| Forefront - Murdock Medical Services Pc | |
|
1717 Main St Ste 5850 Dallas TX 75201-7317 | |
| (972) 449-0540 | |
| (972) 449-0542 |
| Full Name | Forefront - Murdock Medical Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1717 Main St Ste 5850, Dallas, Texas |
| Authorized Official Name and Position | Chad Lewis Murdock (OWNER) |
| Authorized Official Contact | 2088812037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forefront - Murdock Medical Services Pc 1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (866) 959-2008 | Forefront - Murdock Medical Services Pc 1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (972) 449-0540 |
| NPI Number | 1720581473 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 3971866401 |
|---|---|
| Medicare Enrollment ID | O20180417000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720581473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Svetlana Troitskaia-williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922145671 PECOS PAC ID: 7911988803 Enrollment ID: I20040929001285 |
| Provider Name | Deborah A Kass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043323611 PECOS PAC ID: 5597721464 Enrollment ID: I20041202001079 |
| Provider Name | Karen A Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295704484 PECOS PAC ID: 8628099561 Enrollment ID: I20051207001093 |
| Provider Name | Colette M Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164613394 PECOS PAC ID: 6709946213 Enrollment ID: I20110516000350 |
| Provider Name | Tyisha Renee Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144687047 PECOS PAC ID: 4981909827 Enrollment ID: I20160301002131 |
| Provider Name | Kendra Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073026191 PECOS PAC ID: 0749543015 Enrollment ID: I20180419000931 |
| Provider Name | Nneka Jon-ubabuco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912274622 PECOS PAC ID: 8022363159 Enrollment ID: I20200721003376 |
| Provider Name | Chad Murdock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427196575 PECOS PAC ID: 6800120437 Enrollment ID: I20200806000716 |
| Provider Name | Meghan Brooke Carroll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811498330 PECOS PAC ID: 8527457365 Enrollment ID: I20211116001807 |
| Provider Name | Justin R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538307897 PECOS PAC ID: 1456503218 Enrollment ID: I20211214000542 |
| Provider Name | Erin Lindsey Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528695558 PECOS PAC ID: 3173918885 Enrollment ID: I20220316001050 |
| Provider Name | Amy Holland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891912465 PECOS PAC ID: 3476961376 Enrollment ID: I20220516001048 |
| Provider Name | Nagib Chowdhury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184851792 PECOS PAC ID: 8325281207 Enrollment ID: I20230324000587 |
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