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600 E Taylor St Ste 201 Sherman TX 75090-2832 | |
| (903) 257-3929 | |
| (903) 827-4015 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 600 E Taylor St Ste 201, Sherman, Texas |
| Authorized Official Name and Position | Sheelu Mathews (MANAGER) |
| Authorized Official Contact | 9732074589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
600 E Taylor St Ste 201 Sherman TX 75090-2832 Ph: (903) 257-3929 | 600 E Taylor St Ste 201 Sherman TX 75090-2832 Ph: (903) 257-3929 |
| NPI Number | 1427775451 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 8224406103 |
|---|---|
| Medicare Enrollment ID | O20221128000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427775451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Jenson Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205074135 PECOS PAC ID: 5395931851 Enrollment ID: I20131106000278 |
| Provider Name | Jamie Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023785045 PECOS PAC ID: 4486045655 Enrollment ID: I20211222002095 |
| Provider Name | Leslie Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906355 PECOS PAC ID: 4981879194 Enrollment ID: I20230802000489 |
| Provider Name | Sheelu Mathews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750578258 PECOS PAC ID: 6608045190 Enrollment ID: I20230914001933 |
| Provider Name | Daniela C Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962167775 PECOS PAC ID: 9931632692 Enrollment ID: I20241101002808 |
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