Reshaped Pllc | |
2008 E Hebron Pkwy #114 Carrollton TX 75007 | |
(469) 431-0544 | |
Not Available |
Full Name | Reshaped Pllc |
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Speciality | Family Medicine |
Location | 2008 E Hebron Pkwy #114, Carrollton, Texas |
Authorized Official Name and Position | Sharlene Karmini Selvaratnam (MEDICAL DIRECTOR) |
Authorized Official Contact | 4694310544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reshaped Pllc 2008 E Hebron Pkwy Ste 114 Carrollton TX 75007-1601 Ph: (469) 431-0544 | Reshaped Pllc 2008 E Hebron Pkwy #114 Carrollton TX 75007 Ph: (469) 431-0544 |
NPI Number | 1184106510 |
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Provider Enumeration Date | 09/01/2018 |
Last Update Date | 06/29/2024 |
Medicare PECOS PAC ID | 9638419765 |
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Medicare Enrollment ID | O20190327000919 |
Identifier | Type | State | Issuer |
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1184106510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QB0002X | Family Medicine - Obesity Medicine | Q7467 (Texas) | Primary |
Provider Name | Sharlene Selvaratnam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972703957 PECOS PAC ID: 8729267034 Enrollment ID: I20190416001177 |
Provider Name | Pearl Tolentino Guerzon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851599765 PECOS PAC ID: 7416140124 Enrollment ID: I20230411002276 |
Provider Name | Aisha Javed Khan |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1992579619 PECOS PAC ID: 9537518725 Enrollment ID: I20231213002401 |
Provider Name | Megan Guynn |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1568133593 PECOS PAC ID: 0749631000 Enrollment ID: I20240110005187 |
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