| Theresa D. Stretch Md, Pa | |
|
1806 W Pleasant Ridge Rd Arlington TX 76015-4530 | |
| (817) 635-6363 | |
| (817) 635-6362 |
| Full Name | Theresa D. Stretch Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1806 W Pleasant Ridge Rd, Arlington, Texas |
| Authorized Official Name and Position | Theresa Deleon Stretch (OWNER) |
| Authorized Official Contact | 8176356363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa D. Stretch Md, Pa 1806 W Pleasant Ridge Rd Arlington TX 76015-4530 Ph: (817) 635-6363 | Theresa D. Stretch Md, Pa 1806 W Pleasant Ridge Rd Arlington TX 76015-4530 Ph: (817) 635-6363 |
| NPI Number | 1154622678 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 05/18/2012 |
| Medicare PECOS PAC ID | 3476732496 |
|---|---|
| Medicare Enrollment ID | O20110124000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154622678 | NPI | - | NPPES |
| 8CQ845 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N6692 (Texas) | Primary |
| Provider Name | Theresa Deleon Stretch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710218169 PECOS PAC ID: 4385823301 Enrollment ID: I20110124000569 |
| Provider Name | Melissa M Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639337298 PECOS PAC ID: 1557524386 Enrollment ID: I20120927000317 |
| Provider Name | Heather Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356773444 PECOS PAC ID: 7810131323 Enrollment ID: I20130924000636 |
| Provider Name | Linda E Kottoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972931186 PECOS PAC ID: 8527282516 Enrollment ID: I20140613000189 |
| Provider Name | Chelsea Cerise Doyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982831491 PECOS PAC ID: 3476702176 Enrollment ID: I20150604000839 |
| Provider Name | Dency Troy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447762075 PECOS PAC ID: 4082973862 Enrollment ID: I20180124002602 |
| Provider Name | Jerry Lamont Mckenzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053679407 PECOS PAC ID: 0345565495 Enrollment ID: I20181005002456 |
| Provider Name | Sandra Fogelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548219421 PECOS PAC ID: 8729094289 Enrollment ID: I20210527002550 |
| Provider Name | Jessica M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528590270 PECOS PAC ID: 9537560222 Enrollment ID: I20210701002885 |
| Provider Name | Julie Gunnarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992306245 PECOS PAC ID: 2567869712 Enrollment ID: I20220801002065 |
| Provider Name | Anne Lauren Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043987746 PECOS PAC ID: 4981088598 Enrollment ID: I20220831002027 |
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