| Reliant Health, Inc. | |
|
1302 Lane St Suite # 300 Irving TX 75061-2257 | |
| (817) 808-3443 | |
| (817) 887-5522 |
| Full Name | Reliant Health, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1302 Lane St, Irving, Texas |
| Authorized Official Name and Position | Srinivas Gurram Reddy (PRESIDENT) |
| Authorized Official Contact | 8178083443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Health, Inc. 1302 Lane St Suite # 300 Irving TX 75061-2257 Ph: (817) 808-3443 | Reliant Health, Inc. 1302 Lane St Suite # 300 Irving TX 75061-2257 Ph: (817) 808-3443 |
| NPI Number | 1023427309 |
|---|---|
| Provider Enumeration Date | 08/12/2014 |
| Last Update Date | 06/12/2020 |
| Medicare PECOS PAC ID | 6103967716 |
|---|---|
| Medicare Enrollment ID | O20141008001299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023427309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Srilatha A Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942415930 PECOS PAC ID: 2466410436 Enrollment ID: I20041227000363 |
| Provider Name | Julius N Kibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457626939 PECOS PAC ID: 9830320928 Enrollment ID: I20140403000739 |
| Provider Name | Shannon Kelsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407256894 PECOS PAC ID: 1052634151 Enrollment ID: I20150216001484 |
| Provider Name | Sequoise Tesha Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306293923 PECOS PAC ID: 3072890284 Enrollment ID: I20170425002422 |
| Provider Name | Bhawana Pradhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295252195 PECOS PAC ID: 6507132974 Enrollment ID: I20171031000250 |
| Provider Name | Esther M Boro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013415777 PECOS PAC ID: 7810258928 Enrollment ID: I20180307000728 |
| Provider Name | Justina A Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073029567 PECOS PAC ID: 1850647660 Enrollment ID: I20180710001397 |
| Provider Name | Evelyne N Epie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053976985 PECOS PAC ID: 4981753936 Enrollment ID: I20190829000533 |
| Provider Name | Elizabeth Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659871168 PECOS PAC ID: 7113347204 Enrollment ID: I20201012000197 |
| Provider Name | Caroline Rono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235729161 PECOS PAC ID: 1254711260 Enrollment ID: I20220708001376 |
| Provider Name | Jaime Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982808788 PECOS PAC ID: 1951768191 Enrollment ID: I20230605000355 |
| Provider Name | Uchenna Okechukwu Aduba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275881591 PECOS PAC ID: 9537521273 Enrollment ID: I20230814000774 |
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