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5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001-4648 | |
| (972) 364-8000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 5080 Spectrum Drive, Addison, Texas |
| Authorized Official Name and Position | Robert Hassett (PRESIDENT) |
| Authorized Official Contact | 9723648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5080 Spectrum Dr Suite 1200w Addison TX 75001-4648 Ph: () - | 5080 Spectrum Drive Suite 1200 West Tower Addison TX 75001-4648 Ph: (972) 364-8000 |
| NPI Number | 1710168117 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 01/26/2016 |
| Medicare PECOS PAC ID | 9739260019 |
|---|---|
| Medicare Enrollment ID | O20080220000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710168117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | William G Crawford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871648535 PECOS PAC ID: 7618956400 Enrollment ID: I20040715000779 |
| Provider Name | Basil E Ezenwa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942244280 PECOS PAC ID: 3173502762 Enrollment ID: I20040716000852 |
| Provider Name | Reginald Franklin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790703841 PECOS PAC ID: 1052381506 Enrollment ID: I20040730000526 |
| Provider Name | Clayton M Ramsue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659549103 PECOS PAC ID: 0749259604 Enrollment ID: I20040928000306 |
| Provider Name | Francine R Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427260199 PECOS PAC ID: 7315901501 Enrollment ID: I20041117000512 |
| Provider Name | Freeman M Montaque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215095591 PECOS PAC ID: 7113836081 Enrollment ID: I20050505000603 |
| Provider Name | Byron T Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033280466 PECOS PAC ID: 1456376888 Enrollment ID: I20051013000926 |
| Provider Name | Andrea Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881624278 PECOS PAC ID: 5597788877 Enrollment ID: I20060314000385 |
| Provider Name | Amardeep S Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902914591 PECOS PAC ID: 8426055971 Enrollment ID: I20061026000230 |
| Provider Name | Amamda V Sahai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528196284 PECOS PAC ID: 2062596463 Enrollment ID: I20080225000132 |
| Provider Name | Charlene Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730206269 PECOS PAC ID: 4688758089 Enrollment ID: I20080225000148 |
| Provider Name | Pearlie T Peterson-cornett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518182625 PECOS PAC ID: 2769566165 Enrollment ID: I20080225000167 |
| Provider Name | Shaun L Brownlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417072851 PECOS PAC ID: 5092899427 Enrollment ID: I20080225000402 |
| Provider Name | Jack L Miller |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801912191 PECOS PAC ID: 1254415524 Enrollment ID: I20080226000009 |
| Provider Name | Nicola B Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972620409 PECOS PAC ID: 5991882144 Enrollment ID: I20080411000404 |
| Provider Name | Richard E Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477576635 PECOS PAC ID: 5496822009 Enrollment ID: I20080924000208 |
| Provider Name | Judith Chabot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063419216 PECOS PAC ID: 9234290826 Enrollment ID: I20081201000388 |
| Provider Name | Angela L Bright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700908688 PECOS PAC ID: 7113078353 Enrollment ID: I20090629000100 |
| Provider Name | Wenli Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801089099 PECOS PAC ID: 2668518937 Enrollment ID: I20100719000500 |
| Provider Name | Vafa Rekaby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104049790 PECOS PAC ID: 0345434304 Enrollment ID: I20101103000860 |
| Provider Name | Christopher Behr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932111325 PECOS PAC ID: 9739196023 Enrollment ID: I20101230000284 |
| Provider Name | Jason E Berendt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245266782 PECOS PAC ID: 6608858030 Enrollment ID: I20120416000110 |
| Provider Name | Ingrid R Burton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679605158 PECOS PAC ID: 9032365044 Enrollment ID: I20120807000665 |
| Provider Name | Oclla M Fletcher |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1861453508 PECOS PAC ID: 8820248743 Enrollment ID: I20121030000197 |
| Provider Name | Tiffany N Parks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336383751 PECOS PAC ID: 1052554193 Enrollment ID: I20130821000594 |
| Provider Name | Cecilly A Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548226467 PECOS PAC ID: 5092775643 Enrollment ID: I20140722002443 |
| Provider Name | Allison R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427300805 PECOS PAC ID: 8123245412 Enrollment ID: I20140811000755 |
| Provider Name | Tai E Valliere-white |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669630893 PECOS PAC ID: 2668544875 Enrollment ID: I20140911001012 |
| Provider Name | Janki A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851535918 PECOS PAC ID: 7315174604 Enrollment ID: I20150727002157 |
| Provider Name | Sateesh Ramkishan Devagupthapu |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1316263593 PECOS PAC ID: 0446400675 Enrollment ID: I20151103000164 |
| Provider Name | Miriam Layne Vohrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114381282 PECOS PAC ID: 4789983222 Enrollment ID: I20160504001419 |
| Provider Name | Karrie Hodges Pusateri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750839064 PECOS PAC ID: 0446539860 Enrollment ID: I20161108000093 |
| Provider Name | Rhonda Tisdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508315102 PECOS PAC ID: 0648551994 Enrollment ID: I20161229000922 |
| Provider Name | Jay Frederick Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447699152 PECOS PAC ID: 8527380294 Enrollment ID: I20180831002324 |
| Provider Name | Elizabeth Dawn Noland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831692979 PECOS PAC ID: 8022369636 Enrollment ID: I20180920002202 |
| Provider Name | Shainul K Bhatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609880160 PECOS PAC ID: 3577802909 Enrollment ID: I20190302000108 |
| Provider Name | Dwidgelyne Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598139826 PECOS PAC ID: 0345537619 Enrollment ID: I20190814001189 |
| Provider Name | Stephanie Elizabeth James |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891106183 PECOS PAC ID: 8628364247 Enrollment ID: I20191010002980 |
| Provider Name | Alice J Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194042036 PECOS PAC ID: 0143577346 Enrollment ID: I20191116000352 |
| Provider Name | Denetra Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982199980 PECOS PAC ID: 2769816206 Enrollment ID: I20191216003100 |
| Provider Name | Curtis Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992247191 PECOS PAC ID: 4385073402 Enrollment ID: I20200410000668 |
| Provider Name | Gabrielle Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518493899 PECOS PAC ID: 9931479805 Enrollment ID: I20200731001403 |
| Provider Name | Tiffany Marshawn Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023509726 PECOS PAC ID: 4981016482 Enrollment ID: I20201207001077 |
| Provider Name | Monica E Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023655669 PECOS PAC ID: 1456782390 Enrollment ID: I20210715000639 |
| Provider Name | Kaya Archibald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831487644 PECOS PAC ID: 1456591072 Enrollment ID: I20210825001424 |
| Provider Name | Marnie Vanstrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598942963 PECOS PAC ID: 1850465311 Enrollment ID: I20220511002160 |
| Provider Name | Kimberly Nichole Eide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659908937 PECOS PAC ID: 5294158556 Enrollment ID: I20220620000741 |
| Provider Name | Paul N Horner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164713723 PECOS PAC ID: 4082090253 Enrollment ID: I20220927000239 |
| Provider Name | Timothy M Kocher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356923726 PECOS PAC ID: 0547663874 Enrollment ID: I20221102003013 |
| Provider Name | Vanessa Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497716377 PECOS PAC ID: 9335120914 Enrollment ID: I20230130002630 |
| Provider Name | Jeffrey L Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891324729 PECOS PAC ID: 0345662995 Enrollment ID: I20230808002263 |
| Provider Name | Shane Thomas Geffe |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568091197 PECOS PAC ID: 2668870379 Enrollment ID: I20230811002845 |
| Provider Name | Victor A Bowden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790362721 PECOS PAC ID: 1355745639 Enrollment ID: I20230911003601 |
| Provider Name | Adena Marie Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164957049 PECOS PAC ID: 6709218308 Enrollment ID: I20231005003857 |
American Current Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001 Phone: 972-364-8083 Fax: 214-775-4502 | |
Virtual Health Provider Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5057 Keller Springs Rd Ste 300, Addison, TX 75001 Phone: 877-345-3992 | |
Concentra Health Serivces, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr Ste 1200w, Addison, TX 75001 Phone: 972-364-3000 | |
Occupational Health Centers Of The Southwest P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Spectrum Dr, Suite 1200w, Addison, TX 75001 Phone: 972-720-7768 Fax: 214-775-4502 | |
Neuropathy Healers, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16300 Addison Rd Ste 300, Addison, TX 75001 Phone: 972-920-6898 |