| Physician Associates Of Southwest Dallas | |
|
122 W Colorado Blvd Dallas TX 75208-2382 | |
| (214) 947-6700 | |
| (214) 947-6701 |
| Full Name | Physician Associates Of Southwest Dallas |
|---|---|
| Speciality | Family Medicine |
| Location | 122 W Colorado Blvd, Dallas, Texas |
| Authorized Official Name and Position | Samuel Cullison (VICE PRESIDENT) |
| Authorized Official Contact | 2149472356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Associates Of Southwest Dallas 3400 W Wheatland Rd Bldg Iii, Suite 360 Dallas TX 75237-3460 Ph: (214) 884-4700 | Physician Associates Of Southwest Dallas 122 W Colorado Blvd Dallas TX 75208-2382 Ph: (214) 947-6700 |
| NPI Number | 1801845425 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 12/13/2018 |
| Medicare PECOS PAC ID | 3274519293 |
|---|---|
| Medicare Enrollment ID | O20040629000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801845425 | NPI | - | NPPES |
| 156122702 | Other | TX | MEDICAID TX HEALTH STEPS |
| 156122701 | Medicaid | TX |
| Provider Name | Ndaya Muleba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467553594 PECOS PAC ID: 2062315658 Enrollment ID: I20040130000454 |
| Provider Name | Thomas Brent Shima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518938695 PECOS PAC ID: 9739176272 Enrollment ID: I20040427001606 |
| Provider Name | Rajasree J Nair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841213493 PECOS PAC ID: 7618966946 Enrollment ID: I20040511000622 |
| Provider Name | Manuel E Rivera-alsina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740260082 PECOS PAC ID: 6507856945 Enrollment ID: I20040517000986 |
| Provider Name | Juan W Arias |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326024811 PECOS PAC ID: 8527044668 Enrollment ID: I20040628001609 |
| Provider Name | Charles Russell Downey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720037435 PECOS PAC ID: 5395704431 Enrollment ID: I20041006000121 |
| Provider Name | Stephen L Hines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699750372 PECOS PAC ID: 8527021328 Enrollment ID: I20041111000378 |
| Provider Name | Leigh K Hunter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114903614 PECOS PAC ID: 7315999612 Enrollment ID: I20050215000671 |
| Provider Name | Shelly-ann Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790760445 PECOS PAC ID: 1850343179 Enrollment ID: I20050215000787 |
| Provider Name | Cealee A Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962413849 PECOS PAC ID: 4789630104 Enrollment ID: I20050329000207 |
| Provider Name | Roberto L Collazo Maldonado |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942295647 PECOS PAC ID: 5698713477 Enrollment ID: I20050421000999 |
| Provider Name | Lesca C Hadley |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114916715 PECOS PAC ID: 6709818636 Enrollment ID: I20050831000478 |
| Provider Name | Kimberly Dionne Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538109509 PECOS PAC ID: 0446285589 Enrollment ID: I20050929000956 |
| Provider Name | Heather J Holmes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649202847 PECOS PAC ID: 8224055116 Enrollment ID: I20051031000203 |
| Provider Name | Alfredo Antonetti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043237761 PECOS PAC ID: 6608890595 Enrollment ID: I20060118000708 |
| Provider Name | Theodore J Krum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700811387 PECOS PAC ID: 9537175096 Enrollment ID: I20060222000037 |
| Provider Name | Fay E Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700830171 PECOS PAC ID: 2062428105 Enrollment ID: I20060228000236 |
| Provider Name | Lynda D Howl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659326734 PECOS PAC ID: 2860405461 Enrollment ID: I20060727000222 |
| Provider Name | Hetendra G Makanbhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275556235 PECOS PAC ID: 9335145168 Enrollment ID: I20061018000249 |
| Provider Name | Paul R Tarnasky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083674832 PECOS PAC ID: 4880693613 Enrollment ID: I20061205000508 |
| Provider Name | Gail Mclauchlan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730112780 PECOS PAC ID: 1355343161 Enrollment ID: I20070207000646 |
| Provider Name | Michael S Truitt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356497937 PECOS PAC ID: 0749373280 Enrollment ID: I20070829000671 |
| Provider Name | Kevin P Magee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336211887 PECOS PAC ID: 3870677123 Enrollment ID: I20080225000619 |
| Provider Name | Mark A Lyons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609079904 PECOS PAC ID: 1456437805 Enrollment ID: I20080325000544 |
| Provider Name | Teresa J Bascom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275535049 PECOS PAC ID: 3678518438 Enrollment ID: I20080606000080 |
| Provider Name | Christopher T Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396806535 PECOS PAC ID: 2365543386 Enrollment ID: I20080610000136 |
| Provider Name | Isitri Modak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124066204 PECOS PAC ID: 0446284780 Enrollment ID: I20080718000223 |
| Provider Name | Jan S Risden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679776959 PECOS PAC ID: 6507939675 Enrollment ID: I20080723000062 |
| Provider Name | Parvez S Mantry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770528697 PECOS PAC ID: 5092721761 Enrollment ID: I20080730000164 |
| Provider Name | Khadija S Kabani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386804078 PECOS PAC ID: 2264507086 Enrollment ID: I20080813000577 |
| Provider Name | Anuj Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770792434 PECOS PAC ID: 5799853628 Enrollment ID: I20081006000478 |
| Provider Name | Rebecca R Mckown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225000847 PECOS PAC ID: 3274601786 Enrollment ID: I20081010000629 |
| Provider Name | Kecia L Foxworth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164573861 PECOS PAC ID: 0648348151 Enrollment ID: I20081010000650 |
| Provider Name | Patricia A Larue |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962475160 PECOS PAC ID: 0345318754 Enrollment ID: I20081010000664 |
| Provider Name | Theresa M Patton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477616886 PECOS PAC ID: 2961570379 Enrollment ID: I20081010000682 |
| Provider Name | Jeffrey S Sandate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437353026 PECOS PAC ID: 2961562699 Enrollment ID: I20081125000333 |
| Provider Name | David R Ruiz-bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770732398 PECOS PAC ID: 8022174929 Enrollment ID: I20090302000188 |
| Provider Name | Nicole Yost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497782981 PECOS PAC ID: 9739110396 Enrollment ID: I20090505000437 |
| Provider Name | Miguel A Villamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861592685 PECOS PAC ID: 5991808057 Enrollment ID: I20090618000285 |
| Provider Name | Leslie R Cler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538378310 PECOS PAC ID: 8022161777 Enrollment ID: I20090729000186 |
| Provider Name | Brett A. Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356327399 PECOS PAC ID: 7719014471 Enrollment ID: I20100428000933 |
| Provider Name | Michael Sheffield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801867379 PECOS PAC ID: 1254469778 Enrollment ID: I20100504000545 |
| Provider Name | Raymond Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922070374 PECOS PAC ID: 5991833469 Enrollment ID: I20100505000264 |
| Provider Name | Bradley Pirtle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881666139 PECOS PAC ID: 7416932108 Enrollment ID: I20100505000725 |
| Provider Name | Kim S Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558569665 PECOS PAC ID: 6608904313 Enrollment ID: I20100517000270 |
| Provider Name | Phillip L Sladek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659484376 PECOS PAC ID: 5799814950 Enrollment ID: I20100526000436 |
| Provider Name | Lisa Sebastian |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467423319 PECOS PAC ID: 6608990205 Enrollment ID: I20100903000280 |
| Provider Name | Jeffrey Don Linder |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578522298 PECOS PAC ID: 1850391616 Enrollment ID: I20101026000705 |
| Provider Name | Armond G Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245290071 PECOS PAC ID: 6002816857 Enrollment ID: I20101028001042 |
| Provider Name | Jeffrey Scott Weinstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336109735 PECOS PAC ID: 2668472416 Enrollment ID: I20101028001472 |
| Provider Name | Tara Norris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588843031 PECOS PAC ID: 0648459040 Enrollment ID: I20110131000685 |
| Provider Name | Daniel B Pearson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164487013 PECOS PAC ID: 4284816919 Enrollment ID: I20110316000656 |
| Provider Name | Martin Leroy Koonsman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1992746580 PECOS PAC ID: 2567552151 Enrollment ID: I20110413001040 |
| Provider Name | Valentine M Ebuh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598963175 PECOS PAC ID: 6204928278 Enrollment ID: I20110907001336 |
| Provider Name | Kenneth C Raney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093974503 PECOS PAC ID: 3173794799 Enrollment ID: I20110912000347 |
| Provider Name | Tarif H Khair |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255524179 PECOS PAC ID: 2466624408 Enrollment ID: I20111017000322 |
| Provider Name | Jorge A Arzac |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306823661 PECOS PAC ID: 9133376171 Enrollment ID: I20120828000125 |
| Provider Name | April A Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285947663 PECOS PAC ID: 4981843976 Enrollment ID: I20130624000651 |
| Provider Name | Ronya Lashelle Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174834824 PECOS PAC ID: 8820237654 Enrollment ID: I20130626000693 |
| Provider Name | Jerod B Patchin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386957769 PECOS PAC ID: 5294975124 Enrollment ID: I20130717000176 |
| Provider Name | Susan L Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053624437 PECOS PAC ID: 1759522147 Enrollment ID: I20130727000066 |
| Provider Name | Warren K Worsham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497073878 PECOS PAC ID: 6608018825 Enrollment ID: I20130816000508 |
| Provider Name | Vanessa K Shifflette |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194924076 PECOS PAC ID: 7315180494 Enrollment ID: I20130821000986 |
| Provider Name | Ahmed M Alobaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467778795 PECOS PAC ID: 0648413203 Enrollment ID: I20130829000210 |
| Provider Name | James R Goodsett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720027931 PECOS PAC ID: 4880725696 Enrollment ID: I20130912000731 |
| Provider Name | Kevin G Garnepudi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952621294 PECOS PAC ID: 9133363823 Enrollment ID: I20130919000326 |
| Provider Name | Mandy N Rieck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790002202 PECOS PAC ID: 4486880358 Enrollment ID: I20131123000065 |
| Provider Name | Courtney P. Rhoades-lazenby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780788950 PECOS PAC ID: 9931007549 Enrollment ID: I20140220001690 |
| Provider Name | Samuel W Cullison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972674976 PECOS PAC ID: 5294865028 Enrollment ID: I20140501000966 |
| Provider Name | Samuel Lifshitz |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1538225149 PECOS PAC ID: 6901950302 Enrollment ID: I20140505000780 |
| Provider Name | David Md Banh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972829331 PECOS PAC ID: 5698903946 Enrollment ID: I20140808001452 |
| Provider Name | Salman A Raheem |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780970947 PECOS PAC ID: 9931327079 Enrollment ID: I20140902001613 |
| Provider Name | Prashant S Kedia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235331661 PECOS PAC ID: 5193968667 Enrollment ID: I20141015000804 |
| Provider Name | Sheila A Dougan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144615741 PECOS PAC ID: 9739408899 Enrollment ID: I20150512001736 |
| Provider Name | Allison Dipasquale |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1003045386 PECOS PAC ID: 8729206701 Enrollment ID: I20150821012724 |
| Provider Name | Shaun Peter Garff |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1093135816 PECOS PAC ID: 6002037181 Enrollment ID: I20150916001844 |
| Provider Name | Brooke Ersland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427325224 PECOS PAC ID: 9830333673 Enrollment ID: I20151007000890 |
| Provider Name | Eyoel T Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992098719 PECOS PAC ID: 4183842792 Enrollment ID: I20151112002913 |
| Provider Name | Anas W Saleh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447507330 PECOS PAC ID: 3173751526 Enrollment ID: I20160204000461 |
| Provider Name | Melanie A Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821344904 PECOS PAC ID: 2668781006 Enrollment ID: I20160208001481 |
| Provider Name | Ken Duong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205193828 PECOS PAC ID: 2062644487 Enrollment ID: I20160426000484 |
| Provider Name | Lawrence Mclean Gibbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326275660 PECOS PAC ID: 4284887480 Enrollment ID: I20160513001797 |
| Provider Name | Ranjit Kumar Dhelaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386891315 PECOS PAC ID: 1456539915 Enrollment ID: I20160614002276 |
| Provider Name | Kim Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699152033 PECOS PAC ID: 1052621752 Enrollment ID: I20160729000825 |
| Provider Name | Oluseyi Ogunleye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265672406 PECOS PAC ID: 5193871440 Enrollment ID: I20160809000188 |
| Provider Name | Zachary Spencer Rubeo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609019371 PECOS PAC ID: 9638464902 Enrollment ID: I20160825001031 |
| Provider Name | Susannah M Hambright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073831640 PECOS PAC ID: 8123256351 Enrollment ID: I20160929000641 |
| Provider Name | Sohail Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104866045 PECOS PAC ID: 2769498047 Enrollment ID: I20161010002070 |
| Provider Name | Arianna M Nieto Meraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932546280 PECOS PAC ID: 3870722838 Enrollment ID: I20161108001906 |
| Provider Name | Katherine H Jelliffe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265799555 PECOS PAC ID: 2365722246 Enrollment ID: I20161212000828 |
| Provider Name | Ahmed Elfar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235424508 PECOS PAC ID: 4486878915 Enrollment ID: I20161228002108 |
| Provider Name | Ravina R Linenfelser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144667742 PECOS PAC ID: 6103054291 Enrollment ID: I20161229001858 |
| Provider Name | Dale W Stovall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962592485 PECOS PAC ID: 0244311058 Enrollment ID: I20170629002933 |
| Provider Name | Tenicia W Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396051132 PECOS PAC ID: 4587934328 Enrollment ID: I20170726003778 |
| Provider Name | Anup Sushman Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669882163 PECOS PAC ID: 8729200225 Enrollment ID: I20170822002893 |
| Provider Name | Muhammad Ajmal A Panezai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982954442 PECOS PAC ID: 6204057219 Enrollment ID: I20170918003292 |
| Provider Name | Jad Daye |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043503907 PECOS PAC ID: 3072731967 Enrollment ID: I20171024002819 |
| Provider Name | Hayden Md Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508276601 PECOS PAC ID: 4587886072 Enrollment ID: I20171109001674 |
| Provider Name | Preetivi Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538471305 PECOS PAC ID: 9032334644 Enrollment ID: I20180305000968 |
| Provider Name | Margaret Warren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841519394 PECOS PAC ID: 6800010638 Enrollment ID: I20180321002341 |
| Provider Name | Lindsey Ann Stockton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447632880 PECOS PAC ID: 3870874720 Enrollment ID: I20180702001396 |
| Provider Name | Lauren Rodgers Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609291582 PECOS PAC ID: 0840511549 Enrollment ID: I20180713002556 |
| Provider Name | Asma Khatoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548671647 PECOS PAC ID: 9335448091 Enrollment ID: I20180717001483 |
| Provider Name | Michael Poku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215322177 PECOS PAC ID: 3173844560 Enrollment ID: I20180814002363 |
| Provider Name | Kyle Bradford Oholendt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750709374 PECOS PAC ID: 9234456963 Enrollment ID: I20180912001178 |
| Provider Name | Riya Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154709715 PECOS PAC ID: 0547569881 Enrollment ID: I20180921002167 |
| Provider Name | Elwaleed Elnagar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972788388 PECOS PAC ID: 2567596182 Enrollment ID: I20190114003142 |
| Provider Name | Ashwini Pramod Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174800908 PECOS PAC ID: 9335487131 Enrollment ID: I20190220000718 |
| Provider Name | Ashley Kate Chapel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154775641 PECOS PAC ID: 2466787445 Enrollment ID: I20190712001636 |
| Provider Name | Kanchan Tiwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197481 PECOS PAC ID: 8820389554 Enrollment ID: I20190717000831 |
| Provider Name | Juan Christian Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750744025 PECOS PAC ID: 9537468582 Enrollment ID: I20190723000995 |
| Provider Name | Farhan S Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124445259 PECOS PAC ID: 6103196316 Enrollment ID: I20190723001042 |
| Provider Name | Deepak Bommisetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922454982 PECOS PAC ID: 6709176522 Enrollment ID: I20190730002213 |
| Provider Name | Ghazaleh Moayedi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639435662 PECOS PAC ID: 3476846734 Enrollment ID: I20190816001978 |
| Provider Name | Ogechi Onyinyechi Ekeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841766458 PECOS PAC ID: 3971831272 Enrollment ID: I20190824000243 |
| Provider Name | Elizabeth C Brewer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700268158 PECOS PAC ID: 0042519381 Enrollment ID: I20190916001416 |
| Provider Name | Huda Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487000691 PECOS PAC ID: 9234425406 Enrollment ID: I20190924001091 |
| Provider Name | Maryam Ehtsham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831543842 PECOS PAC ID: 1355671744 Enrollment ID: I20190927001294 |
| Provider Name | Carley Legan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780030999 PECOS PAC ID: 4486949211 Enrollment ID: I20191009003108 |
| Provider Name | Jaimin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326402249 PECOS PAC ID: 9739488628 Enrollment ID: I20191028002861 |
| Provider Name | Satyanarayana Chekuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801875083 PECOS PAC ID: 8527037530 Enrollment ID: I20191106001055 |
| Provider Name | Saba Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275876252 PECOS PAC ID: 7315268059 Enrollment ID: I20191219000052 |
| Provider Name | Robert Jess Vasquez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497142558 PECOS PAC ID: 9133428899 Enrollment ID: I20200113000148 |
| Provider Name | Stephen P Regina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710333836 PECOS PAC ID: 0042506297 Enrollment ID: I20200207000819 |
| Provider Name | Loren Albritton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457885238 PECOS PAC ID: 1153691142 Enrollment ID: I20200709001537 |
| Provider Name | Zackquill J Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922534601 PECOS PAC ID: 3577829597 Enrollment ID: I20200709001574 |
| Provider Name | Hung H Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356877369 PECOS PAC ID: 1951676410 Enrollment ID: I20200810000464 |
| Provider Name | Christopher James Farmakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619405552 PECOS PAC ID: 9436424850 Enrollment ID: I20200810000542 |
| Provider Name | Farukh Gabriel Ikram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063949212 PECOS PAC ID: 8820354699 Enrollment ID: I20200812002646 |
| Provider Name | Kensey Erin Saltarelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881040178 PECOS PAC ID: 4981995156 Enrollment ID: I20200813003685 |
| Provider Name | Luis Segura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689194789 PECOS PAC ID: 6507131018 Enrollment ID: I20200827000735 |
| Provider Name | Keshav Poddar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952765091 PECOS PAC ID: 7810283017 Enrollment ID: I20200923001056 |
| Provider Name | Rashondra Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023698933 PECOS PAC ID: 3173922382 Enrollment ID: I20210520000612 |
| Provider Name | Hope E Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366939035 PECOS PAC ID: 1456606896 Enrollment ID: I20210714001770 |
| Provider Name | Brandon Roane |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1205256047 PECOS PAC ID: 6901154970 Enrollment ID: I20210907003405 |
| Provider Name | Natalie Anne Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235793282 PECOS PAC ID: 9234538836 Enrollment ID: I20220831002465 |
| Provider Name | Michelle M Olson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1366405102 PECOS PAC ID: 4981630613 Enrollment ID: I20221213000684 |
| Provider Name | Aaron B Hoffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124248190 PECOS PAC ID: 9638263478 Enrollment ID: I20230726003890 |
| Provider Name | Felicia Michelle Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225800824 PECOS PAC ID: 9537500830 Enrollment ID: I20240517001898 |
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 |