| Stonebridge Clinics | |
|
7204 Main St Ste 200 The Colony TX 75056-3498 | |
| (469) 535-3800 | |
| (469) 533-0399 |
| Full Name | Stonebridge Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 7204 Main St Ste 200, The Colony, Texas |
| Authorized Official Name and Position | Andrew Alexander Oteo (PRESIDENT) |
| Authorized Official Contact | 2145631414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonebridge Clinics 7204 Main St Ste 200 The Colony TX 75056-3498 Ph: (469) 535-3800 | Stonebridge Clinics 7204 Main St Ste 200 The Colony TX 75056-3498 Ph: (469) 535-3800 |
| NPI Number | 1023684362 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 02/08/2022 |
| Medicare PECOS PAC ID | 2668872805 |
|---|---|
| Medicare Enrollment ID | O20210610000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023684362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | David W Buller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285637843 PECOS PAC ID: 4880603521 Enrollment ID: I20070206000699 |
| Provider Name | Robert S Groysman |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1194728352 PECOS PAC ID: 1355254657 Enrollment ID: I20080815000101 |
| Provider Name | Andrew A Oteo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770886632 PECOS PAC ID: 2860636040 Enrollment ID: I20130910000878 |
| Provider Name | Tyler T Middleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831425156 PECOS PAC ID: 6406994508 Enrollment ID: I20161011001394 |
| Provider Name | Audra Lea Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205417987 PECOS PAC ID: 5294133385 Enrollment ID: I20211004001806 |
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V.s.arjunraj Family Medicine P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6053 Main St, Suite #230, The Colony, TX 75056 Phone: 214-619-1770 Fax: 214-619-1775 | |
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Fountain Life Dallas, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5762 Grandscape Blvd Ste 115, The Colony, TX 75056 Phone: 469-669-0336 |