| Ipc Pac Healthcare Services Of Texas Pllc | |
|
14131 Midway Rd Suite 620 Addison TX 75001-3623 | |
| (972) 249-0200 | |
| Not Available |
| Full Name | Ipc Pac Healthcare Services Of Texas Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 14131 Midway Rd, Addison, Texas |
| Authorized Official Name and Position | Robert Ray Frantz (OWNER/PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ipc Pac Healthcare Services Of Texas Pllc 265 Brookview Centre Way Suite 400 Knoxville TN 37919-4052 Ph: (865) 693-1000 | Ipc Pac Healthcare Services Of Texas Pllc 14131 Midway Rd Suite 620 Addison TX 75001-3623 Ph: (972) 249-0200 |
| NPI Number | 1194174201 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 07/29/2016 |
| Medicare PECOS PAC ID | 1759676307 |
|---|---|
| Medicare Enrollment ID | O20160823000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194174201 | NPI | - | NPPES |
| Provider Name | Elaine S Traylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477565455 PECOS PAC ID: 7911802772 Enrollment ID: I20031204000554 |
| Provider Name | Romel Navarro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053389718 PECOS PAC ID: 4284528357 Enrollment ID: I20040210000656 |
| Provider Name | Patrice D Barnum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215096029 PECOS PAC ID: 3577536226 Enrollment ID: I20040819000579 |
| Provider Name | Aneesha A Asher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023017175 PECOS PAC ID: 7719879105 Enrollment ID: I20040903000209 |
| Provider Name | Hadi R Tajani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790721868 PECOS PAC ID: 6709840846 Enrollment ID: I20041117001002 |
| Provider Name | Omar A Zantua |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1083675359 PECOS PAC ID: 8820047459 Enrollment ID: I20050120000567 |
| Provider Name | Leroy K Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639131519 PECOS PAC ID: 2264482066 Enrollment ID: I20050129000046 |
| Provider Name | Caroline N Mbogua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942221148 PECOS PAC ID: 0840240453 Enrollment ID: I20050131000765 |
| Provider Name | Jeffrey Robert Eitel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558313163 PECOS PAC ID: 0941231526 Enrollment ID: I20050823000946 |
| Provider Name | Beverly S Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023057528 PECOS PAC ID: 1153352414 Enrollment ID: I20050825001024 |
| Provider Name | Lawrence Hum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326089459 PECOS PAC ID: 9638102007 Enrollment ID: I20050915000774 |
| Provider Name | Vijaya Kavikondala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437129236 PECOS PAC ID: 4183649254 Enrollment ID: I20051007000336 |
| Provider Name | Shabaz Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366430076 PECOS PAC ID: 7113962010 Enrollment ID: I20061024000349 |
| Provider Name | Uma C Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962475962 PECOS PAC ID: 9931186319 Enrollment ID: I20061027000250 |
| Provider Name | Sharvari R Parghi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487663357 PECOS PAC ID: 3476659954 Enrollment ID: I20070430000213 |
| Provider Name | Andres Alaniz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225131717 PECOS PAC ID: 9436257102 Enrollment ID: I20070604000211 |
| Provider Name | Joyce M Thompson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1306861448 PECOS PAC ID: 9234220807 Enrollment ID: I20070810000582 |
| Provider Name | Luis F Bieler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033126636 PECOS PAC ID: 6800980269 Enrollment ID: I20070917000585 |
| Provider Name | Patricia Z Mbola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962693523 PECOS PAC ID: 1254429731 Enrollment ID: I20071116000284 |
| Provider Name | Sara Washa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427093582 PECOS PAC ID: 1052486511 Enrollment ID: I20080818000517 |
| Provider Name | Fonshay Latrice Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588814263 PECOS PAC ID: 0840354833 Enrollment ID: I20090206000188 |
| Provider Name | Liam Mancuso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912163528 PECOS PAC ID: 6103973169 Enrollment ID: I20090408000208 |
| Provider Name | Jerson Cadenas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487858080 PECOS PAC ID: 6103979240 Enrollment ID: I20090806000401 |
| Provider Name | Sumeet Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861649527 PECOS PAC ID: 4688710403 Enrollment ID: I20091008000504 |
| Provider Name | Andrew J Rolniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871543363 PECOS PAC ID: 2163558172 Enrollment ID: I20100330000184 |
| Provider Name | Edgar Alberto Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033370176 PECOS PAC ID: 4385700434 Enrollment ID: I20100607000155 |
| Provider Name | Zuorong Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699988261 PECOS PAC ID: 0749367738 Enrollment ID: I20100611000416 |
| Provider Name | Gonzalo J Perez-garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801058672 PECOS PAC ID: 4385769298 Enrollment ID: I20100915001227 |
| Provider Name | Jasmin M Baleva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033144167 PECOS PAC ID: 6103019674 Enrollment ID: I20101018000665 |
| Provider Name | Gregory John Patton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699778043 PECOS PAC ID: 7012188097 Enrollment ID: I20110923000025 |
| Provider Name | U Kanti Murtineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689994840 PECOS PAC ID: 6103098801 Enrollment ID: I20110930000146 |
| Provider Name | Ayodele O Ayoade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598758906 PECOS PAC ID: 1052370558 Enrollment ID: I20111103000634 |
| Provider Name | Latha Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376826503 PECOS PAC ID: 8022282532 Enrollment ID: I20111118000471 |
| Provider Name | John W Richard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659581643 PECOS PAC ID: 0648426171 Enrollment ID: I20120815000567 |
| Provider Name | Kristin Powers Solimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730434374 PECOS PAC ID: 1759537103 Enrollment ID: I20120817000310 |
| Provider Name | Jerome Charles Wasserstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174584452 PECOS PAC ID: 6305825233 Enrollment ID: I20120829000201 |
| Provider Name | Akinwande Akintola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942265038 PECOS PAC ID: 4688823057 Enrollment ID: I20120927000823 |
| Provider Name | Crystal Renee Garza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750658647 PECOS PAC ID: 7810148459 Enrollment ID: I20121108000260 |
| Provider Name | Arwa F Laheri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982879359 PECOS PAC ID: 1951456102 Enrollment ID: I20130111000011 |
| Provider Name | Anindita Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881822179 PECOS PAC ID: 7315109808 Enrollment ID: I20130128000456 |
| Provider Name | Shahab Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669649596 PECOS PAC ID: 1254576119 Enrollment ID: I20130325000160 |
| Provider Name | Xueling Fu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013149129 PECOS PAC ID: 8426299850 Enrollment ID: I20130729000312 |
| Provider Name | Chaminda Fernando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225359623 PECOS PAC ID: 0042453649 Enrollment ID: I20130829000666 |
| Provider Name | Nadia Nisar Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497066724 PECOS PAC ID: 4183859028 Enrollment ID: I20131030000717 |
| Provider Name | Lebaone Llulu Mogotsakgotla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023456134 PECOS PAC ID: 9638305832 Enrollment ID: I20131118000959 |
| Provider Name | Naiga Dohnji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912337205 PECOS PAC ID: 8123256518 Enrollment ID: I20140109001667 |
| Provider Name | Kelechi C Okoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962667725 PECOS PAC ID: 4789738683 Enrollment ID: I20140616000304 |
| Provider Name | Christopher A Ajufo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811220015 PECOS PAC ID: 5698937696 Enrollment ID: I20140722000603 |
| Provider Name | Yetunde E Adio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770856155 PECOS PAC ID: 6204061617 Enrollment ID: I20140812000685 |
| Provider Name | Deepa Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053725333 PECOS PAC ID: 4284856949 Enrollment ID: I20141112001930 |
| Provider Name | Lisa Lauren Mckinstry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811329667 PECOS PAC ID: 2668794363 Enrollment ID: I20141209000370 |
| Provider Name | Hassanatu Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861892333 PECOS PAC ID: 3971690694 Enrollment ID: I20150108002284 |
| Provider Name | Jules Pean |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164476602 PECOS PAC ID: 9234037987 Enrollment ID: I20150303001237 |
| Provider Name | Damaris Chukwura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992100903 PECOS PAC ID: 8426374364 Enrollment ID: I20150311002033 |
| Provider Name | Silby J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362623 PECOS PAC ID: 5294053914 Enrollment ID: I20150409000662 |
| Provider Name | Gargeyi Bandaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528040193 PECOS PAC ID: 0345276101 Enrollment ID: I20150625000114 |
| Provider Name | Shamail Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215199229 PECOS PAC ID: 4183889371 Enrollment ID: I20150731016468 |
| Provider Name | Feliscity Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871980623 PECOS PAC ID: 1052628609 Enrollment ID: I20150915002643 |
| Provider Name | Stella Apari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023476934 PECOS PAC ID: 7113078809 Enrollment ID: I20160316001787 |
| Provider Name | Bincy Joji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396105656 PECOS PAC ID: 2961791488 Enrollment ID: I20160523000741 |
| Provider Name | Edna Akemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447608278 PECOS PAC ID: 0840456810 Enrollment ID: I20160823002717 |
| Provider Name | Taofeekat Folashade Ajibade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427406834 PECOS PAC ID: 5597954701 Enrollment ID: I20160907001275 |
| Provider Name | Natali H Wooldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801240841 PECOS PAC ID: 7012203417 Enrollment ID: I20160912001240 |
| Provider Name | Alikia Abner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750834826 PECOS PAC ID: 5890921787 Enrollment ID: I20160929002035 |
| Provider Name | Christian M Sonnier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740522861 PECOS PAC ID: 2668694266 Enrollment ID: I20161012000852 |
| Provider Name | Adrian Padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255618328 PECOS PAC ID: 3173782257 Enrollment ID: I20170117002076 |
| Provider Name | James E Butler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104118918 PECOS PAC ID: 5799067237 Enrollment ID: I20170118002409 |
| Provider Name | Donna Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710434055 PECOS PAC ID: 6709168081 Enrollment ID: I20170120002315 |
| Provider Name | Liya R James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215472295 PECOS PAC ID: 2466735899 Enrollment ID: I20170209002147 |
| Provider Name | Adam C Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447693585 PECOS PAC ID: 1456638758 Enrollment ID: I20170515000073 |
| Provider Name | Ramya Seeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770927600 PECOS PAC ID: 9032482385 Enrollment ID: I20170907002552 |
| Provider Name | Khoa Dang Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245674159 PECOS PAC ID: 3779784699 Enrollment ID: I20171205002080 |
| Provider Name | Jayna Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043726862 PECOS PAC ID: 3678832946 Enrollment ID: I20180111002079 |
| Provider Name | Libby John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598149932 PECOS PAC ID: 0345509345 Enrollment ID: I20180122000178 |
| Provider Name | Ugochi Odinmah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326574195 PECOS PAC ID: 9133480775 Enrollment ID: I20180222002762 |
| Provider Name | Julia Nicole Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952801433 PECOS PAC ID: 9931454147 Enrollment ID: I20180612001027 |
| Provider Name | Anastasia Mukamusoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568906626 PECOS PAC ID: 9133402829 Enrollment ID: I20180905001215 |
| Provider Name | Christy G Seibert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053893255 PECOS PAC ID: 3274887047 Enrollment ID: I20181114000316 |
| Provider Name | Riccarda Njoki Mathenge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245710698 PECOS PAC ID: 8224372420 Enrollment ID: I20181128002959 |
| Provider Name | Stanley Okeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487122073 PECOS PAC ID: 4486990736 Enrollment ID: I20190108002668 |
| Provider Name | Mahwish Y Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982869293 PECOS PAC ID: 3476710112 Enrollment ID: I20190311001926 |
| Provider Name | Jamie Hulm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013475813 PECOS PAC ID: 1658613674 Enrollment ID: I20190423001628 |
| Provider Name | Cathrine Owiye Odim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750628020 PECOS PAC ID: 1355528472 Enrollment ID: I20190503001438 |
| Provider Name | Adrienne D Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033677414 PECOS PAC ID: 2163764481 Enrollment ID: I20190506002551 |
| Provider Name | Adegboyega Omoba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144713611 PECOS PAC ID: 1557604790 Enrollment ID: I20190510000277 |
| Provider Name | Kala Sugathan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558890632 PECOS PAC ID: 7517230824 Enrollment ID: I20190628002706 |
| Provider Name | Esther K Conteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891247920 PECOS PAC ID: 2062747413 Enrollment ID: I20190709000092 |
| Provider Name | Olanrewaju P Olayemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295394450 PECOS PAC ID: 5698006203 Enrollment ID: I20191014000611 |
| Provider Name | Surinder R Sehdev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275896631 PECOS PAC ID: 1658673801 Enrollment ID: I20191014001180 |
| Provider Name | Stephen Quinn Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932470689 PECOS PAC ID: 6608015318 Enrollment ID: I20191031002475 |
| Provider Name | Mohamad Z Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568742666 PECOS PAC ID: 4587881552 Enrollment ID: I20191107000672 |
| Provider Name | Tolulope O Dawotola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306301734 PECOS PAC ID: 9931533254 Enrollment ID: I20191219001420 |
| Provider Name | Oluwafemi Oyewole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003301953 PECOS PAC ID: 6507102027 Enrollment ID: I20200113000440 |
| Provider Name | Adnan Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376652206 PECOS PAC ID: 5890837611 Enrollment ID: I20200520000905 |
| Provider Name | Renuka Sireesha Bellamkonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326455569 PECOS PAC ID: 7315282712 Enrollment ID: I20200902000254 |
| Provider Name | Alice Nalondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649832262 PECOS PAC ID: 2466879580 Enrollment ID: I20200903000329 |
| Provider Name | Shini Robin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346870938 PECOS PAC ID: 1355760208 Enrollment ID: I20200928001002 |
| Provider Name | Babatunde Thanni Shittu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497385645 PECOS PAC ID: 4486074051 Enrollment ID: I20201020002383 |
| Provider Name | Ijeoma Agolue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710587845 PECOS PAC ID: 2264845981 Enrollment ID: I20210119000868 |
| Provider Name | Jennifer M Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104312362 PECOS PAC ID: 0042627614 Enrollment ID: I20210326000377 |
| Provider Name | Thuy Lynh Phan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245763382 PECOS PAC ID: 8123437993 Enrollment ID: I20210506002473 |
| Provider Name | Furo Uba Fabunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730719014 PECOS PAC ID: 7315346541 Enrollment ID: I20210520001580 |
| Provider Name | Anthonia Oyerinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174101935 PECOS PAC ID: 8820499361 Enrollment ID: I20210622002007 |
| Provider Name | Donavan Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902489305 PECOS PAC ID: 1658777321 Enrollment ID: I20210903000556 |
| Provider Name | Hendricks Agwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386978864 PECOS PAC ID: 1557750858 Enrollment ID: I20211108000462 |
| Provider Name | Audra B Holeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235512195 PECOS PAC ID: 9537476833 Enrollment ID: I20211206000050 |
| Provider Name | Iqbal Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659754414 PECOS PAC ID: 7517215163 Enrollment ID: I20211228000302 |
| Provider Name | Kanza Asim Soomro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770022279 PECOS PAC ID: 9931448628 Enrollment ID: I20220118001063 |
| Provider Name | Linda Ngose Simo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558013896 PECOS PAC ID: 6204229552 Enrollment ID: I20220209000232 |
| Provider Name | Ashlee Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334798 PECOS PAC ID: 2264787704 Enrollment ID: I20220216000877 |
| Provider Name | Luis Ruben Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950979 PECOS PAC ID: 0345635793 Enrollment ID: I20220321002792 |
| Provider Name | Fredrick Odongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104582006 PECOS PAC ID: 7618362070 Enrollment ID: I20220322000307 |
| Provider Name | Anna Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639775620 PECOS PAC ID: 1658758966 Enrollment ID: I20220506000358 |
| Provider Name | Shenella Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235641267 PECOS PAC ID: 8921353400 Enrollment ID: I20220601001879 |
| Provider Name | April Marin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568100659 PECOS PAC ID: 1951780261 Enrollment ID: I20220616001619 |
| Provider Name | Olayomi Olonode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316689102 PECOS PAC ID: 9931589470 Enrollment ID: I20220630001332 |
| Provider Name | Nathaniel Maduakolam Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962134312 PECOS PAC ID: 4789067232 Enrollment ID: I20220816000763 |
| Provider Name | Luma A Mohsin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235690942 PECOS PAC ID: 4789911819 Enrollment ID: I20220823000741 |
| Provider Name | Edith Ngyeh Funtong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760115372 PECOS PAC ID: 6204210800 Enrollment ID: I20220831001440 |
| Provider Name | Charlene R Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235257718 PECOS PAC ID: 6608063755 Enrollment ID: I20220929003193 |
| Provider Name | Violet Ashu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881278240 PECOS PAC ID: 0941697072 Enrollment ID: I20221020000949 |
| Provider Name | Ria Lobarbio-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689024507 PECOS PAC ID: 1759675564 Enrollment ID: I20221122000843 |
| Provider Name | Eleanore Knox |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1831622521 PECOS PAC ID: 6901276948 Enrollment ID: I20230107000104 |
| Provider Name | Lacey Dionne Anglin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922746098 PECOS PAC ID: 6507236569 Enrollment ID: I20230109000897 |
| Provider Name | Carla Dennise Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164122149 PECOS PAC ID: 2062877483 Enrollment ID: I20230508000967 |
| Provider Name | Michelle Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003550369 PECOS PAC ID: 1557729845 Enrollment ID: I20230619000839 |
| Provider Name | Akosua Neferteti Obeng-aduasare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230725000845 |
| Provider Name | Neeharika Mettupalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245657683 PECOS PAC ID: 6608154844 Enrollment ID: I20230816001300 |
| Provider Name | Richard F. Thompson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376551036 PECOS PAC ID: 8325094857 Enrollment ID: I20230905000466 |
| Provider Name | Lauren Lorraine Diocee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720772767 PECOS PAC ID: 7719340090 Enrollment ID: I20230905001402 |
| Provider Name | Berenice Angelica Tarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740960905 PECOS PAC ID: 3274989405 Enrollment ID: I20231025000455 |
| Provider Name | Diana Nyaboke Ratemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750005500 PECOS PAC ID: 4587836465 Enrollment ID: I20231117001362 |
| Provider Name | Cameron Edward Sheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821874348 PECOS PAC ID: 3870943517 Enrollment ID: I20231221001466 |
| Provider Name | Jeneba Sheriff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710477799 PECOS PAC ID: 8123461647 Enrollment ID: I20240212001799 |
| Provider Name | Manuel Terry Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023170941 PECOS PAC ID: 5799127189 Enrollment ID: I20240530003395 |
| Provider Name | Ihuoma Uko Udeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497537930 PECOS PAC ID: 8426591777 Enrollment ID: I20240614003662 |
Positive Outlook Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5057 Keller Springs Rd, Addison, TX 75001 Phone: 214-629-9491 | |
Cortex Neuromonitoring Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Drive Suite 1100e, Addison, TX 75001 Phone: 405-594-4545 | |
Core Neurodiagnostics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr Ste 1100e, Addison, TX 75001 Phone: 210-598-4277 | |
Push Prenatal And Postpartum Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4811 Broadway St Ste 4, Addison, TX 75001 Phone: 214-596-8318 | |
True Connections Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4950 Keller Springs Rd Ste 310, Addison, TX 75001 Phone: 214-718-0983 | |
One Care Monitoring, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr Ste 1100e, Addison, TX 75001 Phone: 216-777-2726 | |
Red River Neurodiagnostics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Drive Suite 1100e, Addison, TX 75001 Phone: 210-598-2800 |