2440 Phone: 281-569-2100 Houston, TX 77070 Fax: (281) 255-9639 Fax: 281-943-2404 Fax: 281-719-5936 Qureshi, Hammad, MD

Mathew, Jefy, MD Millennium Physicians 7400 Fannin St, Suite 880 22730 Professional DR Wael Asi, MD PA 1111 Medical Plaza Dr Ste 250 18488 Intersate 45 South Houston, TX 77054 Kingwood, TX 77339 1111 Medical Plaza Drive, Woodlands, TX 77380 Shenandoah, Tx 77384 Siddiqi, Ather, MD Phone: 281-312-8545 The Woodlands, TX 77380 Phone: 281-296-8788 Phone: 281-440-5006 Millennium Physicians Fax: 281-312-8568 Phone: (281) 296-8788 Fax: 281-719-5938 Fax: 281-719-5936 18488 Interstate 45 South Fax: (281) 465-4596 Dinh, Jeffrey, MD 20207 Chasewood Park Dr Ste Shenandoah, Tx 77384 1125 Cypress Station Ste E Millennium Physicians Mathew, Jefy, MD 203 Phone: 281-440-5006 Houston, TX 77090 Association PLLC Millennium Physicians Houston, TX 77070 Fax: 281-719-5936 Phone: 281-537-6300 9323 Pinecroft Dr Ste 110 18488 Interstate 45 South Phone: 281-537-6300 Fax: 281-719-5933 Woodlands, TX 77380 Shenandoah, Tx 77090 Fax: 281-719-5933 17350 St Luks Way Ste 470 Phone: (281) 943-2440 Woodlands, TX 77384 Phone: 281-296-8788 20207 Chasewood Park Dr Ste Phone: 281-296-8788 Fax: (281) 943-2404 Fax: 281-719-5936 203 1111 Medical Plaza Dr Ste 250 Fax: 281-719-5938 Houston, TX 77070 Woodlands, TX 77380 22730 Professional DR 1111 Medical Plaza Dr Ste 250 Phone: 281-537-6300 Phone: 281-296-8788 20207 Chasewood Park Dr Ste Kingwood, TX 77339 The Woodlands, TX 77380 Fax: 281-719-5933 Fax: 281-719-5938 203 Phone: 281-312-8545 Phone: (832) 262-8602 Houston, TX 77070 Fax: 281-312-8568 17350 St Lukes Way Ste 470 1125 Cypress Station Ste E Phone: 281-537-6300 20207 Chasewood Park Dr Ste Houston, TX 77090 Woodlands, TX 77384 13700 Medical Complex Dr

9/1/2021 Page 36 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Tomball, TX 77375 1140 A Cypress Station Associates Houston, Tx 77047 West Houston Radiology Phone: 281-943-2440 Houston, TX 77090 2190 N Loop W Ste 250 Phone: 713-526-5771 Associates Fax: 281-943-2404 Phone: 281-377-7555 Houston, TX 77018 12951 S Frwy Phone: (281) 206-9050 1705 Jackson St Houston, Tx 77047 Kanady, Kirk, MD Yang, Theodore, MD Richmond, TX 77469 Phone: 713-526-5771 Greater Houston Greater Houston Bathurst, Christopher, Md Phone: 281-206-9050 Radiation Oncology Radiation Oncology West Houston Radiology 21214 Northwest Fwy 11950 Galveston Rd 11950 Gaveston Rd Associates 22999 Highway 59 n Cypress, Tx 77429 Houston, Tx 77034 Houston, TX 77034 2190 N L West #250 Humble, TX 77339 Phone: 281-206-9050 Phone: 713-512-3200 Phone: 713-512-3200 Houston, TX 77018 Phone: 281-206-9050 Phone: (281) 206-9050 Morsi, Hesham, MD 112 Medical Park Lane 112 Medical Park Lane Kumar, Roy, MD Neuro-Hospitalist of Clear Huntsville, Tx 77340 Huntsville, TX 77340 6801 Emmett F Lowry Expy West Houston Radiology Lake, PLLC Phone: 936-291-7900 Phone: 936-291-7990 Texas City, TX 77210 Associates 400 Medical Center Blvd Ste Phone: 281-206-9050 12951 S Frwy 230 1140 A Cypress Station 1140 A Cypress Station Houston, Tx 77047 Webster, Tx 77598 Houston, TX 77090 Houston, TX 77090 504 Medical Center Blvd Phone: 713-526-5771 Phone: 281-316-0046 Phone: 281-377-7555 Phone: 281-377-7555 Conroe, TX 77210 Fax: 281-316-0073 Lakearea Imaging Mazloom, Ali, MD RADIOLOGY Birkenfeld, Elizabeth, MD 18057 Hwy105 W. Suite 250 450 W Medical Center Blvd Specialty Associates of Montgomery, Tx 77356 Addis, Kimberly, MD West Houston Radiology Ste 600B West Houston, PLLC Associates LLP Fax: 936-538-2999 Webster, TX 77598 West Houston Radiology 10650 Steepletop Dr 2190 N L West #250 Assoicates, LLP Lee, Jody, MD Phone: 713-852-1538 Houston, Tx 77065 Houston, TX 77018 2190 N L West #250 West Houston Radiology Phone: 281-890-8885 450 W Medical Center Blvd Houston, TX 77018 Boiteau, Guillaume, MD Associates Fax: 281-890-8208 Ste 600 C 2190 N Loop W #250 Alobaidi, Mohammad, MD West Houston Radiology Webster, TX 77598 Mirkovic, Nena, MD Associates , LLP Houston, TX 77018 West Houston Radiology Millennium Physicians 2190 N L West #250 Phone: 281-206-9050 Odelowo, Mobolaji, MD Associates Association PLLC Houston, TX 77018 West Houston Radiology 1705 Jackson St Lobo, Alan, MD 9323 Pinecroft Dr Ste 110 Associates Richmond, TX 77469 Burgess, Robert, Md West Houston Radiology The Woodlands, TX 77380 2190 N Loop W #250 Associates Phone: 281-943-2440 West Houston Radiology Houston, TX 77018 2190 N Loop W Ste 250 12951 S Frwy Fax: 281-943-2404 Associates, LLp Phone: 281-206-9050 Houston, TX 77018 Houston, Tx 77047 2190 N Loop W Ste 250 Phone: 713-526-5771 Osman, Sherif, MD 13700 Medical Complex Dr Houston, TX 77018 6801 Emmett F Lowry Expy West Houston Radiology Tomball, TX 77375 Marriott, John, MD Texas City, TX 77591 504 Medical Center Blvd Associates Phone: 281-943-2440 West Houston Radiology Conroe, TX 77304 2190 N Loop W #250 Fax: 281-943-2404 Armstrong, Ryan, MD Associates Houston, TX 77018 West Houston Radiology 12951 S Frwy Sosa, Maria, MD Carrier, Brian, MD Phone: (281) 206-9050 Associates Houston, Tx 77047 Greater Houston West Houston Radiology 12121 Richmond Ave Ste 109 Phone: 713-526-5771 Parghi, Chirag, MD Radiation Oncology Associates Houston, Tx 77082 2190 N Loop W #250 West Houston Radiology 11950 Galveston RD Metwalli, Zeyad, MD Phone: 713-526-5771 Houston, Tx 77018 Assocates Houston, TX 77034 West Houston Radiology Phone: 713-526-5771 504 Medical Center Blvd Phone: 713-512-3200 Associates 2190 N Loop W Ste 250 Conroe, TX 77304 2190 N Loop W #250 Houston, TX 77018 Hammond, James, MD Phone: 281-206-9050 112 Medical Park Land Houston, TX 77018 West Houston Radiology Huntsville, TX 77340 Bansal, Vivek, MD Phone: 281-206-9050 Associates 22999 Hwy 59 N Phone: 936-291-7900 West Houston Radilogy 12951 S Frwy Kingwood, TX 77339 Morello, Frank, MD

9/1/2021 Page 37 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Phone: 281-206-9050 REGISTERED DIETITIAN Fax: (832) 308-1272 Fax: 281-3158131 Monova, Pavlina, NP Comprehensive Sleep Patel, Anuj, MD Restrepo, Monica, RD Mihu, Ramona, MD 4747 Bellaire Blvd Ste 150 Medicine Associates West Houston Radiology Specialty Associates Of Katy Rheumatology & Bellaire, TX 77401 2201 W. Holcombe Blvd., #325 Associates West Houston, PLLC Associates Phone: 281-315-8130 Houston, TX 77030 504 Medical Center Blvd 21216 Northwest Fwy Ste 250 402 Park Grove Dr Fax: 281-315-8131 Phone: (713) 668-4100 Conroe, TX 77304 Cypress, TX 77429 Katy, TX 77450 Fax: (713) 668-4105 Phone: (281) 206-9050 Phone: 713-426-2400 Phone: (281) 578-7438 Ext: 4 SLEEP MEDICINE

Fax: 713-426-3204 Fax: (832) 308-1272 Proett, Jesse, MD Asi, Wael, MD 15423 Creek Bend Dr.

West Houston Radiology Perez-Masuelli, Carmen Wael Asi, MD PA Sugar Land, TX 77448 21208 Northwest Frwy Ste 100 Associates M, MD 920 Medical Plaza Dr #450 Phone: (281) 240-3773 Cypress, TX 77429 12951 S Frwy Millennium Physicians The Woodlands, TX 77380 Fax: (281) 239-6268 Houston, Tx 77047 REHAB HOSPITAL Association Phone: (281) 296-8788 Phone: 713-526-5771 18488 Interstate 45 S Fax: (281) 465-4596 333 N. Rivershire Dr., #240 Conroe Regional Medical Shenandoah, TX 77384 Conroe, TX 77304 Rafiei, Poyan, Md Center Barlow, Sharon, NP Phone: 281-943-2440 Phone: (281) 407-6222 504 Medical Center Blvd West Houston Radiology Comprehensive Sleep Fax: (281) 407-6221 Associates Conroe, TX 77304 17323 Red Oak Dr Medicine Assoc. 12951 S Frwy Phone: (936) 525-3900 Houston, TX 77090 3200 Research Forest Dr # A4 29801 I-45 North, #101 Houston, Tx 77047 Fax: (936) 525-3944 Phone: 281-315-8130 The Woodlands, TX 77381 The Woodlands, TX 77381 Phone: 713-526-5771 Phone: (281) 407-6222 Kingwood Medical Center Phone: (281) 297-6305 Thomas, Celeste, MD Fax: (281) 407-6221 Rahim-Gilani, Sania, MD 22999 US Hwy 59 Fax: (281) 297-6436 Celeste Thomas, MD Kingwood, TX 77339 Kingwood Sleep Lab West Houston Radiology 920 Medical Plaza Dr #340 Rodriguez, Michelle W., Associates Phone: 281-348-8600 24020 Hwy. 59 North The Woodlands, TX 77380 FNP 12951 S Frwy Fax: 281-348-8190 Kingwood, TX 77339 Phone: (281) 419-3334 Comprehensive Sleep Houston, Tx 77047 Phone: (281) 358-9974 RHEUMATOLOGY Fax: (281) 419-3324 Medicine Associates Phone: 713-526-5771 Fax: (281) 312-4427 3200 Research Forest #A-4` Ali, Shaikh Arif, MD Ursani, Mohammad, MD Thomas, Maria, MD Lakeside Sleep Center The Woodlands, TX 77381 Northwest Houston Millennium Physicians West Houston Radiology 123 Blue Herron Dr #102 Phone: (281) 297-6305 Arthritis Center Association Associates Montgomery, TX 77316 455 School St., #27 22710 Professional Dr #102 Sharafkhareh, Amir, M.D. 12951 S Frwy Phone: (936)582-1112 Tomball, TX 77375 Kingwood, TX 77339 Kingwood Sleep Lab Houston, Tx 77047 Fax: (936)582-1151 Phone: (281) 357-0666 Phone: (281) 358-2850 24020 Hwy. 59 North Phone: 713-526-5771 Fax: (281) 255-2740 Lavender, Maggie, FNP Kingwood, TX 77339

9319 Pinecroft Ste # 100 Comprehensive Sleep Phone: (281) 358-9974 2190 N Loop W Ste 250 Awobokun, Yemisi, MD Spring, TX 77380 Medicine Associates Fax: (281) 312-4427 Houston, TX 77018 Inpatient Consultants Of Phone: (832) 262-8602 3200 Research Forest Dr #A-4 Phone: 281-206-9050 Texas, PLLC - Conroe Simmons, Jerald, MD The Woodlands, TX 77380 Regional Medical Center Comprehensive Sleep Vaca, Luis, MD 506 Grham Dr Ste 120 Phone: (281) 297-6305 504 Medical Center Blvd Medicine Associates West Houston Radiology Tomball, TX 77375 Fax: (281) 297-6436 Conroe, TX 77304 2201 W Holcombe Ste 325 Associates Phone: 281-516-0236 Phone: (800) 630-5983 Meskill, Gerard, MD Houston, TX 777030 2190 N Loop W #250 Fax: 281-719-5930 Comprehensive Sleep Phone: (281) 407-6222 Houston, TX 77018 Chimata, Padma, MD Wilson, Leslie, MD Medicine Associates Fax: (281) 407-6221 Phone: 281-206-9050 Katy Rheumotology & Millennium Physicians 3200 Research Forest Dr #A-4 Associates Weir, Susan, NP Association PLLC The Woodlands, TX 77381 402 Park Grove Dr Comprehensive Sleep 17323 Red Oak Dr Phone: (281) 407-6222 Katy, TX 77450 Medicine Associates Houston, TX 77090 Fax: (281) 407-6221 Phone: (281) 578-7438 Ext: 4 2201 W. Holcombe Blvd., #325 Phone: 281-315-8130

9/1/2021 Page 38 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Houston, TX 77030 Surgical Technologist 800 Peakwood Dr St e 5D UROLOGY Phone: (713) 668-4100 Houston, TX 77090 1011 Medical Plaza Dr Ste 250 Fax: (713) 668-4105 Lau, Tianjie, PA-C Berardinucci, Don, MD The Woodlands, TX 77380 Elite Heart, Lung and Vein 21212 Northwest Fwy Ste 435 Specialty Associates of Phone: 832-442-2392 15423 Creek Bend Dr. Surgeons PLLC Cypress, TX 77429 West Houston, PLLC Fax: 832-442-2398 Sugar Land, TX 77448 920 Medical Plaza Dr Ste 360 17070 Red Oak Dr, #200 Corey, Clyde, MD Phone: (281) 240-3773 Shenandoah, Tx 77380 13635 Michel Rd Houston, Tx 77090 Fax: (281) 239-6268 Phone: (281) 803-8482 Tomball, TX 77375 Phone: 281-444-7077 Texas Regional Urology Fax: (281) 803-8432 Fax: 281-444-5799 919 Graham Dr. Parker, Lori, LSA Tomball, TX 77375 333 N. Rivershire Dr., #240 Berardinucci, Don, MD THORACIC SURGERY Southern Texas Physicians Phone: (281) 290-9800 Conroe, TX 77304 Millennium Physicians Chaugle, Abdul, M D Network Fax: (281) 290-9824 Phone: (281) 407-6222 Association PLLC Surgical Specialists of 500 Medical Center Blvd #300 Fax: (281) 407-6221 17070 Red Oak Dr Ste 200 Clear Lake,PLLC Conroe, TX 77304 1011 Medical Plaza Dr., #250 Houston, TX 77090 450 Medical Center Blvd Phone: 936-539-5000 The Woodlands, TX 77380 29801 I-45 North, #101 Phone: 281-444-7070 Suite#600 Phone: (281) 290-9800 The Woodlands, TX 77381 Rajagopal, Keshava, MD Fax: 281-444-5799 Webster, Tx 77598 Fax: (281) 290-9824 Phone: (281) 297-6305 Specialty Associates of Phone: 281-332-4596 Fax: (281) 297-6436 West Houston, PLLC Buschemeyer, William C, Fax: 281-332-9610 MD 22999 Highway 59 N, #276 800 Peak wood Dr Ste 5D SURGERY Kingwood, TX 77339 Maniscalco, Stephen, MD Houston, TX 77090 Specialty Associates of West Houston, PLLC Phone: (281) 290-9800 Davis Weaver, Matthew, Elite Heart, Lung and Vein Phone: 832-353-2498 17070 Red Oak Dr. #200 Fax: (281) 290-9824 MD Surgeons, PLLC Fax: 832-353-2499 Houston, Tx 77090 Specialty Associates of 920 Medical Plaza Dr Ste 360 Daniel, Julie, FNP-C Phone: 281-444-7077 West Houston, PLLC Shenandoah, TX 77380 13635 Michel Rd Millennium Physicians Fax: 281-444-5799 6560 Fannin St Ste 1404 Phone: (281) 803-8482 Tomball, TX 77375 Association PLLC Houston, TX 77030 Fax: (281) 803-8432 22999 Hwy 59 N Bldg B200 Yazji, Ibrahim, MD Bushcemeyer, William, MD Phone: 713-790-0600 Kingwood, TX 77339 Moinuddeen, Khaha, MD Specialty Associates of Millennium Physicians Fax: 713-790-0616 Association PLLC Phone: 281-570-1391 Surgical Specialists of West Houston, PLLC 22710 Professional Dr Ste 102 Fax: 281-570-1398 Clear Lake, PLLC 22999 Highway 59 N Ste 200 12121 Richmond Ave Ste 218 Kingwood, TX 77339 450 Medical Center Blvd Ste Kingwood, TX 77339 Houston, TX 77082 Phone: 281-444-7077 1011 Medical Plaza Dr Ste 250 600 Phone: 281-312-6457 Fax: 281-444-5799 The Woodlands, TX 77380 Webster, TX 77598 Fax: 281-312-5128 275 Lantern Bend Dr Ste 200 Phone: 832-442-2392 Phone: (281) 332-4596 Houston, TX 77090 Yazji, Ibrahim, MD Fax: 832-442-2398 Fax: (218) 332-9610 9319 Pinecroft Dr Ste 210

Ignacio Levia, Jorge, MD Neurosurgery of Kingwood The Woodlands, TX 77380 PLLC 919 Graham Dr Ste A Specialty Associates of 3801 Vista Rd Ste 360 Tomball, TX 77375 West Houston, PLLC Pasadena, TX 77504 22999 Highway 59 N Ste 200 17070 Red Oak Dr Ste 200 Phone: 281-290-9800 21216 Northwest Frwy Ste 250 Kingwood, TX 77339 Houston, TX 77090 Omer, Shuab, MD Fax: 281-290-9824 Cypress, TX 77429 Phone: 281-312-6457 Specialists Associates of Fax: 281-312-5125 Phone: 713-426-2400 506 Graham Dr Ste 120 Dylewski, Drew, MD West Houston, PLLC Tombal, TX 77375 Fax: 713-426-3204 Millennium Physicians 21216 Northwest Fwy Ste 670 Associations Cypress, TX 77429 Corey, Clyde, MD 5151 Kath Frwy Ste 130 22999 Hwy 59 N, Bldg B200 Phone: 281-970-6500 Millennium Physicians Houston, Tx 77007 Kingwood, TX 77339 Fax: 281-970-6510 Association PLLC Phone: 713-426-2400 Phone: 281-570-1391 919 Graham Dr Ste A Fax: 713-426-3204 Fax: 281-570-1398 1200 Binz St Ste 900 Tomball, TX 77375

Houston, TX 77004 Phone: 281-290-9800 1011 Medical Plaza Dr Ste 250 Fax: 281-290-9824

9/1/2021 Page 39 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY The Woodlands, TX 77380 10970 Shadow Creek Pkwy Ste Texas PLLC Winkel, Erwin C, Md VASCULAR SURGERY 100 Phone: 832-442-2392 135 Vision Park Blvd Specialty Associates of Pearland, TX 77584 Aertker, Benjamin Fax: 832-442-2398 Shenandoah, TX 77384 West Houston, PLLC Phone: 713-436-0092 Michael, MD 17070 Red Oak Dr, #200 Dylewski, Drew, MD Fax: 713-436-0094 Neuro-Hospital of Clear 100 Medical Center Pkwy Ste Houston, Tx 77090 Texas Regional Urology 600 Lake, PC Hogan, Matthew, MD Phone: 281-444-7077 919 Graham Drive #A Huntsville, TX 77340 450 W Medical Center Blvd Millennium Physicians Fax: 281-444-5799 Ste 600B Tomball, TX 77375 Association PLLC Webster, TX 77598 Phone: (281) 290-9800 350 Kingwood Medical Dr Ste Winkel, Erwin, MD 919 Graham Dr Ste S Phone: 281-316-0046 Fax: (281) 290-9824 140 Millennium Physicians Tombal, TX 77375 Fax: 281-3160073 Association PLLC Phone: 281-290-9800 Nwokeji, Cordell, MD 1011 Medical Plaza Drive #250 17070 Red Oak Dr Ste 200 Bardwil, Michael, MD Fax: 281-290-9824 Urology Specialists of The Woodlands, TX 77380 Houston, TX 77090 Kingwood Texas Vein and Cosmetic Phone: (832) 442-2392 Phone: 281-444-7077 Specialists Fax: (832) 442-2398 1011 Medical Plaza Dr Ste 250 22751 Professional Dr # 270 Fax: 281-444-5799 13254 Forkland Drive The Woodlands, TX 77380 Kingwood, Tx 77339 Houston, TX 77077 22999 U.S Hwy 59 N #276 Phone: 832-442-2392 Phone: 281-358-0171 Woo, Liliana, MD Phone: (713) 461-4945 Kingwood, TX 77339 Fax: 832-442-2398 Fax: 281-358-2194 Texas Regional Urology Fax: (713) 461-7677 919 Graham Dr. Phone: (281) 570-1391 Hogan, Matthew, MD Schraudenbach, Penner, Fax: (281) 570-1398 Tomball, TX 77375 Charlton-Ouw, Kristofer, Texas Regional Urology MD Phone: (281) 290-9800 MD Gyorfi, Justin, MD 919 Graham Dr. Texas Regional Urology Fax: (281) 290-9824 Specialist Associates of Tomball, TX 77375 919 Graham Dr. Urology Specialists of West Houston, pllc Phone: (281) 290-9800 Tomball, TX 77375 Kingwood, PLLC 1011 Medical Plaza Dr., #250 1200 binz St Ste 900 Fax: (281) 290-9824 Phone: (281) 290-9800 22751 Professional Dr Suite The Woodlands, TX 77380 CypressHouston, TX 77004 Fax: (281) 290-9824 Kingwood, Tx 77339 Phone: (281) 290-9800 Phone: 281-970-6500 1011 Medical Plaza Dr., #250 Phone: 281-358-0171 Fax: (281) 290-9824 Fax: 281-970-6510 The Woodlands, TX 77380 1011 Medical Plaza Dr., #250 Fax: 281-358-2194 Phone: (281) 290-9800 The Woodlands, TX 77380 22999 Highway 59 N, #276 1200 binz St Ste 1300 Hammond, William Fax: (281) 290-9824 Phone: (281) 290-9800 "Todd", PA Kingwood, TX 77339 Houston, TX 77004 Fax: (281) 290-9824 Phone: (281) 290-9800 Millennium Physicians 22999 Highway 59 N, #276 Fax: (281) 290-9824 22999 US Hwy 59N bldg B Ste Association PLLC 2999 Highway 59 N, #276 Kingwood, TX 77339 100 919 Graham Dr Ste A Kingwood, TX 77339 Phone: (281) 290-9800 Woo, Liniana, MD Kingwood, TX 77339 Tomball, TX 77375 Phone: (281) 290-9800 Fax: (281) 290-9824 Millennium Physicians Phone: 281-290-9800 Fax: (281) 290-9824 Association PLLC Fax: 281-290-9824 Kwatra, Ajay, MD 21216 Northwest Fwy Ste 670 1011 Medical Place Dr # 250 Spring Creek Urology Shirodkar, Samir, MD Cypress, TX 77429 The Woodlands, TX 77380 22999 Hwy 59 N Bldg B200 Specialist, LLC Spring Creek Urology Phone: 281-970-6500 Phone: (832) 262-8602 Kingwood, TX 77339 690 South Loop 336 West Ste Specialist, LLC Fax: 281-970-6510

Phone: 281-570-1391 200 506 Medical Center Blvd., #304 22999 Hwy 59 N Bldg B200 Fax: 281-570-1398 Conroe, TX 77304 Conroe, TX 77304 450 W Meidical Ctr Blvd Ste Kingwood, TX 77339 600A Phone: (936) 441-1005 Phone: (936) 441-1005 Phone: 281-570-1391 Webster, TX 77598 1011 Medical Plaza Dr Ste 250 Fax: (888) 815-6161 Fax: (888) 815-6161 Fax: 281-570-1398 The Woodlands, TX 77380 Stocks, James`, MD 800 Peakwood Dr Ste 2D Phone: 832-442-2392 1020 Riverwood Court #330 Conroe, TX 77304 Spring Creek Urology Houston, TX77090 Fax: 832-442-2398 Specialists Phone: (936) 441-1005 Hinh, Peter, MD 690 S Loop 336 W #200 3801 Vista Rd # 380 Specialty Associates of Libby, Russell, MD Conroe, TX 77304 Dasai, Neil Raj, DO West Houston, PLLC Northwood Urology of Phone: 936-441-1005

9/1/2021 Page 40 of 41 MONTGOMERY COUNTY HOSPITAL DISTRICTS HEALTHCARE ASSISTANCE PROGRAM (MCHD HCAP) CURRENT PREFERRED PROVIDER LISTING – SPECIALTY Specialty Associates of Specialty Associates of Webster, TX 77598 WOUND CARE West Houston, PLLC West Houston, PLLC Bonar, James P, MD 1200 Binz St Ste 925 12121 Richmond Ave Ste 306 10970 Shadow Creek Pkwy, Houston, TX 77004 Houston, TX 77082 Ste 160C Center for Wound Care & Phone: 713-524-9300 Phone: 713-464-6245 Pearland, TX 77584 Hyperbaric Medicine Fax: 713-524-9301 Fax: 713-464-9134 500 Medical Center Blvd ste 100 10970 Shadow Creek Pkwy Ste Moeller, Christy, MD Conroe, Tx 77304 21216 NorthWest Fwy Ste 670 160A General Surgeons Of Phone: 936-788-8084 Cypress, TX 77429 Pearland, TX77584 Houston PLLC Fax: 936-788-8054

7400 Fannin St Ste 1250 800 Peakwood Dr Ste 5D 22999 US Hwy 59N Bldg B Ste Houston, Tx 77054 100 5099 Cedar Creek Dr Houston, TX 77090 Phone: 713-796-9352 Kingwood, TX 77339 Houston, TX 77056

Fax: 713-796-9027 22999 US Hwy 59 N Bldg Ste Punsalan, Tricia, MD 1200 Binz St Ste 1300 100 Ray, Hunter, MD Tricia Punsalan MD PA Houston, TX 77004 Kingwood, TX 77339 Specialty Associates of 500 Medical Center Blvd #100 Desai, Neil, MD West Houston, PLLC Trestman, Eric, MD Conroe, TX 77304 Speciality Associatis of 1200 Binz St Ste 900 Speciality Associates of Phone: (936)788-8084 West Houston, PLLC Houston, TX 77004 West Houston, PLLC Fax: (936)788-8054 4005 Technology Dr Ste 1510 Phone: 713-524-9300 1200 Binz St Ste 900 Angleton, TX 77515 Fax: 866-346-1226 Houston, TX 77004 Phone: 281-980-1282 Phone: 713-524-9300 Fax: 713-524-9301 21212 Northwest Fwy Ste 435 Cypress, TX 77429 21216 Northwest Fwy Ste 670 10970 Shadw Creek Pkwy Ste Cypress, TX 77429 160C 800 Peakwood Dr Ste 2E Pearland, TX 77584 Houston, TX 77090 800 Peakwood Dr Ste 5D Houston, TX 77090 10970 Shadow Creek Pkwy Ste 1200 Binz St Ste 1300 160A Houstn, TX 77004 22999 US Hwy 59N Bldg B Ste Pearland, TX 77584 100 3801 Vista Rd Ste 380 Kingwood, TX 77339 1200 Binz St Ste 900 pasadena, TX 77504 Houston, TX 77004 13635 Michel Rd Shah, Anand, MD Tomball, TX 77375 800 Peakwood Dr Ste 2D Speciality Associates of West Houston, PLLC Houston, TX 77090 3801 Vista Rd Ste 380 21212 Northwest Fwy Ste 435 Pasadena, TX 77504 Cypress, TX 77429 12121 Richmond Ave Ste 306 Phone: 713-524-9300 Houston, TX77082 Fax: 713-524-9301 Duffy, Patrick, MD General Surgeons of 3801 Vista Rd # 380 Houston, PLLC 7400 Fannin St #1250 21216 Northwest Fwy Ste 670 Houston, TX 77054 Cypress, TX 77429 Phone: (713) 796-9352 Fax: (713) 796-9027 450 W Medical Center Blvd Ste 600A Malik, Rema, MD

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