| Oak Street Health Of Texas, Pllc | |
|
4115 E Lancaster Ave Fort Worth TX 76103-3614 | |
| (312) 733-9730 | |
| Not Available |
| Full Name | Oak Street Health Of Texas, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4115 E Lancaster Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Terrance Morton (CMO) |
| Authorized Official Contact | 7046074835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Street Health Of Texas, Pllc Po Box 746079 Atlanta GA 30374-6079 Ph: (773) 352-1515 | Oak Street Health Of Texas, Pllc 4115 E Lancaster Ave Fort Worth TX 76103-3614 Ph: (312) 733-9730 |
| NPI Number | 1497387419 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 11/17/2025 |
| Medicare PECOS PAC ID | 2163843038 |
|---|---|
| Medicare Enrollment ID | O20200601001767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497387419 | NPI | - | NPPES |
| Provider Name | Laura J Welch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902872716 PECOS PAC ID: 9234125634 Enrollment ID: I20040421001687 |
| Provider Name | Roy Alan Setzenfand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659305696 PECOS PAC ID: 1557356011 Enrollment ID: I20040714000530 |
| Provider Name | Courtney M Cooner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174711220 PECOS PAC ID: 7810956174 Enrollment ID: I20041004000785 |
| Provider Name | Billie K Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174512156 PECOS PAC ID: 5496783540 Enrollment ID: I20050729000633 |
| Provider Name | Marilyn Horton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104851906 PECOS PAC ID: 8527085745 Enrollment ID: I20051027000587 |
| Provider Name | Nicole C Collatos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902953292 PECOS PAC ID: 5799888194 Enrollment ID: I20070305000483 |
| Provider Name | Juanita Dauya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326065293 PECOS PAC ID: 4385743962 Enrollment ID: I20070621000720 |
| Provider Name | Rani P Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689867657 PECOS PAC ID: 7719057579 Enrollment ID: I20080605000158 |
| Provider Name | Christopher E Berry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275503641 PECOS PAC ID: 4789684572 Enrollment ID: I20081010000349 |
| Provider Name | Kimberly N Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518297720 PECOS PAC ID: 6305980574 Enrollment ID: I20100225000795 |
| Provider Name | Kathryn M Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316962038 PECOS PAC ID: 7113944331 Enrollment ID: I20100226000853 |
| Provider Name | Lisa F Chin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043519747 PECOS PAC ID: 3779618582 Enrollment ID: I20110628000902 |
| Provider Name | Shonna L Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912217167 PECOS PAC ID: 9032380837 Enrollment ID: I20110928000370 |
| Provider Name | Arun T Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053688457 PECOS PAC ID: 7214170885 Enrollment ID: I20130829000395 |
| Provider Name | Gina R Stubbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770596041 PECOS PAC ID: 1153217989 Enrollment ID: I20140612001509 |
| Provider Name | James Hodges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659620029 PECOS PAC ID: 5395965636 Enrollment ID: I20141008001321 |
| Provider Name | Destiny Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063857654 PECOS PAC ID: 3173745734 Enrollment ID: I20141114000930 |
| Provider Name | Santa Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447644778 PECOS PAC ID: 4981923265 Enrollment ID: I20150508000201 |
| Provider Name | Jillianne A Cheong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417334954 PECOS PAC ID: 5890006514 Enrollment ID: I20150623000604 |
| Provider Name | Donna K Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871581082 PECOS PAC ID: 6002867439 Enrollment ID: I20151228000021 |
| Provider Name | Evelyn Akingbade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841677671 PECOS PAC ID: 4082919352 Enrollment ID: I20160224001322 |
| Provider Name | Ofear Moore Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558813485 PECOS PAC ID: 4082994157 Enrollment ID: I20161207000018 |
| Provider Name | Mona Eltiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518414341 PECOS PAC ID: 9335420405 Enrollment ID: I20170103001745 |
| Provider Name | Daniel Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578910220 PECOS PAC ID: 5991087264 Enrollment ID: I20170120001836 |
| Provider Name | Lavea A Landrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457703779 PECOS PAC ID: 2466738919 Enrollment ID: I20170417001575 |
| Provider Name | Aracely Vasquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720407349 PECOS PAC ID: 3072880897 Enrollment ID: I20170530000742 |
| Provider Name | Sarah E. Laibstain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598994337 PECOS PAC ID: 9830355494 Enrollment ID: I20170808001628 |
| Provider Name | Corey W Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356403075 PECOS PAC ID: 0648530063 Enrollment ID: I20180205000020 |
| Provider Name | Lashica Y Scaife |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407162407 PECOS PAC ID: 4082883012 Enrollment ID: I20180305001520 |
| Provider Name | Stacey D Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134645674 PECOS PAC ID: 4183986920 Enrollment ID: I20180315000474 |
| Provider Name | Voke Eshareturi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598150328 PECOS PAC ID: 7911258967 Enrollment ID: I20181001003087 |
| Provider Name | Amanda Elise Mohammed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891172839 PECOS PAC ID: 6305180829 Enrollment ID: I20181210002101 |
| Provider Name | Zenobia L Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730479668 PECOS PAC ID: 2264603349 Enrollment ID: I20190109001635 |
| Provider Name | Gertie Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518430206 PECOS PAC ID: 9638411374 Enrollment ID: I20190430001672 |
| Provider Name | Monique K Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912406323 PECOS PAC ID: 1456684307 Enrollment ID: I20190607000276 |
| Provider Name | Jennifer Duyen Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770943177 PECOS PAC ID: 2365776622 Enrollment ID: I20190620002691 |
| Provider Name | Laura Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134786114 PECOS PAC ID: 1052647617 Enrollment ID: I20190719002467 |
| Provider Name | Andrei G Scherer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841640414 PECOS PAC ID: 5092008680 Enrollment ID: I20190829000385 |
| Provider Name | Manjit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639724628 PECOS PAC ID: 2567895436 Enrollment ID: I20191206000760 |
| Provider Name | Katherina Avila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962898445 PECOS PAC ID: 9830402593 Enrollment ID: I20191206000842 |
| Provider Name | Daljit Kaur Bagha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225188162 PECOS PAC ID: 0042314023 Enrollment ID: I20200129000904 |
| Provider Name | Shonna Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477186823 PECOS PAC ID: 8729416508 Enrollment ID: I20200309002109 |
| Provider Name | Kirstin Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386203842 PECOS PAC ID: 0446680953 Enrollment ID: I20200424001305 |
| Provider Name | Anna Poulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689121121 PECOS PAC ID: 9436438876 Enrollment ID: I20200610000993 |
| Provider Name | Melissa Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205473881 PECOS PAC ID: 2466874680 Enrollment ID: I20200617000396 |
| Provider Name | Gibson Ann Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811408644 PECOS PAC ID: 0244652469 Enrollment ID: I20200617000538 |
| Provider Name | Funmilayo Eniola Bola-raji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457978272 PECOS PAC ID: 1052735024 Enrollment ID: I20200723000816 |
| Provider Name | Nina Fakunle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578111340 PECOS PAC ID: 9032538061 Enrollment ID: I20200924001937 |
| Provider Name | Helen Grace Tolentino-gomintong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194366591 PECOS PAC ID: 5193145126 Enrollment ID: I20201013002925 |
| Provider Name | Camille Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450418 PECOS PAC ID: 9335570894 Enrollment ID: I20201124001745 |
| Provider Name | Jose F Collazo Colon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346612157 PECOS PAC ID: 0648573162 Enrollment ID: I20201216000156 |
| Provider Name | Justin Hunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20210125001312 |
| Provider Name | Shannon Krop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104393347 PECOS PAC ID: 4082956172 Enrollment ID: I20210429001975 |
| Provider Name | Ashley Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033409297 PECOS PAC ID: 9234376054 Enrollment ID: I20210719000026 |
| Provider Name | Tina Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568962611 PECOS PAC ID: 6204175284 Enrollment ID: I20210803003453 |
| Provider Name | Fanny Lean Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649774183 PECOS PAC ID: 8022362276 Enrollment ID: I20210817002629 |
| Provider Name | Rachel Sabb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20210818001034 |
| Provider Name | Michael Azubuike Uwaelue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992352660 PECOS PAC ID: 2668889189 Enrollment ID: I20210830000311 |
| Provider Name | Mala Subran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053722330 PECOS PAC ID: 4981954880 Enrollment ID: I20210831000327 |
| Provider Name | Francisco Espino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902449820 PECOS PAC ID: 6406282334 Enrollment ID: I20210922001627 |
| Provider Name | Edna M Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154995793 PECOS PAC ID: 4082012737 Enrollment ID: I20211011000143 |
| Provider Name | Dongchul Paek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013351840 PECOS PAC ID: 7113245226 Enrollment ID: I20211012000935 |
| Provider Name | Talitha Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609450048 PECOS PAC ID: 0446642474 Enrollment ID: I20220124002340 |
| Provider Name | Hilda Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669841508 PECOS PAC ID: 0042528192 Enrollment ID: I20220221001924 |
| Provider Name | Ihuoma Nwogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891054920 PECOS PAC ID: 1557650199 Enrollment ID: I20220224000373 |
| Provider Name | Tyler Feuerborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366941650 PECOS PAC ID: 9032547369 Enrollment ID: I20220322000443 |
| Provider Name | Jisook Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528726221 PECOS PAC ID: 2365838737 Enrollment ID: I20220412001043 |
| Provider Name | Carol Ye-shane Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295484954 PECOS PAC ID: 4688052194 Enrollment ID: I20220610002069 |
| Provider Name | Dyann Avila Avila |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619103652 PECOS PAC ID: 5698154656 Enrollment ID: I20220622000219 |
| Provider Name | Mariangel Champang Zambrano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356001143 PECOS PAC ID: 2668851635 Enrollment ID: I20220622000620 |
| Provider Name | Tracy Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972899078 PECOS PAC ID: 0941521074 Enrollment ID: I20220804000283 |
| Provider Name | Folake Falaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073798690 PECOS PAC ID: 7315135258 Enrollment ID: I20220808000935 |
| Provider Name | Aneeqa Shamshad Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831678226 PECOS PAC ID: 3476936071 Enrollment ID: I20220815001864 |
| Provider Name | Kelley Marie Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477280014 PECOS PAC ID: 3971987306 Enrollment ID: I20220901002994 |
| Provider Name | Darrell Tuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073243572 PECOS PAC ID: 3678957701 Enrollment ID: I20220908001755 |
| Provider Name | Kristen A. Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164007746 PECOS PAC ID: 2860877180 Enrollment ID: I20220922000227 |
| Provider Name | Lakimberely Shajuan Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538881503 PECOS PAC ID: 6608252119 Enrollment ID: I20221006003438 |
| Provider Name | Souheyla Bachiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518420231 PECOS PAC ID: 5092041293 Enrollment ID: I20221029000182 |
| Provider Name | Justin Givan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689026627 PECOS PAC ID: 6608243415 Enrollment ID: I20221108002517 |
| Provider Name | Aislinn Rogalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902250400 PECOS PAC ID: 6901137892 Enrollment ID: I20221109000859 |
| Provider Name | Shital P Chavda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306167085 PECOS PAC ID: 3678717675 Enrollment ID: I20230105000015 |
| Provider Name | Erica M Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508220757 PECOS PAC ID: 8527358720 Enrollment ID: I20230110000071 |
| Provider Name | Latisha Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700590320 PECOS PAC ID: 9234502923 Enrollment ID: I20230228001026 |
| Provider Name | Morgan Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992156855 PECOS PAC ID: 4284919945 Enrollment ID: I20230315002578 |
| Provider Name | Quanza Mooring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770281016 PECOS PAC ID: 8224402920 Enrollment ID: I20230321000482 |
| Provider Name | Yamila Casas Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306556006 PECOS PAC ID: 1658736681 Enrollment ID: I20230427000141 |
| Provider Name | Bernita G Chance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689784274 PECOS PAC ID: 8921463548 Enrollment ID: I20230503001223 |
| Provider Name | Michael David Musgrove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720774607 PECOS PAC ID: 1850750522 Enrollment ID: I20230629000756 |
| Provider Name | Ralisha L Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205189966 PECOS PAC ID: 8820458615 Enrollment ID: I20230712000436 |
| Provider Name | Ashley Saneka Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881166759 PECOS PAC ID: 5597124115 Enrollment ID: I20230719003903 |
| Provider Name | Priscilla Kovacs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881211001 PECOS PAC ID: 7416318001 Enrollment ID: I20230728002769 |
| Provider Name | Petra Mojica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922783 PECOS PAC ID: 9638530082 Enrollment ID: I20230801002450 |
| Provider Name | Teresa M Darden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609550516 PECOS PAC ID: 2769845619 Enrollment ID: I20230825001183 |
| Provider Name | Bushra Kanwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740844364 PECOS PAC ID: 0446613210 Enrollment ID: I20230825002422 |
| Provider Name | Kumari Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790982759 PECOS PAC ID: 5496641847 Enrollment ID: I20230907000626 |
| Provider Name | Andrea Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467167775 PECOS PAC ID: 3577927748 Enrollment ID: I20230907001084 |
| Provider Name | Elizabeth Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235821208 PECOS PAC ID: 1254795438 Enrollment ID: I20230907001367 |
| Provider Name | Prince Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497108856 PECOS PAC ID: 8224492327 Enrollment ID: I20230907002864 |
| Provider Name | Derrial Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578253621 PECOS PAC ID: 5799149829 Enrollment ID: I20230907004364 |
| Provider Name | Cassandra Melanie Leate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992776561 PECOS PAC ID: 2961866231 Enrollment ID: I20230919004367 |
| Provider Name | Penninah Maina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205466109 PECOS PAC ID: 0244669570 Enrollment ID: I20231002000597 |
| Provider Name | Rochelle Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518415959 PECOS PAC ID: 4486935533 Enrollment ID: I20231004001841 |
| Provider Name | Sujey Cristina Loera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164209086 PECOS PAC ID: 0042665630 Enrollment ID: I20231017003470 |
| Provider Name | Melissa O Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083495626 PECOS PAC ID: 3678929387 Enrollment ID: I20231031002878 |
| Provider Name | Meredith Amos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356609150 PECOS PAC ID: 7618109596 Enrollment ID: I20231110002262 |
| Provider Name | Paul Geiger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891754784 PECOS PAC ID: 5395780936 Enrollment ID: I20231114000045 |
| Provider Name | John Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760198196 PECOS PAC ID: 2365899143 Enrollment ID: I20231116000633 |
| Provider Name | Cecille Espada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609649888 PECOS PAC ID: 2365892585 Enrollment ID: I20231229000665 |
| Provider Name | Sri Haritha Vardhini Nekkanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184183980 PECOS PAC ID: 8921483470 Enrollment ID: I20240103003497 |
| Provider Name | Duyen June Magnuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558043570 PECOS PAC ID: 7719330026 Enrollment ID: I20240201003710 |
| Provider Name | James Ronk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396450425 PECOS PAC ID: 3779928023 Enrollment ID: I20240227001989 |
| Provider Name | Feyisayo Olafiranye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154611069 PECOS PAC ID: 1658548417 Enrollment ID: I20240311000419 |
| Provider Name | Rebecca Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134557473 PECOS PAC ID: 2365675451 Enrollment ID: I20240314001285 |
| Provider Name | Markelse Jordan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578155198 PECOS PAC ID: 5890134670 Enrollment ID: I20240412000622 |
| Provider Name | Blanca Itzel Vela |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013364611 PECOS PAC ID: 1254770407 Enrollment ID: I20240419002834 |
| Provider Name | Rebekah Serrato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164288932 PECOS PAC ID: 3577903582 Enrollment ID: I20240424002203 |
| Provider Name | Aminat Folashade Bobcombe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285167999 PECOS PAC ID: 3476993700 Enrollment ID: I20240502003283 |
| Provider Name | Allison M Atkinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871960641 PECOS PAC ID: 4789025461 Enrollment ID: I20240513001229 |
| Provider Name | Elsa Erika Gomez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336570704 PECOS PAC ID: 2961844477 Enrollment ID: I20240530000144 |
| Provider Name | Russell Pacquette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447568597 PECOS PAC ID: 3274768015 Enrollment ID: I20240607002889 |
| Provider Name | Queen-karen Okpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487293395 PECOS PAC ID: 3577981885 Enrollment ID: I20240626002240 |
| Provider Name | Olaniyi Oyedele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730761529 PECOS PAC ID: 3779021969 Enrollment ID: I20240819004360 |
| Provider Name | Carole Jo Espinosa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790491553 PECOS PAC ID: 3375082969 Enrollment ID: I20240827003229 |
| Provider Name | Christopher Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134681778 PECOS PAC ID: 6709113137 Enrollment ID: I20240910004266 |
| Provider Name | Mercy Oludolapo Babatope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184203317 PECOS PAC ID: 3678013109 Enrollment ID: I20240910004496 |
| Provider Name | Nelsy Mercedes Quinteros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841021599 PECOS PAC ID: 1052851482 Enrollment ID: I20240911003418 |
| Provider Name | Huy Nong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508485475 PECOS PAC ID: 6709204019 Enrollment ID: I20240911004735 |
| Provider Name | Arcela Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184378812 PECOS PAC ID: 1557801925 Enrollment ID: I20240911004906 |
| Provider Name | Luula Abdulahi Jeylani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104699511 PECOS PAC ID: 7416497680 Enrollment ID: I20240913003457 |
| Provider Name | Lindy Truc Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417576257 PECOS PAC ID: 1153747027 Enrollment ID: I20241111003207 |
| Provider Name | Keesha Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255047049 PECOS PAC ID: 1355876798 Enrollment ID: I20241122000863 |
| Provider Name | Miglena Garkova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447978887 PECOS PAC ID: 4082090329 Enrollment ID: I20250122001623 |
| Provider Name | Renee Elizabeth Ernst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306517834 PECOS PAC ID: 9032649173 Enrollment ID: I20250205001004 |
| Provider Name | Simran Arora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578976791 PECOS PAC ID: 1951522002 Enrollment ID: I20250210001185 |
| Provider Name | Rachel Noameshie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548589 PECOS PAC ID: 1557616026 Enrollment ID: I20250416002089 |
| Provider Name | Jessica Khabra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073178000 PECOS PAC ID: 9931593258 Enrollment ID: I20250513003812 |
Physicians Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Bryant Irvin Rd, Suite 203, Fort Worth, TX 76132 Phone: 817-346-4000 Fax: 817-263-9398 | |
Hanson Internal Medicine, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Harris Pkwy, Suite 240, Fort Worth, TX 76132 Phone: 817-504-5699 | |
Symetria Health Of Texas, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7229 Hawkins View Dr, Fort Worth, TX 76132 Phone: 682-350-4444 | |
Associates Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 College Ave, Fort Worth, TX 76110 Phone: 682-268-1152 Fax: 877-772-0063 | |
Apex Alliance Medical Group Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Westport Pkwy, Suite 150, Fort Worth, TX 76177 Phone: 817-837-1091 Fax: 817-837-1097 | |
Kalman Narayan, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 Hemphill St, Fort Worth, TX 76104 Phone: 817-336-9055 | |
Siripurapu Associates Pllc Medical Associates Of North Texas Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1023 Lipscomb St Ste 200, Fort Worth, TX 76104 Phone: 972-544-6600 Fax: 972-544-6604 |