| Healing Hands Ministries Greenville Family | |
|
8515 Greenville Ave Ste N-108 Dallas TX 75243 | |
| (214) 221-0855 | |
| (214) 710-1303 |
| Full Name | Healing Hands Ministries Greenville Family |
|---|---|
| Speciality | Clinic/Center |
| Location | 8515 Greenville Ave, Dallas, Texas |
| Authorized Official Name and Position | Rosa Natalie Gomez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2142210855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hands Ministries Greenville Family 8515 Greenville Ave Ste N108 Dallas TX 75243-7035 Ph: (214) 221-0855 | Healing Hands Ministries Greenville Family 8515 Greenville Ave Ste N-108 Dallas TX 75243 Ph: (214) 221-0855 |
| NPI Number | 1306287529 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 8527289339 |
|---|---|
| Medicare Enrollment ID | O20141021000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306287529 | NPI | - | NPPES |
| 332302404 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9098239 (Texas) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Marilyn Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104851906 PECOS PAC ID: 8527085745 Enrollment ID: I20051027000587 |
| Provider Name | Susan R Payberah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578550539 PECOS PAC ID: 9234155722 Enrollment ID: I20090331000451 |
| Provider Name | Debra Wright-bowers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144459231 PECOS PAC ID: 9931254083 Enrollment ID: I20090826000269 |
| Provider Name | Michael Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881688042 PECOS PAC ID: 8426173147 Enrollment ID: I20100917000147 |
| Provider Name | Ivorry Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083922967 PECOS PAC ID: 3971771536 Enrollment ID: I20110726000464 |
| Provider Name | Jennifer Elizabeth Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801174396 PECOS PAC ID: 9830364678 Enrollment ID: I20111207000092 |
| Provider Name | Lynne Anne Orozco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477741569 PECOS PAC ID: 5092859959 Enrollment ID: I20150105000526 |
| Provider Name | Danh D Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083019889 PECOS PAC ID: 6305160011 Enrollment ID: I20150128000552 |
| Provider Name | Conrad Capili |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962778878 PECOS PAC ID: 4183927296 Enrollment ID: I20160125000628 |
| Provider Name | Sutha Mervin Fernando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093255580 PECOS PAC ID: 9830466812 Enrollment ID: I20170523000466 |
| Provider Name | Viviana Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932761574 PECOS PAC ID: 0446580476 Enrollment ID: I20190918000632 |
| Provider Name | Providence Uwimana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164868204 PECOS PAC ID: 6305277609 Enrollment ID: I20200520000689 |
| Provider Name | Jill Marie Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033255765 PECOS PAC ID: 2365846235 Enrollment ID: I20210814000353 |
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 |