| Healthbridge Corporation | |
|
375 Municipal Dr Ste 218 Richardson TX 75080-3624 | |
| (469) 515-6801 | |
| Not Available |
| Full Name | Healthbridge Corporation |
|---|---|
| Speciality | General Practice |
| Location | 375 Municipal Dr Ste 218, Richardson, Texas |
| Authorized Official Name and Position | Vivian Drilon (CEO) |
| Authorized Official Contact | 4697341543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthbridge Corporation 375 Municipal Dr Ste 218 Richardson TX 75080-3624 Ph: (469) 515-6801 | Healthbridge Corporation 375 Municipal Dr Ste 218 Richardson TX 75080-3624 Ph: (469) 515-6801 |
| NPI Number | 1578252359 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 9436519626 |
|---|---|
| Medicare Enrollment ID | O20230719003671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578252359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | James D Cable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659310548 PECOS PAC ID: 8820070923 Enrollment ID: I20040602001586 |
| Provider Name | Ravi K Sreerama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154373397 PECOS PAC ID: 4284775842 Enrollment ID: I20100105000686 |
| Provider Name | My Hien T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043858798 PECOS PAC ID: 4183052525 Enrollment ID: I20200409002481 |
| Provider Name | Daniel Valencia-lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891256574 PECOS PAC ID: 0143640631 Enrollment ID: I20201022000964 |
| Provider Name | Kaci B Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134874472 PECOS PAC ID: 9537546429 Enrollment ID: I20220531002816 |
| Provider Name | Jonathan B Garcellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659955433 PECOS PAC ID: 9830595081 Enrollment ID: I20230426001906 |
| Provider Name | Sharon Woyram Slade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467144162 PECOS PAC ID: 4981068673 Enrollment ID: I20230913004104 |
| Provider Name | Dee Mcleod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053584003 PECOS PAC ID: 8224198478 Enrollment ID: I20240304003778 |
| Provider Name | Srinivasan Rajaganapathy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831726835 PECOS PAC ID: 5092130930 Enrollment ID: I20240430001276 |
| Provider Name | Rainier De Joya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548980527 PECOS PAC ID: 3375984826 Enrollment ID: I20240515000205 |
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