GREATER DALLAS HEALTHCARE ENTERPRISES (NPI# 1770983074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770983074 |
| Entity Type | Organization |
| Organization Name | GREATER DALLAS HEALTHCARE ENTERPRISES |
| Practice Address |
713 W Broad St Suite 100 Forney TX 75126-9147 |
| Mailing Address |
Po Box 840711 Dallas TX 75284-0711 |
| Practice Telephone | 9725523330 |
| Practice Fax Number | 9725523303 |
| Mailing Telephone | 9725523330 |
| Mailing Fax Number | 9725523303 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | MR. ROBERT BRANSTETTER (SR DIR, ADMINISTR 501A, TENET) |
| Authorized Official Telephone | 4698932000 |
| 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 |
| 1518485721 | Greater Dallas Healthcare Enterprises | Pediatrics | 2702 N University Dr, Nacogdoches, TX 75965-2922 | 2017-09-07 |
| 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 |
| 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 |
713 W BROAD ST SUITE 100 |
| City | FORNEY |
| State | TX |
| Zip Code | 75126-9147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942267141 | Jason N Hughes | Counselor | 713 W Broad St, Suite 200, Forney, TX 75126-9147 | 2006-05-01 |
| 1417300526 | Bentley Family Therapy, Pllc | Marriage & Family Therapist | 713 W Broad St, 200, Forney, TX 75126-9147 | 2016-07-13 |
| 1912384447 | Susan Stahlman | Counselor | 713 W Broad St, Forney, TX 75126-9147 | 2015-05-05 |
| 1023435765 | Ashley R. Willson | Counselor | 713 W Broad St, Suite 150, Forney, TX 75126-9147 | 2014-03-19 |
| 1215362223 | Holly T Mitchell Pllc | Counselor | 713 W Broad St, Suite 200, Forney, TX 75126-9147 | 2013-09-09 |
| 1174955108 | Holly Tabitha Mitchell | Counselor | 713 W Broad St, Forney, TX 75126-9147 | 2013-08-01 |
| 1205101250 | Misti Dawn Gent | Nurse Practitioner | 713 W Broad St, Suite 100, Forney, TX 75126-9147 | 2012-03-08 |
| 1346305117 | Forney Pediatric & Medical Clinic P.a. | Internal Medicine | 713 W Broad St, Suite 100, Forney, TX 75126 | 2006-12-22 |
| 1306869300 | Jyothi J Reddy | Pediatrics | 713 W Broad St, Suite 100, Forney, TX 75126 | 2006-07-25 |
| 1902826977 | Jayaprakash N Reddy | Internal Medicine | 713 W Broad St, Suite 100, Forney, TX 75126-9130 | 2006-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215339 | Stuart Frey | Pharmacist | 802 East Us Hwy 80, Forney, Forney, TEXAS 75126 | 2020-11-03 |
| 1689209975 | Steffani Wooley | Counselor | 106 S. Bois D'arc St., Forney, TX 75126 | 2020-03-06 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1801451901 | Interventional Partners LLC | Podiatrist | 124 East Hwy 80, Ste. 104, Forney, TX 75126 | 2019-05-03 |
| 1881164937 | Precision Sports Physical Therapy | Physical Therapist | 757 E Highway 80, Suite 160, Forney, TX 75126 | 2018-12-03 |
| 1336621374 | Grace Nkolika Ilonuba | Registered Nurse | 1518 Wheatley Way, Forney, TX 75126 | 2018-09-06 |
| 1497235691 | Tanya Jean Antonisse-irwin | Speech-Language Pathologist | 1023 Kimbro Drive, Forney, TX 75126 | 2018-08-16 |
| 1912490491 | Rachel Caroline Casebolt | Counselor | 112 S Bois D Arc St, Forney, TX 75126 | 2018-06-11 |
| 1730676735 | Forney Mirror Lake Dentistry Pllc | Clinic/Center | 845 N. Fm 548, Suite 150, Forney, TX 75126 | 2018-04-16 |
| 1316449366 | Don A Hunt-ford Jr. | Day Training, Developmentally Disabled Services | 2016 Angel Way, Forney, TN 75126 | 2018-03-06 |
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| 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 |
|---|---|---|---|---|
| 1659877975 | Growing Tree Pediatrics, Pllc | Pediatrics | 1102 Ranch Rd Ste 107, Forney, TX 75126-4796 | 2018-04-04 |
| 1780909135 | Anita R. Shah | Pediatrics | 101 N Fm 548, Suite 100, Forney, TX 75126 | 2010-03-29 |
| 1336381193 | Mona Ambika Bagrodia | Pediatrics | 757 E Us Highway 80 Ste 200, Forney, TX 75126-8741 | 2009-03-25 |
| 1083975452 | Christopher Edward Miller | Pediatrics | 757 E Us Highway 80 Ste 200, Forney, TX 75126-8741 | 2012-06-01 |
| 1306869300 | Jyothi J Reddy | Pediatrics | 713 W Broad St, Suite 100, Forney, TX 75126 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366635 | Colleen Jaurequi | Pediatrics | 309 Shepards Hill Dr, Rockwall, TX 75087-2850 | 2020-11-05 |
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1114525532 | Springs Pediatrics Associates Pllc | Pediatrics | 201 Oak Dr S Ste 202, Lake Jackson, TX 77566-5627 | 2020-10-16 |
| 1619575487 | Sreebhavi Professional Corporation | Pediatrics | 340 Hawkins Run Rd, Midlothian, TX 76065-6638 | 2020-10-14 |
| 1588262695 | Buttercup Pediatrics Pllc | Pediatrics | 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 | 2020-10-12 |
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
| 1497368591 | Tch Pediatrics Inc | Pediatrics | 4207 James Casey St Ste 111, Austin, TX 78745-3362 | 2020-08-28 |
| 1356951735 | Central Texas Diabetes & Wellness Institute | Pediatrics | 8428 Bandera Rd Ste 2, San Antonio, TX 78250-2514 | 2020-07-31 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
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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.