| Claris Health Pllc | |
|
2975 Regent Blvd Irving TX 75063-3140 | |
| (203) 901-2493 | |
| Not Available |
| Full Name | Claris Health Pllc |
|---|---|
| Speciality | General Practice |
| Location | 2975 Regent Blvd, Irving, Texas |
| Authorized Official Name and Position | Jody Hunter (VP) |
| Authorized Official Contact | 2039012493 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Claris Health Pllc Po Box 208003 Dallas TX 75320-8003 Ph: () - | Claris Health Pllc 2975 Regent Blvd Irving TX 75063-3140 Ph: (203) 901-2493 |
| NPI Number | 1356797070 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 5496097396 |
|---|---|
| Medicare Enrollment ID | O20190424002777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356797070 | NPI | - | NPPES |
| Provider Name | Michael Reil Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104897750 PECOS PAC ID: 7719968056 Enrollment ID: I20040525000291 |
| Provider Name | James Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154304467 PECOS PAC ID: 8224946389 Enrollment ID: I20050308000895 |
| Provider Name | Rosemary Castoreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225135957 PECOS PAC ID: 8921009697 Enrollment ID: I20070123000528 |
| Provider Name | Kenneth Dean Archer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083654123 PECOS PAC ID: 6800897075 Enrollment ID: I20070131000227 |
| Provider Name | Mehjabin I Parkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508068438 PECOS PAC ID: 6103901251 Enrollment ID: I20080313000090 |
| Provider Name | Vijaya Sudanagunta |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265442602 PECOS PAC ID: 3678531860 Enrollment ID: I20080820000475 |
| Provider Name | Nitish Kosaraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184815383 PECOS PAC ID: 7012063886 Enrollment ID: I20100804000653 |
| Provider Name | Kristi Shawn Gore Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669758389 PECOS PAC ID: 9032385257 Enrollment ID: I20120110000147 |
| Provider Name | Stephanie Freeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497732135 PECOS PAC ID: 8729989918 Enrollment ID: I20130530000014 |
| Provider Name | Lindsey Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730559097 PECOS PAC ID: 1153631486 Enrollment ID: I20151117000571 |
| Provider Name | Kevin Scott Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306284211 PECOS PAC ID: 2769608256 Enrollment ID: I20160801001774 |
| Provider Name | Julio C Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316352735 PECOS PAC ID: 8224166921 Enrollment ID: I20170605000841 |
| Provider Name | Cali C Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093233546 PECOS PAC ID: 8820364128 Enrollment ID: I20171031002013 |
| Provider Name | Candace L Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330810 PECOS PAC ID: 6204175557 Enrollment ID: I20190304001322 |
| Provider Name | Hope W Meador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487143871 PECOS PAC ID: 5092049130 Enrollment ID: I20190625000196 |
| Provider Name | Bradley J Goad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285617241 PECOS PAC ID: 1456244391 Enrollment ID: I20191016001554 |
| Provider Name | Ling Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396988416 PECOS PAC ID: 7214185826 Enrollment ID: I20191017000702 |
| Provider Name | Nenna Egboh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104053800 PECOS PAC ID: 2163672239 Enrollment ID: I20200504002135 |
| Provider Name | Reginald Keith Riggins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649818550 PECOS PAC ID: 7719391622 Enrollment ID: I20210203001990 |
| Provider Name | Uroje Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013442292 PECOS PAC ID: 3274949276 Enrollment ID: I20210316002201 |
| Provider Name | Whitney Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548935794 PECOS PAC ID: 1456757665 Enrollment ID: I20210913002603 |
| Provider Name | Tamara Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679159743 PECOS PAC ID: 0042616245 Enrollment ID: I20210914002340 |
| Provider Name | Fadi Hawawini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124236690 PECOS PAC ID: 1254430093 Enrollment ID: I20211222001394 |
| Provider Name | Kelly Michole Anglin-poindexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275511537 PECOS PAC ID: 1951669373 Enrollment ID: I20220425000782 |
| Provider Name | Shavonne Sweatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073258851 PECOS PAC ID: 7618356544 Enrollment ID: I20221010002505 |
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