| Vohra Post Acute Care Physicians Of Texas, Pllc | |
|
17218 Preston Rd Ste 2000 Dallas TX 75252-4018 | |
| (877) 866-7123 | |
| Not Available |
| Full Name | Vohra Post Acute Care Physicians Of Texas, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 17218 Preston Rd Ste 2000, Dallas, Texas |
| Authorized Official Name and Position | Stephanie Newsom (OWNER) |
| Authorized Official Contact | 8778667123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vohra Post Acute Care Physicians Of Texas, Pllc 3601 Sw 160th Ave Sute 250 Miramar FL 33027-6308 Ph: (877) 866-7123 | Vohra Post Acute Care Physicians Of Texas, Pllc 17218 Preston Rd Ste 2000 Dallas TX 75252-4018 Ph: (877) 866-7123 |
| NPI Number | 1821424789 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 10/12/2021 |
| Medicare PECOS PAC ID | 0042447682 |
|---|---|
| Medicare Enrollment ID | O20131205001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821424789 | NPI | - | NPPES |
| Provider Name | Walter J Zawislak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992787568 PECOS PAC ID: 8426961798 Enrollment ID: I20031112000146 |
| Provider Name | Lydia M Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760410914 PECOS PAC ID: 7911899315 Enrollment ID: I20040329001596 |
| Provider Name | Nancy B Lawhorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942213616 PECOS PAC ID: 0042209900 Enrollment ID: I20040507000243 |
| Provider Name | David A Brickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003835620 PECOS PAC ID: 8628050671 Enrollment ID: I20040603000268 |
| Provider Name | James P Bridges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760430276 PECOS PAC ID: 9537141080 Enrollment ID: I20040607001099 |
| Provider Name | Brenda J Riggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699893396 PECOS PAC ID: 0143203695 Enrollment ID: I20040608000295 |
| Provider Name | Bruce A Hoak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104888585 PECOS PAC ID: 7113997412 Enrollment ID: I20040726001132 |
| Provider Name | John B Delcambre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700957222 PECOS PAC ID: 8820069164 Enrollment ID: I20040802001121 |
| Provider Name | Usman Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558329235 PECOS PAC ID: 7012989502 Enrollment ID: I20040806000045 |
| Provider Name | Marvin Lee Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184631517 PECOS PAC ID: 5799749859 Enrollment ID: I20041117001183 |
| Provider Name | Leigh A Montes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699775569 PECOS PAC ID: 3375592546 Enrollment ID: I20050113001117 |
| Provider Name | Jana G Decker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134150857 PECOS PAC ID: 3375524598 Enrollment ID: I20050315001079 |
| Provider Name | Renato A Geralde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801894944 PECOS PAC ID: 8224015391 Enrollment ID: I20050329000689 |
| Provider Name | Eduardo A Wolffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730184821 PECOS PAC ID: 2365479391 Enrollment ID: I20050721000547 |
| Provider Name | Ronald Bryant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265420970 PECOS PAC ID: 9537057393 Enrollment ID: I20050809000055 |
| Provider Name | Eric P Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659480549 PECOS PAC ID: 1557393857 Enrollment ID: I20050907001246 |
| Provider Name | Steve R Cox |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891738514 PECOS PAC ID: 3375577257 Enrollment ID: I20050920001177 |
| Provider Name | Jerome B Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538162045 PECOS PAC ID: 4284524661 Enrollment ID: I20050922001173 |
| Provider Name | Maria A Palafox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699740951 PECOS PAC ID: 8527089622 Enrollment ID: I20051216000484 |
| Provider Name | Michael J Jenks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538158365 PECOS PAC ID: 9537173752 Enrollment ID: I20060126000783 |
| Provider Name | Sonia Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538114285 PECOS PAC ID: 1254312168 Enrollment ID: I20060217000562 |
| Provider Name | Kevin P Dowling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336147073 PECOS PAC ID: 7719993062 Enrollment ID: I20060224000105 |
| Provider Name | Ronnie E Calhoun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255330643 PECOS PAC ID: 5799791927 Enrollment ID: I20060227000125 |
| Provider Name | Charles Keith Grisham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356531180 PECOS PAC ID: 1355351040 Enrollment ID: I20060425000744 |
| Provider Name | Russell J Juno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275577538 PECOS PAC ID: 4587668207 Enrollment ID: I20060911000435 |
| Provider Name | Jerry L Laster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619994423 PECOS PAC ID: 0941102479 Enrollment ID: I20060921000601 |
| Provider Name | Kimberly P King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447361175 PECOS PAC ID: 2365544434 Enrollment ID: I20070220000291 |
| Provider Name | Columbus W Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447261441 PECOS PAC ID: 4880796929 Enrollment ID: I20070221000116 |
| Provider Name | Eberhard Samlowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679579312 PECOS PAC ID: 2860401759 Enrollment ID: I20090109000025 |
| Provider Name | Guy J Racette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801876255 PECOS PAC ID: 2466509997 Enrollment ID: I20090420000430 |
| Provider Name | Stephanie Newsom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265636047 PECOS PAC ID: 1658410923 Enrollment ID: I20091125000506 |
| Provider Name | Toan H Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003085390 PECOS PAC ID: 2163562273 Enrollment ID: I20091222000372 |
| Provider Name | Nisha Narang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376796276 PECOS PAC ID: 2264564020 Enrollment ID: I20100715000108 |
| Provider Name | Thomas Jaye Purgett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063468635 PECOS PAC ID: 6608990585 Enrollment ID: I20100830000413 |
| Provider Name | Arnold A. Fikkert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023050754 PECOS PAC ID: 4688799976 Enrollment ID: I20100909000835 |
| Provider Name | Scott Anthony Russell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790781706 PECOS PAC ID: 5092891440 Enrollment ID: I20100914000028 |
| Provider Name | William R Pettey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487642450 PECOS PAC ID: 4789873696 Enrollment ID: I20110107000582 |
| Provider Name | Elizabeth B. Clanton |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780864595 PECOS PAC ID: 0840479606 Enrollment ID: I20110125001164 |
| Provider Name | Liza De Olazo Banaag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194916874 PECOS PAC ID: 2466544069 Enrollment ID: I20111025000646 |
| Provider Name | Alejandra Moscoso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821253311 PECOS PAC ID: 8426225905 Enrollment ID: I20120124000839 |
| Provider Name | Philip G Midgley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164687448 PECOS PAC ID: 2163681206 Enrollment ID: I20120309000319 |
| Provider Name | Brian F Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750471983 PECOS PAC ID: 9739341413 Enrollment ID: I20120425000253 |
| Provider Name | Shanti Velagapudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720274988 PECOS PAC ID: 7012171861 Enrollment ID: I20120607000533 |
| Provider Name | Christopher M Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851676928 PECOS PAC ID: 0648434001 Enrollment ID: I20120614000498 |
| Provider Name | Kevin Dj Murphy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386975506 PECOS PAC ID: 7911172325 Enrollment ID: I20120620000338 |
| Provider Name | Stephen H Hunt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083915904 PECOS PAC ID: 0941447700 Enrollment ID: I20130515000192 |
| Provider Name | Lina Ghosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952590259 PECOS PAC ID: 5799925335 Enrollment ID: I20130703000066 |
| Provider Name | Cynthia M Salinas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578899498 PECOS PAC ID: 9638295595 Enrollment ID: I20130726000682 |
| Provider Name | Dara R Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417277724 PECOS PAC ID: 2264674266 Enrollment ID: I20130803000018 |
| Provider Name | Brittany D Shoemake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407171440 PECOS PAC ID: 4183866908 Enrollment ID: I20130807000673 |
| Provider Name | Sanjeev K Mall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659527331 PECOS PAC ID: 6204998941 Enrollment ID: I20140108000311 |
| Provider Name | Brendon Quinn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518184217 PECOS PAC ID: 2961554589 Enrollment ID: I20140303000821 |
| Provider Name | Jenny M Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598076440 PECOS PAC ID: 3274756093 Enrollment ID: I20140523002152 |
| Provider Name | Kimberly A Abernethy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235210048 PECOS PAC ID: 9931374428 Enrollment ID: I20150211000700 |
| Provider Name | Shandria K Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801264486 PECOS PAC ID: 0042520066 Enrollment ID: I20151103003062 |
| Provider Name | Nicole L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598172041 PECOS PAC ID: 3870803778 Enrollment ID: I20151105000310 |
| Provider Name | Yubaraja Bhattarai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649481193 PECOS PAC ID: 4688861255 Enrollment ID: I20160216001976 |
| Provider Name | Paul A Critelli |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831351790 PECOS PAC ID: 9638465529 Enrollment ID: I20160831002536 |
| Provider Name | Elisabeth K Frei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679864284 PECOS PAC ID: 9537455928 Enrollment ID: I20160912000995 |
| Provider Name | Cara M Hartquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619317997 PECOS PAC ID: 9739323361 Enrollment ID: I20160923001153 |
| Provider Name | Amanda N Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003159856 PECOS PAC ID: 5799082277 Enrollment ID: I20161019001265 |
| Provider Name | Jantzen Deandre Thorns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972881100 PECOS PAC ID: 8527219054 Enrollment ID: I20161102000281 |
| Provider Name | Kimberly J Eggleston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376074617 PECOS PAC ID: 9638455470 Enrollment ID: I20170411001077 |
| Provider Name | Anita B Rao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700065919 PECOS PAC ID: 4284864943 Enrollment ID: I20170510001413 |
| Provider Name | Anna R Reyes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528166535 PECOS PAC ID: 3870892243 Enrollment ID: I20171019002469 |
| Provider Name | Valerie Allen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760897045 PECOS PAC ID: 8426350513 Enrollment ID: I20171026000106 |
| Provider Name | Christina Hope Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629356662 PECOS PAC ID: 4981906252 Enrollment ID: I20180725003259 |
| Provider Name | Samantha Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144560137 PECOS PAC ID: 7012142672 Enrollment ID: I20180910002136 |
| Provider Name | Uchechukwu S Ogu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588898043 PECOS PAC ID: 0446562110 Enrollment ID: I20181001001053 |
| Provider Name | Olabisi Molake Ogunro |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1508247792 PECOS PAC ID: 6507110228 Enrollment ID: I20181116000106 |
| Provider Name | Katherine Grace Beale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740676980 PECOS PAC ID: 0042500340 Enrollment ID: I20190108002997 |
| Provider Name | Hien N Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952531394 PECOS PAC ID: 4688816101 Enrollment ID: I20190904003170 |
| Provider Name | Paul M Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134381965 PECOS PAC ID: 8426245564 Enrollment ID: I20190917002274 |
| Provider Name | Courtney Janick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255793709 PECOS PAC ID: 4183954209 Enrollment ID: I20191002001958 |
| Provider Name | Beverly Diann Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891354494 PECOS PAC ID: 4082945621 Enrollment ID: I20191011000668 |
| Provider Name | Yekaterina A Jordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063857605 PECOS PAC ID: 6800189077 Enrollment ID: I20191104001107 |
| Provider Name | Mallory Lara |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053730960 PECOS PAC ID: 4082904230 Enrollment ID: I20191122000015 |
| Provider Name | Colette Mark Ellis |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629530225 PECOS PAC ID: 1658609342 Enrollment ID: I20200915001233 |
| Provider Name | Jana Hardaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235743493 PECOS PAC ID: 1355756750 Enrollment ID: I20210217001428 |
| Provider Name | Andrea Carol Neve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306352711 PECOS PAC ID: 2668720301 Enrollment ID: I20210309000520 |
| Provider Name | Rebecca Adelaide Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073105557 PECOS PAC ID: 6406263029 Enrollment ID: I20210327000141 |
| Provider Name | Laura K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942880356 PECOS PAC ID: 4183033830 Enrollment ID: I20210510000262 |
| Provider Name | Neha Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790133809 PECOS PAC ID: 2668702994 Enrollment ID: I20210908001254 |
| Provider Name | James Ebot |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083141899 PECOS PAC ID: 1951670587 Enrollment ID: I20210914003299 |
| Provider Name | Yoni Samocha |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265852008 PECOS PAC ID: 1557624301 Enrollment ID: I20210922000225 |
| Provider Name | Daniel Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265923759 PECOS PAC ID: 9133475791 Enrollment ID: I20211208001689 |
| Provider Name | Robert C Connally |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245762848 PECOS PAC ID: 0446587018 Enrollment ID: I20220111000329 |
| Provider Name | Maximilian Elias Choi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023647864 PECOS PAC ID: 2365838752 Enrollment ID: I20220412001975 |
| Provider Name | Shannon Amacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154646388 PECOS PAC ID: 0648457770 Enrollment ID: I20220523000530 |
| Provider Name | Christopher Wayne Foote |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821550906 PECOS PAC ID: 4486074093 Enrollment ID: I20220818003005 |
| Provider Name | Lakimberely Shajuan Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538881503 PECOS PAC ID: 6608252119 Enrollment ID: I20221006003438 |
| Provider Name | Phu Cao Tran |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568705325 PECOS PAC ID: 4981959723 Enrollment ID: I20221130000073 |
| Provider Name | Yumi Shinzato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649669169 PECOS PAC ID: 0648547976 Enrollment ID: I20221130001434 |
| Provider Name | Bruce Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356307433 PECOS PAC ID: 0345136966 Enrollment ID: I20230310002143 |
| Provider Name | Daisy Ryan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841812724 PECOS PAC ID: 7012372238 Enrollment ID: I20230422000047 |
| Provider Name | Jack Forest |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679560775 PECOS PAC ID: 0547244287 Enrollment ID: I20230425002668 |
| Provider Name | Mi Hwa Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174251326 PECOS PAC ID: 3274990353 Enrollment ID: I20230605002516 |
| Provider Name | Jordan T Brandt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538797469 PECOS PAC ID: 4082039037 Enrollment ID: I20230817001711 |
| Provider Name | Andrew J Widener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134749229 PECOS PAC ID: 2264886365 Enrollment ID: I20230922002460 |
| Provider Name | Anand Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518321678 PECOS PAC ID: 4183910318 Enrollment ID: I20231026002185 |
| Provider Name | Connie M Dela'o |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760648703 PECOS PAC ID: 6901023241 Enrollment ID: I20231114003692 |
| Provider Name | Tam Ngo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093337750 PECOS PAC ID: 0840613790 Enrollment ID: I20240124001083 |
| Provider Name | Iesha D Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740031871 PECOS PAC ID: 6800332412 Enrollment ID: I20240718004983 |
| Provider Name | Nicole Vega Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285317834 PECOS PAC ID: 2668556358 Enrollment ID: I20250219001008 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Mi Familia Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Abounding Prosperity Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 214-421-4800 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Emmanuel Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2665 Villa Creek Dr # 180, Dallas, TX 75234 Phone: 469-567-9974 |