DESTRA DIAGNOSTICS (NPI# 1750747317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750747317 |
| Entity Type | Organization |
| Organization Name | DESTRA DIAGNOSTICS |
| Practice Address |
469 Leisure Ln Coppell TX 75019-2545 |
| Practice Telephone | 9726183785 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | JASON KOURI (OWNER) |
| Authorized Official Telephone | 9726183785 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246YC3302X |
Spec/Tech, Health Info Specialization: Coding Specialist, Physician Office Based |
P3183 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
469 LEISURE LN |
| City | COPPELL |
| State | TX |
| Zip Code | 75019-2545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1609498146 | Carie Medical Group (de), P.a. | Internal Medicine | 8951 Cypress Waters Blvd., Suite 160-1045, Dallas, TX 75019 | 2020-05-07 |
| 1154981983 | Coe Dentistry Pllc | Dentist | 137 Sh 121, Ste 110, Coppell, TX 75019 | 2019-06-14 |
| 1831655695 | Nicole Erhart | Physical Therapist | 3100 Olympus Blvd, Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140467 | Leah Faith Fifelski | Physical Therapist | 3100 Olympus Blvd. Suite 500, Dallas, TX 75019 | 2019-02-18 |
| 1780140988 | Living Euphoria, LLC | Community/Behavioral Health | 106 N Denton Tap Rd Ste 210 #151, Coppell, TX 75019 | 2019-02-13 |
| 1982176954 | Katie Cunningham | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019 | 2019-01-01 |
| 1659853000 | Shelley Kniss | Licensed Vocational Nurse | 1717 E Beltline Rd Apt 1323, Coppell, TX 75019 | 2018-09-02 |
| 1881197705 | Natasha Paulina Boylan | Speech-Language Pathologist | 370 W Highway 121, Ste. 105, Coppell, TX 75019 | 2018-03-16 |
| 1407354392 | Mahvash Roya Soltani | Nurse Practitioner | 1323 Barrington Dr., Coppell, TX 75019 | 2018-01-25 |
| Find all providers in zip 75019 | ||||
| Taxonomy Code | 246YC3302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Health Info |
| Specialization | Coding Specialist, Physician Office Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506100 | Gina M Sullivan | Spec/Tech, Health Info | 4235 County Road 2629, Caddo Mills, TX 75135-7476 | 2020-04-15 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1346739661 | Prince Nnamdi Ezeokafor | Spec/Tech, Health Info | 1520 Lorena Dr, Royse City, TX 75189-5820 | 2018-05-02 |
| 1255840500 | Americas Medical Billing Firm LLC | Spec/Tech, Health Info | 6090 Surety Dr Ste 105, El Paso, TX 79905 | 2017-09-28 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1861867327 | Medical Intermediaries of Texas LLC | Spec/Tech, Health Info | 2601 Woodland Park Dr, 4214, Houston, TX 77077-6161 | 2015-12-09 |
| 1235612334 | Latina Martindale | Spec/Tech, Health Info | 280 Highway 418 E, Silsbee, TX 77656-3729 | 2018-09-13 |
Please comment or provide details below to improve the information on DESTRA DIAGNOSTICS.
| 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.