| Digestive Health Associates Of Texas, P.a. | |
|
7610 Stemmons Fwy Suite 500 Dallas TX 75247-4231 | |
| (214) 689-5960 | |
| (469) 713-8084 |
| Full Name | Digestive Health Associates Of Texas, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7610 Stemmons Fwy, Dallas, Texas |
| Authorized Official Name and Position | Greg L Kirby (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2146895960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Associates Of Texas, P.a. 7610 Stemmons Fwy Suite 500 Dallas TX 75247-4231 Ph: (214) 689-5960 | Digestive Health Associates Of Texas, P.a. 7610 Stemmons Fwy Suite 500 Dallas TX 75247-4231 Ph: (214) 689-5960 |
| NPI Number | 1831158310 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 04/19/2013 |
| Medicare PECOS PAC ID | 2769372150 |
|---|---|
| Medicare Enrollment ID | O20040318001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831158310 | NPI | - | NPPES |
| 126008506 | Medicaid | TX | |
| 126008505 | Medicaid | TX | |
| 100754790 A | Medicaid | OK | |
| 126008504 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | (* (Not Available)) | Secondary |
| Provider Name | Cherian Abraham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134188311 PECOS PAC ID: 7618964404 Enrollment ID: I20040426000817 |
| Provider Name | Kendall Ole Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407815228 PECOS PAC ID: 2163407263 Enrollment ID: I20040622001622 |
| Provider Name | Kenneth Joseph Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043279870 PECOS PAC ID: 2365420841 Enrollment ID: I20040712000103 |
| Provider Name | Michael A Russo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043272958 PECOS PAC ID: 8325018088 Enrollment ID: I20040729000616 |
| Provider Name | Mark Dewayne Murray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205896214 PECOS PAC ID: 0547231763 Enrollment ID: I20040803000120 |
| Provider Name | Murali Alloju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194794495 PECOS PAC ID: 3779554498 Enrollment ID: I20040804001578 |
| Provider Name | Adnan Nadir |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275588394 PECOS PAC ID: 5799750352 Enrollment ID: I20040830000193 |
| Provider Name | Roy Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205864667 PECOS PAC ID: 9032177605 Enrollment ID: I20041229000436 |
| Provider Name | Catherine Yaussy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487614749 PECOS PAC ID: 8325093388 Enrollment ID: I20050314000325 |
| Provider Name | John K Hamilton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033179213 PECOS PAC ID: 0345295317 Enrollment ID: I20050314000461 |
| Provider Name | Angela A Carollo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306805585 PECOS PAC ID: 9537195425 Enrollment ID: I20050712000872 |
| Provider Name | Andrew Chao Yu Shea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356300891 PECOS PAC ID: 6204862105 Enrollment ID: I20050712000926 |
| Provider Name | Son T Do |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871552224 PECOS PAC ID: 3274558440 Enrollment ID: I20051007000243 |
| Provider Name | Walter Young |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356301055 PECOS PAC ID: 1254347040 Enrollment ID: I20060303000130 |
| Provider Name | David Awyn Hall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275598757 PECOS PAC ID: 7810908910 Enrollment ID: I20060602000215 |
| Provider Name | Youngmi Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659317329 PECOS PAC ID: 8224034053 Enrollment ID: I20061018000259 |
| Provider Name | Noel L Snowberger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396788162 PECOS PAC ID: 1254338171 Enrollment ID: I20061106000515 |
| Provider Name | Paul R Tarnasky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083674832 PECOS PAC ID: 4880693613 Enrollment ID: I20061205000508 |
| Provider Name | Sindhu A Abraham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033178223 PECOS PAC ID: 9537168158 Enrollment ID: I20061208000482 |
| Provider Name | Yamini K Maddala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023050812 PECOS PAC ID: 6204836067 Enrollment ID: I20070301000438 |
| Provider Name | Matthew W Eidem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376650366 PECOS PAC ID: 0345347720 Enrollment ID: I20070518000419 |
| Provider Name | Sami N Arslanlar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033235684 PECOS PAC ID: 1153428537 Enrollment ID: I20070518000428 |
| Provider Name | Robert D Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861514929 PECOS PAC ID: 1658471826 Enrollment ID: I20070717000630 |
| Provider Name | Gerald M Isbell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093774853 PECOS PAC ID: 5799785556 Enrollment ID: I20070725000325 |
| Provider Name | Sripathi R Kethu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801840111 PECOS PAC ID: 2365355526 Enrollment ID: I20070801000763 |
| Provider Name | Candice P Jantz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023227717 PECOS PAC ID: 8628160967 Enrollment ID: I20070816000569 |
| Provider Name | Kristie L Blank |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962606566 PECOS PAC ID: 2062500184 Enrollment ID: I20071126000548 |
| Provider Name | Nancy W Brookshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134338916 PECOS PAC ID: 0941399950 Enrollment ID: I20071128000675 |
| Provider Name | James J Nackley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669432571 PECOS PAC ID: 8628078474 Enrollment ID: I20080204000305 |
| Provider Name | Jay N Yepuri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811007883 PECOS PAC ID: 2264531094 Enrollment ID: I20080819000028 |
| Provider Name | Viralkumar V Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699898981 PECOS PAC ID: 4486720786 Enrollment ID: I20080911000072 |
| Provider Name | Sangeethapriya Duraiswamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578754750 PECOS PAC ID: 7911053921 Enrollment ID: I20090916000412 |
| Provider Name | Elizabeth A Odstrcil |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164623351 PECOS PAC ID: 9133265093 Enrollment ID: I20091006000622 |
| Provider Name | Wendy N Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346407574 PECOS PAC ID: 6406928175 Enrollment ID: I20100316000950 |
| Provider Name | Jae-koo An |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205805447 PECOS PAC ID: 0345240107 Enrollment ID: I20100816000851 |
| Provider Name | Annette Elizabeth Whitney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851351555 PECOS PAC ID: 5395745145 Enrollment ID: I20100826001181 |
| Provider Name | John Henry Baker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245299106 PECOS PAC ID: 2860516838 Enrollment ID: I20100826001211 |
| Provider Name | David Raj Bass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083674691 PECOS PAC ID: 1850497959 Enrollment ID: I20100826001222 |
| Provider Name | Adnan Suleiman Badr |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770552945 PECOS PAC ID: 8325048382 Enrollment ID: I20100922000274 |
| Provider Name | Kevin Kuen-dar Ho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396842936 PECOS PAC ID: 4082603352 Enrollment ID: I20101006001152 |
| Provider Name | Octavio Armando De La Pena |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780643692 PECOS PAC ID: 1052311818 Enrollment ID: I20101018000632 |
| Provider Name | Brian Kenneth Cooley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518926146 PECOS PAC ID: 6608816673 Enrollment ID: I20101018000813 |
| Provider Name | Ravi Shankar Chittajallu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932168143 PECOS PAC ID: 7214937077 Enrollment ID: I20101018000883 |
| Provider Name | Balu Chandra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588623342 PECOS PAC ID: 9234139098 Enrollment ID: I20101018001263 |
| Provider Name | James D Hakert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467411298 PECOS PAC ID: 4587664347 Enrollment ID: I20101026000427 |
| Provider Name | Bilal A Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417917436 PECOS PAC ID: 9032119896 Enrollment ID: I20101026000504 |
| Provider Name | Janardhan Konda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538128236 PECOS PAC ID: 4880694645 Enrollment ID: I20101026000617 |
| Provider Name | John C Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740240803 PECOS PAC ID: 9234139296 Enrollment ID: I20101026000649 |
| Provider Name | Jeffrey Don Linder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578522298 PECOS PAC ID: 1850391616 Enrollment ID: I20101026000705 |
| Provider Name | Mark R Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841250842 PECOS PAC ID: 0446250294 Enrollment ID: I20101026000757 |
| Provider Name | Gordon David Luk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003877432 PECOS PAC ID: 3375649478 Enrollment ID: I20101026000893 |
| Provider Name | Harry E Sarles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861451395 PECOS PAC ID: 6901806751 Enrollment ID: I20101028000866 |
| Provider Name | Ruben Ernesto Sandoval |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205896164 PECOS PAC ID: 8729088570 Enrollment ID: I20101028001023 |
| Provider Name | Armond G Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245290071 PECOS PAC ID: 6002816857 Enrollment ID: I20101028001042 |
| Provider Name | John W Secor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568421014 PECOS PAC ID: 5193725943 Enrollment ID: I20101028001158 |
| Provider Name | Jeffrey Scott Weinstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336109735 PECOS PAC ID: 2668472416 Enrollment ID: I20101028001472 |
| Provider Name | Jeffrey A Mills |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538129531 PECOS PAC ID: 7416957477 Enrollment ID: I20101029000134 |
| Provider Name | David Jude Magee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861452955 PECOS PAC ID: 2769482520 Enrollment ID: I20101029000259 |
| Provider Name | Michael Franklin Weisberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235199936 PECOS PAC ID: 8022018878 Enrollment ID: I20101101000090 |
| Provider Name | Lawrence Rudolph Schiller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467412288 PECOS PAC ID: 8820098676 Enrollment ID: I20101101000427 |
| Provider Name | Randal Macurak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861451502 PECOS PAC ID: 1355341108 Enrollment ID: I20101103001242 |
| Provider Name | Elizabeth B Reinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427359892 PECOS PAC ID: 0345423000 Enrollment ID: I20110318000183 |
| Provider Name | Jessica P Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396955233 PECOS PAC ID: 7113195678 Enrollment ID: I20110727000708 |
| Provider Name | Eric Hill |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689791980 PECOS PAC ID: 6305937541 Enrollment ID: I20110823000946 |
| Provider Name | Vincent C Kuo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144463183 PECOS PAC ID: 2062682115 Enrollment ID: I20110826000469 |
| Provider Name | Priya Rangasamy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598963746 PECOS PAC ID: 1052586633 Enrollment ID: I20111209000195 |
| Provider Name | Amit H Masand |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568637825 PECOS PAC ID: 5193988400 Enrollment ID: I20120524000441 |
| Provider Name | Alexander M Mantas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811193485 PECOS PAC ID: 7416112453 Enrollment ID: I20120626000256 |
| Provider Name | Syed S Hasan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659509271 PECOS PAC ID: 0042476202 Enrollment ID: I20120717000139 |
| Provider Name | Arshad H Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225090269 PECOS PAC ID: 9234141227 Enrollment ID: I20120816000876 |
| Provider Name | Lillienne Yoon Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679771117 PECOS PAC ID: 5496905689 Enrollment ID: I20121024000526 |
| Provider Name | Vinay Antin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316224116 PECOS PAC ID: 2365687829 Enrollment ID: I20130404000152 |
| Provider Name | Thomas E Lyles |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841410024 PECOS PAC ID: 8628216363 Enrollment ID: I20130607000407 |
| Provider Name | Faiz Ahmed Mirza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326294646 PECOS PAC ID: 7214161926 Enrollment ID: I20131014000248 |
| Provider Name | Moustafa A Youssef |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477745537 PECOS PAC ID: 4082885389 Enrollment ID: I20140722001717 |
| Provider Name | Hemangi P Kale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528076213 PECOS PAC ID: 4587788815 Enrollment ID: I20140926000787 |
| Provider Name | Sarita Gayle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841465606 PECOS PAC ID: 8527288158 Enrollment ID: I20141003000035 |
| Provider Name | Bryan A Ong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013117530 PECOS PAC ID: 5799906889 Enrollment ID: I20141014000857 |
| Provider Name | Prashant S Kedia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235331661 PECOS PAC ID: 5193968667 Enrollment ID: I20141015000804 |
| Provider Name | Lisa C Alvarez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437315959 PECOS PAC ID: 3577784701 Enrollment ID: I20141031001028 |
| Provider Name | Manmeet S Padda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710928601 PECOS PAC ID: 5890764138 Enrollment ID: I20150108000564 |
| Provider Name | Sunbal Zafar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225059009 PECOS PAC ID: 3173530938 Enrollment ID: I20150324000109 |
| Provider Name | Stuart Akerman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154652923 PECOS PAC ID: 6204060486 Enrollment ID: I20150811003779 |
| Provider Name | David P Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992064976 PECOS PAC ID: 9032419296 Enrollment ID: I20151120000391 |
| Provider Name | Heather Rose Nugent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518325133 PECOS PAC ID: 5496050767 Enrollment ID: I20160224001479 |
| Provider Name | Phuong Julia H Banh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942685128 PECOS PAC ID: 0547566689 Enrollment ID: I20160315002585 |
| Provider Name | Janine Dukuze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396160354 PECOS PAC ID: 9537485164 Enrollment ID: I20160428000589 |
| Provider Name | Veena Kumaravel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366673949 PECOS PAC ID: 5294029526 Enrollment ID: I20160810000817 |
| Provider Name | Sadaf Saghier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346404159 PECOS PAC ID: 5890080030 Enrollment ID: I20160826000411 |
| Provider Name | Venessa Marie Beckman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932464195 PECOS PAC ID: 5395030423 Enrollment ID: I20160829000370 |
| Provider Name | Sanjay Nayyar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740381672 PECOS PAC ID: 1951363118 Enrollment ID: I20170511002331 |
| Provider Name | Debra L Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962642355 PECOS PAC ID: 3678621810 Enrollment ID: I20170705000665 |
| Provider Name | Priscilla Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689196412 PECOS PAC ID: 9234400151 Enrollment ID: I20170810000853 |
| Provider Name | Vineel Kankanala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023307808 PECOS PAC ID: 7315257334 Enrollment ID: I20180503002357 |
| Provider Name | Lynn Marlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225000250 PECOS PAC ID: 6709875529 Enrollment ID: I20180718003506 |
| Provider Name | Imad Irshad Ahmad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396065645 PECOS PAC ID: 5496989428 Enrollment ID: I20180827002911 |
| Provider Name | Soren Gandhi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023305281 PECOS PAC ID: 4880943679 Enrollment ID: I20181205000078 |
| Provider Name | Sara Knox Eakin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477037042 PECOS PAC ID: 6901141274 Enrollment ID: I20181215000069 |
| Provider Name | Deepti S Dhavaleshwar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093050148 PECOS PAC ID: 4183844368 Enrollment ID: I20181217002240 |
| Provider Name | Nantha Kumar Surkunalingam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710265681 PECOS PAC ID: 5092039735 Enrollment ID: I20190131001454 |
| Provider Name | Paul Paradiso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861836108 PECOS PAC ID: 3072807577 Enrollment ID: I20190705000339 |
| Provider Name | Rathan Adunuthula Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912346057 PECOS PAC ID: 1153550496 Enrollment ID: I20190813000817 |
| Provider Name | Heather M Keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114567096 PECOS PAC ID: 9133555279 Enrollment ID: I20200207001443 |
| Provider Name | Rushikesh Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144578378 PECOS PAC ID: 2668773938 Enrollment ID: I20200803001028 |
| Provider Name | Stephani Marie Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225640998 PECOS PAC ID: 9931527843 Enrollment ID: I20200909001976 |
| Provider Name | Triciah Cowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811531080 PECOS PAC ID: 9133548803 Enrollment ID: I20200929003125 |
| Provider Name | Phianh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104254986 PECOS PAC ID: 8426283094 Enrollment ID: I20201027000122 |
| Provider Name | Atif Saleem |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629279682 PECOS PAC ID: 0446318471 Enrollment ID: I20210514000163 |
| Provider Name | Asha Adams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912389370 PECOS PAC ID: 1052713781 Enrollment ID: I20210716001899 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |