Dental Exhibits.Xlsx
Total Page:16
File Type:pdf, Size:1020Kb
EXHIBIT 5A CITY OF HOUSTON DHMO PROVIDER DISRUPTION Vendor Name Contact Name Contact Number If the dental provider is included in your network, indicate Yes in column J and also indicate if the provider is accepting new patients in co Tax ID Practitioner Name Address 1 Address 2 City State Zip Code 010714832 TRAN, KHANH Q. 18425 CHAMPION FOREST DR STE 220 Spring TX 77379 020469527 SHIRAZI, SHEHNAZ 5630 N ELDRIDGE PKWY STE 900 Houston TX 77041 030576518 LONGORIA, JOSEPH 2136 YALE ST STE E Houston TX 77008 061673970 JAMEA, SHAHRZAD 13420 TOMBALL PKWY STE B Houston TX 77086 161623073 FARAH, ZAINA 11550 LOUETTA RD STE 400 Houston TX 77070 161711509 SAEEDI, BEHNAZ 102 W EL DORADO BLVD STE C1 Friendswood TX 77546 161711509 BAHAR, GITI O. 102 W EL DORADO BLVD STE C1 Friendswood TX 77546 161754532 SIMPSON, FELICIA M. 14315 CYPRESS ROSEHILL STE 150 Cypress TX 77429 200083254 GHATTAS, NAGY 1147 CLEAR LAKE CITY BLVD Houston TX 77062 200870574 WALLIS, JAMES D. 8455 FANNIN ST Houston TX 77054 200870574 PHAM, PHUONG M. 12341 S MAIN ST Houston TX 77035 200870574 JACKSON, TRACIE 5106 FAIRMONT PKWY Pasadena TX 77505 200870574 MEHDIZADEH, PEDRAM 2321 BAY AREA BLVD Houston TX 77058 200870574 SMITH, ROY D. 6510 CYPRESS CREEK PKWY Houston TX 77069 200870574 CHAHAL, PRABHJOT 202 FM 1960 E BYP RD STE F Humble TX 77338 200870574 URBINA, THERESE M. 7906 GULF FWY Houston TX 77017 200870574 CHILDERS, BLAKE 1410 N LOOP 336 W STE A Conroe TX 77304 200870574 KNOX, ANITA M. 10645 BROADWAY ST STE 102 Pearland TX 77584 200870574 SHEPARD, KIESHA N. 8501 S SAM HOUSTON PKWY E STESTE D110 Houston TX 77075 200870574 SMITH, ROY D. 13247 E FWY Houston TX 77015 200870574 SMITH, DARRELL L. 1410 N LOOP 336 W STE A Conroe TX 77304 200870574 EAKIN, JEFFREY L. 3570 SPENCER HWY Pasadena TX 77504 200870574 PATTERSON, WESEN A. 25823 HWY 290 STE E Cypress TX 77429 200870574 AMERI, MASH 9809 FM1960 W BYPASS RD Humble TX 77338 200870574 KING, KIMBERLY A. 8501 S SAM HOUSTON E PKWY STE D110 Houston TX 77075 200870574 ETESSAMI, KATAYOUN 6831 HWY 6 N Houston TX 77084 200870574 MOHR, CELESTE A. 6510 CYPRESS CREEK PKWY Houston TX 77069 200870574 CUTROPIA, CRAIG J. 2925 GULF FWY S STE D League City TX 77573 200870574 RAPOLU, KAVITHA 462 S MASON RD STE 200 Katy TX 77450 200870574 EAKIN, JEFFREY L. 7906 GULF FWY Houston TX 77017 200870574 GRIFFIN, BRAD W. 5020 CYPRESS CREEK PKWY STE B1 Houston TX 77069 200870574 MCALLISTER, MICHAEL S. 1020 W NASA RD 1 STE 250 Webster TX 77598 200870574 ARMSTRONG, SOPHIA L. 2925 GULF FWY S STE D League City TX 77573 200870574 AUSTRIA, MARY HELAINNE H. 13247 E FWY Houston TX 77015 200870574 HIEMSTRA, AUDRA L. 25823 HWY 290 Cypress TX 77429 200870574 BAIRI, ARCHANA 202 FM 1960 E BYP RD STE F Humble TX 77338 200870574 PATTON, ASHLEY N. 2925 GULF FWY S STE D League City TX 77573 200870574 EAKIN, JEFFREY L. 2129 FM 2920 RD STE 240 Ste 240 Spring TX 77388 200870574 CAO, ANDY T. 8455 FANNIN ST Houston TX 77054 200870574 SMITH, ROY D. 2321 BAY AREA BLVD Houston TX 77058 200870574 NINO, CHRISTIAN L. 5614 W GRAND PKWY S STE 120 Richmond TX 77406 200870574 THOMPSON, AJA 10645 BROADWAY ST STE 102 Pearland TX 77584 200870574 PHAM, AN 2129 FM 2920 RD STE 240 Ste 240 Spring TX 77388 200870574 TRAHAN, STEPHEN G. 7906 GULF FWY Houston TX 77017 200870574 WALLIS, JAMES D. 12341 S MAIN ST Houston TX 77035 200870574 MAMMEN, ELSA 7906 GULF FWY Houston TX 77017 200870574 ARMSTRONG, SOPHIA L. 10645 BROADWAY ST STE 102 Pearland TX 77584 200870574 BAIRI, ARCHANA 9809 FM1960 W BYPASS RD Humble TX 77338 200870574 SMITH, ROY D. 5106 FAIRMONT PKWY Pasadena TX 77505 200870574 HWANG, MYOUNG 12341 S MAIN ST Houston TX 77035 200870574 ABDULLA, YARA 5106 FAIRMONT PKWY Pasadena TX 77505 200870574 KIM, PETER S. 961 N SHEPHERD DR Houston TX 77008 200870574 SMITH, ROY D. 5614 W GRAND PKWY S STE 120 Richmond TX 77406 200870574 CAIN, JULIEN R. 6261 HWY 6 STE 400 Missouri City TX 77459 200870574 BOYD, SUSAN L. 6510 CYPRESS CREEK PKWY Houston TX 77069 200870574 MALIK, NAVID N. 9809 FM 1960 BYPASS RD W Humble TX 77338 200870574 PATE JR, MELVIN J. 21519 TOMBALL PKWY STE H Houston TX 77070 200870574 DO, THU S. 5712 KIRBY DR Houston TX 77005 200870574 MATSON, BRUCE A. 10645 BROADWAY ST STE 102 Pearland TX 77584 200870574 PEREZ CAMPOS, JORGE L. 961 N SHEPHERD DR Houston TX 77008 200870574 SIMPSON, OLIVER B. 21519 STATE HIGHWAY 249 STE H Houston TX 77070 200870574 SHEPARD, KIESHA N. 2321 BAY AREA BLVD Houston TX 77058 200870574 SMITH, ROY D. 8455 FANNIN ST Houston TX 77054 200870574 SMITH, ROY D. 202 FM 1960 E BYP RD STE F Humble TX 77338 200870574 BOYD, SUSAN L. 21519 TOMBALL PKWY STE H Houston TX 77070 200870574 POPATIA, SHAHEEN S. 6261 HWY 6 STE 400 Missouri City TX 77459 200870574 WILLIE II, JOSEPH R. 8455 FANNIN ST Houston TX 77054 200870574 DUVALL, KENNETH D. 24601 SW FWY STE 200 Rosenberg TX 77471 200870574 CRADOC III, WILLIE 2565 TOWN CENTER BLVD N Sugar Land TX 77479 200870574 PATTON, ASHLEY N. 2321 BAY AREA BLVD Houston TX 77058 200870574 CHOI, JIEUN 12246 FM 1960 W Houston TX 77065 200870574 HATCHER, MADEIRA M. 13247 E FWY Houston TX 77015 200870574 DOBMEIER, BRANDON J. 25114 GROGANS MILL RD STE D Spring TX 77380 200870574 KULKARNI, PRIYANKA M. 12246 FM 1960 RD W Houston TX 77065 200870574 EDMONDSON, JAMES A. 961 N SHEPHERD DR Houston TX 77008 200870574 SHARP, MARC C. 13486 NW FWY Houston TX 77040 200870574 SIMPSON, OLIVER B. 5614 W GRAND PKWY S STE 120 Richmond TX 77406 200870574 MCCONICO, BEVERLY A J. 8455 FANNIN ST Houston TX 77054 200870574 GRANILLO, MAYRA K. 6510 CYPRESS CREEK PKWY Houston TX 77069 200870574 ABDULLA, YARA 961 N SHEPHERD DR Houston TX 77008 200870574 TAWDE, SHWETA A. 5614 W GRAND PKWY S STE 120 Richmond TX 77406 200870574 POWELL, MARTY M. 24601 SOUTHWEST FWY STE 200 Rosenberg TX 77471 200870574 GHAI, SUNAINA 2129 FM 2920 RD STE 240 Spring TX 77388 200870574 CRADOC III, WILLIE 5614 W GRAND PKWY S STE 120 Richmond TX 77406 200870574 CUMBERBATCH, FAY B. 13247 E FWY Houston TX 77015 200870574 DIVINCENZO, ADAM J. 25114 GROGANS MILL RD STE D Spring TX 77380 200870574 JEFFERSON, JOAN E. 24601 SW FWY STE 200 Rosenberg TX 77471 200870574 ATTAR-OLYAEE, HADY 8455 FANNIN ST Houston TX 77054 200870574 SMITH, ROY D. 6500 N FWY STE 124 Houston TX 77076 200870574 GOODSON, CATHARINE C. 10645 BROADWAY ST STE 102 Pearland TX 77584 200870574 FULFORD, REGINALD L. 7906 GULF FWY Houston TX 77017 200870574 EAKIN, JEFFREY L. 10645 BROADWAY ST STE 102 Pearland TX 77584 200870574 DOBMEIER, BRANDON J. 21519 STATE HWY 249 STE H Houston TX 77070 200870574 THOMPSON, AJA 2565 TOWN CENTER BLVD N Sugar Land TX 77479 200870574 NUCCHE PRADHAN, MANILA N. 6510 FM 1960 RD W Houston TX 77069 200870574 GUTIERREZ- QUEVEDO, MARIA J12520 WESTHEIMER RD Houston TX 77077 200870574 SMITH, ROY D. 2565 TOWN CENTER BLVD N Sugar Land TX 77479 200870574 TRAN, SHAWN Q. 8501 S SAM HOUSTON PKWY E STESTE D110 Houston TX 77075 200870574 RIVERA-GAUTIER, JOSE A. 8571 WESTHEIMER RD STE C Houston TX 77063 200870574 PATTON, ASHLEY N. 1020 W NASA RD 1 STE 250 Webster TX 77598 200870574 NEDEA, ALINA F. 21519 TOMBALL PKWY STE H Houston TX 77070 200870574 KING, KIMBERLY A. 9778 KATY FWY STE 450 Houston TX 77055 200870574 AVINA, ANASTASIA 9809 FM1960 W BYPASS RD Humble TX 77338 200870574 HATCHER, MADEIRA M. 12520 WESTHEIMER RD Houston TX 77077 200870574 DOBMEIER, BRANDON J. 2129 FM 2920 RD STE 240 Ste 240 Spring TX 77388 200870574 UPRIGHT, DIANA J. 2565 TOWN CENTER BLVD N Sugar Land TX 77479 200870574 DUVALL, KENNETH D. 6261 HWY 6 STE 400 Missouri City TX 77459 200870574 ARMSTRONG, SOPHIA L. 9533 SW FWY Houston TX 77074 200870574 NEDEA, ALINA F. 25823 HWY 290 Cypress TX 77429 200870574 RASTEGARI, ALIEH H. 19961 KATY FRWY Houston TX 77094 200870574 CHOI, JIEUN 25823 HWY 290 Cypress TX 77429 200870574 EAKIN, JEFFREY L. 6209 FM 1488 RD STE A Magnolia TX 77354 200870574 FIFFE, ELISEO 6209 FM 1488 RD STE A Magnolia TX 77354 200870574 AVINA, ANASTASIA 13486 NORTHWEST FWY Houston TX 77040 200870574 MARSHALL, JESSICA M. 24601 SW FWY STE 200 Rosenberg TX 77471 200870574 MATSON, BRUCE A. 1020 W NASA RD 1 STE 250 Webster TX 77598 200870574 ATTAR-OLYAEE, HADY 5020 CYPRESS CREEK PKWY STE B1 Houston TX 77058 200870574 NINO, CHRISTIAN L. 24601 SW FWY STE 200 Rosenberg TX 77471 200870574 ARMSTRONG, SOPHIA L. 462 S MASON RD STE 200 Katy TX 77450 200870574 OKOGBO, IRABOR 5020 CYPRESS CREEK PKWY STE B1 Houston TX 77069 200870574 HUANG, DAVID 9533 SW FWY Houston TX 77074 200870574 NUCCHE PRADHAN, MANILA N. 25823 HWY 290 Cypress TX 77429 200870574 NUCCHE PRADHAN, MANILA N. 6831 HWY 6 N Houston TX 77084 200870574 POPATIA, SHAHEEN S. 3570 SPENCER HWY Pasadena TX 77503 200870574 CAO, ANDY T. 13486 NORTHWEST FWY Houston TX 77040 200870574 WU, TINA 12341 S MAIN ST Houston TX 77035 200870574 HATCHER, MADEIRA M. 3570 SPENCER HWY Pasadena TX 77504 200870574 ELSAKR, AMIR 8501 S SAM HOUSTON E PKWY STE D110 Houston TX 77075 200870574 AVINA, ANASTASIA 202 FM 1960 E BYP RD STE F Humble TX 77338 200870574 ATTAR-OLYAEE, HADY 2565 TOWN CENTER BLVD N Sugar Land TX 77479 200870574 KNOX, ANITA M. 12341 S MAIN ST Houston TX 77035 200870574 KULKARNI, PRIYANKA M.