Homeheal PA

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

HOMEHEAL PA

Practice address

559 E Ovilla Rd
Red Oak, TX 75154-3505

Phone

(214) 286-6565

Fax

(817) 533-6015

NPI assigned

Aug 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maryam Raza, MDNPI 1780637207

Title

Owner

Phone

(214) 286-6565

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryam Raza, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Dallas, TX
  • NPI 1780637207

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Jainy Bennett, NP

  • Family Nurse Practitioner
  • Red Oak, TX
  • NPI 1487422978
  Medicare reassignment Care Compare group NPD
• Emanuela Berari, FNP-C

  • Family Nurse Practitioner
  • Red Oak, TX
  • NPI 1114465218
  Medicare reassignment Care Compare group NPD
• Marlen Caballero Diaz, APRN-CNP

  • Acute Care Nurse Practitioner
  • San Antonio, TX
  • NPI 1437970126
  Medicare reassignment Care Compare group NPD
• Brian Hieu Nguyen, MD

  • Internal Medicine Physician
  • Red Oak, TX
  • NPI 1902393366

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Megan McMahon, NP

  • Family Nurse Practitioner
  • Ashland City, TN
  • NPI 1902627532

  TX

  Medicare reassignment Care Compare group NPD
• Leslie Lynn Everett

  • Family Nurse Practitioner
  • Red, TX
  • NPI 1538626338
  Medicare reassignment NPD
• Lauren Elizabeth Smith, ACNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
  • NPI 1710392295
  Medicare reassignment NPD
• Joby T Thankappan, RN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1902301435
  Medicare reassignment NPD
• Bruce I Prager, MD

  • Orthopaedic Surgery Physician
  • Arlington, TX
  • NPI 1033137435
  NPD
• Richard Allen Denny Jr., PA C

  • Physician Assistant
  • Denton, TX
  • NPI 1083687735
  NPD (past)
• Nhu-Mai Vuu

  • Physician Assistant
  • Arlington, TX
  • NPI 1558818948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1003427196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E OVILLA RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543505",
            "telephone_number": "214-286-6565",
            "fax_number": "817-533-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 E OVILLA RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543505",
            "telephone_number": "214-286-6565",
            "fax_number": "817-533-6015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Secretary Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760151623",
            "country_code": "US",
            "telephone_number": "214-286-6565",
            "fax_number": "817-533-6015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3204 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106862",
            "country_code": "US",
            "telephone_number": "214-286-6565",
            "fax_number": "817-533-6015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMEHEAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-286-6565",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie B Hinkle, LPC
• Edwin Earl Hitt, M.D.
• Ruby L Holloway, M.D.
• Alexander Joseph Hollub, M.D.
• Clinton Daniel Holy, COTA
• Jazmine Ibarra
• Imperial Food Serices Inc.
• Innates Touch Chiropractic - Red Oak
• Intentional Healing Essence LLC
• Interventional Pain Physicians Group, PLLC

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Red Oak, TX
• Providers in Red Oak, TX by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.