blue advantage sm - jme...

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 730166.0715

Blue AdvantageSM

Provider Directory

Search Criteria:

State: TXLocation: DentonTravel Distance: 20 milesProvider Type: Primary Care PractitionersProduct: Blue Advantage HMO

SM

Last Updated: 09/10/2018

To view network selection criteria for doctors and hospitals, visithttp://bcbstx.com/go/providerfinder

ADDISON

Family Practice◆Reihsen, Julie L MDPCP #: H08AJ4210116901 N Dallas PkwySte 208Addison, TX 75001(972) 248-2020Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:Julie L Reihsen MD PANPI:1083614358

◆Sarkar, Rakhi MDPCP #: H08FZ0050115303 Dallas PkwySte 180 Lb 47Addison, TX 75001(972) 980-5050Hospital Affiliations:Medical City ArlingtonMedical City Las ColinasClinical Affiliations:THR Community Based PCPNPI:1548571557

AUBREY

Internal Medicine◆Chang, Tara MDPCP #: H08FS6930126791 US Hwy 380Ste 101Aubrey, TX 76227(469) 800-5750Hospital Affiliations:Baylor Scott and WhiteMcKinneyMedical City North HillsClinical Affiliations:Health Texas Provider NetworkNPI:1831358332

BARTONVILLE

Family PracticeMcCray, John G DOPCP #: H08EJ3240180 McMakin RdBartonville, TX 76226(940) 455-7100Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:THR Community Based PCPNPI:1063453512

Pediatrics◆Butler, Rebecca D MDPCP #: H08DB3820174 McMakin RdSte 100Bartonville, TX 76226(940) 455-7200Hospital Affiliations:Baylor Scott White Med CtrFriscoMedical City PlanoTX Hlth Presby HospitalDentonTX Hlth Presbyterian HospPlanoClinical Affiliations:Rebecca D Butler MD PLLCNPI:1497948913

CARROLLTON

Family Practice◆Bailey, John W MDPCP #: H08G9522011428 W Hebron PkwySte 110Carrollton, TX 75010(972) 939-4555Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:Precision Family Mediine PANPI:1548203599

Burbano, Jose L MDPCP #: H08CT629013020 E Hebron PkwySte 100Carrollton, TX 75010(972) 492-2776Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1689604647

◆Canchola, Daniel R MDPCP #: H08FD382013008 E Hebron PkwySte 500Carrollton, TX 75010(972) 478-5538Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

◆Carter, Kyle K MDPCP #: H08G9520011428 W Hebron PkwySte 110Carrollton, TX 75010(972) 939-4555Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:Precision Family Mediine PANPI:1528002797

◆Davalos, Fernando MDPCP #: H08DS944014325 N Josey LnPlaza III Ste 300Carrollton, TX 75010(469) 800-4900Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:Health Texas Provider NetworkNPI:1578765848

Fuentes, Guillermo M DOPCP #: H08F0700011205 N Josey LnCarrollton, TX 75006(972) 242-2726Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:Family Care Medical Center PANPI:1962599571

Fuentes, Guillermo M DOPCP #: H08F0700012008 E Hebron PkwySte 120Carrollton, TX 75007(972) 242-2726Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:Family Care Medical Center PANPI:1962599571

◆Giometti, Ronald P MDPCP #: H08K3421014325 N Josey LnSte 105Carrollton, TX 75010(972) 394-9478Clinical Affiliations:Ronald P Giometti Jr MD PANPI:1275569345

◆Gutierrez, Natalia MDPCP #: H08EX098013020 E Hebron PkwySte A 100Carrollton, TX 75010(972) 492-2776Clinical Affiliations:THR Community Based PCPNPI:1538371935

◆Ijaz, Asifa MDPCP #: H08EC922011445 MacArthur DrSte 122Carrollton, TX 75007(972) 245-1200Hospital Affiliations:Baylor Scott and WhiteCarrolltonChristus Jasper MemorialHospitalClinical Affiliations:Apex Clinic of Texas IncNPI:1689708729

CarrolltonLast Updated: 09/10/2018 Primary Care Practitioners

1

◆ - Board Certified in Listed Specialty

CARROLLTON(continued)

Family Practice(continued)

◆Ijaz, Asifa MDPCP #: H08GP619011445 Mac Arthur DrSte 122Carrollton, TX 75007(972) 245-1200Hospital Affiliations:Baylor Scott and WhiteCarrolltonChristus Jasper MemorialHospitalClinical Affiliations:Vcare ClinicsNPI:1689708729

Lim, Simon S MDPCP #: H00030PJ013044 Old Denton RdSte 115Carrollton, TX 75007(972) 245-2876Hospital Affiliations:Dallas Medical Center LLCMethodist Charlton MedicalCenterTX Hlth Presbyterian HospPlanoNPI:1093711285

◆Maust, Joel R MDPCP #: H08G498101

✓ 1601 W Hebron PkwySte 100Carrollton, TX 75010(972) 426-8675Hospital Affiliations:Baylor S&w Med Ctr BrenhamBaylor Scott and WhiteCarrolltonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1801833314

◆Modi, Seema C MDPCP #: H08BW366014323 N Josey Ln Ste 204Plaza ICarrollton, TX 75010(972) 492-4400Hospital Affiliations:Dallas Medical Center LLCClinical Affiliations:Seema Modi MD FamilyMedicine andNPI:1043204423

◆Murphy, Amy C MDPCP #: H08G9521011428 W Hebron PkwySte 110Carrollton, TX 75010(972) 939-4555Hospital Affiliations:Baylor Scott and WhiteCarrolltonTrinity Medical CenterTX Hlth Presbyterian HospPlanoClinical Affiliations:Precision Family Mediine PANPI:1780627836

Newton, Michelle A APNPCP #: H08JK500013814 Clover Hill LnCarrollton, TX 75007(214) 803-0768Clinical Affiliations:Beautiful From The Inside OutPllNPI:1083710685

◆Nguyen, Hong T MDPCP #: H08HA886014325 Josey Ln Ste 300Plaza IIICarrollton, TX 75010(469) 800-4900Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:Health Texas Provider NetworkNPI:1558781153

◆Overstreet, Susan L MDPCP #: H08CX29701

✓ 1601 W Hebron PkwySte 100Carrollton, TX 75010(972) 426-8675Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1306009469

◆Setoudeh Maram,Shahriar MDPCP #: H08CJ184013044 Old Denton RdSte 317Carrollton, TX 75007(972) 242-4440Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:Family Care ClinicsNPI:1619950359

◆Soman, Janice G DOPCP #: H08EK423014325 Josey Lane Ste 103Carrollton, TX 75010(469) 800-1200Hospital Affiliations:Baylor University MedicalCenterClinical Affiliations:Health Texas Provider NetworkNPI:1932498912

◆Soman, Janice G DOPCP #: H08EK423014325 Josey Ln Ste 103Carrollton, TX 75010(469) 800-1210Hospital Affiliations:Baylor University MedicalCenterClinical Affiliations:Health Texas Provider NetworkNPI:1932498912

Taquet, Sybil J MDPCP #: H08EL226014325 N Josey LnPlaza III Ste 300Carrollton, TX 75010(469) 800-4900Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:Health Texas Provider NetworkNPI:1164634606

◆Xiao, Hong MDPCP #: H08DK692014100 Fairway DrSte 320Carrollton, TX 75010(972) 236-7608Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:Fairway Family MedicineNPI:1669434601

◆Yun, Chong Y MDPCP #: H08GD264011601 W Hebron PkwySte 100Carrollton, TX 75010(972) 426-8675Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City Las ColinasClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1912347394

General PracticeLee, Hun K MDPCP #: H000HF65012625 Old Denton RdSte 415Carrollton, TX 75007(972) 242-3361NPI:1659413706

Internal Medicine◆Ansari, Anis A MDPCP #: H083250B011948 E Hebron PkwySte 110Carrollton, TX 75007(972) 939-4646Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCSelect Specialty HospitalDallas IncTX Hlth Presbyterian HospPlanoClinical Affiliations:Internal Medicine Associates ofCNPI:1538132915


2

✓ - Accepting Existing Patients Only◆ - Board Certified in Listed Specialty


Internal Medicine(continued)

◆Anwar, Nauman MDPCP #: H089430Z012138 N Josey LnSte 102Carrollton, TX 75006(214) 350-9334Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:Webb Royal Medical GroupNPI:1780697920

◆Bysani, Nanda K MDPCP #: H08BD016011601 W Hebron PkwySte 100Carrollton, TX 75010(972) 426-8675Hospital Affiliations:Baylor Medical Center at IrvingBaylor Scott and WhiteCarrolltonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1801852025

Khan, Najam H MDPCP #: H08CJ524014221 Medical PkwySte 550Carrollton, TX 75010(972) 820-1000Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCMedical City LewisvilleTX Hlth Presbyterian HospDallasTX Hlth Presbyterian HospPlanoClinical Affiliations:Najam Khan MD PANPI:1851315857

◆Lam, Van MDPCP #: H083256K014325 N Josey LnSte 200Carrollton, TX 75010(972) 492-4664Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1689647133

◆Lavedan, Anna Liza CMDPCP #: H08EL721011601 W Hebron PkwySte 100Carrollton, TX 75010(972) 426-8675Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1073568416

◆Lee, James S MDPCP #: H00059CW011809 Golden Trail CT 220Carrollton, TX 75010(214) 731-1166Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoNPI:1902909377

◆Panjwani, Mahmood BMDPCP #: H08H1850013740 N Josey LnSte 206Carrollton, TX 75007(214) 731-0031Hospital Affiliations:Baylor Scott and WhiteCarrolltonBaylor Surgicare at CarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:Panjwani B Mahmood MDPractice Information:From Age 12NPI:1679571079

◆Rai, Hardeep S MDPCP #: H08BE590011913 Walnut PlzCarrollton, TX 75006(972) 416-5902Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott and WhiteCarrolltonDallas Medical Center LLCMedical City Las ColinasTX Hlth Presbyterian HospDallasClinical Affiliations:Hardeep Rai MD PANPI:1043324098

◆Shah, Neeraj B MDPCP #: H08HB508013008 E Hebron PkwySte 500Carrollton, TX 75010(972) 478-5538Clinical Affiliations:Trinity Integrated MedicalNPI:1205968757

◆Talatala, Rufino G MDPCP #: H08F3371014221 Medical PkwyBldg 200 Ste 250Carrollton, TX 75010(972) 492-0333Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:Rufino Talatala G MDNPI:1093824153

◆Teng, Jay MDPCP #: H082076B011601 W Hebron PkwySte 100Carrollton, TX 75010(972) 426-8675Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1205879699

◆Teng, L R MDPCP #: H082071B011601 W Hebron PwkySte 100Carrollton, TX 75010(972) 426-8675Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCTX Hlth Presbyterian HospPlanoClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1316985047

◆Valliani, Farida F MDPCP #: H08J0740013740 N Josey Ln Ste 206Carrollton, TX 75007(214) 731-0031Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City ArlingtonClinical Affiliations:Valliani Farida MDNPI:1386644235

Pediatrics◆Aslam, Qamar S MDPCP #: H08DM945014300 N Josey LnSte 110Carrollton, TX 75010(214) 483-3292Hospital Affiliations:Baylor Scott and WhiteCarrolltonMethodist Charlton MedicalCenterClinical Affiliations:Carrollton PediatricsNPI:1871543082

◆Beamer, Monica J MDPCP #: H08CT611014443 Josey LnSte 150Carrollton, TX 75010(972) 820-7595Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1497785554


3



Pediatrics (continued)◆Bysani, Nanda K MDPCP #: H08BD016011601 W Hebron PkwySte 100Carrollton, TX 75010(972) 426-8675Hospital Affiliations:Baylor Medical Center at IrvingBaylor Scott and WhiteCarrolltonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1801852025

◆Lam, Van MDPCP #: H083256K014325 N Josey LnSte 200Carrollton, TX 75010(972) 492-4664Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1689647133

◆Mirza, Muhammad MDPCP #: H08CN998014300 N Josey LnSte 110Carrollton, TX 75010(214) 483-3292Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:Carrollton PediatricsNPI:1548269822

◆Naz, Farah MDPCP #: H00060GX012459 E Hebron PkwySte 100Carrollton, TX 75010(972) 395-8600Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoPractice Information:To Age 21NPI:1457458259

◆Palaniswamy,Shenbagavalli MDPCP #: H08GH091012008 E Hebron PkwySte 120Carrollton, TX 75007(972) 695-9630Hospital Affiliations:TX Hlth Presbyterian HospPlanoClinical Affiliations:Hebron Pediatrics PLLCNPI:1376724336

◆Rivera, Richard A MDPCP #: H08CT777014443 Josey LnSte 150Carrollton, TX 75010(972) 820-7595Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1144248485

◆Tucker, Michelle S MDPCP #: H08EJ389011821 Golden Trail CTSte 200Carrollton, TX 75010(972) 492-2222Hospital Affiliations:TX Hlth Presbyterian HospPlanoClinical Affiliations:Castle Hills PediatricsNPI:1093993404

COPPELL

Family Practice◆Biard, Maria N MDPCP #: H082444B01

✓ 546 E Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1073589586

◆Cahan, Nina G MDPCP #: H089214Z01848 S Denton Tap RdSte 100Coppell, TX 75019(972) 393-5559Hospital Affiliations:Baylor Scott White MedGrapevineDallas Medical Center LLCClinical Affiliations:Coppell Associates InFamilymedicineNPI:1154405595

◆Calvert, Charles W DOPCP #: H08FC58701546 E Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Medical City Las ColinasTX Hlth Presby HospitalDentonClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1659592012

◆Coxsey, Diana F MDPCP #: H08CT64201580 S Denton Tap RdSte 123Coppell, TX 75019(972) 462-0762Hospital Affiliations:Dallas Medical Center LLCClinical Affiliations:THR Community Based PCPNPI:1174514335

◆Feehery, Terrence M DOPCP #: H085020S01546 East Sandy LakeRd Ste 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Medical Center at IrvingIrving Coppell SurgicalHospital An Affiliate of BMedical City Las ColinasClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1821060559

◆Gaman, Walter N MDPCP #: H082440B01546 East Sandy LakeRd Ste 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1780650291

◆Gao, Wei MDPCP #: H08JF14201546 E Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Dallas Medical Center LLCRound Rock Medical CenterSt Davids Medical CenterSt Davids North Austin MDCenterClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1891748711

Harris, Sandee E APNPCP #: H08JD768016510 N Denton Tap RoadSte 100Coppell, TX 75019(972) 899-1911Clinical Affiliations:Walk In and Urgent Care PANPI:1306855358

◆Kapil, Kamna MDPCP #: H08CN33001878 S Denton Tap RdSte 251Coppell, TX 75019(972) 745-6595Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasClinical Affiliations:Health Texas Provider NetworkNPI:1518933027

Kouri, Jason A MDPCP #: H08FS05301469 Leisure LnCoppell, TX 75019(214) 796-9381Clinical Affiliations:Destra Diagnostics PLLCNPI:1649276965

CoppellLast Updated: 09/10/2018 Primary Care Practitioners

4


COPPELL(continued)


◆Lawrence, Neal C MDPCP #: H08GP08301546 East Sandy LakeRd Ste 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Scott and WhiteMcKinneyMedical City McKinneyClinical Affiliations:Healthcare Associates of IrvingLNPI:1518934314

◆Murphy, Grady F MDPCP #: H08GT88201897 N MacArthur BlvdSte 110Coppell, TX 75019(469) 312-5232Hospital Affiliations:Baylor Scott White MedGrapevineMedical City DentonClinical Affiliations:Dr Murphy Medical Care PANPI:1306815923

Noubani, Wissam M PAPCP #: H0878N3801651 N Denton Tap RdSte 100Coppell, TX 75019(972) 899-1911Clinical Affiliations:Walk In and Urgent Care PANPI:1285727941

◆Powell, Charles L MDPCP #: H08M206101546 E Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1760458897

◆Roberson, Matthew BMDPCP #: H08CT77901580 S Denton Tap RdSte 123Coppell, TX 75019(972) 462-0762Hospital Affiliations:Medical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1871590570

◆Saeed, Umar MDPCP #: H08DF49001651 N Denton Tap RdCoppell, TX 75019(972) 899-1911Hospital Affiliations:TX Hlth Harris Methodist HospFWClinical Affiliations:Walk In and Urgent Care PANPI:1972519544

◆Sarver, Wallace B DOPCP #: H08FA78901546 E Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Clinical Affiliations:Healthcare Associates of IrvingLLPNPI:1073524252

◆Sury, Anu DOPCP #: H08GR40001580 S Denton Tap RdSte 123Coppell, TX 75019(972) 462-0762Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:THR Community Based PCPNPI:1194933739

◆Taylor, Edwin E MDPCP #: H08EX35301546 E Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1790765915

◆Tennant, Thomas B MDPCP #: H08GN80701580 S Denton Tap RdSte 123Coppell, TX 75019(972) 462-0762Hospital Affiliations:Baylor Scott White MedGrapevineTX Hlth Presby Hosp FlowerMoundClinical Affiliations:THR Community Based PCPNPI:1487725610

◆Torres, Cesar O MDPCP #: H08GP11101546 E Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Medical City PlanoMethodist Richardson MedicalCtrClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1346466943

Trevino, Jesse PAPCP #: H08JD580016510 N Denton Tap RdSte 100Coppell, TX 75019(972) 899-1911Clinical Affiliations:Walk In and Urgent Care PANPI:1639340144

Trevino, Jesse PAPCP #: H08JD58001651 N Denton RdCoppell, TX 75019(972) 899-1911Clinical Affiliations:Walk In and Urgent Care PANPI:1639340144

◆Ward, Mary H DOPCP #: H08BP23601546 W Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Medical Center at IrvingHsps of Providence SierraCampusHsps Providence MemorialCampusIrving Coppell Surgical HospitalAn Affiliate of BLas Palmas Camp LpdshMedical City Las ColinasClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1083687206

Internal Medicine◆Chintapalli, Uma MDPCP #: H08JD897016510 N Denton TapRoad Ste 100Coppell, TX 75019(972) 899-1911Hospital Affiliations:East Texas Medical CenterMedical City DallasMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Walk In and Urgent Care PANPI:1578594651

◆Conn, Jason R DOPCP #: H08FY94501546 East Sandy LakeRd Ste 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Medical Center at IrvingBaylor Scott White MedGrapevineMedical City Las ColinasClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1336218437

CoppellLast Updated: 09/10/2018 Primary Care Practitioners

5


COPPELL(continued)


◆Meacham, Joseph A MDPCP #: H08EL29401546 East Sandy Lake RdSte 210Coppell, TX 75019(972) 258-7426Hospital Affiliations:Baylor Scott and White TheHeartTX Hlth Presbyterian HospDallasClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1649301136

◆Oad, Mehar C MDPCP #: H08DF49101651 N Denton Tap RdCoppell, TX 75019(972) 899-1911Hospital Affiliations:East Texas Medical CenterClinical Affiliations:Walk In and Urgent Care PANPI:1710910443

◆Oad, Mehar C MDPCP #: H08DF491016510 N Denton Tap RdSte 100Coppell, TX 75019(972) 899-1911Hospital Affiliations:East Texas Medical CenterClinical Affiliations:Walk In and Urgent Care PANPI:1710910443

Pediatrics

◆Engelhardt, CandaceMDPCP #: H08GL84901150 S Denton Tap RdSte 116Coppell, TX 75019(972) 304-0091Clinical Affiliations:Childgrove Pedriatics PAPractice Information:To Age 18NPI:1225266034

◆Georgulas, Anne MDPCP #: H08R041001150 S Denton Tap RdSte 116Coppell, TX 75019(972) 304-0091Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:Childgrove Pedriatics PANPI:1538248091

◆Schlichtemeier, Tammi LMDPCP #: H087T940011705 E Belt Line RdCoppell, TX 75019(972) 393-8687Hospital Affiliations:Baylor Scott White MedGrapevineMedical City Las ColinasClinical Affiliations:Coppell Pediatric AssociatesPractice Information:To Age 21NPI:1073518957

Shukla Ahluwalia, SoniaMDPCP #: H08JR23601150 S Denton Tap RdSte 116Coppell, TX 75019(972) 304-0091Hospital Affiliations:Medical City DallasClinical Affiliations:Childgrove Pedriatics PANPI:1275851156

◆Ulanoski, James MDPCP #: H08DS12501

✓ 220 S Denton Tap RdSte 201Coppell, TX 75019(972) 393-8181Clinical Affiliations:Ulanoski Associates PANPI:1053405720

◆Ulanoski, Pamela A MDPCP #: H08DS12401

✓ 220 S Denton Tap RdSte 201Coppell, TX 75019(972) 393-8181Clinical Affiliations:Ulanoski Associates PANPI:1861586547

COPPER CANYON

Internal Medicine◆Thompson, Mandy M MDPCP #: H08HH432012570 Justin RdSte 135Copper Canyon, TX 75077(817) 985-4500Hospital Affiliations:Medical City LewisvilleMedical City McKinneyMedical City PlanoMethodist Dallas MedicalCenterClinical Affiliations:Reclaim Physicians MedicalGroupNPI:1194749101

CORINTH

Family PracticeWalden, Jacci G MDPCP #: H08J3503013504 Corinth PkwySte 150Corinth, TX 76208(940) 498-4445Hospital Affiliations:Medical City DentonClinical Affiliations:Walden Family Medicine PANPI:1275645145

CROSSROADS

Family Practice

◆Auvenshine, Michael SMDPCP #: H08F872901

✓ 3201 US Highway 380Ste 101Crossroads, TX 76227(940) 365-9389Hospital Affiliations:Baylor Scott White All SaintsMedKindred Hospital Fort WorthTX Hlth Huguley Fort WorthSouthTX Hlth Presby HospitalDentonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1669580957

Baek, Yun H APNPCP #: H08HL6300111350 US Hwy 380 Ste 100Crossroads, TX 76227(214) 296-2945Clinical Affiliations:Lumincare Physician Group PANPI:1952820227

◆Canchola, Daniel R MDPCP #: H08GZ696018700 US Hwy 380Ste 200Crossroads, TX 76227(940) 365-9400Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:Nobility Medical PLLCNPI:1184771347

Causseaux, Bear B APNPCP #: H08HX9760111350 US Highway 380Ste 100Crossroads, TX 76227(214) 296-2945Clinical Affiliations:Lumincare Physician Group PANPI:1770034548

Damji, Zeboonisha APNPCP #: H08298NR0111350 US Hwy 380Ste 100Crossroads, TX 76227(214) 296-2945Clinical Affiliations:Lumincare Physician Group PANPI:1497034607

Desai, Samir S PAPCP #: H08888NT0111350 US Hwy 380Ste 100Crossroads, TX 76227(214) 296-2945Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasClinical Affiliations:Lumincare Physician Group PANPI:1629006879

CrossroadsLast Updated: 09/10/2018 Primary Care Practitioners

6


CROSSROADS(continued)


Gordon, Brent DOPCP #: H08FY6880111350 US Hwy 380Ste 100Crossroads, TX 76227(214) 296-2945Clinical Affiliations:Lumincare Physician GroupPANPI:1376512152

Harper, Kimberly D APNPCP #: H08099MA018700 US Hwy 380Ste 200Crossroads, TX 76227(940) 365-9400Clinical Affiliations:Nobility Medical PLLCNPI:1467864777

◆Huerta, Jessica R DOPCP #: H08GA4230111350 US Highway 380Ste 100Crossroads, TX 76227(214) 296-2945Hospital Affiliations:Dallas Medical Center LLCSt Lukes Hospital at TheVintageClinical Affiliations:Lumincare Physician GroupPANPI:1952629230

◆Kent, Sarah MDPCP #: H08DS72501

✓ 3201 Hwy 380 Ste 101Crossroads, TX 76227(940) 365-9389Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1457573222

◆Khan, Rabia MDPCP #: H08HA6910111350 US Hwy 380Ste 100Crossroads, TX 76227(214) 296-2945Clinical Affiliations:Lumincare Physician GroupPANPI:1629366539

◆Nutting, William J MDPCP #: H08HE698013201 Highway 380 Ste 101Crossroads, TX 76227(940) 365-9389Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1902216120

Pascoe, David F APNPCP #: H08184NX0111350 US Hwy 380Ste 100Crossroads, TX 76227(214) 295-2945Clinical Affiliations:Lumincare Physician GroupPANPI:1902292436

Pittman, Latarsha APNPCP #: H08HX9800111350 US Highway 380Ste 100Crossroads, TX 76227(214) 296-2945Clinical Affiliations:Lumincare Physician GroupPANPI:1548619034

Pouncy, Dawda K APNPCP #: H08662NT0111350 US Hwy 380Ste 100Crossroads, TX 76227(214) 296-2945Clinical Affiliations:Lumincare Physician GroupPANPI:1760639926

◆Raja, Maheswari MDPCP #: H08GR3660111350 US Hwy 380Ste 100Crossroads, TX 76227(214) 296-2945Hospital Affiliations:John Peter Smith HospitalTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Lumincare Physician GroupPANPI:1548349814

Rhee, Peter C PAPCP #: H08180NU0111350 US Highway 380Ste 100Crossroads, TX 76227(214) 296-2945Clinical Affiliations:Lumincare Physician GroupPANPI:1770715112

◆Rodriguez, Orson MDPCP #: H08GK7430111350 US Hwy 380Ste 100Crossroads, TX 76227(469) 342-7010Clinical Affiliations:Lumincare Physician GroupPANPI:1174542351

◆Tobias, David MDPCP #: H08FV5530111350 US Hwy 380Ste 100Crossroads, TX 76227(214) 296-2945Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Lumincare Physician GroupPANPI:1881862357

◆Yembe, Enaka M MDPCP #: H08GF9370111750 US Highway 380Ste 300Crossroads, TX 76227(940) 365-2273Clinical Affiliations:American Stat Care CentersTexasNPI:1003874314

Pediatrics◆Baker, Jeremy S MDPCP #: H08AL431013201 US Highway 380Ste 101Crossroads, TX 76227(940) 365-9389Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1659464816

DALLAS

Family Practice◆Alaidroos, Hania MDPCP #: H08X01100117610 Preston RdDallas, TX 75252(972) 931-0100Hospital Affiliations:Baylor Scott &white Med CtrPlanoMedical City DallasMedical City PlanoClinical Affiliations:Arbor Green Family MedicineCliniNPI:1205826112

◆Caldwell, Sandra K MDPCP #: H08HW6680113701 Dallas ParkwayDallas, TX 75240(972) 386-2560Hospital Affiliations:Baylor Scott & White MedicalCentMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Advanced Medical Pain andRehabilNPI:1588892715

◆Canchola, Daniel R MDPCP #: H08FD3820113701 N Dallas PkwyDallas, TX 75240(972) 386-2582Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

DallasLast Updated: 09/10/2018 Primary Care Practitioners

7


DALLAS (continued)


◆Candelario, David W DOPCP #: H08HG236013427 Trinity Mills RdSte 800Dallas, TX 75287(972) 862-8600Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1780900340

◆Jalal, Uzma MDPCP #: H08GK581013427 Trinity Mills RdSte 800Dallas, TX 75287(972) 862-8600Clinical Affiliations:THR Community Based PCPNPI:1316294036

◆McElya, Martin G DOPCP #: H00089DH015917 Belt Line RoadDallas, TX 75254(972) 726-6464Hospital Affiliations:Medical City DallasNPI:1154329746

Newton, Michelle A APNPCP #: H08HB4870117740 Preston RdSte 100aDallas, TX 75252(972) 789-1234Clinical Affiliations:Innate Medical Solutions PLLCNPI:1083710685

◆Regan, Christopher MMDPCP #: H08CT772013427 Trinity Mills RdSte 800Dallas, TX 75287(972) 862-8600Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:THR Community Based PCPNPI:1942228267

◆Wimberly Md Pa, Kelly LMDPCP #: H08AJ09501

✓ 17101 Preston RdSte 200Dallas, TX 75248(972) 239-4441Hospital Affiliations:Methodist Richardson MedicalCtrClinical Affiliations:Kelly L Wimberly MD PANPI:1053330803

Internal Medicine◆Aziz, Asif MDPCP #: H08CM416016029 Belt Line RdSte 105Dallas, TX 75254(972) 385-0000Hospital Affiliations:Hunt Regional Medical CenterTX Hlth Harris Methodist HospFWClinical Affiliations:Elite Primary Care PANPI:1922194992

◆Brudey, Chevelle MDPCP #: H08JD9560116800 Dallas PkwySte 150Dallas, TX 75248(972) 733-7242Clinical Affiliations:Bent Tree MedicineNPI:1902064587

Dar, Saira MDPCP #: H08JM0840116800 Dallas PkwySte 150Dallas, TX 75248(972) 733-7242Hospital Affiliations:John Peter Smith HospitalClinical Affiliations:Bent Tree MedicineNPI:1366412165

◆Kopel, Risha MDPCP #: H08X01110117610 Preston RdDallas, TX 75252(972) 931-0100Hospital Affiliations:Medical City DallasClinical Affiliations:Arbor Green Family MedicineCliniNPI:1548311160

Oluwole, Olawole S MDPCP #: H08CS6930113614 Gamma RdSte 100Dallas, TX 75244(972) 829-0098Clinical Affiliations:Morning Star HealthcareServicesPractice Information:From Age 12NPI:1902993686

DENTON

Family Practice◆Ashford, Shane J DOPCP #: H08EC062012900 N Interstate 35Ste 301Denton, TX 76201(940) 323-3426Hospital Affiliations:Medical City DentonClinical Affiliations:THR Community Based PCPNPI:1518144534

◆Atrey, Vartika MDPCP #: H08GX942012665 Scripture StDenton, TX 76201(940) 387-8763Clinical Affiliations:The Medical Clinic of NorthTexas PANPI:1801026000

◆Barton, Courtney K MDPCP #: H08F1304012665 Scripture StDenton, TX 76201(940) 387-8763Hospital Affiliations:Medical City DentonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1053354654

Blankenau, Andrew J MDPCP #: H083Y900014400 Teasley LnSte 200Denton, TX 76210(940) 382-9898Hospital Affiliations:Medical City DentonClinical Affiliations:Minor Emergency of Paris IncNPI:1265538250

Chou, Kristen A APNPCP #: H08HR622013537 S I 35 ESte 210Denton, TX 76210(940) 381-1501Clinical Affiliations:Health Services of North TexasNPI:1083126064

Crouse, Mary L APNPCP #: H08298NA01802 N Bonnie BraeSte 100Denton, TX 76201(940) 294-2944Clinical Affiliations:Crouse Care ClinicNPI:1841437597

◆Evans, Stanley C DOPCP #: H08CH810013105 Colorado BlvdDenton, TX 76210(940) 383-3444Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:Family HealthcareNPI:1790781797

DentonLast Updated: 09/10/2018 Primary Care Practitioners

8


DENTON (continued)


Gelber, Edward L PAPCP #: H08JH931014304 Mesa DrDenton, TX 76207(940) 381-1501Clinical Affiliations:Health Services of North TexasNPI:1922146224

Gorman, Brent E DOPCP #: H083A918011512 Teasley LnDenton, TX 76205(940) 566-5010Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:The Family DoctorsNPI:1801880299

Helsten, Robert A MDPCP #: H08S2150011813 Hinkle Dr Ste 100Denton, TX 76201(940) 312-7266Hospital Affiliations:Medical City DentonClinical Affiliations:North Texas Family MedicineNPI:1043272057

Holland, Jamie L APNPCP #: H08JK727012900 N Interstate 35Denton, TX 76201(940) 323-3426Clinical Affiliations:THR Community Based PCPJoining Network orLocation:09/10/2018NPI:1841796091

◆King, Caroline M MDPCP #: H08CZ690011614 Scripture StSte 9Denton, TX 76201(940) 591-7900Hospital Affiliations:Medical City DentonParis Regional Medical CenterClinical Affiliations:THR Community Based PCPNPI:1184663478

◆King, Caroline M MDPCP #: H08CZ690013901 Montecito DrDenton, TX 76210(940) 591-7900Hospital Affiliations:Medical City DentonParis Regional Medical CenterClinical Affiliations:THR Community Based PCPNPI:1184663478

◆King, Teresa E MDPCP #: H08EY238012900 N Interstate 35Ste 302Denton, TX 76201(940) 898-7400Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1114925724

◆Ko, David MDPCP #: H08HY276012817 S Mayhill Rd Ste 115Denton, TX 76208(469) 862-1000Hospital Affiliations:North Texas Medical CenterThe Heart Hospital BaylorDentonClinical Affiliations:Health Texas Provider NetworkNPI:1932337839

Lawler, Shantelle L APNPCP #: H08041NC011214 Primrose LnDenton, TX 76201(940) 566-1444Clinical Affiliations:Family Care CenterNPI:1750617858

Lloyd, Anjanette K APNPCP #: H08080MD014304 Mesa DrDenton, TX 76207(940) 381-1501Clinical Affiliations:Health Services of North TexasPractice Information:To Age 21NPI:1508998667

Masciarelli, Filippo MDPCP #: H08DC57301525 S Locust StSte 200Denton, TX 76201(940) 600-7527Hospital Affiliations:Medical City DentonClinical Affiliations:Denton Community HealthClinicNPI:1639172430

◆McGuire, Timothy C MDPCP #: H08CT733011614 Scripture StSte 8Denton, TX 76201(940) 565-9118Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1336185461

◆McKinney, Kevin M MDPCP #: H08CT734011614 Scripture StSte 10Denton, TX 76201(940) 565-1615Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1952338170

Monroe Ramos, Megan CAPNPCP #: H08JG673014310 Mesa DrDenton, TX 76207(940) 381-1501Hospital Affiliations:John Peter Smith HospitalClinical Affiliations:Health Services of North TexasNPI:1174925127

◆Morrill, Audrey C MDPCP #: H08F1301012665 Scripture StDenton, TX 76201(940) 387-8763Hospital Affiliations:Medical City DentonMuenster Memorial HospitalClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1497793459

Mottl, Laurie J PAPCP #: H0890N70014308 Mesa DrDenton, TX 76207(940) 387-5788Clinical Affiliations:Health Services of North TexasNPI:1336267012

Mottl, Laurie J PAPCP #: H0890N70014304 Mesa DrDenton, TX 76207(940) 381-1501Clinical Affiliations:Health Services of North TexasNPI:1336267012

Oshun, Hamzat A APNPCP #: H08522NT012412 Old North Rd Ste 101Denton, TX 76209(940) 387-5800Clinical Affiliations:Community Medical ClinicNPI:1518335090

Oshun, Hatshepsut M PAPCP #: H08520NT012412 Old North RdSte 101Denton, TX 76209(940) 387-5800Clinical Affiliations:Community Medical ClinicNPI:1346587854


9


DENTON (continued)


◆Roufeh, Ramin MDPCP #: H08HY253012817 S Mayhill RdSte 115Denton, TX 76208(469) 862-1000Hospital Affiliations:John Peter Smith HospitalNorth Texas Medical CenterThe Heart Hospital BaylorDentonClinical Affiliations:Health Texas Provider NetworkNPI:1508014275

◆Sanborn, McLean R MDPCP #: H08FD471011614 Scripture StSte 8Denton, TX 76201(940) 565-9118Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1235364191

◆Scott, Joseph M MDPCP #: H083A917011512 Teasley LnDenton, TX 76205(940) 566-5010Hospital Affiliations:Medical City DentonClinical Affiliations:The Family DoctorsNPI:1255325619

◆Siddhappan, MurugesanM MDPCP #: H08DK90701

✓ 4206 N Interstate 35Denton, TX 76207(940) 382-6900Hospital Affiliations:Dallas Medical Center LLCMedical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:Anbarasu Rani MDPractice Information:From Age 18NPI:1104096437

◆Siddhappan, MurugesanM MDPCP #: H08FV268012210 San Jacinto BlvdSte 4Denton, TX 76205(940) 367-3837Hospital Affiliations:Dallas Medical Center LLCMedical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:North Texas OptimumHealthcarPractice Information:From Age 18NPI:1104096437

◆Siegel, Jason I MDPCP #: H08HS109014304 Mesa DrDenton, TX 76207(940) 381-1501Clinical Affiliations:Health Services of North TexasNPI:1205275740

◆Simms, Scott A MDPCP #: H08DL97701700 West Oak StDenton, TX 76201(940) 382-9636Hospital Affiliations:Atrium Medical Center atCorinthDell Seton Medical Center atUTMedical City DentonThe Heart Hospital BaylorDentonTX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1235123449

Sirls, Veronica R APNPCP #: H08340NH011813 Hinkle DrSte 100Denton, TX 76201(940) 312-7266Clinical Affiliations:Your Healthcare PlaceNPI:1215032636

Smathers, Stacy L PAPCP #: H08JL007012000 Emery StDenton, TX 76201(940) 484-4424Clinical Affiliations:THR Community Based PCPNPI:1518361054

Stone, Shane MDPCP #: H08JJ76101205 N Bonnie BraeDenton, TX 76201(940) 484-0914Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:Live Up Medical LLCNPI:1104054295

◆Talbot, Scott E MDPCP #: H08FW555012900 N Interstate 35Denton, TX 76201(940) 484-4424Hospital Affiliations:Medical City DentonTMC Bonham HospitalTX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPPractice Information:From Age 4NPI:1598706277

General PracticeAllen, Rory L DOPCP #: H08EH396011501n Elm StDenton, TX 76201(940) 387-0019Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:Savannah Clinic AssociatesLLCPractice Information:From Age 18NPI:1447237235

Allen, Rory L DOPCP #: H08S9880011501 N Elm StDenton, TX 76201(940) 387-0019Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:Denton TX HealthManagement PLLCPractice Information:From Age 18NPI:1447237235

Internal Medicine◆Anbarasu, Rani MDPCP #: H08A9389014206 N Interstate 35Denton, TX 76207(940) 382-6900Hospital Affiliations:Atrium Medical Center atCorinthMedical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:Anbarasu Rani MDNPI:1326252255

◆Bhangoo, Jaspaul S MDPCP #: H08AE350013323 Colorado BlvdSte 101Denton, TX 76210(940) 891-6066Hospital Affiliations:Medical City DentonClinical Affiliations:Jaspaul S Bhangoo MD PANPI:1932311958

◆Bhatt, Jitendra N MDPCP #: H08427M001

✓ 1108 Dallas DrSte 337Denton, TX 76205(940) 898-0232Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:Denton Diagnostic CenterNPI:1497805352


10


DENTON (continued)


◆Burke, Anna MDPCP #: H08CT631013301 Unicorn Lake BlvdDenton, TX 76210(940) 383-1578Hospital Affiliations:Baylor University MedicalCenterTX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1689602310

◆Dave, Ajit MDPCP #: H08BF434013327 Colorado BlvdSte 200Denton, TX 76210(940) 382-4060Hospital Affiliations:Medical City DentonClinical Affiliations:Ajit Dave MD PANPI:1043291347

Hedtke, Carol J APNPCP #: H08CU229012535 CharlotteSte 102Denton, TX 76201(940) 387-7300Clinical Affiliations:Avere Healthcare Clinics LLCPractice Information:From Age 12NPI:1417999848

◆Jafry, Raza A MDPCP #: H08DM313012220 San Jancinto BlvdSte 310Denton, TX 76205(940) 591-8800Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:The Denton InternistPractice Information:From Age 18NPI:1932334703

◆Shah, Aitazaz A MDPCP #: H08CN336012900 N I-35 Ste 118Denton, TX 76201(940) 380-8100Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1982627527

◆Shah, Farah A MDPCP #: H08CA265012900 N Interstate 35Ste 118Denton, TX 76201(940) 380-8100Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1407937592

◆Yates, Judy L MDPCP #: H08CT832011614 Scripture StSte 100Denton, TX 76201(940) 383-7600Hospital Affiliations:Trophy Club Medical CenterTX Hlth Harris Methodist HospFWTX Hlth Harris Methodist HospSWClinical Affiliations:THR Community Based PCPNPI:1316970270

Obstetrics-Gynecology◆Cruz Loya, Mary APNPCP #: H08JN276013537 S Interstate 35 ESte 210Denton, TX 76210(940) 381-1501Clinical Affiliations:Health Services of North TexasNPI:1104817436

Pediatrics◆Harris, Glenna G MDPCP #: H00038RE01515 Londonderry LaneDenton, TX 76205(940) 484-0065Hospital Affiliations:Medical City DentonMedical City LewisvilleNPI:1205944196

◆Jackson, Gregory L MDPCP #: H08EQ650014310 Mesa DrDenton, TX 76207(940) 387-5788Clinical Affiliations:Health Services of North TexasPractice Information:To Age 18NPI:1952361859

◆Jackson, Gregory L MDPCP #: H08EQ650014304 Mesa DrDenton, TX 76207(940) 381-1501Clinical Affiliations:Health Services of North TexasPractice Information:To Age 18NPI:1952361859

◆Kammerer, Kristen L DOPCP #: H08HE253014304 Mesa DrDenton, TX 76207(940) 381-1501Clinical Affiliations:Health Services of North TexasNPI:1689820599

Nuby, Marquis J MDPCP #: H08V1060011103 N Elm StDenton, TX 76201(940) 597-8433Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:Nuby Pediatrics PAPractice Information:To Age 18NPI:1639124035

◆Schulman, Stephen A MDPCP #: H000GH11012501 Scripture StSte 101Denton, TX 76201(940) 382-9448Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonNPI:1760413173

DOUBLE OAK

General PracticeGomez, John G MDPCP #: H08V8291018501 FM 407Double Oak, TX 75077(972) 966-1980Hospital Affiliations:Baylor Scott &white Med CtrPlanoCollege Station Medical CenterEast Texas Medical CenterAthensHeart of Texas MemorialHospitalMedical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:N Texas EmergencyPhysicians PANPI:1841276086

FARMERS BRANCH

Family Practice◆Molina, Juan C MDPCP #: H08W6640014001 McEwen DrSte 114Farmers Branch, TX 75244(972) 620-2626Hospital Affiliations:Dallas Medical Center LLCClinical Affiliations:Carlos Molina MD PANPI:1629179338

Farmers BranchLast Updated: 09/10/2018 Primary Care Practitioners

11


FLOWER MOUND

Family Practice◆Adair, Sandra D DOPCP #: H08CT591014951 Long Prairie RdSte 120Flower Mound, TX 75028(972) 691-9190Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1497784359

Baek, Yun H APNPCP #: H08HL630012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 268-6338Clinical Affiliations:Lumincare Physician GroupPANPI:1952820227

◆Bajwa, Navjot MDPCP #: H080801S014900 Long Prairie RdSte 100Flower Mound, TX 75028(972) 691-4100Hospital Affiliations:Baylor Scott White MedGrapevineMedical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Pediatric and FamilyPhysicians PANPI:1487604567

◆Balarbar, Melinda B MDPCP #: H087941Y011110 Parker SqFlower Mound, TX 75028(972) 724-1707Hospital Affiliations:Baylor Medical CenterWaxahachieBaylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1215960109

Caldwell, John APNPCP #: H08302NR012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 539-3695Clinical Affiliations:Lumincare Physician GroupPANPI:1245597814

◆Caldwell, Sandra K MDPCP #: H08HW668012849 Morriss RdFlower Mound, TX 75028(972) 956-9887Hospital Affiliations:Baylor Scott & White MedicalCentMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Advanced Medical Pain andRehabilNPI:1588892715

◆Canchola, Daniel R MDPCP #: H08FD382012616 Long Prairie RdSte 101Flower Mound, TX 75022(972) 460-4420Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

◆Canchola, Daniel R MDPCP #: H08FD382013400 Long Prairie RdSte 100Flower Mound, TX 75022(972) 899-2258Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

Causseaux, Bear B APNPCP #: H08HX976012628 Long Praire RdSte107Flower Mound, TX 75022(214) 592-0946Clinical Affiliations:Lumincare Physician GroupPANPI:1770034548

◆Cooper, Michael A MDPCP #: H08CY422014300 Windsor Centre TrlSte 200Flower Mound, TX 75028(972) 899-8080Hospital Affiliations:TX Health Presby HospRockwallClinical Affiliations:THR Community Based PCPNPI:1831120757

Damji, Zeboonisha APNPCP #: H08298NR012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 539-3695Clinical Affiliations:Lumincare Physician GroupPANPI:1497034607

◆Davoodi, Fariborz A MDPCP #: H08DB874013051 Churchill DrSte 100Flower Mound, TX 75022(972) 410-3682Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Davoodi Family Medicine PANPI:1811924343

Desai, Samir S PAPCP #: H08888NT012628 Long PrairieRd Ste 107Flower Mound, TX 75022(972) 268-6338Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasClinical Affiliations:Lumincare Physician GroupPANPI:1629006879

Ewart, Brenda K DOPCP #: H08CT659014300 Windsor CentreTrail Ste 200Flower Mound, TX 75028(972) 899-8080Hospital Affiliations:Medical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1285747030

◆George, Susan MDPCP #: H08BZ367012001 Morriss RdSte 150Flower Mound, TX 75028(972) 874-9600Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:Agape Family Medicine ClinicNPI:1285822346

◆Gillem, Megan D MDPCP #: H08EQ599014921 Long Prairie RdSte 100Flower Mound, TX 75028(972) 691-8700Hospital Affiliations:Medical City LewisvilleClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1093005704

◆Glaser, Brian D DOPCP #: H08K9650013400 Long Prairie RdSte 200Flower Mound, TX 75022(972) 899-6300Hospital Affiliations:Baylor Scott White MedGrapevineMedical City LewisvilleClinical Affiliations:Bridlewood FamilyHealthcarepaNPI:1083672067

Gordon, Brent DOPCP #: H08FY688012628 Long PrairieRd Ste 107Flower Mound, TX 75022(972) 268-6338Clinical Affiliations:Lumincare Physician Group PANPI:1376512152

Flower MoundLast Updated: 09/10/2018 Primary Care Practitioners

12


FLOWER MOUND(continued)


Gray, Melanie DOPCP #: H08FM81801785 Cross Timbers RdSte 145Flower Mound, TX 75028(817) 725-7880Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Ppg Health PANPI:1124324744

◆Horstmeyer, Christine GMDPCP #: H08GB363011110 Parker SquareFlower Mound, TX 75028(972) 724-1707Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1922448133

◆Huerta, Jessica R DOPCP #: H08GA423012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 268-6338Hospital Affiliations:Dallas Medical Center LLCSt Lukes Hospital at TheVintageClinical Affiliations:Lumincare Physician GroupPANPI:1952629230

◆Jamal, Saira MDPCP #: H08ER197014320 Windsor Centre TrailSte 300Flower Mound, TX 75028(972) 539-1600Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Famcare Clinic of North TexasNPI:1760496004

◆Johnson, Jack L MDPCP #: H08EG890014001 Long Prairie RdSte 160Flower Mound, TX 75028(972) 355-1505Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospDallasClinical Affiliations:THR Community Based PCPNPI:1801859996

◆Khan, Rabia MDPCP #: H08HA691012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 268-6338Clinical Affiliations:Lumincare Physician GroupPANPI:1629366539

Mitchell, Ronnie DOPCP #: H08EE978012931 Long Prairie EdSte 100Flower Mound, TX 75022(972) 355-3771Hospital Affiliations:Baptist Beaumont HospitalChristus Hospital St ElizabethMedical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1043212343

◆Olivier, Monica I DOPCP #: H08EH038014001 Long Prairie RdSte 160Flower Mound, TX 75028(972) 355-1505Hospital Affiliations:Medical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1134344161

◆Overstreet, Haley C MDPCP #: H08GN885014370 Medical Arts DrSte 255Flower Mound, TX 75028(512) 550-1800Hospital Affiliations:Cedar Park Regional MedicalCtrClinical Affiliations:Texan AllergyNPI:1700107323

Pascoe, David F APNPCP #: H08184NX012628 Long PrairieRd Ste 107Flower Mound, TX 75022(972) 268-6338Clinical Affiliations:Lumincare Physician GroupPANPI:1902292436

◆Pearch, Elizabeth A DOPCP #: H08CT760014951 Long Prairie RdSte 120Flower Mound, TX 75028(972) 691-9190Hospital Affiliations:TX Hlth Presby Hosp FlowerMoundClinical Affiliations:THR Community Based PCPNPI:1861608929

Phipps, Lowell F MDPCP #: H08505J101

✓ 3101 Churchill DrSte 310Flower Mound, TX 75022(972) 691-8700Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1699712125

Phipps, Lowell F MDPCP #: H08505J101

✓ 4621 Long Prairie RdSte 100Flower Mound, TX 75028(972) 691-8700Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1699712125

Pittman, Latarsha APNPCP #: H08HX980012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 268-6338Clinical Affiliations:Lumincare Physician Group PANPI:1548619034

Pouncy, Dawda K APNPCP #: H08662NT012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 268-6338Clinical Affiliations:Lumincare Physician Group PANPI:1760639926

Pravong, Que T DOPCP #: H08CT770014001 Long Prairie Rd.Ste 125Flower Mound, TX 75028(972) 539-3030Hospital Affiliations:Medical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1538234349

◆Raja, Maheswari MDPCP #: H08GR366012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 268-6338Hospital Affiliations:John Peter Smith HospitalTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Lumincare Physician Group PANPI:1548349814


13




◆Ratnayake, Maheshika KMDPCP #: H08EL225011110 Parker SquareFlower Mound, TX 75028(972) 724-1707Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1790096345

Rhee, Peter C PAPCP #: H08180NU012628 Long Prairie Rd Ste107Flower Mound, TX 75022(972) 268-6338Clinical Affiliations:Lumincare Physician GroupPANPI:1770715112

◆Rodriguez, Orson MDPCP #: H08GK743012628 Long Prairie RdSte 107Flower Mound, TX 75022(972) 268-6338Clinical Affiliations:Lumincare Physician GroupPANPI:1174542351

◆Santiago, Joseph P MDPCP #: H087940Y011110 Parker SqFlower Mound, TX 75028(972) 724-1707Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1285667188

◆Seysan, Roya V MDPCP #: H08AN980012261 Olympia DrSte 100Flower Mound, TX 75028(972) 691-8585Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Flower Mound Medical CenterLLCNPI:1174541999

◆Tobias, David MDPCP #: H08FV553012628 Long PrairieRd Ste 107Flower Mound, TX 75022(972) 268-6338Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Lumincare Physician GroupPANPI:1881862357

◆Villalon, Raul MDPCP #: H08BC050011110 Parker SqFlower Mound, TX 75028(972) 724-1707Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1699814624

◆Wright, Jack M MDPCP #: H08CT829014001 Long Prairie RdSte 125Flower Mound, TX 75028(972) 539-3030Hospital Affiliations:Medical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1952329930

Internal Medicine

◆Bucan Kurepa, Jelena MMDPCP #: H08X879001

✓ 4921 Long Prairie RdSte 100Flower Mound, TX 75028(972) 691-8700Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1841226172

◆Kremer, Edward N MDPCP #: H089T983013871 Long Prairie RdFlower Mound, TX 75028(214) 513-7531Hospital Affiliations:Medical City LewisvilleClinical Affiliations:Lewisville Family MedicalAssociatesNPI:1285691006

Naina, Harris V MDPCP #: H08FN11101785 Cross Timbers RdSte 145Flower Mound, TX 75028(817) 725-7880Hospital Affiliations:Medical City Fort WorthClinical Affiliations:Ppg Health PANPI:1871506733

◆Neurgaonkar, Shrirang SMDPCP #: H000444G013611 Morriss RdFlower Mound, TX 75028(972) 874-3776Hospital Affiliations:Baylor Scott and WhiteCarrolltonBaylor Scott White MedGrapevineTX Hlth Presby Hosp FlowerMoundUSMD Hospital at Arlington LPPractice Information:From Age 2NPI:1679503932

◆Wasson, Bryan L DOPCP #: H08FZ764013400 Long Prairie RdSte 200Flower Mound, TX 75022(972) 899-6300Hospital Affiliations:Baylor Medical Center at IrvingClinical Affiliations:Bridlewood FamilyHealthcarepaNPI:1972537801

Pediatrics

◆Dhaliwal, Harminder SMDPCP #: H080800S014900 Long Prairie RdSte 100Flower Mound, TX 75028(972) 691-4100Hospital Affiliations:Baylor Scott White MedGrapevineMedical City DentonMedical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Pediatric and FamilyPhysicians PAPractice Information:To Age 21NPI:1285661140

◆Dhoot, Shrikant MDPCP #: H087740S013101 Churchill DrSte 200Flower Mound, TX 75022(972) 691-2100Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:Pediatric Physicians PANPI:1528078821

◆Harpavat, Kiran MDPCP #: H087741S013101 Churchill DrSte 200Flower Mound, TX 75022(972) 691-2100Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:Pediatric Physicians PANPI:1003827270


14



Pediatrics (continued)◆Philip, Annie J MDPCP #: H087743S013101 Churchill DrSte 200Flower Mound, TX 75022(972) 691-2100Hospital Affiliations:Medical City LewisvilleClinical Affiliations:Pediatric Physicians PANPI:1669486759

FORT WORTH

Family Practice◆Bajwa, Navjot MDPCP #: H080801S0111751 Alta Vista RdSte 101Fort Worth, TX 76244(817) 431-4224Hospital Affiliations:Baylor Scott White MedGrapevineMedical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Pediatric and FamilyPhysicians PANPI:1487604567

◆Bright, Jeana A DOPCP #: H08CL6670112465 Timberland BlvdSte 401Fort Worth, TX 76244(817) 741-8355Hospital Affiliations:TX Hlth Harris Methodist HospFWClinical Affiliations:THR Community Based PCPNPI:1033396635

◆Cooper, Christopher RMDPCP #: H08X87980110840 Texas HealthTrail Ste 250Fort Worth, TX 76244(817) 750-1310Hospital Affiliations:TX Hlth Harris Methodist HospFWClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1043228018

◆Hayat, Munawar MDPCP #: H08HE9420110840 Texas Health TrailSte 250Fort Worth, TX 76244(817) 750-1310Hospital Affiliations:TX Health Harris MethodistHospClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1285044487

Pediatrics

◆Dhaliwal, Harminder SMDPCP #: H080800S0111751 Alta Vista RdSte 101Fort Worth, TX 76244(817) 431-4224Hospital Affiliations:Baylor Scott White MedGrapevineMedical City DentonMedical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Pediatric and FamilyPhysicians PAPractice Information:To Age 21NPI:1285661140

FRISCO

Family PracticeAbraham, Susan A APNPCP #: H08GT770019191 Kyser WaySte EFrisco, TX 75033(928) 205-1033Clinical Affiliations:Scott Hastings DO IncNPI:1164956777

Agarwal, Anshul MDPCP #: H08ED62001255 W Lebanon Rd Ste116Frisco, TX 75036(469) 405-0500Hospital Affiliations:Methodist Charlton MedicalCenterClinical Affiliations:Redbird Wellness PLLCNPI:1285845743

◆Bergman, Karin K MDPCP #: H08HA51701

✓ 5150 Warren PkwyBld 7 Ste 705Frisco, TX 75034(214) 494-6200Clinical Affiliations:Karin K Bergman MD PANPI:1386646594

◆Bolin, Jerry B MDPCP #: H08AU850013550 Parkwood BlvdSte 405Frisco, TX 75034(469) 287-8800Hospital Affiliations:TX Hlth Presbyterian HospPlanoClinical Affiliations:J Blake Bolin MD PANPI:1174563043

Brown, Jeremy D DOPCP #: H08JD174013800 Gaylord PkwySte 910Frisco, TX 75034(469) 800-5600Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1760861116

◆Caldwell, Sandra K MDPCP #: H08HW668018501 Wade BlvdSte 310Frisco, TX 75034(972) 427-3570Hospital Affiliations:Baylor Scott & White MedicalCentMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Advanced Medical Pain andRehabilNPI:1588892715

◆Canchola, Daniel R MDPCP #: H08FD382018501 Wade BlvdSte 310Frisco, TX 75034(972) 427-3570Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

◆Dejecacion, Jodie P MDPCP #: H08M098201

✓ 2595 Dallas ParkwaySte 405Frisco, TX 75034(972) 377-1490Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1487692067

◆Dejecacion, Jodie P MDPCP #: H08M098201

✓ 9255 Dallas PkwyFrisco, TX 75033(972) 377-1490Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1487692067

FriscoLast Updated: 09/10/2018 Primary Care Practitioners

15


FRISCO (continued)


◆Donahey, Brett A DOPCP #: H08DC407017000 Parkwood BlvdSte B200Frisco, TX 75034(214) 705-1900Clinical Affiliations:Morning Light Family MedicineNPI:1023044690

◆Donepudi, Suman MDPCP #: H08HN724012595 Dallas PkwySte 405Frisco, TX 75034(972) 377-1490Hospital Affiliations:Medical City PlanoClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1295153914

◆Donepudi, Suman MDPCP #: H08HN724019255 Dallas PkwyFrisco, TX 75033(972) 377-1490Hospital Affiliations:Medical City PlanoClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1295153914

◆Gandhi, Neelay R MDPCP #: H08CN317013800 Gaylord ParkwaySte 910Frisco, TX 75034(469) 800-5600Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1861696825

◆Hastings, Scott E DOPCP #: H08EK553019191 Kyser WaySte 602Frisco, TX 75033(214) 396-9191Clinical Affiliations:Scott Hastings DO IncNPI:1174597553

◆Hastings, Scott E DOPCP #: H08HQ889019191 Kyser Way Ste 602Frisco, TX 75033(214) 396-9191Clinical Affiliations:Family Medicine Plus LLCNPI:1174597553

◆Hastings, Scott E DOPCP #: H08JC79801425 Old Newman RdSte 100Frisco, TX 75034(972) 712-5556Clinical Affiliations:Regenesys Physical MedicinePLLCNPI:1174597553

Heck, Danielle APNPCP #: H08HG200019191 Kyser WaySte 205Frisco, TX 75033(972) 643-8727Clinical Affiliations:Texas Primary CareSpecialists PlNPI:1023480753

◆Herold, Victoria C DOPCP #: H08GV084013800 Gaylord Pkwy Ste910Frisco, TX 75034(469) 800-5600Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1659785830

Hollis, Erin E APNPCP #: H08JC79901425 Old Newman RdSte 100Frisco, TX 75034(972) 712-5556Clinical Affiliations:Regenesys Physical MedicinePLLCNPI:1518353523

Holtz, Christina DOPCP #: H08DC552015858 Main StSte 130Frisco, TX 75033(214) 387-4073Hospital Affiliations:Baylor Medical Center at IrvingMethodist Charlton MedicalCenterMethodist Dallas MedicalCenterClinical Affiliations:THR Community Based PCPNPI:1003880220

Holtz, Robert J DOPCP #: H08DC551015858 Main StSte 130Frisco, TX 75033(214) 387-8395Hospital Affiliations:Baylor Medical Center at IrvingMethodist Charlton MedicalCenterMethodist Dallas MedicalCenterClinical Affiliations:THR Community Based PCPNPI:1205800422

◆Jenkins, Warren B DOPCP #: H08F8831013800 Gaylord PkwySte 910Frisco, TX 75034(469) 800-5600Hospital Affiliations:Baylor Scott &white Med CtrPlanoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1760410005

◆Kasmiersky, Valerie KMDPCP #: H08F8832013800 Gaylord PkwySte 910Frisco, TX 75034(469) 800-5600Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1336177088

◆Khan, Samad H MDPCP #: H08FU827014040 Legacy Dr Ste 204Frisco, TX 75034(469) 331-0111Clinical Affiliations:Prodigy Wellness PLLCNPI:1780944496

◆Lopez, Cheryl P DOPCP #: H082610F013880 Parkwood BlvdSte 303Frisco, TX 75034(214) 618-7952Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:Womens Family Cliniic PANPI:1437336864

◆McAuliff, Timothy M MDPCP #: H08EC292017589 Preston RdSte 400Frisco, TX 75034(469) 240-6665Clinical Affiliations:Lone Star Proceduralist PLLCNPI:1821320177

◆Meehlhause, Mark G MDPCP #: H08F8830013800 Gaylord ParkwaySte 910Frisco, TX 75034(469) 800-5600Hospital Affiliations:Baylor Scott &white Med CtrPlanoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1215968417

Murphy, Andrew C MDPCP #: H08GJ325013550 Parkwood BlvdSte B103Frisco, TX 75034(972) 294-5886Clinical Affiliations:Freedom Total WellnessNPI:1568776565


16


FRISCO (continued)


◆Nutting, William J MDPCP #: H08HE698012595 Dallas ParkwaySte 405Frisco, TX 75034(972) 377-1490Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:The Medical Clinic of NorthTexas PANPI:1902216120

◆Patel, Mohita A MDPCP #: H08HE628012595 Dallas PkwySte 405Frisco, TX 75034(972) 377-1490Clinical Affiliations:The Medical Clinic of NorthTexas PANPI:1023300449

Skinner, Russell B MDPCP #: H08FT368019191 Kyser WaySte 605Frisco, TX 75033(817) 581-5959Hospital Affiliations:University Medical CenterClinical Affiliations:North Texas Family CarePLLCNPI:1881698538

Geriatric MedicinePathak, Ajay J MDPCP #: H08DG069012833 Eldorado PkwySte 307Frisco, TX 75033(972) 292-0300Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCTX Hlth Presbyterian HospPlanoClinical Affiliations:Prime Family MedicineNPI:1831114156

Internal Medicine◆Acharya, Mandeep MDPCP #: H0001APA019191 Kyser WaySte 205Frisco, TX 75033(972) 643-8727Hospital Affiliations:Baylor Scott & White MedicalCentParis Regional Medical CenterNPI:1366778540

◆Amara, Ramesh MDPCP #: H08CT600015858 Main StSte 210Frisco, TX 75033(972) 377-8695Hospital Affiliations:Baylor Scott & White MedicalCentPam Rehabilitation Hospital ofAlTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1104892959

◆Anbarasu, Rani MDPCP #: H08A9389012440 Timber Ridge DrSte 104Frisco, TX 75034(469) 301-2300Hospital Affiliations:Atrium Medical Center atCorinthMedical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:Anbarasu Rani MDNPI:1326252255

◆Benjamin, Bijas MDPCP #: H08FK699013800 Gaylord Pkwy Ste910Frisco, TX 75034(469) 800-5600Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1174880298

◆Blackmon Davis, Vicki AMDPCP #: H080W790018680 W Main StSte 1wFrisco, TX 75034(972) 377-2447Hospital Affiliations:Baylor Scott & White MedicalCentMedical City McKinneyClinical Affiliations:Frisco Medical Surgical ClinicNPI:1861403313

◆Ekweani, Obiora M MDPCP #: H08AW585013220 Parkwood BlvdFrisco, TX 75034(972) 668-3990Hospital Affiliations:Baylor Scott &white Med CtrPlanoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Obiora M Ekweani MD PANPI:1780670315

Hito, Ramey DOPCP #: H08FW671013800 Gaylord Pkwy Ste910Frisco, TX 75034(469) 800-5600Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1053544122

◆Johnson, Bryan G MDPCP #: H000142M016842 W Main St Ste 203Frisco, TX 75033(469) 633-9300Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott and WhiteCarrolltonDallas Medical Center LLCMedical City LewisvilleMedical City PlanoTX Hlth Presbyterian HospPlanoNPI:1154340925

◆Kamineni, Suchitra R MDPCP #: H08HQ800017589 Preston RdSte 600Frisco, TX 75034(214) 705-3728Hospital Affiliations:Medical City ArlingtonClinical Affiliations:North Dallas Primary CareDoctorsNPI:1851548622

◆Kazi, Fareha A MDPCP #: H08ET367018668 John HickmanSte 1003Frisco, TX 75034(214) 842-8743Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:Star Renal Care PLLCNPI:1598797060

Lee, Mike M MDPCP #: H08X9350015575 Warren PkwySte 106Frisco, TX 75034(214) 618-5100Hospital Affiliations:Hunt Regional Medical CenterMedical City McKinneyTX Hlth Presbyterian HospAllenClinical Affiliations:Greenhill Clinic PANPI:1639299795

◆Myint, Twinkle A MDPCP #: H08DS015015858 Main St Ste 210Frisco, TX 75033(972) 377-8695Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleTX Hlth Presbyterian HospDallasClinical Affiliations:THR Community Based PCPNPI:1003807447


17


FRISCO (continued)


◆Ouyang, Luke Y MDPCP #: H08CT750015858 Main StSte 210Frisco, TX 75033(972) 377-8695Hospital Affiliations:Baylor Scott & White MedicalCentTX Hlth Presbyterian HospAllenTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1629001318

◆Patel, Ravi B MDPCP #: H08GB490018861 Coleman BlvdFrisco, TX 75034(214) 618-4675Hospital Affiliations:Kindred Hospital DallasMedical City Las ColinasSelect Specialty HospitalDallas IncClinical Affiliations:P5 Performance PLLCNPI:1093764169

Pathak, Ajay J MDPCP #: H08DG069012833 Eldorado PkwySte 307Frisco, TX 75033(972) 292-0300Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCTX Hlth Presbyterian HospPlanoClinical Affiliations:Prime Family MedicineNPI:1831114156

◆Piga, Jonathan C MDPCP #: H08CB319018380 Warren Pkwy Ste 305Frisco, TX 75034(214) 618-2222Hospital Affiliations:Baylor Scott White Med CtrFriscoBaylor University MedicalCenterMedical City McKinneyClinical Affiliations:Piga Primary Care AssociatesPLLCNPI:1518008366

◆Treer, John R MDPCP #: H08CT813015858 Main StSte 210Frisco, TX 75033(972) 377-8695Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott White Med CtrFriscoLifeCare Hospitals of PlanoMedical City McKinneyPlano Specialty HospitalTX Hlth Presbyterian HospAllenTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1972521110

◆Wang, Hui P MDPCP #: H08BX027013010 Legacy Dr Ste 210Frisco, TX 75034(214) 618-9715Hospital Affiliations:Baylor Scott and WhiteCarrolltonEncompass HealthRehabilitaton HoTX Hlth Presbyterian HospPlanoClinical Affiliations:Stonebridge Adult Medicine PANPI:1356341465

◆Yedlapalli, Latha MDPCP #: H08CW722019300 John HickmanPkwy Ste 704Frisco, TX 75035(214) 436-4949Hospital Affiliations:Baylor Scott & White MedicalCentClinical Affiliations:Southern Medical AssociatesPLLCNPI:1356368898

◆Yedlapalli, Sri V MDPCP #: H08DA254019300 John HickmanPkwy Ste 704Frisco, TX 75035(214) 436-4949Hospital Affiliations:Baylor Scott & White MedicalCentClinical Affiliations:Southern Medical AssociatesPLLCNPI:1902842172

Pediatrics◆Agrawal, Anuradha MDPCP #: H08K9750015575 Warren PkwySte 104Frisco, TX 75034(214) 823-2552Hospital Affiliations:Methodist Charlton MedicalCenterClinical Affiliations:PGV Pediatrics PANPI:1083675912

◆Amaram, Arun K MDPCP #: H08HQ878017589 Preston RdSte 600Frisco, TX 75034(214) 705-3728Hospital Affiliations:Medical City ArlingtonMedical City DentonMedical City Las ColinasMedical City LewisvilleMedical City McKinneyMedical City PlanoClinical Affiliations:North Dallas Primary CareDoctorsPractice Information:To Age 17NPI:1528279171

◆Belanger, Melissa S MDPCP #: H08GC893014040 Legacy Dr Ste 201Frisco, TX 75034(972) 668-6705Hospital Affiliations:Baylor Scott White Med CtrFriscoClinical Affiliations:Bestnest PediatricsNPI:1669658639

◆Bhatia, Monika A MDPCP #: H08GR37101425 Old Newman RdBldg 600Frisco, TX 75034(972) 359-7600Hospital Affiliations:Baylor Scott & White MedicalCentMedical City PlanoTX Hlth Presbyterian HospAllenTX Hlth Presbyterian HospPlanoClinical Affiliations:Kids Choice PediatricsNPI:1659446300

◆Capote Piga, Versallie RMDPCP #: H08CB318018380 Warren Pkwy Ste 305Frisco, TX 75034(214) 618-2222Hospital Affiliations:Baylor Scott White Med CtrFriscoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Piga Primary Care AssociatesPLLCNPI:1225194061

◆Chang, Christina DOPCP #: H08EZ2310111955 Dallas PkwySuite 400Frisco, TX 75033(214) 396-5200Clinical Affiliations:Pediatric People PLLCNPI:1487873386


18


FRISCO (continued)

Pediatrics (continued)◆Gupta, Prem P MDPCP #: H08DE0340112398 FM 423Ste 600Frisco, TX 75033(214) 494-4622Hospital Affiliations:Medical City DallasMedical City LewisvilleClinical Affiliations:Little Elm Frisco Childrens CliniNPI:1386677250

◆Harn, Laura K MDPCP #: H08CU124014040 Legacy Dr Ste 201Frisco, TX 75034(972) 668-6705Hospital Affiliations:Baylor Scott & White MedicalCentTX Hlth Presbyterian HospPlanoClinical Affiliations:Bestnest PediatricsNPI:1922060789

◆Hingle, Laurie D MDPCP #: H08ER444014040 Legacy Dr Ste 201Frisco, TX 75034(972) 668-6705Hospital Affiliations:Baylor Scott & White MedicalCentBaylor University MedicalCenterClinical Affiliations:Bestnest PediatricsNPI:1598064156

◆Hoang, Thai V MDPCP #: H08K0640012840 Legacy Dr Ste 210Frisco, TX 75034(972) 668-7110Hospital Affiliations:Baylor Scott & White InstituteFoBaylor Scott White Med CtrFriscoMedical City PlanoTX Hlth Presbyterian HospDallasTX Hlth Presbyterian HospPlanoClinical Affiliations:Stonebriar PediatricsNPI:1013950229

◆Knapp, Mee Y MDPCP #: H08DL037014040 Legacy Dr Ste 201Frisco, TX 75034(972) 668-6705Hospital Affiliations:Baylor Scott & White MedicalCentClinical Affiliations:Bestnest PediatricsNPI:1548402233

◆Lemeshev, Jodi G MDPCP #: H08JZ171014040 Legacy Dr Ste 201Frisco, TX 75034(972) 668-6705Hospital Affiliations:Baylor Scott & White MedicalCentClinical Affiliations:Bestnest PediatricsPractice Information:To Age 18NPI:1073662268

◆Linck, Audra R MDPCP #: H08DQ3990111955 Dallas PkwySte 400Frisco, TX 75033(214) 396-5200Clinical Affiliations:Pediatric People PLLCNPI:1811053580

◆Olteanu, Alina MDPCP #: H0001AAX013550 Parkwood BlvdSte 100Frisco, TX 75034(214) 736-1954NPI:1912172214

◆Piga, Naomi C MDPCP #: H08CB320018380 Warren Pkwy Ste 305Frisco, TX 75034(214) 618-2222Hospital Affiliations:Baylor Scott White Med CtrFriscoMedical City PlanoMethodist Richardson MedicalCtrTX Hlth Presbyterian HospPlanoClinical Affiliations:Piga Primary Care AssociatesPLLCNPI:1871572685

◆Ramakrishnan,Sreemdevi MDPCP #: H08JF679019191 Kyser Way Ste 405Frisco, TX 75033(972) 324-3366Clinical Affiliations:Pediatric Associates of FriscoInPractice Information:To Age 18NPI:1720281447

◆Reddy, Yaratha V MDPCP #: H08CT3830112398 FM 423Ste 600Frisco, TX 75033(214) 494-4622Clinical Affiliations:Little Elm Frisco Childrens CliniNPI:1992873541

Schroeder, Danielle MMDPCP #: H08JY961014040 Legacy Dr Ste 201Frisco, TX 75034(972) 668-6705Hospital Affiliations:Baylor Scott & White MedicalCentClinical Affiliations:Bestnest PediatricsPractice Information:To Age 18NPI:1972998367

◆Shridharan, Lata MDPCP #: H08DN042012440 Timber Ridge DrFrisco, TX 75034(972) 618-3547Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospAllenTX Hlth Presbyterian HospPlanoClinical Affiliations:Natural PediatricsNPI:1982730735

◆Stokes, Kathleen D MDPCP #: H08F9310016930 Parkwood BlvdFrisco, TX 75034(972) 335-4444Hospital Affiliations:Medical City PlanoClinical Affiliations:Frisco Pediatrics PANPI:1710985205

◆Terry, Stacy L MDPCP #: H08BZ046014040 Legacy Dr Ste 201Frisco, TX 75034(972) 668-6705Hospital Affiliations:Medical City DallasClinical Affiliations:Bestnest PediatricsNPI:1417921008

GRAPEVINE

Family Practice◆Caldwell, Sandra K MDPCP #: H08HW668012011 W NorthwestSte 130Grapevine, TX 76051(817) 310-0998Hospital Affiliations:Baylor Scott & White MedicalCentMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Advanced Medical Pain andRehabilNPI:1588892715

◆Canchola, Daniel R MDPCP #: H08FD382012011 W NW HwySte 130Grapevine, TX 76051(817) 310-0998Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

Capili, Carleo A MDPCP #: H088A016011501 W Northwest HwyGrapevine, TX 76051(817) 481-5365Clinical Affiliations:Grapevine Minor EmergencyClinicNPI:1255350112

GrapevineLast Updated: 09/10/2018 Primary Care Practitioners

19


GRAPEVINE(continued)


◆Capili, Regina R MDPCP #: H088A017011501 W Northwest HwyGrapevine, TX 76051(817) 481-5365Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Grapevine Minor EmergencyClinicPractice Information:From Age 1No ObstetricsTo Age 65NPI:1790706612

◆Capili, Sophia MDPCP #: H08GH308011501 W NorthwestHighwayGrapevine, TX 76051(817) 481-5365Clinical Affiliations:Grapevine Minor EmergencyClinicNPI:1225473192

◆Futscher, Eric R MDPCP #: H08CT671011600 W College StSte 130Grapevine, TX 76051(817) 912-0442Hospital Affiliations:Baylor Scott White MedGrapevineTX Hlth Harris Methodist HospHEBClinical Affiliations:THR Community Based PCPNPI:1245267764

◆Hogan, Chad A MDPCP #: H08CT694011280 S Main StSte 100Grapevine, TX 76051(817) 310-0898Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:THR Community Based PCPNPI:1235187279

◆Lasater, Loren S MDPCP #: H08FB055011600 W College StSte Ll10Grapevine, TX 76051(817) 912-8510Hospital Affiliations:Baylor Scott White MedGrapevineJohn Peter Smith HospitalClinical Affiliations:Health Texas Provider NetworkNPI:1023098662

◆Lavedan, Pierre J MDPCP #: H08EY754011650 W College StGrapevine, TX 76051(214) 820-9248Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1750431755

◆Overstreet, Haley C MDPCP #: H08GN885011650 W Northwest HwySte 202Grapevine, TX 76051(817) 769-6543Hospital Affiliations:Cedar Park Regional MedicalCtrClinical Affiliations:Texan AllergyNPI:1700107323

◆Robinson, Amber T DOPCP #: H08GU442012020 W State Hwy 114Ste 320Grapevine, TX 76051(817) 912-8330Hospital Affiliations:Baylor Scott White MedGrapevineJohn Peter Smith HospitalClinical Affiliations:Health Texas Provider NetworkNPI:1275761082

◆Shabnam, Saba MDPCP #: H08FA960011601 Lancaster DrSte 160Grapevine, TX 76051(817) 510-9645Hospital Affiliations:Baylor Scott White MedGrapevineJohn Peter Smith HospitalMedical City North HillsClinical Affiliations:Mid Cities Health LLCNPI:1225091655

Internal Medicine◆Bazaldua, Carlos MDPCP #: H08B5300012020 W State Highway 114Ste 120Grapevine, TX 76051(817) 912-8300Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1487683744

◆Dubagunta, Prasuna GMDPCP #: H08FR97601220 N Park BlvdSte 100Grapevine, TX 76051(682) 651-5725Hospital Affiliations:John Peter Smith HospitalClinical Affiliations:Focus Internal Medicine PLLCPractice Information:From Age 18NPI:1376573014

◆Fagan, Ashley J DOPCP #: H08DS016011280 S Main StSte 106Grapevine, TX 76051(817) 310-0898Hospital Affiliations:TX Hlth Harris Methodist HospHEBClinical Affiliations:THR Community Based PCPNPI:1033423496

◆Khetan, Rainer A MDPCP #: H084422X011600 W College StSte 480Grapevine, TX 76051(817) 305-5072Hospital Affiliations:Baylor University MedicalCenterClinical Affiliations:MedProviderNPI:1225059256

◆Khetan, Roger S MDPCP #: H084421X011600 W College StSte 480Grapevine, TX 76051(817) 305-5072Hospital Affiliations:Baylor Scott &white Med CtrPlanoBaylor University MedicalCenterClinical Affiliations:MedProviderNPI:1134143134

Pediatrics◆Ghaffar, Faryal A MDPCP #: H08S3300011120 S Main StSte 100Grapevine, TX 76051(817) 416-5554Hospital Affiliations:Baylor Scott White MedGrapevineMedical City Las ColinasClinical Affiliations:Dallas Pediatrics & InfectiousNPI:1336198308

◆McCoy, Michael W MDPCP #: H08AS41001811 Ira E Woods AveGrapevine, TX 76051(817) 481-3585Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Practical PediatricsNPI:1962518191

GrapevineLast Updated: 09/10/2018 Primary Care Practitioners

20


GRAPEVINE(continued)

Pediatrics (continued)◆Robert, William P MDPCP #: H084X080011600 W College StGrapevine, TX 76051(817) 488-7334Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Grapevine Pediatric Clinic PANPI:1588624506

◆Scott, Anthony M MDPCP #: H084X081011600 W College StSte 60Grapevine, TX 76051(817) 488-7334Hospital Affiliations:Baylor Scott White MedGrapevineTX Hlth Harris Methodist HospHEBClinical Affiliations:Grapevine Pediatric Clinic PANPI:1689639494

HASLET

Family Practice◆Mittal, Shilpi MDPCP #: H08EH219011205 AvondaleHaslet RdHaslet, TX 76052(469) 689-0510Hospital Affiliations:Dallas Medical Center LLCClinical Affiliations:Avondale Family Care PLLCNPI:1457365223

◆Prasad, Garima DOPCP #: H08EH220011205 AvondaleHaslet RdHaslet, TX 76052(817) 766-4001Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Avondale Family Care PLLCNPI:1609824655

Internal MedicineThurston, Dane L PAPCP #: H08146NU01295 FM 156 S Ste 300bHaslet, TX 76052(817) 778-9432Clinical Affiliations:Communitymed FamilyPracticeNPI:1225255235

HICKORY CREEK

Family Practice◆Glaser, Stephen A DOPCP #: H08CT676013600 FM 2181 Ste 100Hickory Creek, TX 75065(940) 497-2204Hospital Affiliations:Medical City DentonMedical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1063525806

◆Maxwell, Jack A DOPCP #: H08CT728013600 FM 2181Ste 100Hickory Creek, TX 75065(940) 497-2204Hospital Affiliations:Medical City DentonMedical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1679585087

HIGHLAND VILLAGE

Family Practice◆Canchola, Daniel R MDPCP #: H08FD382012430 FM 407Ste BHighland Village, TX 75077(972) 371-3146Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

◆Looney, James K MDPCP #: H08FL984012900 Village PkwySte 300Highland Village, TX 75077(469) 800-0500Hospital Affiliations:Baylor Scott White MedGrapevineMedical City North HillsTX Hlth Harris Methodist HospHEBClinical Affiliations:Health Texas Provider NetworkNPI:1659303535

◆Smith, Trisha E MDPCP #: H085491X012900 Village PkwySte 300Highland Village, TX 75077(469) 800-0500Hospital Affiliations:Baylor Medical Center at IrvingClinical Affiliations:Health Texas Provider NetworkNPI:1255359360

Internal MedicineKaur, Rominder MDPCP #: H082850S012016 FM 407Ste 370Highland Village, TX 75077(972) 966-2525Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Highland Village Primary Care,PANPI:1902899396

Pediatrics◆Badaracco, Susan M MDPCP #: H087330S012200 Village PkwyHighland Village, TX 75077(972) 317-6000Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Kids First Pediatrics PAPractice Information:From Age 18NPI:1265493514

◆Conger, Marla R MDPCP #: H084V101012200 Village PkwyHighland Village, TX 75077(972) 317-6000Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Kids First Pediatrics PAPractice Information:To Age 18NPI:1497716740

◆Sias, Tricia B MDPCP #: H08EQ069012200 Village ParkwayHighland Village, TX 75077(972) 317-6000Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Kids First Pediatrics PANPI:1063711323

IRVING

PediatricsGoel, Satish MDPCP #: H08CR650018850 N MacArthur BlvdSte 102Irving, TX 75063(972) 444-8632Hospital Affiliations:East Texas Medical CenterJacksonvilleClinical Affiliations:Valley Ranch Pediatrics PANPI:1083606032

JUSTIN

Family Practice◆Gibbs, Mark E MDPCP #: H08G654001310 W 2nd StJustin, TX 76247(940) 648-9900Hospital Affiliations:North Texas Medical CenterClinical Affiliations:Justin Family MedicalNPI:1619959004

JustinLast Updated: 09/10/2018 Primary Care Practitioners

21


JUSTIN (continued)


◆Morgan, James A MDPCP #: H08DH784011800 State Hwy 114Justin, TX 76247(817) 215-0936Hospital Affiliations:Medical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPPractice Information:From Age 1NPI:1902891138

KELLER

Family PracticeAdeniran, Janet DOPCP #: H08HA5730112465 Timberland BlvdSte 404Keller, TX 76244(817) 741-8355Clinical Affiliations:THR Community Based PCPNPI:1578980678

◆Bah, Elizabeth L DOPCP #: H08CX48701601 S Main St Ste 200Keller, TX 76248(817) 912-8150Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1588823363

◆Bestawrous, Reda S MDPCP #: H089540X011200 Keller Pkwy Ste 100Keller, TX 76248(817) 741-8011Hospital Affiliations:Medical City North HillsClinical Affiliations:Rufe Snow ClinicNPI:1811995723

Burgos, Victor M DOPCP #: H08HD96001891 E Keller Pkwy Ste 101Keller, TX 76248(682) 593-4273Hospital Affiliations:John Peter Smith HospitalClinical Affiliations:First Keller HealthcareNPI:1285851865

◆Gibbs, Mark E MDPCP #: H08GA66901891 E Keller Pkwy Ste 101Keller, TX 76248(682) 593-4273Hospital Affiliations:North Texas Medical CenterClinical Affiliations:First Keller HealthcareNPI:1619959004

◆Green, Roddy D MDPCP #: H08CT67901100 Bourland RdSte 100Keller, TX 76248(817) 379-5100Hospital Affiliations:John Peter Smith HospitalMedical City North HillsClinical Affiliations:THR Community Based PCPNPI:1801821780

Kouri, Jason A MDPCP #: H08FM15601420 N Johnson RdSte 304Keller, TX 76248(817) 953-2723Clinical Affiliations:Neuropathy and Pain CenterPLLCNPI:1649276965

◆Le, Theresa MDPCP #: H08GB38901620 S Main StSte 240Keller, TX 76248(817) 912-8150Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1487098570

◆Liu, Kevin S MDPCP #: H089078G01601 S Main StKeller, TX 76248(817) 753-6888Hospital Affiliations:Baylor Scott White MedHillcrestProvidence Health CenterClinical Affiliations:Health Texas Provider NetworkNPI:1437167046

◆Martin, Pamela B MDPCP #: H08R186001

✓ 300 N Rufe Snow DrKeller, TX 76248(817) 431-3800Clinical Affiliations:North Hills Family Practice PANPI:1013905306

◆Taki, James MDPCP #: H08EQ42801601 S Main StSte 200Keller, TX 76248(817) 753-6888Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1114002458

◆Tolar, Roger L MDPCP #: H08CT71001100 Bourland RdSte 170Keller, TX 76248(817) 741-2001Hospital Affiliations:Baylor Scott White MedGrapevineMedical City North HillsTX Health Harris MethodistHospClinical Affiliations:THR Community Based PCPNPI:1255365276

Waithaka, Esther W APNPCP #: H08HL70401420 N Johnson RdKeller, TX 76248(817) 431-8444Clinical Affiliations:Neuropathy and Pain CenterPLLCNPI:1356796627

◆Wander, Jason F DOPCP #: H08BN84601601 S Main St Ste 200Keller, TX 76248(817) 753-6888Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1538367313

Internal Medicine◆Hasheesh, Abdul M MDPCP #: H08FN46601420 Johnson RdSte 201Keller, TX 76248(817) 898-0070Hospital Affiliations:Medical City North HillsClinical Affiliations:Bluebonnet Internal MedicineNPI:1912199654

◆Van Hal, Mary P MDPCP #: H08CT81601100 Bourland RdKeller, TX 76248(817) 741-2001Hospital Affiliations:Baylor Scott White MedGrapevineTX Health Harris MethodistHospClinical Affiliations:THR Community Based PCPNPI:1902976442

KRUM

Family PracticeDingler, Leonard T MDPCP #: H08AV85001820 E McCart St #AKrum, TX 76249(940) 482-6702Hospital Affiliations:Nocona General HospitalClinical Affiliations:Krum Family HealthcareAssociatesNPI:1164439352

KrumLast Updated: 09/10/2018 Primary Care Practitioners

22


LEWISVILLE

Family Practice◆Aslam, Samar MDPCP #: H08GM854011700 FM 544Ste 200Lewisville, TX 75056(469) 800-4250Hospital Affiliations:Baylor Scott & White MedicalCentClinical Affiliations:Health Texas Provider NetworkNPI:1518306612

◆Beste, Timothy A MDPCP #: H000A25U01800 South StemmonsLewisville, TX 75067(972) 436-2551Hospital Affiliations:Medical City LewisvilleNPI:1396842290

◆Canchola, Daniel R MDPCP #: H08FD38201363 W Main StLewisville, TX 75057(972) 395-5755Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

◆Cauthen, Don B MDPCP #: H08EG200011318 W MainSte ALewisville, TX 75067(214) 222-0781Hospital Affiliations:Baylor Scott and WhiteMedical CeMedical City LewisvilleClinical Affiliations:Today ClinicNPI:1962464214

◆Cauthen, Don B MDPCP #: H08GU833011318 W Main StLewisville, TX 75067(214) 238-2411Hospital Affiliations:Baylor Scott and WhiteMedical CeMedical City LewisvilleClinical Affiliations:Today Clinic Texas PLLCNPI:1962464214

◆Chandra, Archana MDPCP #: H08X834001502 N Valley PkwySte 1Lewisville, TX 75067(972) 353-8616Hospital Affiliations:Medical City DentonClinical Affiliations:Archana Chandra MD PANPI:1134198013

Fuentes, Guillermo M DOPCP #: H08F0700011305 S State Hwy 121Ste C108Lewisville, TX 75067(972) 537-5303Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCClinical Affiliations:Family Care Medical CenterPANPI:1962599571

Jimenez, Amanda V MDPCP #: H08GZ87301751 Hebron PkwySte 150Lewisville, TX 75057(972) 316-0450Hospital Affiliations:East Texas Medical CenterEast Texas Medical CtrHendersonTX Hlth Presby Hosp FlowerMoundClinical Affiliations:THR Community Based PCPNPI:1518223809

◆Koppel, Lowell B MDPCP #: H08CT70901751 Hebron PkwySte 100Lewisville, TX 75057(972) 459-2386Hospital Affiliations:TX Hlth Presby Hosp FlowerMoundClinical Affiliations:THR Community Based PCPNPI:1942231220

◆Minton, Bryan H MDPCP #: H08BC051011422 W Main StSte 100aLewisville, TX 75067(972) 221-3924Hospital Affiliations:Baylor Scott and WhiteCarrolltonDallas Medical Center LLCMedical City DentonMedical City LewisvilleClinical Affiliations:Health Texas Provider NetworkNPI:1861491995

Mohiuddin, MohammedA MDPCP #: H08GQ405011175 Diane CircleSte 101Lewisville, TX 75067(972) 436-7531Hospital Affiliations:Wilson N Jones Regional MedCtrClinical Affiliations:Lewisville Family MedicalAssociatesNPI:1942308424

Sanchez, Manuel J MDPCP #: H085Y71001363 W Main StLewisville, TX 75057(972) 436-4434Hospital Affiliations:Cornerstone Regional HospitalLLCDoctors Hospital atRenaissanceRio Grande Regional HospitalSouth Texas Health SystemClinical Affiliations:Family Practice CenterPractice Information:From Age 3NPI:1669485504

◆Shepherd, Timothy S MDPCP #: H08CN56901500 N Valley Pkwy Ste 101Lewisville, TX 75067(972) 420-8777Hospital Affiliations:Medical City DentonMedical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Tim Shepherd MD PANPI:1760488027

Sone, Daniel S DOPCP #: H08CT794012012 Justin RdSte 100Lewisville, TX 75077(972) 317-1110Hospital Affiliations:Medical City DentonMedical City LewisvilleClinical Affiliations:THR Community Based PCPNPI:1215040050

◆Tong, Huong H MDPCP #: H08HE84301751 Hebron PkwySte 100Lewisville, TX 75057(972) 459-2386Hospital Affiliations:TX Hlth Presby HospitalDentonClinical Affiliations:THR Community Based PCPNPI:1609288208

General PracticeShah, Varsha D MDPCP #: H08AJ48901

✓ 131 Degan Avenue Ste 202Lewisville, TX 75057(972) 436-7424Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleClinical Affiliations:Family MedicineNPI:1356428197

LewisvilleLast Updated: 09/10/2018 Primary Care Practitioners

23


LEWISVILLE(continued)

Internal Medicine◆Chandi, Cherry MDPCP #: H08CM886012016 FM 407 Ste 360Lewisville, TX 75077(972) 966-2525Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Cherry Chandi MD PANPI:1265425664

Cruz, Pamela U MDPCP #: H08CT64301751 Hebron PkwySte 150Lewisville, TX 75057(972) 316-0450Hospital Affiliations:Baylor S&w Med Ctr BrenhamBaylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1326079658

Idemudia, Smart MDPCP #: H085400X01200 W Southwest PkwyLewisville, TX 75067(972) 420-6777Hospital Affiliations:Medical City DentonMedical City LewisvilleClinical Affiliations:Grace Medical AssociationNPI:1154364974

◆Kazi, Fareha A MDPCP #: H08ET367012500 Windhaven PkwyLewisville, TX 75056(214) 842-8743Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:Star Renal Care PLLCNPI:1598797060

◆Khan, Jalil A MDPCP #: H088280X01502 N Valley PkwySte 1Lewisville, TX 75067(972) 353-8616Hospital Affiliations:Atrium Medical Center atCorinthBaylor Scott and WhiteCarrolltonMedical City DentonMedical City LewisvilleClinical Affiliations:Texas Internal MedicineAssociatesNPI:1821183435

◆Kremer, Edward N MDPCP #: H089T983011175 Diane CircleLewisville, TX 75067(972) 436-7531Hospital Affiliations:Medical City LewisvilleClinical Affiliations:Lewisville Family MedicalAssociatesNPI:1285691006

◆Kuncham, Sreevani MDPCP #: H08GY96701131 Degan Avenue Ste202Lewisville, TX 75057(972) 436-7424Hospital Affiliations:Medical City LewisvilleClinical Affiliations:Sreevani Kuncham MD PANPI:1528030210

◆Osuji, Ikechukwu A MDPCP #: H08AJ588011140 W Main StLewisville, TX 75067(972) 956-5558Hospital Affiliations:Crescent Medical CenterLancasterLongview Regional MedicalCenterNorth Texas Medical CenterClinical Affiliations:Ikechukwu Osuji MD PAPractice Information:From Age 17NPI:1467409078

Pediatrics◆Elhence, Sangeeta G MDPCP #: H08G9401012141 S Edmonds LnLewisville, TX 75067(972) 315-8500Hospital Affiliations:Baylor Scott and WhiteCarrolltonBaylor Scott White MedGrapevineMedical City Las ColinasMedical City LewisvilleMethodist Charlton MedicalCenterTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Lake Lewisville Pediatrics LLPPractice Information:To Age 21NPI:1275538647

◆Kelkar, Kalpana P MDPCP #: H08R8130012200 Village ParkwayLewisville, TX 75077(972) 317-6000Hospital Affiliations:Medical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Kids First Pediatrics PAPractice Information:From Age 18NPI:1649231929

◆Levy, Kathryn H MDPCP #: H08G9400012141s Edmonds LnLewisville, TX 75067(972) 315-8500Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleTX Hlth Presby Hosp FlowerMoundTX Hlth Presbyterian HospPlanoClinical Affiliations:Lake Lewisville Pediatrics LLPPractice Information:To Age 21NPI:1013912013

◆Ogden, J Glen MDPCP #: H086245F012141 S Edmonds LnLewisville, TX 75067(972) 315-8500Hospital Affiliations:Baylor Scott and WhiteCarrolltonMedical City LewisvilleTX Hlth Presby Hosp FlowerMoundClinical Affiliations:Lake Lewisville Pediatrics LLPPractice Information:To Age 21NPI:1750386850

LITTLE ELM

Family Practice◆Gajendra, Nisha MDPCP #: H08GS518012587 FM 423Ste 130Little Elm, TX 75068(972) 200-4780Clinical Affiliations:Swift Medcare PLLCNPI:1578874368

Huber, Trevor K DOPCP #: H08HP415012700 E El Dorado PkwySte 104bLittle Elm, TX 75068(972) 987-0458Hospital Affiliations:Medical City PlanoClinical Affiliations:Modera Clinic PLLCNPI:1649682857

Mani, Vijayakala PAPCP #: H08JM428012587 FM 423 Ste 130Little Elm, TX 75068(972) 200-4780Clinical Affiliations:Swift Medcare PLLCNPI:1295988640

Little ElmLast Updated: 09/10/2018 Primary Care Practitioners

24


LITTLE ELM(continued)


◆Santiago, Alexandra MDOPCP #: H08HP418012700 E El Dorado PkwySte 104bLittle Elm, TX 75068(972) 987-0458Hospital Affiliations:Medical City PlanoClinical Affiliations:Modera Clinic PLLCNPI:1174938831

Internal MedicineFlores, John G MDPCP #: H08J864001730 E Eldorado PkwyLittle Elm, TX 75068(972) 292-3330Hospital Affiliations:Atrium Medical Center atCorinthBaylor Scott & White MedicalCentMedical City DentonClinical Affiliations:Little Elm Medical ClinicNPI:1568449593

◆Wolf, Jill E MDPCP #: H08J864101730 E Eldorado PkwyLittle Elm, TX 75068(972) 292-3330Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott White MedGrapevineMedical City DentonClinical Affiliations:Little Elm Medical ClinicNPI:1093792418

Pediatrics◆Crow, Susan W MDPCP #: H08A4942012701 Little Elm PkwySte 115Little Elm, TX 75068(214) 389-8801Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott White Med CtrFriscoTX Hlth Presbyterian HospPlanoClinical Affiliations:Centennial PediatricsNPI:1790975910

◆Guetersloh, Chad D MDPCP #: H08A4941012701 Little Elm PkwySte 115Little Elm, TX 75068(214) 389-8801Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott White All SaintsMedBaylor Scott White Med CtrFriscoMedical City PlanoMethodist Richardson MedicalCtrTX Hlth Ctr Diagnostics &SurgeryTX Hlth Presbyterian HospPlanoClinical Affiliations:Centennial PediatricsNPI:1760552202

◆Lestz, Leslie K MDPCP #: H08FK439012701 Little Elm PkwySte 114Little Elm, TX 75068(214) 389-8801Hospital Affiliations:Baylor Scott White Med CtrFriscoMedical City DallasTX Hlth Presbyterian HospPlanoClinical Affiliations:Centennial PediatricsNPI:1295786903

◆McClendon, Laura C MDPCP #: H08DK739012701 Little Elm PkwySte 115Little Elm, TX 75068(214) 389-8801Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott White Med CtrFriscoTX Hlth Presbyterian HospPlanoClinical Affiliations:Centennial PediatricsNPI:1184836512

◆Nail, Richard C MDPCP #: H08J8230012701 Little Elm PkwySte 115Little Elm, TX 75068(214) 389-8801Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott White Med CtrFriscoMedical City PlanoMethodist Richardson MedicalCtrTX Hlth Presbyterian HospPlanoClinical Affiliations:Centennial PediatricsNPI:1245300789

◆Newton, Christopher LMDPCP #: H08Z0208012701 Little Elm PkwySte 115Little Elm, TX 75068(214) 389-8801Hospital Affiliations:Baylor Scott & White MedicalCentMedical City DallasClinical Affiliations:Centennial PediatricsNPI:1558431098

PILOT POINT

Family PracticeHelsten, Robert A MDPCP #: H08S2150011340 N Highway 377Ste 110Pilot Point, TX 76258(940) 686-0860Hospital Affiliations:Medical City DentonClinical Affiliations:North Texas Family MedicineNPI:1043272057

Houk, Lisa L APNPCP #: H08N8427011340 N Highway 377Ste 110Pilot Point, TX 76258(940) 686-0860Clinical Affiliations:North Texas Family MedicineNPI:1528282902

Internal MedicineDennis, Cassie APNPCP #: H08661NW011246 Hwy 377 SPilot Point, TX 76258(940) 686-2254Clinical Affiliations:Pilot Point Family PracticePractice Information:From Age 2NPI:1609250380

PLANO

Family Practice◆Calley, William A MDPCP #: H08BC65001

✓ 6124 W Parker RdSte 138Plano, TX 75093(972) 981-7000Hospital Affiliations:TX Hlth Presbyterian HospPlanoClinical Affiliations:Willow Bend Family MedicinePANPI:1811980444

PlanoLast Updated: 09/10/2018 Primary Care Practitioners

25


PLANO (continued)


◆Calley, William A MDPCP #: H08EE81501


◆Canchola, Daniel R MDPCP #: H08FD382015560 Tennyson PkwySte 120Plano, TX 75024(469) 225-0558Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMedical City PlanoClinical Affiliations:1rst Health PANPI:1184771347

Chukwuocha, Obinna UDOPCP #: H08CS998015400 W Plano PkwySte 230Plano, TX 75093(972) 818-8800Hospital Affiliations:John Peter Smith HospitalMethodist Richardson MedicalCtrClinical Affiliations:Worthy Weight LossNPI:1316997455

Chukwuocha, Obinna UDOPCP #: H08V5940015400 W Plano Pkwy Ste230Plano, TX 75093(214) 319-2900Hospital Affiliations:John Peter Smith HospitalMethodist Richardson MedicalCtrClinical Affiliations:Complete Fam Prac SportsMedpaNPI:1316997455

Collier, Katherine E APNPCP #: H08HE472016020 W Parker RdSte 340Plano, TX 75093(972) 303-8955Clinical Affiliations:Weight Management MedicalAssociaNPI:1447646625

◆Cook, Robert A MDPCP #: H082291Y01


◆Gartenberg, David S MDPCP #: H08CT994014800 Hedgecoxe RdSte 200Plano, TX 75024(469) 800-6120Hospital Affiliations:Baylor Scott &white Med CtrPlanoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1588848840

◆Garza, Theresa N DOPCP #: H08BV780016020 W Parker RdSte 340Plano, TX 75093(972) 303-8955Hospital Affiliations:Methodist Dallas MedicalCenterTX Hlth Ctr Diagnostics &SurgeryTX Hlth Presbyterian HospPlanoClinical Affiliations:Weight Management MedicalAssociaPractice Information:From Age 18NPI:1215073895

Gordon, Brent DOPCP #: H08JE083015560 Tennyson PkwySte 120Plano, TX 75024(972) 468-9796Clinical Affiliations:Thrive Integrated Health PLLCNPI:1376512152

◆Kwon, Hyojin MDPCP #: H08FA790015156 Village Creek DrSte 102Plano, TX 75093(972) 735-7900Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott and WhiteMcKinneyClinical Affiliations:Preston Primary CareNPI:1801183777

◆Liu, Chong Hui MDPCP #: H00045HR017712 San Jacinto PlSte 100Plano, TX 75024(972) 669-1212Hospital Affiliations:Medical City DallasMethodist Richardson MedicalCtrNPI:1649365545

◆Li, Yan MDPCP #: H08K3200014040 McDermott Rd Ste100Plano, TX 75025(972) 668-6868Hospital Affiliations:Baylor Scott White Med CtrFriscoBaylor University MedicalCenterMedical City DallasMedical City PlanoMethodist Richardson MedicalCtrTX Hlth Presbyterian HospDallasClinical Affiliations:Omni Medical CenterNPI:1619932076

◆McAuliff, Timothy M MDPCP #: H08EC292015560 Tennyson PkwySte 120Plano, TX 75024(972) 468-9796Clinical Affiliations:Lone Star Proceduralist PLLCNPI:1821320177

◆Overstreet, Haley C MDPCP #: H08GN885013300 Dallas PkwySte 224Plano, TX 75093(972) 528-4811Hospital Affiliations:Cedar Park Regional MedicalCtrClinical Affiliations:Texan AllergyNPI:1700107323

◆Patil, Punam M MDPCP #: H08FJ186014800 Hedgcoxe RdSte 200Plano, TX 75024(469) 800-6120Hospital Affiliations:Baylor Scott & White MedicalCentClinical Affiliations:Health Texas Provider NetworkNPI:1790933547

Pham, Melissa L APNPCP #: H08HE235016020 W Parker RdSte 340Plano, TX 75093(972) 303-8955Clinical Affiliations:Weight Management MedicalAssociaNPI:1295286839

◆Ranjan, Priti MDPCP #: H08EJ346014666 McDermott RdSte 100Plano, TX 75024(972) 668-6868Clinical Affiliations:Omni Medical CenterNPI:1356579247


26


PLANO (continued)


◆Rizvi, Hina MDPCP #: H08DJ732016200 W Parker RdPlano, TX 75093(972) 981-8000Hospital Affiliations:Baylor University MedicalCenterKindred Hospital DallasTX Hlth Presbyterian HospPlanoClinical Affiliations:Advance Wound Care andHyperbaricNPI:1902011448

◆Samiuddin, MohammedMDPCP #: H08GM395014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baptist St Anthonys HealthSystemBaylor University MedicalCenterClinical Affiliations:Dallas Diagnostic AssociatioNPI:1215152442

◆Satish, Nisha MDPCP #: H08FA452017170 Preston Rd Ste 200Plano, TX 75024(972) 232-7474Clinical Affiliations:Psymed SolutionsPractice Information:From Age 18NPI:1063671865

Skinner, Russell B MDPCP #: H08FK779015148 Village Creek DrPlano, TX 75093(469) 661-1100Hospital Affiliations:University Medical CenterClinical Affiliations:Family Health and Wellness ofPlaNPI:1881698538

◆Subramanian, Sujatha HMDPCP #: H00037MP014670 McDermott RdSte 202Plano, TX 75024(972) 943-0736Hospital Affiliations:Baylor Scott &white Med CtrPlanoTX Hlth Presbyterian HospPlanoNPI:1619088275

◆Titus, Stephen J MDPCP #: H08FZ537016800 State Highway 121Plano, TX 75024(469) 800-5680Hospital Affiliations:Baylor Scott and WhiteMcKinneyClinical Affiliations:Health Texas Provider NetworkNPI:1710078001

◆Warren, Beth G MDPCP #: H088883X016124 W Parker RdSte 534Plano, TX 75093(972) 378-5250Hospital Affiliations:TX Hlth Presbyterian HospPlanoClinical Affiliations:Plano Family Practice&sportmedicineNPI:1558399212

General PracticeMcAuliff, Timothy M MDPCP #: H08JU500015301 W Spring Creek PkwySte 2234Plano, TX 75024(940) 781-8642Clinical Affiliations:Medical Health Services PLLCNPI:1821320177

Geriatric Medicine

◆Samiuddin, MohammedMDPCP #: H08GM395014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baptist St Anthonys HealthSystemBaylor University MedicalCenterClinical Affiliations:Dallas Diagnostic AssociatioNPI:1215152442

Internal Medicine◆Ahmed, Humera MDPCP #: H0872N10016130 W Parker RdSte 306 Bldg 1Plano, TX 75093(972) 981-7135Hospital Affiliations:TX Hlth Ctr Diagnostics &SurgeryClinical Affiliations:THR Community Based PCPNPI:1326268400

◆Boe, Ruth MDPCP #: H08DG592014716 Alliance BlvdSte 500Plano, TX 75093(972) 758-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1215241724

◆Chapman, James B MDPCP #: H08P6800014716 Alliance BlvdSte 500Plano, TX 75093(972) 758-6000Hospital Affiliations:Baylor University MedicalCenterMedical City PlanoMethodist Richardson MedicalCtrTX Hlth Presbyterian HospPlanoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1407969785

◆Chen, Richard C MDPCP #: H08P6801014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6050Hospital Affiliations:Baylor University MedicalCenterMedical City DallasMethodist Richardson MedicalCtrClinical Affiliations:Dallas Diagnostic AssociatioNPI:1124131412

◆Diehl, Dina R DOPCP #: H0872N11016130 W Parker RdSte 306 Bldg 1Plano, TX 75093(972) 981-7135Hospital Affiliations:TX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1083732812

◆Duong, Trung MDPCP #: H08FZ447014708 Alliance BlvdSte 240Plano, TX 75093(972) 993-5050Hospital Affiliations:Baylor Scott & White Heart andVABaylor Scott &white Med CtrPlanoClinical Affiliations:North Texas Preferred HealthPartNPI:1841269578

◆Giep, Son N MDPCP #: H00065NG016300 W Parker RdSte 220Plano, TX 75093(972) 981-8215Hospital Affiliations:Medical City PlanoMethodist Richardson MedicalCtrTX Hlth Presbyterian HospPlanoPractice Information:From Age 17NPI:1801839253


27


PLANO (continued)


◆Godsey, Kenneth B MDPCP #: H08P6802014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoMethodist Richardson MedicalCtrClinical Affiliations:Dallas Diagnostic AssociatioNPI:1649384116

◆Kennedy, Julie E MDPCP #: H08EJ645014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1912293432

Komenda, Jeffrey C MDPCP #: H08AJ618015944 W Parker RdSte 100Plano, TX 75093(972) 608-1868Clinical Affiliations:Jeffrey C KomendaNPI:1396934865

◆Kuo, Christina J MDPCP #: H08FZ874014708 Alliance BlvdSte 240Plano, TX 75093(972) 993-5050Hospital Affiliations:Baylor University MedicalCenterClinical Affiliations:North Texas Preferred HealthPartNPI:1366650772

◆Lahiri, Sayantani C MDPCP #: H08S3595014700 Alliance BlvdSte 400Plano, TX 75093(469) 814-6631Hospital Affiliations:Baylor Scott &white Med CtrPlanoTX Hlth Presbyterian HospDallasClinical Affiliations:Dallas Diagnostic AssociatioNPI:1467463596

◆Mehta, Saumil A MDPCP #: H08GB482016404 InternationalPkwy Ste 1010Plano, TX 75093(972) 267-1988Hospital Affiliations:Dallas Medical Center LLCMedical City DallasTX Hlth Presbyterian HospKaufmanClinical Affiliations:Psychiatric Medical Assoc PANPI:1194740381

◆Molen, Kyle D MDPCP #: H08FY990014708 Alliance BlvdSte 240Plano, TX 75093(972) 993-5050Hospital Affiliations:Baylor Scott & White Heart andVABaylor Scott &white Med CtrPlanoBaylor University MedicalCenterMedical City DallasClinical Affiliations:North Texas Preferred HealthPartNPI:1275648040

◆Nair, Krishnan MDPCP #: H08DW535014708 Alliance BlvdSte 300Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoMethodist Richardson MedicalCtrTX Hlth Presbyterian HospDallasClinical Affiliations:Dallas Diagnostic AssociatioNPI:1578518684

◆Nair, Krishnan MDPCP #: H08DW535014716 Alliance BlvdSte 700Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoMethodist Richardson MedicalCtrTX Hlth Presbyterian HospDallasClinical Affiliations:Dallas Diagnostic AssociatioNPI:1578518684

◆Namburi, Swati MDPCP #: H08P6803014716 Alliance BlvdSte 500Plano, TX 75093(972) 758-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoMethodist Richardson MedicalCtrClinical Affiliations:Dallas Diagnostic AssociatioNPI:1659486447

◆Nguyen, Adrian H MDPCP #: H08DB574014716 Alliance BlvdSte 500Plano, TX 75093(972) 758-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoMedical City PlanoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1578698080

Parekh, Julie S MDPCP #: H08CB691014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoBaylor Scott and White TheHeartBaylor Scott White Med CtrFriscoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1124181342

◆Park, Boram K MDPCP #: H08GY986014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoMethodist Dallas MedicalCenterClinical Affiliations:Dallas Diagnostic AssociatioNPI:1881983468

◆Punjabi Bajpai, AnitaDOPCP #: H08FZ730014716 Alliance Ste 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Methodist Charlton MedicalCenterMethodist Dallas MedicalCenterClinical Affiliations:Health Texas Provider NetworkPractice Information:From Age 18NPI:1891922662

◆Punjabi Bajpai, AnitaDOPCP #: H08HW617014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Methodist Charlton MedicalCenterMethodist Dallas MedicalCenterClinical Affiliations:Dallas Diagnostic AssociatioPractice Information:From Age 18NPI:1891922662

◆Ramesh, Vani MDPCP #: H00038KL014670 McDermott RdSte 202Plano, TX 75024(972) 943-0736Hospital Affiliations:Baylor Scott &white Med CtrPlanoBaylor Scott and White TheHeartTX Hlth Presbyterian HospPlanoNPI:1659317170


28


PLANO (continued)


◆Ramirez, Kenda L MDPCP #: H08BG113014716 Alliance BlvdSte 500Plano, TX 75093(972) 758-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1942338470

◆Samsula, Aaron L MDPCP #: H08FZ069014708 Alliance BlvdSte 240Plano, TX 75093(972) 993-5050Hospital Affiliations:Baylor Medical CenterWaxahachieBaylor Scott & White Heart andVABaylor Scott &white Med CtrPlanoBaylor Scott and White TheHeartClinical Affiliations:North Texas Preferred HealthPartNPI:1508971011

◆Sharaf, Mai F MDPCP #: H08FM202013032 CommunicationsPkwyPlano, TX 75093(972) 747-3410Hospital Affiliations:Baylor Scott White MedGrapevineMedical City Fort WorthClinical Affiliations:Texas Digestive Disease ConsNPI:1598716805

◆Sim, Meesun R MDPCP #: H08EU167016309 Preston Rd Ste 1400Plano, TX 75024(469) 443-0719Clinical Affiliations:Rachel Sim MD PAPractice Information:From Age 18NPI:1205018926

◆Stack, Peter S MDPCP #: H083X017014716 Alliance BlvdSte 500Plano, TX 75093(972) 758-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoBaylor Scott and White TheHeartMedical City DallasClinical Affiliations:Dallas Diagnostic AssociatioNPI:1275649725

◆Stack, Peter S MDPCP #: H08HR657014716 Alliance Blvd Ste 310Plano, TX 75093(469) 800-6540Hospital Affiliations:Baylor Scott &white Med CtrPlanoBaylor Scott and White TheHeartMedical City DallasClinical Affiliations:Health Texas Provider NetworkNPI:1275649725

◆Stewart, Carlyle A MDPCP #: H08EK933016124 West Parker RdSte 338Plano, TX 75093(972) 981-7211Hospital Affiliations:Baylor Scott and WhiteCarrolltonBaylor University MedicalCenterDallas Medical Center LLCMedical City DallasTX Hlth Harris Methodist HospFWTX Hlth Presbyterian HospAllenTX Hlth Presbyterian HospPlanoClinical Affiliations:THR Community Based PCPNPI:1821104381

◆Tigges, Gary A MDPCP #: H000R36Y016300 W Parker RdSte 220Plano, TX 75093(972) 981-8215Hospital Affiliations:Medical City PlanoMethodist Richardson MedicalCtrTX Hlth Presbyterian HospPlanoNPI:1275576779

◆Townsend, Sean A MDPCP #: H08FZ650014716 Alliance BlvdSte 500Plano, TX 75093(459) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1003259458

◆Tran, Khang N MDPCP #: H08JM941014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1821031766

◆Waldo, Rick T MDPCP #: H083X024014716 Alliance BlvdSte 500Plano, TX 75093(972) 758-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoMedical City DallasClinical Affiliations:Dallas Diagnostic AssociatioNPI:1992811335

◆White, Lillian R MDPCP #: H00005GV015068 W Plano PkwySte 100Plano, TX 75093(972) 312-9292Hospital Affiliations:Methodist Richardson MedicalCtrNPI:1174635452

◆Yagnik, Hitesh MDPCP #: H000397Q015930 W Parker Rd #900Plano, TX 75093(972) 403-1122Hospital Affiliations:Baylor Scott & White MedicalCentBaylor Scott &white Med CtrPlanoMedical City PlanoTX Hlth Presbyterian HospPlanoNPI:1225058589

◆Yates, Scott W MDPCP #: H08R6784016020 W Parker RdSte 420Plano, TX 75093(972) 244-1300Hospital Affiliations:Baylor Scott &white Med CtrPlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:N TX Hospital Physicians GrpPANPI:1568451987

◆Yoo, Seungjong M MDPCP #: H08GQ759014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor University MedicalCenterClinical Affiliations:Dallas Diagnostic AssociatioNPI:1598084568


29


PLANO (continued)


◆Zimmer, Jennifer K MDPCP #: H08P6807014716 Alliance BlvdSte 500Plano, TX 75093(469) 800-6000Hospital Affiliations:Baylor Scott &white Med CtrPlanoClinical Affiliations:Dallas Diagnostic AssociatioNPI:1619083029

Obstetrics-Gynecology◆Gebert, Alvin R MDPCP #: H08A7650016130 W Parker RdSte 412Plano, TX 75093(972) 608-8889Hospital Affiliations:Baylor Scott White Med CtrFriscoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Alvin R Gebert MD PAPractice Information:Female Patients onlyNPI:1346293529

Pediatrics◆Berger, Laurie F MDPCP #: H08A6522016300 W Parker RdSte 426Plano, TX 75093(972) 608-0774Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:West Plano Pediatrics PAPractice Information:To Age 21NPI:1568577385

◆Berkowitz, Jeffrey B MDPCP #: H08A9273013405 Midway RdSte 650Plano, TX 75093(972) 473-7777Hospital Affiliations:Baylor Scott and WhiteCarrolltonBaylor Scott White Med CtrFriscoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Pediatric Specialist of PlanoNPI:1114026093

◆Chung, Yu Chen MDPCP #: H08GU336013100 Midway Rd Ste 168Plano, TX 75093(972) 608-2688Hospital Affiliations:Baylor Scott White Med CtrFriscoMedical City PlanoClinical Affiliations:Pedicare Medical Group PANPI:1851582035

◆Gair, Ashley B MDPCP #: H08A6524016300 W Parker Rd Ste 426Plano, TX 75093(972) 608-0774Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:West Plano Pediatrics PANPI:1871705731

◆Goebel, Charles D DOPCP #: H08A9271013405 Midway Rd #650Plano, TX 75093(972) 473-7777Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Pediatric Specialist of PlanoNPI:1205935186

◆Gomez, Anna MDPCP #: H089418Z016300 W Parker Rd Ste 222Plano, TX 75093(972) 608-0200Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospDallasTX Hlth Presbyterian HospPlanoClinical Affiliations:Kids Docs Pediatric AssociatesNPI:1972552388

◆Kaplan, Aaron S DOPCP #: H00085DK017707 San Jacinto PlaceSte 200Plano, TX 75024(972) 943-9151Hospital Affiliations:Baylor Scott White Med CtrFriscoTX Hlth Presbyterian HospPlanoPractice Information:To Age 18NPI:1326024316

◆Leon, Elizabeth Y MDPCP #: H08A6520016300 W Parker Rd Ste 426Plano, TX 75093(972) 608-0774Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:West Plano Pediatrics PANPI:1013022771

◆Lieu, Frank C MDPCP #: H084321S013100 Midway RdSte 168Plano, TX 75093(972) 608-2688Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:Pedicare Medical Group PAPractice Information:To Age 20NPI:1972555829

◆Mandal, Kathryn K MDPCP #: H08FM145013032 CommunicationsPkwyPlano, TX 75093(972) 747-3410Hospital Affiliations:Baylor Scott White MedGrapevineMedical City AllianceClinical Affiliations:Texas Digestive Disease ConsNPI:1134294796

◆McElroy, Ryan D MDPCP #: H08BC690016130 W Parker Rd Ste 410Plano, TX 75093(972) 981-8380Hospital Affiliations:TX Hlth Presbyterian HospPlanoClinical Affiliations:Pediatric Associates of PlanoNPI:1043424666

◆Messner, Julie A DOPCP #: H08A9274013405 Midway RdSte 650Plano, TX 75093(972) 473-7777Hospital Affiliations:Baylor Scott White Med CtrFriscoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Pediatric Specialist of PlanoNPI:1588748917

◆Mix, Angela C DOPCP #: H08AP750016300 W Parker RdSte 426Plano, TX 75093(972) 608-0774Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:West Plano Pediatrics PANPI:1235199837


30


PLANO (continued)

Pediatrics (continued)◆Mobley, David C MDPCP #: H088X052016130 W Parker Rd Ste 410Plano, TX 75093(972) 981-8380Hospital Affiliations:TX Hlth Presbyterian HospPlanoClinical Affiliations:Pediatric Associates of PlanoPractice Information:To Age 18NPI:1831136134

◆Ramirez, Daniel A MDPCP #: H08Z3830016300 W Parker RdSte 222Plano, TX 75093(972) 608-0200Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:Kids Docs Pediatric AssociatesNPI:1699724146

◆Shouse, Theresa A MDPCP #: H088X051016130 W Parker Rd Ste 410Plano, TX 75093(972) 981-8380Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Pediatric Associates of PlanoNPI:1467406058

◆Smith, Jeanette L MDPCP #: H088X053016130 W Parker Rd Ste 410Plano, TX 75093(972) 981-8380Hospital Affiliations:Medical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Pediatric Associates of PlanoPractice Information:To Age 18NPI:1558308650

Wiener, Sharon L MDPCP #: H08EG659016529 W Plano Pkwy Ste DPlano, TX 75093(972) 781-1414Clinical Affiliations:Pediatric Offices at WillowBendNPI:1972535383

◆Wong, Jenelle C MDPCP #: H08A9272013405 Midway RdSte 650Plano, TX 75093(972) 473-7777Hospital Affiliations:Baylor Scott White Med CtrFriscoMedical City PlanoTX Hlth Presbyterian HospPlanoClinical Affiliations:Pediatric Specialist of PlanoNPI:1396844270

PROSPER

Family Practice◆Bauer, Marc G DOPCP #: H08DU97801111 S Preston RdSte 10Prosper, TX 75078(469) 800-5200Hospital Affiliations:Baylor Scott & White MedicalCentWilson N Jones Regional MedCtrClinical Affiliations:Health Texas Provider NetworkNPI:1861422685

Baughman, Carrie D APNPCP #: H08090MA01301 N Preston RdSte BProsper, TX 75078(972) 347-1320Clinical Affiliations:Family Focused CareNPI:1174978746

Bunner, Kylie M APNPCP #: H08792NQ01301 N Preston RdSte BProsper, TX 75078(972) 347-1320Clinical Affiliations:Family Focused CarePractice Information:From Age 6NPI:1730359613

◆Gao, Ya DOPCP #: H08GB38701111 S Preston Rd Ste 10Prosper, TX 75078(469) 800-5200Hospital Affiliations:Baylor Scott and WhiteMcKinneyClinical Affiliations:Health Texas Provider NetworkNPI:1710322490

◆Gocke, Karna MDPCP #: H08GN714011970 W University DrSte 100Prosper, TX 75078(469) 329-7860Clinical Affiliations:THR Community Based PCPNPI:1174556286

Henson, Robin M APNPCP #: H0856N0101301 N Preston RdSte BProsper, TX 75078(972) 347-1320Hospital Affiliations:Baylor Scott & White InstituteFoClinical Affiliations:Family Focused CareNPI:1700035029

◆Overn, Steven P DOPCP #: H08DM95801111 S Preston Rd Ste 10Prosper, TX 75078(469) 800-5200Hospital Affiliations:Baylor Scott and WhiteMcKinneyMedical City McKinneyTX Hlth Presbyterian HospAllenTX Hlth Presbyterian HospPlanoClinical Affiliations:Health Texas Provider NetworkNPI:1659325462

ROANOKE

Family Practice

◆Breuder, Christopher CMDPCP #: H08DT60301610 E Byron Nelson BlvdSte 101Roanoke, TX 76262(817) 912-8200Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1730361437

◆Ellenbecker, Beau J DOPCP #: H08DK54301610 E Byron NelsonBoulevard Ste 101Roanoke, TX 76262(817) 912-8200Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1679774582

Martinez, Juanita M APNPCP #: H08HV116011212 N Hwy 377 Ste 119Roanoke, TX 76262(682) 831-1591Clinical Affiliations:First MedNPI:1093003105

Thakkar, Aminidhan DMDPCP #: H08DP015011212 N Highway 377Ste 119Roanoke, TX 76262(682) 831-1591Hospital Affiliations:Medical City ArlingtonClinical Affiliations:First MedNPI:1629058169

RoanokeLast Updated: 09/10/2018 Primary Care Practitioners

31


SANGER

Family PracticeDingler, Chance W MDPCP #: H08CE739011602 W Chapman DrSanger, TX 76266(940) 458-3400Hospital Affiliations:Nocona General HospitalClinical Affiliations:Sanger Medical Clinic PANPI:1780743898

SOUTHLAKE

Family Practice◆Cunningham, Kelly E MDPCP #: H08CQ19201925 E Southlake BlvdSte 100Southlake, TX 76092(817) 812-8800Hospital Affiliations:Baylor Medical Center at IrvingBaylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1457491227

◆Gao, Wei MDPCP #: H08JF142011001 W Southlake BlvdSouthlake, TX 76092(817) 310-0421Hospital Affiliations:Dallas Medical Center LLCRound Rock Medical CenterSt Davids Medical CenterSt Davids North Austin MDCenterClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1891748711

◆Kindrick, Stephen D DOPCP #: H08BN84401925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1427266857

◆Lu, Henry H MDPCP #: H08HU02801925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1568534311

◆Mihills, Cody L MDPCP #: H08HW109011001 W Southlake BlvdSouthlake, TX 76092(817) 310-0421Hospital Affiliations:Baylor Scott White MedGrapevineMedical City North HillsTX Hlth Harris Methodist HospHEBClinical Affiliations:Healthcare Associates of IrvingLLPNPI:1548246671

◆Morrison, Steven MDPCP #: H089077G01925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1821002296

◆Rumalla, Smita K MDPCP #: H08AD14601925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineMedical City North HillsClinical Affiliations:Health Texas Provider NetworkNPI:1932260668

◆Smith, Amity L MDPCP #: H08EX93301

✓ 803 E Southlake BlvdSte 101Southlake, TX 76092(817) 488-2837Hospital Affiliations:John Peter Smith HospitalClinical Affiliations:Amity Lynn Smith PLLCPractice Information:From Age 12NPI:1003851429

Stroud, Joyce L DOPCP #: H089071G01925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Medical Center at IrvingBaylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1538175682

Ward, Kimberly A MDPCP #: H08HW066011001 W Southlake BlvdSouthlake, TX 76092(817) 310-0421Clinical Affiliations:Healthcare Associates of IrvingLNPI:1417203100

General PracticeWebb, George W MDPCP #: H08BZ016011001 W Southlake BlvdSouthlake, TX 76092(817) 310-0421Hospital Affiliations:TX Hlth Huguley Fort WorthSouthClinical Affiliations:Wyatt Webb MD PANPI:1750481537

Internal Medicine◆Chang, Sarah A MDPCP #: H08GF65401731 E Southlake BlvdSte 100Southlake, TX 76092(817) 915-8800Hospital Affiliations:Baylor Scott & White InstituteFoBaylor University MedicalCenterClinical Affiliations:Health Texas Provider NetworkNPI:1679528970

◆Fonte, Hiyas D MDPCP #: H08S232701925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1669405064

Harder, Gerald J MDPCP #: H089072G01925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1457375396

◆Hatcher, Stacey L MDPCP #: H08B530201925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Medical Center at IrvingBaylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1477567238

SouthlakeLast Updated: 09/10/2018 Primary Care Practitioners

32


SOUTHLAKE(continued)


◆Kellogg, Kelley G DOPCP #: H08EA31201925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1487685194

◆Lieving, Loree J MDPCP #: H089075G01925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Medical Center at IrvingBaylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1942214556

◆Obrien-Su, Eileen M MDPCP #: H08B530601925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1790799344

◆Pillai, Saji MDPCP #: H08FT689012400 Ridgecrest DrSouthlake, TX 76092(832) 775-4349Hospital Affiliations:Baylor Scott White All SaintsMedBaylor Scott White MedGrapevineMedical City Fort WorthMedical City Las ColinasTX Hlth Harris Methodist HospFWClinical Affiliations:Saji Pillai MD PANPI:1760458343

◆Schorn, Keith MDPCP #: H089073G01925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Medical Center at IrvingBaylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1659386944

◆Sharaf, Mai F MDPCP #: H08FM20201505 S Nolen DriveSouthlake, TX 76092(817) 442-5438Hospital Affiliations:Baylor Scott White MedGrapevineMedical City Fort WorthClinical Affiliations:Texas Digestive Disease ConsNPI:1598716805

◆Ward, Kimberly A MDPCP #: H08HW065011001 W Southlake BlvdSouthlake, TX 76092(817) 310-0421Clinical Affiliations:Healthcare Associates of IrvingLLPNPI:1417203100

Pediatrics◆Benzick, Arthur E MDPCP #: H080362K01925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1376500843

◆Hunt, Agatha A MDPCP #: H08AD14701925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1972719417

◆Johnson, David O MDPCP #: H088X56401925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1740204692

◆Kim, Grace S MDPCP #: H08GU92001925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Scott White MedGrapevineClinical Affiliations:Health Texas Provider NetworkNPI:1679991897

◆Mandal, Kathryn K MDPCP #: H08FM14501505 S Nolen DriveSouthlake, TX 76092(817) 442-5438Hospital Affiliations:Baylor Scott White MedGrapevineMedical City AllianceClinical Affiliations:Texas Digestive Disease ConsNPI:1134294796

Zwernemann, Erica J MDPCP #: H085496X01925 E Southlake BlvdSte 100Southlake, TX 76092(817) 912-8800Hospital Affiliations:Baylor Medical Center at IrvingMedical City Las ColinasMethodist HospitalClinical Affiliations:Health Texas Provider NetworkNPI:1427079300

THE COLONY

Family PracticePickett, Jan W MDPCP #: H08F0090016600 Paige RdSte 105The Colony, TX 75056(972) 625-5442Hospital Affiliations:Baylor Scott and WhiteCarrolltonClinical Affiliations:Pickett Medical Center PANPI:1710999412

General PracticeGomez, John G MDPCP #: H08V8291013800 Main StThe Colony, TX 75056(214) 423-4141Hospital Affiliations:Baylor Scott &white Med CtrPlanoCollege Station Medical CenterEast Texas Medical CenterAthensHeart of Texas MemorialHospitalMedical City DentonTX Hlth Presby HospitalDentonClinical Affiliations:N Texas EmergencyPhysicians PANPI:1841276086

The ColonyLast Updated: 09/10/2018 Primary Care Practitioners

33


THE COLONY(continued)

Pediatrics◆Paruolo, William A MDPCP #: H08X7980016053 Main StSte 225The Colony, TX 75056(972) 370-2425Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:William A Paruolo MD PANPI:1073564613

◆Stellman Iv, Harry M MDPCP #: H08X7981016053 Main StSte 225The Colony, TX 75056(972) 370-2425Hospital Affiliations:Baylor Scott and WhiteCarrolltonTX Hlth Presbyterian HospPlanoClinical Affiliations:William A Paruolo MD PANPI:1568414530

TROPHY CLUB

Family Practice

◆Lansford Seabaugh,Paula A DOPCP #: H08DS65901

✓ 945 Trophy Club DrTrophy Club, TX 76262(817) 430-9111Hospital Affiliations:Baylor Scott White MedGrapevineTX Health Harris MethodistHospTX Hlth Harris Methodist HospClinical Affiliations:Trophy Club MedicalServicesllpNPI:1497919583

◆Yi, David C MDPCP #: H08H099101

✓ 945 Trophy Club DrTrophy Club, TX 76262(817) 430-9111Hospital Affiliations:Baylor Scott White MedGrapevineMedical City Las ColinasClinical Affiliations:Trophy Club MedicalServicesllpNPI:1700899044

Internal Medicine◆Demartini, Robert V MDPCP #: H08DT05501300 Trophy Club DrSte 300Trophy Club, TX 76262(817) 490-9841Hospital Affiliations:Baylor Scott & White LakePointeBaylor Scott White MedGrapevineClinical Affiliations:True MedicineNPI:1275544694

TROPHY CLUB

Pediatrics◆Onyeama, Charles O MDPCP #: H08052NL01625 Parkview DrSte 102Trophy Club, TX 76262(817) 400-1572Hospital Affiliations:Baylor Scott White MedGrapevineMedical City AllianceClinical Affiliations:Trophy Club Pediatrics PAPractice Information:To Age 18NPI:1821244781

Last Updated: 09/10/2018 Primary Care Practitioners

34


blue advantage sm - jme...

Documents