Ipc Pac Healthcare Services of Texas PLLC
Organization Active NPI Hospitalist Physician · Addison, TX
NPI 1194174201 · NPPES record last updated Jul 29, 2016
Key facts
- NPI
- 1194174201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- IPC PAC HEALTHCARE SERVICES OF TEXAS PLLC
- Practice address
- 14131 Midway Rd
Suite 620
Addison, TX 75001-3623 - Phone
- (972) 249-0200
- NPI assigned
- Jun 9, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Ray Frantz, M.D.
- Title
- Owner/President
- Phone
- (865) 693-1000
Practitioners 133
-
Edna Akemu, NP-C
-
Akinwande Akintola, M.D.
-
Patrice Barnum, MD
-
Amanda Rose Caro, D.O.
-
Paula Cruz, LPC
-
Jeffrey Eitel, RN,GNP-C
-
Furo Uba Fabunmi, NP
-
Latha Jacob, NP
-
Jane N Kalu, NURSE PRACTITIONER
-
Leroy Kyoungman Kim, M.D.
-
April Marin, LCSW
-
Lebaone Llulu Mogotsakgotla, AGPCNP-BC
-
U Kanti Murtineni, M.D
-
Ugochi Odinmah, NP
-
Emmanuel Okon, CNP, APRN, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160823000163 | TX | Part B Supplier - Clinic/Group Practice | 1759676307 | Receives reassigned benefits from 131 practitioners |
National Provider Directory
Locations (25 of 39)
5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541
2817 Kent St
Bryan, TX 77802
Phone (979) 776-7521
1101 Santa Fe St
Corpus Christi, TX 78404
Phone (361) 257-1427
2600 Hospital Blvd
Christus Memorial Hospital TX
Corpus Christi, TX 78405
5726 Esplanade Dr
Corpus Christi, TX 78414
Phone (361) 906-3700
3107 W Camp Wisdom Rd
Ste 170
Dallas, TX 75237
Phone (972) 942-7700
8140 Walnut Hill Ln
Ste 200
Dallas, TX 75231
Phone (214) 345-7357
2301 S Hampton Rd
Ste 900
Dallas, TX 75224
Phone (214) 330-9201
8000 Frankford Rd
Dallas, TX 75252
Phone (972) 232-8080
505 W Owassa Rd
Edinburg, TX 78539
Phone (956) 283-1550
12660 Pebble Hills Blvd
El Paso, TX 79938
Phone (888) 796-8996
1011 Surrey Ln
Ste 103
Flower Mound, TX 75022
Phone (972) 317-5051
11777 Lebanon Rd
Frisco, TX 75035
Phone (214) 618-9519
2630 West Fwy
Ste 132
Ft Worth, TX 76102
Phone (214) 424-6100
7100 Trail Lake Dr
Ft Worth, TX 76123
Phone (214) 363-5100
1005 Ira E Woods Ave
#T
Grapevine, TX 76051
Phone (817) 421-1313
825 W Fairwinds St
Hallettsville, TX 77964
Phone (361) 798-3268
3131 Eastside St
Houston, TX 77098
Phone (281) 948-3322
13290 Northwest Fwy
Ste F355
Houston, TX 77040
13280 Northwest Fwy
#F355
Houston, TX 77040
Phone (713) 690-4545
4718 Hallmark Dr
Houston, TX 77056
Phone (713) 622-2929
1120 Business Center Dr
#T
Houston, TX 77043
Phone (713) 932-2700
2635 Saddlehorn Trl
Katy, TX 77494
Phone (832) 724-0528
1205 N Travis St
Liberty, TX 77575
Phone (936) 336-7247
1206 N Travis St
Liberty, TX 77575
Phone (936) 336-7247
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Hospitalist Physician |
208M00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Clinical Nurse Specialist |
364S00000X |
Addresses
Primary practice location
14131 Midway Rd
Suite 620
Addison, TX 75001-3623
Mailing address
265 Brookview Centre Way
Suite 400
Knoxville, TN 37919-4052
Phone (865) 693-1000
Other providers in Addison, TX
- Integrative Anesthesia PLLC
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- Interventional Spine and Pain, LLP
- Interventional Spine and Pain, LLP
- Inwood Interventional Pain Center, LLC
- Iwtb, LLC
- J.Carr Counseling and Consultation PLLC
- Kristin L Jackson
- Linda Sue Jackson
- Latha Jacob
All providers in Addison, TX · Hospitalist Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.