EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC (NPI# 1033376744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033376744 |
| Entity Type | Organization |
| Organization Name | EDMONDSON ROSS & HURST MEMORIAL CLINIC PLLC |
| Other Organization Name | MEMORIAL CLINIC |
| Practice Address |
600 N Highland Ave Suite 105 Sherman TX 75092-5631 |
| Mailing Address |
600 N Highland Ave Suite 104 Sherman TX 75092-5631 |
| Practice Telephone | 9038922781 |
| Practice Fax Number | 9038922780 |
| Mailing Telephone | 9038704609 |
| Mailing Fax Number | 9038912025 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | DR. KEVIN BRENT STACKS (SOLE MEMBER) |
| Authorized Official Telephone | 9038922781 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | K7908 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 195685601 | 05 |
| Other Name | Type Code |
|---|---|
| MEMORIAL CLINIC | Doing Business As Name - Organization |
| Street Address |
600 N HIGHLAND AVE SUITE 105 |
| City | SHERMAN |
| State | TX |
| Zip Code | 75092-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047341 | Philip W Pitts | Internal Medicine | 600 N Highland Ave, Ste 101, Sherman, TX 75092-5601 | 2005-07-20 |
| 1992247142 | Mosaic Clinic | Physician Assistant | 600 N Highland Ave, Suite 108, Sherman, TX 75092-5601 | 2016-11-04 |
| 1649428004 | Nathan A Watson Jr M.d, P.a. | Internal Medicine | 600 N Highland Ave, Suite 104, Sherman, TX 75092-5601 | 2008-08-28 |
| 1295958528 | Philip W Pitts M D Pa | Internal Medicine | 600 N Highland Ave, Ste 101, Sherman, TX 75092-5601 | 2007-04-11 |
| 1992877674 | Sherman Surgical Associates II, LLP | Surgery | 600 N Highland Ave, Suite 102, Sherman, TX 75092-5601 | 2006-11-15 |
| 1467464503 | Nathan A Watson Jr. | Internal Medicine | 600 N Highland Ave, Ste 104, Sherman, TX 75092-5601 | 2006-08-13 |
| 1275540007 | Abbas R Mian | Internal Medicine | 600 N Highland Ave, Suite 104, Sherman, TX 75092-5601 | 2006-08-02 |
| 1518943356 | Sharon A Malone | Family Medicine | 600 N Highland Ave, Ste 108, Sherman, TX 75092-5631 | 2005-12-22 |
| 1992781348 | O H Habal | Specialist | 600 N Highland Ave, Suite 108, Sherman, TX 75092-5601 | 2005-12-19 |
| 1629061346 | Saleem Khan | Surgery | 600 N Highland Ave, Suite 102, Sherman, TX 75092-5601 | 2005-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869953 | Stokes & Carter Orthodontics, LLP | Clinic/Center | 2921 N. Heritage Parkway, Ste. 200, Sherman, TX 75092 | 2020-07-30 |
| 1033684543 | Brittany Shyrell Brown | Nurse Practitioner | 140 W. Lamberth Rd Ste. C, Sherman, TX 75092 | 2018-10-11 |
| 1134675333 | Sherman Select, LLC | Clinic/Center | 4226 Us Highway 75, North, Sherman, TX 75092 | 2016-08-28 |
| 1164884789 | Michelle Kay Triche | Nurse Practitioner | 1000 S. Heritage Parkway, Sherman, TX 75092 | 2016-03-23 |
| 1295109858 | Stokes Orthodontics | Dentist | 2921 N. Heritage Parkway, Suite 200, Sherman, TX 75092 | 2015-11-19 |
| 1851771810 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2210 N F.m. 1417, Sherman, TX 75092 | 2015-06-04 |
| 1629314133 | Ashley Nicole White | Counselor | 8370 Us Highway 82, Sherman, TX 75092 | 2013-01-02 |
| 1831452978 | M. Sue Jennings | Counselor | 402 W. Lamar St, Suite 104, Sherman, TX 75092 | 2012-06-22 |
| 1437447562 | Oscar Villafane | Optometrist | Long Vision Center, 2203 N Heritage Pkwy, Sherman, TX 75092 | 2011-07-11 |
| 1043443062 | Angela Renee Wright | Registered Nurse | 3415 North Heritage Parkway, Sherman, TX 75092 | 2009-08-25 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1689883944 | Rodney W Taft | General Practice | 94 Route 39 North, Sherman, CT 06784 | 2007-05-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.