| Asb Doctors Alliance Inc | |
|
10935 Estate Ln Ste S106 Dallas TX 75238-2316 | |
| (214) 908-8725 | |
| Not Available |
| Full Name | Asb Doctors Alliance Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10935 Estate Ln Ste S106, Dallas, Texas |
| Authorized Official Name and Position | Dan Blackburn (OWNER) |
| Authorized Official Contact | 9727988001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asb Doctors Alliance Inc 10935 Estate Ln Ste S106 Dallas TX 75238-2316 Ph: (214) 908-8725 | Asb Doctors Alliance Inc 10935 Estate Ln Ste S106 Dallas TX 75238-2316 Ph: (214) 908-8725 |
| NPI Number | 1689181455 |
|---|---|
| Provider Enumeration Date | 01/03/2018 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 0446510291 |
|---|---|
| Medicare Enrollment ID | O20180216000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689181455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Justina Nweke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164582714 PECOS PAC ID: 1254422025 Enrollment ID: I20070808000372 |
| Provider Name | Eleanor G Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831371806 PECOS PAC ID: 5991884900 Enrollment ID: I20080501000670 |
| Provider Name | Denise E Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548477367 PECOS PAC ID: 2264588607 Enrollment ID: I20090925000444 |
| Provider Name | Edward Norris Kremer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285691006 PECOS PAC ID: 3173649373 Enrollment ID: I20100924000898 |
| Provider Name | Fatmata Barrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992011399 PECOS PAC ID: 6709979065 Enrollment ID: I20101203001074 |
| Provider Name | Murray R Strauss |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568655652 PECOS PAC ID: 9133301088 Enrollment ID: I20110314000628 |
| Provider Name | Christopher Lucchese |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427056639 PECOS PAC ID: 9032007935 Enrollment ID: I20120314000529 |
| Provider Name | Karen B Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174738678 PECOS PAC ID: 0749328789 Enrollment ID: I20121003000221 |
| Provider Name | Deepti Khullar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285055483 PECOS PAC ID: 1658501259 Enrollment ID: I20140227000328 |
| Provider Name | Morresa M Bain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194152686 PECOS PAC ID: 6901029008 Enrollment ID: I20140519000057 |
| Provider Name | Onongaya Nwanyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386021186 PECOS PAC ID: 5193747368 Enrollment ID: I20150709001226 |
| Provider Name | Francis C Oramalu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003889478 PECOS PAC ID: 7416911532 Enrollment ID: I20151109001319 |
| Provider Name | Carnika Donald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295111367 PECOS PAC ID: 7315248796 Enrollment ID: I20151209002516 |
| Provider Name | Pauline W Mclarty-nevers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194152959 PECOS PAC ID: 3577840669 Enrollment ID: I20170427000294 |
| Provider Name | Josephine Mandeya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609226505 PECOS PAC ID: 7113205089 Enrollment ID: I20170525000128 |
| Provider Name | Brandon J Lampe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649647124 PECOS PAC ID: 3577830231 Enrollment ID: I20170531000351 |
| Provider Name | Celina Egemasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912300740 PECOS PAC ID: 2466718937 Enrollment ID: I20180109001455 |
| Provider Name | Nwamaka Emeruem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508366642 PECOS PAC ID: 2062774813 Enrollment ID: I20180315001049 |
| Provider Name | Nneka Okoh Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891294161 PECOS PAC ID: 4688681497 Enrollment ID: I20180402000802 |
| Provider Name | Kristen M Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023508801 PECOS PAC ID: 1557617933 Enrollment ID: I20180628000605 |
| Provider Name | Justina A Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073029567 PECOS PAC ID: 1850647660 Enrollment ID: I20180710001397 |
| Provider Name | Javanna C Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447757398 PECOS PAC ID: 6204184310 Enrollment ID: I20180807000754 |
| Provider Name | Lisset Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770085110 PECOS PAC ID: 9638422785 Enrollment ID: I20181019000944 |
| Provider Name | Keyshawna O Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427536986 PECOS PAC ID: 1951654961 Enrollment ID: I20181022000708 |
| Provider Name | Doris Bangura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093260804 PECOS PAC ID: 3072769306 Enrollment ID: I20190510000594 |
| Provider Name | Jane Yatta Mcarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235793175 PECOS PAC ID: 9335230622 Enrollment ID: I20190530001273 |
| Provider Name | Roseline A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538645510 PECOS PAC ID: 4385970813 Enrollment ID: I20190722002721 |
| Provider Name | Comfort Pokoo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942860259 PECOS PAC ID: 2668702341 Enrollment ID: I20190923002518 |
| Provider Name | Elizabeth R Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298646 PECOS PAC ID: 3779615604 Enrollment ID: I20200417002341 |
| Provider Name | Lacresha Q Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285201582 PECOS PAC ID: 1456752013 Enrollment ID: I20210702001299 |
| Provider Name | Lora L Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710409123 PECOS PAC ID: 1254705890 Enrollment ID: I20230321002226 |
| Provider Name | Tonika Ludell Laflora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114569167 PECOS PAC ID: 4284068917 Enrollment ID: I20231212000873 |
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