Precision Health Clinic PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRECISION HEALTH CLINIC PLLC

Practice address

9901 Valley Ranch Pkwy E Ste 1015
Irving, TX 75063-4777

Phone

(972) 417-1936

NPI assigned

May 30, 2024

Last updated

May 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Alcantar

Title

Manager

Phone

(817) 412-0792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Demyun, MD

  • Internal Medicine Physician
  • Greenville, TX
  • NPI 1952366684
  Medicare reassignment Care Compare group NPD
• Mallorie Davidson, FNP

  • Primary Care Nurse Practitioner
  • Arlington, TX
  • NPI 1326765819
  Medicare reassignment Care Compare group
• Rodney Menezes, PA-C

  • Physician Assistant
  • San Antonio, TX
  • NPI 1023316536
  Medicare reassignment NPD
• Paul B Bourland, NP-C

  • Family Nurse Practitioner
  • Irving, TX
  • NPI 1790101624
  Medicare reassignment
• Michael Elrod, FNP-C

  • Nurse Practitioner
  • Crowley, TX
  • NPI 1356939334
  Medicare reassignment
• Zahra Majid Hassanally, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
  • NPI 1023856911
  Medicare reassignment
• Aimee E Hinshaw, FNP-C

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1992424618
  Medicare reassignment
• Uyen Thi Bao Tran, FNP

  • Family Nurse Practitioner
  • Pflugerville, TX
  • NPI 1427852961
  Medicare reassignment
• Joelle Sangiorgi

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1114694296

  TX

  Medicare reassignment
• Stacy Peters Harris, DC

  • Chiropractor
  • Fort Worth, TX
  • NPI 1811902125
  NPD
• Michelle Ann Newton, R.N., APRN-BC

  • Family Nurse Practitioner
  • Sunnyvale, TX
  • NPI 1083710685
  NPD (past)

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1942040407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 BELLAIRE DR S STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761095855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 VALLEY RANCH PKWY E STE 1015",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634777",
            "telephone_number": "972-417-1936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17390 Preston Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752525927",
            "country_code": "US",
            "telephone_number": "469-466-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "ALCANTAR",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-412-0792"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdiel Prado Herrera
• Pramukh No Marg LLC (HealthSource of Colleyville)
• Tulsiram Prathapam, HCLD, DABMGG, FACMG
• Stephen Earl Pratt, MD
• Prayful Hospice LLC
• Precision Orthopedics & Sports Medicine
• Preferred Imaging of Irving LLC
• Premier Hospitalists of North Texas, PLLC
• Premier Internists of North Texas, PLLC
• Premier Medical, Inc.

• Clinic/Center in Irving, TX
• Providers in Irving, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.