| Kunik Health, Pa | |
|
901 Crescent Dr Highland Village TX 75077-1851 | |
| (972) 333-3316 | |
| (972) 317-7043 |
| Full Name | Kunik Health, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 Crescent Dr, Highland Village, Texas |
| Authorized Official Name and Position | Amisha Patel (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9723333316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kunik Health, Pa 901 Crescent Dr Highland Village TX 75077-1851 Ph: (972) 333-3316 | Kunik Health, Pa 901 Crescent Dr Highland Village TX 75077-1851 Ph: (972) 333-3316 |
| NPI Number | 1750550778 |
|---|---|
| Provider Enumeration Date | 02/23/2008 |
| Last Update Date | 02/23/2008 |
| Medicare PECOS PAC ID | 2961573696 |
|---|---|
| Medicare Enrollment ID | O20080624000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750550778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K8411 (Texas) | Primary |
| Provider Name | Manoj K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831176221 PECOS PAC ID: 0042381774 Enrollment ID: I20080624000183 |
| Provider Name | Yvonne Tante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619356854 PECOS PAC ID: 9739280843 Enrollment ID: I20150813012080 |
| Provider Name | Shauntorya Trychelle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104296615 PECOS PAC ID: 6800190125 Enrollment ID: I20160208000910 |
| Provider Name | Scherraine Y Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992853 PECOS PAC ID: 7012209109 Enrollment ID: I20160711001301 |
| Provider Name | Chrystal Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497294425 PECOS PAC ID: 2365726411 Enrollment ID: I20170309000225 |
| Provider Name | Jeta L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366899288 PECOS PAC ID: 1759667819 Enrollment ID: I20170404002497 |
| Provider Name | Oluyomi Olukemi Olojede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447794094 PECOS PAC ID: 4486915063 Enrollment ID: I20180222000091 |
| Provider Name | Holly Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629586953 PECOS PAC ID: 7416212519 Enrollment ID: I20180518002375 |
| Provider Name | Olayinka Cecilia Sotayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134660095 PECOS PAC ID: 6709139587 Enrollment ID: I20181024001539 |
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