| Reshaped Pllc | |
|
2008 E Hebron Pkwy #114 Carrollton TX 75007 | |
| (469) 431-0544 | |
| Not Available |
| Full Name | Reshaped Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/01/2018 |
| Last Update Date | 06/29/2024 |
| Medicare PECOS PAC ID | 9638419765 |
|---|---|
| Medicare Enrollment ID | O20190327000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184106510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QB0002X | Family Medicine - Obesity Medicine | Q7467 (Texas) | Primary |
| Provider Name | Sharlene Selvaratnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972703957 PECOS PAC ID: 8729267034 Enrollment ID: I20190416001177 |
| Provider Name | Pearl Guerzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851599765 PECOS PAC ID: 7416140124 Enrollment ID: I20230411002276 |
| Provider Name | Aisha Javed Khan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992579619 PECOS PAC ID: 9537518725 Enrollment ID: I20231213002401 |
| Provider Name | Megan Guynn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568133593 PECOS PAC ID: 0749631000 Enrollment ID: I20240110005187 |
| Provider Name | Rachel Werling |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194357350 PECOS PAC ID: 9335524198 Enrollment ID: I20240721000083 |
| Provider Name | Carla Podgurecki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093070559 PECOS PAC ID: 9537479944 Enrollment ID: I20241002003367 |
Mysti Blu Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2459 E Hebron Pkwy Ste 130, Carrollton, TX 75010 Phone: 972-522-9799 Fax: 469-546-9723 | |
Kuraoka Clinic Texas, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3012 E Hebron Pkwy Ste 104, Carrollton, TX 75010 Phone: 972-306-0808 | |
Mahmood B. Panjwani M.d, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3740 N Josey Ln, Suite 206, Carrollton, TX 75007 Phone: 214-731-0031 Fax: 214-731-0065 | |
Restor Neural Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 E Trinity Mills Rd Ste 300, Carrollton, TX 75006 Phone: 214-709-1280 |