|
PHR 02/03 |
3 |
Mesquite |
FMS |
909 gross rd 200, Mesquite, TX 75149
|
Dallas |
Dialysis Center |
 |
10 |
|
0 |
|
0 |
Pending Signatures |
Pending Signatures |
|
PHR 02/03 |
3 |
Carrollton |
SASHARAMIK LLC |
3044 OLD DENTON RD 305, Carrollton, TX 75007
|
Dallas |
Pharmacy |
|
0 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Lifespan medicine |
2311 Cedar Springs Rd 150, Dallas, TX 75201
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Mesquite |
Dr. Rajesh S. Rana, MD PA |
18601 LBJ Freeway Suite 320, Mesquite, TX 75150
|
Dallas |
Private Practice |
 |
100 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
REMINGTON PHARMACY INC. |
3690 W WHEATLAND RD 140, Dallas, TX 75237
|
Dallas |
Pharmacy |
|
0 |
|
0 |
|
0 |
In Progress |
In Progress |
|
PHR 02/03 |
3 |
Garland |
Total Pharmacy Ennis |
2046 Forest Lane SUITE 140, Garland, TX 75042
|
Dallas |
Pharmacy |
 |
200 |
 |
200 |
|
0 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Texas Oncology Pa Presbyterian |
8196 Walnut Hill Ln. 100, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
100 |
 |
10 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Kelly L Wimberly MD |
17101 Preston Rd Ste 200 200, Dallas, TX 75248
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
In Progress |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Baylor Scott & White Urgent Care - Lovers Lane |
5800 East Lovers Lane, Dallas, TX 75206
|
Dallas |
Private Practice |
|
0 |
 |
1000 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
OnPointe Transitional Care of Dallas |
8200 Walnut Hill Ln Main 5, Dallas, TX 75231
|
Dallas |
Nursing Home/LTC Facility |
|
50 |
|
|
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Timothy F. Malone,D.O., P.A. |
3801 GASTON AVENUE 230, Dallas, TX 75246
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Desoto |
DR. OLUBAYO IDOWU- INTERNAL MEDICINE OFFICE |
2727 BOLTON BOONE DRIVE STE 102 102, Desoto, TX 75115
|
Dallas |
Private Practice |
 |
100 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
FOREST DRUG STORE LLC |
9550 FOREST LN 606, Dallas, TX 75243
|
Dallas |
Pharmacy |
|
0 |
|
0 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Sachse |
Hansaba LLC |
5624 Highway 78, Sachse, TX 75048
|
Dallas |
Pharmacy |
 |
10 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
GLC Wellness Center Texas |
1251 E. Red Bird Lane Ste. A, Dallas, TX 75241
|
Dallas |
Community Health Center |
|
0 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Addison |
Methodist Hospital for Surgery |
17101 Dallas Parkway, Addison, TX 75001
|
Dallas |
Hospital |
 |
100 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Irving |
Valley Ranch Family Dentistry |
510 Ranch Trail 102, Irving, TX 75063
|
Dallas |
Private Practice |
 |
50 |
|
0 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Addison |
Pruven Health LLC |
4841 Keller Springs Road, Addison, TX 75001
|
Dallas |
Nursing Home/LTC Facility |
 |
200 |
 |
200 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Richardson |
ALLIANCE UNITED HOSPICE CARE INC |
811 SOUTH CENTRAL EXPRESSWAY 418, Richardson, TX 75080
|
Dallas |
Community Health Center |
 |
100 |
 |
100 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Dallas Healthy Aging LLC |
8226 DOUGLAS AVE SUITE 704, Dallas, TX 75225
|
Dallas |
Private Practice |
 |
20 |
 |
20 |
 |
20 |
In Progress |
In Progress |
|
PHR 02/03 |
3 |
Duncanville |
Davita |
270 E HIGHWAY 67 STE 100, Duncanville, TX 75137
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Irving |
Live Well at Citi Health Services |
6460 Las Colinas Blvd, Irving, TX 75039
|
Dallas |
Private Practice |
 |
100 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Grand Prairie |
Premise Health |
1701 W. Marshall Drive MED00, Grand Prairie, TX 75051
|
Dallas |
Other |
|
0 |
|
0 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Premier AccessMD |
5477 Glen Lakes Dr #135, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
10 |
|
0 |
|
0 |
In Progress |
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
Griego Family Medical Centre |
2701 South Hampton Road 101, Dallas, TX 75224
|
Dallas |
Private Practice |
 |
50 |
|
0 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Richardson |
The Reserve at Richardson |
1610 Richardson Drive, Richardson, TX 75080
|
Dallas |
Nursing Home/LTC Facility |
 |
25 |
|
0 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Fresenius Medical Care Forest Park |
2223 Singleton BLVD 305, Dallas, TX 75212
|
Dallas |
Dialysis Center |
 |
1 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Coppell |
ENT for Children, PA |
783 N Denton Tap Rd Suite 200, Coppell, TX 75019
|
Dallas |
Adolescent Only Provider (Private) |
 |
3 |
|
0 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Grand Prairie |
LAKE RIDGE PHARMACY |
4927 LAKE RIDGE PKWY. SUITE 180, Grand Prairie, TX 75052
|
Dallas |
Pharmacy |
 |
50 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Garland |
BRENDA J HAMPTON MD PA |
1815 Old Mill Run, Garland, TX 75042
|
Dallas |
Private Practice |
|
0 |
|
|
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Duncanville |
Laurenwood Nursing and Rehab |
330 W Camp Wisdom Rd, Duncanville, TX 75116
|
Dallas |
Nursing Home/LTC Facility |
|
0 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Irving |
DAVACO, LP |
4050 Valley View Lane Suite 150, Irving, TX 75038
|
Dallas |
Other |
 |
25,000 |
 |
25,000 |
 |
25,000 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
AHF Pharmacy |
3920 Cedar Springs Rd., Dallas, TX 75219
|
Dallas |
Pharmacy |
 |
50 |
 |
50 |
|
0 |
Pending Approval |
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
Highrise Health Pllc Dba Vertical Healthcare |
3624 Oak Lawn Avenue 110B, Dallas, TX 75219
|
Dallas |
Private Practice |
 |
3000 |
 |
3000 |
|
0 |
Approved |
Pending Approval |
|
PHR 02/03 |
3 |
Richardson |
SL Aronoff, MD, PLLC |
2400 Lakeside Blvd Suite 130, Richardson, TX 75082
|
Dallas |
Private Practice |
 |
40 |
|
0 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Opal Healthcare + Wellness |
9219 Garland Rd 2107, Dallas, TX 75218
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Richardson |
Texas Medical Home |
101 S Coit Rd 317, Richardson, TX 75080
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Buckner Elam Medical |
8202 Elam Rd, Dallas, TX 75217
|
Dallas |
Private Practice |
 |
200 |
|
0 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Irving |
Daniel Suez, MD Allergy Asthma And Immunology Clinic |
1115 Kinwest Pkwy 100, Irving, TX 75063
|
Dallas |
Private Practice |
 |
200 |
|
0 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Irving |
Irving Coppell Primary Care Doctors |
3365 Regent Blvd Ste 110, Irving, TX 75063
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Irving |
Goh Medical, Pa |
200 W. John Carpenter Freeway, Irving, TX 75039
|
Dallas |
Private Practice |
 |
100 |
|
0 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Desoto |
Kohl's Health And Wellness Center Desoto |
2019 N Interstate 35 East Service Rd, Desoto, TX 75115
|
Dallas |
Private Practice |
 |
50 |
|
0 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
Barbara S Baxter MD |
6114 Sherry Ln, Dallas, TX 75225
|
Dallas |
Private Practice |
 |
50 |
|
|
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Presbyterian Village North |
8600 Skyline Dr, Dallas, TX 75243
|
Dallas |
Nursing Home/LTC Facility |
 |
50 |
|
0 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Richardson |
William T Lin, MD, PA |
2821 E President G Bush Hwy 101, Richardson, TX 75082
|
Dallas |
Private Practice |
 |
20 |
 |
10 |
|
0 |
Approved |
Approved |
|
PHR 02/03 |
3 |
Garland |
Garland Health Center |
802 Hopkins St, Garland, TX 75040
|
Dallas |
Community Health Center |
 |
2000 |
|
0 |
|
0 |
Approved |
Approved |
|
PHR 02/03 |
3 |
New Braunfels |
Christus Family Medicine North New Braunfels |
2020 Sundance Prkwy, Suite 1a, New Braunfels, TX 78134
|
Dallas |
Private Practice |
 |
10 |
 |
10 |
|
0 |
Pending Signatures |
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
Davita Utsw Oakcliff |
610 Wynnewood Village Shp Ctr, Dallas, TX 75224
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Carrollton |
Carrollton Medical Clinic |
1913 Walnut Plz, Carrollton, TX 75006
|
Dallas |
Private Practice |
 |
50 |
 |
50 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Irving |
E.S.Romanelli,Md |
1141 Kinwest Pkwy Ste 100, Irving, TX 75063
|
Dallas |
Private Practice |
 |
150 |
|
0 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Cedar Hill |
Walmart Pharmacy 3285 |
621 Uptown Blvd, Cedar Hill, TX 75104
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Walmart Pharmacy 3406 |
15220 Montfort Rd, Dallas, TX 75248
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Rowlett |
Texas Health Family Care #866 |
7617 Lakeview Pkwy, Rowlett, TX 75088
|
Dallas |
Private Practice |
|
|
|
0 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Balch Springs |
Walmart Pharmacy 1118 |
12300 Lake June Rd, Balch Springs, TX 75180
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
Md Kids Pediatrics- Saner |
3201 W Saner Ave, Dallas, TX 75233
|
Dallas |
Private Practice |
 |
50 |
 |
50 |
|
0 |
Approved |
Approved |
|
PHR 02/03 |
3 |
Desoto |
Albert Boyd, MD PA |
941 York Dr 200, Desoto, TX 75115
|
Dallas |
Private Practice |
|
|
|
|
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Walgreens Pharmacy 09647 |
5201 Beltine Rd, Dallas, TX 75254
|
Dallas |
Pharmacy |
 |
10,211 |
 |
591 |
|
0 |
Approved |
Approved |
|
PHR 02/03 |
3 |
Garland |
Forest Medical Care |
2046 forest lane 130, Garland, TX 75042
|
Dallas |
Private Practice |
 |
100 |
|
0 |
 |
1000 |
In Progress |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Bluebonnet Hospice of East Texas, Inc |
6400 Maple Ave Ste 850, Dallas, TX 75235
|
Dallas |
Nursing Home/LTC Facility |
|
0 |
|
0 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Texas Tech University Health Sciences Center |
5920 Forest Park Road Suite 500, Dallas, TX 75235
|
Dallas |
College/University |
 |
100 |
|
0 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
KPC Promise Hospital of Dallas |
7955 Harry Hines Blvd, Dallas, TX 75235
|
Dallas |
Hospital |
 |
5 |
|
0 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Parkland Hospital System-Center for Geriatrics |
2231 Butler Street, Dallas, TX 75235
|
Dallas |
Community Health Center |
 |
50 |
 |
50 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Grand Prairie |
Davita |
402 N CARRIER PKWY STE 102, Grand Prairie, TX 75050
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Davita |
13340 PRESTON RD, Dallas, TX 75240
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Cedar Hill |
Davita |
439 E FM 1382, Cedar Hill, TX 75104
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Garland |
Davita |
800 N SHILOH RD, Garland, TX 75042
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Mesquite |
Davita |
2110 N GALLOWAY AVE STE 102, Mesquite, TX 75150
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Davita |
4405 ROSS AVE, Dallas, TX 75204
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Rowlett |
Davita |
7700 LAKEVIEW PKWY STE 100A, Rowlett, TX 75088
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Garland |
Viji Pradeep Koduvath PLLC |
1837 N Garland Ave, Garland, TX 75040
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Davita |
6200 LBJ FREEWAY STE 100, Dallas, TX 75240
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Davita |
6190 LYNDON B JOHNSON FWY STE 701, Dallas, TX 75240
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Garland |
HV CAO MEDICAL CLINIC |
3465 W. Walnut St. Ste 211B 211B, Garland, TX 75042
|
Dallas |
Private Practice |
 |
5 |
|
0 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Ehs, Enterprise Home Health Solutions, LLC |
1420 W MOCKINGBIRD LN Suite 575, Dallas, TX 75247
|
Dallas |
Managed Care/Payor |
 |
100 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Richardson |
US Renal Care Richardson |
3321 East Renner Road 100, Richardson, TX 75082
|
Dallas |
Dialysis Center |
 |
5 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Davita |
8101 BROOKRIVER DR, Dallas, TX 75247
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Dermatology Office |
8222 Douglas Avenue Suite 950, Dallas, TX 75225
|
Dallas |
Private Practice |
 |
3 |
|
2 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Irving |
Landmark Healthcare Inc. |
8200 Tristar Drive 120, Irving, TX 75063
|
Dallas |
Pharmacy |
|
0 |
|
0 |
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Richardson |
Encompass Health Rehabilitation Hospital of Richar |
3351 Waterview Parkway, Richardson, TX 75080
|
Dallas |
Hospital |
 |
50 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Farmers Branch |
Assist Health Group |
2100 Valley View Ln 490, Farmers Branch, TX 75234
|
Dallas |
Managed Care/Payor |
 |
30 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Mesquite |
USRC Liberty Mesquite |
3330 N Galloway Ave 160, Mesquite, TX 75150
|
Dallas |
Dialysis Center |
 |
20 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Best Americare Visiting Doctors, INC |
13601 Preston Rd, Dallas, TX 75240, United States Suite-706W, Dallas, TX 75240
|
Dallas |
Adolescent Only Provider (Private) |
|
|
|
|
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Garland |
SHILOH PHARMACY |
3035 S. SHILOH RD 150, Garland, TX 75041
|
Dallas |
Pharmacy |
 |
10 |
 |
15 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Rowlett |
US Renal Care |
7600 Lakeview Parkway 200, Rowlett, TX 75088
|
Dallas |
Dialysis Center |
 |
20 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Texas Physician Associates PLLC |
9540 Garland Road 381-251, Dallas, TX 75218
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Mesquite |
Ayman Care PLLC |
1324 N Galloway Ave 106, Mesquite, TX 75149
|
Dallas |
Private Practice |
|
0 |
 |
200 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Best Care Hospice LLC |
13140 Coit Rd 405, Dallas, TX 75240
|
Dallas |
Health Plans |
|
0 |
|
|
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Healthy House Call Provider |
9304 Forest Lane S100, Dallas, TX 75243
|
Dallas |
Private Practice |
 |
10 |
 |
10 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Liberty Dialysis East Dallas |
11255 Garland Rd. 1160, Dallas, TX 75218
|
Dallas |
Dialysis Center |
 |
12 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Monarch Pavilion Rehabilitation Suites |
6825 Harry Hines Blvd, Dallas, TX 75235
|
Dallas |
Nursing Home/LTC Facility |
|
0 |
|
0 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Duncanville |
USRC Liberty Duncanville |
1038 US HIghway 67 Duncanville, Duncanville, TX 75137
|
Dallas |
Dialysis Center |
 |
10 |
|
0 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
Moni Dentistry PLLC |
820 N Zang Blvd., Ste 110, Dallas, TX 75208
|
Dallas |
Private Practice |
|
|
|
|
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Pure Dental Oral Surgery, PLLC |
5307 E. Mockingbird Lane 325, Dallas, TX 75206
|
Dallas |
Mobile Clinic |
|
|
|
0 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
Neurology Consultants of Dallas, PA |
8390 Lyndon B Johnson Fwy Suite 1000, Dallas, TX 75243
|
Dallas |
Private Practice |
|
20 |
|
0 |
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
William F. Cox, MD. PA |
8220 Walnut Hill Ln 500, Dallas, TX 75231
|
Dallas |
Private Practice |
|
|
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Tom Thumb Pharmacy 3311 |
2727 Live Oak St, Dallas, TX 75204
|
Dallas |
Pharmacy |
 |
120 |
 |
100 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Park Lane Allergy & Asthma Center |
9101 N. Central Expressway 430, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
50 |
|
0 |
|
0 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Richardson |
Elik Dialysis Home Therapy-Memorial INC 11 |
500 N Coit Road 2085, Richardson, TX 75080
|
Dallas |
Dialysis Center |
 |
40 |
|
0 |
|
0 |
In Progress |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Walmart Pharmacy 3014 |
200 Short St, Dallas, TX 75232
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Garland |
Walmart Pharmacy 3224 |
555 W I 30, Garland, TX 75043
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Mesquite |
Walmart Pharmacy 5824 |
1951 Military Pkwy, Mesquite, TX 75149
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Lancaster |
Walmart Pharmacy 7224 |
350 N Bluegrove Rd, Lancaster, TX 75146
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Desoto |
Walmart Pharmacy 7232 |
108 W Parkerville Rd, Desoto, TX 75115
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Garland |
GARLAND DIALYSIS |
776 E CENTERVILLE RD, Garland, TX 75041
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Sachse |
Walmart Pharmacy 6851 |
6750 Murphy Rd, Sachse, TX 75048
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Irving |
UT SOUTHWESTERN-DALLAS DIALYSIS |
204 E AIRPORT FWY, Irving, TX 75062
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
DALLAS EAST DIALYSIS |
3402 N BUCKNER BLVD STE 308, Dallas, TX 75228
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Mesquite |
PremierCare Medical Clinic |
6500 Northwest Drive Ste 350, Mesquite, TX 75150
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Encompass Health Rehabilitation Hospital of Dallas |
7930 Northaven Road, Dallas, TX 75230
|
Dallas |
Hospital |
 |
300 |
 |
750 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Dr. Gustavo H. Day |
7777 Forest Lane B-416, Dallas, TX 75230
|
Dallas |
Private Practice |
|
100 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Faith Presbyterian Hospice |
12477 Merit Drive, Dallas, TX 75251
|
Dallas |
Other |
 |
20 |
|
0 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Grand Prairie |
Grand Prairie Fire Department |
1525 arkansas ln, 3rd floor, Grand Prairie, TX 75052
|
Dallas |
Fire Department/EMS |
 |
500 |
 |
300 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Preston Road Apothecary |
9301 North Central Expressway 110, Dallas, TX 75231
|
Dallas |
Pharmacy |
 |
500 |
 |
200 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Garland |
Dallas Internal Medicine and Geriatric Specialists |
601 Clara Barton 145, Garland, TX 75042
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Garland |
BMA Of Texas |
530 Clara Barton Blvd 105, Garland, TX 75042
|
Dallas |
Dialysis Center |
 |
20 |
|
0 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Formula Wellness |
4342 Lovers Lane, Dallas, TX 75225
|
Dallas |
Private Practice |
 |
2880 |
 |
1728 |
 |
1728 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Irving |
Irving Coppell Surgical Hospital, LLP |
400 West LBJ Freeway suite 101, Irving, TX 75063
|
Dallas |
Hospital |
 |
50 |
 |
25 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Fresenius Medical Care South Dallas County |
1111 W Ledbetter 800, Dallas, TX 75224
|
Dallas |
Dialysis Center |
 |
10 |
 |
10 |
|
0 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Richardson |
Fresenius Kidney Care Renner Rd. |
3517 Spectrum Blvd, Richardson, TX 75082
|
Dallas |
Dialysis Center |
 |
200 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Paragon Infusion Care |
17111 Preston Rd 160B, Dallas, TX 75248
|
Dallas |
Pharmacy |
 |
100 |
|
0 |
 |
1000 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Trial Clinsultant, LLC |
9 Medical Parkway, 304, Dallas, TX 752347785
|
Dallas |
Private Practice |
 |
100 |
 |
50 |
 |
500 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
TDA Wellness PLLC |
5950 Berkshire Lane #225, Dallas, TX 75225
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Select Specialty Hospital - Dallas, Inc |
3500 Gaston Ave, 4 Jonsson, Dallas, TX 75246
|
Dallas |
Hospital |
 |
50 |
 |
30 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Irving |
North Texas Preferred Health Partners Las Colinas |
440 West I-635 405, Irving, TX 75063
|
Dallas |
Private Practice |
 |
75 |
 |
15 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Irving |
Liberty Dialysis Irving |
1111 W. Airport Fwy 101, Irving, TX 75062
|
Dallas |
Dialysis Center |
|
0 |
|
0 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Irving |
Kelsom Clinic |
1202 W Pioneer Dr Ste 100 100, Irving, TX 75061
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Grand Prairie |
American Renal Associates |
550 south Carrier Parkway 450, Grand Prairie, TX 75051
|
Dallas |
Dialysis Center |
 |
100 |
 |
15 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Los Barrios Unidos Community Clinic - Dallas 1 |
809 Singleton Blvd, Dallas, TX 75212
|
Dallas |
Federally Qualified Health Clinic |
 |
1000 |
 |
300 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Fresenius Swiss Avenue Dialysis Center |
2613 Swiss Avenue, Dallas, TX 75204
|
Dallas |
Dialysis Center |
|
50 |
|
10 |
|
0 |
Pending Signatures |
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
North Texas Family Practice Associates |
12200 Park Central Dr Ste 550, Dallas, TX 75251
|
Dallas |
Private Practice |
 |
10 |
|
0 |
|
0 |
Pending Approval |
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
Medfront Pharmacy |
4041 W. Wheatland Rd STE. 204, Dallas, TX 75237
|
Dallas |
Pharmacy |
 |
3 |
 |
4 |
|
0 |
In Progress |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Medtopia Medical, PLLC |
8230 Walnut Hill Lane Suite 414, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
100 |
|
0 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
MCI Diagnostic Center LLC |
9728 Greenville Avenue, Dallas, TX 75235
|
Dallas |
Other |
 |
1000 |
|
0 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
DR. ANDREW CHUNG |
3600 GASTON AVE 755, Dallas, TX 75246
|
Dallas |
Private Practice |
 |
1000 |
|
0 |
|
0 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Los Barrios Unidos Community Clinic - Dallas 2 |
3111 Sylvan Ave, Dallas, TX 75212
|
Dallas |
Federally Qualified Health Clinic |
 |
600 |
 |
100 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Goldman Sachs Health Center |
2001 Ross Ave STE 2800, Dallas, TX 75201
|
Dallas |
Private Practice |
 |
20 |
 |
15 |
 |
100 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Carrollton |
Springcare |
2840 Keller Springs Rd Ste 601, Carrollton, TX 75006
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Prima Health Clinic |
8345 Walnut Hill Ln 105, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
100 |
 |
20 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Newborn & Pediatrics Health Services Pa |
3450 W Wheatland Rd Professional Bluiding 2 343, Dallas, TX 75237
|
Dallas |
Private Practice |
 |
500 |
 |
50 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Mesquite |
Kids Wellness Center |
3228 Interstate 30 Ste 300, Mesquite, TX 75150
|
Dallas |
Private Practice |
 |
400 |
|
0 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Coppell |
Old Town Family Practice |
413 W Bethel Rd Ste 300 300, Coppell, TX 75019
|
Dallas |
Private Practice |
 |
100 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Paradigm Family Health |
6301 Gaston Ave Ste 445, Dallas, TX 75214
|
Dallas |
Private Practice |
 |
100 |
 |
50 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Coppell |
Coppell Pediatrics Associates |
1705 E Belt Line Rd, Coppell, TX 75019
|
Dallas |
Private Practice |
 |
100 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Texas Cancer Center Dallas |
3555 W Wheatland Rd, Dallas, TX 75237
|
Dallas |
Private Practice |
 |
100 |
 |
50 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Richardson |
Napoleon Lee, M.D. |
2175 Buckingham Rd, Richardson, TX 75081
|
Dallas |
Private Practice |
 |
300 |
 |
250 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Diamond Private Physicians |
8222 Douglas Ave 700, Dallas, TX 75225
|
Dallas |
Private Practice |
 |
10 |
 |
10 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Priority Health Center |
3535 N Buckner Blvd Ste 100, Dallas, TX 75228
|
Dallas |
Private Practice |
 |
3000 |
|
0 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Richardson |
Chuling Jiang, Md |
375 Municipal Dr Ste 244, Richardson, TX 75080
|
Dallas |
Private Practice |
|
|
|
|
|
|
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Forest Clinica Familiar |
9550 Forest Ln 606, Dallas, TX 75243
|
Dallas |
Private Practice |
 |
250 |
 |
100 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Lancaster |
Alpha Medical Center |
2505 W Belt Line Rd, Lancaster, TX 75146
|
Dallas |
Private Practice |
 |
50 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Healthy Txn Ped & Fam Med |
7777 Forest Ln Ste C550, Dallas, TX 75230
|
Dallas |
Private Practice |
 |
30 |
 |
10 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Garland |
Rainbow Pediatrics - Garland |
2231 Peggy Ln Ste A, Garland, TX 75042
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
0 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Irving |
Jacob Pediatrics Pllc |
2308 W Grauwyler Rd, Irving, TX 75061
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
0 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Cash Saver Pharmacy 19 |
2130 E Ledbetter Dr, Dallas, TX 75216
|
Dallas |
Pharmacy |
 |
10 |
 |
10 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Gary Goff Md Pa |
8440 Walnut Hill Ln Ste 200, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
300 |
|
0 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Garland |
Patient Place - Garland 1 |
2636 W Walnut St Ste 100, Garland, TX 75042
|
Dallas |
Private Practice |
 |
50 |
 |
50 |
|
0 |
Approved |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Grace Southern Medical Clinic, Pllc |
6300 Samuell Blvd 120, Dallas, TX 75228
|
Dallas |
Private Practice |
 |
100 |
 |
75 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
TravelMD, PLLC |
4300 North Central Expressway 235, Dallas, TX 75206
|
Dallas |
Private Practice |
 |
40 |
|
0 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Carrollton |
Davita Carrollton Dialysis |
1544 Valwood Pkwy Ste 114, Carrollton, TX 75006
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Seagoville |
Seagoville Medical Clinic |
116 Hall Rd, Seagoville, TX 75159
|
Dallas |
Private Practice |
 |
20 |
 |
10 |
|
0 |
|
Approved |
|
PHR 02/03 |
3 |
Dallas |
Parkland Health And Hospital/Homes |
4811 Harry Hines Blvd. SUPPORT BLDG C, Dallas, TX 75235
|
Dallas |
Federally Qualified Health Clinic |
|
0 |
|
0 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Plaza Apothecary Pllc |
600 N Pearl St. H201, Dallas, TX 75201
|
Dallas |
Pharmacy |
 |
200 |
 |
200 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Fleschler And Phillips Medical Group, Llc |
8230 Walnut Hill Ln Ste 800 2, Dallas, TX 75231
|
Dallas |
Private Practice |
|
0 |
|
0 |
|
0 |
Pending Signatures |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Medical Specialists Associated |
5461 La Sierra Dr, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
500 |
 |
50 |
|
0 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Dallas |
Baylor Scott & White Medprovider - 1000 |
3417 Gaston Ave Ste 1000, Dallas, TX 75246
|
Dallas |
Private Practice |
|
0 |
|
0 |
 |
1000 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Grand Prairie |
E Carlyle Smith Jr Health Center |
801 Conover Dr, Grand Prairie, TX 75051
|
Dallas |
Community Health Center |
 |
100 |
 |
100 |
|
0 |
Pending Approval |
In Progress |
|
PHR 02/03 |
3 |
Carrollton |
Walmart Pharmacy 1216 |
1213 E Trinity Mills Rd, Carrollton, TX 75006
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Pending Approval |
|
PHR 02/03 |
3 |
Irving |
Walmart Pharmacy 880 |
4100 W Airport Fwy, Irving, TX 75062
|
Dallas |
Pharmacy |
|
|
|
0 |
|
0 |
In Progress |
In Progress |
|
PHR 02/03 |
3 |
Lancaster |
Walmart Pharmacy 471 |
150 N Interstate 35 E, Lancaster, TX 75146
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Garland |
Walmart Pharmacy 2975 |
3959 Broadway Blvd, Garland, TX 75043
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Garland |
Sams Club Pharmacy 4783 |
5150 N Garland Ave, Garland, TX 75040
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Sams Club Pharmacy 6372 |
6185 Retail Rd Ste 100, Dallas, TX 75231
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Grand Prairie |
Sams Club Pharmacy 8269 |
2325 W Hwy I 20, Grand Prairie, TX 75052
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Garland |
Walmart Pharmacy 1055 |
5302 N Garland Ave, Garland, TX 75040
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Walmart Pharmacy 2427 |
9301 Forest Ln, Dallas, TX 75243
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Irving |
Walmart Pharmacy 2649 |
1635 Market Pl, Irving, TX 75063
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Walmart Pharmacy 5147 |
1521 N Cockrell Hill Rd, Dallas, TX 75211
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Walmart Pharmacy 5810 |
7075 W Wheatland Rd, Dallas, TX 75249
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Irving |
Sams Club Pharmacy 6265 |
1213 Market Pl, Irving, TX 75063
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Sams Club Pharmacy 6482 |
5555 S Buckner Blvd, Dallas, TX 75228
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Sams Club Pharmacy 8242 |
12000 Mccree Rd, Dallas, TX 75238
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Sams Club Pharmacy 8248 |
9461 Webb Chapel Rd, Dallas, TX 75220
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Sams Club Pharmacy 8282 |
2900 W Wheatland Rd, Dallas, TX 75237
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Davita Dallas North Dialysis |
11886 Greenville Ave # 100b STE 100B, Dallas, TX 75243
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Davita Central Dallas Dialysis |
9500 N Central Expwy, Dallas, TX 75231
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Davita Downtown Dallas Dialysis |
3515 Swiss Ave, Dallas, TX 75204
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Lancaster |
Davita Lancaster Dialysis |
2424 W Pleasant Run Rd, Lancaster, TX 75146
|
Dallas |
Dialysis Center |
 |
250 |
|
0 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Walmart Pharmacy 2105 |
4122 LBJ Frwy, Dallas, TX 75244
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Richardson |
Walmart Pharmacy 2974 |
1501 Buckingham Rd, Richardson, TX 75081
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Parkland Family Medicine Clinic. |
5920 Forest Park Rd Ste 601, Dallas, TX 75235
|
Dallas |
Community Health Center |
 |
40 |
 |
40 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Dallas |
Sams Club Pharmacy 6376 |
4062 LBJ Frwy, Dallas, TX 75224
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Signatures |
Approved |
|
PHR 02/03 |
3 |
Grand Prairie |
Medicure Family Clinic/ Joavia Health Pllc |
1038 N Carrier Pkwy, Grand Prairie, TX 75050
|
Dallas |
Private Practice |
|
|
 |
30 |
|
0 |
|
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Aldrich Medical Associates |
8335 Walnut Hill Ln 100, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
3 |
|
0 |
|
0 |
|
In Progress |
|
PHR 02/03 |
3 |
Irving |
Vpa Of Texas Pllc - Dallas |
4545 Fuller Dr Ste 325, Irving, TX 75038
|
Dallas |
Mobile Clinic |
|
|
|
0 |
|
0 |
|
Pending Signatures |
|
PHR 02/03 |
3 |
Dallas |
North Texas Allergy And Asthma Associates |
8220 Walnut Hill Lane 114, Dallas, TX 75231
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Richardson |
LAWRIE FRIEDMAN MD |
670 N Coit Rd Ste 2355, Richardson, TX 75080
|
Dallas |
Private Practice |
 |
100 |
 |
75 |
|
0 |
Pending Approval |
Approved |
|
PHR 02/03 |
3 |
Richardson |
Allison H Henderson Md Pa |
1112 N Floyd Rd Ste 8 8, Richardson, TX 75080
|
Dallas |
Private Practice |
 |
5 |
 |
5 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Coppell |
Coppell Associates In Family Medicine, Pa |
848 S Denton Tap Rd Ste 100, Coppell, TX 75019
|
Dallas |
Private Practice |
 |
100 |
 |
100 |
|
0 |
In Progress |
Pending Approval |
|
PHR 02/03 |
3 |
Rowlett |
Walmart Pharmacy 3225 |
2501 Lakeview Pkwy, Rowlett, TX 75088
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Signatures |
Pending Approval |
|
PHR 02/03 |
3 |
Dallas |
Walmart Pharmacy 5889 |
9410 Webb Chapel Rd, Dallas, TX 75220
|
Dallas |
Pharmacy |
 |
150 |
 |
30 |
|
0 |
Pending Approval |
Approved |