GREATER DALLAS HEALTHCARE ENTERPRISES (NPI# 1518485721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518485721 |
| Entity Type | Organization |
| Organization Name | GREATER DALLAS HEALTHCARE ENTERPRISES |
| Practice Address |
2702 N University Dr Nacogdoches TX 75965-2922 |
| Mailing Address |
Po Box 840711 Dallas TX 75284-0711 |
| Practice Telephone | 9362055806 |
| Practice Fax Number | 9362055914 |
| Mailing Telephone | 9362055806 |
| Mailing Fax Number | 9362055914 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | MR. TIMOTHY ADAMAS (SVP REGIONAL OPERATIONS, TENET) |
| Authorized Official Telephone | 4698932563 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255542122 | Greater Dallas Healthcare Enterprises | Durable Medical Equipment & Medical Supplies | 1445 Ross Ave Ste 1400, Dallas, TX 75202-2703 | 2007-05-24 |
| 1689031387 | Greater Dallas Healthcare Enterprises | Pediatrics | 9870 Gateway Blvd N, Ste. A, El Paso, TX 79924-4425 | 2016-01-26 |
| 1255798385 | Greater Dallas Healthcare Enterprises | Pediatrics | 3270 Joe Battle Blvd, Ste. 120, El Paso, TX 79938-2639 | 2016-01-20 |
| 1770983074 | Greater Dallas Healthcare Enterprises | Pediatrics | 713 W Broad St, Suite 100, Forney, TX 75126-9147 | 2014-08-25 |
| 1225437684 | Greater Dallas Healthcare Enterprises | Pediatrics | 9540 Garland Rd, Ste. 410, Dallas, TX 75218-5004 | 2014-08-21 |
| 1689073470 | Greater Dallas Healthcare Enterprises | Pediatrics | 6301 Gaston Ave, Suite 190p, Dallas, TX 75214-3922 | 2014-08-18 |
| 1568871432 | Greater Dallas Healthcare Enterprises | Pediatrics | 11301 Fallbrook Dr, Ste. 130, Houston, TX 77065-4237 | 2014-08-05 |
| 1831500776 | Greater Dallas Healthcare Enterprises | Pediatrics | 1700 Curie Dr, Ste. 1000, El Paso, TX 79902-2905 | 2014-05-14 |
| 1114338175 | Greater Dallas Healthcare Enterprises | Pediatrics | 2311 N Mesa St, Ste. G, El Paso, TX 79902-3666 | 2014-05-13 |
| 1558772517 | Greater Dallas Healthcare Enterprises | Pediatrics | 9540 Garland Rd, Ste. C408b, Dallas, TX 75218-5004 | 2014-05-13 |
| Street Address |
2702 N UNIVERSITY DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154507630 | Melinda E. Wenner | Pediatrics | 2702 N University Dr, Nacogdoches, TX 75965-2922 | 2008-01-15 |
| 1073983102 | Jena Lyn Rhodes | Nurse Practitioner | 2702 N University Dr, Nacogdoches, TX 75965-2922 | 2015-10-01 |
| 1962763151 | Julia Means Robinson | Nurse Practitioner | 2702 N University Dr, Nacogdoches, TX 75965-2922 | 2012-06-04 |
| 1114190915 | Kristen Renee Hurst | Otolaryngology | 2702 N University Dr, Nacogdoches, TX 75965-2922 | 2008-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1386873081 | Ryan Head | Pediatrics | 2714 N University Dr, Ste 100, Nacogdoches, TX 75965-2974 | 2009-07-02 |
| 1154507630 | Melinda E. Wenner | Pediatrics | 2702 N University Dr, Nacogdoches, TX 75965-2922 | 2008-01-15 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| 1487704441 | Flamen Ball | Pediatrics | 2106 North Raguet St., Nacogdoches, TX 75961 | 2007-01-11 |
| 1730196643 | Adlai Travis Mast IIi | Pediatrics | 613 Russell Blvd, Nacogdoches, TX 75965-1247 | 2006-08-02 |
| 1013901503 | Jennifer Beth Mazer | Pediatrics | 2714 N. University Dr., Suite 100, Nacogdoches, TX 75965 | 2005-09-12 |
| 1093241903 | Bhs Physicians Network, Inc. | Pediatrics | 4710a Ne Stallings Dr, Nacogdoches, TX 75965-1615 | 2017-05-11 |
| 1255725982 | Head Pediatrics Pllc | Pediatrics | 2714 N University Dr, Ste 100, Nacogdoches, TX 75965-2973 | 2015-03-19 |
| 1619207883 | Jennifer Beth Mazer, M.d., P.a. | Pediatrics | 2714 N. University Dr., Suite 100, Nacogdoches, TX 75965 | 2010-01-11 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on GREATER DALLAS HEALTHCARE ENTERPRISES.
| 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.