| Healthtexas-dallas Diagnostic Association | |
|
4708 Alliance Blvd Ste 300 Plano TX 75093-5339 | |
| (972) 758-6000 | |
| (972) 758-6001 |
| Full Name | Healthtexas-dallas Diagnostic Association |
|---|---|
| Speciality | Internal Medicine |
| Location | 4708 Alliance Blvd, Plano, Texas |
| Authorized Official Name and Position | Ellen Elizabeth Fourton (DIRECTOR) |
| Authorized Official Contact | 9728608649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthtexas-dallas Diagnostic Association 8080 N Central Expy Ste 600, Lb82 Dallas TX 75206-1838 Ph: (972) 860-8648 | Healthtexas-dallas Diagnostic Association 4708 Alliance Blvd Ste 300 Plano TX 75093-5339 Ph: (972) 758-6000 |
| NPI Number | 1245235886 |
|---|---|
| Provider Enumeration Date | 06/20/2005 |
| Last Update Date | 06/11/2010 |
| Medicare PECOS PAC ID | 6204817398 |
|---|---|
| Medicare Enrollment ID | O20040525001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245235886 | NPI | - | NPPES |
| 00R87R | Other | TX | BCBS |
| 1678278-01 | Medicaid | TX |
| Provider Name | Terilyn R. Scott-winful |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942315460 PECOS PAC ID: 3173504271 Enrollment ID: I20040525001557 |
| Provider Name | Michael P Kellam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689789950 PECOS PAC ID: 2567445216 Enrollment ID: I20040611001243 |
| Provider Name | Qing Jia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1609805506 PECOS PAC ID: 6305821588 Enrollment ID: I20040622000595 |
| Provider Name | Sayantani C Lahiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467463596 PECOS PAC ID: 9133108061 Enrollment ID: I20040715000286 |
| Provider Name | Katrina M Bassel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366555385 PECOS PAC ID: 7012988439 Enrollment ID: I20040802000169 |
| Provider Name | Houston Bogus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669418679 PECOS PAC ID: 2567433998 Enrollment ID: I20040802000243 |
| Provider Name | Kenneth B Godsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649384116 PECOS PAC ID: 3779554118 Enrollment ID: I20040802000531 |
| Provider Name | Rick T Waldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992811335 PECOS PAC ID: 4486625779 Enrollment ID: I20040802000789 |
| Provider Name | Mark D Thieberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1477669992 PECOS PAC ID: 8628049962 Enrollment ID: I20040802001133 |
| Provider Name | Peter S Stack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275649725 PECOS PAC ID: 9133190499 Enrollment ID: I20040802001257 |
| Provider Name | James B Chapman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407969785 PECOS PAC ID: 6204807472 Enrollment ID: I20040802001431 |
| Provider Name | Richard C Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124131412 PECOS PAC ID: 4688645864 Enrollment ID: I20040802001493 |
| Provider Name | Jari Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932155884 PECOS PAC ID: 2668445305 Enrollment ID: I20040819000502 |
| Provider Name | Swati Namburi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659486447 PECOS PAC ID: 2264406917 Enrollment ID: I20040819001447 |
| Provider Name | Daniel A Smith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366474454 PECOS PAC ID: 6406821990 Enrollment ID: I20040828000038 |
| Provider Name | Alvin E Huang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649384132 PECOS PAC ID: 5698737377 Enrollment ID: I20041103001336 |
| Provider Name | Jeff E Taylor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962518431 PECOS PAC ID: 5294798518 Enrollment ID: I20041108001064 |
| Provider Name | Jennifer K Zimmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619083029 PECOS PAC ID: 4789647520 Enrollment ID: I20041111000717 |
| Provider Name | Rassa Shahidzadeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366563959 PECOS PAC ID: 6103880711 Enrollment ID: I20041115000093 |
| Provider Name | Carlyle A Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821104381 PECOS PAC ID: 2860458015 Enrollment ID: I20041208001173 |
| Provider Name | Carl E Ciborowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285657536 PECOS PAC ID: 9133187933 Enrollment ID: I20041227000683 |
| Provider Name | Korie Leigh Flippo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427071612 PECOS PAC ID: 0941210876 Enrollment ID: I20060421000445 |
| Provider Name | Matthew W Curry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700808797 PECOS PAC ID: 9638175441 Enrollment ID: I20061018000104 |
| Provider Name | Gary E Erwin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750322954 PECOS PAC ID: 1254338809 Enrollment ID: I20061025000171 |
| Provider Name | David A Strawman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124067871 PECOS PAC ID: 5294735577 Enrollment ID: I20070110000573 |
| Provider Name | Laura C Demoya Vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497863187 PECOS PAC ID: 4385645795 Enrollment ID: I20070129000288 |
| Provider Name | Praveen R. Srungaram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184715781 PECOS PAC ID: 0941303390 Enrollment ID: I20070306000089 |
| Provider Name | Jill Louise Studley |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023049053 PECOS PAC ID: 2062513153 Enrollment ID: I20070719000192 |
| Provider Name | Julie S Parekh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124181342 PECOS PAC ID: 8628169604 Enrollment ID: I20070806000226 |
| Provider Name | Mohammed Samiuddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215152442 PECOS PAC ID: 7214020700 Enrollment ID: I20070829000294 |
| Provider Name | Shibu G Oommen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093751695 PECOS PAC ID: 3476558065 Enrollment ID: I20071126000477 |
| Provider Name | Thomas G. Van Dinter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518184365 PECOS PAC ID: 6103909320 Enrollment ID: I20080212000245 |
| Provider Name | Aarti Raghu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588847511 PECOS PAC ID: 8224112206 Enrollment ID: I20080229000027 |
| Provider Name | Sireesha Rukkannagari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821042326 PECOS PAC ID: 1951488907 Enrollment ID: I20080401000899 |
| Provider Name | David Myers |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386664548 PECOS PAC ID: 8729152475 Enrollment ID: I20080730000196 |
| Provider Name | Shahryar S Nassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356542617 PECOS PAC ID: 8426122953 Enrollment ID: I20080801000217 |
| Provider Name | Mahenaaz Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922275098 PECOS PAC ID: 1355419813 Enrollment ID: I20081010000182 |
| Provider Name | Kenda L Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942338470 PECOS PAC ID: 6406815315 Enrollment ID: I20090113000266 |
| Provider Name | Jeffrey C Lilly |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154423911 PECOS PAC ID: 9638228208 Enrollment ID: I20090601000555 |
| Provider Name | Vincent Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770678336 PECOS PAC ID: 2466503073 Enrollment ID: I20090622000337 |
| Provider Name | Khang N Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821031766 PECOS PAC ID: 5193817997 Enrollment ID: I20100505000260 |
| Provider Name | Kendra A Rorrie |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1932138856 PECOS PAC ID: 9638207723 Enrollment ID: I20100511000636 |
| Provider Name | Shilpa Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952596900 PECOS PAC ID: 8022147024 Enrollment ID: I20101115001021 |
| Provider Name | Armine Tumyan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528280864 PECOS PAC ID: 8325233307 Enrollment ID: I20101116000887 |
| Provider Name | Abeezar T Shipchandler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407059595 PECOS PAC ID: 9537227384 Enrollment ID: I20101123001237 |
| Provider Name | Deepa R Moparty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093914962 PECOS PAC ID: 5193911428 Enrollment ID: I20101129000136 |
| Provider Name | Key A Vaquera |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164681094 PECOS PAC ID: 5698955797 Enrollment ID: I20110207000725 |
| Provider Name | Weiyao Bei-dingman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598074791 PECOS PAC ID: 3577747906 Enrollment ID: I20110411000096 |
| Provider Name | Omar Awad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831393594 PECOS PAC ID: 1658463914 Enrollment ID: I20110802000519 |
| Provider Name | Avesh R. Verma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558563031 PECOS PAC ID: 1850562661 Enrollment ID: I20110927000217 |
| Provider Name | Wei Tang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851516876 PECOS PAC ID: 7517139009 Enrollment ID: I20111005000287 |
| Provider Name | Tiffany G Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346405636 PECOS PAC ID: 0648443275 Enrollment ID: I20111027000115 |
| Provider Name | Yasir A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841377215 PECOS PAC ID: 7012926579 Enrollment ID: I20111109000756 |
| Provider Name | Jane L Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780955393 PECOS PAC ID: 6800056904 Enrollment ID: I20120328000041 |
| Provider Name | Adrian H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578698080 PECOS PAC ID: 7618138066 Enrollment ID: I20120412000230 |
| Provider Name | Amy N Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023372422 PECOS PAC ID: 2860649290 Enrollment ID: I20120820001143 |
| Provider Name | Tania Tarjan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447563028 PECOS PAC ID: 7214185644 Enrollment ID: I20120910000601 |
| Provider Name | Matthew Phares |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881859056 PECOS PAC ID: 4082862412 Enrollment ID: I20120910000675 |
| Provider Name | Karen P Velazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548574981 PECOS PAC ID: 9234387663 Enrollment ID: I20120910000706 |
| Provider Name | Anita Punjabi Bajpai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891922662 PECOS PAC ID: 1951550557 Enrollment ID: I20120925000420 |
| Provider Name | Suraj Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788624 PECOS PAC ID: 6709064439 Enrollment ID: I20121105000204 |
| Provider Name | Alberto Luiz Moura Dos Santos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285894600 PECOS PAC ID: 3274712856 Enrollment ID: I20121212000047 |
| Provider Name | Shan R Luong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780908442 PECOS PAC ID: 1254567324 Enrollment ID: I20131119001421 |
| Provider Name | Seungjong M. Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598084568 PECOS PAC ID: 9133357122 Enrollment ID: I20140121001340 |
| Provider Name | Joseph N Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154646511 PECOS PAC ID: 5890931752 Enrollment ID: I20140122000250 |
| Provider Name | Julie E Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912293432 PECOS PAC ID: 8820218795 Enrollment ID: I20140929001237 |
| Provider Name | Suvin Virendra Banker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942460449 PECOS PAC ID: 3577783604 Enrollment ID: I20141013000945 |
| Provider Name | Clyde A Collins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043465214 PECOS PAC ID: 6103002795 Enrollment ID: I20141015001563 |
| Provider Name | Samreen Mattoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003184128 PECOS PAC ID: 0941451157 Enrollment ID: I20141231001134 |
| Provider Name | Abiha S Husain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407142904 PECOS PAC ID: 2961728852 Enrollment ID: I20150312001097 |
| Provider Name | Shafeeq Noorudeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477810091 PECOS PAC ID: 8426291626 Enrollment ID: I20150831000258 |
| Provider Name | Elecia E Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871851220 PECOS PAC ID: 0547402489 Enrollment ID: I20151014002467 |
| Provider Name | Boram K Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881983468 PECOS PAC ID: 8820238009 Enrollment ID: I20151113000679 |
| Provider Name | Cayce L Harness Brumley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316147291 PECOS PAC ID: 6901106244 Enrollment ID: I20151118001946 |
| Provider Name | Sana Budhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023374055 PECOS PAC ID: 1951601392 Enrollment ID: I20151208000319 |
| Provider Name | Michael M Shie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891054250 PECOS PAC ID: 0042511768 Enrollment ID: I20151222000336 |
| Provider Name | Varuni Rao |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396032215 PECOS PAC ID: 3173781390 Enrollment ID: I20161020002400 |
| Provider Name | Vijay Bapat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053570549 PECOS PAC ID: 6002066131 Enrollment ID: I20161021000339 |
| Provider Name | Imran Sheikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982848750 PECOS PAC ID: 1254593015 Enrollment ID: I20161102002734 |
| Provider Name | Sean A Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003259458 PECOS PAC ID: 3375823198 Enrollment ID: I20161213000443 |
| Provider Name | Riham O Jamaleddine |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497190698 PECOS PAC ID: 0143519520 Enrollment ID: I20170124000942 |
| Provider Name | Pablo A Wunderlich-padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487066114 PECOS PAC ID: 1951677129 Enrollment ID: I20171017000830 |
| Provider Name | Stephanie Sbong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164788790 PECOS PAC ID: 8224322011 Enrollment ID: I20171023001177 |
| Provider Name | Mackenzie E Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114432309 PECOS PAC ID: 0244590123 Enrollment ID: I20180214002741 |
| Provider Name | Austin J Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265810089 PECOS PAC ID: 5496036360 Enrollment ID: I20180905002924 |
| Provider Name | Christopher A Leone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124413331 PECOS PAC ID: 1052628096 Enrollment ID: I20180906003479 |
| Provider Name | Wendy Y Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811320237 PECOS PAC ID: 4688986557 Enrollment ID: I20181112000220 |
Jeffrey C. Komenda, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Suite 100, Plano, TX 75093 Phone: 972-608-1868 Fax: 972-943-8644 | |
Segal Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6537 Preston Rd, Plano, TX 75024 Phone: 972-379-2096 Fax: 972-379-2054 | |
Michelle Sun Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3900 W 15th St, Suite 404, Plano, TX 75075 Phone: 972-758-9327 Fax: 972-867-4970 | |
William R Sheldon, Jr., Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5930 W Parker Rd, #700, Plano, TX 75093 Phone: 972-943-7626 Fax: 972-608-5223 | |
Michael C Martin Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6020 W Parker Rd Ste 420, Plano, TX 75093 Phone: 972-244-1300 | |
Nortex Integrated Medicine Pllc - Dallas Series Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Preston Rd Ste 1500, Plano, TX 75024 Phone: 972-872-8408 Fax: 972-850-7352 | |
Bnaz Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6548 Crown Forest Dr, Plano, TX 75024 Phone: 516-425-5822 |