2020 Provider Directory

North Texas Directorio de Proveedores

No referrals required. No se requieren referencias.

Y0058_20NTXPDRDIR_C SeniorCare Advantage PPO Plan North Texas Provider Directory

This directory is current as of December 1, 2020.

This directory provides a list of SeniorCare Advantage PPO network providers in North Texas.

This directory is for Collin, Dallas, Denton, Ellis, Rockwall, and Tarrant counties in Texas.

This directory includes providers in the North Texas area only. Additional providers in the Central Texas area participate in this network, but are not listed in this directory. To get the most up-to-date information about SeniorCare Advantage PPO providers including providers not listed in this directory, please visit advantage.swhp.org to view the online provider directory or call our Customer Service number at 1-866- 334-3141, Monday–Sunday, 7 a.m. – 8 p.m. (TTY: 711).

Some network providers may have been added or removed from our network after this directory was printed. We do not guarantee that each provider is still accepting new members. The provider network may change at any time. You will receive notification when necessary. To get the most up-to-date information about SeniorCare Advantage PPO network providers in your area, you can visit advantage.swhp.org to view the online provider directory or call our Customer Service Department at 1-866-334-3141, Monday – Sunday, 7 a.m. – 8 p.m. (TTY: 711).

SeniorCare Advantage PPO is offered by Scott and White Health Plan through its subsidiary Insurance Company of Scott and White, a Medicare Advantage organization with a Medicare contract. Enrollment in SeniorCare Advantage depends on contract renewal.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-334-3141 (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-334-3141 (TTY: 711). CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi só 1-866-334-3141 (TTY: 711).

Scott and White Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Scott and White Health Plan cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Scott and White Health Plan tuân thủ luật dân quyền hiện hành của Liên bang và không phân bi ệt đói xử dựa trên chủng tộc, màu da, nguồn góc quóc gia, độ tuổi, khuyết tật, hoặc giới tính.

This document may be available in other formats such as large print or other alternate formats.

H2032_SCAPPON_PD_2020_C Section 1 – Introduction This directory provides a list of SeniorCare Advantage PPO network providers. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).

The term “PCP” (Primary Care Provider) will be used throughout this directory. Generally, you should get your health care services from your PCP. A PCP is a physician that may be selected by you to coordinate your healthcare.

The SeniorCare Advantage PPO “network providers” have agreed to provide you with your health care coverage. You may go to any of our SeniorCare Advantage PPO network providers. If you have been going to one network provider, you are not required to continue going to that same provider.

With the SeniorCare Advantage PPO Plan, while we encourage the use of in-network providers, you have the choice to use doctors, hospitals, and other providers that are not contracted with us. With the exception of emergency or urgent care, you will have to pay more for using non-network providers. Non-network providers are under no obligation to treat SeniorCare Advantage PPO enrollees, except in emergencies. For a decision about whether we will cover a non-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our Customer Service Department at 1-866-334-3141, Monday – Sunday, 7 a.m. – 8 p.m. (TTY: 711). You may also refer to your EOC for more information, including the cost sharing that applies to non-network services.

Deductibles and higher coinsurance rates will apply to non-network services. In addition, you may be billed for charges that exceed the Plan’s contracted rate for a service when provided by a non-network provider.

A non-network provider may submit a bill directly to you. If this happens, you should submit the bill to us for processing and determination of your liability, if any. After we have processed the bill, you will be notified of your financial responsibility. You may be responsible for any balances billed to you by the non-network provider.

You may obtain emergency services from the closest available provider, and you may obtain urgently needed services from any qualified provider when out of the SeniorCare Advantage PPO service area or when network providers are unavailable. What is the service area for North Texas SeniorCare Advantage PPO?

Denton Collin

Rockwall

Tarrant Dallas

Ellis

The counties in the service area are listed below:

Collin, Dallas, Denton, Ellis, Rockwall, Tarrant

Cameron How do you find SeniorCare Advantage PPO providers in your area? This Provider Directory is listed by the category of provider (PCPs, Specialists, Hospitals, Skilled Nursing Facilities (SNF) and Outpatient Mental Health Providers). Each provider section is then listed alphabetically by type of provider (e.g., Family Medicine in the PCP section, Cardiologist in the Specialist section, etc.) then by county and city. The name of the provider, facility, address and phone number are listed to help you locate a provider nearest to your home.

If you have questions about SeniorCare Advantage PPO or require assistance in selecting a PCP or other provider, please call our Customer Service Department at 1-866-334-3141, Monday – Sunday, 7 a.m. – 8 p.m. (TTY: 711). You may also visit our website at advantage.swhp.org to view the online provider directory. Directorio de proveedores del Plan SeniorCare Advantage PPO para el norte de Texas

Este directorio estará vigente a partir del 1 de diciembre de 2020.

Este directorio ofrece una lista de los proveedores de la red de SeniorCare Advantage PPO en el norte de Texas.

Este directorio se aplica a los condados de Collin, Dallas, Denton, Ellis, Rockwall y Tarrant en Texas.

Este directorio incluye únicamente a los proveedores en el área del norte de Texas. Proveedores adicionales en el área central de Texas participan en esta red pero no están incluidos en este directorio. Para obtener la información más actualizada sobre la red de proveedores de SeniorCare Advantage PPO incluidos los proveedores que no aparecen en este directorio, visite advantage.swhp.org para ver el directorio de proveedores en línea o llame a nuestro Departamento de Servicio al cliente al 1-866-334-3141, de lunes a domingos, de 7:00 a.m. a 8:00 p.m. (TTY: 711).

Algunos proveedores de la red pueden haberse incluido o retirado de nuestra red después de que este directorio fue impreso. No garantizamos que todos los proveedores acepten miembros nuevos. La red de proveedores puede cambiar en cualquier momento. Usted recibirá un aviso cuando sea necesario. Para obtener la información más actualizada sobre la red de proveedores de SeniorCare Advantage PPO en su área, puede visitar advantage.swhp.org para ver el directorio de proveedores en línea o puede llamar a nuestro Departamento de Servicio al cliente al 1-866-334-3141, de lunes a domingos, de 7:00 a.m. a 8:00 p.m. (TTY: 711).

SeniorCare Advantage PPO se ofrece a través de Scott and White Health Plan mediante su subsidiaria Insurance Company of Scott and White, una organización de Medicare Advantage que tiene un contrato con Medicare. La inscripción en SeniorCare Advantage depende de la renovación del contrato.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-334-3141 (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-334-3141 (TTY: 711). CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-866-334-3141 (TTY: 711).

Scott and White Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Scott and White Health Plan cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Scott and White Health Plan tuân thủ luật dân quyền hiện hành của Liên bang và không phân bi ệt đối xử dựa trên chủng tộc, màu da, nguồn gốc quốc gia, độ tuổi, khuyết tật, hoặc giới tính.

Este documento puede estar disponible en otros formatos, como letras grandes u otros formatos alternativos.

H2032_SCAPPON_PD_2020_C Sección 1: Introducción

Este directorio ofrece una lista de los proveedores de la red de SeniorCare Advantage PPO. Para obtener información detallada sobre su cobertura de atención médica, consulte su Evidencia de cobertura (EOC).

En todo este directorio, se empleará el término “PCP” (Proveedor de atención primaria). Por lo general, debe obtener los servicios de atención médica de su PCP. Un PCP es un médico que usted puede seleccionar usted para coordinar su atención médica.

La “red de proveedores” de SeniorCare Advantage PPO ha acordado proveerle a usted cobertura de atención médica. Puede consultar a cualquiera de los proveedores de la red de SeniorCare Advantage PPO. Si ha estado consultando a un proveedor de la red, no es obligatorio que continúe acudiendo al mismo proveedor.

Si bien alentamos el uso de los proveedores de la red, con el plan SeniorCare Advantage PPO usted tiene la opción de usar médicos, hospitales y otros proveedores que no tengan un contrato con nosotros. A excepción de la atención de emergencia o urgencia, usted tendrá que pagar más por usar proveedores fuera de la red.

Los proveedores fuera de la red no tienen obligación de tratar a los miembros de SeniorCare Advantage PPO, excepto en una emergencia. Para averiguar si cubriremos un servicio fuera de la red, recomendamos que usted o su proveedor nos soliciten una determinación de la organización anterior al servicio antes de que reciba el servicio. Llame a nuestro Departamento de Servicio al cliente al 1-866-334-3141, de lunes a domingos, de 7:00 a.m. a 8:00 p.m. (TTY: 711). También puede consultar su EOC para obtener más información, incluido el costo compartido que se aplica a servicios fuera de la red.

Se aplicarán deducibles y coseguros más altos a los servicios fuera de la red. Además, se le puede cobrar por gastos que excedan la tarifa contratada del plan por un servicio cuando sea provisto por un proveedor fuera de la red.

Un proveedor fuera de la red podrá enviarle una factura directamente a usted. Si esto sucede, usted debe presentarnos la factura para procesarla y determinar su responsabilidad, si la hubiere. Luego de que hayamos procesado la factura, usted será informado sobre de su responsabilidad financiera. Usted será responsable por cualquier saldo que el proveedor fuera de la red le facture.

Puede obtener servicios de emergencia del proveedor disponible más cercano al lugar donde usted esté y puede obtener servicios de urgencia de cualquier proveedor calificado cuando usted se encuentre fuera del área de servicio de SeniorCare Advantage PPO o cuando los proveedores de la red no estén disponibles. ¿Cuál es el área de servicio de North Texas SeniorCare Advantage PPO?

Denton Collin

Rockwall

Tarrant Dallas

Ellis

Los condados dentro de nuestra área de servicio:

Collin, Dallas, Denton, Ellis, Rockwall, Tarrant

Cameron ¿Cómo encontrar a los proveedores de servicios de SeniorCare Advantage PPO en su área?

Este directorio de proveedores se divide por tipo de proveedores (PCP, especialistas, hospitales, centros de enfermería especializada (SNF) y proveedores de atención mental ambulatoria). Cada sección de proveedores está ordenada alfabéticamente por tipo de proveedor (p. ej., “Medicina familiar” en la sección de PCP, “Cardiólogo” en la sección “Especialista”, etc.) y, luego, por condado y ciudad. El nombre del proveedor, el centro, la dirección y el número de teléfono aparecen en la lista para ayudarlo a localizar el proveedor más cercano a su hogar.

Si tiene preguntas sobre SeniorCare Advantage PPO o necesita ayuda para seleccionar un PCP u otro proveedor, comuníquese con nuestro Departamento de Servicio al cliente al 1-866-334-3141, de lunes a domingos, de 7:00 a.m. a 8:00 p.m. (TTY: 711). También puede visitar nuestro sitio web en advantage.swhp.org para ver el directorio de proveedores en línea. Language Assistance/ Asistencia de idiomas

English: ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-334-3141 (TTY: 711). Spanish: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-334-3141 (TTY: 711). Vietnamese: CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-866-334-3141 (TTY: 711). Chinese: 注意：如果 使用繁體中文，可以免費獲得語言援助服務。請致電 1-866-334-3141 (TTY：711)。 Korean: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-866-334-3141 (TTY: 711) 번으 로 전화해 주십시오. Arabic: ھﺎﺗﻒ اﻟﺼﻢ واﻟﺒﻜﻢ: 711 .ﻣﻠﺤﻮظﺔ: إذا ﻛﻨﺖ ﺗﺘﺤﺪث اذﻛﺮ اﻟﻠﻐﺔ، ﻓﺈن ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ ﺗﺘﻮاﻓﺮ ﻟﻚ ﺑﺎﻟﻤﺠﺎن. اﺗﺼﻞ ﺑﺮﻗﻢ 1-3141-334-866 (رﻗﻢ Urdu: ﮐﺮﯾﮟ .(TTY: 711) 3141-334-866-1 ﺧﺒﺮدار: اﮔﺮ آپ اردو ﺑﻮﻟﺘﮯ ﮨﯿﮟ، ﺗﻮ آپ ﮐﻮ زﺑﺎن ﮐﯽ ﻣﺪد ﮐﯽ ﺧﺪﻣﺎت ﻣﻔﺖ ﻣﯿﮟ دﺳﺘﯿﺎب ﮨﯿﮟ ۔ ﮐﺎل Tagalog: PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-866-334-3141 (TTY: 711). French: ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-866-334-3141 (ATS : 711). Hindi: ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-866-334-3141 (TTY: 711) पर कॉल करें। Persian: ﻓراھم ﻣﯽ ﺑﺎﺷد. ﺑﺎ (TTY: 711) 3141-334-866-1 ﺗﻣﺎس ﺑﮕﯾرﯾد. ﺗوﺟﮫ: اﮔر ﺑﮫ زﺑﺎن ﻓﺎرﺳﯽ ﮔﻔﺗﮕو ﻣﯽ ﮐﻧﯾد، ﺗﺳﮭﯾﻼت زﺑﺎﻧﯽ ﺑﺻورت راﯾﮕﺎن ﺑرای ﺷﻣﺎ German: Y0058_LanguageAssistance_06/2018_C ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-866-334-3141 (TTY: 711). Gujarati: સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-866-334-3141 (TTY: 711). Russian: ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-866-334-3141 (телетайп: 711). Japanese: 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。1-866-334-3141 (TTY:711）まで、お電話にて ご連絡ください。 Laotian: ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-866-334-3141 (TTY: 711).

Y0058_LanguageAssistance_06/2018_C Nondiscrimination Notice

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-866-334-3141 (TTY: 711).

Scott and White Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Scott and White Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Scott and White Health Plan:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as: - Written information in other formats (large print and accessible electronic formats)

• Provides free language services to people whose primary language is not English, such as: - Qualified interpreters - Information written in other languages If you need these services, contact the Scott and White Health Plan (SWHP) Compliance Officer at 1-214-820-8888 or send an email to [email protected] If you believe that Scott and White Health Plan has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

SWHP Compliance Officer 1206 West Campus Drive, Suite 151 Temple, Texas 76502

Compliance HelpLine; 1-888-484-6977 or https://app.mycompliancereport.com/report.aspx?cid=swhp You can file a grievance in person or by mail, online, or email. If you need help filing a grievance, the SWHP Compliance Officer is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:

U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 1-800-537-7697 (TDD)

Complaint forms are available at https://www.hhs.gov/civil-rights/filing-a-complaint/index.html.

Y0058_Nondiscrimination_Notice_01/2019_C Aviso de No Discriminación

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-334-3141 (TTY: 711). Scott and White Health Plan cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Scott and White Health Plan no excluye a las personas ni las trata de forma diferente debido a su origen étnico, color, nacionalidad, edad, discapacidad o sexo. Scott and White Health Plan: • Proporciona asistencia y servicios gratuitos a las personas con discapacidades para que se comuniquen de manera eficaz con nosotros, como los siguientes: ‒ Información escrita en otros formatos (letra grande y formatos electrónicos accesibles) • Proporciona servicios lingüísticos gratuitos a personas cuya lengua materna no es el inglés, como los siguientes: ‒ Intérpretes capacitados ‒ Información escrita en otros idiomas Si necesita estos servicios, comuníquese con el Oficial de Cumplimiento de Scott and White Health Plan al 1-214-820-8888 o envíe un correo electrónico a [email protected] Si cree que Scott and White Health Plan no ha brindado estos servicios o ha sido discriminado de otra manera por motivos de raza, color, nacionalidad, edad, discapacidad o sexo, puede presentar una queja formal con: Scott and White Health Plan, Compliance Officer 1206 West Campus Drive, Suite 151 Temple, Texas 76502 Línea de ayuda de cumplimiento; 1-888-484-6977 o https://app.mycompliancereport.com/report.aspx?cid=swhp Puede presentar una queja en persona o por correo, en línea o por correo electrónico. Si necesita ayuda para presentar un reclamo, el Oficial de Cumplimiento está disponible para ayudarlo. También puede presentar un reclamo de derechos civiles ante la Office for Civil Rights (Oficina de Derechos Civiles) del Department of Health and Human Services (Departamento de Salud y Servicios Humanos) de EE. UU. de manera electrónica a través de Office for Civil Rights Complaint Portal, disponible en https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, o bien, por correo postal a la siguiente dirección o por teléfono a los números que figuran a continuación: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 1-800-537-7697 (TDD) Puede obtener los formularios de reclamo en el sitio web https://www.hhs.gov/civil-rights/filing-a-complaint/index.html.

Y0058_Nondiscrimination_Notice_01/2019_SP_C Table of Contents / Tabla de contenidos

Primary Care Physicians / Médicos de cabecera

0Community Health Center/FQHC/ Centro de salud comunitaria/FQHC 15

0Family Medicine/ Medicina familiar 15

0Geriatric Medicine/ Medicina geriátrica 50

0Infectious Disease/ Enfermedades infecciosas 51

0Internal Medicine/ Medicina interna 51

0Nurse Practitioner/ Nurse Practitioner 71

0Obstetrics/Gynecology (OB/GYN)/ Obstetricia y ginecología (Ob/Gyn, sigla en inglés) 71

0Pediatrics/ Pediatría 71

0Rural Health Clinic/ Clínica de salud rural 76 Specialty Care Physicians & Other Providers/ Médicos de cuidado especializado y otros proveedores

1Advanced Heart Failure & Transplant Cardiology/ Advanced Heart Failure & Transplant Cardiology 77

1Allergy & Immunology/ Alergia e Inmunología 77

1Anatomic Pathology & Clinical/ Patología anatómica y clínica 83

1Audiology/ Audiología 83

1Bariatric Surgery/ Cirugía bariátrica 86

1Cardiac Electrophysiology/ Electrofisiología cardiaca 86

1Cardiology - Interventional/ Cardiología – Intervencionista 106

1Cardiology/ Cardiología 90

1Cardiothorasic Surgery/ Cirugía cardiotorácica 113

1Chiropractor/ Quiropráctico 113

1Clinical Cardiac Electrophys/ Clinical Cardiac Electrophys 121

1Colon & Rectal Surgery/ Cirugía de colon y recto 121

1Critical Care Medicine/ Medicina de atención crítica 125

1Dermatology - MOHS/ Dermatología - MOHS 143

1Dermatology/ Dermatología 127

1Dermatopathology/ Dermatopathology 144

1Diagnostic Radiology/ Radiodiagnóstico 144

1Dietitian/ Dietista 144

1Endocrinology/ Endocrinología, diabetes y metabolismo 149

1Family Medicine/ Medicina familiar 153

1Gastroenterology/ Gastroenterología 158

1Geriatric Medicine/ Medicina geriátrica 177

1Gynecologic Oncology/ Oncología ginecológica 178

1Gynecology (GYN Only)/ Ginecología (sólo) 179

1Hearing Aids/ audífonos 180

1Hematology & Oncology/ Hematología y Oncología 187

1Hematology/ Hematología 182

1Hepatology/ hepatología 188

1Hospice and Palliative Medicine/ Hospicio y medicina paliativa 189

1Infectious Disease/ Enfermedades infecciosas 190

1Internal Medicine/ Medicina interna 196

1Maternal and Fetal Medicine/ Medicina materno-fetal 202

1Mental Health Counselor (LPC, LCDC, LMFT, LCSW)/ Consejero de Salud Mental (LPC, LCDC, LMFT, LCSW) 203

1Neonatal-Perinatal Medicine/ Neonatal – Medicina perinatal 213

1Nephrology/ Nefrología 213

1Neurological Surgery/ Cirugía neurológica 238

1Neurology/ Neurología 242

1Neuromuscular Medicine/ Medicina neuromuscular 247

1Neuropsychology/ Neuropsicología 247

1Nuclear Medicine/ Medicina nuclear 248

1Obstetrics/Gynecology (OB/GYN)/ Obstetricia y ginecología (Ob/Gyn, sigla en inglés) 248

1Occupational Medicine/ Medicina ocupacional 261

1Occupational Therapy/ Terapia ocupacional 261

1Oncology/ Oncología 261 Table of Contents / Tabla de contenidos

1Ophthalmology/ Oftalmología 271

1Optometry/ Optometría 291

1Oral & Maxillofacial Surgery/ Cirugía oral y maxilofacial 306

1Orthopaedic Sports Medicine/ Medicina deportiva ortopédica 307

1Orthopaedic Surgery/ Cirugía ortopédica 307

1Orthopaedics/ Ortopedia 309

1Otolaryngology (Ear, Nose, Throat/ENT)/ Otorrinolaringología (oído, nariz, garganta / ENT) 332

1Pain Management/ Manejo del dolor 340

1Pediatric Allergy & Immunology/ Alergia e inmunología pediátrica 350

1Pediatric Cardiology/ Cardiología pediátrica 350

1Pediatric Gastroenterology/ Gastroenterología pediátrica 350

1Pediatric Hematology and Oncology/ Hematología y oncología pediátrica 351

1Pediatric Neurology/ Neurología pediátrica 351

1Pediatric Ophthalmology/ Oftalmología pediátrica 351

1Pediatric Orthopaedics/ Ortopedia pediátrica 352

1Pediatrics/ Pediatría 352

1Physical Medicine & Rehabilitation/ Medicina física y rehabilitación 353

1Physical Therapy/ Fisioterapia 358

1Plastic Surgery/ Cirugía plástica 358

1Podiatry/ Podología 361

1Psychiatry - Child and Adolescent/ Psiquiatría – infantil y adolescente 369

1Pulmonology/ Neumología 370

1Radiation Oncology/ Radiación oncológica 376

1Reproductive Endocrinology and Infertility/ Endocrinología e infertilidad reproductiva 380

1Rheumatology/ Reumatología 381

1Sleep Medicine/ Medicina para el sueño 383

1Social Worker/ Trabajador social 385

1Speech Pathology/ Patología del habla 385

1Sports Medicine/ Medicina deportiva 385

1Surgery of the Hand/ Cirugía de manos 400

1Surgery/ Cirugía 386

1Surgical Oncology/ Oncología quirúrgica 401

1Thoracic Surgery/ Cirugía torácica 402

1Transcranial Magnetic Stimulation (TMS)/ 405

1Transplant Hepatology/ Transplant Hepatology 406

1Transplant Surgery/ Cirugía de trasplante 406

1Undersea & Hyperbaric Medicine/ Medicina hiperbárica y subacuática 408

1Urgent Care/ Cuidado urgente 408

1Urology/ Urología 408

1Vascular Surgery/ Cirugía vascular 416

1Wound Care/ Clínica para atención de heridas 419 Hospitals / Hospitales

2Hospital/ Hospital 421 Skilled Nursing Facilities / Centros de enfermería especializada

3Skilled Nursing Facility/ Centro de enfermería especializada 424 Outpatient Mental Health / Salud mental para pacientes ambulatorios

4Mental Health Mental Retardation/ Salud mental – Retraso mental 429

4Psychiatric Hospital/ Hospital psiquiátrico 429

4Psychiatry/ Psiquiatría 430

4Psychology/ Psicología 435

4Substance Abuse Facility/ Centro para abuso de sustancias 439

4Substance Use Disorder/ Trastorno por uso de sustancias 439 Table of Contents / Tabla de contenidos

Ancillary / Servicios complementarios

5Ambulance/ Ambulancia 440

5Ambulatory Surgery Center/ Centro de cirugía ambulatoria 440

5Cancer Treatment Center/ Centro de tratamiento para el cáncer 443

5Cardiac Rehabilitation/ Rehabilitación cardiaca 443

5Community Health Center/FQHC/ Centro de salud comunitaria/FQHC 443

5Diagnostic Radiology/ Radiodiagnóstico 443

5Dialysis Center/ Centro de diálisis 444

5Durable Medical Equipment/ Equipo médico duradero 446

5Geriatric Medicine/ Medicina geriátrica 450

5Hearing Aids/ audífonos 450

5Home Health/ Salud en el hogar 453

5Home Infusion/ Infusión en el hogar 459

5Hospice and Palliative Medicine/ Hospicio y medicina paliativa 460

5Hospice/ Hospicio 459

5Imaging Center/ Centro de imágenes 460

5Infusion Center/ Centro de infusión 464

5Laboratory/ Laboratorio 464

5Long Term Acute Care Hospital/ Hospital de cuidados intensivos a largo plazo 470

5Mammography Center/ Centro de la mamografía 471

5Medical Transport - Air/ Ambulancia, transporte aéreo 473

5Mental Health Mental Retardation/ Salud mental – Retraso mental 473

5Mobile Radiology/ Radiología móvil 473

5MRI Center/ Centro de MRI 473

5Occupational Therapy/ Terapia ocupacional 474

5Pain Management/ Manejo del dolor 481

5Pediatric Home Health/ Cuidados médicos pediátricos en el hogar 481

5Pharmacy - Medical/ 481

5Physical Therapy/ Fisioterapia 481

5Prosthetics and Orthotics/ Prótesis y Ortopedia 491

5Psychiatric Hospital/ Hospital psiquiátrico 492

5Rehabilitation Facility/ Centro de rehabilitación 494

5Rehabilitation, Comprehensive OP Rehab / Rehabilitación, centro integral de rehabilitación para pacientes externos (CORF) 494

5Rural Health Clinic/ Clínica de salud rural 495

5Sleep Study Center/ Centro de estudio del sueño 495

5Speech Pathology/ Patología del habla 495

5Speech Therapy/ Terapia del habla 495

5Substance Abuse Facility/ Centro para abuso de sustancias 499

5Substance Use Disorder/ Trastorno por uso de sustancias 500

5Urgent Care Center/ Centro de atención de urgencia 500

5Urgent Care/ Cuidado urgente 500

5Vision Wear/ Lentes y anteojos 503

5Walk-In Clinic/ Clínica sin cita 503

5Wound Care/ Clínica para atención de heridas 506

December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Community Health Denton County | Condado de Kellum, Michael W, MD Center/FQHC/ Centro de salud Eff 15-Mar-17 comunitaria/FQHC Denton Family HealthCare Associates 1105 N Central Expy, Ste 2120 Health Services of North Texas, Dallas County | Condado de Allen, TX 75013-6117 Inc (972) 727-9877 Dallas Eff 30-Dec-19 306 N Loop 288 Ste 200 Ly, Thu M, DO Foremost Family Health Centers Denton, TX 76209-4887 Eff 15-Mar-17 Eff 01-Feb-16 (940)381-1501 Family HealthCare Associates 3515 Shepherd Ln 1105 N Central Expy Ste 2120 Balch Springs, TX 75180-3400 Family Medicine/ Medicina Allen, TX 75013-6117 (214) 426-3645 familiar (972) 727-9877

Foremost Family Health Centers Collin County | Condado de Mallick, Tariq R, MD Eff 01-Feb-16 Eff 13-Feb-20 2922 Martin Luther King Jr Blvd, Collin Family Care and Wellness PLLC Ste B 915 W Exchange Pkwy Ste 210 Dallas, TX 75215-2321 Baloch, Saira L, MD Allen, TX 75013-7032 (214) 426-3645 Eff 21-Mar-17 (469) 656-1033 Healogics Specialty Physicians of Los Barrios Unidos Community Texas, PLLC Mathews, Shirley R, MD Clinic 1105 N Central Expy, Medical Off Eff 15-Mar-17 Primary Care Physicians/ Médicos de cabecera Eff 15-Mar-18 #2, Ste 2210 Family HealthCare Associates 3111 Sylvan Ave Allen, TX 75013 1105 N Central Expy, Ste 2120 Dallas, TX 75212-4028 (972) 747-4325 Allen, TX 75013-6117 (214) 540-0300 (972) 727-9877 Burchard, Jeffrey L, MD Los Barrios Unidos Community Eff 15-Mar-17 Modi, Sunil , MD Clinic Family HealthCare Associates Eff 15-Jan-19 Eff 15-Mar-18 1105 N Central Expy, Ste 2120 Express Family Clinic 4732 W Illinois Allen, TX 75013-6117 940 Ridgeview Dr, Ste 150 Dallas, TX 75212-6502 (972) 727-9877 Allen, TX 75013-5544 (214) 540-0300 • Languages spoken / Idioma(s) (972) 672-4121 hablado(s): Spanish • Languages spoken / Idioma(s) Los Barrios Unidos Community hablado(s): Gujrati Clinic Ho, Hoang M, MD Eff 15-Mar-18 Eff 06-Feb-20 Mohiuddin, Mohammed , MD 809 Singleton Blvd Raintree Healthcare Eff 01-Apr-20 Dallas, TX 75212-4014 919 Medical Dr Heal 360 Primary Care PLLC (214) 540-0300 Allen, TX 75013-5012 940 W Stacy Rd Ste 200 (214) 644-0280 Allen, TX 75013-5214 Urban Inter-Tribal Center of Texas • Languages spoken / Idioma(s) (214)547-0700 Eff 15-Jan-17 hablado(s): Spanish 1261 Record Crossing Rd Parihar, Pradeep , MD Dallas, TX 75235 Joyner, Kevin T, MD Eff 15-Jan-19 (214) 941-1050 Eff 15-Mar-17 Express Family Clinic • Languages spoken / Idioma(s) Family HealthCare Associates 940 Ridgeview Dr, Ste 150 hablado(s): Spanish 1105 N Central Expy Ste 2120 Allen, TX 75013-5544 Allen, TX 75013-6117 (972) 672-4121 (972) 727-9877 • Languages spoken / Idioma(s) hablado(s): Hindi

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 15 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Rogers, Sandra D, MD Friedman, Bradley R, MD * Lin, Edward , MD Eff 15-Mar-17 Eff 01-Jul-15 Eff 01-Jan-18 Family HealthCare Associates Friedman Family Practice Olympus Family Medicine 1105 N Central Expy, Ste 2120 11560 Teel Pkwy, Ste100 4461 Coit Rd, Ste 307 Allen, TX 75013-6117 Frisco, TX 75034 Frisco, TX 75035-0525 (972) 727-9877 (972) 668-0821 (972) 377-0322 • Languages spoken / Idioma(s) Saeed, Sohail , DO hablado(s): Spanish Lopez, Cheryl , DO Eff 15-Jun-20 Eff 05-Jul-18 Celina Family Practice PLLC Gamarnik, Shari C, MD Cheryl P Lopez, DO PA 701 N Preston Rd Ste 200 Eff 01-Jan-14 3880 Parkwood Blvd, Ste 303 Celina, TX 75009-3777 Baylor Family Medicine at Uptown Frisco, TX 75034-1930 (972) 382-3939 3800 Gaylord Parkway Suite 910 (214) 618-7952 Frisco Aguirre, Eduardo , DO Frisco, TX 75034 Meehlhause, Mark G, MD Eff 01-Apr-18 (469) 800-5600 Eff 16-Nov-19 Eduardo Aguirre, DO, PA North Texas Preferred Health 4461 Coit Rd, Ste 209 Gandhi, Neelay R, MD Partners Frisco, TX 75035-0524 Eff 16-Nov-19 3535 Victory Group Way Ste 330 (214) 430-5204 North Texas Preferred Health Frisco, TX 75034 • Languages spoken / Idioma(s) Partners (972) 993-5070 hablado(s): Spanish 3535 Victory Group Way Building Primary Care Physicians/ Médicos de cabecera 3 Neumann, Scott , DO Beshires, Eric D, MD Frisco, TX 75034- Eff 01-Jan-18 Eff 01-Jan-14 (214) 823-4800 Olympus Family Medicine Baylor Scott & White Family 4461 Coit Rd, Ste 307 Medicine Residency Centennial Herold, Victoria C, DO Frisco, TX 75035-0525 4401 Coit Rd, Ste 409 Eff 01-Sep-17 (972) 377-0322 Frisco, TX 75035 Cardiovascular Consultants of (469) 800-4130 North Texas Nuti, Rathna , MD 3800 Gaylord Pkwy, Ste 910 Eff 13-Jun-19 Bolin, Jerry B, MD Frisco, TX 75034 TMI Sports Medicine & Orthopedic Eff 01-Sep-16 (469) 800-4400 Surgery, PA Private Practice- J Blake Bolin MD 5680 Frisco Square Blvd PA Jenkins, Warren B, DO Frisco, TX 75034-3323 3550 Parkwood Blvd, Ste 405 Eff 16-Nov-19 (817) 419-0303 Frisco, TX 75034 North Texas Preferred Health (469) 287-8800 Partners Pena, Jacobo , MD 3535 Victory Group Way Ste 330 Eff 19-Jan-20 Brown, Jeremy D, DO Frisco, TX 75034 Baylor Scott & White Family Eff 30-Nov-18 (972) 993-5070 Medicine Frisco Baylor Scott & White Family 3800 Gaylord Pkwy Ste 910 Medicine Frisco Kasmiersky, Valerie K, MD Frisco, TX 75034-9419 3800 Gaylord Pkwy Ste 910 Eff 16-Nov-19 (469) 800-5600 Frisco, TX 75034-9419 North Texas Preferred Health (469) 800-5600 Partners Rusk, Anna K, MD 3535 Victory Group Way Ste 330 Eff 30-Oct-19 Frisco, TX 75034 Baylor Scott & White Family (972) 993-5070 Medicine Frisco 3800 Gaylord Pkwy Ste 910 Frisco, TX 75034-9419 (469) 800-5600

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 16 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Shah, Perini , DO Bush, Tyronne A, DO * Jose, Katherine M, DO Eff 13-Nov-20 Eff 01-Jan-14 Eff 18-Jul-16 Baylor Scott & White Primary Care Baylor Family Medicine at Baylor Family Medicine at at The Star McKinney McKinney 3800 Gaylord Prky Ste 910 5220 W University Dr Ste 100 5220 W University Dr, Ste 100 Frisco, TX 75034 McKinney, TX 75071-7402 McKinney, TX 75071-7402 (469) 800-5600 (469)800-5100 (469)800-5100 Suter, Robert N, DO Desai, Manish D, MD Kompella, Anuradha , MD Eff 08-Sep-14 Eff 15-May-17 Eff 10-Aug-15 Baylor Scott & White Family Doctors of Internal Medicine Baylor Scott & White Primary Care Medicine Residency Centennial 240 Adriatic Pkwy - Craig Ranch 4401 Coit Rd, Ste 409 McKinney, TX 75072 6800 State Hwy 121 Frisco, TX 75035 (972) 382-9292 McKinney, TX 75070 (469) 800-4130 (469) 800-5680 Evans, Sheridan S, MD Tatum, Ryan H, MD Eff 01-Mar-15 Kurien, Aleena , DO Eff 21-Jul-14 Sheridan S Evans, MD Eff 15-Dec-16 HTPN Primary Care Frisco 5605 Virginia Pkwy, Ste 4 Baylor Scott & White Primary Care 3388 W Main St, Ste 100 McKinney, TX 75071 - Craig Ranch Frisco, TX 75034 (972) 548-5050 6800 State Hwy 121 (469) 800-4080 McKinney, TX 75070 Primary Care Physicians/ Médicos de cabecera Ghosh, Kirat S, MD (469) 800-5680 Titus, Stephen J, MD Eff 01-Jan-14 Eff 20-Jun-16 Baylor Family Medicine at McMillin, Kimberly J, MD Baylor Scott & White Family McKinney Eff 01-Jan-14 Medicine Residency Centennial 5220 W University Dr Ste 100 Baylor Family Medicine at 4401 Coit Rd, Ste 409 McKinney, TX 75071-7402 McKinney Frisco, TX 75035 (469)800-5100 5220 W University Dr Ste 100 (469) 800-4130 • Languages spoken / Idioma(s) McKinney, TX 75071-7402 hablado(s): Bengali (469)800-5100 Bass, Heather A, MD * Eff 01-Jan-14 Green, Matthew N, MD * Oramalu, Francis C, MD Baylor Family Medicine at Eff 01-Jan-14 Eff 15-Jun-17 McKinney Baylor Family Medicine at Caring Partner Medical Clinic 5220 W University Dr Ste 100 McKinney 4510 Medical Ctr Dr, Ste 313 McKinney, TX 75071-7402 5220 W University Dr Ste 100 McKinney, TX 75069 (469)800-5100 McKinney, TX 75071-7402 (469) 714-0138 (469)800-5100 Block, Nicolle G, MD Seidmeyer, Vicki , DO Eff 09-Jul-14 Icho, Nanette A, MD Eff 01-Aug-16 Baylor Family Medicine at Eff 07-Apr-15 Private Practice McKinney Omega Heights Family Medicine 2760 Virginia Pkwy, Ste 100 5220 W University Dr, Ste 100 Clinic, PLLC McKinney, TX 75071 McKinney, TX 75071-7402 2730 Virginia Pkwy, Ste 200 (972) 542-1180 (469)800-5100 McKinney, TX 75071 (214) 491-4900 Seidmeyer, Vicki , DO Block, Nicolle G, MD Eff 07-Jul-20 Eff 09-Jul-14 Healthcare Associates of Irving Baylor Family Medicine at LLP McKinney 2760 Virginia Pkwy Ste 100 5220 W University Dr Ste 100 McKinney, TX 75071 McKinney, TX 75071-7402 (972) 542-1180 (469)800-5100

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 17 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Shumate, Bill G, MD Farris, Kelly E, MD Babaian, Naira S, MD Eff 01-Jan-14 Eff 15-Oct-18 Eff 15-Aug-16 Baylor Family Medicine at Methodist Family Health Center - Naira S Babaian MD McKinney Murphy 5928 W Parker Rd, Ste 1200 5220 W University Dr Ste 100 170 East FM 544, Ste 112 Plano, TX 75093 McKinney, TX 75071-7402 Murphy, TX 75094-4080 (972) 403-0800 (469)800-5100 (469) 626-3215 • Languages spoken / Idioma(s) Bergman, Karin K, MD Soto-Lopez, Juan , MD hablado(s): Spanish Eff 15-May-17 Eff 20-Feb-19 Doctors of Internal Medicine Healthcare Associates of Irving, Fisch, Jason P, MD 5941 Dallas Pkwy, Ste 100 LLP Eff 01-Jan-14 Plano, TX 75093-9002 8080 State Hwy 121, Ste 240 Baylor Family Medical Center at (972) 758-4455 McKinney, TX 75070-2902 Murphy (214) 644-5360 511 W FM 544, Ste 204 Boothe, Patrick L, DO Murphy, TX 75094 Eff 05-May-19 Washburn, John L, MD (469) 800-2100 Methodist Family Health Center - Eff 14-Sep-15 • Languages spoken / Idioma(s) Firewheel Baylor Family Medicine at hablado(s): Spanish 170 East FM 544 Ste 112 McKinney Plano, TX 75094 5220 W University Dr, Ste 100 Johari, Soma B, MD (469) 626-3215 McKinney, TX 75071-7402 Eff 01-Jan-14 Primary Care Physicians/ Médicos de cabecera (469) 800-5100 Baylor Family Medical Center at Brown, Elizabeth A, MD Murphy Eff 01-Sep-17 Young, Brett D, MD * 511 W FM 544, Ste 204 Baylor Scott & White Supportive & Eff 01-Jan-14 Murphy, TX 75094 Palliative Care Baylor Family Medicine at (469) 800-2100 4708 Alliance Boulevard Suite 550 McKinney Plano, TX 75093 5220 W University Dr Ste 100 Johnson, Denise A, MD (469) 800-6140 McKinney, TX 75071-7402 Eff 15-Oct-18 (469)800-5100 Methodist Family Health Center - Costello, Cory N, MD Murphy Eff 24-Nov-19 Zafar, Saboohi , MD 170 East FM 544, Ste 112 Baylor Family Medicine at Plano Eff 27-Nov-19 Murphy, TX 75094-4080 4800 Hedgcoxe Rd Ste 200 Synergy Primary Clinic (469) 626-3215 Plano, TX 75024 2107 Eldorado Pkwy, Ste 106 (469) 800-6120 McKinney, TX 75070 Sadler, Jane S, MD * (469) 919-0003 Eff 01-Jan-14 da Silva Stephen, Jacqueline , MD Baylor Scott & White Family * Andersen, Robert L, MD Medical Center - North Garland Eff 01-Jan-14 Eff 01-Jan-14 511 FM 544, Ste 204 Douglass Community Clinic Baylor Family Medical Center at Murphy, TX 75094 801 E Plano Pkwy Ste 160 Murphy (469) 800-2100 Plano, TX 75074-6797 511 W FM 544 Ste 204 (469) 800-6230 Murphy, TX 75094 Vera, Christina E, DO • Languages spoken / Idioma(s) (469) 800-2100 Eff 01-Nov-18 hablado(s): Spanish Baylor Family Medical Center at Murphy Desai, Manish D, MD 511 W FM 544, Ste 204 Eff 15-May-17 Murphy, TX 75094 Doctors of Internal Medicine (469) 800-2100 5941 Dallas Pkwy, Ste 100 Plano, TX 75093-9002 (972) 758-4455

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 18 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Gonnalagadda, Sreeram , MD Ranjan, Priti , MD Yang, Kai-Soon , MD Eff 15-Apr-17 Eff 01-Jun-19 Eff 14-Aug-19 Gonnalagadda PLLC Nest Family Medicine Methodist Family Health Center - 1600 Coit Rd, Ste 101 4920 McDermott Rd, Ste 200 Firewheel Plano, TX 75075 Plano, TX 75024-7769 170 East FM 544 Ste 112 (972) 578-7700 (972) 200-5666 Plano, TX 75094 • Languages spoken / Idioma(s) (469) 626-3215 hablado(s): Telugu Sadler, Jane S, MD * Eff 01-Jan-14 Bauer, Marc G, DO Handoyo, Anthony W, DO Baylor Scott & White Family Eff 01-Jan-14 Eff 13-Nov-20 Medical Center - North Garland Baylor Scott & White Primary Care Baylor Scott & White Family 4716 Alliance Blvd Suite 310 - Prosper Medicine Plano Plano, TX 75093 111 S Preston Rd, Ste 10 4800 Hedgcoxe Rd Ste 200 (469) 800-6550 Prosper, TX 75078 Plano, TX 75024 (469) 800-5200 (469) 800-6120 Saeed, Umar , MD Eff 06-Sep-18 Cung, Trang , DO Li, Yan , MD Walk In & Urgent Care of Texas Eff 10-Aug-15 Eff 15-Sep-14 3909 W Parker Rd, Ste 104 Baylor Scott & White Primary Care Yan Li, MD, PhD, PA Plano, TX 75023-6161 - Prosper 4040 McDermott Rd, Ste 100 (469) 609-3062 111 S Preston Rd, Ste 10 Plano, TX 75024 Prosper, TX 75078 Primary Care Physicians/ Médicos de cabecera (972) 668-6868 Satish, Nisha , MD (469) 800-5200 • Languages spoken / Idioma(s) Eff 01-Aug-16 hablado(s): Chinese Psymed Solutions Gao, Ya , DO 7170 Preston Rd, Ste 200 Eff 08-Aug-16 Mastrogiovanni, Sarah , MD Plano, TX 75024-3281 Baylor Scott & White Primary Care Eff 15-Mar-17 (972) 232-7474 - Prosper Family HealthCare Associates 111 S Preston Rd, Ste 10 6300 W Parker Rd Ste G20 Short, Michael C, MD Prosper, TX 75078 Plano, TX 75093-8100 Eff 15-Mar-17 (469) 800-5200 (972) 727-9877 Family HealthCare Associates 6300 W Parker Rd Ste G20 Overn, Steven P, DO Mohiuddin, Mohammed , MD Plano, TX 75093-8105 Eff 01-Jan-14 Eff 01-Apr-20 (214) 473-6655 Baylor Scott & White Primary Care Heal 360 Primary Care PLLC - Prosper 1360 Star Ct Ste T1 Shyam, Roopam , MD 111 S Preston Rd, Ste 10 Plano, TX 75074-7314 Eff 01-Jul-19 Prosper, TX 75078 (972)226-8900 Vitals Family Medicine, PLLC (469) 800-5200 1420 W Exchange Pkwy Ste 120 Patil, Punam M, MD Plano, TX 75025 Thrall, Maria L, MD Eff 01-Jan-16 (972) 521-6210 Eff 13-Nov-20 Baylor Family Medicine at Plano Baylor Scott & White Primary Care 4800 Hedgcoxe Rd, Ste 200 Wright, Aimee L, DO - Prosper Plano, TX 75024 Eff 01-May-17 111 S Preston Rd Ste 10 (469) 800-6120 Private Practice Prosper, TX 75078 428 Maplelawn Dr, Ste 200 (469) 800-5200 Payberah, Sarah , MD Plano, TX 75075 Eff 01-Jul-16 (972) 424-3333 Family Medicine of Texas PA 6300 W Parker Rd, Ste 225 Plano, TX 75093 (972) 981-7830

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 19 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Cooke County | Condado de Jones, Brian D, MD Walker, Ashley D, MD Eff 15-Oct-18 Eff 14-Nov-19 Cooke Methodist Family Health Center - Methodist Family Health Center - Cedar Hill East Cedar Hill East Aguirre, Eduardo , DO 950 E Belt Line Rd, Ste 100 950 E Belt Line Rd, Ste 100 Eff 19-Jun-20 Cedar Hill, TX 75104-2423 Cedar Hill, TX 75104-2423 Gainesville Community Hospital, (972) 291-7863 (972) 291-7863 Inc. dba Cooke County Medical • Languages spoken / Idioma(s) Center hablado(s): Spanish Walker, Ashley D, MD 801 N Grand Ave Ste 1 Eff 14-Nov-19 Gainesville, TX 76240 Jones, Brian D, MD Methodist Family Health Center – (940) 612-8750 Eff 15-Oct-18 Cedar Hill Methodist Family Health Center – 950 E Belt Line Rd Ste 150 Dallas County | Condado de Cedar Hill Cedar Hill, TX 75104 Dallas 950 E Belt Line Rd Ste 150 (972) 291-7863 Cedar Hill, TX 75104 (972) 291-7863 Wayhs, Amelia C, MD Dobariya, Manojkumar A, MD • Languages spoken / Idioma(s) Eff 15-Oct-18 Eff 06-Oct-19 hablado(s): Spanish Methodist Family Health Center - Premier Physicians of North Texas Cedar Hill West 2761 E Trinity Mills Rd, Ste 100 Nolen, Avery L, MD 326 Cooper St Carrollton, TX 75006-3507 Eff 15-Oct-18 Cedar Hill, TX 75104-2628 Primary Care Physicians/ Médicos de cabecera (972) 478-8800 Methodist Family Health Center - (972) 291-7863 Cedar Hill West • Languages spoken / Idioma(s) Holinej, Sharisse , MD 326 Cooper St hablado(s): Spanish Eff 15-Jan-20 Cedar Hill, TX 75104-2628 Methodist Family Health Center (972) 291-7863 Wayhs, Amelia C, MD Cedar Hill West Eff 15-Oct-18 326 Cooper St Methodist Family Nolen, Avery L, MD Methodist Family Health Center – Health Center Eff 15-Oct-18 Cedar Hill Cedar Hill, TX 75104 Methodist Family Health Center – 950 E Belt Line Rd Ste 150 (972) 291-7863 Cedar Hill Cedar Hill, TX 75104 950 E Belt Line Rd Ste 150 (972) 291-7863 Holinej, Sharisse , MD Cedar Hill, TX 75104 • Languages spoken / Idioma(s) Eff 15-Jan-20 (972) 291-7863 hablado(s): Spanish Methodist Family Health Center Cedar Hill West Ramos, Anika M, MD Raja, Maheswari , MD 950 E Belt Line Rd Ste 150 Eff 01-Jan-14 Eff 07-Mar-19 Cedar Hill, TX 75104 Baylor Scott & White Family Healthcare Associates of Irving, (972) 291-7863 Medicine at Cedar Hill LLP 294 Uptown Blvd, Ste 100 546 East Sandy Lake Road Suite Ighalo, Omonmen O, MD Cedar Hill, TX 75104 210 Eff 06-Sep-19 (972) 293-3569 Coppell, TX 75019-5786 Baylor Scott & White Family (972) 258-7426 Medicine at Cedar Hill Thao, Linda H, DO • Languages spoken / Idioma(s) 294 Uptown Blvd Ste 100 Eff 01-Jan-14 hablado(s): Tamil Cedar Hill, TX 75104 Baylor Scott & White Family (972) 293-3569 Medicine at Cedar Hill Saeed, Umar , MD 294 Uptown Blvd, Ste 100 Eff 06-Sep-18 Cedar Hill, TX 75104 Walk In & Urgent Care of Texas (972) 293-3569 651 N Denton Tap Rd, Ste 100 Coppell, TX 75019-2010 (972) 899-1911

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 20 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Abraham, Kevin T, MD Beckstrom, Perry K, DO Bush, Tyronne A, DO * Eff 06-Sep-19 Eff 05-Aug-18 Eff 01-Jan-14 Baylor Scott & White Family Addison Total Wellness Clinic Baylor Family Medicine at Medicine at Lakewood PLLC Frankford & Josey 6309 Gaston Ave, Ste 300 15340 Dallas Pkwy Ste 2400 5800 E Lovers Lane Dallas, TX 75214 Dallas, TX 75248-6459 Dallas, TX 75206- (469) 800-7900 (800) 246-5698 (972)817-6260 Allen, Rory , DO Best, Lydia , MD Calixto-Montanez, Sergio , MD Eff 09-Jan-19 Eff 10-Nov-14 Eff 15-Jan-17 Functional Recovery Associates, Diabetes Health & Wellness Grace Southern Medical Clinic PLLC Institute 6300 Samuell Blvd, Ste 120 5701 Maple Ave Ste 100 4500 Spring Ave Dallas, TX 75228 Dallas, TX 75235-6596 Dallas, TX 75210 (214) 381-1910 (214) 351-6600 (214) 915-3200 • Languages spoken / Idioma(s) hablado(s): Spanish Arias, Gabriela A, MD Bleakney, Dana C, MD Eff 15-Oct-18 Eff 01-Jan-14 Cheng, Michael M, MD Methodist Family Health Center - Family Medical Center at Baylor Eff 01-Aug-16 Preston Hollow 3600 Gaston Ave, Barnett Tower, White Rock Family Health, PA 4235 W Northwest HWY, Ste 400 #1109 9015 Garland Rd Dallas, TX 75220-5044 Dallas, TX 75246 Dallas, TX 75218 Primary Care Physicians/ Médicos de cabecera (214) 750-5100 (972) 817-6930 (214) 747-8800 • Languages spoken / Idioma(s) hablado(s): Spanish Block, Nicolle G, MD Coleman, Chad E, MD Eff 09-Jul-14 Eff 01-Jan-14 Ashraf, Asma , MD Baylor Family Medicine at Baylor Scott & White Family Eff 12-Dec-19 Frankford & Josey Medical Center Medico MD 5800 E Lovers Lane 9101 N Central Expwy Ste 440 6909 Lake June Rd Dallas, TX 75206- Dallas, TX 75231 Dallas, TX 75217-1325 (972)817-6260 (214) 820-9101 (214)391-1900 • Languages spoken / Idioma(s) Bradley, Camille M, MD hablado(s): Spanish Baker, Karen K, MD Eff 07-Mar-16 Eff 15-Oct-18 Baylor Scott & White Family Cornelius, Kathryn C, MD Methodist Family Health Center - Medicine at Lakewood Eff 01-Jan-19 Inwood 6301 Gaston Ave, Ste 370 Dallas Health Partners 5709 W Lovers Ln Dallas, TX 75214 3600 Gaston Ave Ste 755 Dallas, TX 75209 (469) 800-7900 Dallas, TX 75246 (469) 913-8940 (214) 823-4200 • Languages spoken / Idioma(s) Burdex, Ashley K, DO hablado(s): Spanish Eff 15-Oct-18 Cox, Ralph F, MD Methodist Family Health Center - Eff 15-Oct-17 Bang, Jennifer K, MD Charlton Griego Family Center-Plaza Eff 15-Oct-18 7979 W Virginia Dr Medical Center Methodist Family Health Center - Dallas, TX 75237-3798 2701 S Hampton Rd Ste 101 Preston Hollow (972) 780-8400 Dallas, TX 75224 4235 W Northwest HWY, Ste 400 (214) 330-9221 Dallas, TX 75220-5044 Burke, Andrew B, DO (214) 750-5100 Eff 01-Jun-15 Andrew B Burke, DO, PA 1717 N Garrett Ave Dallas, TX 75206 (214) 827-6880

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 21 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Cullison, Samuel W, MD Garrett-Price, Ahmad R, MD Graves, Julia C, MD Eff 15-Oct-18 Eff 17-Nov-16 Eff 01-Jan-14 Physician Associates of Southwest HealthTexas Provider Network Baylor Family Medicine at Uptown Dallas Direct Care 4161 McKinney Ave, Ste 300 122 W Colorado Blvd 8215 Westchester, Ste 112 Dallas, TX 75204 Dallas, TX 75208-2382 Dallas, TX 75225-6109 (214) 219-6655 (214) 947-6701 (469) 800-8000 Green, Matthew N, MD * Cullison, Samuel W, MD Ghosh, Kirat S, MD Eff 01-Jan-14 Eff 15-Oct-18 Eff 01-Jan-14 Baylor Family Medicine at Charlton Family Practice and Baylor Occupational & Family Frankford & Josey Sports Medicine Center Health Center @ TI 5800 E Lovers Lane 3500 W Wheatland Rd 13350 TI Blvd MS 327 Dallas, TX 75206- Dallas, TX 75237-3460 Dallas, TX 75243 (972)817-6260 (214) 947-5400 (972) 671-9504 • Languages spoken / Idioma(s) Hainsfurther, Jessica L, DO Darden, Adeola B, MD hablado(s): Bengali Eff 06-Sep-19 Eff 15-Oct-18 Baylor Family Medicine at Methodist Family Health Center - Ghosh, Kirat S, MD Frankford & Josey Charlton Eff 01-Jan-14 9101 N Central Expwy Ste 300 7979 W Virginia Dr Baylor Family Medicine at Dallas, TX 75231 Dallas, TX 75237-3798 Frankford & Josey (469) 800-7100 Primary Care Physicians/ Médicos de cabecera (972) 780-8400 5800 E Lovers Lane Dallas, TX 75206 Hays, Williams A, MD Dharma, Chrisette , MD (972) 817-6260 Eff 18-Nov-18 Eff 01-Nov-17 • Languages spoken / Idioma(s) Uptown Physicians Group Chrisette Dharma, MD, PA hablado(s): Bengali 4144 N Central Expy, Ste 750 8877 Harry Hines Blvd, Ste 100 Dallas, TX 75204-3208 Dallas, TX 75235-1715 Gibbs, Lawrence M, MD (214) 303-1033 (214) 393-2940 Eff 15-Oct-18 Charlton Family Practice and Heffernan, Jennifer D, MD Dimafelix, Crisanto , MD Sports Medicine Center Eff 01-Jan-14 Eff 01-Dec-19 3500 W Wheatland Rd Baylor Scott & White HouseCalls Medico MD Dallas, TX 75237-3460 712 N Washington, Ste 415 2223 Singleton Boulevard Ste 212 (214) 947-5400 Dallas, TX 75246 Dallas, TX 75212-3784 (214) 820-9115 (214)678-9200 Givens, Kelly J, MD Eff 21-Jul-14 Hollenshead, Callie M, MD Edwards, Madison , DO Baylor Scott & White Dallas Eff 15-Oct-18 Eff 13-Nov-20 Diagnostic Association - Park Ci Methodist Premier Wellness Baylor Scott & White Family 9101 N Central Expy, Ste 300 4101 Lomo Alto Dr Medicine Lakewood Dallas, TX 75231 Dallas, TX 75219 6301 Gaston Ave Ste 300 (469) 800-7100 (214) 522-2700 Dallas, TX 75214 • Languages spoken / Idioma(s) (469) 800-7900 Graneto, Donald A, MD hablado(s): Spanish Eff 01-Apr-15 Evans, Rachael C, DO Uptown Physicians Group Islahi, Nazish S, MD Eff 01-Jan-14 4144 N Central Expy, Ste 750 Eff 15-Sep-20 Family Medical Center at Baylor Dallas, TX 75204-3208 Dallas Medical Partners PLLC 3600 Gaston Ave, Barnett Tower, (214) 303-1033 3600 Gaston Ave Ste 1004 #1109 Dallas, TX 75246-1810 Dallas, TX 75246 (214) 827-7600 (972) 817-6930

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 22 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Johnson, Brett A, MD McElya, Martin , DO Nair, Rajasree J, MD Eff 15-Oct-18 Eff 15-Jun-17 Eff 15-Oct-18 Charlton Family Practice and Neighborhood Medical Center Charlton Family Practice and Sports Medicine Center 5917 Belt Line Rd Sports Medicine Center 3500 W Wheatland Rd Dallas, TX 75254-7703 3500 W Wheatland Rd Dallas, TX 75237-3460 (972) 726-6464 Dallas, TX 75237-3460 (214) 947-5400 (214) 947-5400 McKinney, Benjamin J, MD • Languages spoken / Idioma(s) Kabani, Khadija S, DO Eff 01-Sep-17 hablado(s): Spanish Eff 15-Oct-18 CitySquare - Community Health Charlton Family Practice and Services Nguyen, Laura , MD Sports Medicine Center 2835 Al Lipscomb Way Eff 11-Apr-16 3500 W Wheatland Rd Dallas, TX 75215 Family Medical Center at Baylor Dallas, TX 75237-3460 (972) 817-6000 3600 Gaston Ave, Barnett Tower, (214) 947-5400 #1109 • Languages spoken / Idioma(s) McMillin, Kimberly J, MD Dallas, TX 75246 hablado(s): Hindi Eff 01-Jan-14 (972) 817-6930 Baylor Family Medicine at Kane, Erin P, MD Frankford & Josey Nguyen, Nathan , MD Eff 01-Jan-14 5800 E Lovers Ln Eff 15-Apr-18 Baylor Scott & White Community Dallas, TX 75206- Medico MD Care Worth Street (972)817-6260 2223 Singleton Blvd, # 212 Primary Care Physicians/ Médicos de cabecera 4001 Worth St Dallas, TX 75212-3784 Dallas, TX 75246 Metzger, David T, DO (214) 678-9200 (972) 817-7070 Eff 01-Nov-18 • Languages spoken / Idioma(s) Baylor Scott & White Dallas hablado(s): Vietnamese King, Karen K, DO Diagnostic Association - Park Ci Eff 01-Nov-15 9101 N Central Expy, Ste 300 Nguyen, Nathan , MD King Medical Group, PA Dallas, TX 75231 Eff 15-Apr-18 1151 N Buckner Blvd. Ste 102 (469) 800-7100 Medico MD Dallas, TX 75218 10909 Webb Chapel # 121 (214) 328-7400 Mohammed, Amanda E, MD Dallas, TX 75229-3739 Eff 20-Sep-19 (214) 357-6500 Kong, Jun H, MD White Rock Family Health, PA • Languages spoken / Idioma(s) Eff 01-Jan-14 9015 Garland Rd hablado(s): Vietnamese Baylor Family Medicine at Uptown Dallas, TX 75218 4161 McKinney Ave, Ste 300 (214) 747-8800 Nguyen, Nathan , MD Dallas, TX 75204 • Languages spoken / Idioma(s) Eff 15-Apr-18 (214) 219-6655 hablado(s): Spanish Medico MD • Languages spoken / Idioma(s) 2304 W Illinois Ave hablado(s): Korean Mostafa Elsawy, Bassem M, MD Dallas, TX 75224-1638 Eff 15-Oct-18 (214) 337-7200 Maynard, Malea P, MD * Charlton Family Practice and • Languages spoken / Idioma(s) Eff 01-Jan-14 Sports Medicine Center hablado(s): Vietnamese Baylor Occupational & Family 3500 W Wheatland Rd Health Center @ TI Dallas, TX 75237-3460 Nguyen, Nathan , MD 13350 TI Blvd MS 327 (214) 947-5400 Eff 15-Apr-18 Dallas, TX 75243 Medico MD (972) 671-9504 322 S Hampton Rd Dallas, TX 75208-5617 (214) 943-1500 • Languages spoken / Idioma(s) hablado(s): Vietnamese

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 23 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Nguyen, Nathan , MD Pham, Kim , DO Salazar, Angel , MD * Eff 15-Apr-18 Eff 05-May-19 Eff 01-Aug-16 Medico MD Charlton Family Practice and White Rock Family Health, PA 6909 Lake June Rd Sports Medicine Center 9015 Garland Rd Dallas, TX 75217-1325 3500 W Wheatland Rd Dallas, TX 75218 (214) 391-1900 Dallas, TX 75237-3460 (214) 747-8800 • Languages spoken / Idioma(s) (214) 947-5400 • Languages spoken / Idioma(s) hablado(s): Vietnamese hablado(s): Spanish Philip, Melissa S, DO Nguyen, Nathan , MD Eff 01-Nov-18 Schrunk, Kevin , DO Eff 15-Apr-18 Baylor Scott & White Dallas Eff 01-Jan-14 Medico MD Diagnostic Association - Park Ci Baylor Scott & White Family 8062 Ferguson Rd 9101 N Central Expy, Ste 300 Medicine at Lakewood Dallas, TX 75228-5848 Dallas, TX 75231 6301 Gaston Ave, Ste 370 (214) 327-6800 (469) 800-7100 Dallas, TX 75214 • Languages spoken / Idioma(s) (469) 800-7900 hablado(s): Vietnamese Ramirez, Alfonso , MD Eff 15-Oct-18 Schwab, Garrett R, MD Nyland, Chad , DO Alfonso Ramirez, MD Eff 12-Aug-17 Eff 23-Jan-19 1121 W. Jefferson Blvd. CitySquare - Community Health Steven M Pounders, MD, PLLC Dallas, TX 75208 Services 3500 Oaklawn Ave #600 (214) 943-5773 2835 Al Lipscomb Way Primary Care Physicians/ Médicos de cabecera Dallas, TX 75219 • Languages spoken / Idioma(s) Dallas, TX 75215 (214) 520-8833 hablado(s): Spanish (972) 817-6000 Oberdick, Wendy T, MD Rana, Setal R, MD Shima, Thomas B, DO * Eff 30-Apr-18 Eff 08-Mar-18 Eff 15-Oct-18 Baylor Scott & White Community Buckner Elam Medical Charlton Family Practice and Care at Garland 8202 Elam Rd Sports Medicine Center 712 N Washington Ste 415 Dallas, TX 75217-4509 3500 W Wheatland Rd Dallas, TX 75246 (214) 398-0678 Dallas, TX 75237-3460 (214) 820-9115 • Languages spoken / Idioma(s) (214) 947-5400 hablado(s): Gujrati Okojie, Osehotue O, MD Shima, Thomas B, DO Eff 01-Jul-15 Reed, Melanie L, MD Eff 12-Feb-18 Allcare Family and Urgent Care Eff 01-Jan-14 Texas Oncology, PA Clinics, PA Family Medical Center at Baylor 3555 W Wheatland Rd 3825 Ross Avenue, Ste 150 3600 Gaston Ave, Barnett Tower, Dallas, TX 75237-3461 Dallas, TX 75204 #1109 (972) 709-2580 (214) 515-9654 Dallas, TX 75246 (972) 817-6930 Shumate, Bill G, MD Olusanya, Oladele O, MD Eff 01-Jan-14 Eff 15-Oct-18 Robinson, Brandy R, MD Baylor Family Medicine at Oladele Olusanya MD, PA Eff 14-Feb-20 Frankford & Josey 8067 West Virginia Dri Touch of Grace Family Medicine 5800 E Lovers Lane Dallas, TX 75237 4305 W Wheatland Rd Ste130 Dallas, TX 75206- (972) 230-5601 Dallas, TX 75237 (972)817-6260 (682) 272-4268 Pfister, James G, MD Eff 01-Sep-16 Private Practice- James Pfister MD 10218 Midway Rd Dallas, TX 75229 (214) 351-4084

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 24 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Sokol, Matthew P, MD Weaver, John M, MD Caudill, Travis M, MD * Eff 01-Jan-14 Eff 15-Oct-18 Eff 01-Jan-14 Family Medical Center at Baylor Methodist Breckinridge Family Baylor Scott & White Primary Care 3600 Gaston Ave Barnett Twr Medical Group - Wylie 1109 2821 E. President George Bush 601 Clara Barton Blvd, Ste 340 Dallas, TX 75246 TPKE, Ste 404 Garland, TX 75042 (972) 817-6930 Dallas, TX 75208 (469) 800-2260 (214) 576-2227 Sweezer, Tonya M, DO Chandler, Becky L, MD * Eff 06-Sep-19 Iqbal, Husna , MD Eff 01-Jan-14 Baylor Scott & White Integrative & Eff 14-Nov-19 Baylor Scott & White Family Functional Medicine Husna Iqbal, MD, PA Medical Center - North Garland 8215 Westchester, Ste 112 2801 Duke of Gloucester St, Ste 7217 Telecom Pkwy Ste 225 Dallas, TX 75225 101 Garland, TX 75044-2203 (972) 817-6230 Desoto, TX 75115 (469) 800-2620 (972) 572-8150 • Languages spoken / Idioma(s) Veerasamy, Anitha D, MD hablado(s): Spanish Eff 01-Jan-14 Simmons, Frederic J, DO Baylor Family Medicine at Uptown Eff 15-Oct-18 Clark, Chris A, MD 4161 McKinney Ave Ste 300 Frederic J Simmons, DO Eff 01-Jan-14 Dallas, TX 75204 630 W Wheatland Rd Baylor Scott & White Family (214) 219-6655 Duncanville, TX 75116-4518 Medical Center - North Garland Primary Care Physicians/ Médicos de cabecera (972) 296-2985 7217 Telecom Pkwy Ste 225 Vera-Burkhalter, Cheryl , MD • Languages spoken / Idioma(s) Garland, TX 75044-2203 Eff 15-Mar-19 hablado(s): Spanish (469) 800-2620 Methodist Uptown Medical Group 3000 Blackburn St, Ste 130 Block, Nicolle G, MD Coates, Louis P, DO Dallas, TX 75204 Eff 09-Jul-14 Eff 01-Dec-14 (214) 599-8624 Baylor Scott & White Family Louis P Coates, LLC • Languages spoken / Idioma(s) Medical Center - North Garland 5915 Murphy Rd hablado(s): Spanish 7217 Telecom Pkwy Ste 100A Garland, TX 75048 Garland, TX 75044- (972) 496-6937 Waggoner, Jill , MD (469)800-2530 Eff 15-Oct-18 Day, April M, MD * Methodist Family Health Center - Bush, Tyronne A, DO * Eff 01-Jan-14 Charlton Eff 01-Jan-14 Baylor Scott & White Family 3430 W Wheatland Rd, POB I, Ste Baylor Scott & White Family Medical Center - North Garland 18 Medical Center - North Garland 7217 Telecom Pkwy Ste 225 Dallas, TX 75237 7217 Telecom Pkwy Ste 100A Garland, TX 75044-2203 (972) 780-8400 Garland, TX 75044- (469) 800-2620 (469)800-2530 Walters, David L, MD Dorfman, Lathmany P, MD Eff 15-Oct-18 Carlson, David W, MD Eff 01-Apr-18 Methodist Family Health Center - Eff 01-Apr-17 Baylor Scott & White Family Charlton Private Practice Medical Center - North Garland 7979 W Virginia Dr 4402 Broadway, Ste 1 7217 Telecom Pkwy Ste 225 Dallas, TX 75237-3798 Garland, TX 75043 Garland, TX 75044-2203 (972) 780-8400 (972) 240-1789 (469) 800-2620 • Languages spoken / Idioma(s) hablado(s): Spanish

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 25 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Elko, Alexandra R, DO McKnight, Andrea M, MD Philip, Jissy R, DO Eff 01-Nov-18 Eff 01-Jan-14 Eff 10-Aug-15 Baylor Scott & White Family Baylor Scott & White Family Baylor Scott & White Family Medical Center - North Garland Medical Center - North Garland Medical Center - North Garland 7217 Telecom Pkwy Ste 225 7217 Telecom Pkwy Ste 225 7217 Telecom Pkwy Ste 225 Garland, TX 75044-2203 Garland, TX 75044-2203 Garland, TX 75044-2203 (469) 800-2620 (469) 800-2620 (469) 800-2620 Ghosh, Kirat S, MD McMillin, Kimberly J, MD Sadler, Jane S, MD * Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Baylor Scott & White Family Baylor Scott & White Family Medical Center - North Garland Medical Center - North Garland Medical Center - North Garland 7217 Telecom Pkwy Ste 100A 7217 Telecom Pkwy Ste 100 A 7217 Telecom Pkwy Ste 225 Garland, TX 75044- Garland, TX 75044-2203 Garland, TX 75044-2203 (469)800-2530 (469) 800-2530 (469) 800-2620 • Languages spoken / Idioma(s) hablado(s): Bengali McMillin, Kimberly J, MD Saleem, Sadaf , MD Eff 01-Jan-14 Eff 15-Nov-18 Green, Matthew N, MD * Baylor Scott & White Family Millennium Medical Care PLLC Eff 01-Jan-14 Medical Center - North Garland 2719 Belt Line Rd, Ste B Baylor Scott & White Family 7217 Telecom Pkwy Ste 225 Garland, TX 75044-7086 Medical Center - North Garland Garland, TX 75044-2203 (469) 931-2206 Primary Care Physicians/ Médicos de cabecera 7217 Telecom Pkwy Ste 100A (469) 800-2100 Garland, TX 75044- Shumate, Bill G, MD (469)800-2530 Medina, Jason X, MD Eff 01-Jan-14 Eff 10-Aug-15 Baylor Scott & White Family Lavedan, Pierre J, MD Baylor Scott & White Primary Medical Center - North Garland Eff 09-Feb-15 7217 Telecom Parkway Suite 100 7217 Telecom Pkwy Ste 100 A Baylor Scott & White Family Garland, TX 75044 Garland, TX 75044-2203 Medicine Garland (469) 800-2100 (469) 800-2530 2300 Marie Curie Dr Garland, TX 75042 Menchaca, Ryan , MD Shumate, Bill G, MD (214) 820-9248 Eff 23-Aug-20 Eff 01-Jan-14 Baylor Scott & White Family Baylor Scott & White Family Lavedan, Pierre J, MD Medical Center - North Garland Medical Center - North Garland Eff 09-Feb-15 7217 Telecom Prkwy Ste 100 7217 Telecom Pkwy Ste 225 Baylor Scott & White Family Garland, TX 75044 Garland, TX 75044-2203 Medicine Garland (469) 800-2100 (469) 800-2620 601 Clara Barton Blvd Ste 340 Garland, TX 75042 Mlcak, Mark S, MD * Smith, Chene T, MD (469) 800-2260 Eff 01-Jan-14 Eff 21-Jul-14 Baylor Scott & White Family Baylor Scott & White Family Lensch, David B, MD * Medical Center - North Garland Medical Center - North Garland Eff 01-Jan-14 7217 Telecom Pkwy Ste 225 7217 Telecom Pkwy Ste 225 Baylor Scott & White Family Garland, TX 75044-2203 Garland, TX 75044-2203 Medical Center - North Garland (469) 800-2620 (469) 800-2620 5345 N President George Bush Fwy Patterson, Tena P, MD * Taylor, Jeffrey B, DO Garland, TX 75040 Eff 01-Jan-14 Eff 01-Apr-15 (469) 800-2300 Baylor Scott & White Primary Care Our Family Doctor - Wylie 1919 S Shiloh Ste 333 5345 N George Bush Fwy Garland, TX 75042 Garland, TX 75040 (972) 864-2050 (469) 800-2300

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 26 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Vera, Christina E, DO Cunningham, Mara L, DO * Harvey, Ruth T, DO * Eff 01-Nov-18 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Family Medical Center Baylor Scott & White Family Baylor Family Medical Center at 7217 Telecom Parkway Suite 100 Medical Center Riverside Riverside A 2740 N Hwy 360 Ste 100 2740 N Hwy 360 Ste 100 Garland, TX 75044 Grand Prairie, TX 75050 Grand Prairie, TX 75050 (469) 800-2530 (972) 606-8300 (972) 606-8300 Yang, Kai-Soon , MD Foster, Crystal R, MD Harvey, Ruth T, DO * Eff 14-Aug-19 Eff 01-Jan-14 Eff 01-Jan-14 Methodist Family Health Center - Baylor Scott & White Family Baylor Scott & White Family Firewheel Medicine at Lake Ridge Medical Center Riverside 4430 Lavon Drive, Ste 350 2740 N Hwy 360, Ste 100 2740 N Hwy 360 Ste 100 Garland, TX 75040-2976 Grand Prairie, TX 75050 Grand Prairie, TX 75050 (972) 530-8590 (972) 606-8300 (972) 606-8300 Beadle, Eric J, MD Gavalda, Juan C, MD Hernandez, Omar , MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 01-Jan-14 Methodist Family Health Center - Methodist Family Health Center - Baylor Scott & White Family South Grand Prairie Central Grand Prairie Medicine at Lake Ridge 4560 Lake Ridge Pkwy, Ste 20 820 S. Carrier Pkwy 4927 Lake Ridge Pkwy Ste 100 Grand Prairie, TX 75052 Grand Prairie, TX 75051-1517 Grand Prairie, TX 75052 Primary Care Physicians/ Médicos de cabecera (972) 263-5272 (972) 262-1425 (972) 641-9000 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Botone, Zachary Q, MD * hablado(s): Spanish hablado(s): Spanish Eff 01-Jan-14 Baylor Family Medical Center at George, Gerald G, DO Hidalgo, Idania S, MD Riverside Eff 15-Oct-18 Eff 15-Mar-19 2740 N Hwy 360 Ste 100 Methodist Family Health Center - Methodist Family Health Center - Grand Prairie, TX 75050 Lake Prairie Central Grand Prairie (972) 606-8300 5224 State HWY 360, Ste 230 820 S. Carrier Pkwy Grand Prairie, TX 75052-0964 Grand Prairie, TX 75051-1517 Botone, Zachary Q, MD * (972) 522-0691 (972) 262-1425 Eff 01-Jan-14 • Languages spoken / Idioma(s) Baylor Scott & White Family hablado(s): Spanish Katzen, Kenneth L, DO * Medical Center Riverside Eff 01-Jan-14 2740 N Hwy 360 Ste 100 Gould, Shaun P, DO Baylor Family Medical Center at Grand Prairie, TX 75050 Eff 01-Sep-17 Riverside (972) 606-8300 Baylor Family Medical Center at 2740 N Hwy 360, Ste 100 Riverside Grand Prairie, TX 75050 Cunningham, Mara L, DO * 2740 N Hwy 360, Ste 100 (972) 606-8300 Eff 01-Jan-14 Grand Prairie, TX 75050 Baylor Family Medical Center at (972) 606-8300 Katzen, Kenneth L, DO * Riverside Eff 01-Jan-14 2740 N Hwy 360 Ste 100 Gould, Shaun P, DO Baylor Scott & White Family Grand Prairie, TX 75050 Eff 01-Sep-17 Medical Center Riverside (972) 606-8300 Baylor Scott & White Family 2740 N. Highway 360, Suite 100 Medical Center Riverside Grand Prairie, TX 75050 2740 N. Highway 360, Suite 100 (972) 606-8300 Grand Prairie, TX 75050 (972) 606-8300

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 27 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Katzen, Kevin D, DO * Reyna, Guadalupe , DO * Urieto, Jeffrey O, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Oct-17 Baylor Family Medical Center at Baylor Scott & White Family Baylor Scott & White Family Riverside Medical Center Riverside Medicine at Lake Ridge 2740 N Hwy 360, Ste 100 2740 N. Highway 360 Ste 100 3095 Kingswood Blvd Ste 250 Grand Prairie, TX 75050 Grand Prairie, TX 75050 Grand Prairie, TX 75052 (972) 606-8300 (972) 606-8300 (972) 817-1950 Katzen, Kevin D, DO * Robinson, Amber T, DO Walthius, Kelly M, DO Eff 01-Jan-14 Eff 07-Jul-17 Eff 13-Nov-20 Baylor Scott & White Family Baylor Family Medical Center at Baylor Scott & White Family Medical Center Riverside Riverside Medical Center Riverside 2740 N. Highway 360, Suite 100 2740 N Hwy 360 Ste 100 2740 N State Hwy 360 Ste 100 Grand Prairie, TX 75050 Grand Prairie, TX 75050 Grand Prairie, TX 75050 (972) 606-8300 (972) 606-8300 (972) 606-8300 Neak, Enayetullah , MD Santone, Pamela L, DO Weaver, Mary Ann , MD Eff 06-Sep-19 Eff 15-Oct-18 Eff 15-Oct-18 Baylor Scott & White Family Methodist Family Health Center - Methodist Family Health Center - Medical Center Riverside South Grand Prairie Lake Prairie 2740 N Hwy 360 Ste 100 4560 Lake Ridge Pkwy, Ste 20 5224 State HWY 360, Ste 230 Grand Prairie, TX 75050 Grand Prairie, TX 75052 Grand Prairie, TX 75052-0964 Primary Care Physicians/ Médicos de cabecera (972) 606-8300 (972) 263-5272 (972) 522-0691 Nguyen, Kimloan P, MD Siddiqi, Adila N, DO Wimberly, Bethany M, DO Eff 19-Feb-19 Eff 16-Nov-15 Eff 02-Nov-18 Baylor Scott & White Family DFW Family Clinic Baylor Scott & White Family Medical Center Riverside 2771 Sherman Dr Medicine at Lake Ridge 2740 N Hwy 360 Ste 100 Grand Prairie, TX 75051 3095 Kingswood Boulevard, Suite Grand Prairie, TX 75050 (972) 647-0550 250 (972) 606-8300 • Languages spoken / Idioma(s) Grand Prairie, TX 75052 hablado(s): Hindi (972) 817-1950 Nivens, Jamie A, DO * Eff 01-Jan-14 Sims, Michael D, MD Winchester, Jennifer C, MD Baylor Family Medical Center at Eff 15-Oct-18 Eff 15-Oct-18 Riverside Methodist Family Health Center - Baylor Scott & White Family 2740 N Hwy 360, Ste 100 South Grand Prairie Medicine at Lake Ridge Grand Prairie, TX 75050 4560 Lake Ridge Pkwy, Ste 20 3095 Kingswood Boulevard, Suite (972) 606-8300 Grand Prairie, TX 75052 250 (972) 263-5272 Grand Prairie, TX 75052 Nivens, Jamie A, DO * • Languages spoken / Idioma(s) (972) 817-1950 Eff 01-Jan-14 hablado(s): Spanish Baylor Scott & White Family Anderson, James M, MD Medical Center Riverside Tran, Kim , MD Eff 01-Feb-14 2740 N. Highway 360, Suite 100 Eff 13-Nov-20 Healthcare Associates of Irving Grand Prairie, TX 75050 Baylor Scott & White Family 6161 N Hwy 161 (972) 606-8300 Medical Center Riverside Irving, TX 75038-2220 2740 N State Hwy 360 Ste 100 (972) 258-7499 Grand Prairie, TX 75050 (972) 606-8300

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 28 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Biard, Maria , MD Gaman, Walter N, MD Lawrence, Neal C, MD Eff 01-Feb-14 Eff 01-Feb-14 Eff 15-Oct-17 Healthcare Associates of Irving Healthcare Associates of Irving Healthcare Associates of Irving 6161 N Hwy 161 6161 N Hwy 161 6161 N Hwy 161 Irving, TX 75038-2220 Irving, TX 75038-2220 Irving, TX 75038-2220 (972) 258-7499 (972) 258-7499 (972) 258-7499 Block, Nicolle G, MD Ghosh, Kirat S, MD Lopez-Sepulveda, Jaxel , MD * Eff 09-Jul-14 Eff 01-Jan-14 Eff 26-Jun-19 Baylor Scott & White Medical & Baylor Scott & White Medical & Lopez Sepulveda Primary Care Surgical Clinic - Irving Surgical Clinic - Irving PLLC 2021 N MacArthur Blvd Ste 115 2021 N MacArthur Blvd Ste 115 245 E Grauwyler Rd, Ste 122 Irving, TX 75061- Irving, TX 75061- Irving, TX 75061-2639 (972)817-1000 (972)817-1000 (972) 887-3235 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Bush, Tyronne A, DO * hablado(s): Bengali hablado(s): Spanish Eff 01-Jan-14 Baylor Scott & White Medical & Green, Matthew N, MD * McMillin, Kimberly J, MD Surgical Clinic - Irving Eff 01-Jan-14 Eff 01-Jan-14 2021 N MacArthur Blvd Ste 115 Baylor Scott & White Medical & Baylor Scott & White Medical & Irving, TX 75061- Surgical Clinic - Irving Surgical Clinic - Irving (972)817-1000 2021 N MacArthur Blvd Ste 115 2021 N MacArthur Blvd Ste 115 Primary Care Physicians/ Médicos de cabecera Irving, TX 75061- Irving, TX 75061- Calvert, Charles W, DO (972)817-1000 (972)817-1000 Eff 14-Sep-15 Healthcare Associates of Irving Haman, Robert Mark, DO Powell, Charles L, MD 6161 N Hwy 161 Eff 15-Nov-14 Eff 01-Feb-14 Irving, TX 75038-2220 R Mark Haman, DO, PA Healthcare Associates of Irving (972) 258-7499 1239 E Irving Blvd 6161 N Hwy 161 Irving, TX 75060 Irving, TX 75038-2220 Deems, David A, MD (972) 579-8011 (972) 258-7499 Eff 01-Feb-14 • Languages spoken / Idioma(s) Healthcare Associates of Irving hablado(s): German Raghu, Vijayalakshmi , MD 6161 N Hwy 161 Eff 23-Jul-17 Irving, TX 75038-2220 Havemann, James F, MD Irving Coppell Primary Care (972) 258-7499 Eff 01-Jan-14 Doctors PLLC Baylor Scott & White Family 3365 Regent Blvd, 110 Dott, Kenneth W, DO Medicine Irving, TX 75063 Eff 01-May-16 400 W IH 635, Ste 210 (972) 905-3917 Beltline-Irving Health - Medical Irving, TX 75063-3700 • Languages spoken / Idioma(s) Center (972) 869-2772 hablado(s): Hindi 2401 W Airport Fwy Irving, TX 75062 Kapil, Kamna , MD Romanelli, Enid S, MD (972) 258-7838 Eff 01-Jan-14 Eff 01-Aug-16 Baylor Family Medicine at Coppell Your Clinic Feehery, Terrence M, DO 400 W IH 635 Ste 210 1141 Kinwest Pkwy, #100 Eff 01-Feb-14 Irving, TX 75063 Irving, TX 75063 Healthcare Associates of Irving (469) 800-1190 (214) 239-2222 6161 N Hwy 161 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Irving, TX 75038-2220 hablado(s): Hindi hablado(s): Spanish (972) 258-7499

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 29 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Shumate, Bill G, MD Garrett, Gary D, MD * Nama, Vijaya , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-16 Baylor Scott & White Medical & Baylor Scott & White Family Private Practice Surgical Clinic - Irving Health Center Mesquite 5115 N Callaway, Ste 304 2021 N MacArthur Blvd Ste 115 1575 I-30 Mesquite, TX 75150 Irving, TX 75061- Mesquite, TX 75150 (972) 613-2127 (972)817-1000 (469) 800-2800 • Languages spoken / Idioma(s) hablado(s): Hindi Taylor, Edwin E, MD Holliday, Joel D, DO Eff 08-Jun-15 Eff 13-Sep-16 Raborn, Westley Eugene, DO Healthcare Associates of Irving Southwest Cardiology Eff 13-Feb-17 6161 N Hwy 161 2704 N Galloway Ave, Ste 103 Southwest Cardiology Irving, TX 75038-2220 Mesquite, TX 75150 2704 N Galloway Ave, Ste 103 (972) 258-7499 (214) 320-7650 Mesquite, TX 75150 (214) 320-7650 Thompson, Renika K, MD Juarez-Gonzalez, Monica , DO Eff 01-Jan-14 Eff 02-Sep-19 Rivas, Jose A, MD Irving Community Clinic Dallas Medical Physician Group Eff 01-Nov-15 1302 Lane St, Ste 100 820 East Cartwright Rd, Ste 100 Mesquite Family Healthcare Irving, TX 75061 Mesquite, TX 75149-6063 2030 N Beltline Rd, Ste 130 (469) 800-1012 (214) 320-7600 Mesquite, TX 75150-5815 (469) 804-3498 Primary Care Physicians/ Médicos de cabecera Torres, Cesar O, MD Kakkar, Sonia G, DO Eff 15-Oct-17 Eff 08-Sep-14 Schorr, Paul P, DO Healthcare Associates of Irving Baylor Scott & White Family Eff 15-Jul-17 6161 N Hwy 161 Health Center Mesquite Dr Paul P Schorr, DO, PA Irving, TX 75038-2220 1575 I-30 1324 N Galloway Ave, Ste 105 (972) 258-7499 Mesquite, TX 75150 Mesquite, TX 75149 (469) 800-2800 (972) 216-4900 Ward, Mary H, DO Eff 01-Feb-14 Kampas, Christopher P, MD Shibli, Urooj B, MD Healthcare Associates of Irving Eff 08-Sep-14 Eff 13-Sep-16 6161 N Hwy 161 Baylor Scott & White Family Southwest Cardiology Irving, TX 75038-2220 Health Center Mesquite 2704 N Galloway Ave, Ste 103 (972) 258-7499 1575 I-30 Mesquite, TX 75150 • Languages spoken / Idioma(s) Mesquite, TX 75150 (214) 320-7650 hablado(s): Spanish (469) 800-2800 Tucker, Sharon E, MD * Cao, Peter D, MD Khan, Ajaz O, MD Eff 01-Jan-14 Eff 21-Jul-14 Eff 02-Sep-19 Baylor Scott & White Family Baylor Scott & White Family Ayman Care PLLC Health Center Mesquite Health Center Mesquite 1324 Galloway Ave Ste 106 1575 I-30 1575 I-30 Mesquite, TX 75149-2440 Mesquite, TX 75150 Mesquite, TX 75150 (972)288-9747 (469) 800-2800 (469) 800-2800 Miller, Lance J, DO * Bhat, Shubha P, MD * Cynar, Robert G, MD * Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Baylor Family Health Center at Baylor Scott & White Family Health Center Mesquite Richardson Health Center Mesquite 1575 I-30 2520 N Central Expy, Ste 100 1575 I-30 Mesquite, TX 75150 Richardson, TX 75080 Mesquite, TX 75150 (469) 800-2800 (972) 234-3311 (469) 800-2800 • Languages spoken / Idioma(s) hablado(s): Spanish

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 30 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Bindra, Amby J, MD * Dela Cruz, Roberto B, MD * Liu, Christine Y, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 15-Oct-18 Baylor Family Health Center at Baylor Family Health Center at Methodist Richardson Medical Richardson Richardson Group 2520 N Central Expy, Ste 100 2520 N Central Expy, Ste 100 2821 E. President George Bush Richardson, TX 75080 Richardson, TX 75080 HWY, Ste 103 (972) 234-3311 (972) 234-3311 Richardson, TX 75082-4277 (972) 792-7300 Boothe, Patrick L, DO Friedman, Lawrie H, MD Eff 05-May-19 Eff 01-Jan-16 Liu, Christine Y, MD Methodist Family Health Center - Lawrie H Friedman, MD Eff 15-Oct-18 Firewheel 670 N Coit, Ste 2355 Methodist Richardson Medical 2821 E President George Bush Richardson, TX 75080 Group Turnpike, Ste 103 (972) 644-3422 2821 E President George Bush Richardson, TX 75082 • Languages spoken / Idioma(s) Turnpike Ste 404 (972) 792-7300 hablado(s): Dutch Richardson, TX 75082 (214) 576-2227 Bradford, Katrina M, MD * Golwala, Amol B, DO Eff 01-Jan-14 Eff 18-May-18 Maxwell, Michael C, MD Baylor Family Health Center at Family HealthCare Associates Eff 15-Mar-17 Richardson 2821 E President George Bush Family HealthCare Associates 2520 N Central Expy, Ste 100 Hwy Ste 100 2821 E President George Bush Primary Care Physicians/ Médicos de cabecera Richardson, TX 75080 Richardson, TX 75082-4266 Hwy, Ste 100 (972) 234-3311 (214) 575-3422 Richardson, TX 75082-4266 • Languages spoken / Idioma(s) (214) 575-3422 hablado(s): Spanish Graves, Reese C, MD Eff 30-Oct-19 Miller, Amy B, DO * Calderon, Paulo , MD Baylor Family Health Center at Eff 15-Mar-17 Eff 15-Oct-18 Richardson Family HealthCare Associates Methodist Richardson Family 2520 N Central Expy Ste 100 2821 E President George Bush Medical Group Richardson, TX 75080 Hwy, Ste 100 399 W Campbell Rd, Ste 101 (972)234-3311 Richardson, TX 75082-4266 Richardson, TX 75080-3615 (214) 575-3422 (972) 238-1848 Kwon, Hyojin , MD Eff 13-Nov-20 Olfson, James R, MD Clothier, Norman C, MD Baylor Scott & White Family Eff 15-Mar-17 Eff 15-Mar-17 Health Center Richardson Family HealthCare Associates Family HealthCare Associates 2520 N Central Expwy Ste 100 2821 E President George Bush 2821 E President George Bush Richardson, TX 75080 Hwy, Ste 100 Hwy, Ste 100 (972) 234-3311 Richardson, TX 75082-4266 Richardson, TX 75082-4266 (214) 575-3422 (214) 575-3422 Li, Yan , MD Eff 15-Sep-14 Tran, Lamyen , MD Dean, Jessica A, DO Yan Li, MD, PhD, PA Eff 15-Oct-18 Eff 15-Oct-18 3413 Spectrum Blvd, Ste 100 Methodist Richardson Family Methodist Richardson Family Richardson, TX 75082 Medical Group Medical Group (972) 884-4160 399 W Campbell Rd, Ste 101 399 W Campbell Rd, Ste 101 • Languages spoken / Idioma(s) Richardson, TX 75080-3615 Richardson, TX 75080-3615 hablado(s): Chinese (972) 238-1848 (972) 238-1848 • Languages spoken / Idioma(s) hablado(s): Vietnamese

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 31 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Vu, Elizabeth P, DO Bander, Steven G, DO Denton County | Condado de Eff 15-Mar-17 Baylor Scott & White Primary Care Family HealthCare Associates - Wylie Denton 2821 E President George Bush 2300 FM 544 Ste 270 Hwy Ste 100 Wylie, TX 75098 Davalos, Fernando , MD Richardson, TX 75082-4266 (972) 442-4888 Eff 01-Jan-14 (214) 575-3422 Baylor Scott & White Family Caudill, Travis M, MD * Medicine - Carrollton Yang, Kai-Soon , MD Eff 01-Jan-14 4325 N Josey Ln, Plaza III, Ste Eff 14-Aug-19 Baylor Scott & White Primary Care 300 Methodist Family Health Center - - Wylie Carrollton, TX 75010 Firewheel 600 Cooper Dr, Ste 100 (469) 800-4900 2821 E President George Bush Wylie, TX 75098 Turnpike, Ste 103 (972) 442-7325 Nguyen, Hong An, MD Richardson, TX 75082 Eff 01-Sep-17 (972) 792-7300 Mercer, John W, MD * Baylor Scott & White Family Eff 01-Jan-14 Medicine - Carrollton Zhang, Jinsong , MD Baylor Scott & White Primary Care 4325 N Josey Ln Plaza III Ste 300 Eff 01-Jun-18 - Wylie Carrollton, TX 75010 North Richardson Family Clinic 600 Cooper Dr, Ste 100 (469) 800-4900 3200 Talon Dr, Ste 100 Wylie, TX 75098 Richardson, TX 75082-9720 (972) 442-7325 Xiao, Hong , MD Primary Care Physicians/ Médicos de cabecera (214) 431-4539 Eff 01-Jan-14 Mohiuddin, Mohammed , MD Fairway Family Medicine Sayhood, Zaid F, MD Eff 01-Apr-20 4100 Fairway Dr, Ste 320 Eff 27-Oct-17 Heal 360 Primary Care PLLC Carrollton, TX 75010 Inpatient Care Unit at Baylor 3400 W FM 544 Ste 650 (972) 236-7608 Medical Center Garland Wylie, TX 75098-9418 • Languages spoken / Idioma(s) 6800 Scenic Dr, Ste 1071 (972)226-8900 hablado(s): Chinese Rowlett, TX 75088 (972) 535-2946 Nguyen, Lisa , DO Khan, Mariam , MD Eff 13-Jul-15 Eff 07-Jul-20 Hollingsworth, Nataki A, MD Baylor Scott & White Primary Care Healthcare Associates of Irving Eff 10-Aug-15 - Wylie LLP Baylor Scott & White Primary 600 Cooper Dr, Ste 100 8700 US Hwy 380 Ste 200 5250 State Hwy 78, Ste 850 Wylie, TX 75098 Crossroads, TX 76227 Sachse, TX 75048 (972) 442-7325 (940) 365-9400 (469) 800-2450 Patterson, Tena P, MD * Powell, Charles L, MD Hollingsworth, Terry A, MD Eff 01-Jan-14 Eff 01-Feb-14 Eff 24-Aug-15 Baylor Scott & White Primary Care Healthcare Associates of Irving Baylor Scott & White Primary - Wylie 8700 US Hwy 380, Ste 200 5250 State Hwy 78, Ste 850 600 Cooper Dr, Ste 100 Crossroads, TX 76227 Sachse, TX 75048 Wylie, TX 75098 (972) 953-2405 (469) 800-2450 (972) 442-7325 Ko, David , MD Stubblefield, Larry K, DO Eff 01-Mar-18 Eff 01-Sep-16 Baylor Scott & White Primary Care Larry K Stubblefield DO - Denton 605 Avalon St 2817 S Mayhill Rd, Ste 115 Seagoville, TX 75159 Denton, TX 76208-5967 (972) 287-7788 (469) 862-1000

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 32 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Roberts, Tami R, MD Horstmeyer, Christine G, MD Seysan, Roya , MD Eff 06-Mar-19 Eff 26-Jul-16 Eff 01-Aug-16 DFW Neuropathy Baylor Family Medicine at Flower Flower Mound Family Health 2435 West Oak St, Ste 101 Mound Center Denton, TX 76201-2308 1110 Parker Square 2261 Olympia Dr, Ste 100 (817) 924-1000 Flower Mound, TX 75028 Flower Mound, TX 75028 (972) 724-1707 (972) 691-8585 Roufeh, Ramin , MD Eff 01-Mar-18 Jabeen, Javaria , DO Villalon, Raul , MD * Baylor Scott & White Primary Care Eff 01-Sep-16 Eff 01-Jan-14 - Denton YZ Healthcare, PA Baylor Family Medicine at Flower 2817 S Mayhill Rd, Ste 115 4931 Long Prairie Rd, Ste 300 Mound Denton, TX 76208-5967 Flower Mound, TX 75028 1110 Parker Square (469) 862-1000 (940) 489-2489 Flower Mound, TX 75028 (972) 724-1707 Bajwa, Navjot , MD Jamal, Saira , MD • Languages spoken / Idioma(s) Eff 03-Aug-18 Eff 01-Apr-18 hablado(s): Spanish Pediatric & Family Physicians, PA Famcare Clinic of North Texas 4900 Long Prairie Rd, Ste 100 4320 Windsor Centre Trl, Ste 300 Khadbai, Adam , MD Flower Mound, TX 75028-2288 Flower Mound, TX 75028-1886 Eff 06-Sep-18 (972) 691-4100 (972) 539-1600 Star Family Medicine, PLLC • Languages spoken / Idioma(s) 255 W Lebanon, Ste 208 Primary Care Physicians/ Médicos de cabecera hablado(s): Punjabi Minton, Bryan H, MD * Frisco, TX 75036-3411 Eff 01-Jan-14 (817) 341-7670 Bajwa, Navjot , MD Baylor Family Medicine at Flower Eff 03-Aug-18 Mound Roberts, Tami R, MD Pediatric & Family Physicians, PA 1110 Parker Square Eff 06-Mar-19 4900 Long Prairie Rd, Ste 100 Flower Mound, TX 75028 DFW Neuropathy Flower Mound, TX 75028-2288 (972) 724-1707 11700 Teel Pkwy, Ste 100 (972) 691-4100 • Languages spoken / Idioma(s) Frisco, TX 75033-2037 hablado(s): Spanish (972) 931-3131 Balarbar, Melinda B, MD * Eff 01-Jan-14 Ratnayake, Maheshika K, MD Looney, James K, MD Baylor Family Medicine at Flower Eff 09-Jul-14 Eff 05-Oct-15 Mound Baylor Family Medicine at Flower Baylor Family Medicine at 1110 Parker Square Mound Highland Village Flower Mound, TX 75028 1110 Parker Square 2900 Village Pkwy, Ste 300 (972) 724-1707 Flower Mound, TX 75028 Highland Village, TX 75077-3301 • Languages spoken / Idioma(s) (972) 724-1707 (469) 800-0500 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish Smith, Trisha E, MD George, Susan , MD Eff 01-Apr-14 Eff 15-Apr-17 Santiago, Joseph P, MD * Baylor Family Medicine at Agape Family Medicine Clinic Eff 01-Jan-14 Highland Village 2001 Morriss Rd, Ste 150 Baylor Family Medicine at Flower 2900 Village Pkwy Ste 300 Flower Mound, TX 75028 Mound Highland Village, TX 75077-3301 (972) 874-9600 1110 Parker Square (469) 800-0500 Flower Mound, TX 75028 Glaser, Brian D, DO (972) 724-1707 Eff 01-Oct-20 • Languages spoken / Idioma(s) Bridlewood Family Healthcare hablado(s): Spanish 3400 Long Prairie Rd Ste 200 Flower Mound, TX 75022-2953 (972) 899-6300

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 33 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Gibbs, Mark E, MD Abraham, Jane , DO Rana, Shital M, MD Eff 15-May-18 Eff 20-Nov-17 Eff 15-Mar-17 Justin Family Medical PA Family HealthCare Associates Family HealthCare Associates 310 W 2nd Street 1610 Commons Cir 1610 Commons Cir Justin, TX 76247-5023 Northlake, TX 76226 Northlake, TX 76226 (940) 648-9900 (940)725-3407 (940)725-3407 • Languages spoken / Idioma(s) hablado(s): Spanish Ashrafian, Afshin S, MD Seo, Myungseok R, MD Eff 15-Mar-17 Eff 15-Mar-17 Aslam, Samar , MD Family HealthCare Associates Family HealthCare Associates Eff 19-Jan-17 1610 Commons Cir 1610 Commons Cir HTPN Primary Care Castle Hills Northlake, TX 76226 Northlake, TX 76226 1700 FM 544, Ste 200 (940)725-3407 (940)725-3407 Lewisville, TX 75056 (469) 800-4250 Byarlay, Mark M, MD Tasneem, Tehmina , MD Eff 15-Mar-17 Eff 15-Mar-17 Beste, Timothy , MD Family HealthCare Associates Family HealthCare Associates Eff 15-Nov-18 1610 Commons Cir 1610 Commons Cir Timothy A Beste MD PA Northlake, TX 76226 Northlake, TX 76226 800 S Stemmons (940)725-3407 (940)725-3407 Lewisville, TX 75067-5382 (972) 436-2551 Kagwima, Ruth , MD Vu, Hieu T, MD Primary Care Physicians/ Médicos de cabecera Eff 15-Dec-18 Eff 15-Mar-17 Chandra, Archara , MD Family HealthCare Associates Family HealthCare Associates Eff 01-Oct-16 1610 Commons Cir 1610 Commons Cir Private Practice Northlake, TX 76226 Northlake, TX 76226 502 N Valley Pkwy, Ste 1 (940)725-3407 (940)725-3407 Lewisville, TX 75067 (972) 353-8616 Lane, Mona Lisa B, DO Breuder, Christopher C, MD • Languages spoken / Idioma(s) Eff 15-Mar-17 Eff 01-Jan-14 hablado(s): Hindi Family HealthCare Associates Baylor Scott & White Family 1610 Commons Cir Medicine Roanoke and Trophy Disraeli, Phillip H, MD Northlake, TX 76226 Club Eff 01-Jan-14 (940)725-3407 610 E Byron Nelson Blvd, Ste 101 HTPN Primary Care Castle Hills Roanoke, TX 76262 1700 FM 544 Ste 200 Muntajibuddin, Sana Fatima, DO (817) 912-8200 Lewisville, TX 75056 Eff 15-Mar-17 (469) 800-4250 Family HealthCare Associates Ellenbecker, Beau J, DO 1610 Commons Cir Eff 01-Jan-14 Sayani, Shermin Z, MD Northlake, TX 76226 Baylor Scott & White Family Eff 13-Nov-20 (940)725-3407 Medicine Roanoke and Trophy Baylor Scott & White Primary Care Club Castle Hills Paik, Elaine , MD 610 E Byron Nelson Blvd Ste 101 1700 Fm 544 Ste 200 Eff 15-Mar-17 Roanoke, TX 76262 Lewisville, TX 75056 Family HealthCare Associates (817) 912-8200 (469) 800-4250 1610 Commons Cir Northlake, TX 76226 Beckstrom, Perry K, DO Mohiuddin, Mohammed , MD (940)725-3407 Eff 05-Aug-18 Eff 01-Apr-20 The Colony Total Wellness Clinic Heal 360 Primary Care PLLC PLLC 2833 Eldorado Pkwy Ste 307 4815 TX-121 Ste 5 Little Elm, TX 75068-3540 The Colony, TX 75056-2906 (972) 292-0300 (800) 246-5698

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 34 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Breuder, Christopher C, MD Pullamaraju, Swati , MD Block, Nicolle G, MD Eff 01-Jan-14 Eff 01-Sep-18 Eff 09-Jul-14 Baylor Scott & White Family Ellis County Medical Associates, Baylor Scott & White Family Medicine Roanoke and Trophy PA Medical Center Club 802 W Lampasas 1441 S Midlothian Pkwy Ste 100A 2800 E Hwy 114, Ste 220 Ennis, TX 75119-4536 Midlothian, TX 76065- Trophy Club, TX 76262 (972) 875-4700 (469)800-9440 (817) 912-8800 Saeed, Umar , MD Bush, Tyronne A, DO * Ellenbecker, Beau J, DO Eff 06-Sep-18 Eff 01-Jan-14 Eff 01-Jan-14 Walk In & Urgent Care of Texas Baylor Scott & White Family Baylor Scott & White Family 1200 Dolfie Lane Medical Center Medicine Roanoke and Trophy Ennis, TX 75119-1638 1441 S Midlothian Pkwy Ste 100A Club (972) 875-4500 Midlothian, TX 76065- 2800 E Hwy 114 Ste 220 (469)800-9440 Trophy Club, TX 76262 Arkusinski, John B, DO (817) 912-8800 Eff 31-Mar-17 Coleman, Chad E, MD Ferris Family Medicine PA Eff 01-Jan-14 Lansford-Seabaugh, Paula A, DO 207 W 5th Baylor Scott & White Family Eff 01-Dec-14 Ferris, TX 75125 Medical Center Trophy Club Family Medicine (972) 842-3016 1441 S Midlothian Pkwy Ste 110 945 Trophy Club Dr Midlothian, TX 76065-5592 Primary Care Physicians/ Médicos de cabecera Trophy Club, TX 76262 Megna, Robert J, DO (469) 800-9720 (817) 430-9111 Eff 08-Mar-17 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Ferris Family Medicine PA hablado(s): Spanish hablado(s): Korean 207 W 5th Ferris, TX 75125 Ghosh, Kirat S, MD Sadler, Jane S, MD * (972) 842-3016 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Baylor Scott & White Family Perrin, Davey M, MD Medical Center Medicine Roanoke and Trophy Eff 01-Mar-17 1441 S Midlothian Pkwy Ste 100A Club Ferris Family Medicine PA Midlothian, TX 76065- 2800 E Hwy 114, Ste 220 207 W 5th (469)800-9440 Trophy Club, TX 76262 Ferris, TX 75125 • Languages spoken / Idioma(s) (817) 912-8800 (972) 842-3016 hablado(s): Bengali Yi, David C, MD Supavong, Chanida K, DO Green, Matthew N, MD * Eff 01-Dec-14 Eff 21-Mar-17 Eff 01-Jan-14 Trophy Club Family Medicine Ferris Family Medicine PA Baylor Scott & White Family 945 Trophy Club Dr 207 W 5th Medical Center Trophy Club, TX 76262 Ferris, TX 75125 1441 S Midlothian Pkwy Ste 100A (817) 430-9111 (972) 842-3016 Midlothian, TX 76065- • Languages spoken / Idioma(s) (469)800-9440 Anderson, Antony D, MD hablado(s): Korean Eff 13-Nov-20 Hernandez, Omar , MD Baylor Scott & White Primary Care Ellis County | Condado de Ellis Eff 01-Jan-14 - Midway Baylor Scott & White Family 4431 E US Hwy 287 Laws, D Blayne , MD Medical Center Midlothian, TX 76065 1441 S Midlothian Parkway Ste Eff 01-Aug-16 (972) 817-7500 Family Care Clinic 100 717 W Lampasas St Midlothian, TX 76065 Ennis, TX 75119 (469) 800-9600 (972) 875-6700 • Languages spoken / Idioma(s) hablado(s): Spanish ◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 35 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Hernandez, Omar , MD Maliyil, Jepsin A, MD Miller, Wilfred , DO Eff 01-Jan-14 Eff 01-Jan-14 Eff 15-Jun-17 Baylor Scott & White Medical Baylor Scott & White Family Willfred Miller DO PA Center Midlothian Medical Center 4031 E Highway 287 1441 S Midlothian Pkwy Ste 100 1441 S Midlothian Pkwy Ste 100 Midlothian, TX 76065 Midlothian, TX 76065 Midlothian, TX 76065 (972) 346-8115 (469)800-9600 (469) 800-9200 • Languages spoken / Idioma(s) Moreland, Matthew C, DO hablado(s): Spanish Maliyil, Jepsin A, MD Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Ighalo, Omonmen O, MD Baylor Scott & White Family Medical Center Eff 06-Sep-19 Medical Center 1441 S Midlothian Pkwy Ste 110 Baylor Scott & White Family 1441 S Midlothian Pkwy Ste 100 Midlothian, TX 76065-5592 Medicine at Cedar Hill Midlothian, TX 76065 (469) 800-9720 1441 S Midlothian Pkwy Suite 100 (469) 800-9600 A Nangha, Pannaben H, MD Midlothian, TX 76065 Martak, Joshua G, MD Eff 01-Jan-16 (469) 800-9440 Eff 01-Sep-17 Midlothian Primary Care Doctors, Baylor Scott & White Family PLLC Kicza, Adrienne M, MD Medical Center 661 E Main St, Ste 900 Eff 24-Nov-19 1441 S Midlothian Parkway, Ste Midlothian, TX 76065 Baylor Scott & White Family 100 (469) 612-5250 Primary Care Physicians/ Médicos de cabecera Medical Center Midlothian, TX 76065 • Languages spoken / Idioma(s) 1441 S Midlothian Prkwy Ste 100 (469) 800-9600 hablado(s): Hindi Midlothian, TX 76065-5592 (469) 800-9600 Martak, Joshua G, MD Pederson, Katherine A, DO Eff 01-Sep-17 Eff 15-Mar-19 Kwan, Karen P, MD Baylor Scott & White Family Methodist Family Health Center - Eff 01-Jan-14 Medical Center Midlothian Baylor Scott & White Family 1441 S Midlothian Pkwy, Ste 100 2230 Bryan Place, Ste 200 Medical Center Midlothian, TX 76065 Midlothian, TX 76065 1441 S Midlothian Parkway, Ste (469) 800-9200 (972) 775-4132 100 Midlothian, TX 76065 McDaniel, Jeffrey M, MD Shie, Jonathan J, MD (469) 800-9600 Eff 15-Oct-18 Eff 05-Jan-20 • Languages spoken / Idioma(s) Methodist Family Health Center - Baylor Scott & White Family hablado(s): Spanish Midlothian Medical Center 2230 Bryan Place, Ste 200 1441 S Midlothian Parkway, Ste Kwan, Karen P, MD Midlothian, TX 76065 100 Eff 01-Jan-14 (972) 775-4132 Midlothian, TX 76065 Baylor Scott & White Family • Languages spoken / Idioma(s) (469) 800-9600 Medical Center hablado(s): Spanish 1441 S Midlothian Pkwy, Ste 100 Shumate, Bill G, MD Midlothian, TX 76065 McMillin, Kimberly J, MD Eff 01-Jan-14 (469) 800-9200 Eff 01-Jan-14 Baylor Scott & White Family • Languages spoken / Idioma(s) Baylor Scott & White Family Medical Center hablado(s): Spanish Medical Center 1441 S Midlothian Pkwy Ste 100A 1441 S Midlothian Pkwy Ste 100A Midlothian, TX 76065- Midlothian, TX 76065- (469)800-9440 (469)800-9440

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 36 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Soederbaum, Nadeen , MD Trammell, Stephen B, DO Leach, Randy A, DO Eff 25-Feb-19 Eff 01-Apr-15 Eff 09-Jul-14 Healthcare Associates of Irving, Stephen B Trammell, DO, PA Baylor Scott & White Family LLP 675 Main St Medical Center Red Oak 661 E Main St, Ste 900 Ovilla, TX 75154 301 E Ovilla Rd Ste 100 Midlothian, TX 76065-3343 (972) 617-6376 Red Oak, TX 75154 (469) 612-5250 (469) 800-9200 Guryan, Rupinder K, DO Sorial, Mary E, DO Eff 06-Sep-19 Thomison, James L, MD Eff 13-Nov-20 Baylor Scott & White Family Eff 01-Jan-14 Baylor Scott & White Family Medical Center Red Oak Baylor Scott & White Family Medical Center Midlothian 301 E Ovilla Rd, Ste 100 Medical Center 1441 S Midlothian Prkwy Ste 100 Red Oak, TX 75154 301 E Ovilla Rd, Ste 100 Midlothian, TX 76065 (469) 800-9200 Red Oak, TX 75154 (469) 800-9600 (469) 800-9200 Hollub, Alexander J, MD Thomison, James L, MD Eff 01-Jan-14 Thomison, James L, MD Eff 01-Jan-14 Baylor Scott & White Family Eff 01-Jan-14 Baylor Scott & White Family Medical Center Baylor Scott & White Family Medical Center 301 E Ovilla Rd, Ste 100 Medical Center Red Oak 1441 South Midlothian Parkway Red Oak, TX 75154 301 E Ovilla Rd, Ste 100 Suite 100 A (469) 800-9200 Red Oak, TX 75154 Primary Care Physicians/ Médicos de cabecera Midlothian, TX 76065 • Languages spoken / Idioma(s) (469) 800-9200 (469) 800-9440 hablado(s): Spanish Vo, Linh , DO Urieto, Jeffrey O, MD Hollub, Alexander J, MD Eff 13-Nov-20 Eff 01-Oct-17 Eff 01-Jan-14 Baylor Scott & White Family Baylor Scott & White Urgent Care Baylor Scott & White Family Medical Center Red Oak Midlothian Medical Center Red Oak 301 E Ovilla Rd Ste 100 1441 S Midlothian Pkwy Ste 100 A 301 E Ovilla Rd, Ste 100 Red Oak, TX 75154 Midlothian, TX 76065-5597 Red Oak, TX 75154 (469) 800-9200 (469) 800-9440 (469) 800-9200 • Languages spoken / Idioma(s) Broadway, Christopher M, MD Vick, Katie M, MD hablado(s): Spanish Eff 15-Oct-18 Eff 01-Jan-14 Methodist Family Health Center - Baylor Scott & White Family Kicza, Adrienne M, MD Waxahachie Medical Center Eff 24-Nov-19 1700 N HWY 77, Ste 210 1441 S Midlothian Pkwy Ste 100 Baylor Scott & White Family Waxahachie, TX 75165-7832 Midlothian, TX 76065 Medical Center Red Oak (972) 937-1210 (469) 800-9200 301 E Ovilla Rd Ste 100 Red Oak, TX 75154 Kare, Ramon Paul, MD * Vick, Katie M, MD (469) 800-9200 Eff 15-Oct-14 Eff 01-Jan-14 Kare Family Clinic Baylor Scott & White Family Leach, Randy A, DO 120 S Grand Ave, Ste 2 Medical Center Eff 09-Jul-14 Waxahachie, TX 75165 1441 S Midlothian Prkwy Ste 100 Baylor Scott & White Family (972) 938-0100 Midlothian, TX 76065 Medical Center (469) 800-9600 301 E Ovilla Rd Ste 100 Lee, Jane E, DO Red Oak, TX 75154 Eff 07-Mar-16 (469) 800-9200 Baylor Scott & White Family Medical Center 2460 N IH 35 Ste 100 Waxahachie, TX 75165 (469) 800-9500

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 37 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Lee, Jane E, DO Sayhood, Zaid F, MD Laing, Jennifer , MD Eff 07-Mar-16 Eff 27-Oct-17 Eff 01-Aug-19 Baylor Scott & White Family Baylor Scott & White Hospital WNJ Wellcare Medical Group Medical Center Waxahachie Medicine - Waxahachie 1000 S Heritage Pkwy 2460 N IH 35E Ste 100 2400 N I-35E Sherman, TX 75092 Waxahachie, TX 75165 Waxahachie, TX 75165 (903) 891-0949 (469) 800-9500 (972) 923-7144 Millmann, Paul , MD Linguist, David L, MD Shie, Jonathan J, MD Eff 01-Aug-19 Eff 01-Jan-14 Eff 05-Jan-20 WNJ Wellcare Medical Group Baylor Scott & White Family Baylor Scott & White Family 1700 E Gallagher Dr Medical Center Medical Center Sherman, TX 75090-1810 2460 N IH 35, Ste 100 2460 N IH 35E, Ste 100 (903) 893-1399 Waxahachie, TX 75165 Waxahachie, TX 75165 (469) 800-9500 (469) 800-9500 Knight, Polly , MD Eff 15-Sep-17 Linguist, David L, MD Trejo, Jesus , MD Van Alstyne Family Practice Eff 01-Jan-14 Eff 01-Jan-14 350 N Cartwright Rd Baylor Scott & White Family Baylor Scott & White Family Van Alstyne, TX 75495-7111 Medical Center Waxahachie Medical Center (903) 482-9153 2460 N IH 35E, Ste 100 2460 N IH 35 Ste 100 Waxahachie, TX 75165 Waxahachie, TX 75165 Rafi, Farhan , MD Primary Care Physicians/ Médicos de cabecera (469) 800-9500 (469) 800-9500 Eff 26-Apr-20 • Languages spoken / Idioma(s) Baylor Scott & White Primary Care Oberdick, Wendy T, MD hablado(s): Spanish - Van Alstyne Eff 30-Apr-18 350 North Cartwright Rd Baylor Scott & White Family Trejo, Jesus , MD Van Alstyne, TX 75495 Medical Center Eff 01-Jan-14 (903) 482-9153 2460 N IH 35 Ste 100 Baylor Scott & White Family Waxahachie, TX 75165 Medical Center Waxahachie Westmoreland, Paul A, MD (469) 800-9500 2460 N IH 35E Ste 100 Eff 15-Sep-17 Waxahachie, TX 75165 Van Alstyne Family Practice Oberdick, Wendy T, MD (469) 800-9500 350 N Cartwright Rd Eff 30-Apr-18 • Languages spoken / Idioma(s) Van Alstyne, TX 75495-7111 Baylor Scott & White Family hablado(s): Spanish (903) 482-9153 Medical Center Waxahachie 2460 N IH 35E Ste 100 Truong, Kiet T, MD Hill County | Condado de Hill Waxahachie, TX 75165 Eff 13-Nov-20 (469) 800-9500 Baylor Scott & White Family Bauerschlag, Jason , MD Medical Center Waxahachie Eff 15-Jan-18 Pirisino, Ashley N, MD 2460 N IH 35E Ste 100 Providence Family Health Center Eff 15-Oct-18 Waxahachie, TX 75165 Hillsboro Methodist Family Health Center - (469) 800-9500 1323 E Franklin St, Ste 105 Waxahachie Hillsboro, TX 76645-2679 1700 N HWY 77, Ste 210 Grayson County | Condado de (254) 582-7481 Waxahachie, TX 75165-7832 Grayson (972) 937-1210 Earhart, James M, MD Eff 15-Jan-18 Craig, Grant , MD Providence Family Health Center Eff 01-Aug-19 Hillsboro WNJ Wellcare Medical Group 1323 E Franklin St, Ste 105 2801 N Loy Lake Rd Hillsboro, TX 76645-2679 Sherman, TX 75090-1726 (254) 582-7481 (903) 957-0190

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 38 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Marshall, Wesley C, MD Strong, Christopher N, DO Perks, Joseph M, DO Eff 15-Jan-18 Eff 05-Dec-19 Eff 11-Jan-16 Providence Family Health Center Clifton Medical Clinic Baylor Scott & White Primary Care Hillsboro 202 E Jefferson Ave Associates Royse City 1323 E Franklin St, Ste 105 Whitney, TX 76692- 4400 W IH-30, Ste 100 Hillsboro, TX 76645-2679 (254) 694-2221 Greenville, TX 75402-4611 (254) 582-7481 (469) 800-3500 Hood County | Condado de • Languages spoken / Idioma(s) Seale, Jonathan , MD hablado(s): Spanish Eff 07-Dec-18 Hood Providence Health Alliance Satish, Nisha , MD 1323 E Franklin St, Ste 105 Letellier, Jean-Pierre , MD * Eff 01-Aug-16 Hillsboro, TX 76645 Eff 10-Jul-19 Psymed Solutions (254) 582-7481 Acton Medical Clinic 4501 Joe Ramsey Blvd, Ste 260 2006 Fall Creek Hwy Greenville, TX 75401 Seely, Jeremiah B, MD Granbury, TX 76049 (972) 232-7474 Eff 15-Jan-18 (817) 326-3440 Providence Family Health Center Ziai-Jamalabadi, Elham , MD Hillsboro Hunt County | Condado de Eff 11-Jan-16 1323 E Franklin St, Ste 105 Hunt Baylor Scott & White Primary Care Hillsboro, TX 76645-2679 Associates Royse City (254) 582-7481 4400 W IH-30, Ste 100 Koger, Linton M, MD Primary Care Physicians/ Médicos de cabecera Greenville, TX 75402-4611 Eff 11-Jan-16 Teague, Christopher W, MD (469) 800-3500 Baylor Scott & White Primary Care Eff 15-Jan-18 • Languages spoken / Idioma(s) Associates Royse City Providence Family Health Center hablado(s): Spanish Hillsboro 4400 W IH-30, Ste 100 Greenville, TX 75402-4611 1323 E Franklin St, Ste 105 Johnson County | Condado de Hillsboro, TX 76645-2679 (469) 800-3500 (254) 582-7481 • Languages spoken / Idioma(s) Johnson • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Polski, Michael , MD Madsen, Leah P, MD Eff 15-Oct-16 Henderson, Randall , DO Eff 11-Jan-16 Private Practice Eff 01-Sep-16 Baylor Scott & White Primary Care 1310 NW John Jones Dr Whitney Family Medicine Associates Royse City Burleson, TX 76028 1314 N Brazos St 4400 W IH-30, Ste 100 (817) 297-1297 Whitney, TX 76692 Greenville, TX 75402-4611 • Languages spoken / Idioma(s) (254) 694-3621 (469) 800-3500 hablado(s): Spanish • Languages spoken / Idioma(s) Pickering, Clayton L, DO hablado(s): Spanish Kaufman County | Condado de Eff 01-Jan-19 Lake Whitney Medical Clinic Monday, Suzanne E, MD Kaufman 202 E Jefferson Ave Eff 14-Mar-16 Whitney, TX 76692-2398 Greenville Healthcare Associates George, Jim , MD (254) 694-2221 4101 Wesley St, Ste C Eff 10-Aug-15 • Languages spoken / Idioma(s) Greenville, TX 75401 Baylor Scott & White-Sandknop hablado(s): Spanish (903) 454-8111 Family Practice 763 E Hwy 80, Ste 240 Forney, TX 75126 (469) 800-3875 • Languages spoken / Idioma(s) hablado(s): Spanish

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 39 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Peterson, Valerie A, MD * Lance, Christian , MD Parker County | Condado de Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Baylor Scott & White Family Parker Health Center Medical Center at Terrell 763 E Hwy 80 suite 240 200 N Virginia St Kretzschmar, Shaun , DO Forney, TX 75126 Terrell, TX 75160-2732 Eff 01-Oct-16 (469) 800-3870 (469) 800-3100 Aledo Family Medicine • Languages spoken / Idioma(s) 260 Willow Bend Dr Vathikulam, Jency P, DO hablado(s): Spanish Aledo, TX 76008 Eff 18-Jul-16 (817) 441-9252 Baylor Scott & White-Sandknop Lance, Christian , MD Family Practice Eff 01-Jan-14 Kretzschmar, Shaun , DO 763 E Hwy 80, Ste 240 Baylor Scott & White Family Eff 01-Oct-16 Forney, TX 75126 Medical Center at Terrell Aledo Family Medicine (469) 800-3875 200 N Virginia St 317 N FM 1187 Terrell, TX 75160-2732 Aledo, TX 76008 Bansal, Shikha , MD (469) 800-3100 (817) 441-7181 Eff 30-Dec-18 • Languages spoken / Idioma(s) Stine, Matthew , DO Baylor Scott & White Family hablado(s): Spanish Medical Center at Terrell Eff 01-Dec-16 200 N Virginia St Risinger, Charles C, MD Medical Associates at Willow Park Terrell, TX 75160-2732 Eff 01-Jan-14 260 Willow Bend Dr Primary Care Physicians/ Médicos de cabecera (469) 800-3100 Baylor Scott & White Family Aledo, TX 76008 Medical Center at Terrell (817) 441-9252 Bansal, Shikha , MD 200 N Virginia St Khadbai, Adam , MD Eff 30-Dec-18 Terrell, TX 75160-2732 Eff 06-Sep-18 Baylor Scott & White Dallas (469) 800-3100 Star Family Medicine, PLLC Diagnostic Association - Terrell • Languages spoken / Idioma(s) 933 Hilltop Dr, Ste 100 200 N Virginia St hablado(s): Spanish Terrell, TX 75160-2732 Weatherford, TX 76086-5889 (469) 800-3100 Risinger, Charles C, MD (817) 341-7607 Eff 01-Jan-14 Khadbai, Adam , MD Barnes, Tyson H, MD Baylor Scott & White Family Eff 06-Sep-18 Eff 01-Jan-14 Medical Center at Terrell Star Family Medicine, PLLC Baylor Scott & White Family 200 N Virginia St 1101 Jameson St Medical Center at Terrell Terrell, TX 75160-2732 Weatherford, TX 76086-3417 200 N Virginia St (469) 800-3100 (817) 341-7670 Terrell, TX 75160-2732 • Languages spoken / Idioma(s) (469) 800-3100 hablado(s): Spanish Khadbai, Adam , MD • Languages spoken / Idioma(s) Eff 06-Sep-18 hablado(s): Spanish Swofford, Nicole , MD Star Family Medicine, PLLC Eff 01-Jan-14 1201 Holland Lake Dr Barnes, Tyson H, MD Baylor Scott & White Family Weatherford, TX 76086-6279 Eff 01-Jan-14 Medical Center at Terrell (817) 341-7670 Baylor Scott & White Dallas 200 N Virginia St Diagnostic Association - Terrell Terrell, TX 75160-2732 Khadbai, Adam , MD 200 N Virginia St (469) 800-3100 Eff 06-Sep-18 Terrell, TX 75160-2732 • Languages spoken / Idioma(s) Star Family Medicine, PLLC (469) 800-3100 hablado(s): Spanish 1818 Martin Dr • Languages spoken / Idioma(s) Weatherford, TX 76086-6279 hablado(s): Spanish (817) 341-7670

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 40 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Khadbai, Adam , MD Rockwall County | Condado de Swofford, Nicole , MD Eff 06-Sep-18 Eff 01-Jan-14 Star Family Medicine, PLLC Rockwall Baylor Scott & White Family 315 W Anderson St Medical Center at Terrell Weatherford, TX 76086-5349 Adcock, Jeffry F, MD 6257 FM 2642 Ste 100 (817) 341-7670 Eff 01-Jan-14 Royse City, TX 75189 Baylor Family Medical Center at (469) 800-3670 Khadbai, Adam , MD Rockwall • Languages spoken / Idioma(s) Eff 06-Sep-18 1975 Alpha Dr, Ste 204 hablado(s): Spanish Star Family Medicine, PLLC Rockwall, TX 75087 904 S Lamar St (469) 800-2100 Tarrant County | Condado de Weatherford, TX 76086-5169 (817) 341-7670 Adle, MinhTu H, MD Tarrant Eff 01-Oct-17 Khadbai, Adam , MD Baylor Family Medical Center at Anagnostis, George , MD Eff 06-Sep-18 Rockwall Eff 15-Mar-17 Star Family Medicine, PLLC 1975 Alpha Dr Ste 204 Family HealthCare Associates 929 Hilltop Dr Rockwall, TX 75087 1300 S Fielder Rd Weatherford, TX 76086-5845 (469) 800-2100 Arlington, TX 76013-2348 (817) 341-7670 (817) 277-2221 Conselman, Nicole S, MD • Languages spoken / Idioma(s) Khadbai, Adam , MD Eff 01-Jan-14 hablado(s): Spanish Eff 06-Sep-18 Baylor Family Medical Center at Primary Care Physicians/ Médicos de cabecera Star Family Medicine, PLLC Rockwall Andrews, Cheri L, DO 970 Hilltop Dr 1975 Alpha Dr, Ste 204 Eff 15-Mar-17 Weatherford, TX 76086-5488 Rockwall, TX 75087 Family HealthCare Associates (817) 341-7670 (469) 800-2100 1926 SW Green Oaks Blvd Arlington, TX 76017-2735 Khadbai, Adam , MD Lensch, David B, MD * (817) 472-5522 Eff 06-Sep-18 Eff 01-Jan-14 Star Family Medicine, PLLC Baylor Family Medical Center at Barber, Shelle S, DO 980 Hilltop Dr Rockwall Eff 15-Mar-17 Weatherford, TX 76086-5488 1975 Alpha Dr, Ste 204 Family HealthCare Associates (817) 341-7670 Rockwall, TX 75087 1300 S Fielder Rd (469) 800-2100 Arlington, TX 76013-2348 Ross, Steven Lee, DO (817) 277-2221 Eff 01-Jul-16 Wiprud, John M, MD • Languages spoken / Idioma(s) Santa Fe Family Medicine Eff 01-Jan-14 hablado(s): Spanish 975 Hilltop Dr, Ste 200 Baylor Family Medical Center at Weatherford, TX 76086 Rockwall Bartel, Chad D, DO (817) 594-1066 1975 Alpha Dr Ste 204 Eff 15-Dec-18 Rockwall, TX 75087 Family HealthCare Associates Thomas, Joseph , DO (469) 800-2100 4100 N Collins St Ste 200 Eff 13-Nov-20 Arlington, TX 76005-4127 Baylor Scott & White Family Barnard, Harold A, DO (817) 860-1309 Medicine Weatherford Eff 11-Jan-16 2035 Fort Worth Hwy Ste 100 Baylor Scott & White Primary Care Dimafelix, Crisanto , MD Weatherford, TX 76086 Associates Royse City Eff 01-Dec-19 (817) 912-9050 6257 FM 2642, Ste 100 Medico MD Royse City, TX 75189-3224 2440 S Collins St Ste 140 (469) 800-3670 Arlington, TX 76014 (817)459-2501

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 41 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Enger, Michael G, MD Karakourtis, Paul H, MD Nguyen, Nathan , MD Eff 15-Mar-17 Eff 15-Mar-17 Eff 15-Apr-18 Family HealthCare Associates Family HealthCare Associates Medico MD 1300 S Fielder Rd 1926 SW Green Oaks Blvd 2440 S Collins St, Ste 140 Arlington, TX 76013-2348 Arlington, TX 76017-2735 Arlington, TX 76014-1239 (817) 277-2221 (817) 472-5522 (817) 459-2501 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Kobett, Patrick T, MD hablado(s): Vietnamese Eff 15-Mar-17 Garcia, Chris , MD Family HealthCare Associates Nuti, Rathna , MD Eff 15-Mar-17 1926 SW Green Oaks Blvd Eff 13-Jun-19 Family HealthCare Associates Arlington, TX 76017-2735 TMI Sports Medicine & Orthopedic 121 E Randol Mill Rd (817) 472-5522 Surgery, PA Arlington, TX 76011-5834 • Languages spoken / Idioma(s) 3533 Matlock Rd (817) 860-1309 hablado(s): Spanish Arlington, TX 76015-3604 • Languages spoken / Idioma(s) (817) 419-0303 hablado(s): Spanish Lam, Jonathan Q, MD Eff 15-Mar-17 Pettway, John B, MD Gonzalez, Eduardo A, MD Family HealthCare Associates Eff 15-Mar-17 Eff 15-Mar-17 1926 SW Green Oaks Blvd Family HealthCare Associates Family HealthCare Associates Arlington, TX 76017-2735 4100 N Collins St Ste 200 1300 S Fielder Rd (817) 472-5522 Arlington, TX 76005 Primary Care Physicians/ Médicos de cabecera Arlington, TX 76013-2348 • Languages spoken / Idioma(s) (817) 860-1309 (817) 277-2221 hablado(s): Vietnamese • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Laws, D Blayne , MD Eff 01-Aug-16 Powell, Charles L, MD Harrison, Paul C, MD Family Care Clinic Eff 01-Feb-14 Eff 14-Aug-19 604 Omega Dr, Ste 203 Healthcare Associates of Irving Methodist Family Health Center - Arlington, TX 76014 3201 Matlock Rd, Ste 139 South Arlington (817) 466-7060 Arlington, TX 76002 6507 S Cooper St Ste 105 (817) 467-7373 Arlington, TX 76001-5818 Le, Minh Q, DO (817)466-9100 Eff 15-Oct-18 Prentice, Linda L, MD Methodist Family Health Center - Eff 15-Mar-17 Hoffman, Eric J, MD South Arlington Family HealthCare Associates Eff 15-Mar-17 6507 S Cooper St, Ste 105 1300 S Fielder Rd Family HealthCare Associates Arlington, TX 76001-5818 Arlington, TX 76013-2348 1300 S Fielder Rd (817) 466-9100 (817) 277-2221 Arlington, TX 76013-2348 • Languages spoken / Idioma(s) (817) 277-2221 hablado(s): Spanish Pulliam, Scott R, MD Eff 15-Mar-17 Ingle, Donald C, MD Nguyen, Linh T, MD Family HealthCare Associates Eff 15-Mar-17 Eff 17-Sep-19 1926 SW Green Oaks Blvd Family HealthCare Associates Family HealthCare Associates Arlington, TX 76017-2735 1926 SW Green Oaks Blvd 1300 S Fielder Rd (817) 472-5522 Arlington, TX 76017-2735 Arlington, TX 76013-2348 (817) 472-5522 (877) 277-2221 Roberts, Tami R, MD Eff 06-Mar-19 DFW Neuropathy 919 W Randol Mill Rd Arlington, TX 76012-2511 (972) 931-3135

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 42 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Rogers, Amber R, MD Opella, Christopher M, MD Gavino, Christine K, DO Eff 15-Mar-17 Eff 25-Nov-19 Eff 26-Apr-20 Family HealthCare Associates EMCC Azle Family Practice Clinic Baylor Scott & White Colleyville 1926 SW Green Oaks Blvd 601 Northwest Pkwy, Ste C Family Medicine Arlington, TX 76017-2735 Azle, TX 76020-2930 5232 Colleyville Blvd (817) 472-5522 (817) 270-0788 Colleyville, TX 76034 (817) 912-9920 Roopani, Tina P, DO Haider, Munawar , MD Eff 20-Jan-19 Eff 15-Feb-19 Joy, Annarosan , MD Family HealthCare Associates Haider Associates Eff 01-Nov-18 4100 N Collins St Ste 200 1305 Airport Frwy, # 420 Baylor Scott & White Colleyville Arlington, TX 76005 Bedford, TX 76021-6607 Family Medicine (817) 860-1309 (682) 738-3158 5232 Colleyville Blvd, Ste 100 Colleyville, TX 76034 Saeed, Umar , MD Abraham, Jane , DO (817) 498-9920 Eff 06-Sep-18 Eff 20-Nov-17 Walk In & Urgent Care of Texas Family HealthCare Associates Kagwima, Ruth , MD 6407 S Cooper St, # 117 4301 Brown Trl Eff 15-Dec-18 Arlington, TX 76001-5813 Colleyville, TX 76034-3949 Family HealthCare Associates (817) 472-7601 (817) 281-8275 4301 Brown Trl Colleyville, TX 76034-3949 Tipton, Stephanie M, DO Bell, Dennis M, DO * (817) 281-8275 Eff 15-Oct-18 Eff 01-Jan-14 Primary Care Physicians/ Médicos de cabecera Methodist Family Health Center - Baylor Scott & White Colleyville Lecroy, Kenneth D, MD South Arlington Family Medicine Eff 01-Apr-16 6507 S Cooper St, Ste 105 5232 Colleyville Blvd, Ste 100 Lighthouse Family Medicine Arlington, TX 76001-5818 Colleyville, TX 76034 6515 Colleyville Blvd (817) 466-9100 (817) 498-9920 Colleyville, TX 76034 (817) 424-3774 Uselton, Michael , MD Bush, Tyronne A, DO * Eff 15-Mar-17 Eff 01-Jan-14 Raghunath, Raju , MD Family HealthCare Associates Baylor Scott & White Colleyville Eff 23-Dec-16 1926 SW Green Oaks Blvd Family Medicine Primary Care Associates of Texas Arlington, TX 76017-2735 5232 Colleyville Blvd Ste 100 6000 Colleyville Blvd, Ste 150 (817) 472-5522 Colleyville, TX 76034 Colleyville, TX 76034 (817) 498-9920 (817) 725-7880 Wasson, Bradley D, DO Eff 15-Mar-17 Byrd, Kathryn S, DO * Soto, Jonathan W, MD Family HealthCare Associates Eff 01-Jan-14 Eff 01-Oct-17 1926 SW Green Oaks Blvd Baylor Scott & White Colleyville Baylor Scott & White Colleyville Arlington, TX 76017-2735 Family Medicine Family Medicine (817) 472-5522 5232 Colleyville Blvd, Ste 100 5232 Colleyville Blvd Ste 100 Colleyville, TX 76034 Colleyville, TX 76034 Wong, Tuong-An B, DO (817) 498-9920 (817) 498-9920 Eff 15-Mar-17 Family HealthCare Associates Ensey, Jane , DO * Uddin, Mohammad N, MD 1300 S Fielder Rd Eff 01-Jan-14 Eff 01-Jan-14 Arlington, TX 76013-2348 Baylor Scott & White Colleyville Patient First Medical Group, PA (817) 277-2221 Family Medicine 7151 Colleyville Blvd, Ste 103 • Languages spoken / Idioma(s) 5232 Colleyville Blvd, Ste 100 Colleyville, TX 76034 hablado(s): Vietnamese Colleyville, TX 76034 (817) 416-1931 (817) 498-9920 • Languages spoken / Idioma(s) hablado(s): Hindi

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 43 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Vu, Hieu T, MD Angadicheril, Tracey , DO Bush, Tyronne A, DO * Eff 15-Mar-17 Eff 01-Oct-17 Eff 01-Jan-14 Family HealthCare Associates Baylor Scott & White Family Baylor Scott & White Family 4301 Brown Trl Medicine Fort Worth Medicine Fort Worth Colleyville, TX 76034-3949 900 W Magnolia Ste 201 1101 6th Ave Ste 110 (817) 281-8275 Fort Worth, TX 76104-8518 Fort Worth, TX 76104-4306 (817) 921-6166 (817)912-8360 Harvey, Ruth T, DO * Eff 01-Jan-14 Ashraf, Asma , MD Cappel, Joseph W, MD * Baylor Scott & White Family Eff 12-Dec-19 Eff 01-Jan-14 Medical Center Riverside Medico MD Baylor Scott & White Family 911 E Harwood 6302 Meadowbrook Dr Ste 112 Medicine Fort Worth Euless, TX 76039 Fort Worth, TX 76112-5163 5701 Bryant Irvin Rd, Ste 301 (817) 912-9500 (817)446-0800 Fort Worth, TX 76132 (817) 361-6200 Hayes, Randall E, DO Ashraf, Asma , MD Eff 14-Aug-18 Eff 12-Dec-19 Cox, Ralph F, MD R2 Wellness Medical Group, PLLC Medico MD Eff 15-Oct-17 451 Westpark Way, Ste 1 6901 McCart Ave Ste 175 Griego Family Center-Plaza Euless, TX 76040-3994 Fort Worth, TX 76133-6373 Medical Center (817) 354-7300 (817)263-8500 201 Commerce St Fort Worth, TX 76102 Primary Care Physicians/ Médicos de cabecera Nivens, Jamie A, DO * Bailey, Michael L, DO (682) 610-7900 Eff 01-Jan-14 Eff 01-May-20 Baylor Scott & White Family Michael L Bailey DO PA Dieu, Ngoc B, DO Medical Center Riverside 4400 Heritage Trace Pkwy Ste 204 Eff 01-Nov-18 911 E Harwood Fort Worth, TX 76244-8902 Baylor Scott & White Family Euless, TX 76039 (817) 562-2339 Medicine Fort Worth (817) 912-9500 • Languages spoken / Idioma(s) 7260 Blue Mound Rd, Ste 144 hablado(s): Spanish Fort Worth, TX 76131-8830 Akwar, Fergus T, MD (817) 912-9100 Eff 01-Jan-14 Bernstein, Basil , MD Rapha Medical Clinic Eff 01-Jan-14 Dollahite, Henry , MD 3317 Altamesa Blvd Private Practice Eff 15-Nov-20 Fort Worth, TX 76133 7016 Bryant Irvin Rd, Ste 100 Trinity MD, PLLC (817) 292-2011 Fort Worth, TX 76132 6205 Locke Ave • Languages spoken / Idioma(s) (817) 377-8820 Fort Worth, TX 76116-4636 hablado(s): Spanish (817) 946-2051 Block, Nicolle G, MD Ampelas, Michael C, DO * Eff 09-Jul-14 Eden, Kimberly T, MD * Eff 01-Jan-14 Baylor Scott & White Family Eff 01-Jan-14 Baylor Scott & White Family Medicine Fort Worth Baylor Scott & White Family Medicine Fort Worth 1101 6th Ave Ste 110 Medicine Fort Worth 1101 6th Ave, Ste 110 Fort Worth, TX 76104-4306 5701 Bryant Irvin Rd, Ste 301 Fort Worth, TX 76104-4306 (817)912-8360 Fort Worth, TX 76132 (817) 912-8360 (817) 361-6200 Bui, John D, DO Ampelas, Michael C, DO * Eff 11-Aug-14 Faigin, Al E, DO Eff 01-Jan-14 Baylor Scott & White Family Eff 01-Jan-14 Baylor Scott & White Family Medicine Fort Worth Wedgwood Family Health Medicine Fort Worth 6420 Altamesa Blvd, Ste 100 Associates 900 W Magnolia, Ste 201 Fort Worth, TX 76132 5703 Westcreek Dr Fort Worth, TX 76104-8518 (817) 912-9000 Fort Worth, TX 76133 (817) 921-6166 (817) 294-0731

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 44 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Ghosh, Kirat S, MD Jordan, David C, MD * Livingstone, Keith , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Aug-16 Baylor Scott & White Family Baylor Scott & White Family Private Practice Medicine Fort Worth Medicine Fort Worth 6601 Dan Danciger Rd, Ste 200 1101 6th Ave, Ste 110 900 W Magnolia, Ste 201 Fort Worth, TX 76133 Fort Worth, TX 76104-4306 Fort Worth, TX 76104-8518 (817) 294-5600 (817)912-8360 (817) 921-6166 • Languages spoken / Idioma(s) McMillin, Kimberly J, MD hablado(s): Bengali Kneten, Craig C, MD * Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Green, Matthew N, MD * Baylor Scott & White Family Medicine Fort Worth Eff 01-Jan-14 Medicine Fort Worth 1101 6th Ave Ste 110 Baylor Scott & White Family 7260 Blue Mound Rd, Ste 144 Fort Worth, TX 76104-4306 Medicine Fort Worth Fort Worth, TX 76131-8830 (817)912-8360 1101 6th Ave Ste 110 (817) 912-9100 Fort Worth, TX 76104-4306 Meador, Clark A, DO * (817)912-8360 Kneten, Craig C, MD * Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Greer, Daria K, MD * Baylor Scott & White Family Medicine Fort Worth Eff 01-Jan-14 Medicine Fort Worth 1101 6th Ave Ste 110 Baylor Scott & White Family 900 W Magnolia, Ste 201 Fort Worth, TX 76104-4306 Medicine Fort Worth Fort Worth, TX 76104-8518 (817) 912-8360 Primary Care Physicians/ Médicos de cabecera 900 W Magnolia, Ste 201 (817) 921-6166 Fort Worth, TX 76104-8518 Meador, Clark A, DO * (817) 921-6166 Kneten, Craig C, MD * Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Holland, Margaret C, MD Baylor Scott & White Family Medicine Fort Worth Eff 15-Sep-16 Medicine Fort Worth 5701 Bryant Irvin Rd Ste 301 Baylor Scott & White Community 1101 6th Ave Ste 110 Fort Worth, TX 76132 Care Fort Worth Fort Worth, TX 76104-4306 (817) 361-6200 900 W Magnolia St, Ste 201 (817)912-8360 Fort Worth, TX 76104 Meredith, Sarah J, DO * (817) 921-6166 Lee, Samuel Cornish, DO Eff 01-Jan-14 Eff 18-Dec-15 Baylor Scott & White Family Irvine-Moore, LaPonna R, DO * Samuel C Lee, DO Medicine Fort Worth Eff 01-Jan-14 2223 NE 28th St 900 W Magnolia, Ste 201 Baylor Scott & White Family Fort Worth, TX 76106-7418 Fort Worth, TX 76104-8518 Medicine Fort Worth (817) 625-8818 (817) 921-6166 6420 Altamesa Blvd Ste 100 • Languages spoken / Idioma(s) Fort Worth, TX 76132 hablado(s): Spanish Miller, Brighton R, DO (817) 912-9000 Eff 01-Nov-18 Lee, Samuel Cornish, DO Baylor Scott & White Family Johnson, Marc , MD Eff 18-Dec-15 Medicine Fort Worth Eff 22-Oct-20 Samuel C Lee, DO 1101 6th Ave Ste 110 Acclaim Physician Group,Inc 800 8th Ave Ste 528 Fort Worth, TX 76104 1350 South Main St Ste 1600 Fort Worth, TX 761042604 (817) 912-8360 Fort Worth, TX 76104 (817) 625-8818 (817) 702-3701 • Languages spoken / Idioma(s) Miller, Brighton R, DO hablado(s): Spanish Eff 01-Nov-18 Baylor Scott & White Family Medicine Fort Worth 900 W Magnolia Ste 201 Fort Worth, TX 76104-8518 (817) 921-6166

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 45 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Murphy, James A, MD * Roberts-Harris, Patricia L, DO Tran, Lily , DO Eff 01-Jan-14 Eff 02-Jul-17 Eff 01-Jul-16 Baylor Scott & White Family Extra Care Concerns Quang Trong Le, DO, PA Medicine Fort Worth 2529 E Lancaster Rd Ste A 2550 River Pk Plaza, Ste 110 900 W Magnolia, Ste 202 Fort Worth, TX 76103 Fort Worth, TX 76116-0921 Fort Worth, TX 76104-8507 (817) 534-7300 (817) 791-1289 (817) 333-6795 Satish, Nisha , MD Truman, Michael E, DO Nguyen, Nathan , MD Eff 01-Aug-16 Eff 01-Jan-14 Eff 15-Apr-18 Psymed Solutions Private Practice Medico MD 7273 Hawkins View Dr 2401 Canton Dr 6302 Meadowbrook Dr, # 112 Fort Worth, TX 76132 Fort Worth, TX 76112 Fort Worth, TX 76112-5163 (972) 232-7474 (817) 446-5500 (817) 446-0800 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Sattar, Bibi T, DO hablado(s): Spanish hablado(s): Vietnamese Eff 01-Nov-14 Oakmont Wellness Center, PA Vilaythong, Alexander P, DO * Nguyen, Nathan , MD 5801 Oakbend Trail, Ste 250 Eff 01-Jan-14 Eff 15-Apr-18 Fort Worth, TX 76132 Baylor Scott & White Community Medico MD (817) 346-3366 Care Fort Worth 6901 McCart Ave, # 175 1650 W Magnolia Ave, Ste 204 Fort Worth, TX 76133-6373 Shumate, Bill G, MD Fort Worth, TX 76104 Primary Care Physicians/ Médicos de cabecera (817) 263-8500 Eff 01-Jan-14 (817) 912-8000 • Languages spoken / Idioma(s) Baylor Scott & White Family • Languages spoken / Idioma(s) hablado(s): Vietnamese Medicine Fort Worth hablado(s): Spanish 1101 6th Ave Ste 110 Nguyen, Nathan , MD Fort Worth, TX 76104-4306 Woodland, Caroline E, DO * Eff 15-Apr-18 (817)912-8360 Eff 01-Jan-14 Medico MD Baylor Scott & White Family 3620 Rosedale St Simonak, Ryan W, DO Medicine Fort Worth Fort Worth, TX 76105-2449 Eff 21-Feb-19 6420 Altamesa Blvd Ste 100 (817) 531-7000 Fossil Creek Family Medicine Fort Worth, TX 76132-3553 • Languages spoken / Idioma(s) 7510 N Beach St (817) 912-9000 hablado(s): Vietnamese Fort Worth, TX 76137-1505 (817) 498-1818 Lasater, Loren S, MD Parvataneni, Deepthi , MD Eff 06-Apr-15 Eff 15-Mar-18 Spain, Jon B, DO Baylor Scott & White Family Medical Associates of North Texas Eff 24-May-20 Medical Center Grapevine 923 College Ave, Ste 103 Samuel C Lee DO 1600 W College, Ste LL10 Fort Worth, TX 76104-3050 800 8th Ave Ste 528 Grapevine, TX 76051-3598 (972) 544-6600 Fort Worth, TX 76104-2604 (817) 912-8510 (817) 625-8818 Rahman, Rezwana , DO Lavedan, Pierre J, MD Eff 13-Nov-20 Stuntz, Richard A, MD Eff 09-Feb-15 Baylor Scott & White Family Eff 13-Jul-15 Supportive and Palliative Care Medicine North Fort Worth Baylor Scott & White Family Grapevine-Irving 7260 Blue Mound Rd Ste 144 Medicine Fort Worth 1650 W College St Fort Worth, TX 76131 900 W Magnolia, Ste 201 Grapevine, TX 76051 (817) 912-9100 Fort Worth, TX 76104-8518 (817) 388-3142 (817) 921-6166

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 46 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Robinson, Amber T, DO Anderson, James M, MD Bah, Elizabeth L, DO * Eff 07-Jul-17 Eff 01-Feb-14 Eff 01-Jan-14 Baylor Family Medical Center at Healthcare Associates of Irving Baylor Family Medicine at Keller Riverside 1205 Avondale Haslet Rd, Ste 100 620 S Main St, Ste 240 2020 W St Hwy 114 Ste 320 Haslet, TX 76052-3579 Keller, TX 76248 Grapevine, TX 76051 (817) 766-4001 (817) 912-8150 (817) 912-8330 Biard, Maria , MD Bajwa, Navjot , MD Shabnam, Saba , MD Eff 01-Feb-14 Eff 03-Aug-18 Eff 01-Apr-19 Healthcare Associates of Irving Alliance Family Medicine/A1Kids Mid Cities Health, LLC 1205 Avondale Haslet Rd, Ste 100 Doc 1601 Lancaster Dr Ste 160 Haslet, TX 76052-3579 11751 Alta Vista Rd, Ste 101 Grapevine, TX 76051 (817) 766-4001 Keller, TX 76244 (817) 510-9645 (817) 431-4224 • Languages spoken / Idioma(s) Deems, David A, MD • Languages spoken / Idioma(s) hablado(s): Urdu Eff 01-Feb-14 hablado(s): Punjabi Healthcare Associates of Irving Ashraf, Asma , MD 1205 Avondale Haslet Rd, Ste 100 Burgos, Victor M, DO Eff 12-Dec-19 Haslet, TX 76052-3579 Eff 15-May-19 Medico MD (817) 766-4001 First Keller Healthcare 3101 Denton Hwy, Ste 100 891 E Keller Pkwy, Ste 101 Haltom City, TX 76117-3706 Feehery, Terrence M, DO Keller, TX 76248-2486 Primary Care Physicians/ Médicos de cabecera (817)831-6500 Eff 01-Feb-14 (682) 593-4273 Healthcare Associates of Irving Hoang, Mai , MD 1205 Avondale Haslet Rd, Ste 100 Byarlay, Mark M, MD Eff 15-Aug-16 Haslet, TX 76052-3579 Eff 15-Mar-17 MetHealth PA (817) 766-4001 Family HealthCare Associates 4045 E Belknap St, Ste 12 4140 Heritage Trace Pkwy Haltom City, TX 76111-6637 Powell, Charles L, MD Keller, TX 76248-5310 (817) 759-2315 Eff 01-Feb-14 (817) 741-7353 • Languages spoken / Idioma(s) Healthcare Associates of Irving hablado(s): Vietnamese 1205 Avondale Haslet Rd, Ste 100 Capili, Sophia , MD Haslet, TX 76052-3579 Eff 27-Apr-19 Nguyen, Nathan , MD (817) 766-4001 Baylor Family Medicine at Keller Eff 15-Apr-18 620 S Main St, Ste 240 Medico MD Raja, Maheswari , MD Keller, TX 76248 3101 Denton Hwy, # 100 Eff 07-Mar-19 (817) 912-8150 Haltom City, TX 76117-3706 Healthcare Associates of Irving, (817) 831-6500 LLP Lane, Mona Lisa B, DO • Languages spoken / Idioma(s) 1205 Avondale Haslet Rd Ste 100 Eff 15-Mar-17 hablado(s): Vietnamese Haslet, TX 76052-3579 Family HealthCare Associates (817) 776-4001 4140 Heritage Trace Pkwy Nguyen, Tuan , MD • Languages spoken / Idioma(s) Keller, TX 76248-5310 Eff 15-Aug-16 hablado(s): Tamil (817) 741-7353 MetHealth PA 4045 E Belknap St, Ste 12 Strzinek, Robert A, DO Le, Theresa , MD Haltom City, TX 76111-6637 Eff 15-Mar-17 Eff 18-Jul-16 (817) 759-2315 Texas Familicare Medical Baylor Family Medicine at Keller 1725 Chadwick Ct 620 S Main St, Ste 240 Hurst, TX 76054 Keller, TX 76248 (817) 281-4446 (817) 912-8150

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 47 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Liu, Kevin S, MD * Conway, Alisha , MD Nangha, Pannaben H, MD Eff 01-Jan-14 Eff 15-Mar-19 Eff 01-Jan-16 Baylor Family Medicine at Keller Methodist Family Health Center Pannaben H Nangha, MD, PLLC 620 S Main St, Ste 240 Mansfield North 221 Regency Pkwy, Ste 125 Keller, TX 76248 1601 E Debbie Ln Ste 2109 Mansfield, TX 76063-5379 (817) 912-8150 Mansfield, TX 76063-4130 (817) 477-5884 (817)473-9125 • Languages spoken / Idioma(s) Rana, Shital M, MD hablado(s): Hindi Eff 15-Mar-17 de la Torre, Francisco J, MD * Family HealthCare Associates Eff 15-Mar-17 Nangha, Pannaben H, MD 4140 Heritage Trace Pkwy Family HealthCare Associates Eff 04-Apr-19 Keller, TX 76248-5310 3601 N Hwy 157 Healthcare Associates of Irving, (817) 741-7353 Mansfield, TX 76063-8846 LLP (817) 473-7962 221 Regnecy Pkwy Ste 135 Roberts, Tami R, MD • Languages spoken / Idioma(s) Mansfield, TX 76063-5379 Eff 06-Mar-19 hablado(s): Spanish (817) 477-5884 DFW Neuropathy 9525 N Beach Street, Ste 421 Dick, Karla R, DO Ramirez, Philip U, MD Keller, TX 76244-6438 Eff 15-Mar-17 Eff 14-Sep-19 (817) 924-1000 Family HealthCare Associates Methodist Family Health Center 3601 N Hwy 157 Mansfield North Taki, James A, MD Mansfield, TX 76063-8846 1601 E Debbie Ln, Ste 2109 Primary Care Physicians/ Médicos de cabecera Eff 11-Aug-14 (817) 473-7962 Mansfield, TX 76063-4130 Baylor Family Medicine at Keller • Languages spoken / Idioma(s) (817) 473-9125 620 S Main St, Ste 240 hablado(s): Spanish Keller, TX 76248 Soederbaum, Nadeen , MD (817) 912-8150 Fisher, Jeffrey , MD Eff 25-Feb-19 Eff 01-Aug-17 Healthcare Associates of Irving, Wander, Jason F, DO * Mansfield Urgent Care & Family LLP Eff 01-Jan-14 Medicine 221 Regency Pkwy, Ste 125 Baylor Family Medicine at Keller 1811 Hwy 287 N, # 150 Mansfield, TX 76063-5379 620 S Main St, Ste 240 Mansfield, TX 76063 (817) 477-5884 Keller, TX 76248 (817) 473-3979 (817) 912-8150 Urieto, Jeffrey O, MD Georgekutty, Nancy , MD Eff 01-Oct-17 Abbott, Lisa A, MD Eff 15-Oct-18 Baylor Scott & White Primary Eff 15-Mar-17 Methodist Family Health Center 1776 Hwy 287 N, Ste 220 Family HealthCare Associates Mansfield North Mansfield, TX 76063-7629 3601 N Hwy 157 1601 E Debbie Ln, Ste 2109 (817) 912-8980 Mansfield, TX 76063-8846 Mansfield, TX 76063-4130 (817) 473-7962 (817) 473-9125 Khan, Ajaz O, MD • Languages spoken / Idioma(s) Eff 19-Jul-20 Boone, Lora P, DO hablado(s): Spanish Khan Healthcare Services Eff 15-Mar-17 8208 Bedford Euless Rd Family HealthCare Associates Mattingly, Micheal S, MD North Richland, TX 76180-7214 3601 N Hwy 157 Eff 06-Sep-19 (817) 581-5959 Mansfield, TX 76063-8846 Family HealthCare Associates (817) 473-7962 3601 N Hwy 157 Ashrafian, Afshin S, MD Mansfield, TX 76063-8846 Eff 15-Mar-17 (817) 473-7962 Family HealthCare Associates 7601 Glenview Dr North Richland Hills, TX 76180- 8331 (817) 274-2578

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 48 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Khan, Ajaz O, MD Bobbitt, Kalan Nicole, DO Lim, Grace E, MD Eff 02-Sep-19 Eff 01-Dec-14 Eff 15-Oct-18 Ayman Care, PLLC North Country Family Practice, PA Baylor Scott & White Southlake 8208 Bedford Euless Rd 1050 E Hwy 114, Ste 100 Family Medicine North Richland Hills, TX 76180- Southlake, TX 76092 925 E Southlake Blvd, Ste 100 7214 (817) 329-8364 Southlake, TX 76092-6345 (817) 581-5959 (817) 912-8800 Cunningham, Kelly E, MD Muntajibuddin, Sana Fatima, DO Eff 01-Jan-14 Lu, Henry H, MD Eff 15-Mar-17 Baylor Scott & White Southlake Eff 01-Mar-18 Family HealthCare Associates Family Medicine Baylor Scott & White Southlake 7601 Glenview Dr 925 E Southlake Blvd, Ste 100 Family Medicine North Richland Hills, TX 76180- Southlake, TX 76092-6345 925 E Southlake Blvd Ste 100 8331 (817) 912-8800 Southlake, TX 76092-6345 (817) 274-2578 (817) 912-8800 Dotti, Michael W, MD * Paik, Elaine , MD Eff 01-Dec-14 McMillin, Kimberly J, MD Eff 15-Mar-17 North Country Family Practice, PA Eff 01-Jan-14 Family HealthCare Associates 1050 E Hwy 114, Ste 100 Baylor Scott & White Southlake 7601 Glenview Dr Southlake, TX 76092 Family Medicine North Richland Hills, TX 76180- (817) 329-8364 925 E Southlake Blvd Ste 100 8331 Southlake, TX 76092-6345 Primary Care Physicians/ Médicos de cabecera (817) 274-2578 Drake, William N, MD * (817)912-8800 Eff 01-Dec-14 Tasneem, Tehmina , MD North Country Family Practice, PA Morrison, Steven M, MD Eff 15-Mar-17 1050 E Hwy 114, Ste 100 Eff 01-Jan-14 Family HealthCare Associates Southlake, TX 76092 Baylor Scott & White Southlake 7601 Glenview Dr (817) 329-8364 Family Medicine North Richland Hills, TX 76180- 925 E Southlake Blvd, Ste 100 8331 Ghosh, Kirat S, MD Southlake, TX 76092-6345 (817) 274-2578 Eff 01-Jan-14 (817) 912-8800 Baylor Scott & White Southlake Nguyen, Nathan , MD Family Medicine Phillips, Russell W, DO Eff 15-Apr-18 925 E Southlake Blvd Ste 100 Eff 19-Jan-19 Medico MD Southlake, TX 76092-6345 Reclaim Physicians Medical Group 601 N Saginaw Blvd, # 100 (817)912-8800 Inc Saginaw, TX 76179-1282 • Languages spoken / Idioma(s) 801 E Southlake Blvd (682) 286-9300 hablado(s): Bengali Southlake, TX 76092-6343 • Languages spoken / Idioma(s) (877) 899-7836 hablado(s): Vietnamese Green, Matthew N, MD * Eff 01-Jan-14 Rhodes, Travis C, DO Block, Nicolle G, MD Baylor Scott & White Southlake Eff 16-Jan-20 Eff 09-Jul-14 Family Medicine A1B Healthcare Baylor Scott & White Southlake 925 E Southlake Blvd Ste 100 771 E Southlake Blvd, Ste 101 Family Medicine Southlake, TX 76092-6345 Southlake, TX 76092-1483 925 E Southlake Blvd Ste 100 (817)912-8800 (817) 715-6166 Southlake, TX 76092-6345 (817)912-8800 Kindrick, Stephen D, DO Robinson, Amber T, DO Eff 01-Jan-14 Eff 07-Jul-17 Baylor Scott & White Southlake Baylor Scott & White Family Family Medicine Medicine Fort Worth 925 E Southlake Blvd Ste 100 925 E Southlake Blvd Ste 100 Southlake, TX 76092-6345 Southlake, TX 76092 (817) 912-8800 (716) 912-8800

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 49 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Rumalla, Smita K, MD Geriatric Medicine/ Medicina Studley, Jill L, MD * Eff 01-Jan-14 geriátrica Eff 01-Jan-14 Baylor Scott & White Southlake Baylor Scott & White HouseCalls Family Medicine Collin County | Condado de 712 N Washington Ste 415 925 E Southlake Blvd, Ste 100 Dallas, TX 75246 Southlake, TX 76092-6345 Collin (214) 820-9115 (817) 912-8800 Samiuddin, Mohammed , MD Thompson, Joyce M, MD Shumate, Bill G, MD Eff 07-Apr-14 Eff 01-Jan-14 Eff 01-Jan-14 Dallas Diagnostic Association- Baylor Senior Health Center - Baylor Scott & White Southlake Plano Geriatric Center Family Medicine 4708 Alliance Blvd, Ste 550 4004 Worth St, Ste 100 925 E Southlake Blvd Ste 100 Plano, TX 75093 Dallas, TX 75246 Southlake, TX 76092-6345 (469) 800-1130 (214) 820-6060 (817)912-8800 Samiuddin, Mohammed , MD Thompson, Joyce M, MD Stroud, Joyce L, DO Eff 07-Apr-14 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Dallas Baylor Senior Health Center - Baylor Scott & White Southlake Diagnostic Association - Plano Geriatric Center Family Medicine 4708 Alliance Blvd, Ste 550 4004 Worth St, Ste 200 925 E Southlake Blvd, Ste 100 Plano, TX 75093 Dallas, TX 75246 Southlake, TX 76092-6345 (214) 820-9115

Primary Care Physicians/ Médicos de cabecera (469) 800-1130 (817) 912-8800 Studley, Jill L, MD * Thompson, Joyce M, MD WIlson, David M, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 18-Nov-18 Dallas Diagnostic Association- Baylor Scott & White HouseCalls North Country Family Practice, PA Plano 712 N Washington Ste 415 1050 E Hwy 114, Ste 100 4708 Alliance Blvd Ste 550 Dallas, TX 75246 Southlake, TX 76092 Plano, TX 75093 (214) 820-9115 (817) 329-8364 (469) 800-1130 Nguyen, Anthony K, DO Wise County | Condado de Dallas County | Condado de Eff 01-Jan-19 Dallas Internal Medicine and Wise Dallas Geriatric Specialists, PLLC 601 Clara Barton Blvd, Ste 145 Mcgee, Chris E, MD Sennour, Youcef , MD Garland, TX 75042-5738 Eff 28-Jul-14 Eff 01-Jan-14 (972) 560-9400 Wise Family Practice Urgent Care Baylor Senior Health Center - • Languages spoken / Idioma(s) - Med Center Dr Geriatric Center hablado(s): Vietnamese 800 Medical Dr, Ste C 3417 Gaston Avenue, 1100 Decatur, TX 76234 Dallas, TX 75246 Vengalil, Marina T, MD (940) 626-2110 (214) 820-6060 Eff 01-Jan-19 Dallas Internal Medicine and Sennour, Youcef , MD Geriatric Specialists, PLLC Eff 01-Jan-14 601 Clara Barton Blvd, Ste 145 Baylor Scott & White MedProvider Garland, TX 75042-5738 3417 Gaston Avenue, Suite 1100 (972) 560-9400 Dallas, TX 75246 • Languages spoken / Idioma(s) (469) 800-9000 hablado(s): Malay

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 50 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Kotamarti, Aparna , MD Davis, Vicki B, MD Weaver, Maria-Raquel , MD Eff 30-Jun-19 Eff 09-Nov-15 Eff 22-Jan-18 Baylor Scott & White Medical & Frisco Medical Surgical Clinic Frisco Center for Internal Medicine Surgical Clinic - Irving 8680 E Main, Ste 1W 4401 Coit Rd, Ste 311 2021 N MacArthur Blvd Ste 210 Frisco, TX 75034 Frisco, TX 75035-0512 Irving, TX 75061 (972) 377-2447 (214) 297-0297 (972) 817-1360 Nguyen, Adrian H, MD * Yedlapalli, Latha , MD Tarrant County | Condado de Eff 01-Jan-14 Eff 01-May-19 Baylor Scott & White Physical Internal Medicine & Urgent Care Tarrant Medicine and Rehabilitation Ph Clinic of Frisco 3800 Gaylord Prkwy Ste 910 9300 John Hickman Pkwy, Ste 704 Hudson, Melissa M, MD Frisco, TX 75034 Frisco, TX 75035-5920 Eff 03-Apr-19 (469) 800-5600 (214) 436-4949 Quang Trong Le, DO, PA 2550 River Pk Plaza, Ste 110 Pastorek, Jordan , MD Yedlapalli, Sri C, MD Fort Worth, TX 76116-0921 Eff 15-Apr-18 Eff 01-May-19 (817) 791-1289 Testosterone Centers of Texas Internal Medicine & Urgent Care 3211 Preston Rd Clinic of Frisco Infectious Disease/ Frisco, TX 75034-9019 9300 John Hickman Pkwy, Ste 704 Enfermedades infecciosas (469) 777-4935 Frisco, TX 75035-5920 (214) 436-4949 Primary Care Physicians/ Médicos de cabecera Dallas County | Condado de Quarshie, Christopher Trebi, DO Eff 13-Feb-17 Zimmer, Jennifer K, MD * Dallas Direct Orthopedic Care (DOC LLC) Eff 01-Jan-14 9500 Dallas Pkwy, Ste 100 Baylor Scott & White Physical Tribble, Marc A, MD Frisco, TX 75034-4120 Medicine and Rehabilitation Ph Eff 21-Mar-20 (972) 987-0970 3800 Gaylord Parkway Suite 910 MD Progressive Care Frisco 3500 Oak Lawn Ave Ste 700 Tatineni, Krishna C, MD Frisco, TX 75034 Dallas, TX 75219-6719 Elite Interns, PLLC (469) 800-5600 (214) 521-0100 14660 SH 121, Bld B, Ste 200 Frisco, TX 75035 Bakhtari, Ladan , MD Internal Medicine/ Medicina (469) 269-0272 Eff 01-Nov-15 interna Doctors of Internal Medicine Tran, Khang N, MD 240 Adriatic Pkwy Eff 01-Aug-18 Collin County | Condado de McKinney, TX 75072 Baylor Scott & White Physical (972) 382-9292 Collin Medicine and Rehabilitation Ph • Languages spoken / Idioma(s) 3800 Gaylord Parkway Suite 910 hablado(s): Farsi Chintapalli, Uma , MD Frisco Eff 01-Mar-20 Frisco, TX 75034 Barsik, Tamara , MD Urgent Care Clinic of Anna (469) 800-5600 Eff 28-Jun-19 701 W White St Ste 2B Wilson Creek Internal Medicine Anna, TX 75409-4102 Wang, Paul , MD Group PLLC (972) 924-2900 Eff 01-Jul-16 4201 Medical Center Dr Ste 360 Stonebridge Adult Medicine PA McKinney, TX 75069 Agarwal, Anagha , MD 3010 Legacy Dr, Ste 210 (469) 975-8480 Eff 01-Apr-20 Frisco, TX 75034-7338 Waterstone Wellness PLLC (214) 618-9715 255 W Lebanon Rd Ste 116 Frisco, TX 75036-3412 (469) 405-0500

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 51 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Chappell, Tenesha R, MD Ahmad, Tanvir , MD Chen, Richard C, MD * Eff 01-Jan-14 Eff 05-Aug-19 Eff 01-Jan-14 Baylor Scott & White Internal DFW MDCare, PLLC Dallas Diagnostic Association- Medicine Associates McKinney 4116 W Spring Creek Pkwy, Ste Plano 5220 W University Dr, Ste 100 400-C 4716 Alliance Blvd, Ste 500 McKinney, TX 75071 Plano, TX 75024-5238 Plano, TX 75093 (469) 800-5100 (469) 983-5000 (469) 800-6000 • Languages spoken / Idioma(s) Garza, David E, MD Bajpai, Anita P, DO hablado(s): Chinese Eff 15-May-17 Eff 20-Jun-16 Doctors of Internal Medicine Dallas Diagnostic Association- Duong, Trung C, MD 240 Adriatic Pkwy Plano Eff 13-Feb-17 McKinney, TX 75072 4716 Alliance Blvd, Ste 500 North Texas Preferred Health (972) 382-9292 Plano, TX 75093 Partners (469) 800-6000 4708 Dexter Dr Ste 400 Lin, Janet , MD Plano, TX 75093-5288 Eff 01-Oct-20 Bakhtari, Ladan , MD (972) 993-5050 Janet Lin MD, PLLC Eff 01-Nov-15 • Languages spoken / Idioma(s) 3950 South Ridge Rd Ste 100 Doctors of Internal Medicine hablado(s): Vietnamese McKinney, TX 75070-4107 5941 Dallas Pkwy, Ste 100 (972) 540-1688 Plano, TX 75093-9002 Garza, David E, MD (972) 758-4455 Eff 15-May-17 Primary Care Physicians/ Médicos de cabecera Raza, Syeda A, MD • Languages spoken / Idioma(s) Doctors of Internal Medicine Eff 06-Sep-19 hablado(s): Farsi 5941 Dallas Pkwy, Ste 100 Baylor Scott & White Internal Plano, TX 75093-9002 Medicine Associates McKinney Chapman, James B, MD * (972) 758-4455 5220 W University Dr, Ste 100 Eff 01-Jan-14 McKinney, TX 75071 Dallas Diagnostic Association- Godsey, Kenneth B, MD * (469) 800-5100 Plano Eff 01-Jan-14 4716 Alliance Blvd, Ste 500 Dallas Diagnostic Association- Sanghvi, Purvi J, MD Plano, TX 75093 Plano Eff 01-Apr-19 (469) 800-6000 4716 Alliance Blvd, Ste 500 Premier Care Internal Medicine Plano, TX 75093 3783 S Lake Forest Dr Ste 100 Chapman, James B, MD * (469) 800-6000 McKinney, TX 75070-1913 Eff 01-Jan-14 (972) 808-7111 Dallas Diagnostic Association- Godsey, Kenneth B, MD * Plano Eff 01-Jan-14 Strength, Steven C, DO 4716 Alliance Blvd, Ste 500 Dallas Diagnostic Association- Eff 01-Jan-14 Plano, TX 75093 Plano Baylor Scott & White Internal (469) 800-6000 4716 Alliance Blvd, Ste 500 Medicine Associates McKinney Plano, TX 75093 5220 W University Dr, Ste 100 Chen, Richard C, MD * (469) 800-6000 McKinney, TX 75071 Eff 01-Jan-14 (469) 800-5100 Dallas Diagnostic Association- Harandi, Safoora , MD Plano Eff 01-Dec-16 Sharma, Vijay , MD 4716 Alliance Blvd, Ste 500 West Plano Medical Associates Eff 01-Dec-16 Plano, TX 75093 3060 Communications Pkwy, Ste Diagnostic Partners of North (469) 800-6000 204 Texas, PA • Languages spoken / Idioma(s) Plano, TX 75093 345 West FM 544, Ste 100 hablado(s): Chinese (972) 312-8429 Murphy, TX 75094 (972) 578-7700 • Languages spoken / Idioma(s) hablado(s): Hindi

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 52 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Kennedy, Julie E, MD Liu, Yinghui , MD Nguyen, Adrian H, MD * Eff 21-Jul-14 Eff 01-Mar-17 Eff 01-Jan-14 Dallas Diagnostic Association- Plano Supreme Primary Care Inc Dallas Diagnostic Association- Plano 4020 Hedgcoxe Rd, Ste 700 Plano 4716 Alliance Blvd Ste 500 Plano, TX 75024 4716 Alliance Blvd Ste 500 Plano, TX 75093 (972) 618-7800 Plano, TX 75093 (469) 800-6000 • Languages spoken / Idioma(s) (469) 800-6000 hablado(s): Chinese Kennedy, Julie E, MD Nguyen, Adrian H, MD * Eff 21-Jul-14 Madhav, Venkatesh , MD Eff 01-Jan-14 Dallas Diagnostic Association- Eff 01-Sep-20 Baylor Scott & White Dallas Plano Staying Healthy Medical Services Diagnostic Association - Plano 4716 Alliance Blvd Ste 500 LLC 4716 Alliance Blvd Ste 500 Plano, TX 75093 4700 Dexter Dr Ste 300 Plano, TX 75093 (469) 800-6000 Plano, TX 75093-5503 (469) 800-6000 (877) 846-5944 Khan, Mahmood R, MD Nguyen, Leigh E, MD Eff 01-Jun-15 Medwedeff, Lisa , MD Eff 01-Jan-14 Mahmood R Khan, MD PA Eff 15-Aug-16 Baylor Scott & White Community 3900 W 15th St, Ste 507 Private Practice Care at Garland Plano, TX 75075 5425 W Spring Creek Pkwy, Ste 801 E Plano Prkwy Ste 160 (972) 596-2911 210 Plano, TX 75074 Primary Care Physicians/ Médicos de cabecera • Languages spoken / Idioma(s) Plano, TX 75024 (469) 800-6230 hablado(s): Spanish (972) 608-3333 Oad, Mehar C, MD Kuo, Christina J, MD Molen, Kyle D, MD Eff 06-Sep-18 Eff 13-Feb-17 Eff 13-Feb-17 Walk In & Urgent Care of Texas North Texas Preferred Health North Texas Preferred Health 3909 W Parker Rd, Ste 104 Partners Partners Plano, TX 75023-6161 4708 Dexter Dr Ste 400 4708 Dexter Dr Ste 400 (469) 609-3062 Plano, TX 75093-5288 Plano, TX 75093-5288 (972) 993-5050 (972) 993-5050 Parekh, Julie S, MD Eff 01-Jan-14 Lahiri, Sayantani C, MD Namburi, Swati , MD * Dallas Diagnostic Association- Eff 01-Jan-14 Eff 01-Jan-14 Plano Dallas Diagnostic Association- Dallas Diagnostic Association- 4716 Alliance Blvd, Ste 500 Plano Plano Plano, TX 75093 4716 Alliance Blvd, Ste 500 4716 Alliance Blvd Ste 500 (469) 800-6000 Plano, TX 75093 Plano, TX 75093 (469) 800-6000 (469) 800-6000 Parekh, Julie S, MD Eff 01-Jan-14 Lahiri, Sayantani C, MD Namburi, Swati , MD * Baylor Scott & White Dallas Eff 01-Jan-14 Eff 01-Jan-14 Diagnostic Association - Plano Dallas Diagnostic Association- Baylor Scott & White Dallas 4716 Alliance Blvd, Ste 500 Plano Diagnostic Association - Plano Plano, TX 75093 4716 Alliance Blvd, Ste 500 4716 Alliance Blvd Ste 500 (469) 800-6000 Plano, TX 75093 Plano, TX 75093 (469) 800-6000 (469) 800-6000 Pastorek, Jordan M, MD Eff 27-Jun-18 Apex Physical Medicine, PA 2800 N Dallas Pkwy, Ste 150 Plano, TX 75093-4940 (972) 378-0383

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 53 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Patel, AnilKumar R, MD Stack, Peter S, MD * Yoo, Seungjong M, MD Eff 08-May-19 Eff 01-Jan-14 Eff 06-Jan-14 DFW MDCare, PLLC Baylor Scott & White Cardiac & Dallas Diagnostic Association- 4116 W Spring Creek Pkwy, Ste Thoracic Surgery Plano 400-C 4716 Alliance Blvd, Pav II, Ste 310 4716 Alliance Blvd, Ste 500 Plano, TX 75024-5238 Plano, TX 75093 Plano, TX 75093 (469) 983-5000 (469) 800-6540 (469) 800-6000 Patel, Utkal A, MD Taboada, Carlos A, MD Yoo, Seungjong M, MD Eff 08-May-19 Eff 15-Oct-17 Eff 06-Jan-14 DFW MDCare, PLLC Texas Oncology, PA Baylor Scott & White Dallas 4116 W Spring Creek Pkwy, Ste 3705 W 15th St Diagnostic Association - Plano 400-C Plano, TX 75075-7753 4716 Alliance Blvd, Ste 500 Plano, TX 75024-5238 (972) 867-3577 Plano, TX 75093 (469) 983-5000 (469) 800-6000 Torres Ramos, Randolph , MD Ramirez, Kenda L, MD * Eff 08-May-19 Zimmer, Jennifer K, MD * Eff 01-Jan-14 DFW MDCare, PLLC Eff 01-Jan-14 Dallas Diagnostic Association- 4116 W Spring Creek Pkwy, Ste Dallas Diagnostic Association- Plano 400-C Plano 4716 Alliance Blvd, Ste 500 Plano, TX 75024-5238 4716 Alliance Blvd, Ste 500 Plano, TX 75093 (469) 983-5000 Plano, TX 75093 Primary Care Physicians/ Médicos de cabecera (469) 800-6000 (469) 800-6000 • Languages spoken / Idioma(s) Townsend, Sean A, MD hablado(s): Spanish Eff 18-Jul-16 Zimmer, Jennifer K, MD * Dallas Diagnostic Association- Eff 01-Jan-14 Ramirez, Kenda L, MD * Plano Baylor Scott & White Dallas Eff 01-Jan-14 4716 Alliance Blvd Ste 500 Diagnostic Association - Plano Baylor Scott & White Dallas Plano, TX 75093 4716 Alliance Blvd, Ste 500 Diagnostic Association - Plano (469) 800-6000 Plano, TX 75093 4716 Alliance Blvd, Ste 500 (469) 800-6000 Plano, TX 75093 Townsend, Sean A, MD (469) 800-6000 Eff 18-Jul-16 Dallas County | Condado de Baylor Scott & White Dallas • Languages spoken / Idioma(s) Dallas hablado(s): Spanish Diagnostic Association - Plano 4716 Alliance Blvd Ste 500 Samsula, Aaron L, MD Plano, TX 75093 Marshall, Michael S, MD Eff 13-Feb-17 (469) 800-6000 Eff 15-Oct-18 North Texas Preferred Health Methodist Family Health Center - Partners Waldo, Rick T, MD * Cedar Hill West 4708 Dexter Dr Ste 400 Eff 01-Jan-14 326 Cooper St Plano, TX 75093-5288 Dallas Diagnostic Association- Cedar Hill, TX 75104-2628 (972) 993-5050 Plano (972) 291-7863 4716 Alliance Blvd, Ste 500 • Languages spoken / Idioma(s) Sharma, Vijay , MD Plano, TX 75093 hablado(s): Spanish Eff 01-Dec-16 (469) 800-6000 Diagnostic Partners of North Texas, PA Waldo, Rick T, MD * 1600 Coit Road, Ste 101 Eff 01-Jan-14 Plano, TX 75075 Baylor Scott & White Dallas (972) 867-9507 Diagnostic Association - Plano • Languages spoken / Idioma(s) 4716 Alliance Blvd, Ste 500 hablado(s): Hindi Plano, TX 75093 (469) 800-6000

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 54 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Marshall, Michael S, MD Aggarwal, Raymond K, MD◉ Bakshi, Pratima R, MD Eff 15-Oct-18 Eff 01-Apr-16 Eff 01-Jan-14 Methodist Family Health Center – North Texas Preferred Health Baylor Scott & White MedProvider Cedar Hill Partners 3417 Gaston Avenue, Suite 1100 950 E. Belt Line Rd Ste 150 411 N Washington Ave, Ste 2700 Dallas, TX 75246 Cedar Hill, TX 75104 Dallas, TX 75246-1713 (469) 800-9000 (972) 291-7863 (214) 823-4800 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Black, Robert D, MD hablado(s): Spanish hablado(s): Hindi Eff 21-Jan-19 Baylor Scott & White Residency at Oholendt, Kyle B, MD Allen, Mark R, DO Dallas Eff 15-Mar-19 Eff 01-Jan-14 3600 Gaston Ave, Ste 651, Methodist Family Health Center - Baylor Scott & White MedProvider WadleyTower Cedar Hill West 3417 Gaston Ave Ste 1000 Dallas, TX 75246 326 Cooper St Dallas, TX 75246 (214) 820-3275 Cedar Hill, TX 75104-2628 (469) 800-9000 (972) 291-7863 Bloom, Christopher A, MD Allen, Mark R, DO Eff 01-Mar-15 Oholendt, Kyle B, MD Eff 01-Jan-14 CA Bloom, MD, PLLC Eff 15-Mar-19 Baylor Scott & White MedProvider 1151 N Buckner Blvd, Ste 405 Methodist Family Health Center – 3417 Gaston Ave Ste 1100 Dallas, TX 75218 Cedar Hill Dallas, TX 75246 (214) 206-1445 Primary Care Physicians/ Médicos de cabecera 950 E Belt Line Rd Ste 150 (469) 800-9000 Cedar Hill, TX 75104 Brancheau, Michael R, MD (972) 291-7863 Allison, Robert B, MD * Eff 01-Aug-16 Eff 01-Jan-14 Michael R Brancheau, MD, PLLC Oad, Mehar C, MD Baylor Scott & White MedProvider 9330 Poppy Dr, #503 Eff 06-Sep-18 3417 Gaston Ave, Ste 1100 Dallas, TX 75218 Walk In & Urgent Care of Texas Dallas, TX 75246 (214) 321-3394 651 N Denton Tap Rd, Ste 100 (469) 800-9000 Coppell, TX 75019-2010 Brodsky, Greta V, MD◉ (972) 899-1911 Allison, Robert B, MD * Eff 08-Aug-16 Eff 01-Jan-14 North Texas Preferred Health Aggarwal, Manik N, MD Baylor Scott & White MedProvider Partners Eff 01-Jun-18 3417 Gaston Avenue, Suite 1100 411 N Washington Ave, Ste 2700 Baylor Scott & White MedProvider Dallas, TX 75246 Dallas, TX 75246-1713 3417 Gaston Ave, Ste 1000 (469) 800-9000 (214) 823-4800 Dallas, TX 75246 • Languages spoken / Idioma(s) (469) 800-9000 Allison, Robert B, MD * hablado(s): Spanish Eff 01-Jan-14 Aggarwal, Manik N, MD Baylor Scott & White Residency at Brooks, John C, MD◉ Eff 01-Jun-18 Dallas Eff 01-Apr-16 Baylor Scott & White MedProvider 3600 Gaston Ave, Ste 651, North Texas Preferred Health 3417 Gaston Avenue, Suite 1100 WadleyTower Partners Dallas, TX 75246 Dallas, TX 75246 411 N Washington Ave, Ste 2700 (469) 800-9000 (214) 820-3275 Dallas, TX 75246-1713 (214) 823-4800 Bakshi, Pratima R, MD Eff 01-Jan-14 Baylor Scott & White MedProvider 3417 Gaston Ave, Ste 1100 Dallas, TX 75246 (469) 800-9000

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 55 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Chang, Sarah A, MD Croll, Gary A, MD Favour, Susan E, MD * Eff 09-Nov-15 Eff 01-Jan-16 Eff 01-Jan-14 Baylor Scott & White Hospital White Rock Internal Medicine Baylor Scott & White MedProvider Medicine - Dallas 9330 Poppy Dr, Ste 403 3417 Gaston Ave, Ste 1000 3600 Gaston Ave Ste 550 Wadley Dallas, TX 75218 Dallas, TX 75246 Twr (214) 328-4389 (469) 800-9000 Dallas, TX 75246 • Languages spoken / Idioma(s) (214) 821-1177 hablado(s): Spanish Favour, Susan E, MD * Eff 01-Jan-14 Christensen, William T, MD * Daly, Patrick W, MD Baylor Scott & White MedProvider Eff 01-Jan-14 Eff 14-Nov-19 3417 Gaston Avenue, Suite 1100 Baylor Scott & White MedProvider Methodist Health Center - Oak Dallas, TX 75246 3417 Gaston Ave Ste 1000 Lawn (469) 800-9000 Dallas, TX 75246 3629 Fairmount St (469) 800-9000 Dallas, TX 75219 Foster, Christopher , MD (214) 526-3566 Eff 01-May-16 Christensen, William T, MD * North Texas Internal Medicine Eff 01-Jan-14 Dimmitt, Dean C, MD◉ Partners, LLP Baylor Scott & White MedProvider Eff 02-Aug-16 3600 Gaston Ave, Ste 303 3417 Gaston Avenue Ste 1100 North Texas Preferred Health Dallas, TX 75246 Dallas, TX 75246 Partners (214) 828-2889 (469) 800-9000 411 N Washington Ave, Ste 2700 Primary Care Physicians/ Médicos de cabecera Dallas, TX 75246-1713 Garcia, Alfredo , MD * Chung, Andrew D, MD (214) 823-4800 Eff 01-Jan-14 Eff 01-Nov-14 Baylor Scott & White MedProvider Dallas Health Partners Drotar, Sully A, DO 3417 Gaston Ave, Ste 1100 3600 Gaston Ave Ste 755 Eff 13-Nov-20 Dallas, TX 75246 Dallas, TX 75246 Baylor Scott & White MedProvider (469) 800-9000 (214) 823-4200 3417 Gaston Ave Ste 1000 • Languages spoken / Idioma(s) Dallas, TX 75246 hablado(s): Spanish Chung, Paul C, MD * (469) 800-9000 Eff 01-Jan-14 Garcia, Alfredo , MD * Baylor Scott & White MedProvider Dunn, Chelsea T, MD Eff 01-Jan-14 3417 Gaston Ave, Ste 1100 Eff 14-Sep-15 Baylor Scott & White MedProvider Dallas, TX 75246 Baylor Scott & White Dallas 3417 Gaston Avenue, Suite 1100 (469) 800-9000 Diagnostic Association - Park Ci Dallas, TX 75246 • Languages spoken / Idioma(s) 9101 N Central Expy, Ste 300 (469) 800-9000 hablado(s): Korean Dallas, TX 75231 • Languages spoken / Idioma(s) (469) 800-7100 hablado(s): Spanish Chung, Paul C, MD * Eff 01-Jan-14 Edwards, Lewis T, MD Goodwin, Grady G, MD Baylor Scott & White MedProvider Eff 01-Jan-14 Eff 15-Mar-17 3417 Gaston Avenue, Suite 1100 Baylor Scott & White MedProvider Grady Goodwin, MD Dallas, TX 75246 3417 Gaston Avenue, Suite 1100 12221 Merit, Ste 1500 (469) 800-9000 Dallas, TX 75246 Dallas, TX 75251-2235 • Languages spoken / Idioma(s) (469) 800-9000 (972) 372-0912 hablado(s): Korean Edwards, Lewis T, MD Grand, Harrell , MD Eff 01-Jan-14 Eff 01-Aug-16 Baylor Senior Health Center - Private Practice Geriatric Center 3801 Gaston Ave, Ste 315 4004 Worth St, Ste 100 Dallas, TX 75246 Dallas, TX 75246 (214) 824-2121 (214) 820-6060

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 56 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Gummelt, Kyle L, DO Ho, Michelle M, MD Israel, Katherine A, MD Eff 21-Jul-14 Eff 28-Apr-18 Eff 27-Oct-17 Baylor Scott & White MedProvider North Texas Preferred Health Baylor Scott & White Hospital 3417 Gaston Avenue, Suite 1100 Partners Medicine - Dallas Dallas, TX 75246 8215 Westchester Dr, Ste 320 3600 Gaston Ave Ste 550 Wadley (469) 800-9000 Dallas, TX 75225 Twr (972) 993-5040 Dallas, TX 75246 Gummelt, Kyle L, DO • Languages spoken / Idioma(s) (214) 821-1177 Eff 21-Jul-14 hablado(s): French Baylor Scott & White Residency at Johnston, Michael T, MD * Dallas Hominick, David P, MD Eff 01-Jan-14 3600 Gaston Ave, Ste 651, Eff 01-Jan-14 Baylor Scott & White MedProvider WadleyTower Baylor Scott & White Dallas 3417 Gaston Ave Ste 1000 Dallas, TX 75246 Diagnostic Association - Park Ci Dallas, TX 75246 (214) 820-3275 9101 N Central Expy, Ste 300 (469) 800-9000 Dallas, TX 75231 Hickl, Andrew G, MD (469) 800-7100 Johnston, Michael T, MD * Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White MedProvider Huebner, Mitchell L, MD Baylor Scott & White MedProvider 3417 Gaston Ave Ste 1000 Eff 15-Sep-20 3417 Gaston Ave Ste 1100 Dallas, TX 75246 Mitchell Huebner, MD Dallas, TX 75246 (469) 800-9000 5477 Glen Lakes Dr Ste 135 (469) 800-9000 Primary Care Physicians/ Médicos de cabecera Dallas, TX 75231-0977 Hickl, Andrew G, MD (214) 361-2277 Jones, Tom N, DO Eff 01-Jan-14 Eff 01-Nov-15 Baylor Scott & White MedProvider Ipe, George V, MD Tom N Jones DO, FACOI 3417 Gaston Ave Ste 1100 Eff 09-Nov-15 9330 Poppy Dr, Ste 304, W Tower Dallas, TX 75246 Baylor Scott & White MedProvider Dallas, TX 75218 (469) 800-9000 3417 Gaston Ave, Ste 1100 (214) 328-3610 Dallas, TX 75246 Hines, Stephen L, MD (469) 800-9000 Kakarla, Mahendra N, MD Eff 15-Oct-18 Eff 15-Oct-18 Physician Associates of Southwest Ipe, George V, MD Methodist Charlton Internal Dallas Eff 09-Nov-15 Medicine Associates 122 W Colorado Blvd Baylor Scott & White MedProvider 7999 W Virginia Dr, Ste B Dallas, TX 75208-2382 3417 Gaston Avenue, Suite 1100 Dallas, TX 75237-3845 (214) 947-6701 Dallas, TX 75246 (972) 296-6696 (469) 800-9000 Hito, Ramey , DO Kapadia, Pratik C, MD Eff 01-Jan-14 Israel, Katherine A, MD Eff 01-Feb-15 Cardiovascular Consultants of Eff 27-Oct-17 Internal Medicine Associates of North Texas Baylor Scott & White Hospital Dallas 3600 Gaston Avenue Suite 550 Medicine Dallas 3600 Gaston Ave, Ste 1004, Dallas, TX 75246 3600 Gaston Ave Ste 550 Wadley Barnett Tower (214) 821-1177 Twr Dallas, TX 75246 Dallas, TX 75246 (214) 827-7600 (214) 821-1177 • Languages spoken / Idioma(s) hablado(s): Gujrati

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 57 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Kapadia, Pratik C, MD Khetan, Roger S, MD * Lander, Allison R, MD Eff 15-Sep-20 Eff 01-Jan-14 Eff 09-Nov-15 Dallas Medical Partners PLLC Signature Medicine Baylor Baylor Scott & White MedProvider 3600 Gaston Ave Ste 1004 University Medical Center 3417 Gaston Ave, Ste 1000 Dallas, TX 75246-1810 3417 Gaston Ave, Ste 600 Dallas, TX 75246 (214) 827-7600 Dallas, TX 75246 (469) 800-9000 (469) 800-9000 Kassanoff, Ruby E, MD◉ • Languages spoken / Idioma(s) Lander, Allison R, MD Eff 01-Apr-16 hablado(s): German Eff 09-Nov-15 North Texas Preferred Health Baylor Scott & White MedProvider Partners Khetan, Roger S, MD * 3417 Gaston Avenue, Suite 1100 411 N Washington Ave, Ste 2700 Eff 01-Jan-14 Dallas, TX 75246 Dallas, TX 75246-1713 Baylor Scott & White Signature (469) 800-9000 (214) 823-4800 Medicine - Baylor University 3417 Gaston Avenue, Suite 600 Lau, Steve K, MD Khetan, Anita K, MD * Dallas, TX 75246 Eff 28-Apr-18 Eff 01-Jan-14 (469) 800-9900 North Texas Preferred Health Signature Medicine Baylor • Languages spoken / Idioma(s) Partners University Medical Center hablado(s): German 8215 Westchester Dr, Ste 320 3417 Gaston Ave, Ste 600 Dallas, TX 75225 Dallas, TX 75246 Kim, Elecia E, MD (972) 993-5040 (469) 800-9000 Eff 13-Jul-15 • Languages spoken / Idioma(s) Primary Care Physicians/ Médicos de cabecera • Languages spoken / Idioma(s) Baylor Scott & White MedProvider hablado(s): Chinese hablado(s): Hindi 3417 Gaston Ave, Ste 1000 Dallas, TX 75246 Lee, David M, MD Khetan, Anita K, MD * (469) 800-9000 Eff 01-Apr-15 Eff 01-Jan-14 Uptown Physicians Group Baylor Scott & White Signature Kim, Elecia E, MD 4144 N Central Expy, Ste 750 Medicine - Baylor University Eff 13-Jul-15 Dallas, TX 75204-3208 3417 Gaston Avenue, Suite 600 Baylor Scott & White MedProvider (214) 303-1033 Dallas, TX 75246 3417 Gaston Avenue, Suite 1100 (469) 800-9900 Dallas, TX 75246 Lloyd, Kyle L, MD • Languages spoken / Idioma(s) (469) 800-9000 Eff 01-May-16 hablado(s): Hindi North Texas Internal Medicine Koney, Aruna , MD Partners, LLP Khetan, Rainer A, MD * Eff 08-Feb-16 3600 Gaston Ave, Ste 303 Eff 01-Jan-14 Aruna Koney MD, PA Dallas, TX 75246 Signature Medicine Baylor 1151 N Buckner Blvd, Ste 103 (214) 828-2889 University Medical Center Dallas, TX 75218 3417 Gaston Ave, Ste 600 (214) 320-1200 Madeley, Paul E, MD * Dallas, TX 75246 Eff 01-Jan-14 (469) 800-9000 Krishnan, Ruth N, MD Baylor Scott & White MedProvider Eff 01-Jan-14 3417 Gaston Ave, Ste 1100 Khetan, Rainer A, MD * Baylor Scott & White Community Dallas, TX 75246 Eff 01-Jan-14 Care Worth Street (469) 800-9000 Baylor Scott & White Signature 4001 Worth St Medicine - Baylor University Dallas, TX 75246 Madeley, Paul E, MD * 3417 Gaston Avenue, Suite 600 (972) 817-7070 Eff 01-Jan-14 Dallas, TX 75246 Baylor Scott & White MedProvider (469) 800-9900 3417 Gaston Avenue, Suite 1100 Dallas, TX 75246 (469) 800-9000

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 58 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Malone, Timothy G, DO Muncy, Paul A, MD * Numajiri, Akira S, MD Eff 01-Sep-16 Eff 01-Jan-14 Eff 01-Jan-14 Private Practice- Timothy F Baylor Scott & White MedProvider Baylor Scott & White MedProvider Malone DO PA 3417 Gaston Avenue, Suite 1100 3417 Gaston Avenue, Suite 1100 3801 Gaston Pkwy, Ste 204 Dallas, TX 75246 Dallas, TX 75246 Dallas, TX 75246 (469) 800-9000 (469) 800-9000 (214) 823-4400 Muncy, Paul A, MD * Oholendt, Kyle B, MD Mehta, Kris , MD Eff 01-Jan-14 Eff 15-Mar-19 Eff 27-Oct-17 Baylor Scott & White Residency at Physician Associates of Southwest Baylor Scott & White Hospital Dallas Dallas Medicine Dallas 3600 Gaston Ave, Ste 651, 122 W Colorado Blvd 3600 Gaston Ave Ste 550 Wadley WadleyTower Dallas, TX 75208-2382 Twr Dallas, TX 75246 (214) 947-6701 Dallas, TX 75246 (214) 820-3275 (214) 821-1177 Owen, Stuart F, MD Murillo, Ricardo A, MD Eff 06-Mar-20 Mehta, Kris , MD Eff 01-Jan-14 Baylor Scott & White Residency - Eff 27-Oct-17 RMD Medical Group, PA Dallas Baylor Scott & White Hospital 3600 Gaston Ave, Barnett Tower, 3600 Gaston Ave Ste 651 Medicine - Dallas Ste 708 Dallas, TX 75246 3600 Gaston Ave Ste 550 Wadley Dallas, TX 75246 (214) 820-3275 Primary Care Physicians/ Médicos de cabecera Twr (214) 827-6200 Dallas, TX 75246 • Languages spoken / Idioma(s) Pathikonda, Leena , DO (214) 821-1177 hablado(s): Spanish Eff 06-Sep-19 Baylor Scott & White MedProvider Modak, Isitri , MD Myers, Robert I, MD 3417 Gaston Avenue, Suite 1000 Eff 15-Oct-18 Eff 01-Jan-14 Dallas, TX 75246 Physician Associates of Southwest Robert I Myers, MD PA (469) 800-9000 Dallas 3600 Gaston Ave, Barnett Tower, 122 W Colorado Blvd Ste 508 Pham, Joseph D, MD Dallas, TX 75208-2382 Dallas, TX 75246 Eff 09-Nov-15 (214) 947-6701 (214) 824-4585 Baylor Scott & White Dallas Diagnostic Association - Park Ci Muller, Cynthia R, MD Neal, Troy M, MD * 9101 N Central Expy, Ste 300 Eff 01-Jan-16 Eff 01-Jan-14 Dallas, TX 75231 White Rock Internal Medicine Baylor Scott & White MedProvider (469) 800-7100 9330 Poppy Dr, Ste 403 3417 Gaston Ave Ste 1100 Dallas, TX 75218 Dallas, TX 75246 Philips, Kay L, MD (214) 328-4389 (469) 800-9000 Eff 01-Jan-14 • Languages spoken / Idioma(s) Baylor Scott & White Dallas hablado(s): Spanish Neal, Troy M, MD * Diagnostic Association - Park Ci Eff 01-Jan-14 9101 N Central Expy Ste 440 Muncy, Paul A, MD * Baylor Scott & White MedProvider Dallas, TX 75231 Eff 01-Jan-14 3417 Gaston Ave Ste 1100 (214) 820-9101 Baylor Scott & White MedProvider Dallas, TX 75246 3417 Gaston Ave, Ste 1100 (469) 800-9000 Philips, Kay L, MD Dallas, TX 75246 Eff 01-Jan-14 (469) 800-9000 Numajiri, Akira S, MD Baylor Scott & White Dallas Eff 01-Jan-14 Diagnostic Association - Park Ci Baylor Scott & White MedProvider 9101 N Central Expy Ste 440 3417 Gaston Ave, Ste 1000 Dallas, TX 75231 Dallas, TX 75246 (214) 820-9101 (469) 800-9000

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 59 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Pounders, Steven M, MD Ron, Victor H, MD Smith, Weldon L, MD * Eff 12-Dec-15 Eff 01-Sep-16 Eff 01-Jan-14 Steven M Pounders, MD, PLLC Private Practice- Latino Medical Baylor Scott & White MedProvider 3500 Oaklawn Ave #600 and Weight Loss Center PA 3417 Gaston Ave, Ste 1100 Dallas, TX 75219 8 Medical Pkwy, Ste 301 Dallas, TX 75246 (214) 520-8833 Dallas, TX 75234 (469) 800-9000 • Languages spoken / Idioma(s) (972) 620-9895 hablado(s): German • Languages spoken / Idioma(s) Smith, Weldon L, MD * hablado(s): Spanish Eff 01-Jan-14 Pugach, Isaac , MD Baylor Scott & White MedProvider Eff 15-Aug-16 Rothstein, Joseph M, MD 3417 Gaston Avenue, Suite 1100 Complete Med Care Eff 01-Feb-15 Dallas, TX 75246 8989 Forest Ln, Ste 146 Internal Medicine Associates of (469) 800-9000 Dallas, TX 75243 Dallas (972) 792-7777 3600 Gaston Ave, Ste 1004, Tang, Wei , MD Barnett Tower Eff 01-Nov-18 Raja, Harikrishna , MD Dallas, TX 75246 Baylor Scott & White MedProvider Eff 06-Jun-16 (214) 827-7600 3417 Gaston Avenue, Suite 1100 Baylor Scott & White MedProvider Dallas, TX 75246 3417 Gaston Ave, Ste 1000 Sibley, Alison H, MD◉ (469) 800-9000 Dallas, TX 75246 Eff 01-Apr-16 (469) 800-9000 North Texas Preferred Health Tellez III, Manuel , DO Primary Care Physicians/ Médicos de cabecera Partners Eff 15-Oct-18 Raja, Harikrishna , MD 411 N Washington Ave, Ste 2700 Manuel Tellez, DO, PA Eff 06-Jun-16 Dallas, TX 75246-1713 3430 W. Wheatland Road POB I Baylor Scott & White MedProvider (214) 823-4800 Suite 407 3417 Gaston Avenue, Suite 1100 Dallas, TX 75237 Dallas, TX 75246 Smith, Natalie M, MD (972) 283-9400 (469) 800-9000 Eff 21-Jul-14 • Languages spoken / Idioma(s) Baylor Scott & White MedProvider hablado(s): Spanish Raja, Harikrishna , MD 3417 Gaston Ave, Ste 1100 Eff 06-Jun-16 Dallas, TX 75246 Thigpen, Darrell E, MD Baylor Scott & White Residency at (469) 800-9000 Eff 15-Oct-18 Dallas Methodist Family Health Center - 3600 Gaston Ave, Ste 651, Smith, Natalie M, MD Kessler Park WadleyTower Eff 21-Jul-14 1222 N Bishop Ave, Ste 300 Dallas, TX 75246 Baylor Scott & White MedProvider Dallas, TX 75208-4176 (214) 820-3275 3417 Gaston Avenue, Suite 1100 (214) 941-1353 Dallas, TX 75246 • Languages spoken / Idioma(s) Reinhold, Stephanie M, MD (469) 800-9000 hablado(s): Spanish Eff 06-Sep-19 Baylor Scott & White MedProvider Smith, Randlow , MD Tilleros, Elisabeth A, MD 3417 Gaston Avenue, Suite 1000 Eff 20-Oct-16 Eff 28-Apr-18 Dallas, TX 75246 North Texas Preferred Health North Texas Preferred Health (469) 800-9000 Partners Partners 411 N Washington Ave, Ste 2700 8215 Westchester Dr, Ste 320 Dallas, TX 75246-1713 Dallas, TX 75225 (214) 823-4800 (972) 993-5040

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 60 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Valachovic, Michael S, MD * Wang, XueCheng , MD Wilkerson, Jennifer L, MD◉ Eff 01-Jan-14 Eff 01-Mar-19 Eff 01-Apr-16 Baylor Scott & White MedProvider Private Practice North Texas Preferred Health 3417 Gaston Ave, Ste 1100 8 Medical Pkwy, Ste 204 Partners Dallas, TX 75246 Dallas, TX 75234 411 N Washington Ave, Ste 2700 (469) 800-9000 (972) 481-1881 Dallas, TX 75246-1713 (214) 823-4800 Valachovic, Michael S, MD * Weber, Denise S, MD * • Languages spoken / Idioma(s) Eff 01-Jan-14 Eff 01-Jan-14 hablado(s): Spanish Baylor Scott & White MedProvider Baylor Scott & White MedProvider 3417 Gaston Avenue, Suite 1100 3417 Gaston Ave, Ste 1100 Winter, F David , MD * Dallas, TX 75246 Dallas, TX 75246 Eff 01-Jan-14 (469) 800-9000 (469) 800-9000 Signature Medicine 411 N Washington Ave, Ste 3000 Valadez, Javier A, MD Weber, Denise S, MD * Dallas, TX 75246 Eff 01-Jan-14 Eff 01-Jan-14 (214) 820-8361 Sunset Clinic PA Baylor Scott & White MedProvider • Languages spoken / Idioma(s) 1922 W Tenth St 3417 Gaston Avenue, Suite 1100 hablado(s): Spanish Dallas, TX 75208 Dallas, TX 75246 (214) 942-3113 (469) 800-9000 Winter, F David , MD * • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Spanish Wilder, Cynthia K, MD * Advanced Heart Failure Clinic Primary Care Physicians/ Médicos de cabecera Eff 01-Jan-14 411 N. Washington Avenue, Suite Vallejos, Jose T, MD Signature Medicine Baylor 3000 Eff 23-Jun-17 University Medical Center Dallas, TX 75246 White Rock Internal Medicine 3417 Gaston Ave, Ste 600 (214) 820-8361 9330 Poppy Dr, Ste 403 Dallas, TX 75246 • Languages spoken / Idioma(s) Dallas, TX 75218 (469) 800-9000 hablado(s): Spanish (214) 328-4389 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Wolf, Jill E, MD hablado(s): Spanish Eff 01-Jun-18 Wilder, Cynthia K, MD * Little Elm Medical Clinic, PA Vinton, Tonia Y, MD Eff 01-Jan-14 730 E Eldordo Pkwy Eff 11-Apr-16 Baylor Scott & White Signature Dallas, TX 75243-5444 Baylor Scott & White MedProvider Medicine - Baylor University (972) 292-3332 3417 Gaston Ave Ste 1000 3417 Gaston Avenue, Suite 600 Dallas, TX 75246 Dallas, TX 75246 Osuji, Ikechukwu , MD (469) 800-9000 (469) 800-9900 Eff 01-Apr-19 • Languages spoken / Idioma(s) Quality Care Health Clinics Wade, Paul D, MD hablado(s): Spanish 1110 E Pleasant Run Rd Eff 01-Jan-14 Desoto, TX 75115-4202 Signature Medicine Park Cities Wiley, Cherese M, MD * (972) 230-8881 9101 N Central Expwy Ste 440 Eff 01-Jan-14 Dallas, TX 75231 Baylor Scott & White MedProvider Ukegbu, Ibidunni , MD (214) 820-9101 3417 Gaston Ave, Ste 1100 Eff 01-Jan-19 Dallas, TX 75246 North Texas Care Clinic Wade, Paul D, MD (469) 800-9000 529 W Wheatland Eff 01-Jan-14 Duncanville, TX 75116-4515 Baylor Scott & White Signature Wiley, Cherese M, MD * (972) 298-2427 Medicine - Park Cities Eff 01-Jan-14 9101 N. Central Expwy Ste 440 Baylor Scott & White MedProvider Dallas, TX 75231 3417 Gaston Avenue, Suite 1100 (214) 820-9101 Dallas, TX 75246 (469) 800-9000

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 61 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Bajpai, Anita P, DO Tran, Nhu Q, DO Austin, Jeffrey S, MD Eff 20-Jun-16 Eff 01-Jan-14 Eff 01-Jan-14 Dallas Diagnostic Association- Healing Companion Medical Clinic Baylor Scott & White Internal Garland 3671 Broadway Blvd, Ste 550 Medicine Associates - Irving 7217 Telecom Parkway, Ste 300 Garland, TX 75043 2005 W Park Drive, Ste 300 Garland, TX 75044 (972) 675-3818 Irving, TX 75061 (469) 800-2000 • Languages spoken / Idioma(s) (469) 800-1050 hablado(s): Vietnamese • Languages spoken / Idioma(s) Gomez-Lozano, Cesar A, MD hablado(s): Spanish Eff 01-Jun-17 Jones, Olga S, MD American Internal Medicine Eff 15-Oct-18 Conn, Jason R, DO Services, PA Methodist Family Health Center - Eff 08-Nov-16 122 N International Rd, Ste B Central Grand Prairie Healthcare Associates of Irving Garland, TX 75042 820 S. Carrier Pkwy 6161 N Hwy 161 (972) 494-6713 Grand Prairie, TX 75051-1517 Irving, TX 75038-2220 (972) 262-1425 (972) 258-7499 Hoss, Gary V, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Russian Gardner, Sarah V, DO Dallas Diagnostic Association- Eff 24-Nov-14 Garland West, Penny C, MD * PPG Health, PA 7217 Telecom Parkway, Ste 300 Eff 01-Jan-14 9947 N MacArthur Blvd, Ste 150 Garland, TX 75044 Baylor Scott & White Family Irving, TX 75063 Primary Care Physicians/ Médicos de cabecera (469) 800-2000 Medicine at Lake Ridge (817) 406-2064 3095 Kingswood Boulevard, Suite Khan, Yasir , MD 250 George-Zieser, Shalomi M, DO Eff 15-Nov-18 Grand Prairie, TX 75052 Eff 28-Apr-18 Millennium Medical Care PLLC (972) 817-1950 Healthcare Associates of Irving 2719 Belt Line Rd, Ste B 6161 N Hwy 161 Garland, TX 75044-7086 Abraham, Suma , MD Irving, TX 75038-2220 (469) 931-2206 Eff 01-Jan-14 (972) 258-7499 • Languages spoken / Idioma(s) Baylor Scott & White Internal hablado(s): Hindi Medicine Associates - Irving Grasty, Betty , MD 2005 W Park Drive, Ste 300 Eff 01-May-17 Majeed, Hashim A, MD Irving, TX 75061 Betty Chung Grasty MD PA Eff 01-Jan-19 (469) 800-1050 701 Tuscan Dr, Ste 235 Dallas Internal Medicine and Irving, TX 75039 Geriatric Specialists, PLLC Adya, Shweta , MD (972) 409-0015 601 Clara Barton Blvd, Ste 145 Eff 25-Feb-19 • Languages spoken / Idioma(s) Garland, TX 75042-5738 Healthcare Associates of Irving, hablado(s): Chinese (972) 560-9400 LLP 6161 N Hwy 161 Harvey, Tiffany M, MD Osuji, Ikechukwu , MD Irving, TX 75038-2220 Eff 01-Jan-14 Eff 01-Apr-19 (972) 258-7499 Baylor Scott & White Internal Quality Care Health Clinics Medicine - Las Colinas 333 N Shiloh Rd, Ste 107 Alukal, Paul , MD 400 W IH 635, Ste 200 Garland, TX 75042-6613 Eff 06-Sep-19 Irving, TX 75063-3700 (972) 840-8599 Baylor Scott & White Internal (972) 406-1199 Medicine - Las Colinas 400 W IH 635, Ste 200 Irving, TX 75063-3700 (972) 406-1199

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 62 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Israel, Robert W, MD Young, John D, MD Okoronkwo, Catherine , MD Eff 01-Apr-14 Eff 01-Jan-14 Eff 01-Jul-15 Baylor Scott & White Internal Baylor Scott & White Internal Kelsom Clinic, PA Medicine Associates - Irving Medicine Associates - Irving 3220 Gus Thomasson Rd, Ste 113 2005 W Park Drive, Ste 300 2005 W Park Drive, Ste 300 Mesquite, TX 75150 Irving, TX 75061 Irving, TX 75061 (972) 279-7373 (469) 800-1050 (469) 800-1050 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Ukoha, Chijioke D, MD hablado(s): French hablado(s): Spanish Eff 15-May-19 Chijioke D Ukoha MD PA Johnson, Nicole A, MD Ogwu, Austin , MD 1800 N Galloway Ave, Ste 100 Eff 01-Nov-18 Eff 15-Jan-18 Mesquite, TX 75149-2769 Baylor Scott & White Internal Alpha Medical Center (972) 279-1700 Medicine Associates - Irving 2505 W Beltline Rd 2005 W Park Drive, Ste 300 Lancaster, TX 75146-1930 Abraham, Sam S, MD Irving, TX 75061 (972) 230-8290 Eff 15-Jan-18 (469) 800-1050 Texas Primary Care Center De Los Santos, Billy , MD 3617 Shire Blvd, Ste 100 Jones, Bradley S, MD Eff 12-Aug-17 Richardson, TX 75082 Eff 07-Jan-18 Southwest Cardiology (469) 300-1243 North Texas Preferred Health 820 E Cartwright Rd, Ste 100 Partners Mesquite, TX 75149 Ahmed, Shakil , MD Primary Care Physicians/ Médicos de cabecera 440 W I-635 Ste 405 (214) 320-7600 Eff 14-Jan-19 Irving, TX 75063 • Languages spoken / Idioma(s) Methodist Richardson Health (972) 993-5040 hablado(s): Spanish Center 820 W. Arapaho Rd, Ste 200 Okoronkwo, Catherine , MD Jyothinagaram, Srikanth T, MD Richardson, TX 75080 Eff 01-Jul-15 Eff 13-Feb-17 (972) 498-4500 Kelsom Clinic, PA Star MD, PLLC 1202 W Pioneer Dr, Ste 100 1011 N Galloway Ave Sajjad, Naeem , MD Irving, TX 75061 Mesquite, TX 75149-2760 Eff 01-Aug-16 (972) 254-7272 (972) 698-2371 Neighborhood Adult Healthcare PA Park, Chelsea , DO Kaur, Harman P, MD 3409 Spectrum Blvd, # 100 Eff 04-Oct-19 Eff 10-Nov-16 Richardson, TX 75082 Baylor Scott & White Medical & Belt Line Medical Clinic (972) 234-3355 Surgical Clinic - Irving 4321 N Belt Line Rd, Ste 500 2021 N MacArthur Blvd Ste 350 Mesquite, TX 75150-3133 Sajjad, Zeba , MD Irving, TX 75061 (469) 209-6381 Eff 01-Aug-16 (972) 817-1550 • Languages spoken / Idioma(s) Neighborhood Adult Healthcare hablado(s): Hindi PA Welsh, Jenifer H, MD 3409 Spectrum Blvd, # 100 Eff 06-Jun-16 Nachawati, Samer MS, DO Richardson, TX 75082 Baylor Scott & White Internal Eff 21-Mar-17 (972) 234-3355 Medicine - Las Colinas Samer M Nachawati, LLC 400 W IH 635, Ste 200 929 N Galloway Ave, Ste 220 Silverstein, Alanna M, MD Irving, TX 75063-3700 Mesquite, TX 75149-7413 Eff 15-Oct-18 (972) 406-1199 (972) 352-3203 Methodist Richardson Health Center 820 W. Arapaho Rd, Ste 200 Richardson, TX 75080 (972) 498-4500

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 63 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Cirilo, Ginaida , MD Denton County | Condado de Dhaliwal, Hardeep , MD Eff 23-Jun-17 Eff 01-Aug-16 Primary Care Physicians of Texas Denton Hardeep S Dhaliwal MD PA PA 3871 Long Prairie Rd 6900 Scenic Dr, Ste 102 Lee, James S, MD Flower Mound, TX 75028 Rowlett, TX 75088 Eff 01-Jun-16 (972) 691-4444 (972) 463-2001 James S Lee MD PA • Languages spoken / Idioma(s) 1809 Golden Tr Ct, Ste 220 Naina, Harris V, MD hablado(s): Spanish Carrollton, TX 75010-4667 Eff 03-Oct-16 (214) 731-1166 Primary Care Associates of Texas Curanovic, John , MD 785 Cross Timbers Rd, Ste 145 Eff 01-Nov-16 Panjwani, Mahmood B, MD Flower Mound, TX 75028 Primary Care Physicians of Texas Eff 01-Mar-16 (817) 725-7880 PA Mahmood B Panjwani, MD, PA 6900 Scenic Dr, Ste 102 3740 N Josey Ln, Ste 206 Johnson, Bryan G, MD Rowlett, TX 75088 Carrollton, TX 75007 Eff 15-Sep-16 (972) 463-2001 (214) 731-0031 Stonebriar Medical Associates • Languages spoken / Idioma(s) 6842 Main St, Ste 203 Lopez, Roberto , DO hablado(s): Gujrati Frisco, TX 75033 Eff 24-Aug-15 (469) 633-9300 Baylor Scott & White Primary Shah, Neeraj B, MD 7501 Lakeview Pkwy Ste 220 Eff 15-Nov-18 Chandi, Cherry , MD Primary Care Physicians/ Médicos de cabecera Rowlett, TX 75088-9323 Trinity Integrated Medical Eff 01-Jun-19 (469) 800-2475 3008 E Hebron Pkwy, Bldg 500 Cherry Chandi MD Carrollton, TX 75010-4470 2016 FM 407, Ste 360 Rereddy, Jyothi Reddy, MD (972) 478-5538 Highland Village, TX 75077-7180 Eff 10-Aug-15 (972) 966-2525 Lake Pointe Medical Partners Sharif, Zain , MD Internal Medicine Eff 08-Dec-14 Kaur, Rominder , MD 7501 Lakeview Pkwy, Ste 220 Baylor Scott & White Hospital Eff 01-Jan-19 Rowlett, TX 75088 Medicine - Carrollton Highland Village Primary Care (469) 800-2475 4343 N Josey Ln 2016 FM 407, Ste 370 Carrollton, TX 75010 Highland Village, TX 75077-7180 Ahmad, Tanvir , MD (972) 600-2989 (972) 966-2525 Eff 01-Apr-16 • Languages spoken / Idioma(s) Mercy Medical Clinic Talatala, Rufino G, MD hablado(s): Hindi 615 Hwy 78 Eff 01-Sep-16 Wylie, TX 75098 Private Practice- Rufino G Khan, Jalil , MD (972) 429-1077 Talatala, MD PA Eff 01-Dec-16 4221 Medical Pkwy, Ste 250 Prim-Med Care Osama, Fauzia K, MD Carrollton, TX 75010-4543 502 N Valley Pkwy, Ste 1 Eff 01-Apr-16 (972) 492-0333 Lewisville, TX 75067 Mercy Medical Clinic • Languages spoken / Idioma(s) (972) 353-8616 615 Hwy 78 hablado(s): Tagalog • Languages spoken / Idioma(s) Wylie, TX 75098 hablado(s): Hindi (972) 429-1077 Valliani, Farida , MD Eff 01-Mar-16 Osuji, Ikechukwu , MD Farida Valliani, MD, PA Eff 01-Apr-19 3740 North Josey Lane Ste 206 Quality Care Health Clinics Carrollton, TX 75007 1140 W Main St (214) 731-0031 Lewisville, TX 75067-3470 • Languages spoken / Idioma(s) (972) 956-5558 hablado(s): Hindi

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 64 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Pastorek, Jordan , MD Kamineni, Suchitra R, MD Nordstrom, Jason R, MD Eff 15-Apr-18 Eff 31-Mar-17 Eff 01-Jan-14 Testosterone Centers of Texas Midlothian Primary Care Doctors, Baylor Scott & White Family 2403 South Stemmons Frwy, Ste PLLC Medical Center 105 661 E Main St, Ste 900 301 E Ovilla Rd, Ste 100 Lewisville, TX 75067-2314 Midlothian, TX 76065 Red Oak, TX 75154 (972) 829-6206 (469) 612-5250 (469) 800-9200 Ohman, Allan B, MD Nordstrom, Leigh F, MD Nordstrom, Jason R, MD Eff 15-Mar-17 Eff 01-Jan-14 Eff 01-Jan-14 Family HealthCare Associates Baylor Scott & White Family Baylor Scott & White Family 1610 Commons Cir Medical Center Medical Center Red Oak Northlake, TX 76226 1441 S Midlothian Pkwy Ste 100 301 E Ovilla Rd, Ste 100 (940)725-3407 Midlothian, TX 76065 Red Oak, TX 75154 (469) 800-9200 (469) 800-9200 Kumar, Nishi , MD Eff 04-Oct-19 Nordstrom, Leigh F, MD Bousquet, John A, MD Baylor Scott & White Family Eff 01-Jan-14 Eff 01-Jan-14 Medicine Roanoke and Trophy Baylor Scott & White Family Baylor Scott & White Family Club Medical Center Medical Center 2800 E Hwy 114, Ste 220 1441 S Midlothian Prkwy Ste 100 2460 N IH 35 Ste 100 Trophy Club, TX 76262 Midlothian, TX 76065 Waxahachie, TX 75165 Primary Care Physicians/ Médicos de cabecera (817) 912-8900 (469) 800-9600 (469) 800-9500 • Languages spoken / Idioma(s) Ellis County | Condado de Ellis Pokharel, Neeti , MD hablado(s): Spanish Eff 09-Nov-15 Jinks, Larry , MD * Baylor Scott & White Family Bousquet, John A, MD Eff 01-Sep-18 Medical Center Eff 01-Jan-14 Ellis County Medical Associates, 1441 S Midlothian Pkwy, Ste 100 Baylor Scott & White Family PA Midlothian, TX 76065 Medical Center Waxahachie 802 W Lampasas (469) 800-9200 2460 N IH 35E Ste 100 Waxahachie, TX 75165 Ennis, TX 75119-4536 Bousquet, John A, MD (972) 875-4700 (469) 800-9500 Eff 01-Jan-14 • Languages spoken / Idioma(s) Oad, Mehar C, MD Baylor Scott & White Family hablado(s): Spanish Eff 06-Sep-18 Medical Center Walk In & Urgent Care of Texas 301 E Ovilla Rd Ste 100 Brady, Yolanda C, MD 1200 Dolfie Lane Red Oak, TX 75154 Eff 01-Jan-14 Ennis, TX 75119-1638 (469) 800-9200 Baylor Scott & White Family (972) 875-4500 • Languages spoken / Idioma(s) Medical Center hablado(s): Spanish 2460 N IH 35, Ste 100 Silverman, Robert , MD Waxahachie, TX 75165 Eff 01-Sep-18 Joslin, Eddie R, MD (469) 800-9500 Ellis County Medical Associates, Eff 01-Jan-14 PA Baylor Scott & White Family Brady, Yolanda C, MD 802 W Lampasas Medical Center Eff 01-Jan-14 Ennis, TX 75119-4536 301 E Ovilla Rd Ste 100 Baylor Scott & White Family (972) 875-4700 Red Oak, TX 75154 Medical Center Waxahachie (469) 800-9200 2460 N IH 35E, Ste 100 Waxahachie, TX 75165 (469) 800-9500

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 65 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Joslin, Eddie R, MD Pokharel, Neeti , MD Wise, William E, DO Eff 01-Jan-14 Eff 09-Nov-15 Eff 09-Mar-15 Baylor Scott & White Family Baylor Scott & White Family Baylor Scott & White Family Medical Center Medical Center Waxahachie Medical Center Waxahachie 2460 N IH 35 Ste 100 2460 N IH 35E, Ste 100 2460 N IH 35E Ste 100 Waxahachie, TX 75165 Waxahachie, TX 75165 Waxahachie, TX 75165 (469) 800-9500 (469) 800-9500 (469) 800-9500

Joslin, Eddie R, MD Powell, Patti G, MD Grayson County | Condado de Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Family Baylor Scott & White Family Grayson Medical Center Waxahachie Medical Center 2460 N IH 35E Ste 100 2460 N IH 35 Ste 100 Islam, Sumbul , MD Waxahachie, TX 75165 Waxahachie, TX 75165 Eff 01-Nov-20 (469) 800-9500 (469) 800-9500 Imperial Care Internal Medicine 600 E Taylor St Ste 3011 Ledbetter, Thomas G, MD Powell, Patti G, MD Sherman, TX 75090-2850 Eff 01-Jan-14 Eff 01-Jan-14 (903) 957-0417 Baylor Scott & White Family Baylor Scott & White Family Medical Center Medical Center Waxahachie Brown, De'Andre A, MD 2460 N IH 35 Ste 100 2460 N IH 35E Ste 100 Eff 05-Aug-19 Waxahachie, TX 75165 Waxahachie, TX 75165 Pulse Brown Management LLC Primary Care Physicians/ Médicos de cabecera (469) 800-9500 (469) 800-9500 920 W Van Alstyne Pkwy Van Alstyne, TX 75495 Ledbetter, Thomas G, MD Scheid, David D, MD (903) 482-5181 Eff 01-Jan-14 Eff 14-Sep-15 Baylor Scott & White Family Baylor Scott & White Family Hunt County | Condado de Medical Center Waxahachie Medical Center Hunt 2460 N IH 35E Ste 100 2460 N IH 35, Ste 100 Waxahachie, TX 75165 Waxahachie, TX 75165 Ellington, Timothy D, MD * (469) 800-9500 (469) 800-9500 Eff 11-Jan-16 Narasimhan, Sweta , MD Scheid, David D, MD Baylor Scott & White Primary Care Eff 30-Oct-19 Eff 14-Sep-15 Associates Royse City Baylor Scott & White Family Baylor Scott & White Family 4400 W IH-30, Ste 100 Medical Center Waxahachie Medical Center Waxahachie Greenville, TX 75402-4611 2460 N IH 35E, Ste 100 2460 N IH 35E, Ste 100 (469) 800-3500 Waxahachie, TX 75165 Waxahachie, TX 75165 • Languages spoken / Idioma(s) (469) 800-9500 (469) 800-9500 hablado(s): Spanish Pokharel, Neeti , MD Wise, William E, DO Ellington, Timothy D, MD Eff 09-Nov-15 Eff 09-Mar-15 Eff 27-Mar-18 Baylor Scott & White Family Baylor Scott & White Family Dallas Nephrology Associates Medical Center Medical Center 4400 IH30 West Ste 300 2460 N IH 35, Ste 100 2460 N IH 35 Ste 100 Greenville, TX 75402-4643 Waxahachie, TX 75165 Waxahachie, TX 75165 (214) 358-2300 (469)800-9500 (469) 800-9500

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 66 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Johnson County | Condado de Tarrant County | Condado de Thomas, Jeanine Holmes, DO Eff 01-Jul-16 Johnson Tarrant Preventive Care Medical Clinic 1800 W Pioneer Pkwy Ekadi, Kofoworola , MD Bsiso, Adam , DO Arlington, TX 76013 Eff 01-Dec-16 Eff 18-Nov-18 (817) 274-0329 Delta Medical PA Arlington Physicians Network 12001 S Frwy, Ste 210 800 W Arbrook Blvd, Ste 300 Westbrook, Raymond R, DO Burleson, TX 76028 Arlington, TX 76015 Eff 22-Jul-15 (817) 293-8797 (817) 987-1172 Raymond R Westbrook, DO, PA 2701 Matlock Rd, Ste 105 Garcia, Paul J, DO * Dave, Pramesh , MD Arlington, TX 76015-2529 Eff 01-Jan-14 Eff 01-Dec-16 (817) 786-3040 Baylor Scott & White Family Abilene Internist and Associates Medicine Fort Worth PA Khan, Anila , MD 12500 S Fwy Ste 207 2608 Matlock Rd Eff 01-Aug-16 Burleson, TX 76028-7129 Arlington, TX 76015 786 Medical PLLC (817) 912-8530 (817) 861-4499 2700 Tibbets Dr, Ste 408 Bedford, TX 76022 Lozano, Jose J, DO Kolhe, Snehal , MD (817) 354-7500 Eff 01-Mar-16 Eff 03-Sep-20 Primary Care Associates of Texas Medico MD Kumar, Nishi , MD 265 SE John Jones Dr (FM 731) 801 W Park Row Dr Eff 14-Aug-19 Primary Care Physicians/ Médicos de cabecera Ste 110 Arlington, TX 76013 Healthcare Associates of Irving, Burleson, TX 76028 (817) 446-0800 LLP (817)725-7880 1305 Airport Frwy, Ste 220 • Languages spoken / Idioma(s) Oad, Mehar C, MD Bedford, TX 76021-6606 hablado(s): Spanish Eff 06-Sep-18 (817)857-6565 Walk In & Urgent Care of Texas Oad, Mehar C, MD 6407 S Cooper St, # 117 Rizkalla, Sherif M, DO * Eff 06-Sep-18 Arlington, TX 76001-5813 Eff 14-Aug-19 Walk In & Urgent Care of Texas (817) 472-7601 Healthcare Associates of Irving, 633 SW Johnson Ave LLP Burleson, TX 76028-5805 Saini, Rakesh K, MD 1305 Airport Frwy, Ste 220 (817) 435-4670 Eff 15-Sep-17 Bedford, TX 76021-6606 Private Practice (817) 857-6565 Singh, Omesh S, DO 3600 S Cooper St, Ste 100 Eff 02-Feb-16 Arlington, TX 76015 Hamdard, Iram , MD Primary Care Associates of Texas (817) 419-6200 Eff 01-Aug-17 265 SE John Jones Dr (FM 731), • Languages spoken / Idioma(s) DFW Prompt Care Ste 110 hablado(s): Hindi 7151 Colleyville Blvd #103 Burleson, TX 76028 Colleyville, TX 76034-8030 (817) 725-7880 Silat, Nooman , MD (817) 416-1931 • Languages spoken / Idioma(s) Eff 15-Sep-17 • Languages spoken / Idioma(s) hablado(s): Spanish Silat and Patel PLLC hablado(s): Hindi 1115 E Arkansas Ln Daramola, John B, MD Arlington, TX 76010-6415 Hayes, Lorrie B, MD * Eff 27-Jul-15 (817) 385-9799 Eff 01-Jan-14 Agape Internal Medicine, PC Baylor Scott & White Colleyville 505 N Ridgeway Dr, Ste 282 Family Medicine Cleburne, TX 76033 5232 Colleyville Blvd, Ste 100 (817) 556-0201 Colleyville, TX 76034 (817) 498-9920

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 67 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Khan, Rehan , MD Garcia, Paul J, DO * Kelly, Allan R, MD Eff 30-Aug-18 Eff 01-Jan-14 Eff 01-Aug-16 DFW Prompt Care Baylor Scott & White Family Allan R Kelly, MD, FACP 7151 Colleyville Blvd Ste 103 Medicine Fort Worth 929 College Ave Colleyville, TX 76034-8030 1101 6th Ave Ste 110 Fort Worth, TX 76104 (817) 416-1931 Fort Worth, TX 76104 (817) 334-0003 (817) 912-8360 Zakhary, Adel , MD Kelly, Robert , MD Eff 01-Nov-16 Garcia, Paul J, DO * Eff 01-Aug-16 A-Z Internal Medicine Eff 01-Jan-14 Private Practice 4109 Brown Trl, Ste 101 Baylor Scott & White Family 929 College Ave Colleyville, TX 76034 Medicine Fort Worth Fort Worth, TX 76107 (817) 514-8600 6420 Altamesa Blvd Ste 100 (817) 336-3431 Fort Worth, TX 76132 Hanna, Ehab , MD (817) 912-9000 Khan, Muhammad Azher, MD Eff 16-Nov-15 Eff 15-Sep-14 D & J Grace Team Group, LLC Gardner, Sarah V, DO Muhammad A Khan, MD PA 921 E FM 1187, Ste A Eff 24-Nov-14 820 Grainger Crowley, TX 76036 PPG Health, PA Fort Worth, TX 76104 (817) 945-1682 1650 W Rosedale St, Ste 301 (817) 810-9222 • Languages spoken / Idioma(s) Fort Worth, TX 76104 hablado(s): Arabic (817) 259-4333 Kolhe, Snehal , MD Primary Care Physicians/ Médicos de cabecera Eff 03-Sep-20 Adamo, Michael P, DO * Hanna, Ehab , MD Medico MD Eff 01-Jan-14 Eff 16-Nov-15 6302 Meadowbrook Drive Ste 112 Private Practice D & J Grace Team Group, LLC Fort Worth, TX 76112 800 8th Ave, Ste 432 6251 Oakmont Blvd (817) 446-0800 Fort Worth, TX 76104 Fort Worth, TX 76132-3119 (817) 923-2677 (682) 250-5700 Le, Quang , DO • Languages spoken / Idioma(s) Eff 01-Jul-16 Cohen, Phillip E, DO hablado(s): Arabic Quang Trong Le, DO, PA Eff 01-Jan-14 2550 River Pk Plaza, Ste 110 PPG Health, PA Hiraki, Stephanie J, DO Fort Worth, TX 76116-0921 1000 West Cannon St Eff 15-Sep-16 (817) 791-1289 Fort Worth, TX 76104 Associates of Internal Medicine, (817) 877-5858 PA Lewis, Vincent J, DO 2260 College Ave Eff 01-Jan-17 Davidson, Nettie N, MD * Fort Worth, TX 76110 Vincent Lewis Medical PA Eff 01-Jan-14 (817) 870-3627 2560 River Park Dr, #330 Baylor Scott & White Family Fort Worth, TX 76116 Medicine Fort Worth Janjua, Aasia D, MD (817) 377-8300 6420 Altamesa Blvd Ste 100 Eff 01-Dec-17 Fort Worth, TX 76132 Internal Medicine Care Group Lindemann, Mark Andrew, DO (817) 912-9000 1001 12th Ave Ste 120 Eff 08-Jun-17 Fort Worth, TX 76104 Mark A. Lindemann DO PA Eelani, Frood , DO (817) 870-3627 4545 Bellaire Dr S, Ste 9 Eff 01-Jan-14 Fort Worth, TX 76109 Private Practice Kankanala, Suresh B, MD (817) 763-8300 1315 6th Ave Eff 15-Mar-18 Fort Worth, TX 76104 Medical Associates of North Texas (817) 921-3626 923 College Ave, Ste 103 Fort Worth, TX 76104-3050 (972) 544-6600

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 68 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Lindemann, Mark , DO Patel, Aman K, DO Siddiqi, Muhammad N, MD Eff 15-Oct-16 Eff 06-Sep-18 Eff 01-Jan-14 Private Practice Universal Clinic Care, LLC Muhammad Naveed Siddiqi, MD, 4545 Bellaire Dr, Ste 9 2450 Oak Hill Cir Ste 1521 PA Fort Worth, TX 76109 Fort Worth, TX 76109-9580 1001 College Ave, Ste A (817) 763-8300 (714) 423-9799 Fort Worth, TX 76104 (817) 336-6000 Lozano, Jose J, DO Pratt, Stephen , MD Eff 01-Mar-16 Eff 07-Jul-16 Singh, Omesh S, DO Tarrant Nephrology Associates Tarrant Nephrology Associates Eff 02-Feb-16 1001 Pennsylvania Ave 1650 W Rosedale St, Ste 301 Tarrant Nephrology Associates Fort Worth, TX 76104-2228 Fort Worth, TX 76110 1001 Pennsylvania Ave (817) 877-5858 (817) 870-3627 Fort Worth, TX 76104-2228 • Languages spoken / Idioma(s) (817) 877-5858 hablado(s): Spanish Pratt, Stephen , MD • Languages spoken / Idioma(s) Eff 07-Jul-16 hablado(s): Spanish Lozano, Jose J, DO Tarrant Nephrology Associates Eff 01-Mar-16 1001 Pennsylvania Ave Siripurapu, Ravi S, MD Primary Care Associates of Texas Fort Worth, TX 76104-2228 Eff 15-Mar-18 1650 W Rosedale St Ste 301 (817) 877-5858 Medical Associates of North Texas Fort Worth, TX 76104 923 College Ave, Ste 103 (817) 259-4333 Raju, Kosuri , MD Fort Worth, TX 76104-3050 Primary Care Physicians/ Médicos de cabecera • Languages spoken / Idioma(s) Eff 21-Nov-16 (972) 544-6600 hablado(s): Spanish Primary Care Associates of Texas 1650 W Rosedale St, Ste 301 Tran, Ngoc , DO Massey, Michael D, MD * Fort Worth, TX 76104 Eff 01-Jul-16 Eff 01-Jan-14 (817) 725-7880 Quang Trong Le, DO, PA Baylor Scott & White Family 2550 River Pk Plaza, Ste 110 Medicine Fort Worth Raju, Kosuri , MD Fort Worth, TX 76116-0921 6420 Altamesa Blvd Ste 100 Eff 21-Nov-16 (817) 791-1289 Fort Worth, TX 76132 Primary Care Associates of Texas (817) 912-9000 1001 Pennsylvania Ave Felps, Kelly , MD Fort Worth, TX 76104 Eff 31-Aug-18 Mudaliar, Chandramohan G, MD (817) 877-5858 Texas Digestive Disease Eff 01-Jan-14 Consultants PLLC Chandramohan G Mudaliar, MD Rezaie, Morvarid , DO 9509 Beach St Ste 102 1220 5th Ave Eff 16-Aug-19 Ft Worth, TX 76244-6399 Fort Worth, TX 76104 Fort Worth Primary Care, PLLC (817) 617-8650 (817) 332-3002 800 8th Ave, Ste 626 Fort Worth, TX 76104-2605 Barthel, Eniko K, MD Naina, Harris V, MD (817) 243-7995 Eff 01-Sep-18 Eff 03-Oct-16 Corvinus Medical Group, LLC Primary Care Associates of Texas Sharif, Zain , MD 4100 Heritage Ave, Ste 106 1001 Pennsylvania Ave Eff 08-Dec-14 Grapevine, TX 76051-5716 Fort Worth, TX 76104 Baylor Scott & White Hospital (817) 283-1112 (817) 877-5858 Medicine - Fort Worth • Languages spoken / Idioma(s) 1400 8th Ave hablado(s): Hindi Obeng, Joseph Y, MD Fort Worth, TX 76104- Eff 01-Dec-14 (817)922-1770 Joseph Obeng, MD PA 2600 Mall Circle Fort Worth, TX 76116-1546 (817) 870-1033

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 69 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Bazaldua, Carlos , MD McInnis, Michael G, MD Fonte, Hiyas D, MD Eff 01-Jan-14 Eff 15-Oct-18 Eff 01-Jan-14 Baylor Scott & White Family Methodist Mansfield Medical Baylor Scott & White Southlake Medical Center Grapevine Group Family Medicine 2020 W Hwy 114 Ste 120 2800 E Broad St, Ste 318 925 E Southlake Blvd, Ste 100 Grapevine, TX 76051 Mansfield, TX 76063-6413 Southlake, TX 76092-6345 (817) 912-8300 (817) 473-7184 (817) 912-8800 • Languages spoken / Idioma(s) hablado(s): Spanish Willis, John M, DO Harder, Gerald J, MD Eff 15-Oct-18 Eff 01-Jan-14 Mitra, MonaLisa M, DO Methodist Mansfield Medical Baylor Scott & White Southlake Eff 01-Dec-16 Group Family Medicine Excel Med 2800 E Broad St, Ste 318 925 E Southlake Blvd, Ste 100 4100 Heritage Ave, #106 Mansfield, TX 76063-6413 Southlake, TX 76092-6345 Grapevine, TX 76051 (817) 473-7184 (817) 912-8800 (817) 283-1112 • Languages spoken / Idioma(s) Ohman, Allan B, MD Hatcher, Stacey L, MD hablado(s): Bengali Eff 15-Mar-17 Eff 01-Jan-14 Family HealthCare Associates Baylor Scott & White Southlake Westbrook, Raymond R, DO 7601 Glenview Dr Family Medicine Eff 22-Jul-15 North Richland, TX 76180-0180 925 E Southlake Blvd, Ste 100 Raymond R Westbrook, DO, PA (817) 274-2578 Southlake, TX 76092-6345 Primary Care Physicians/ Médicos de cabecera 520 E Northwest Hwy Ste 102 (817) 912-8800 Grapevine, TX 76051-6298 Al-Hafidh, A-Salam , MD * (817) 786-3040 Eff 06-Apr-20 Kellogg, Kelley G, DO Private Practice Eff 01-Jan-14 Pastorek, Jordan , MD 7505 Glenview Dr, Ste 151 Baylor Scott & White Southlake Eff 15-Apr-18 North Richland Hills, TX 76180 Family Medicine Testosterone Centers of Texas (817) 284-9922 925 E Southlake Blvd, Ste 100 9986 Grapevine Hwy, Ste D Southlake, TX 76092-6345 Hurst, TX 76054-3111 Vattikuti, Swapna , MD (817) 912-8800 (817) 345-6603 Eff 31-May-17 PPG Health, PA Lieving, Loree J, MD Le, Hung , MD 6455 Hilltop Dr, Ste 112 Eff 01-Jan-14 Eff 05-Sep-19 North Richland Hills, TX 76180- Baylor Scott & White Southlake Texas Digestive Disease 6039 Family Medicine Consultants (817) 482-9837 925 E Southlake Blvd, Ste 100 9509 N Beach St Ste 102 • Languages spoken / Idioma(s) Southlake, TX 76092-6345 Keller, TX 76244-6399 hablado(s): Hindi (817) 912-8800 (817)617-8600 Chang, Sarah A, MD Schorn, Keith A, MD Sharaf, Mai F, MD Eff 09-Nov-15 Eff 01-Jan-14 Eff 12-Oct-16 Baylor Scott & White Southlake Baylor Scott & White Southlake Texas Digestive Disease Family Medicine Family Medicine Consultants 731 E Southlake Blvd Ste 100 925 E Southlake Blvd, Ste 100 9509 N Beach St, Ste 102 Southlake, TX 76092 Southlake, TX 76092-6345 Keller, TX 76244 (817) 912-8800 (817) 912-8800 (817) 617-8650

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 70 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Nurse Practitioner/ Nurse Pediatrics/ Pediatría Hingle, Laurie D, MD Practitioner Eff 01-Apr-15 Collin County | Condado de BestNest Pediatrics Cooke County | Condado de 4040 Legacy Dr, Ste 201 Collin Frisco, TX 75034 Cooke (972) 668-6705 Bhatia, Monika Anil , MD Chico, Bethany , FNP Eff 15-Oct-16 Knapp, Mee Yung , MD Eff 19-Jun-20 Kids Choice Pediatrics Eff 01-Apr-15 Bayside Clinic 599 South Custer Rd BestNest Pediatrics 801 N Grand Ave Ste 1 Allen, TX 75013-3105 4040 Legacy Dr, Ste 201 Gainesville, TX 76240 (972) 359-7600 Frisco, TX 75034 (940) 612-8750 (972) 668-6705 Cook, Yuri E, MD Zavala, Brandi M, NP Eff 01-Dec-16 Matthews, Kenneth E, MD Eff 19-Jun-20 Raintree Healthcare Eff 01-Jan-18 Bayside Clinic 919 Medical Dr TLC Pediatrics of Frisco 801 N Grand Ave Ste 1 Allen, TX 75013-5021 3550 Parkwood Blvd Ste 701 Gainesville, TX 76240 (214) 644-0280 Frisco, TX 75034 (940) 612-8750 • Languages spoken / Idioma(s) (214) 618-6272 hablado(s): American Sign • Languages spoken / Idioma(s) Zavala, Brandi M, NP hablado(s): Spanish

Language Primary Care Physicians/ Médicos de cabecera Eff 19-Jun-20 Bayside Clinic Belanger, Melissa S, MD Parr, Jesse W, MD PO Box 1577 Eff 09-Jan-17 Eff 01-Jan-18 Gainesville, TX 76241 BestNest Pediatrics TLC Pediatrics of Frisco (940) 612-8750 4040 Legacy Dr, Ste 201 3550 Parkwood Blvd, Ste 701 Frisco, TX 75034 Frisco, TX 75034 Obstetrics/Gynecology (972) 668-6705 (214) 618-6272 (OB/GYN)/ Obstetricia y • Languages spoken / Idioma(s) ginecología (Ob/Gyn, sigla en Goen, Patricia A, MD hablado(s): Spanish inglés) Eff 01-Jan-18 TLC Pediatrics of Frisco Rajadhyaksha, Sandeepa S, MD Eff 05-Aug-19 Cooke County | Condado de 3550 Parkwood Blvd, Ste 701 Frisco, TX 75034 Kid's World Pediatrics, PLLC Cooke (214) 618-6272 5757 Warren Pkwy, Ste 310 Frisco, TX 75034-4287 Jorai-Khan, Zaira , DO Harn, Laura K, MD (469) 498-6300 Eff 19-Jun-20 Eff 01-Apr-15 Gainesville Community Hospital, BestNest Pediatrics Schams, Scott T, MD Inc. dba Cooke County Medical 4040 Legacy Dr, Ste 201 Eff 01-Jan-18 Center Frisco, TX 75034 TLC Pediatrics of Frisco 801 N Grand Ave Ste 1 (972) 668-6705 3550 Parkwood Blvd, Ste 701 Gainesville, TX 76240 Frisco, TX 75034 (940) 612-8750 Henderson, Kyle D, MD (214) 618-6272 Eff 01-Jan-18 TLC Pediatrics of Frisco Schroeder, Danielle M, MD 3550 Parkwood Blvd Ste 701 Eff 20-Sep-19 Frisco, TX 75034 BestNest Pediatrics (214) 618-6272 4040 Legacy Dr, Ste 201 • Languages spoken / Idioma(s) Frisco, TX 75034 hablado(s): Spanish (972) 668-6705

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 71 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Sivadasan, Rekha , MD Kotas, Robert A, MD Dallas County | Condado de Eff 05-Aug-19 Eff 01-Apr-14 Kid's World Pediatrics, PLLC Baylor Pediatric & Adolescent Dallas 5757 Warren Pkwy, Ste 310 Assoc at Murphy Frisco, TX 75034-4287 511 W FM 544, Ste 201 Bergman, Barry , MD (469) 498-6300 Murphy, TX 75094 Eff 01-Dec-17 (469) 800-2060 Bergman Pediatrics PA Smith, Chad R, MD 7777 Forest Ln, B224 Eff 01-Dec-16 Limsenben, Johanna S, MD Dallas, TX 75230 Centennial Pediatrics Eff 01-Apr-14 (972) 566-7696 5560 Independence Pkwy Baylor Pediatric & Adolescent Frisco, TX 75035-4600 Assoc at Murphy Bhatt, Anand D, MD (214) 389-8801 511 W FM 544 Ste 201 Eff 01-Jan-14 • Languages spoken / Idioma(s) Murphy, TX 75094 Baylor Scott & White Integrative & hablado(s): American Sign (469) 800-2060 Functional Medicine Language 8215 Westchester Ste 112 Horn, Cheryl J, MD Dallas, TX 75225 Terry, Stacy L, MD Eff 09-Feb-15 (972) 817-6230 Eff 01-Apr-15 Collin County Pediatrics, PA BestNest Pediatrics 3555 National Dr, Ste 100 Clifford, Jenny T, MD 4040 Legacy Dr, Ste 201 Plano, TX 75025-0110 Eff 01-Apr-14 Frisco, TX 75034 (972) 731-9900 Baylor Scott & White Pediatric Primary Care Physicians/ Médicos de cabecera (972) 668-6705 Center Leon, Elizabeth , MD 9101 N Central Expy, Ste 420 Tomlin, Terri L, MD Eff 01-Nov-16 Dallas, TX 75231 Eff 01-Jan-18 West Plano Pediatrics (214) 823-2525 TLC Pediatrics of Frisco 6020 W Parker Rd, #310 3550 Parkwood Blvd, Ste 701 Plano, TX 75093 Grigsby, Danielle N, MD Frisco, TX 75034 (972) 608-0774 Eff 24-Dec-19 (214) 618-6272 Medico MD Schwartz, Jay P, MD 2223 Singleton Boulevard Ste 212 Khan, Zeeshan T, MD Eff 01-Jan-15 Dallas, TX 75212-3784 Eff 15-May-20 Collin County Pediatrics, PA (214) 678-9200 Vital Options PLLC 3555 National Dr, Ste 100 240 Adriatic Pkwy Ste 300 Plano, TX 75025-0110 Grigsby, Danielle N, MD McKinney, TX 75072-1209 (972) 731-9900 Eff 24-Dec-19 (972) 737-5000 Medico MD Taneja, Nancy C, MD 6909 Lake June Rd Abel, Shawn M, MD Eff 17-Dec-17 Dallas, TX 75217-1325 Eff 01-Apr-14 Collin County Pediatrics, PA (214) 391-1900 Baylor Pediatric & Adolescent 3555 National Dr, Ste 100 Assoc at Murphy Plano, TX 75025-0110 Jowdy, Michelle R, DO 511 W FM 544 Ste 201 (972) 731-9900 Eff 10-Aug-15 Murphy, TX 75094 • Languages spoken / Idioma(s) Baylor Scott & White Family (469) 800-2060 hablado(s): Spanish Medicine at Lakewood 6301 Gaston Ave, Ste 370 Khan, Zeeshan T, MD Dallas, TX 75214 Eff 15-May-20 (469) 800-7900 Vital Options PLLC 318 W FM 544 Ste B1 Murphy, TX 75094-4652 (972) 737-5000

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 72 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Khan, Zeeshan T, MD Bassel, Paul S, MD Raja, Kalyani P, MD Eff 15-May-20 Eff 01-Apr-14 Eff 07-Jul-17 Vital Options PLLC Baylor Pediatric & Adolescent Baylor Scott & White Pediatrics - 1327 Empire Central Dr Ste 117 Assoc at Garland Las Colinas Dallas, TX 75247-4018 601 Clara Barton Blvd, Ste 250 400 W IH 635 Ste 250 (972) 737-5000 Garland, TX 75042 Irving, TX 75063 (469) 800-2060 (972) 481-6400 Milici, Marjorie R, MD Eff 01-Apr-14 Rosen, Myron H, MD Lai, Wendy C, MD Baylor Scott & White Pediatric Eff 01-Apr-14 Eff 21-Jul-14 Center Baylor Pediatric & Adolescent Baylor Scott & White Family 9101 N Central Expy, Ste 420 Assoc at Garland Health Center Mesquite Dallas, TX 75231 601 Clara Barton Blvd, Ste 250 1575 I-30 (214) 823-2525 Garland, TX 75042 Mesquite, TX 75150 (469) 800-2060 (469) 800-2800 Sloan, Emily K, MD Eff 24-Nov-19 Bhatt, Anand D, MD Lalwani, Mansi , MD Baylor Scott & White Community Eff 01-Jan-14 Eff 01-Nov-18 Care St Philip's Baylor Scott & White Pediatrics - Baylor Scott & White Family 1600 Pennsylvania Ave Las Colinas Health Center Mesquite Dallas, TX 75215 400 W IH 635 Ste 250 1575 I-30 (972) 817-6410 Irving, TX 75063 Mesquite, TX 75150 Primary Care Physicians/ Médicos de cabecera (972) 481-6400 (469) 800-2800 Thomas, Elizabeth R, DO Eff 24-Dec-19 Fowers, Michelle B, MD Lin, William T, MD Medico MD Eff 01-Jan-14 Eff 01-Sep-16 10909 Webb Chapel Rd Ste 121 Baylor Scott & White Pediatrics - Private Practice- William T Lin MD Dallas, TX 75229-3739 Las Colinas PA (214) 357-6500 400 W IH 635, Ste 250 2821 E President G Bush Hwy, Irving, TX 75063 Ste 101 Thomas, Elizabeth R, DO (972) 481-6400 Richardson, TX 75082 Eff 24-Dec-19 (972) 235-9444 Medico MD Goel, Satish , MD 2223 Singleton Boulevard Ste 212 Eff 03-Jun-19 Yedwab, Alan J, MD Dallas, TX 75212-3784 Valley Ranch Pediatrics, PA Eff 01-Sep-16 (214) 678-9200 8850 N Macarthur Blvd, Ste 102 Alan J Yedwab, MD PA Irving, TX 75063 2821 E President G Bush Hwy, Issa, Ghadir , MD (972) 444-8632 Ste 308 Eff 01-Jul-16 • Languages spoken / Idioma(s) Richardson, TX 75082 Private Practice hablado(s): Spanish (214) 320-1661 947 Scotland Dr 101 Desoto, TX 75115 Han, Michelle M, MD Denton County | Condado de (214) 217-4011 Eff 01-Jan-14 Baylor Scott & White Pediatrics - Denton Al-Dahhan, Lina N, MD Las Colinas Eff 01-Apr-15 400 W IH 635, Ste 250 Ohman, Allan B, MD Lina N Al-Dahhan, MD, PA Irving, TX 75063 Eff 15-Mar-17 2825 Beltline Rd, Ste 103 (972) 481-6400 Family HealthCare Associates Garland, TX 75044-7011 1610 Commons Cir (469) 814-0456 Northlake, TX 76226 • Languages spoken / Idioma(s) (940)725-3407 hablado(s): Arabic

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 73 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Ellis County | Condado de Ellis Sweet, Kimberly K, MD Henry, Travis S, MD Eff 01-Apr-14 Eff 01-Apr-14 Chavda, Chaitanya , MD Baylor Scott & White Family Baylor Scott & White Family Eff 01-Jan-16 Medical Center Medical Center Waxahachie Midlothian Primary Care Doctors, 1441 S Midlothian Parkway, Ste 2460 N IH 35E, Ste 100 PLLC 100 Waxahachie, TX 75165 661 E Main St, Ste 900 Midlothian, TX 76065 (469) 800-9500 (469) 800-9600 Midlothian, TX 76065 Linguist, Peggy , MD (469) 612-5250 Sweet, Kimberly K, MD Eff 04-Feb-19 • Languages spoken / Idioma(s) Eff 01-Apr-14 Hope Clinic hablado(s): Hindi Baylor Scott & White Family 411 E Jefferson Joslin, Shirley C, MD Medical Center Waxahachie, TX 75165 Eff 01-Apr-14 1441 S Midlothian Pkwy, Ste 100 (972) 923-2440 Baylor Scott & White Family Midlothian, TX 76065 (469) 800-9200 Wagner, Haley E, DO Medical Center Eff 01-Apr-14 1441 S Midlothian Parkway, Ste Fung, Deborah C, MD Baylor Scott & White Family 100 Eff 01-Apr-14 Medical Center Midlothian, TX 76065 Baylor Scott & White Family 2460 N IH 35, Ste 100 (469) 800-9600 Medical Center Waxahachie, TX 75165 301 E Ovilla Rd Ste 100 (469) 800-9500 Primary Care Physicians/ Médicos de cabecera Joslin, Shirley C, MD Eff 01-Apr-14 Red Oak, TX 75154 (469) 800-9200 Wagner, Haley E, DO Baylor Scott & White Family Eff 01-Apr-14 Medical Center Fung, Deborah C, MD Baylor Scott & White Family 1441 S Midlothian Pkwy, Ste 100 Eff 01-Apr-14 Medical Center Waxahachie Midlothian, TX 76065 Baylor Scott & White Family 2460 N IH 35E, Ste 100 (469) 800-9200 Medical Center Waxahachie Waxahachie, TX 75165 Pagan, Stephanie M, MD 2460 N IH 35E, Ste 100 (469) 800-9500 Eff 01-Sep-17 Waxahachie, TX 75165 Baylor Scott & White Family (469) 800-9500 Grayson County | Condado de Medical Center Fung, Deborah C, MD Grayson 1441 S Midlothian Parkway, Ste Eff 01-Apr-14 100 Baylor Scott & White Family Alapati, Sridevi , MD Midlothian, TX 76065 Medical Center Eff 01-Aug-19 (469) 800-9600 2460 N IH 35 Ste 100 WNJ Wellcare Medical Group 300 N Highland Ave, Ste 545 Pagan, Stephanie M, MD Waxahachie, TX 75165 (469) 800-9500 Sherman, TX 75092-7390 Eff 01-Sep-17 (903) 957-0302 Baylor Scott & White Medical Henry, Travis S, MD Center Midlothian Eff 01-Apr-14 Griffin, Kaylene S, MD 1441 S Midlothian Pkwy Ste 100 Baylor Scott & White Family Eff 01-Aug-19 Midlothian, TX 76065 Medical Center WNJ Wellcare Medical Group (469) 800-9600 2460 N IH 35, Ste 100 300 N Highland Ave, Ste 545 Waxahachie, TX 75165 Sherman, TX 75092-7390 (469) 800-9500 (903) 957-0302

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 74 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Hunt County | Condado de Waw, Kristen D, MD Henderson, Elizabeth A, MD * Eff 28-Jul-17 Eff 01-Jan-14 Hunt Lake Ray Hubbard Pediatrics Baylor Scott & White Colleyville 757 E Hwy 80, Ste 200 Family Medicine Sandhu, Amardeep K, MD Forney, TX 75126 5232 Colleyville Blvd, Ste 100 Eff 11-Jan-16 (972) 646-3346 Colleyville, TX 76034 Baylor Scott & White Primary Care (817) 498-9920 Associates Royse City Rockwall County | Condado de 4400 W IH-30, Ste 100 O'Brien-Su, Eileen M, MD Greenville, TX 75402-4611 Rockwall Eff 01-Apr-14 (469) 800-3500 Baylor Scott & White Southlake • Languages spoken / Idioma(s) Chinn, Elena N, MD Family Medicine hablado(s): Spanish Eff 28-Jul-17 5408 Colleyville Blvd Lake Ray Hubbard Pediatrics Colleyville, TX 76034 Johnson County | Condado de 862 W Rusk St (817) 498-9920 Rockwall, TX 75087 Johnson (972) 412-3034 Grigsby, Danielle N, MD Eff 24-Dec-19 Cook, Deborah T, MD Iannelli, Vincent R, MD Medico MD Eff 01-Mar-16 Eff 28-Jul-17 6302 Meadowbrook Dr Ste 112 Private Practice Lake Ray Hubbard Pediatrics Fort Worth, TX 76112-5163 312 E Renfro St, Ste 105 862 West Rusk Street (817) 446-0800 Burleson, TX 76028 Rockwall, TX 75087-3421 Primary Care Physicians/ Médicos de cabecera (817) 426-6887 (972) 412-3034 Thomas, Elizabeth R, DO Eff 24-Dec-19 Kaufman County | Condado de Smart, Susan M, MD Medico MD Eff 01-Dec-15 Kaufman 3101 Denton Hwy, Ste 100 Lake Ray Hubbard Pediatrics Haltom City, TX 76117-3706 862 West Rusk Street (817) 831-6500 Chinn, Elena N, MD Rockwall, TX 75087-3421 Eff 28-Jul-17 (972) 646-3346 Mandal, Kathryn K, MD Lake Ray Hubbard Pediatrics Eff 12-Oct-16 757 E Hwy 80, Ste 200 Waw, Kristen D, MD Texas Digestive Disease Forney, TX 75126 Eff 28-Jul-17 Consultants (972) 646-3346 Lake Ray Hubbard Pediatrics 9509 N Beach St, Ste 102 862 West Rusk Street Keller, TX 76244 Iannelli, Vincent R, MD Rockwall, TX 75087-3421 (817) 617-8650 Eff 28-Jul-17 (972) 412-3034 Lake Ray Hubbard Pediatrics Wesp, Krystyna , DO 757 E Hwy 80, Ste 200 Tarrant County | Condado de Eff 26-Aug-19 Forney, TX 75126 Tarrant Texas Digestive Disease (972) 646-3346 Consultants PLLC 9509 N Beach St, Ste 102 Smart, Susan M, MD Hudman, Jennifer M, MD Keller, TX 76244 Eff 01-Dec-15 Eff 01-Jul-15 (817) 617-8650 Lake Ray Hubbard Pediatrics Azle Pediatrics 757 E US Hwy 80, Ste 200 604 SE Pkwy Chavda, Chaitanya , MD Forney, TX 75126 Azle, TX 76020 Eff 01-Jan-16 (972) 646-3346 (817) 270-2320 Pannaben H Nangha, MD, PLLC • Languages spoken / Idioma(s) 221 Regency Pkwy, Ste 125 hablado(s): Spanish Mansfield, TX 76063-5379 (817) 477-5884 • Languages spoken / Idioma(s) hablado(s): Hindi

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 75 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Primary Care Physicians/ 1 de diciembre, 2020 Médicos de cabecera

Ohman, Allan B, MD Rural Health Clinic/ Clínica de Eff 15-Mar-17 salud rural Family HealthCare Associates 7601 Glenview Dr Hill County | Condado de Hill North Richland, TX 76180-0180 (817) 274-2578 Providence Family Health Center Benzick, Arthur E, MD Hillsboro Eff 01-Apr-14 Eff 15-Nov-18 Baylor Scott & White Southlake 1323 E Franklin St, Ste 105 Family Medicine Hillsboro, TX 76645-2679 925 E Southlake Blvd, Ste 100 (254) 582-7481 Southlake, TX 76092-6345 Whitney Family Medicine (817) 912-8800 Eff 15-Jan-18 Hunt, Agatha A, MD 1314 N Brazos St Eff 01-Apr-14 Whitney, TX 76692 Baylor Scott & White Southlake (254) 694-3621 Family Medicine 925 E Southlake Blvd, Ste 100 Southlake, TX 76092-6345 (817) 912-8800 Primary Care Physicians/ Médicos de cabecera Johnson, David O, MD Eff 01-Apr-14 Baylor Scott & White Southlake Family Medicine 925 E Southlake Blvd, Ste 100 Southlake, TX 76092-6345 (817) 912-8800 Kim, Grace S, MD Eff 01-Sep-17 Baylor Scott & White Southlake Family Medicine 925 E Southlake Blvd, Ste 100 Southlake, TX 76092-6345 (817) 912-8800 O'Brien-Su, Eileen M, MD Eff 01-Apr-14 Baylor Scott & White Southlake Family Medicine 925 E Southlake Blvd, Ste 100 Southlake, TX 76092-6345 (817) 912-8800 Zwernemann, Erica J, MD Eff 01-Apr-14 Baylor Scott & White Southlake Family Medicine 925 E Southlake Blvd Ste 100 Southlake, TX 76092-6345 (817) 912-8800

◉Accepting New Patients with Physician Approval / Aceptación de nuevos pacientes con médico * Not Accepting New Patients / No aceptando pacientes nuevos 76 To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Advanced Heart Failure & Alvares, Michael L, MD Sugerman, Robert , MD Transplant Cardiology/ Advanced Eff 01-Dec-14 Eff 22-Apr-16 Heart Failure & Transplant Allergy Partners of Dallas-Fort Allergy Partners of North Texas Cardiology Worth 4500 Hillcrest Rd 3140 Legacy Dr. #120 Frisco, TX 75035 Dallas County | Condado de Frisco, TX 75034-7919 (972) 566-7788 (972) 566-7788 Dallas • Languages spoken / Idioma(s) Wasserman, Richard , MD hablado(s): Spanish Eff 22-Apr-16 Alam, Amit , MD Allergy Partners of North Texas Eff 13-Nov-20 Kamili, Qurat-Ul-Ain , MD 3140 Legacy Dr, Ste 120 Baylor Scott & White Advanced Eff 25-Apr-16 Frisco, TX 75034 Heart Failure Clinic Allergy Partners of North Texas (972) 566-7788 3410 Worth St Ste 250 3140 Legacy Dr, Ste 120 Dallas, TX 75246 Frisco, TX 75034 Wasserman, Richard , MD (214) 820-6856 (972) 566-7788 Eff 22-Apr-16 Allergy Partners of North Texas Allergy & Immunology/ Alergia e Kamili, Qurat-Ul-Ain , MD 4500 Hillcrest Rd Inmunología Eff 25-Apr-16 Frisco, TX 75035 Allergy Partners of North Texas (972) 566-7788 4500 Hillcrest Rd Collin County | Condado de Frisco, TX 75035 Blomquist, Mary D, MD Collin (972) 566-7788 Eff 15-Aug-17 Southwest Allergy and Asthma Moore, Gerald C, MD Center Blomquist, Mary D, MD Specialty Care Physicians & Other Providers/ Eff 15-Aug-17 Eff 12-Oct-19 7785 Eldorado Pkwy, Ste 500 Southwest Allergy and Asthma Allergy Partners of Dallas-Fort McKinney, TX 75070 Médicos de cuidado especializado y otros proveedores Center Worth (972) 542-0500 1101 Raintree Cir, Ste 200 3140 Legacy Dr. #120 Allen, TX 75013 Frisco, TX 75034-7919 Lin, Joann H, MD (972) 396-3500 (972) 566-7788 Eff 01-Jun-16 McKinney Allergy and Asthma Santilli, Gregg M, MD Nguyen, William T, MD Center Eff 15-Aug-17 Eff 13-Oct-19 2251 W El Dorado Pkwy, Ste 150 Southwest Allergy and Asthma Allergy Partners of Dallas-Fort McKinney, TX 75070 Center Worth (972) 548-2797 1101 Raintree Cir, Ste 200 3140 Legacy Dr. #120 • Languages spoken / Idioma(s) Allen, TX 75013 Frisco, TX 75034-7919 hablado(s): Other Chinese (972) 396-3500 (972) 566-7788 Page, Richard A, MD Van Wagoner, John A, MD Sljivich, Milan , MD Eff 01-Jul-15 Eff 15-Aug-17 Eff 01-Dec-14 Family Allergy Clinic Southwest Allergy and Asthma Allergy Partners of Dallas-Fort 2740 Virginia Pkwy, Ste 300 Center Worth McKinney, TX 75071 1101 Raintree Cir, Ste 200 3140 Legacy Dr, Ste 120 (972) 548-1145 Allen, TX 75013 Frisco, TX 75034-7919 • Languages spoken / Idioma(s) (972) 396-3500 (972) 566-7788 hablado(s): Spanish Sugerman, Robert , MD Eff 22-Apr-16 Allergy Partners of North Texas 3140 Legacy Dr, Ste 120 Frisco, TX 75034 (972) 566-7788

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 77 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Santilli, Gregg M, MD Ghazi, Aasia Ishrat , MD Santilli, Gregg M, MD Eff 15-Aug-17 Eff 15-Sep-16 Eff 15-Aug-17 Southwest Allergy and Asthma DFW Asthma and Allergy Center Southwest Allergy and Asthma Center PLLC Center 7785 Eldorado Pkwy, Ste 500 4674 McDermott Rd, Ste 310 6100 Windcom Court, Ste 101 McKinney, TX 75070 Plano, TX 75024-7798 Plano, TX 75093 (972) 542-0500 (972) 636-1750 (972) 398-3500 • Languages spoken / Idioma(s) Van Wagoner, John A, MD hablado(s): Hindi Sikka, Naveen N, MD Eff 15-Aug-17 Eff 01-Jul-14 Southwest Allergy and Asthma Ghazi, Aasia Ishrat , MD North Texas Allergy and Asthma Center Eff 15-Sep-16 Associates 7785 Eldorado Pkwy, Ste 500 DFW Asthma and Allergy Center 4708 Alliance Blvd, Ste 485 McKinney, TX 75070 PLLC Plano, TX 75093 (972) 542-0500 8201 Ohio Dr, St 112 (214) 369-1901 Plano, TX 75024 Sridhara, Srividya , MD (972) 626-1750 Silvers, Stacy , MD Eff 01-Aug-15 • Languages spoken / Idioma(s) Eff 03-Oct-17 Allergy, Asthma & Immunology hablado(s): Hindi Aspire Allergy & Sinus Center 3300 Dallas Pkwy, Ste 224 623 W FM 544 Ste 104 Gupta, Sandeep , MD Plano, TX 75093-7771 Murphy, TX 75094-4587 Eff 01-Jan-14 (972) 716-3922 (972) 521-3366 North Texas Allergy and Asthma • Languages spoken / Idioma(s) Associates Sljivich, Milan , MD Eff 01-Dec-14 Specialty Care Physicians & Other Providers/ hablado(s): Hindi 4708 Alliance Blvd, Ste 485 Plano, TX 75093 Allergy Partners of Dallas-Fort Alvares, Michael L, MD Worth

Médicos de cuidado especializado y otros proveedores (214) 369-1901 Eff 01-Dec-14 • Languages spoken / Idioma(s) 5056 Tennyson Pkwy, Ste 200 Allergy Partners of Dallas-Fort hablado(s): Spanish Plano, TX 75024 Worth (972) 272-4463 5056 Tennyson Pkwy, Ste 200 Kamili, Qurat-Ul-Ain , MD Plano, TX 75024 Eff 25-Apr-16 Sridhara, Srividya , MD (972) 272-4463 Allergy Partners of North Texas Eff 01-Aug-15 • Languages spoken / Idioma(s) 5056 Tennyson Pkwy, Ste 200 Allergy, Asthma & Immunology hablado(s): Spanish Plano, TX 75024 Center (972)272-4463 8080 Independence Pkwy, Ste 150 Blomquist, Mary D, MD Plano, TX 75025 Eff 15-Aug-17 Moore, Gerald C, MD (972) 521-3366 Southwest Allergy and Asthma Eff 12-Oct-19 • Languages spoken / Idioma(s) Center Allergy Partners of Dallas-Fort hablado(s): Hindi 6100 Windcom Court, Ste 101 Worth Plano, TX 75093 5056 Tennyson Pkwy, Ste 200 Van Wagoner, John A, MD (972) 398-3500 Plano, TX 75024 Eff 15-Aug-17 (972) 272-4463 Southwest Allergy and Asthma Crisp, Howard C, MD Center Eff 13-Apr-15 Narayan, Archana R, MD 6100 Windcom Court, Ste 101 North Texas Allergy and Asthma Eff 12-Aug-18 Plano, TX 75093 Associates North Texas Allergy and Asthma (972) 398-3500 4708 Alliance Blvd, Ste 485 Associates Plano, TX 75093 4708 Alliance Blvd, Ste 485 (214) 369-1901 Plano, TX 75093 (214) 369-1901

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 78 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Lee, Jane J, MD Sikka, Naveen N, MD Eff 01-Oct-15 Eff 01-Jul-14 Dallas Texas Allergy Center North Texas Allergy and Asthma 411 N Washington Ave, Ste 2400 Associates Schmitt, Eric , MD Dallas, TX 75246 8220 Walnut Hill Ln, Ste 101 Eff 01-Aug-16 (214) 370-5700 Dallas, TX 75231 Private Practice • Languages spoken / Idioma(s) (214) 369-1901 580 S Denton Tap Rd # 290 hablado(s): Korean Coppell, TX 75019 Silvers, Stacy , MD (972) 731-5976 Min, Douglas , MD Eff 03-Oct-17 Eff 15-Nov-16 Aspire Allergy & Sinus Crisp, Howard C, MD Metroplex Allergy and Asthma 3001 Knox St, Ste 407 Eff 13-Apr-15 Associates PLLC Dallas, TX 75205-5594 North Texas Allergy and Asthma 7777 Forest Ln, Ste C530 (972) 716-3922 Associates Dallas, TX 75230 3409 Worth St, Ste 440 (972) 566-7576 Sugerman, Robert , MD Dallas, TX 75246 Eff 22-Apr-16 (214) 369-1907 Narayan, Archana R, MD Allergy Partners of North Texas Eff 12-Aug-18 7777 Forest Ln, Ste B-332 Crisp, Howard C, MD North Texas Allergy and Asthma Dallas, TX 75230-6822 Eff 13-Apr-15 Associates (972) 566-7788 North Texas Allergy and Asthma 3409 Worth St, Ste 440 Associates Dallas, TX 75246 Wasserman, Richard , MD 8220 Walnut Hill Ln, Ste 101 (214) 369-1907 Eff 22-Apr-16 Dallas, TX 75231 Allergy Partners of North Texas Specialty Care Physicians & Other Providers/ (214) 369-1901 Narayan, Archana R, MD 7777 Forest Ln, Ste B-332 Eff 12-Aug-18 Dallas, TX 75230-6822 Daulat, Sonak B, MD North Texas Allergy and Asthma (972) 566-7788 Médicos de cuidado especializado y otros proveedores Eff 01-Jan-16 Associates All Allergy Asthma & Immunology 8220 Walnut Hill Ln, Ste 101 DelasAlas, Harold C, MD Clinic, PA Dallas, TX 75231 Eff 11-Nov-14 3600 Gaston Ave, Wadley Tower, (214) 369-1901 Allergy & Asthma Center of #1056 Duncanville, PA Dallas, TX 75246 Reddy, Sandeep , MD 626 W Wheatland Rd, Ste B (214) 328-3232 Eff 15-Nov-16 Duncanville, TX 75116 Metroplex Allergy and Asthma (972) 709-6673 Daulat, Sonak B, MD Associates PLLC • Languages spoken / Idioma(s) Eff 01-Jan-16 7777 Forest Ln, Ste C530 hablado(s): Spanish All Allergy Asthma & Immunology Dallas, TX 75230 Clinic, PA (972) 566-7576 Alvares, Michael L, MD 10216 Garland Rd Eff 01-Dec-14 Dallas, TX 75218 Safdarian, Nastaran , MD Allergy Partners of Dallas-Fort (214) 328-3232 Eff 01-Jan-14 Worth North Texas Allergy and Asthma 760 N Shiloh Rd Ginchansky, Elliot , MD Associates Garland, TX 75042 Eff 15-Nov-16 8220 Walnut Hill Ln, Ste 101 (972) 272-4463 Metroplex Allergy and Asthma Dallas, TX 75231 • Languages spoken / Idioma(s) Associates PLLC (214) 369-1901 hablado(s): Spanish 7777 Forest Ln, Ste C530 Dallas, TX 75230 (972) 566-7576

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 79 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kamili, Qurat-Ul-Ain , MD Aubry, Alvin , MD Kamili, Qurat-Ul-Ain , MD Eff 25-Apr-16 Eff 20-Mar-19 Eff 25-Apr-16 Allergy Partners of North Texas Aspire Allergy & Sinus Allergy Partners of North Texas 760 N Shiloh Rd 6750 N MacArthur Blvd, Ste 210 7700 Lakeview Parkway Suite Garland, TX 75042 Irving, TX 75039-2473 300B (972)272-4463 (972) 716-3922 Rowlett, TX 75088 (972) 272-4463 Moore, Gerald C, MD Cole, Steven L, DO Eff 12-Oct-19 Eff 01-Jan-16 Moore, Gerald C, MD Allergy Partners of Dallas-Fort Park Lane Allergy & Asthma Eff 12-Oct-19 Worth Center, PA Allergy Partners of Dallas-Fort 760 N Shiloh Rd 440 W I-635, Ste 335 Worth Garland, TX 75042 Irving, TX 75063 7700 Lakeview Pkwy, Ste 300B (972) 272-4463 (214) 363-8889 Rowlett, TX 75088 (972) 272-4463 Nguyen, William T, MD Ly, Tran H, MD Eff 13-Oct-19 Eff 01-Jan-16 Nguyen, William T, MD Allergy Partners of Dallas-Fort Park Lane Allergy & Asthma Eff 13-Oct-19 Worth Center, PA Allergy Partners of Dallas-Fort 760 N Shiloh Rd 440 W I-635, Ste 335 Worth Garland, TX 75042 Irving, TX 75063 7700 Lakeview Pkwy, Ste 300B (972) 272-4463 (214) 363-8889 Rowlett, TX 75088 (972) 272-4463 Olmstead, Stephen M, DO Mireku, Nana A, MD Eff 01-Jan-15 Eff 09-Aug-19 Sljivich, Milan , MD Specialty Care Physicians & Other Providers/ Allergy, Asthma, & Immunology Aspire Allergy & Sinus Eff 01-Dec-14 Associates 6750 N MacArthur Blvd, Ste 210 Allergy Partners of Dallas-Fort Médicos de cuidado especializado y otros proveedores 7150 N George Bush, Ste 204 Irving, TX 75039-2473 Worth Garland, TX 75044 (972)716-3922 7700 Lakeview Pkwy, Ste 300B (972) 463-3406 Rowlett, TX 75088 • Languages spoken / Idioma(s) Noh, Jung J, MD (972) 272-4463 hablado(s): Spanish Eff 01-Jun-16 Jung J Noh, MD Daulat, Sonak B, MD Page, Richard A, MD 2001 N MacArthur Blvd. Ste 340 Eff 01-Jan-16 Eff 01-Jul-15 Irving, TX 75061 All Allergy Asthma & Immunology Family Allergy Clinic (972) 259-3511 Clinic, PA 2380 Firewheel Pkwy, Ste 1100 • Languages spoken / Idioma(s) 270 S Collins Rd, #300 Garland, TX 75040 hablado(s): Korean Sunnyvale, TX 75182 (972) 271-6811 (214) 328-3232 • Languages spoken / Idioma(s) Alvares, Michael L, MD hablado(s): Spanish Eff 01-Dec-14 Denton County | Condado de Allergy Partners of Dallas-Fort Sljivich, Milan , MD Worth Denton Eff 01-Dec-14 7700 Lakeview Pkwy, Ste 300B Allergy Partners of Dallas-Fort Rowlett, TX 75088 Ghazi, Aasia Ishrat , MD Worth (972) 272-4463 Eff 15-Sep-16 760 N Shiloh Rd • Languages spoken / Idioma(s) DFW Asthma and Allergy Center Garland, TX 75042 hablado(s): Spanish PLLC (972) 272-4463 2459 Hebron Pkwy, #100 Carrollton, TX 75010 (972) 626-1750 • Languages spoken / Idioma(s) hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 80 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Alvarado, Sasha A, DO Alvarado, Sasha A, DO Ellis County | Condado de Ellis Eff 17-Sep-19 Eff 17-Sep-19 Family Allergy & Asthma Care Family Allergy & Asthma Care Laurie, Scott A, MD 2701 W Oak St Ste 101 3051 Churchill Dr Ste 130 Eff 01-Jan-14 Denton, TX 76201 Flower Mound, TX 75022-2710 Scott Laurie, MD, PA (972) 539-0086 (972) 539-0086 2460 N I-35 E, Ste 220 Clarke, Erin E, MD Clarke, Erin E, MD Waxahachie, TX 75165 Eff 01-Jan-16 Eff 01-Jan-16 (972) 923-9200 Family Allergy & Asthma Care Family Allergy & Asthma Care 2701 W Oak St, Ste 101 3051 Chruchill Dr, Ste 130 Grayson County | Condado de Denton, TX 76201 Flower Mound, TX 75022 Grayson (972) 539-0086 (972) 539-0086 Blomquist, Mary D, MD Fitzgerald, Marie H, MD Fitzgerald, Marie H, MD Eff 15-Aug-17 Eff 01-Jan-16 Eff 01-Jan-16 Southwest Allergy and Asthma Family Allergy & Asthma Care Family Allergy & Asthma Care Center 2701 W Oak St, Ste 101 3051 Chruchill Dr, Ste 130 5012 S US Hwy 75, Ste 150 Denton, TX 76201 Flower Mound, TX 75022 Denison, TX 75020 (972) 539-0086 (972) 539-0086 (903) 463-8400 Hudelson, Mary B, MD Hudelson, Mary B, MD Santilli, Gregg M, MD Eff 01-Jan-16 Eff 01-Jan-16 Eff 15-Aug-17 Family Allergy & Asthma Care Family Allergy & Asthma Care Southwest Allergy and Asthma 2701 W Oak St, Ste 101 3051 Chruchill Dr, Ste 130 Center Specialty Care Physicians & Other Providers/ Denton, TX 76201 Flower Mound, TX 75022 5012 S US Hwy 75, Ste 150 (972) 539-0086 (972) 539-0086 Denison, TX 75020 Médicos de cuidado especializado y otros proveedores Mireku, Nana A, MD Mireku, Nana A, MD (903) 463-8400 Eff 19-Nov-20 Eff 19-Nov-20 Van Wagoner, John A, MD Family Allergy & Asthma Care Family Allergy & Asthma Care Eff 15-Aug-17 2701 W Oak St Ste 101 3051 Churchill Dr Ste 130 Southwest Allergy and Asthma Denton, TX 76201 Flower Mound, TX 75022 Center (972) 539-0086 (972) 539-0086 5012 S US Hwy 75, Ste 150 Schmitt, Eric , MD Silvers, Stacy , MD Denison, TX 75020 Eff 01-Aug-16 Eff 03-Oct-17 (903) 463-8400 Private Practice Aspire Allergy & Sinus 3317 Unicorn Lake Blvd # 142 4370 Medical Arts Dr, Ste 255 Rockwall County | Condado de Denton, TX 76210 Flower Mound, TX 75028-1722 Rockwall (972) 731-5976 (972) 716-3922 Mireku, Nana A, MD Wust, Sven , MD Schmitt, Eric , MD Eff 09-Aug-19 Eff 01-Aug-16 Eff 01-Aug-16 Aspire Allergy & Sinus Lone Star Allergy & Asthma Private Practice 890 Rockwall Pkwy, Ste 105 Center PA 9191 Kyser Way, Bldg 3, Ste A Rockwall, TX 75032 3304 Colorado Blvd, Ste 201 Frisco, TX 75033 (855)845-7777 Denton, TX 76210 (972) 731-5976 (940) 565-5900

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 81 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Olmstead, Stephen M, DO Venkatesh, Purnima , MD Silvers, Stacy , MD Eff 01-Jan-15 Eff 15-Aug-16 Eff 03-Oct-17 Allergy, Asthma, & Immunology Purnima Venkatesh MDPA Aspire Allergy & Sinus Associates 2305 Central Park Blvd 851 Grainger St, Ste 107 2701 Sunset Ridge Dr, Ste 410 Bedford, TX 76022-6111 Fort Worth, TX 76104-4646 Rockwall, TX 75032 (817) 571-6622 (972) 716-3922 (972) 463-3406 • Languages spoken / Idioma(s) Bailey, Susan Rudd, MD Thompson, James C, MD hablado(s): Spanish Eff 05-May-17 Eff 15-Feb-18 Private Practice Chisholm Trail Allergy and Asthma Silvers, Stacy , MD 5929 Lovelll Ave 7200 Dutch Branch Rd, Ste 200 Eff 03-Oct-17 Fort Worth, TX 76107 Fort Worth, TX 76132-4143 Aspire Allergy & Sinus (817) 315-2550 (817) 346-7676 890 Rockwall Pkwy, Ste 105 • Languages spoken / Idioma(s) Rockwall, TX 75032 Beaty, Andrew D, MD hablado(s): Spanish (855)845-7777 Eff 28-Nov-16 Andrew D. Beaty MD PA Mireku, Nana A, MD Tarrant County | Condado de 5929 Lovell Ave Eff 09-Aug-19 Fort Worth, TX 76107 Aspire Allergy & Sinus Tarrant (817) 315-2550 1650 W Northwest Hwy, Ste 202 Grapevine, TX 76051-8122 Lee, Moonhee , MD Haden, James R, MD (972) 716-3922 Eff 01-Mar-14 Eff 01-Aug-16 Private Practice James R Haden, MD, PA Silvers, Stacy , MD 3939 Green Oaks Blvd W, Ste 210 1000 College Ave Eff 03-Oct-17 Specialty Care Physicians & Other Providers/ Arlington, TX 76016 Fort Worth, TX 76104 Aspire Allergy & Sinus (817) 457-3939 (817) 336-8855 1650 W Northwest Hwy, Ste 202 Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Grapevine, TX 76051-8122 hablado(s): Korean Rogers, Robert Jean, MD (972) 716-3922 Eff 28-Nov-16 Mireku, Nana A, MD Robert J Rogers MD PA Leon, Rene A, MD Eff 09-Aug-19 4200 S Hulen St, Ste 230 Eff 01-Feb-15 Aspire Allergy & Sinus Fort Worth, TX 76109 Texas Regional Asthma & Allergy 4601 West Fwy, Ste 200 (817) 315-2550 Center, LLP Arlington, TX 76017 4312 Heritage Trace Pkwy, Ste (855)845-7777 Shah, Mudita K, MD 708 Eff 01-Apr-14 Keller, TX 76244 Silvers, Stacy , MD Lone Star Allergy, Asthma, & (817) 421-0770 Eff 03-Oct-17 Immunology • Languages spoken / Idioma(s) Aspire Allergy & Sinus 800 8th Ave, Ste 236 hablado(s): Spanish 1110 E Bardin Rd, Ste 100 Fort Worth, TX 76104 Arlington, TX 76018-1212 (817) 810-9800 Seth, Sharon , MD (972) 716-3922 Eff 08-Aug-16 Silvers, Stacy , MD Texas Regional Asthma & Allergy Silvers, Stacy , MD Eff 03-Oct-17 Center, LLP Eff 03-Oct-17 Aspire Allergy & Sinus 4312 Heritage Trace Pkwy, Ste Aspire Allergy & Sinus 5407 Basswood Blvd, Ste 113 708 4601 West Fwy, Ste 200 Fort Worth, TX 76137-4499 Keller, TX 76244 Arlington, TX 76017 (972) 716-3922 (817) 421-0770 (855)845-7777

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 82 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Shakouri, Alireza A, MD Williams, Bary , AUD Williams, Bary , AUD Eff 01-Feb-15 Eff 01-Jul-18 Eff 01-Jul-18 Texas Regional Asthma & Allergy Adriatica Audiology Adriatica Audiology Center, LLP 6991 Mediterranean Dr 3001 Dallas Parkway, Ste C 4312 Heritage Trace Pkwy, Ste McKinney, TX 75072-5536 Plano, TX 75093 708 (972) 542-8900 (972) 905-5396 Keller, TX 76244 (817) 421-0770 Hinrichs, Marilyn M, AUD Dallas County | Condado de Eff 01-Dec-19 Leon, Rene A, MD Advanced Hearing & Balance Dallas Eff 01-Feb-15 Center Texas Regional Asthma & Allergy 5052 Tennyson Pkwy Ste 100 Koble, Marylyn D, AUD Center, LLP Plano, TX 75024-3089 Eff 14-Feb-19 900 E Southlake Blvd, Ste 300 (888)536-5593 Audiology Associates of DFW PC Southlake, TX 76092 610 Uptown Blvd Ste 2000 (817) 421-0770 Ledesma, Alice J, AUD Cedar Hill, TX 75104-3528 • Languages spoken / Idioma(s) Eff 01-Dec-19 (817) 504-3644 hablado(s): Spanish Advanced Hearing & Balance Center Baker, Jason A, AUD Seth, Sharon , MD 5052 Tennyson Pkwy Ste 100 Eff 01-Mar-20 Eff 08-Aug-16 Plano, TX 75024-3089 University of Texas at Dallas Texas Regional Asthma & Allergy (888)536-5593 1966 Inwood Rd Center, LLP Dallas, TX 75235-7205 900 E Southlake Blvd, Ste 300 Libeer, Marianne B, AUD (214) 905-3000 Eff 23-Jan-20 Southlake, TX 76092 Specialty Care Physicians & Other Providers/ Bornstein, Laurie K, AUD (817) 421-0770 Advanced Hearing & Balance Center Eff 15-Feb-19 Anatomic Pathology & Clinical/ 5052 Tennyson Pkwy, Ste 100 Executive Hearing LLC Médicos de cuidado especializado y otros proveedores Patología anatómica y clínica Plano, TX 75024-3089 8300 Douglas Ave, Ste 800 (888)536-5593 Dallas, TX 75225-5826 (972) 447-8330 Dallas County | Condado de McRae, Ann C, AUD Dallas Eff 01-Dec-19 Buckley, Gloria L, AUD Advanced Hearing & Balance Eff 15-Mar-17 Swartz, Brandon R, MD Center Total Hearing Care Eff 19-Mar-20 5052 Tennyson Pkwy Ste 100 4130 Abrams Rd Pathologists Bio-Medical Plano, TX 75024-3089 Dallas, TX 75214 Laboratories (888)536-5593 (214) 827-1900 3600 Gaston Ave Ste 261 Peshwani, Heena , AUD Buckley, Gloria L, AUD Dallas, TX 75246 Eff 15-Mar-17 (214) 818-9100 Eff 10-Jul-18 Sharp Hearing - The Audiology Total Hearing Care Audiology/ Audiología Center 7615 Campbell Rd #109 4012 W Park Blvd Dallas, TX 75248 Plano, TX 75093-3839 (972) 380-0222 Collin County | Condado de (972) 612-0943 Collin Butler, Naikai , AUD Sharp, Margaret A, AUD Eff 01-Aug-18 Mainord, James C, AUD Eff 15-Mar-18 Hearing Services of North Texas Eff 01-Oct-14 Sharp Hearing - The Audiology 8500 North Stemmons Frwy, Ste Calvert Hearing Care Center 2060 109 N Central Expy, Ste 533 4012 W Park Blvd Dallas, TX 75247-3872 Allen, TX 75013 Plano, TX 75093-3839 (469) 438-3918 (972) 359-7800 (972) 612-0943

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 83 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Carlock, Jenifer L, AUD Jackson, Shawna L, AUD Mainord, James C, AUD Eff 01-Mar-20 Eff 01-Mar-20 Eff 01-Oct-14 University of Texas at Dallas University of Texas at Dallas Calvert Hearing Care 1966 Inwood Rd 1966 Inwood Rd 2645 Arapaho Rd, Ste 121 Dallas, TX 75235-7205 Dallas, TX 75235-7205 Garland, TX 75044 (214) 905-3000 (214) 905-3000 (972) 270-6731 Clark, Jackie L, AUD Kwon, Shari C, AUD Baker, Jason A, AUD Eff 01-Mar-20 Eff 01-Mar-20 Eff 01-Mar-20 University of Texas at Dallas University of Texas at Dallas University of Texas at Dallas 1966 Inwood Rd 1966 Inwood Rd 2895 Facilities Way Dallas, TX 75235-7205 Dallas, TX 75235-7205 Richardson, TX 75080-0034 (214) 905-3000 (214) 905-3000 (972) 883-3630 Copley, Jill E, AUD Miller, James D, AUD Carlock, Jenifer L, AUD Eff 15-Mar-17 Eff 01-Mar-18 Eff 01-Mar-20 Total Hearing Care Miller Audiology and Hearing Aid University of Texas at Dallas 4130 Abrams Rd Dispensing PLLC 2895 Facilities Way Dallas, TX 75214 5445 La Sierra Dr, Ste 230 Richardson, TX 75080-0034 (214) 827-1900 Dallas, TX 75231-4185 (972) 883-3630 (214) 696-9955 Copley, Jill E, AUD Clark, Jackie L, AUD Eff 15-Mar-17 Miller, Stephen , AUD Eff 01-Mar-20 Total Hearing Care Eff 01-Mar-18 University of Texas at Dallas 7615 Campbell Rd #109 Miller Audiology and Hearing Aid 2895 Facilities Way Specialty Care Physicians & Other Providers/ Dallas, TX 75248 Dispensing PLLC Richardson, TX 75080-0034 (972) 380-0222 5445 La Sierra Dr, Ste 230 (214) 905-3000 Médicos de cuidado especializado y otros proveedores Dallas, TX 75231-4185 Cox, Stephanie C, AUD (214) 696-9955 Cox, Stephanie C, AUD Eff 01-Mar-20 Eff 01-Mar-20 University of Texas at Dallas Parnell, Laura L, AUD University of Texas at Dallas 1966 Inwood Rd Eff 01-Mar-20 2895 Facilities Way Dallas, TX 75235-7205 University of Texas at Dallas Richardson, TX 75080-0034 (214)905-3000 1966 Inwood Rd (972)883-3630 Dallas, TX 75235-7205 Florentino, Kimberly M, AUD (214) 905-3000 Florentino, Kimberly M, AUD Eff 01-Mar-20 Eff 01-Mar-20 University of Texas at Dallas Perez-Cervantes, Ivonne G, AUD University of Texas at Dallas 1966 Inwood Rd Eff 01-Mar-20 2895 Facilities Way Dallas, TX 75235-7205 University of Texas at Dallas Richardson, TX 75080-0034 (214) 905-3000 1966 Inwood Rd (972) 883-3630 Dallas, TX 75235-7205 Gohmert, Andrea K, AUD (214) 905-3000 Gohmert, Andrea K, AUD Eff 01-Mar-20 Eff 01-Mar-20 University of Texas at Dallas Richards, Lisa M, AUD University of Texas at Dallas 1966 Inwood Rd Eff 01-Mar-20 2895 Facilities Way Dallas, TX 75235-7205 University of Texas at Dallas Richardson, TX 75080-0034 (214) 905-3000 1966 Inwood Rd (972) 883-3630 Dallas, TX 75235-7205 (214) 905-3000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 84 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Parnell, Laura L, AUD Tarrant County | Condado de Hinrichs, Marilyn M, AUD Eff 01-Mar-20 Eff 01-Dec-19 University of Texas at Dallas Tarrant Advanced Hearing & Balance 2895 Facilities Way Center Richardson, TX 75080-0034 Johnson, Elizabeth , AUD 1340 S Main St Ste 190 (972) 883-3630 Eff 01-Jun-18 Grapevine, TX 76051-5547 Audiology Associates of DFW PC (972)733-3344 Perez-Cervantes, Ivonne G, AUD 3132 Matlock Rd, Ste 303 Eff 01-Mar-20 Arlington, TX 76015-2922 Ledesma, Alice J, AUD University of Texas at Dallas (817) 472-7720 Eff 01-Dec-19 2895 Facilities Way Advanced Hearing & Balance Richardson, TX 75080-0034 Koble, Marylyn D, AUD Center (972) 883-3630 Eff 14-Feb-19 1340 S Main St Ste 190 Audiology Associates of DFW PC Grapevine, TX 76051-5547 Richards, Lisa M, AUD 3132 Matlock Rd, Ste 303 (972)733-3344 Eff 01-Mar-20 Arlington, TX 76015-2922 University of Texas at Dallas (817) 472-7720 McRae, Ann C, AUD 2895 Facilities Way Eff 01-Dec-19 Richardson, TX 75080-0034 Blaising, Diane , AUD Advanced Hearing & Balance (972) 883-3630 Eff 01-Sep-18 Center Cityview Audiology & Hearing 1340 S Main St Ste 190 Denton County | Condado de Aids, Inc Grapevine, TX 76051-5547 7801 Oakmont Blvd, Ste 109 (972)733-3344 Denton Fort Worth, TX 76132-4242 (817) 263-1800 Washburn, Elyssa J, AUD Specialty Care Physicians & Other Providers/ Bessent, Katie L, AUD Eff 15-Mar-18 Eff 01-Sep-17 Carson, Robin , AUD Love to Hear Again Audiology Denton Hearing Health Care Eff 15-Jun-17 1025 S. Main St., Suite 301 Médicos de cuidado especializado y otros proveedores 2540 Lillian Miller Pkwy, Ste 100 Carson Hearing Care Grapevine, TX 76051-7506 Denton, TX 76210-7215 5104 Camp Bowie Blvd (817) 722-6156 (940) 387-0550 Fort Worth, TX 76107 (817) 737-4327 Brown, Ashley F, AUD Caudle, Chris D, AUD Eff 15-Oct-20 Eff 01-Sep-17 Dean, Heather , AUD Grapevine Audiology Denton Hearing Health Care Eff 01-Sep-18 190 Peytonville Ave Ste 120 2540 Lillian Miller Pkwy, Ste 100 Cityview Audiology & Hearing Southlake, TX 76092-6937 Denton, TX 76210-7215 Aids, Inc (817) 803-4646 (940) 387-0550 7801 Oakmont Blvd, Ste 109 Fort Worth, TX 76132-4242 Cassidy, Kathryn , AUD Liberio, Allison , AUD (817) 263-1800 Eff 15-Aug-20 Eff 01-Apr-18 Grapevine Audiology Family Hearing Practice Roth, John Thomas, AUD 190 S Peytonville Ave Ste 120 4491 Long Prairie Rd, Ste 400 Eff 01-Apr-18 Southlake, TX 76092-6937 Flower Mound, TX 75028-7306 Advanced Hearing Aid Center (817) 803-4646 (817) 997-4084 904 Pennsylvania Ave Fort Worth, TX 76104-2225 (817) 332-8817 Conlin, Jennifer N, AUD Eff 30-Nov-18 Love to Hear Again Audiology 1025 S. Main St., Suite 301 Grapevine, TX 76051-7506 (817) 722-6156

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 85 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bariatric Surgery/ Cirugía Deville, James B, MD Khan, Hafiza H, MD bariátrica Eff 08-Jun-15 Eff 08-Jun-15 Baylor Scott & White McKinney Baylor Scott & White McKinney Collin County | Condado de Heart Associates Heart Associates 5236 W University Dr Ste 4900 5236 W University Dr Ste 4900 Collin McKinney, TX 75071-8185 McKinney, TX 75071-8185 (469) 800-6100 (469) 800-6100 Patel, Sheetal M, MD • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Eff 01-Mar-16 hablado(s): Spanish hablado(s): Spanish Surgical Associates of Collin County, PLLC Dohadwala, Mustafa , MD Abrol, Rajjit , MD 4401 Coit Rd, Ste 305 Eff 13-Apr-15 Eff 14-Mar-16 Frisco, TX 75035 North Texas Heart Center, PA HeartPlace, PA (972) 596-5225 4510 Medical Cntr Dr, Ste 313 3801 W 15th St, Bldg B, Ste 320 • Languages spoken / Idioma(s) McKinney, TX 75069 Plano, TX 75075 hablado(s): Hindi (214) 361-3300 (972) 985-8838 Patel, Sheetal M, MD Dohadwala, Mustafa , MD Beveridge, Thomas P, MD Eff 01-Mar-16 Eff 01-Feb-18 Eff 08-Jun-15 Surgical Associates of Collin Baylor Scott & White McKinney Baylor Scott & White Arrhythmia County, PLLC Heart Associates Management, PA 4001 W 15th St, Ste 335 5236 W University Dr Ste 4900 1820 Preston Park Blvd Ste 1450 Plano, TX 75093 McKinney, TX 75071-8185 Plano, TX 75093 (972) 596-5225 (469) 800-6100 (469) 862-1000

Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Hindi Hurwitz, Jodie L, MD hablado(s): Spanish Eff 13-Apr-15 Médicos de cuidado especializado y otros proveedores Ellis County | Condado de Ellis North Texas Heart Center, PA Chhabra, Sumeet K, MD 4510 Medical Cntr Dr, Ste 313 Eff 15-Oct-18 McKinney, TX 75069 HeartPlace, PA Kelly, Timothy J, MD (214) 361-3300 4716 Alliance Blvd Ste 470 Eff 13-Nov-20 Plano, TX 75093 Baylor Scott & White Texas Hussain, Amena , MD (972) 941-3100 Surgical Specialists Eff 08-Jun-15 2460 N I-35 E Ste 215 Baylor Scott & White McKinney Chhabra, Sumeet K, MD Waxahachie, TX 75165 Heart Associates Eff 15-Oct-18 (469) 800-9830 5236 W University Dr, Ste 4900 HeartPlace, PA McKinney, TX 75071-8185 6124 W Parker Rd Bld III Ste 536 Cardiac Electrophysiology/ (469) 800-6100 Plano, TX 75093-8137 Electrofisiología cardiaca • Languages spoken / Idioma(s) (972) 378-9560 hablado(s): Spanish Collin County | Condado de Deville, James B, MD Joshi, Rajeev , MD Eff 08-Jun-15 Collin Eff 13-Apr-15 Baylor Scott & White Arrhythmia North Texas Heart Center, PA Management, PA Beveridge, Thomas P, MD 4510 Medical Cntr Dr, Ste 313 1820 Preston Park Blvd Ste 1450 Eff 08-Jun-15 McKinney, TX 75069 Plano, TX 75093 Baylor Scott & White Arrhythmia (214) 361-3300 (469) 862-1000 Management, PA • Languages spoken / Idioma(s) 5236 W University Dr Ste 4600 hablado(s): Spanish McKinney, TX 75071-8131 (469) 800-4540 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 86 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Edwards, David N, MD Shapira, Adam R, MD Franklin, Jay O, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Advanced Heart Care, PA Advanced Heart Care, PA Baylor Scott & White Cardiology 4716 Dexter Dr Ste 100 4716 Dexter Dr Ste 100 Consultants of Texas - Dalla Plano, TX 75093 Plano, TX 75093 621 N Hall St, Ste 400 (469) 326-2636 (469) 326-2636 Dallas, TX 75226 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) (469) 800-7400 hablado(s): Spanish hablado(s): Spanish Guttigoli, Amit B, MD Ho, Trieu Q, MD Dallas County | Condado de Eff 15-Oct-18 Eff 01-Jan-14 Premier Cardiovascular Care of Advanced Heart Care, PA Dallas Dallas, PLLC 4716 Dexter Dr Ste 100 221 W Colorado Blvd, Pavilion II, Plano, TX 75093 Abrol, Rajjit , MD Ste 945 (469)326-2636 Eff 14-Mar-16 Dallas, TX 75208 • Languages spoken / Idioma(s) HeartPlace PA (469) 513-2666 hablado(s): Spanish 3409 Worth St Dallas, TX 75246 Hurwitz, Jodie L, MD Hussain, Amena , MD (214)841-2000 Eff 13-Apr-15 Eff 08-Jun-15 North Texas Heart Center, PA Baylor Scott & White Arrhythmia Assar, Manish D, MD 8440 Walnut Hill Ln, Ste 700 Management, PA Eff 01-Jan-14 Dallas, TX 75231 1820 Preston Park Blvd, Ste 1450 Baylor Scott & White Cardiology (214) 361-3300 Plano, TX 75093 Consultants of Texas - Dalla 621 N Hall St, Ste 400 Joshi, Rajeev , MD (469) 862-1000 Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) Dallas, TX 75226 Eff 13-Apr-15 (469) 800-7400 North Texas Heart Center, PA

hablado(s): Spanish Médicos de cuidado especializado y otros proveedores 8440 Walnut Hill Ln, Ste 700 Khan, Hafiza H, MD Assar, Manish D, MD Dallas, TX 75231 Eff 08-Jun-15 Eff 01-Jan-14 (214) 361-3300 Baylor Scott & White Arrhythmia Baylor Scott & White Cardiology Management, PA Consultants of Texas - Dalla Levine, David , MD 1820 Preston Park Blvd Ste 1450 9101 N Central Expy, Ste 300C Eff 15-Oct-18 Plano, TX 75093 Dallas, TX 75231 North Texas Cardiovascular (469) 862-1000 (469) 800-7500 Associates, PA • Languages spoken / Idioma(s) 4305 W Wheatland Rd, Ste 130 Dohadwala, Mustafa , MD hablado(s): Spanish Dallas, TX 75237 Eff 13-Apr-15 (214) 946-8856 Mandell, Ryan S, DO North Texas Heart Center, PA Eff 11-Jan-16 8440 Walnut Hill Ln, Ste 700 Levine, David , MD Advanced Heart Care, PA Dallas, TX 75231 Eff 15-Oct-18 4716 Dexter Dr Ste 100 (214) 361-3300 North Texas Cardiovascular Plano, TX 75093 Associates, PA Donsky, Alan S, MD (469) 326-2636 221 W. Colorado Blvd. Pavilion II Eff 01-Jan-14 Suite 831 Mithani, Ali , MD Baylor Scott & White Cardiology Dallas, TX 75208 Eff 29-Jan-18 Consultants of Texas - Dalla (214) 946-8856 Advanced Heart Care, PA 621 N Hall St, Ste 400 4716 Dexter Dr Ste 100 Dallas, TX 75226 Wells, Peter J, MD Plano, TX 75093 (469) 800-7400 Eff 11-Apr-16 (469) 326-2636 Texas Heart Center, PLLC • Languages spoken / Idioma(s) 3600 Gaston Ave, Ste 851 hablado(s): Hindi Dallas, TX 75246-1908 (214) 826-6044

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 87 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Wheelan, Kevin R, MD Deville, James B, MD Kizilbash, Ali M, MD Eff 01-Jan-14 Eff 08-Jun-15 Eff 01-Jan-14 Cardiology Associates Baylor Scott & White Legacy Heart Cottonwood Cardiology 621 N Hall St, Ste 120 Center 1110 Cottonwood Ln, Ste 105 Dallas, TX 75231 7217 Telecom Pkwy Ste 205 Irving, TX 75038 (469) 800-7810 Garland, TX 75044-2203 (972) 607-2525 (469) 800-6300 Williams, Ryan S, MD • Languages spoken / Idioma(s) Kizilbash, Ali M, MD Eff 10-Aug-15 hablado(s): Spanish Eff 01-Jan-14 Dallas Arrhythmia Group Cottonwood Cardiology 9330 Poppy Dr, Ste 507 Dohadwala, Mustafa , MD 1110 Cottonwood Ln, Ste 220 Dallas, TX 75218 Eff 01-Feb-18 Irving, TX 75038 (469) 619-2900 Baylor Scott & White Legacy Heart (972) 607-2525 Center Yoo, Dale , MD 7217 Telecom Pkwy Ste 205 Abrol, Rajjit , MD Eff 13-Apr-15 Garland, TX 75044-2203 Eff 14-Mar-16 North Texas Heart Center, PA (469) 800-6300 HeartPlace, PA 3600 Gaston Ave, Ste 851 399 W Campbell Rd, Ste 300 Dallas, TX 75246 Greenberg, Scott L, MD Richardson, TX 75080 (214) 826-6044 Eff 01-Mar-18 (972) 699-3508 Baylor Scott & White Legacy Heart Guttigoli, Amit B, MD Center Chhabra, Sumeet K, MD Eff 15-Oct-18 7217 Telecom Pkwy Ste 205 Eff 15-Oct-18 Premier Cardiovascular Care of Garland, TX 75044-2203 HeartPlace, PA Dallas, PLLC 2821 E President George Bush Specialty Care Physicians & Other Providers/ (469) 800-6300 1018 E Wheatland Road Hwy Ste 309 Duncanville, TX 75116 Hussain, Amena , MD Richardson, TX 75082 Médicos de cuidado especializado y otros proveedores (469) 513-2666 Eff 08-Jun-15 (214) 635-5701 Baylor Scott & White Legacy Heart Beveridge, Thomas P, MD Center Chhabra, Sumeet K, MD Eff 08-Jun-15 7217 Telecom Pkwy Ste 205 Eff 15-Oct-18 Baylor Scott & White Legacy Heart Garland, TX 75044-2203 HeartPlace, PA Center (469) 800-6300 3001 E President George Bush 7217 Telecom Pkwy Ste 205 • Languages spoken / Idioma(s) Hwy Ste 175 Garland, TX 75044-2203 hablado(s): Spanish Richardson, TX 75082 (469) 800-6300 (214) 635-5701 • Languages spoken / Idioma(s) Khan, Hafiza H, MD hablado(s): Spanish Eff 08-Jun-15 Williams, Ryan S, MD Baylor Scott & White Legacy Heart Eff 10-Aug-15 Chhabra, Sumeet K, MD Center Dallas Arrhythmia Group Eff 15-Oct-18 7217 Telecom Pkwy Ste 205 7801 Lakeview Pkwy, Ste 100 HeartPlace, PA Garland, TX 75044-2203 Rowlett, TX 75088 7150 N President George Bush (469) 800-6300 (469) 619-2900 Tpke Ste 206 • Languages spoken / Idioma(s) Williams, Ryan S, MD Garland, TX 75044 hablado(s): Spanish (214) 635-5701 Eff 10-Aug-15 Kizilbash, Ali M, MD Dallas Arrhythmia Group Eff 01-Jan-14 341 Wheatfield Dr, Ste 240 Cottonwood Cardiology Sunnyvale, TX 75182 2740 N Hwy 360 (469) 619-2900 Grand Prairie, TX 75050 (972) 607-2525

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 88 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Denton County | Condado de Greenberg, Scott L, MD Hill County | Condado de Hill Eff 01-Mar-18 Denton Baylor Scott & White Arrhythmia Chen, Harvey Robert, MD Management, PA Eff 18-May-15 Kizilbash, Ali M, MD 4421 Long Prairie Rd Ste 100 Eff 01-Jan-14 Waco Cardiology Associates Flower Mound, TX 75028 1321 East Franklin Cottonwood Cardiology (469) 800-4540 4343 N Josey Ln, Ste 100 Hillsboro, TX 76645-2621 (254) 399-5400 Carrollton, TX 75010 Grayson County | Condado de (972) 607-2525 Grayson Zagrodzky, Jason D, MD Beveridge, Thomas P, MD Eff 03-Jul-20 Eff 08-Jun-15 Beveridge, Thomas P, MD Waco Heart & Vascular Baylor Scott & White Arrhythmia Eff 08-Jun-15 1323 E Franklin Ste 103 Management, PA Baylor Scott & White Arrhythmia Hillsboro, TX 76645-2679 3341 Unicorn Lake Blvd Management, PA (254) 235-9355 Denton, TX 76210 5026 Pool Rd Chen, Harvey Robert, MD (469) 800-4540 Denison, TX 75020 Eff 18-May-15 • Languages spoken / Idioma(s) (469) 800-4540 Waco Cardiology Associates hablado(s): Spanish • Languages spoken / Idioma(s) 202 East Jefferson hablado(s): Spanish Deville, James B, MD Whitney, TX 76692-2398 Eff 08-Jun-15 Deville, James B, MD (254) 399-5400 Baylor Scott & White Arrhythmia Eff 08-Jun-15 Management, PA Baylor Scott & White Arrhythmia Hunt County | Condado de Specialty Care Physicians & Other Providers/ 3341 Unicorn Lake Blvd Management, PA Hunt Denton, TX 76210 5026 Pool Rd Médicos de cuidado especializado y otros proveedores (469) 800-4540 Denison, TX 75020 Donsky, Alan S, MD • Languages spoken / Idioma(s) (469) 800-4540 Eff 01-Jan-14 hablado(s): Spanish • Languages spoken / Idioma(s) Baylor Scott & White Cardiology hablado(s): Spanish Consultants of Texas - Dalla Hussain, Amena , MD 4215 Joe Ramsey Blvd, Ste 108 Eff 08-Jun-15 Hussain, Amena , MD Greenville, TX 7540 Baylor Scott & White Arrhythmia Eff 08-Jun-15 Greenville, TX 75401 Management, PA Baylor Scott & White Arrhythmia (469) 800-3400 3341 Unicorn Lake Blvd Management, PA Denton, TX 76210 5026 Pool Rd Parker County | Condado de (469) 800-4540 Denison, TX 75020 • Languages spoken / Idioma(s) (469) 800-4540 Parker hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish Mughal, Aleem , MD Khan, Hafiza H, MD Eff 14-Aug-17 Eff 08-Jun-15 Khan, Hafiza H, MD Heart Center of North Texas, PA Baylor Scott & White Arrhythmia Eff 08-Jun-15 920 Hilltop Management, PA Baylor Scott & White Arrhythmia Weatherford, TX 76086 3341 Unicorn Lake Blvd Management, PA (817) 334-2800 Denton, TX 76210 5026 Pool Rd • Languages spoken / Idioma(s) (469) 800-4540 Denison, TX 75020 hablado(s): Spanish • Languages spoken / Idioma(s) (469) 800-4540 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 89 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tarrant County | Condado de Mughal, Aleem , MD Vrushab, Rajesh B, MD Eff 14-Aug-17 Eff 01-Aug-15 Tarrant Heart Center of North Texas, PA Rajesh B Vrushab, MD, PLLC 1017 12th Ave 4351 Booth Calloway Road Nesbitt, William H, MD Fort Worth, TX 76104 North Richland, TX 76180 Eff 01-Jul-14 (817) 334-2800 (817) 510-1060 HeartPlace, PA • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 902 W Randol Mill Rd, Ste 200 hablado(s): Spanish hablado(s): Hindi Arlington, TX 76012 (817) 461-3003 Shah, Syed N, MD Wise County | Condado de Eff 23-Jun-17 Delaughter, Michael C, MD Fort Worth Heart, PA Wise Eff 12-Jan-15 1900 Mistletoe Blvd, Ste 100 HeartPlace, PA Fort Worth, TX 76104 Shapira, Adam R, MD 1305 Airport Fwy, Ste 301 (817) 338-1300 Eff 01-Jan-14 Bedford, TX 76021 • Languages spoken / Idioma(s) Advanced Heart Care, PA (682) 223-9120 hablado(s): Urdu 2401 S FM 51, Ste 200 Decatur, TX 76234 Eifling, Michael D, MD Ho, Trieu Q, MD (940) 627-0044 Eff 18-Nov-18 Eff 01-Jan-14 • Languages spoken / Idioma(s) HeartPlace, PA Advanced Heart Care, PA hablado(s): Spanish 1305 Airport Fwy, Ste 301 2020 State Hwy 121, Ste 190- Bedford, TX 76021 Plaza II Cardiology/ Cardiología (682) 223-9120 Grapevine, TX 76051

Specialty Care Physicians & Other Providers/ (817) 437-3711 Vrushab, Rajesh B, MD Collin County | Condado de • Languages spoken / Idioma(s) Eff 01-Aug-15 Collin

Médicos de cuidado especializado y otros proveedores hablado(s): Spanish Rajesh B Vrushab, MD, PLLC 1305 Airport Fwy, Ste 424 Greenberg, Scott L, MD Ammar, Richard F, MD Bedford, TX 76021 Eff 01-Mar-18 Eff 02-Mar-18 (817) 510-1060 Baylor Scott & White Arrhythmia HeartPlace, PA • Languages spoken / Idioma(s) Management 1105 Central Expy, Ste 2330 hablado(s): Hindi 620 S Main St Ste 240 Allen, TX 75013-6116 Keller, TX 76248-4960 (972) 649-6511 Delaughter, Michael C, MD (817) 912-8060 Eff 12-Jan-15 Choudhry, Amir I, MD HeartPlace, PA Guttigoli, Amit B, MD Eff 01-Jul-14 1650 Magnolia Ave, Ste 102 Eff 15-Oct-18 HeartPlace, PA Fort Worth, TX 76104 Premier Cardiovascular Care of 1105 Central Expwy North (817) 922-0439 Dallas, PLLC Allen, TX 75013 851 Hwy 287 N (972) 649-6511 Jayachandran, John V, MD Mansfield, TX 76063 Eff 01-Jan-14 (469) 513-2661 Kalidindi, Vishnu V, MD Fort Worth Heart, PA Eff 09-May-16 1900 Mistletoe Blvd, Ste 100 Moore, Curtiss R, MD Baylor Scott & White The Heart Fort Worth, TX 76104 Eff 05-May-19 Group - Frisco (817) 338-1300 Cardiology Partners, LLP 8000 Warren Pkwy, Ste 104 • Languages spoken / Idioma(s) 851 US HWY 287 Frisco, TX 75034 hablado(s): Gujrati Mansfield, TX 76063-2634 (469) 362-6543 (817) 842-2500

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 90 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Abo-Auda, Wael , MD Karim, M Asad , MD Ammar, Richard F, MD Eff 01-Feb-17 Eff 01-Dec-14 Eff 02-Mar-18 Abo Auda Associates PLLC M Asad Karim, MD, PA HeartPlace, PA 5325 West University Dr 4501 Medical Center Dr, Ste 204 6124 W Parker Rd, Ste 536 McKinney, TX 75071 McKinney, TX 75069 Plano, TX 75093-8137 (214) 592-8188 (214) 491-6365 (972) 378-9560 Bindra, Amarinder S, MD Nair, Radhakrishnan G, MD Bakshi, Sahil , DO Eff 08-Sep-14 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Family Medicine at Baylor Scott & White Legacy Heart Baylor Scott & White Legacy Heart McKinney Center Center 5220 W University Dr Ste 100 5236 W University Dr Ste 4100 5425 W Spring Creek Pkwy Ste McKinney, TX 75071-7402 McKinney, TX 75071-8126 260 (469) 800-5100 (469) 326-3400 Plano, TX 75024 • Languages spoken / Idioma(s) (469) 326-3400 hablado(s): Hindi Sarmast, Syed A, MD Eff 05-Jan-15 Binder, Andrew J, MD Evans, Matthew R, MD Baylor Scott & White McKinney Eff 04-Oct-19 Eff 09-Nov-15 Heart Associates Baylor Scott & White Legacy Heart Baylor Scott & White McKinney 5236 W University Dr, Ste 4900 Center Heart Associates McKinney, TX 75071-8185 6601 Preston Rd 5236 W University Dr, Ste 4900 (469) 800-6100 Plano, TX 75024-2502 McKinney, TX 75071-8185 (469) 800-6300 (469) 800-6100 Szerlip, Molly , MD Eff 01-Jan-14 Brown, David L, MD • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ hablado(s): Spanish Baylor Scott & White McKinney Eff 01-Jan-14 Heart Associates Baylor Scott & White McKinney Hollowell, John S, MD 5236 W University Dr, Ste 4900 Heart Associates Médicos de cuidado especializado y otros proveedores Eff 01-Jan-14 McKinney, TX 75071-8185 4716 Alliance Blvd, Ste 340, Baylor Scott & White Legacy Heart (469) 800-6100 Pavilion II Center Plano, TX 75093 5236 W University Dr Ste 4100 Wahid, Faisal , MD (469) 800-6100 McKinney, TX 75071-8126 Eff 01-Jan-16 (469) 326-3400 Texas Institute of Cardiology, PA Choudhry, Amir I, MD 5313 W University Dr Eff 01-Jul-14 Isaac, Michael G, MD McKinney, TX 75071 HeartPlace, PA Eff 01-Mar-18 (214) 544-7555 6124 W Parker Rd, Ste 536 Baylor Scott & White McKinney • Languages spoken / Idioma(s) Plano, TX 75093 Heart Associates hablado(s): Urdu (972) 378-9560 5236 W University Dr Ste 4900 McKinney, TX 75071-8185 Aligeti, Venkata , MD Cruz, Manuel W, MD (469) 800-6100 Eff 01-Jan-14 Eff 01-Jan-14 Advanced Heart Care, PA Advanced Heart Care, PA Kalidindi, Vishnu V, MD 4716 Dexter Dr Ste 100 4716 Dexter Dr Ste 100 Eff 09-May-16 Plano, TX 75093 Plano, TX 75093 Baylor Scott & White The Heart (469)326-2636 (469) 326-2636 Group • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 6800 State Hwy 121 hablado(s): Hindi hablado(s): Spanish McKinney, TX 75070 (469) 800-6500

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 91 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Duncan, John W, MD Hollowell, John S, MD Lawson, John W, MD Eff 01-Aug-14 Eff 01-Jan-14 Eff 01-Jan-14 HeartPlace, PA Baylor Scott & White Legacy Heart Cardiovascular Consultants of 3801 W 15th St, Bldg B Ste 320 Center North Texas Plano, TX 75075 6601 Preston Rd 6300 W Parker Rd, MOB II, Ste (972) 985-8838 Plano, TX 75024-2502 125 (469) 800-6300 Plano, TX 75093 Evans, Matthew R, MD (469) 800-4400 Eff 09-Nov-15 Jacob, Abraham , MD Baylor Scott & White Arrhythmia Eff 15-Jun-17 Lawson, John W, MD Management, PA PTCA Cardiology, PLLC Eff 01-Jan-14 1820 Preston Park Blvd, Ste 1450 4100 W 15th St, Ste 200 Cardiovascular Consultants Plano, TX 75093 Plano, TX 75093 6000 W Spring Creek Pkwy Ste (469) 862-1000 (972) 588-4393 220 • Languages spoken / Idioma(s) Plano, TX 75024 hablado(s): Spanish Kalidindi, Vishnu V, MD (469) 800-4400 Eff 09-May-16 Finkelstein, Jason S, MD Baylor Scott & White The Heart McKenzie, Marcus E, MD Eff 01-Jan-14 Group - Frisco Eff 01-Jan-14 Advanced Heart Care, PA 6601 Preston Rd Baylor Scott & White Legacy Heart 4716 Dexter Dr Ste 100 Plano, TX 75024 Center Plano, TX 75093 (469) 362-6453 5425 W Spring Creek Pkwy Ste (469) 326-2636 260 • Languages spoken / Idioma(s) Khan, Mubashar H, MD Plano, TX 75024 Eff 10-Aug-15 Specialty Care Physicians & Other Providers/ hablado(s): Spanish (469) 326-3400 Baylor Scott & White Legacy Heart Gopal, Ambarish , MD Center McKenzie, Marcus E, MD Médicos de cuidado especializado y otros proveedores Eff 01-Jan-14 6601 Preston Rd Eff 01-Jan-14 Baylor Scott & White McKinney Plano, TX 75024-2502 Baylor Scott & White Legacy Heart Heart Associates (469) 800-6300 Center 4716 Alliance Blvd Ste 340 6601 Preston Rd Pavilion II Kulkarni, Anandita , MD Plano, TX 75024-2502 Plano, TX 75093 Eff 13-Nov-20 (469) 800-6300 (469) 800-6100 Baylor Scott & White The Heart Group Nair, Arjun , MD Gopalakrishnan, Deepika , MD 4716 Alliance Blvd Ste 340 Eff 29-Jun-16 Eff 01-Jan-14 Plano, TX 75093 HeartPlace, PA Baylor Scott & White McKinney (469) 800-6100 3801 W 15th St, Bldg B Ste 320 Heart Associates Plano, TX 75075 4716 Alliance Blvd, Ste 340, Lankipalli, Rama Rao S, MD (972) 985-8838 Pavilion II Eff 01-Jan-14 Plano, TX 75093 Collin County Cardiology, PA Nair, Arjun , MD (469) 800-6100 3900 W 15th St, Ste 503 Eff 29-Jun-16 Plano, TX 75075 HeartPlace, PA Gottlieb, Robert L, MD (972) 586-5522 8080 Independence Pkwy, Ste 220 Eff 09-Nov-15 • Languages spoken / Idioma(s) Plano, TX 75025 Baylor Scott & White McKinney hablado(s): Spanish (469) 213-5950 Heart Associates 4716 Alliance Blvd, Ste 340, Pavilion II Plano, TX 75093 (469) 800-6100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 92 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nair, Radhakrishnan G, MD Reddy, Gautam B, MD Samaan, Sarah A, MD Eff 01-Jan-14 Eff 01-Jul-14 Eff 01-Jan-14 Baylor Scott & White Legacy Heart HeartPlace, PA Baylor Scott & White Legacy Heart Center 3801 W 15th St, Bldg B Ste 320 Center 6601 Preston Rd Plano, TX 75075 6601 Preston Rd Plano, TX 75024-2502 (972) 985-8838 Plano, TX 75024-2502 (469) 800-6300 (469) 800-6300 Ren, Hao-Yu , MD Pieniek, Marc S, MD Eff 13-Nov-20 Schwartz, Brian G, MD Eff 01-Jul-14 Baylor Scott & White Legacy Heart Eff 01-Jan-14 HeartPlace, PA Center Advanced Heart Care, PA 3801 W 15th St, Bldg B Ste 320 6601 Preston Rd 4708 Alliance Blvd, Ste 650 Plano, TX 75075 Plano, TX 75024 Plano, TX 75093-5319 (972) 985-8838 (469) 800-6300 (469) 326-2636 • Languages spoken / Idioma(s) Prewitt, David W, MD Reuter, John E, MD hablado(s): Spanish Eff 01-Jan-14 Eff 07-Jan-14 Baylor Scott & White Legacy Heart HeartPlace, PA Shalek, Marc S, MD Center 4716 Alliance Blvd, Ste 470 Eff 01-Jan-14 6601 Preston Rd Plano, TX 75093 Baylor Scott & White Legacy Heart Plano, TX 75024-2502 (972) 941-3100 Center (469) 800-6300 6601 Preston Rd Rivera, Jose M, MD Plano, TX 75024-2502 Rawitscher, David A, MD Eff 01-Jan-14 (469) 800-6300 Eff 01-Jan-14 Baylor Scott & White Legacy Heart Specialty Care Physicians & Other Providers/ Baylor Scott & White Legacy Heart Center Sharan, Leena , MD Center 6601 Preston Rd Eff 26-Jul-18 5425 W Spring Creek Pkwy Ste Plano, TX 75024-2502 HeartPlace, PA Médicos de cuidado especializado y otros proveedores 260 (469) 800-6300 6124 W Parker Rd, Ste 536 Plano, TX 75024 Plano, TX 75093 (469) 326-3400 Roffman, Joel A, MD (972) 378-9560 Eff 01-Jan-14 Rawitscher, David A, MD HeartPlace, PA Singh, Bhupinder , MD Eff 01-Jan-14 4716 Alliance Blvd, Ste 470 Eff 15-Dec-16 Baylor Scott & White Legacy Heart Plano, TX 75093 Bhunpinder Singh MD PA Center (972) 941-3100 1600 Coit Rd Ste 207 6601 Preston Rd • Languages spoken / Idioma(s) Plano, TX 75075 Plano, TX 75024-2502 hablado(s): Spanish (972) 612-0388 (469) 800-6300 • Languages spoken / Idioma(s) Samaan, Sarah A, MD hablado(s): Hindi Raza, Samreen , MD Eff 01-Jan-14 Eff 19-Nov-18 Baylor Scott & White Legacy Heart Szerlip, Molly , MD HeartPlace, PA Center Eff 01-Jan-14 4716 Alliance Blvd, Ste 470 5425 W Spring Creek Pkwy Ste Baylor Scott & White McKinney Plano, TX 75093 260 Heart Associates (972) 941-3100 Plano, TX 75024 4716 Alliance Blvd, Ste 340, • Languages spoken / Idioma(s) (469) 326-3400 Pavilion II hablado(s): Spanish Plano, TX 75093 (469) 800-6100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 93 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Waller, Thomas , MD Cianci, Christopher B, DO Dallas County | Condado de Eff 01-Jan-14 Eff 05-Oct-15 Cardiovascular Consultants Denton Heart Group, PA Dallas 6000 W Spring Creek Pkwy Ste 836 E California St 220 Gainesville, TX 76240 Arora, Neeraj , MD Plano, TX 75024 (940) 382-8080 Eff 15-Nov-16 (469) 800-4400 Heartcare Fazio, Gary P, MD 722 S Denton Tapp Rd Wang, Zuyue , MD Eff 05-Oct-15 Coppell, TX 75019 Eff 30-Jun-19 Denton Heart Group, PA (817) 310-5840 Baylor Scott & White Legacy Heart 1902 Hospital Dr Ste E • Languages spoken / Idioma(s) Center Gainesville, TX 76240 hablado(s): Hindi 6601 Preston Rd (940) 382-8080 Plano, TX 75024-2502 Aggarwal, Paul A, MD (469) 800-6300 Fazio, Gary P, MD Eff 01-Mar-18 Eff 05-Oct-15 Texas Heart Center, PLLC Woolbert, Samuel C, MD Denton Heart Group, PA 3600 Gaston Ave, Ste 851 Eff 01-Jan-14 201 N IH 35 Ste 140 Dallas, TX 75246-1908 Baylor Scott & White Legacy Heart Gainesville, TX 76240 (214) 826-6044 Center (940) 382-8080 • Languages spoken / Idioma(s) 6601 Preston Rd hablado(s): Spanish Plano, TX 75024-2502 Mottl, Steven D, DO (469) 800-6300 Eff 05-Oct-15 Ayad, Ramy F, MD Denton Heart Group, PA Eff 12-Aug-17 Yousif, Ali F, MD 413 E Broadway St Baylor Scott & White Cardiology Specialty Care Physicians & Other Providers/ Eff 13-Nov-20 Gainesville, TX 76240 Consultants of Texas - Dalla Baylor Scott & White Arrhythmia (940) 382-8080 621 N Hall St, Ste 400 Médicos de cuidado especializado y otros proveedores Management • Languages spoken / Idioma(s) Dallas, TX 75226 1820 Preston Prk Blvd Ste 1450 hablado(s): Spanish (469) 800-7400 Plano, TX 75093 • Languages spoken / Idioma(s) (469) 800-4540 Mottl, Steven D, DO hablado(s): Spanish Eff 05-Oct-15 Cooke County | Condado de Denton Heart Group, PA Bindra, Amarinder S, MD 836 E California St Eff 08-Sep-14 Cooke Gainesville, TX 76240 Heart Care Center of Dallas (940) 382-8080 3410 Worth St Ste 250 Cianci, Christopher B, DO • Languages spoken / Idioma(s) Dallas, TX 75246 Eff 05-Oct-15 hablado(s): Spanish (214) 820-6856 Denton Heart Group, PA • Languages spoken / Idioma(s) 201 N IH 35 Ste 140 Spiegel, Solomon B, DO hablado(s): Hindi Gainesville, TX 76240 Eff 27-Apr-19 (940) 382-8080 Denton Heart Group, PA Boehrer, James D, MD 1902 Hospital Dr Ste E Eff 01-Mar-15 Cianci, Christopher B, DO Gainesville, TX 76240 Dallas Cardiac Associates Eff 05-Oct-15 (940) 382-8080 7777 Forest Ln, Ste C860 Denton Heart Group, PA Dallas, TX 75230 413 E Broadway St Spiegel, Solomon B, DO (972) 566-7878 Gainesville, TX 76240 Eff 27-Apr-19 (940) 382-8080 Denton Heart Group, PA 201 N IH 35 Ste 140 Gainesville, TX 76240 (940) 382-8080

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 94 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bulloch, Gerald F, MD Edmonson, Robert , MD Grayburn, Paul Arthur, MD Eff 15-Oct-18 Eff 15-Aug-17 Eff 01-Nov-14 Dallas Cardiovascular Institute Center for Cardiovascular Health Private Practice 221 W. Colorado Blvd. Pavilion II 221 W Colorado Blvd, Ste 728 621 N Hall St, Ste H-030 Suite 545 Dallas, TX 75208 Dallas, TX 75246 Dallas, TX 75208 (214) 396-1018 (214) 820-7500 (214) 941-9100 • Languages spoken / Idioma(s) Ficula, Robert E, DO Haley, Steven A, MD hablado(s): Spanish Eff 15-Oct-18 Eff 15-Oct-18 HeartPlace, PA North Texas Cardiovascular Canham, Russell M, MD 3409 Worth St Ste 500 Associates, PA Eff 15-Oct-18 Dallas, TX 75246 221 W. Colorado Blvd. Pavilion II Advanced Heart and Rhythm, (214) 841-2000 Suite 831 PLLC Dallas, TX 75208 3650 W. Wheatland Road Suite C French, Christopher J, MD (214) 946-8856 Dallas, TX 75237 Eff 01-Sep-17 (214) 774-9771 Baylor Scott & White Cardiology Hall, Shelley A, MD Consultants of Texas - Dalla Eff 01-Jan-14 Carry, Melissa M, MD 621 N Hall St, Ste 400 HeartPlace, PA Eff 01-Jan-14 Dallas, TX 75226 621 N Hall St, Ste 500 Baylor Scott & White Cardiology (469) 800-7400 Dallas, TX 75226 Consultants of Texas - Dalla (214) 841-2000 621 N Hall St, Ste 400 Fyfe, Alistair I, MD Dallas, TX 75226 Eff 01-Nov-15 Jimenez, Alfredo H, MD Cardiac Associates of Dallas Eff 01-Jan-14 (469) 800-7400 Specialty Care Physicians & Other Providers/ 7777 Forest Ln, Ste C-655 Texas Heart Center, PLLC Chalkley, Robin A, MD Dallas, TX 75230 3600 Gaston Ave, Ste 851 Eff 13-Nov-20 (972) 566-8474 Dallas, TX 75246-1908 Médicos de cuidado especializado y otros proveedores Baylor Scott & White Cardiology (214) 826-6044 Consultants of Texas - Dallas George, Betsy A, MD • Languages spoken / Idioma(s) 621 N Hall St Ste 500 Eff 01-Jan-14 hablado(s): Spanish Dallas, TX 75226 Baylor Scott & White Cardiology (469) 800-7400 Consultants of Texas - Dalla Joseph, Susan M, MD 621 N Hall St Ste 400 Eff 05-Oct-15 East, Cara A, MD Dallas, TX 75226 Advanced Heart Failure Clinic Eff 11-Apr-16 (469) 800-7400 3410 Worth St, Ste 250 Texas Heart Center, PLLC Dallas, TX 75246 3600 Gaston Ave, Ste 851 Gohar, Salman , MD (214) 820-6856 Dallas, TX 75246-1908 Eff 04-Oct-19 (214) 826-6044 Baylor Scott & White Advanced Kale, Parag P, MD Heart Failure Clinic Eff 21-Jul-14 Edmonson, Robert E, MD 3410 Worth St, Ste 250 Parag P Kale, MD, PA Eff 14-Jul-19 Dallas, TX 75246 3410 Worth St, Ste 250 Premier Cardiovascular Care of (214) 820-6856 Dallas, TX 75246 Dallas, PLLC (214) 820-6856 221 W Colorado Blvd, Pavilion II, Gottlieb, Robert L, MD Ste 945 Eff 09-Nov-15 Liao, Robert , MD Dallas, TX 75208 Advanced Heart Failure Clinic Eff 01-Mar-15 (469) 513-2666 3410 Worth St, Ste 250 Dallas Cardiac Associates Dallas, TX 75246 7777 Forest Ln, Ste C860 (214) 820-6856 Dallas, TX 75230 (972) 566-7878 • Languages spoken / Idioma(s) hablado(s): Chinese

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 95 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lofthus, David M, MD Rao, Praveen K, MD Sidhu, Manavjot S, MD Eff 13-Jul-15 Eff 07-Jul-17 Eff 14-Nov-19 Baylor Scott & White Cardiology Baylor Scott & White Cardiology Methodist Cardiovascular Consultants of Texas - Dalla Consultants of Texas - Dalla Consultants 621 N Hall St, Ste 400 621 N Hall St, Ste 400 221 W Colorado Blvd, Pavilion II Dallas, TX 75226 Dallas, TX 75226 Ste 644 (469) 800-7400 (469) 800-7400 Dallas, TX 75208 (214) 948-5558 Lofthus, David M, MD Raza, S Sadi , MD Eff 13-Jul-15 Eff 11-Nov-14 Sidhu, Manavjot S, MD Baylor Scott & White Cardiology HeartPlace, PA Eff 14-Nov-19 Consultants of Texas - Dalla 7777 Forest Ln, Ste A-341 Methodist Cardiovascular 9101 N Central Expy, Ste 300C Dallas, TX 75230 Consultants Dallas, TX 75231 (972) 566-5700 5709 W Lovers Ln (469) 800-7500 Dallas, TX 75209 Redish, Gregory A, MD (214) 948-5558 McCullough, Peter A, MD Eff 01-Nov-15 Eff 07-Apr-14 Heart Consultants of North Texas, Sills, Michael N, MD Preventive Cardiology and PA Eff 01-Jan-14 Advanced Lipidology 8220 Walnut Hill Ln, Bldg 2, Ste Baylor Scott & White Cardiology 621 N Hall St, Ste 120 500 Consultants of Texas - Dalla Dallas, TX 75226 Dallas, TX 75231-4414 621 N Hall St, Ste 400 (469) 800-7477 (214) 361-9535 Dallas, TX 75226 (469) 800-7400 Parmar, Rohit J, MD Redish, Gregory A, MD Specialty Care Physicians & Other Providers/ Eff 01-Jan-14 Eff 01-Nov-15 Singh, Sandeep R, MD Baylor Scott & White Dallas Heart Consultants of North Texas, Eff 01-Jan-14 Médicos de cuidado especializado y otros proveedores Diagnostic Association - Park Ci PA Baylor Scott & White Cardiology 9101 N Central Expy, Ste 300 9330 Poppy Dr, Ste 405 Consultants of Texas - Dalla Dallas, TX 75231 Dallas, TX 75215-4621 621 N Hall St Ste 400 (469) 800-7500 (214) 320-9382 Dallas, TX 75226 • Languages spoken / Idioma(s) (469) 800-7400 hablado(s): Gujrati Rosenthal, Robert L, MD Eff 01-Jan-14 Srivastava, Archana , MD Patterson, Brent A, MD Cardiology Associates Eff 15-Oct-18 Eff 13-Apr-15 621 N Hall St, Ste 120 Heart Clinic of Dallas HeartPlace, PA Dallas, TX 75231 4305 West Wheatland Rd, Ste 130 3409 Worth St Ste 500 (469) 800-7810 Dallas, TX 75237-3311 Dallas, TX 75246 (214) 669-5350 (214)841-2000 Schumacher, John R, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Spanish Patterson, Brent A, MD Baylor Scott & White Cardiology Eff 13-Apr-15 Consultants of Texas - Dalla Tandon, Anumeha , MD HeartPlace, PA 621 N Hall St, Ste 400 Eff 01-Jan-15 621 N Hall St Ste 500 Dallas, TX 75226 Baylor Scott & White Cardiology Dallas, TX 75226 (469) 800-7400 Consultants of Texas - Dalla (214) 841-2000 621 N Hall St, Ste 400 Schwartz, David A, MD Dallas, TX 75226 Eff 01-Jan-14 (469) 800-7400 Baylor Scott & White Center for Thoracic Surgery 3410 Worth St Ste 235 Dallas, TX 75246-2071 (469) 800-7370

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 96 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Thompson, Mark A, MD Lammata, Vishu , MD Agrawal, Kanti L, MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 01-Jan-14 Associates in Surgical Acute Care Vishu Lammata, MD Cardiology Consultants of North 221 W. Colorado Blvd. Pavilion II 925 York Drive Dallas, PA Suite 933 Desoto, TX 75115 700 Walter Reed Blvd, Ste 205 Dallas, TX 75208 (972) 572-1600 Garland, TX 75042 (214) 933-6030 (877) 440-3044 Nalluri, Nikhil , MD • Languages spoken / Idioma(s) Valentine, Shyla T, MD Eff 14-Nov-19 hablado(s): Hindi Eff 01-Jan-14 Vishu Lammata, MD Baylor Scott & White Cardiology 925 York Drive Bakshi, Sahil , DO Consultants of Texas - Dalla Desoto, TX 75115 Eff 01-Jan-14 621 N Hall St, Ste 400 (972) 572-1600 Baylor Scott & White Legacy Heart Dallas, TX 75226 Center (469) 800-7400 Afridi, Imran , MD 7217 Telecom Pkwy Ste 205 Eff 15-Oct-18 Garland, TX 75044-2203 Velasco, Carlos E, MD Dallas Heart & Vascular Center, (469) 800-6300 Eff 01-Jan-14 PLLC Texas Heart Center, PLLC 916 E. Highway 67 Binder, Andrew J, MD 3600 Gaston Ave, Ste 851 Duncanville, TX 75137 Eff 04-Oct-19 Dallas, TX 75246-1908 (214) 942-5511 Baylor Scott & White Legacy Heart (214) 826-6044 • Languages spoken / Idioma(s) Center • Languages spoken / Idioma(s) hablado(s): Urdu 7217 Telecom Pkwy Ste 205 hablado(s): Spanish Garland, TX 75044-2203 Chandrasekhara, Ravi , MD (469) 800-6300 Specialty Care Physicians & Other Providers/ Wang, Haojie , MD Eff 15-Oct-18 Eff 01-Jan-14 Trinity Cardiovascular Care, PLLC Bret, John R, MD Baylor Scott & White Cardiology 1018 E Wheatland Rd Eff 15-Oct-18 Médicos de cuidado especializado y otros proveedores Consultants of Texas - Dalla Duncanville, TX 75116-491 HeartPlace, PA 621 N Hall St, Ste 400 (972) 646-1159 7150 N President George Bush Dallas, TX 75226 Tpke Ste 206 (469) 800-7400 Chandrasekhara, Ravi , MD Garland, TX 75044 Eff 15-Oct-18 (972) 276-8994 Wencker, Detlef , MD Premier Cardiovascular Care of Eff 01-Oct-17 Dallas, PLLC Evans, Matthew R, MD Advanced Heart Failure Clinic 1018 E Wheatland Road Eff 09-Nov-15 3410 Worth St Ste 250 Duncanville, TX 75116 Baylor Scott & White Legacy Heart Dallas, TX 75246 (469) 513-2666 Center (214) 820-6856 7217 Telecom Pkwy Ste 205 Edmonson, Robert E, MD Garland, TX 75044-2203 Wright, Jay V, DO Eff 14-Jul-19 (469) 800-6300 Eff 15-Oct-18 Premier Cardiovascular Care of • Languages spoken / Idioma(s) North Texas Cardiovascular Dallas, PLLC hablado(s): Spanish Associates, PA 1018 E Wheatland Road 221 W. Colorado Blvd. Pavilion II Duncanville, TX 75116 Hollowell, John S, MD Suite 831 (469) 513-2666 Eff 01-Jan-14 Dallas, TX 75208 Baylor Scott & White Legacy Heart (214) 946-8856 Lammata, Vishu , MD Center Eff 15-Oct-18 7217 Telecom Pkwy Ste 205 Trinity Cardiovascular Care, PLLC Garland, TX 75044-2203 1018 E Wheatland Rd (469) 800-6300 Duncanville, TX 75116-491 (972) 646-1159

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 97 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Khan, Mubashar H, MD Rivera, Jose M, MD Solis, Rolando M, MD Eff 10-Aug-15 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Legacy Heart Baylor Scott & White Legacy Heart Cardiology Consultants of North Center Center Dallas, PA 7217 Telecom Pkwy Ste 205 7217 Telecom Pkwy Ste 205 700 Walter Reed Blvd, Ste 205 Garland, TX 75044-2203 Garland, TX 75044-2203 Garland, TX 75042 (469) 800-6300 (469) 800-6300 (877) 440-3044 McKenzie, Marcus E, MD Routh, L Keith, MD Wang, Zuyue , MD Eff 01-Jan-14 Eff 15-Oct-18 Eff 30-Jun-19 Baylor Scott & White Legacy Heart HeartPlace, PA Baylor Scott & White Legacy Heart Center 7150 N President George Bush Center 7217 Telecom Pkwy Ste 205 Tpke Ste 206 7217 Telecom Pkwy Ste 205 Garland, TX 75044-2203 Garland, TX 75044 Garland, TX 75044-2203 (469) 800-6300 (972) 620-9111 (469) 800-6300 Nair, Radhakrishnan G, MD Samaan, Sarah A, MD Jain, Vikas C, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White Legacy Heart Baylor Scott & White Legacy Heart Cardiovascular Consultants Center Center 400 W IH 635, Ste 200 7217 Telecom Pkwy Ste 205 7217 Telecom Pkwy Ste 205 Irving, TX 75063 Garland, TX 75044-2203 Garland, TX 75044-2203 (469) 800-1020 (469) 800-6300 (469) 800-6300 Overbeck, John D, MD Patterson, Brent A, MD Schwartz, David A, MD Eff 22-Oct-20 Specialty Care Physicians & Other Providers/ Eff 13-Apr-15 Eff 01-Jan-14 HeartPlace PA HeartPlace, PA Baylor Scott & White Legacy Heart 701 Tuscan Dr Ste 205 Médicos de cuidado especializado y otros proveedores 7150 N President George Bush Center Irving, TX 75039 Tpke Ste 206 7217 Telecom Pkwy Ste 205 (972) 253-2505 Garland, TX 75044 Garland, TX 75044-2203 (218) 841-2000 (469) 800-6300 Rothkopf, Michael , MD Eff 01-Jan-14 Rawitscher, David A, MD Shah, Dhirendra L, MD Cottonwood Cardiology Eff 01-Jan-14 Eff 01-Jan-14 1110 Cottonwood Ln, Ste 105 Baylor Scott & White Legacy Heart Cardiology Consultants of North Irving, TX 75038 Center Dallas, PA (972) 607-2525 7217 Telecom Pkwy Ste 205 700 Walter Reed Blvd, Ste 205 Garland, TX 75044-2203 Garland, TX 75042 Rothkopf, Michael , MD (469) 800-6300 (877) 440-3044 Eff 01-Jan-14 Cottonwood Cardiology Ren, Hao-Yu , MD Shalek, Marc S, MD 1110 Cottonwood Ln, Ste 220 Eff 13-Nov-20 Eff 01-Jan-14 Irving, TX 75038 Baylor Scott & White Legacy Heart Baylor Scott & White Legacy Heart (972) 607-2525 Center Center 7217 Telecom Prkwy Ste 205 7217 Telecom Pkwy Ste 205 Shafiq, Moiz M, MD Garland, TX 75044 Garland, TX 75044-2203 Eff 03-Aug-18 (469) 800-6300 (469) 800-6300 Dallas Cardiology, PLLC 6750 N MacArthur Blvd, Ste 257 Irving, TX 75039-2875 (972) 972-4252 • Languages spoken / Idioma(s) hablado(s): Gujrati

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 98 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Uppalapati, Padmavathy , MD Routh, L Keith, MD Weingarden, Gary I, MD Eff 01-Jan-14 Eff 15-Oct-18 Eff 15-Oct-18 Cottonwood Cardiology HeartPlace, PA HeartPlace, PA 1110 Cottonwood Ln, Ste 105 1675 Republic Pkwy Ste 104 399 W Campbell Rd, Ste 300 Irving, TX 75038 Mesquite, TX 75150 Richardson, TX 75080 (972) 607-2525 (972) 620-9111 (972) 699-3508 Uppalapati, Padmavathy , MD Singh, Sandeep R, MD Berggren, Andrew T, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 10-Aug-15 Cottonwood Cardiology Baylor Scott & White Cardiology Texas Cardiac Associates 1110 Cottonwood Ln, Ste 220 Consultants of Texas - Dalla 341 Wheatfield Dr, Ste 240 Irving, TX 75038 1575 I-30 Sunnyvale, TX 75182 (972) 607-2525 Mesquite, TX 75150 (972) 475-7500 (469) 800-3400 • Languages spoken / Idioma(s) Chalkley, Robin A, MD hablado(s): Spanish Eff 13-Nov-20 Tandon, Anumeha , MD Baylor Scott & White Cardiology Eff 01-Jan-15 Stephenson, Scott K, MD Consultants of Texas - Dallas Baylor Scott & White Cardiology Eff 14-Sep-15 1575 I30 Consultants of Texas - Dalla Texas Cardiac Associates Mesquite, TX 75150 1575 I-30 341 Wheatfield Dr, Ste 240 (469) 800-3400 Mesquite, TX 75150 Sunnyvale, TX 75182 (469) 800-3400 (972) 475-7500 Khan, Mohammad N, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 Viqar-Syed, Maria , MD hablado(s): Spanish Mohammad N Khan, MD Eff 08-Sep-17 Specialty Care Physicians & Other Providers/ 1600 Republic Parkway Ste 100 Southwest Cardiology Toledo, Yeraldine , MD Mesquite, TX 75150 5308 N Galloway Ave, Ste 100 Eff 10-Aug-15 (972) 270-7005 Mesquite, TX 75150 Texas Cardiac Associates Médicos de cuidado especializado y otros proveedores (972) 226-0505 341 Wheatfield Dr, Ste 240 Ong, Daniel S, MD Sunnyvale, TX 75182 Eff 30-Jun-18 Burak, Joshua M, MD (972) 475-7500 Southwest Cardiology Eff 15-Oct-18 • Languages spoken / Idioma(s) 5308 N Galloway Ave, Ste 100 HeartPlace, PA hablado(s): Spanish Mesquite, TX 75150 3001 E. President George Bush (972) 226-0505 Highway, Suite 175 Woodham, Ryan M, MD Richardson, TX 75082 Eff 10-Aug-15 Parr, Norvin G, MD (214) 635-5701 Texas Cardiac Associates Eff 01-Jan-19 341 Wheatfield Dr, Ste 240 Dallas Medical Physician Group Phung, Neil N, MD Sunnyvale, TX 75182 5308 N Galloway Ave, Ste 100 Eff 01-Oct-15 (972) 475-7500 Mesquite, TX 75150 Texas Cardiology Associates (972) 226-0505 275 W Campbell Rd Ste 120 Berggren, Andrew T, MD Richardson, TX 75080 Eff 10-Aug-15 Patterson, Brent A, MD (214) 393-6877 Texas Cardiac Associates Eff 13-Apr-15 • Languages spoken / Idioma(s) 611 S Hwy 78, Ste 102 HeartPlace, PA hablado(s): Vietnamese Wylie, TX 75098 1675 Republic Pkwy Ste 104 (972) 475-7500 Mesquite, TX 75150 Rahimizadeh, Hootan , MD • Languages spoken / Idioma(s) (972) 620-9111 Eff 15-Oct-18 hablado(s): Spanish HeartPlace, PA 399 W Campbell Rd, Ste 300 Richardson, TX 75080 (972) 699-3508

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 99 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Stephenson, Scott K, MD Cianci, Christopher B, DO Mottl, Steven D, DO Eff 14-Sep-15 Eff 05-Oct-15 Eff 05-Oct-15 Texas Cardiac Associates Denton Heart Group, PA Denton Heart Group, PA 611 S Hwy 78, Ste 102 3333 Colorado Blvd 3341 Unicorn Lake Blvd Wylie, TX 75098 Denton, TX 76210 Denton, TX 76210 (972) 475-7500 (940) 382-8080 (817) 912-8400 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Evans, Matthew R, MD hablado(s): Spanish Eff 09-Nov-15 Toledo, Yeraldine , MD Baylor Scott & White Arrhythmia Park, Robert C, MD Eff 10-Aug-15 Management, PA Eff 05-Oct-15 Texas Cardiac Associates 3341 Unicorn Lake Blvd Denton Heart Group, PA 611 S Hwy 78, Ste 102 Denton, TX 76210 3333 Colorado Blvd Wylie, TX 75098 (469) 800-4540 Denton, TX 76210 (972) 475-7500 • Languages spoken / Idioma(s) (940) 382-8080 • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Shah, Manisha J, MD Fazio, Gary P, MD Eff 01-Oct-17 Woodham, Ryan M, MD Eff 05-Oct-15 Manisha Shah MD PA Eff 10-Aug-15 Denton Heart Group, PA 3537 S I35 E, Ste 220 Texas Cardiac Associates 3333 Colorado Blvd Denton, TX 76210-6813 611 S Hwy 78, Ste 102 Denton, TX 76210 (940) 765-8484 Wylie, TX 75098 (940) 382-8080 (972) 475-7500 Sontineni, Siva P, MD Harris, Ricky L, DO Eff 20-Feb-17 Specialty Care Physicians & Other Providers/ Denton County | Condado de Eff 05-Oct-15 Radiant Heart & Vascular Care Denton Heart Group, PA 802 Bonnie Brae St, Ste 104 Médicos de cuidado especializado y otros proveedores Denton 3333 Colorado Blvd Denton, TX 76201 Denton, TX 76210 (469) 645-1155 Kaplan, Jeffrey , MD (940) 382-8080 • Languages spoken / Idioma(s) Eff 05-Oct-15 hablado(s): Hindi Denton Heart Group, PA Kaplan, Jeffrey , MD 4325 Josey Ln Ste 300 Eff 05-Oct-15 Spiegel, Solomon B, DO Carrollton, TX 75010 Denton Heart Group, PA Eff 27-Apr-19 (940) 382-8080 3333 Colorado Blvd Denton Heart Group, PA Denton, TX 76210 3333 Colorado Blvd Mottl, Steven D, DO (940) 382-8080 Denton, TX 76210 Eff 05-Oct-15 (940) 382-8080 Denton Heart Group, PA Korlakunta, Hema L, MD 1438 W Hebron Parkway, Ste 110 Eff 15-Nov-16 Evans, Matthew R, MD Carrollton, TX 75010-6319 Apex Heart Care of North Texas Eff 09-Nov-15 (817) 912-8400 2245 Brinker Rd, Ste 100 Baylor Scott & White Arrhythmia • Languages spoken / Idioma(s) Denton, TX 76208 Management, PA hablado(s): Spanish (940) 312-6262 4421 Long Prairie Rd, Ste 100 Flower Mound, TX 75028 Mottl, Steven D, DO Mottl, Steven D, DO (469) 800-4540 Eff 05-Oct-15 Eff 05-Oct-15 • Languages spoken / Idioma(s) Denton Heart Group, PA Denton Heart Group, PA hablado(s): Spanish 4333 N Josey Ln, Ste 104 3333 Colorado Blvd Carrollton, TX 75010 Denton, TX 76210 (940) 382-8080 (940) 382-8080 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 100 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Fazio, Gary P, MD Shafiq, Moiz M, MD Choi, Sharon , MD Eff 05-Oct-15 Eff 03-Aug-18 Eff 01-Sep-17 Denton Heart Group, PA Dallas Cardiology, PLLC Baylor Scott & White Cardiology 4421 Long Prairie Rd Ste 200 475 W Elm St, Ste 201 Consultants of Texas - Dalla Flower Mound, TX 75028 Lewisville, TX 75057-3762 1305 W Jefferson, Ste 100 (940) 382-8080 (972) 972-4252 Waxahachie, TX 75165 • Languages spoken / Idioma(s) (469) 800-9400 Gilada, Daniel R, MD hablado(s): Gujrati Eff 06-Sep-19 Parmar, Rohit J, MD Cardiovascular Consultants - Ellis County | Condado de Ellis Eff 01-Jan-14 Flower Mound Baylor Scott & White Cardiology 4421 Long Prairie Rd, Ste 200 Sullivan, Margaret , MD Consultants of Texas - Dalla Flower Mound, TX 75028 Eff 15-Oct-17 1305 W Jefferson, Ste 100 (469) 800-1030 Private Practice Waxahachie, TX 75165 (469) 800-9400 Hecht, Phillip J, MD 802 W Lampasas St Ennis, TX 75119-4536 • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Gujrati Cardiovascular Consultants of (972) 875-4700 North Texas Bellomo, Joseph F, MD Rao, Praveen K, MD 4421 Long Prairie Rd, Ste 200 Eff 15-Oct-18 Eff 07-Jul-17 Flower Mound, TX 75028 HeartPlace, PA Baylor Scott & White Cardiology (469) 800-1030 307 E Ovilla Rd, Ste 600 Consultants of Texas - Dalla Red Oak, TX 75154 1305 W Jefferson, Ste 100 Mottl, Steven D, DO Waxahachie, TX 75165 Eff 05-Oct-15 (469) 437-3344 (469) 800-9400 Specialty Care Physicians & Other Providers/ Denton Heart Group, PA Ficula, Robert E, DO 4421 Long Prairie Rd, Ste 200 Eff 15-Oct-18 Grayson County | Condado de Médicos de cuidado especializado y otros proveedores Flower Mound, TX 75028 HeartPlace, PA Grayson (940) 382-8080 307 E Ovilla Rd, Ste 600 • Languages spoken / Idioma(s) Red Oak, TX 75154 hablado(s): Spanish Evans, Matthew R, MD (469) 437-3344 Eff 09-Nov-15 Hecht, Phillip J, MD Ayad, Ramy F, MD Baylor Scott & White Arrhythmia Eff 01-Jan-14 Eff 12-Aug-17 Management, PA Cardiovascular Consultants of Baylor Scott & White Cardiology 5026 Pool Rd North Texas Consultants of Texas - Dalla Denison, TX 75020 2900 Village Pkwy, Ste 300 1305 W Jefferson, Ste 100 (469) 800-4540 Highland Village, TX 75077 Waxahachie, TX 75165 • Languages spoken / Idioma(s) (817) 912-8400 (469) 800-9400 hablado(s): Spanish • Languages spoken / Idioma(s) Korlakunta, Hema L, MD Hill County | Condado de Hill Eff 15-Nov-16 hablado(s): Spanish Apex Heart Care of North Texas Chalkley, Robin A, MD Attai, Sherwin F, MD 475 W Elm St, Ste 201 Eff 13-Nov-20 Eff 01-Jan-14 Lewisville, TX 75057 Baylor Scott & White Cardiology Waco Cardiology Associates (940) 312-6262 Consultants of Texas - Dallas 1321 East Franklin 1305 W Jefferson St Ste 100 Hillsboro, TX 76645-2621 Waxahachie, TX 75165 (254) 399-5400 (469) 800-9400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 101 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Barnett, Brian C, MD Skeen, Shawn J, MD Shoultz, Charles , MD Eff 01-Aug-16 Eff 09-Sep-14 Eff 01-Jan-14 Waco Cardiology Associates Waco Cardiology Associates Waco Cardiology Associates 1321 East Franklin 1321 East Franklin 202 East Jefferson Hillsboro, TX 76645-2621 Hillsboro, TX 76645-2621 Whitney, TX 76692-2398 (254) 399-5400 (254) 399-5400 (254) 399-5400 Cross, Donald S, MD Attai, Sherwin F, MD Skeen, Shawn J, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 09-Sep-14 Waco Cardiology Associates Waco Cardiology Associates Waco Cardiology Associates 1321 East Franklin 202 East Jefferson 202 East Jefferson Hillsboro, TX 76645-2621 Whitney, TX 76692-2398 Whitney, TX 76692-2398 (254) 399-5400 (254) 399-5400 (254) 399-5400

Day, Andrew K, MD Barnett, Brian C, MD Hood County | Condado de Eff 01-Jan-14 Eff 01-Aug-16 Waco Cardiology Associates Waco Cardiology Associates Hood 1321 East Franklin 202 East Jefferson Hillsboro, TX 76645-2621 Whitney, TX 76692-2398 Overbeck, John D, MD (254) 399-5400 (254) 399-5400 Eff 22-Oct-20 HeartPlace PA Falcone, Adam , MD Cross, Donald S, MD 1200 Crawford Ave Ste A Eff 21-Jul-15 Eff 01-Jan-14 Granbury, TX 76048 Waco Cardiology Associates Waco Cardiology Associates (972) 253-2505 1321 East Franklin 202 East Jefferson Specialty Care Physicians & Other Providers/ Hillsboro, TX 76645-2621 Whitney, TX 76692-2398 Hunt County | Condado de (254) 399-5400 (254) 399-5400 Médicos de cuidado especializado y otros proveedores Hunt Myatt, James P, MD Day, Andrew K, MD Eff 15-Jan-14 Eff 01-Jan-14 Chalkley, Robin A, MD Waco Heart & Vascular Waco Cardiology Associates Eff 13-Nov-20 1323 E Franklin, Ste 103 202 East Jefferson Baylor Scott & White Cardiology Hillsboro, TX 76645 Whitney, TX 76692-2398 Consultants of Texas - Dallas (254) 235-9355 (254) 399-5400 4211 Joe Ramsey Blvd Ste 108 Greenville, TX 75401 Pitts, William R, MD Falcone, Adam , MD (469) 800-3400 Eff 01-Jan-14 Eff 21-Jul-15 Waco Cardiology Associates Waco Cardiology Associates French, Christopher J, MD 1321 East Franklin 202 East Jefferson Eff 01-Sep-17 Hillsboro, TX 76645-2621 Whitney, TX 76692-2398 Baylor Scott & White Cardiology (254) 399-5400 (254) 399-5400 Consultants of Texas - Dalla 4211 Joe Ramsey Blvd, Ste 108 Shoultz, Charles , MD Pitts, William R, MD Greenville, TX 75401 Eff 01-Jan-14 Eff 01-Jan-14 (469) 800-3400 Waco Cardiology Associates Waco Cardiology Associates 1321 East Franklin 202 East Jefferson Sills, Michael N, MD Hillsboro, TX 76645-2621 Whitney, TX 76692-2398 Eff 01-Jan-14 (254) 399-5400 (254) 399-5400 Baylor Scott & White Cardiology Consultants of Texas - Dalla 4211 Joe Ramsey Blvd Ste 108 Greenville, TX 75401 (469) 800-3400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 102 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Valentine, Shyla T, MD Kaufman County | Condado de Khammar, George S, MD Eff 01-Jan-14 Eff 13-Feb-17 Baylor Scott & White Cardiology Kaufman Heart Center of North Texas, PA Consultants of Texas - Dalla 920 Hilltop 4215 Joe Ramsey Blvd, Ste 108 Rosenthal, Robert L, MD Weatherford, TX 76086--571 Greenville, TX 7540 Eff 01-Jan-14 (817) 613-9082 Greenville, TX 75401 Cardiology Associates (469) 800-3400 200 N Virginia St Malik, Amir Z, MD Terrell, TX 75160 Eff 13-Feb-17 Johnson County | Condado de (469) 800-3370 Heart Center of North Texas, PA 920 Hilltop Johnson Navarro County | Condado de Weatherford, TX 76086--571 (817) 613-9082 Cristol, Louis S, MD Navarro Eff 01-Jan-14 Mott, Lorren C, MD Fort Worth Heart, PA Bellomo, Joseph F, MD Eff 13-Feb-17 11807 South Fwy, Ste 365 Eff 15-Oct-18 Heart Center of North Texas, PA Burleson, TX 76028 HeartPlace, PA 920 Hilltop (817) 338-1300 301 Hospital Dr, Ste 130 Weatherford, TX 76086--571 • Languages spoken / Idioma(s) Corsicana, TX 75110 (817) 613-9082 hablado(s): Spanish (903) 872-6262 Newman, Stephen D, MD Patel, Deepak H, MD Shafiq, Moiz M, MD Eff 09-Jan-17 Eff 01-Jul-14 Eff 03-Aug-18 Heart Center of North Texas, PA HeartPlace, PA Dallas Cardiology, PLLC 920 Hilltop Specialty Care Physicians & Other Providers/ 11803 S Fwy, Ste 310 301 Hospital Dr, Ste 140 Weatherford, TX 76086--571 Burleson, TX 76028 Corsicana, TX 75110-2471 (817) 613-9082 (817) 293-8441 (972) 972-4252 Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Varughese, Cyril A, DO Prasad, Amit , MD hablado(s): Gujrati Eff 07-Mar-19 Eff 01-Jan-14 Heart Center of North Texas, PA Fort Worth Heart, PA Parker County | Condado de 920 Hilltop 11807 South Fwy, Ste 365 Parker Weatherford, TX 76086- Burleson, TX 76028 (817) 613-9082 (817) 338-1300 Ali, Farhan , MD • Languages spoken / Idioma(s) Eff 09-Jan-17 Rockwall County | Condado de hablado(s): Spanish Heart Center of North Texas, PA Rockwall Rios, Alvaro S, MD 920 Hilltop Eff 01-Jan-14 Weatherford, TX 76086--571 Berggren, Andrew T, MD Fort Worth Heart, PA (817) 613-9082 Eff 10-Aug-15 11807 South Fwy, Ste 365 • Languages spoken / Idioma(s) Texas Cardiac Associates Burleson, TX 76028 hablado(s): Spanish 3142 Horizon Rd, Ste 200 (817) 338-1300 Rockwall, TX 75032 Chakilam, Srujana , MD • Languages spoken / Idioma(s) (972) 475-7500 Eff 13-Feb-17 hablado(s): Spanish • Languages spoken / Idioma(s) Heart Center of North Texas, PA hablado(s): Spanish 920 Hilltop Weatherford, TX 76086--571 (817) 613-9082

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 103 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lofthus, David M, MD Toledo, Yeraldine , MD Fisher, Russell G, DO Eff 13-Jul-15 Eff 10-Aug-15 Eff 15-Aug-16 Baylor Scott & White Cardiology Texas Cardiac Associates Fisher Cardiology and Consultants of Texas - Dalla 6257 FM 2642, Ste 100 Electrophysiology 1975 Alpha Dr, Ste 204 Royse City, TX 75189 1305 Airport Frwy, Ste 424 Rockwall, TX 75087 (972) 475-7500 Bedford, TX 76021 (469) 800-3350 • Languages spoken / Idioma(s) (817) 510-1060 hablado(s): Spanish Stephenson, Scott K, MD Moustapha, Ali I, MD Eff 14-Sep-15 Woodham, Ryan M, MD Eff 01-Jul-14 Texas Cardiac Associates Eff 10-Aug-15 HeartPlace, PA 3142 Horizon Rd, Ste 200 Texas Cardiac Associates 1604 Hospital Pkwy, Ste 301 Rockwall, TX 75032 6257 FM 2642, Ste 100 Bedford, TX 76022 (972) 475-7500 Royse City, TX 75189 (817) 684-9970 • Languages spoken / Idioma(s) (972) 475-7500 hablado(s): Spanish Rashdan, Iyad , MD Tarrant County | Condado de Eff 01-Jul-14 Toledo, Yeraldine , MD HeartPlace, PA Eff 10-Aug-15 Tarrant 1604 Hospital Pkwy, Ste 301 Texas Cardiac Associates Bedford, TX 76022 3142 Horizon Rd, Ste 200 Lenhoff, Stephen J, MD (817) 684-9970 Rockwall, TX 75032 Eff 01-Jul-14 (972) 475-7500 HeartPlace, PA Arora, Neeraj , MD • Languages spoken / Idioma(s) 902 W Randol Mill Rd, Ste 200 Eff 15-Nov-16 Arlington, TX 76012 Heartcare Specialty Care Physicians & Other Providers/ hablado(s): Spanish (817) 461-3003 5207 Heritage Ave Woodham, Ryan M, MD Colleyville, TX 76034 Médicos de cuidado especializado y otros proveedores Eff 10-Aug-15 Mitchell, Michael R, MD (817) 310-5840 Texas Cardiac Associates Eff 16-Aug-16 • Languages spoken / Idioma(s) 3142 Horizon Rd, Ste 200 HeartPlace, PA hablado(s): Hindi Rockwall, TX 75032 400 W Arbrook blvd, Ste 200 (972) 475-7500 Arlington, TX 76014-3176 Ali, Farhan , MD (817) 784-1238 Eff 09-Jan-17 Berggren, Andrew T, MD Heart Center of North Texas, PA Eff 10-Aug-15 Teng, Mark P, MD 1017 12th Ave Texas Cardiac Associates Eff 01-Jul-14 Fort Worth, TX 76104 6257 FM 2642, Ste 100 HeartPlace, PA (817) 334-2800 Royse City, TX 75189 902 W Randol Mill Rd, Ste 200 • Languages spoken / Idioma(s) (972) 475-7500 Arlington, TX 76012 hablado(s): Spanish • Languages spoken / Idioma(s) (817) 461-3003 hablado(s): Spanish Chakilam, Srujana , MD Vignale, Steven J, MD Eff 13-Feb-17 Stephenson, Scott K, MD Eff 15-Oct-18 Heart Center of North Texas, PA Eff 14-Sep-15 HeartPlace, PA 1017 12th Ave Texas Cardiac Associates 400 W Arbrook Blvd, Ste 200 Fort Worth, TX 76104 6257 FM 2642, Ste 100 Arlington, TX 76014 (817) 334-2800 Royse City, TX 75189 (817) 468-2028 (972) 475-7500 Chandraprakasam, Satish , MD Wray, Richard A, MD • Languages spoken / Idioma(s) Eff 21-Oct-16 Eff 01-Jul-14 hablado(s): Spanish Primary Care Associates of Texas HeartPlace, PA 1001 Pennsylvania Ave 902 W Randol Mill Rd, Ste 200 Fort Worth, TX 76104 Arlington, TX 76012 (817) 877-5858 (817) 461-3003

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 104 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Farah, Fahmi J, MD Mundluru, Giridhar , MD Jain, Vikas C, MD Eff 01-May-19 Eff 01-Jan-14 Eff 01-Jan-14 Bentley Heart Tarrant County Cardiology Cardiovascular Consultants 7100 Oakmont Blvd Ste 201 844 Pennsylvania Ave 2020 W Hwy 114, Ste 200 Fort Worth, TX 76132 Fort Worth, TX 76104 Grapevine, TX 76051 (817) 798-8192 (817) 336-4278 (817) 912-8400 Gohar, Salman , MD Nair, Chandrasekharan , MD Korlakunta, Hema L, MD Eff 04-Oct-19 Eff 20-Feb-17 Eff 15-Nov-16 Baylor Scott & White Advanced Primary Care Associates of Texas Apex Heart Care of North Texas Heart Failure - Baylor All Saints 909 9th Ave, Ste 400 1601 Lancaster Dr, 20B 1250 8th Ave, Ste 200 Fort Worth, TX 76104-3932 Grapevine, TX 76051 Fort Worth, TX 76104 (817) 877-4105 (940) 312-6262 (817) 912-8242 • Languages spoken / Idioma(s) hablado(s): Spanish Lawson, John W, MD James, George C, MD Eff 01-Jan-14 Eff 01-Jan-14 Newman, Stephen D, MD Cardiovascular Consultants Fort Worth Heart, PA Eff 09-Jan-17 2020 W Hwy 114, Ste 200 4601 Boat Club Rd, Ste 125 Heart Center of North Texas, PA Grapevine, TX 76051 Fort Worth, TX 76135 1017 12th Ave (817) 912-8400 (817) 338-1300 Fort Worth, TX 76104 (817) 334-2800 Malik, Amyn , MD Khammar, George S, MD Eff 01-Sep-15 Eff 13-Feb-17 Patel, Naresh H, MD Amyn Malik, MD, PA Heart Center of North Texas, PA Eff 01-Sep-20 4100 Heritage Ave, Ste 102 Specialty Care Physicians & Other Providers/ 1017 12th Ave Privia Medical Group North Texas Grapevine, TX 76051-5714 Fort Worth, TX 76104 800 8th Ave, Ste 632 (469) 251-0589 (817) 334-2800 Fort Worth, TX 76104 • Languages spoken / Idioma(s) Médicos de cuidado especializado y otros proveedores (817) 877-3446 hablado(s): Indian Liao, Lianxi F, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Gujrati Mottl, Steven D, DO Fort Worth Heart, PA Eff 05-Oct-15 6100 Harris Pkwy, Ste 1230 Arora, Neeraj , MD Denton Heart Group, PA Fort Worth, TX 76132 Eff 15-Nov-16 2020 W Hwy 114, Ste 200 (817) 338-1300 Heartcare Grapevine, TX 76051-8658 • Languages spoken / Idioma(s) 1600 W College St, Ste 620 (817) 912-8400 hablado(s): Chinese Grapevine, TX 76051 • Languages spoken / Idioma(s) (817) 310-5840 hablado(s): Spanish Malik, Amir Z, MD • Languages spoken / Idioma(s) Eff 13-Feb-17 hablado(s): Hindi Theleman, Kevin , MD * Heart Center of North Texas, PA Eff 01-Jan-14 1017 12th Ave Feingold, Richard J, DO Cardiovascular Consultants Fort Worth, TX 76104 Eff 01-Jan-14 2020 W Hwy 114, Ste 200 (817) 334-2800 Cardiovascular Consultants Grapevine, TX 76051 2020 W Hwy 114, Ste 200 (817) 912-8400 Mott, Lorren C, MD Grapevine, TX 76051 Eff 13-Feb-17 (817) 912-8400 Waller, Thomas , MD Heart Center of North Texas, PA Eff 01-Jan-14 1017 12th Ave Hecht, Phillip J, MD Cardiovascular Consultants Fort Worth, TX 76104 Eff 01-Jan-14 2020 W Hwy 114, Ste 200 (817) 334-2800 Cardiovascular Consultants Grapevine, TX 76051 2020 W Hwy 114, Ste 200 (817) 912-8400 Grapevine, TX 76051 (817) 912-8400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 105 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Shilling, Steven L, MD Taylor II, Alan M, MD Kalidindi, Vishnu V, MD Eff 01-Dec-19 Eff 15-Oct-18 Eff 01-Oct-15 DiagnosTEX Consultants PLLC Cardiology Partners, LLP Frisco Heart and Vascular Institute 500 Grapevine Hwy, Ste 106 851 US HWY 287 8000 Warren Pkwy, Bldg 1, Ste Hurst, TX 76054-2707 Mansfield, TX 76063-2634 104 (817) 514-6271 (817) 842-2500 Frisco, TX 75034 • Languages spoken / Idioma(s) (469) 362-6543 Feingold, Richard J, DO hablado(s): Spanish Eff 01-Jan-14 Kamili, Fayak , MD Baylor Scott & White Arrhythmia Moustapha, Ali I, MD Eff 20-Sep-19 Management Eff 01-Jul-14 Crescent Cardiology Associates 620 S Main St, Ste 240 HeartPlace, PA 4401 Coit Rd Ste 301 Keller, TX 76248-4960 1545 E Southlake Blvd, Ste 250 Frisco, TX 75034 (817) 912-8060 Southlake, TX 76092 (972) 379-7129 (682) 223-9112 Hall, Randall S, DO Kamili, Fayak , MD Eff 06-Jan-14 Rashdan, Iyad , MD Eff 20-Sep-19 Baylor Scott & White Arrhythmia Eff 01-Jul-14 Crescent Cardiology Associates Management HeartPlace, PA 5150 Warren Pkwy Ste 700B 620 S Main St, Ste 240 1545 E Southlake Blvd, Ste 250 Frisco, TX 75034 Keller, TX 76248-4960 Southlake, TX 76092 (972) 379-7129 (817) 912-8060 (682) 223-9112 Kindsvater, Steve , MD Jain, Vikas C, MD Wise County | Condado de Eff 09-Nov-15 Eff 01-Jan-14 Baylor Scott & White McKinney Specialty Care Physicians & Other Providers/ Baylor Scott & White Arrhythmia Wise Heart Associates Management 8000 Warren Parkway, Ste 104 Médicos de cuidado especializado y otros proveedores 601 S Main St, Ste 200 Finkelstein, Jason S, MD Frisco, TX 75034-2225 Keller, TX 76248-7028 Eff 01-Jan-14 (469) 800-6500 (817) 912-8060 Advanced Heart Care, PA 2401 S FM 51, Ste 200 Stone, Sabrina , MD Patel, Sneha , MD Decatur, TX 76234 Eff 01-Jan-14 Eff 15-Oct-18 (940) 627-0044 Cardiovascular Consultants of HeartPlace, PA • Languages spoken / Idioma(s) North Texas 2800 E. Broad St. Suite 204 hablado(s): Spanish 3800 Gaylord Pkwy Ste 910 Mansfield, TX 76063 Frisco, TX 75034 (817) 779-3178 Cardiology - Interventional/ (469) 800-4400 Cardiología – Intervencionista Richardson, James A, MD Khan, Muhammad A, MD Eff 15-Oct-18 Collin County | Condado de Eff 01-Apr-15 Cardiology Partners, LLP Cardiac Center of Texas, PA 851 US HWY 287 Collin 4201 Medical Center Dr, Ste 380 Mansfield, TX 76063-2634 McKinney, TX 75069 (817) 842-2500 Ammar, Richard F, MD (972) 529-6939 • Languages spoken / Idioma(s) Eff 02-Mar-18 • Languages spoken / Idioma(s) hablado(s): Spanish HeartPlace, PA hablado(s): Urdu 1105 Central Expy, Ste 2330 Siddiqui, Khadija , DO Allen, TX 75013-6116 Kindsvater, Steve , MD Eff 15-Oct-18 (972) 649-6511 Eff 09-Nov-15 HeartPlace, PA Baylor Scott & White McKinney 2800 E. Broad St. Suite 204 Heart Associates Mansfield, TX 76063 5236 W University Dr, Ste 4900 (817) 779-3178 McKinney, TX 75071-8185 (469) 800-6100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 106 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kindsvater, Steve , MD Morales, Philip A, MD Sayfo, Sameh , MD Eff 09-Nov-15 Eff 01-Jan-14 Eff 13-Jul-15 Baylor Scott & White McKinney Baylor Scott & White Legacy Heart Baylor Scott & White Legacy Heart Heart Associates Center Center 6800 State Hwy 121 5425 W Spring Creek Pkwy, Ste 6601 Preston Rd McKinney, TX 75070 260 Plano, TX 75024-2502 (469) 800-6500 Plano, TX 75024 (469) 800-6300 (469) 326-3400 Marshall, Winston S, MD Singh, Bhupinder , MD Eff 25-May-19 Patel, Rikesh , MD Eff 15-Dec-16 Baylor Scott & White McKinney Eff 11-Nov-14 Bhunpinder Singh MD PA Heart Associates HeartPlace, PA 1600 Coit Rd Ste 207 5236 W University Dr, Ste 4900 3801 W 15th St, Bldg B Ste 320 Plano, TX 75075 McKinney, TX 75071-8185 Plano, TX 75075 (972) 612-0388 (469) 800-6100 (972) 985-8838 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Hindi Weiss, Martin S, DO hablado(s): Spanish Eff 01-Jan-14 Thomas, Sibi P, DO Baylor Scott & White McKinney Pettijohn, Trent L, MD Eff 16-Aug-19 Heart Associates Eff 01-Jan-14 Advanced Heart Care, PA 5236 W University Dr Ste 4900 Cardiovascular Consultants 4716 Dexter Dr Ste 100 McKinney, TX 75071-8185 6000 W Spring Creek Pkwy Ste Plano, TX 75093 (469) 800-6100 220 (469) 326-2636 Plano, TX 75024 Al-Azizi, Karim M, MD Varma, Jai , MD (469) 800-4400 Specialty Care Physicians & Other Providers/ Eff 27-Apr-19 Eff 01-Jan-14 Baylor Scott & White Legacy Heart Potluri, Srinivasa P, MD Advanced Heart Care, PA Center Eff 01-Jan-14 4708 Alliance Blvd, Ste 650 Médicos de cuidado especializado y otros proveedores 6601 Preston Rd Baylor Scott & White Legacy Heart Plano, TX 75093-5319 Plano, TX 75024-2502 Center (469) 326-2636 (469) 800-6300 5425 W Spring Creek Pkwy Ste • Languages spoken / Idioma(s) 260 hablado(s): Spanish Ammar, Richard F, MD Plano, TX 75024 Eff 02-Mar-18 (469) 326-3400 Wurzburg, Donald D, MD HeartPlace, PA Eff 01-Jan-14 6124 W Parker Rd, Ste 536 Potluri, Srinivasa P, MD Advanced Heart Care, PA Plano, TX 75093-8137 Eff 01-Jan-14 4716 Dexter Dr Ste 100 (972) 378-9560 Baylor Scott & White Legacy Heart Plano, TX 75093 Center (469) 326-2636 Dao, Timothy , MD 6601 Preston Rd • Languages spoken / Idioma(s) Eff 08-Nov-16 Plano, TX 75024-2502 hablado(s): Spanish HeartPlace, PA (469) 800-6300 3801 W 15th St, Bldg B Ste 320 Dallas County | Condado de Plano, TX 75075 Ramanath, Vijay S, MD (972) 985-8838 Eff 09-Feb-15 Dallas HeartPlace, PA Dib, Chadi , MD 6124 W Parker Rd, Ste 432 Arora, Neeraj , MD Eff 01-Sep-17 Plano, TX 75093 Eff 15-Nov-16 Baylor Scott & White Legacy Heart (972) 378-9560 Heartcare Center 722 S Denton Tapp Rd 6601 Preston Rd Coppell, TX 75019 Plano, TX 75024-2502 (817) 310-5840 (469) 800-6300 • Languages spoken / Idioma(s) hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 107 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Choi, James W, MD Kosuri, Subba R, MD Vallabhan, Ravi C, MD Eff 01-Jan-14 Eff 06-Apr-20 Eff 01-Jan-14 Baylor Scott & White Cardiology Excel Heart Care, PLLC Baylor Scott & White Cardiology Consultants of Texas - Dalla 1 Medical Pkwy Plaza 1 Ste 103 Consultants of Texas - Dalla 621 N Hall St, Ste 400 Dallas, TX 75234-7830 621 N Hall St, Ste 400 Dallas, TX 75226 (972) 888-7240 Dallas, TX 75226 (469) 800-7400 (469) 800-7400 Posligua, William E, MD Feghali, Georges A, MD Eff 15-Oct-18 Vallabhan, Ravi C, MD Eff 02-Dec-15 Methodist Cardiovascular Eff 01-Jan-14 HeartPlace, PA Consultants Baylor Scott & White Cardiology 3409 Worth St Ste 500 3430 W. Wheatland Road, POB I, Consultants of Texas - Dalla Dallas, TX 75246 Ste 202 9101 N Central Expy, Ste 300C (214)841-2000 Dallas, TX 75238 Dallas, TX 75231 • Languages spoken / Idioma(s) (972) 283-1800 (469) 800-7500 hablado(s): Arabic • Languages spoken / Idioma(s) hablado(s): Spanish Lathia, Viral , MD Gupta, Gaurav , MD Eff 14-Jun-19 Eff 01-Feb-18 Rosol, Zachary P, MD Precision Cardiac and Vascular Dallas Heart and Vascular Eff 13-Nov-20 Care PLLC Consultants Baylor Scott & White Cardiology 2727 Bolton Boone Dr Suite 112 1411 N Beckley Ave, Pavilion III, Consultants of Texas - Dallas Desoto, TX 75115 Ste 474 621 N Hall St Ste 500 (214) 884-7525 Dallas, TX 75203-1267 Dallas, TX 75226 Patel, Manishkumar , MD Specialty Care Physicians & Other Providers/ (214) 942-5511 (469) 800-7400 • Languages spoken / Idioma(s) Eff 15-Oct-18 Schussler, Jeffrey M, MD Precision Cardiac and Vascular

Médicos de cuidado especializado y otros proveedores hablado(s): Hindi Eff 01-Jan-14 Care PLLC Jindal, Vikas , MD Baylor Scott & White Cardiology 2727 Bolton Boone Dr Suite 112 Eff 14-Mar-16 Consultants of Texas - Dalla Desoto, TX 75115 HeartPlace, PA 621 N Hall St, Ste 400 (214) 884-7525 3409 Worth St Ste 500 Dallas, TX 75226 Dallas, TX 75246 (469) 800-7400 Gupta, Gaurav , MD (214)841-2000 • Languages spoken / Idioma(s) Eff 01-Feb-18 hablado(s): Spanish Dallas Heart and Vascular Johnson, Kenneth B, MD Consultants Eff 21-May-20 Stoler, Robert C, MD 916 E Hwy 67 PDP of Texas PLLC Eff 01-Jan-14 Duncanville, TX 75137-2706 12222 Coit Road Ste 102 Baylor Scott & White Cardiology (214) 942-5511 Dallas, TX 75251-2302 Consultants of Texas - Dalla • Languages spoken / Idioma(s) (972) 726-6647 621 N Hall St, Ste 400 hablado(s): Hindi Dallas, TX 75226 Johnson, Kenneth B, MD (469) 800-7400 Lathia, Viral , MD Eff 01-Jan-14 Eff 14-Jun-19 HeartPlace, PA Thomas, Sibi P, DO Trinity Cardiovascular Care, PLLC 3409 Worth St Ste 500 Eff 16-Aug-19 1018 E Wheatland Rd Dallas, TX 75246 Advanced Heart Care, PA Duncanville, TX 75116-491 (214)841-2000 8150 N Central Expy, Ste M1001 (972) 646-1159 Dallas, TX 75206 (214) 221-0022

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 108 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nalluri, Nikhil , MD Potluri, Srinivasa P, MD Snyder, Branden A, MD Eff 12-Jan-20 Eff 01-Jan-14 Eff 07-Feb-17 Trinity Cardiovascular Care, PLLC Baylor Scott & White Legacy Heart Cottonwood Cardiology 1018 E Wheatland Rd Center 1110 Cottonwood Ln Ste 105 Duncanville, TX 75116-491 7217 Telecom Pkwy Ste 205 Irving, TX 75038 (972) 646-1159 Garland, TX 75044-2203 (972) 607-2525 (469) 800-6300 Patel, Manishkumar , MD Snyder, Branden A, MD Eff 15-Oct-18 Sayfo, Sameh , MD Eff 07-Feb-17 Trinity Cardiovascular Care, PLLC Eff 13-Jul-15 Cottonwood Cardiology 1018 E Wheatland Rd Baylor Scott & White Legacy Heart 1110 Cottonwood Ln Ste 210 Duncanville, TX 75116-491 Center Irving, TX 75038 (972) 646-1159 7217 Telecom Pkwy Ste 205 (972) 259-4781 Garland, TX 75044-2203 Al-Azizi, Karim M, MD (469) 800-6300 Yau, James M, MD Eff 27-Apr-19 Eff 01-Jan-14 Baylor Scott & White Legacy Heart Gupta, Gaurav , MD Cottonwood Cardiology Center Eff 01-Feb-18 1110 Cottonwood Ln, Ste 105 7217 Telecom Pkwy Ste 205 Dallas Heart and Vascular Irving, TX 75038 Garland, TX 75044-2203 Consultants (972) 607-2525 (469) 800-6300 820 S Carrier Pkwy • Languages spoken / Idioma(s) Grand Prairie, TX 75051-1517 hablado(s): Cantonese Dib, Chadi , MD (214) 942-5511 Eff 01-Sep-17 • Languages spoken / Idioma(s) Anusionwu, Obiora F, MD Baylor Scott & White Legacy Heart Eff 23-Sep-19 hablado(s): Hindi Specialty Care Physicians & Other Providers/ Center Southwest Cardiology 7217 Telecom Pkwy Ste 205 Manhas, Amit H, MD 5308 N Galloway Ave, Ste 100 Garland, TX 75044-2203 Eff 10-Nov-14 Mesquite, TX 75150 Médicos de cuidado especializado y otros proveedores (469) 800-6300 Cottonwood Cardiology (972) 226-0505 1600 W College Ste 490 Frenkel, Peter A, MD Grand Prairie, TX 75051 Anusionwu, Obiora F, MD Eff 15-Oct-18 (972) 259-4781 Eff 23-Sep-19 HeartPlace, PA Southwest Cardiology 7150 N President George Bush Snyder, Branden A, MD 820 E Cartwright Rd, Ste 100 Tpke Ste 206 Eff 07-Feb-17 Mesquite, TX 75149 Garland, TX 75044 Cottonwood Cardiology (214) 320-7600 (972) 620-9111 1600 W College Ste 490 Grand Prairie, TX 75051 Frenkel, Peter A, MD Morales, Philip A, MD (972) 259-4781 Eff 15-Oct-18 Eff 01-Jan-14 HeartPlace, PA Baylor Scott & White Legacy Heart Manhas, Amit H, MD 1675 Republic Pkwy Ste 104 Center Eff 10-Nov-14 Mesquite, TX 75150 7217 Telecom Pkwy Ste 205 Cottonwood Cardiology (972) 620-9111 Garland, TX 75044-2203 1110 Cottonwood Ln Ste 105 (469) 800-6300 Irving, TX 75038 Gunukula, Srinivas R, MD (972) 607-2525 Eff 13-Jun-17 Parikh, Biren , MD Dallas Medical Physician Group Eff 01-Apr-14 Manhas, Amit H, MD 5308 N Galloway Ave, Ste 100 Heartcare Associates Eff 10-Nov-14 Mesquite, TX 75150 700 Walter Reed Blvd, Ste 301 A Cottonwood Cardiology (972) 226-0505 Garland, TX 75042 1110 Cottonwood Ln Ste 210 (214) 919-3900 Irving, TX 75038 • Languages spoken / Idioma(s) (972) 259-4781 hablado(s): Gujrati

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 109 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Jindal, Vikas , MD Yoon, Dong-Hi A, MD Scherer, David M, MD Eff 14-Mar-16 Eff 10-Aug-15 Eff 01-Jan-14 HeartPlace, PA Texas Cardiac Associates Cardiovascular Consultants of 1675 Republic Pkwy, Ste 104 611 S Hwy 78, Ste 102 North Texas Mesquite, TX 75150 Wylie, TX 75098 2900 Village Pkwy, Ste 300 (972) 620-9111 (972) 475-7500 Highland Village, TX 75077 • Languages spoken / Idioma(s) (817) 912-8400 Rosol, Zachary P, MD hablado(s): Spanish Eff 13-Nov-20 Ellis County | Condado de Ellis Baylor Scott & White Cardiology Denton County | Condado de Consultants of Texas - Dallas Denton Rosol, Zachary P, MD 1575 I30 Eff 13-Nov-20 Mesquite, TX 75150 Baylor Scott & White Cardiology (469) 800-2800 Yau, James M, MD Eff 01-Jan-14 Consultants of Texas - Dallas George, John M, MD Cottonwood Cardiology 1305 W Jefferson St Ste 100 Eff 15-Oct-18 4333 N Josey Ln, Ste 205 Waxahachie, TX 75165 Methodist Richardson Carrollton, TX 75010 (469) 800-9400 Cardiovascular Associates (972) 607-2525 2821 E. President George Bush • Languages spoken / Idioma(s) Hill County | Condado de Hill TPKE, Ste 505 hablado(s): Cantonese Richardson, TX 75082 Havins, Jeremiah D, MD (214) 943-1191 Santos, Raul A, MD Eff 25-Jan-18 Eff 01-Jan-14 Waco Heart & Vascular Mohmand, Asad K, MD Cardiovascular Consultants of

Specialty Care Physicians & Other Providers/ 1323 E Franklin, Ste 103 Eff 15-Oct-18 North Texas Hillsboro, TX 76645 HeartPlace, PA 3341 Unicorn Lake Blvd (254) 235-9355 Médicos de cuidado especializado y otros proveedores 3001 E. President George Bush Denton, TX 76210 Highway, Suite 175 (469) 800-1030 Keylani, Abdul M, MD Richardson, TX 75082 • Languages spoken / Idioma(s) Eff 19-Jun-20 (214) 635-5701 hablado(s): Spanish Waco Heart & Vascular 1323 E Franklin Ste 103 Nguyen, Nhan P, MD Santos, Raul A, MD Hillsboro, TX 76645-2679 Eff 15-Oct-18 Eff 01-Jan-14 (254) 235-9355 HeartPlace, PA Cardiovascular Consultants of 3001 E. President George Bush North Texas Hood County | Condado de Highway, Suite 175 4421 Long Prairie Rd, Ste 200 Hood Richardson, TX 75082 Flower Mound, TX 75028 (214) 635-5701 (469) 800-1030 • Languages spoken / Idioma(s) Miller, Andrew H, MD Yoon, Dong-Hi A, MD hablado(s): Spanish Eff 09-Nov-15 Eff 10-Aug-15 HeartPlace, PA Texas Cardiac Associates Scherer, David M, MD 1200 Crawford Ave, Ste A 341 Wheatfield Dr, Ste 240 Eff 01-Jan-14 Granbury, TX 76048 Sunnyvale, TX 75182 Cardiovascular Consultants of (682) 223-9112 (972) 475-7500 North Texas • Languages spoken / Idioma(s) 4421 Long Prairie Rd, Ste 200 Thamwiwat, Alisa , MD hablado(s): Spanish Flower Mound, TX 75028 Eff 14-Feb-19 (469) 800-1030 HeartPlace, PA 1200 Crawford Ave, Ste A Granbury, TX 76048 (682) 223-9112

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 110 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hunt County | Condado de Jindal, Vikas , MD Tarrant County | Condado de Eff 14-Mar-16 Hunt HeartPlace, PA Tarrant 301 Hospital Dr, Ste 130 Rosol, Zachary P, MD Corsicana, TX 75110 Graceffo, Michael A, MD Eff 13-Nov-20 (903) 872-6262 Eff 15-Oct-18 Baylor Scott & White Cardiology HeartPlace, PA Consultants of Texas - Dallas Parker County | Condado de 400 W Arbrook Blvd, Ste 200 4211 Joe Ramsey Blvd Ste 108 Arlington, TX 76014 Greenville, TX 75401 Parker (817) 468-2028 (469) 800-3400 Mohammed, Akif Azmi , MD Kruger, Mihaela A, MD Johnson County | Condado de Eff 13-Feb-17 Eff 01-Oct-14 Heart Center of North Texas, PA HeartPlace, PA Johnson 920 Hilltop 902 W Randol Mill Rd, Ste 200 Weatherford, TX 76086--571 Arlington, TX 76012 Mehta, Deval , MD (817) 613-9082 (817) 461-3003 Eff 01-Jan-14 Fort Worth Heart, PA Rockwall County | Condado de Lander, Stuart R, MD 11807 South Fwy, Ste 365 Eff 01-Jul-14 Burleson, TX 76028 Rockwall HeartPlace, PA (817) 338-1300 902 West Randol Mill Rd, Ste 200 • Languages spoken / Idioma(s) Vallabhan, Ravi C, MD Arlington, TX 76012 hablado(s): Spanish Eff 01-Jan-14 (817) 461-3003 Baylor Scott & White Cardiology Sharma, Naginder , MD Consultants of Texas - Dalla Miller, Andrew H, MD Specialty Care Physicians & Other Providers/ Eff 01-Jul-16 6435 S FM 549, Ste 201 Eff 09-Nov-15 North Texas Heart & Vascular, Heath, TX 75032 HeartPlace, PA Médicos de cuidado especializado y otros proveedores PLLC (469) 800-7500 1604 Hospital Pkwy, Ste 301 11797 S Fwy, Ste 254 Bedford, TX 76022 Burleson, TX 76028-7035 Yoon, Dong-Hi A, MD (817) 684-9970 (817) 293-8888 Eff 10-Aug-15 Texas Cardiac Associates Thamwiwat, Alisa , MD Mehta, Deval , MD 3142 Horizon Rd, Ste 200 Eff 14-Feb-19 Eff 01-Jan-14 Rockwall, TX 75032 HeartPlace, PA Fort Worth Heart, PA (972) 475-7500 1604 Hospital Pkwy, Ste 301 3521 SW Wilshire Blvd • Languages spoken / Idioma(s) Bedford, TX 76022 Joshua, TX 76058 hablado(s): Spanish (817) 684-9970 (817) 338-1300 • Languages spoken / Idioma(s) Yoon, Dong-Hi A, MD Vidi, Venkatesan , MD hablado(s): Spanish Eff 10-Aug-15 Eff 15-Aug-16 Texas Cardiac Associates Venkatesan D Vidi MD PLLC Navarro County | Condado de 6257 FM 2642, Ste 100 1305 Airport Freeway Royse City, TX 75189 Bedford, TX 76021 Navarro (972) 475-7500 (817) 510-1060 • Languages spoken / Idioma(s) Feghali, Georges A, MD hablado(s): Spanish Arora, Neeraj , MD Eff 02-Dec-15 Eff 15-Nov-16 HeartPlace, PA Heartcare 301 Hospital Dr, Ste 130 5207 Heritage Ave Corsicana, TX 75110 Colleyville, TX 76034 (903) 872-6262 (817) 310-5840 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Arabic hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 111 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bhargava, Sanjay , MD Padala, Arun K, MD Scherer, David M, MD Eff 23-Jun-17 Eff 23-Jun-17 Eff 01-Jan-14 Fort Worth Heart, PA Fort Worth Heart, PA Cardiovascular Consultants 1900 Mistletoe Blvd, Ste 100 1900 Mistletoe Blvd, Ste 100 2020 W Hwy 114, Ste 200 Fort Worth, TX 76104 Fort Worth, TX 76104 Grapevine, TX 76051 (817) 338-1300 (817) 338-1300 (817) 912-8400 Burjonroppa, Sukesh C, MD Simpson, Steve A, MD Stone, Sabrina , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Fort Worth Heart, PA Fort Worth Heart, PA Cardiovascular Consultants 1900 Mistletoe Blvd, Ste 100 1900 Mistletoe Blvd, Ste 100 2020 W Hwy 114 Ste 200 Fort Worth, TX 76104 Fort Worth, TX 76104 Grapevine, TX 76051 (817) 338-1300 (817) 338-1300 (817) 912-8400 • Languages spoken / Idioma(s) hablado(s): Gujrati Simpson, Steve A, MD Fay, Matt , MD Eff 01-Jan-14 Eff 23-Jul-17 D'Souza, Denzil G, MD Fort Worth Heart, PA HeartPlace, PA Eff 01-Jan-14 4900 Boat Club Rd, Ste 125 721 Keller Pkwy, Ste 107B Fort Worth Heart, PA Fort Worth, TX 76135 Keller, TX 76248 1900 Mistletoe Blvd, Ste 100 (817) 338-1300 (817) 284-3915 Fort Worth, TX 76104 (817) 338-1300 Vasenius, Keith , DO Lathia, Viral , MD Eff 21-Oct-16 Eff 14-Jun-19 Kalaria, Vijay G, MD Primary Care Associates of Texas Precision Cardiac and Vascular Eff 01-Jan-14 909 9th Ave, Ste 400 Care PLLC Specialty Care Physicians & Other Providers/ Fort Worth Heart, PA Fort Worth, TX 76104-3932 221 Regency Pkwy, Ste 105 1900 Mistletoe Blvd, Ste 100 (817) 877-4105 Mansfield, TX 76063 Médicos de cuidado especializado y otros proveedores Fort Worth, TX 76104 • Languages spoken / Idioma(s) (214) 884-7525 (817) 338-1300 hablado(s): Spanish • Languages spoken / Idioma(s) Lathia, Viral , MD hablado(s): Gujrati Vasenius, Keith , DO Eff 14-Jun-19 Eff 21-Oct-16 Trinity Cardiovascular Care, PLLC Lander, Stuart R, MD Primary Care Associates of Texas 221 Regency Pkwy, Ste 105 Eff 01-Jul-14 1001 Pennsylvania Ave Mansfield, TX 76063 HeartPlace, PA Fort Worth, TX 76104 (214) 884-7525 1650 Magnolia Ave, Ste 102 (817) 877-5858 Fort Worth, TX 76104 • Languages spoken / Idioma(s) Rao, Gopala-Krishna , MD (817) 922-0439 hablado(s): Spanish Eff 23-Oct-20 HeartPlace PA Mohammed, Akif Azmi , MD Arora, Neeraj , MD 2800 E Broad St Ste 204 Eff 13-Feb-17 Eff 15-Nov-16 Mansfield, TX 76063 Heart Center of North Texas, PA Heartcare (817) 779-3178 1017 12th Ave 1600 W College St, Ste 620 Fort Worth, TX 76104 Grapevine, TX 76051 Rice Jr., Levi A, DO (817) 334-2800 (817) 310-5840 Eff 15-Oct-18 • Languages spoken / Idioma(s) Cardiology Partners, LLP Nair, Sanjeev U, MD hablado(s): Hindi 851 US HWY 287 Eff 26-Feb-18 Mansfield, TX 76063-2634 PPG Health, PA Pettijohn, Trent L, MD (817) 842-2500 909 9th Ave Ste 202 Eff 01-Jan-14 Fort Worth, TX 76104-3916 Cardiovascular Consultants (817) 877-4105 2020 W Hwy 114, Ste 200 • Languages spoken / Idioma(s) Grapevine, TX 76051 hablado(s): Spanish (817) 912-8400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 112 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Saya, Shoaib H, MD Cardiothorasic Surgery/ Cirugía Lackey, Kaitlyn , DCM Eff 15-Oct-18 cardiotorácica Eff 01-Nov-18 Cardiology Partners, LLP Knight Family Chiropractic of Anna 851 US HWY 287 Tarrant County | Condado de LLC Mansfield, TX 76063-2634 1108 W White St, Ste 100 (817) 842-2500 Tarrant Anna, TX 75409 • Languages spoken / Idioma(s) (903) 465-1881 hablado(s): Urdu Vigness, Richard M, MD Eff 01-Jan-14 Talley, Andrea D, DC Vidi, Venkatesan , MD Richard M Vigness, MD Eff 14-Feb-19 Eff 15-Aug-16 1307 8th Ave, Ste 601 Knight Family Chiropractic Venkatesan D Vidi MD PLLC Fort Worth, TX 76104 1108 W White St Ste 100 4351 Booth Calloway Rd Ste 404 (817) 926-3320 Anna, TX 75409 North Richland, TX 76180 (469) 840-4111 (817) 510-1060 Chiropractor/ Quiropráctico Talley, Andrea D, DC Alomar, Anas , MD Eff 23-Sep-19 Collin County | Condado de Eff 21-Nov-16 Knight Family Chiropractic of Anna HeartPlace, PA Collin LLC 4375 Booth Calloway Rd, Ste 400 1108 W White St Ste 100 North Richland Hills, TX 76180- Dizdarevic, Sanio , DC Anna, TX 75409 8365 Eff 07-Oct-19 (469) 840-4111 (817) 284-3915 Knight Family Chiropractic 1108 W White St, Ste 100 Taylor, Andre , DC Fay, Matt , MD Eff 31-Jan-19 Anna, TX 75409 Specialty Care Physicians & Other Providers/ Eff 23-Jul-17 (469) 840-4111 Knight Family Chiropractic HeartPlace, PA 1108 W White St Ste 100 4375 Booth Calloway Rd, Ste 400 Dizdarevic, Sanio , DC Anna, TX 75409 Médicos de cuidado especializado y otros proveedores North Richland Hills, TX 76180- Eff 05-Sep-19 (469) 840-4111 8365 Knight Family Chiropractic of Anna (817) 284-3915 LLC Taylor, Andre , DC 1108 W White Street Ste 100 Eff 23-Sep-19 Patel, Brijesh , MD Anna, TX 75409 Knight Family Chiropractic of Anna Eff 25-May-18 (469) 840-4111 LLC HeartPlace, PA 1108 W White St Ste 100 4375 Booth Calloway Rd, Ste 400 Knight, Ryan L, DC Anna, TX 75409 North Richland Hills, TX 76180- Eff 01-Dec-18 (469) 840-4111 8365 Knight Family Chiropractic (817) 284-3915 1108 W White St Ste 100 Turner, Michael J, DC Anna, TX 75409 Eff 01-Dec-18 Miller, Andrew H, MD (469) 840-4111 Knight Family Chiropractic Eff 09-Nov-15 1108 W White St Ste 100 HeartPlace, PA Knight, Ryan L, DC Anna, TX 75409 1545 E Southlake Blvd, Ste 250 Eff 23-Sep-19 (469) 840-4111 Southlake, TX 76092 Knight Family Chiropractic of Anna (682) 223-9112 LLC Wilson, Shelbi L, DCM 1108 W White St Ste 100 Eff 01-Dec-18 Thamwiwat, Alisa , MD Anna, TX 75409 Knight Family Chiropractic Eff 14-Feb-19 (469) 840-4111 1108 W White St Ste 100 HeartPlace, PA Anna, TX 75409 1545 E Southlake Blvd, Ste 250 (469) 840-4111 Southlake, TX 76092 (682) 223-9112

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 113 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Wilson, Shelbi L, DCM Pilson, Christine M, DCM Cowan, Shane , DCM Eff 15-Aug-19 Eff 01-Jul-18 Eff 01-Feb-16 Knight Family Chiropractic of Anna KC Core McKinney Spine & Wellness LLC 4401 Coit Rd, Ste 403 1824 W Virginia St 3230 S Eisenhower Pkwy Frisco, TX 75035-0516 McKinney, TX 75069 Anna, TX 75409 (214) 295-4321 (214) 491-4944 (469) 840-4111 Richard, Josiah M, DCM Scott, Matthew , DCM Khayal, Husni , DCM Eff 24-May-19 Eff 01-Jun-16 Eff 15-Jul-17 Paul Graves DC, PA Scott Chiropractic and Wellness Premier Health Clinic, PLLC 7500 Stonebrook Pkwy, Ste 103 175 S Ridge Rd Ste 800 4727 Frankford Rd, Ste 305 Frisco, TX 75034-5378 McKinney, TX 75072 Dallas, TX 75287-7145 (972) 377-7117 (972) 540-5445 (972) 713-9355 Smith, Keiland , DCM Baek, Daniel J, DCM Bowden, David C, DCM Eff 01-Jul-18 Eff 15-Feb-18 Eff 15-Feb-17 KC Core Keystone Chiropractic Advanced Medical Pain & 4401 Coit Rd, Ste 403 8604 Preston Rd, Ste 118 Rehabilitation Center, PLLC Frisco, TX 75035-0516 Plano, TX 75024-3319 5300 Town and Country Blvd, Ste (214) 295-4321 (469) 351-7083 190 Frisco, TX 75034-6888 Stutz, Jacob , DCM Baek, Joshua S, DCM (972) 427-3570 Eff 01-Oct-16 Eff 15-Feb-18 Frisco Family & Sports Chiropratic Keystone Chiropractic Chang, William Y, DCM 3535 Victory Group Way Suite 505 8604 Preston Rd, Ste 118 Specialty Care Physicians & Other Providers/ Eff 01-Aug-18 Frisco, TX 75034-8010 Plano, TX 75024-3319 Chiroathletics PLLC (972) 294-5534 (469) 351-7083 Médicos de cuidado especializado y otros proveedores 4401 Coit Rd Suite 403 Frisco, TX 75035-0516 Symmank, Sammuel G, DCM Fulcher, Garland , DCM (214) 295-4321 Eff 15-Sep-17 Eff 01-Sep-17 Back and Body PC Prime Life Chiropractic Graves, Paul , DCM 5757 Warren Pkwy, Ste 110 2504 K Ave, Ste 500 Eff 01-Feb-16 Frisco, TX 75034 Plano, TX 75074 Paul Graves DC, PA (214) 392-6680 (972) 424-2225 7500 Stonebrook Pkwy, Ste 103 Frisco, TX 75034-5378 Wayne, Jason K, DCM Fulcher, Jaclyn , DC (972) 377-7117 Eff 07-Mar-18 Eff 01-Sep-17 Frisco Spinal Rehabilitation Prime Life Chiropractic Kaff, David , DC 3535 Victory Grp Way, Bldg 3, Ste 2504 K Ave, Ste 500 Eff 15-Feb-18 310 Plano, TX 75074 Frisco Spinal Rehabilitation Frisco, TX 75034-6719 (972) 424-2225 3535 Victory Grp Way, Bldg 3, Ste (972) 712-7744 310 Groves, Lance , DCM Frisco, TX 75034-6719 Bowden, David C, DCM Eff 01-Sep-18 (972) 712-7744 Eff 15-Feb-17 Reclaim Physicians Medical Group Advanced Medical Pain & Inc Loughridge, Flint L, MD Rehabilitation Center, PLLC 2120 W Spring Creek Pkwy, Ste B Eff 15-Nov-16 2600 Eldorado Pkwy, Ste 100 Plano, TX 75023-4510 Frisco Chiropractic Center Inc McKinney, TX 75070 (972) 398-6600 8200 Stonebrook Pkwy, Ste 210 (972) 540-6630 Frisco, TX 75034 (972) 335-9733

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 114 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kontaratos, James , DCM Dallas County | Condado de McCormick, Bryan C, DCM Eff 01-Jun-16 Eff 15-May-18 Advanced Chiropractic North Dallas Comfort Rehab PA 4674 MCDermott Rd, Ste 308 950 E Belt Line Rd, Ste 180 Plano, TX 75024 Frye, Derek D, DCM Cedar Hill, TX 75104-2424 (972) 424-4243 Eff 24-Sep-17 (469) 272-7000 East Rehabiliation, PA • Languages spoken / Idioma(s) Nompone, Lad , DCM 16633 N Dallas Pkwy, Ste 150 hablado(s): American Sign Eff 15-May-18 Addison, TX 75001 Language Nompone Enterprises, LLC (972) 380-0000 730 E Park Blvd, Ste 206 Speaks, Kirtland , DCM Plano, TX 75074-8850 Abrinica, Mark N, DCM Eff 24-Nov-16 (972) 881-7272 Eff 01-Jan-17 Expressions Chiropractic & Rehab Carrollton Chiropractic and Center PA Pinner, Richard O, DC Massage PLLC 510 W FM 1382 Eff 01-Sep-20 2810 E Trinity Mills Rd, Ste 203 Cedar Hill, TX 75104-5322 East Plano Chiropractic & Carrollton, TX 75006 (972) 291-4455 Wellness (972) 418-2273 2200 Los Rios Blvd Ste 127 Frye, Derek D, DCM Plano, TX 75074-3478 King, Stacey D, DCM Eff 24-Sep-17 (972) 424-4266 Eff 15-Apr-18 East Rehabiliation, PA Cornerstone 171 N Denton Tap Rd, Ste 200 Pitts, Janet , DCM 1108 S Elm St Coppell, TX 75019 Eff 15-Oct-16 Carrollton, TX 75006-7226 (972) 745-4446 Spring Creek- Coit Chiropractic (469) 359-3958 Specialty Care Physicians & Other Providers/ 4105 W Spring Creek Pkwy, Ste Aragon, Evelia , DCM 510 Bryant, Michael , DCM Eff 24-Nov-17 Plano, TX 75024 Eff 01-Nov-16 Texas Dizziness Centers Médicos de cuidado especializado y otros proveedores (972) 599-9200 Expressions Chiropractic & Rehab 12800 Preston Rd, Ste 100 Center PA Dallas, TX 75230-1367 Villines, Floyd S, DCM 510 W FM 1382 (972) 503-2780 Eff 01-Oct-15 Cedar Hill, TX 75104-5322 Villines Chiropractic (972) 291-4455 Aranda, Alissa , DCM 2200 Los Rios Blvd, Ste 127 Eff 24-Nov-17 Plano, TX 75074 Fowler, Paul L, DCM Texas Dizziness Centers (972) 424-4266 Eff 01-Nov-16 12800 Preston Rd, Ste 100 Expressions Chiropractic & Rehab Dallas, TX 75230-1367 Schmid, Jeremy , DCM Center PA (972) 503-2780 Eff 15-Aug-16 510 W FM 1382 United Pain Associates Medical Cedar Hill, TX 75104-5322 Bryant, Michael , DCM Center (972) 291-4455 Eff 01-Nov-16 712 W Princeton Dr Expressions Chiropractic & Rehab Princeton, TX 75407-9039 Hassell, Kyle , DCM Center PA (972) 734-1400 Eff 15-May-18 4740 W Mockingbird Ln, Ste 100B Comfort Rehab PA Dallas, TX 75209 950 E Belt Line Rd, Ste 180 (214) 613-1210 Cedar Hill, TX 75104-2424 (469) 272-7000 Bryant, Michael , DCM Eff 01-Nov-16 Expressions Chiropractic & Rehab Center PA 601 N Akard St Dallas, TX 75201 (214) 969-6999

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 115 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Collings, Mary , DCM Jones, Richard T, DCM Speaks, Kirtland , DCM Eff 15-Sep-16 Eff 15-Oct-16 Eff 24-Nov-16 Highland Park Spine and Sports KC Core Expressions Chiropractic & Rehab Medicine 7777 Forest Ln, Ste B115 Center PA 6901 Snider Plaza, #140 Dallas, TX 75230-6873 4740 W Mockingbird Ln Ste 100B Dallas, TX 75205-5651 (972) 566-3355 Dallas, TX 75209 (214) 252-0000 (214) 613-1210 LoCascio, Jack , DCM DuChene, Joseph P, DCM Eff 01-Sep-18 Stanley, Robin Charles, DCM Eff 01-Oct-18 LoCascio Care Clinic Eff 15-Apr-18 DuChene Natural Health Center 433 W 12th St First Choice Chiropractic PLLC Dallas, TX 75208-6507 3530 Forest Ln, Ste 50 8200 Brookriver Dr, Ste N702 (214) 943-7799 Dallas, TX 75234-4161 Dallas, TX 75247-4052 • Languages spoken / Idioma(s) (214) 358-3331 (214) 989-6814 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): American Sign Erfani, Kourosh , DCM MacIver, David S, DCM Language Eff 15-Aug-18 Eff 09-Jun-18 Expressions Chiropractic & Rehab Hanks Chiropractor Center Weddle, Bryan N, DCM Center PA 11411 E Northwest Hwy, Ste 107 Eff 01-Jan-17 4740 W Mockingbird Ln, Ste 100B Dallas, TX 75218-1442 Dallas Multidisciplinary Clinic PA Dallas, TX 75209 (214) 343-2225 9669 N Central Expy, Ste 200 (214) 613-1210 Dallas, TX 75231 Petersen, Robert T, DCM (214) 265-9000 Fowler, Paul L, DCM Eff 15-Feb-18 Specialty Care Physicians & Other Providers/ Eff 01-Nov-16 Healthsource of Highland Park Yanayeva, Yevgeniya , DCM Expressions Chiropractic & Rehab 3408 Milton Ave, Univ Pk Eff 01-Mar-18 Médicos de cuidado especializado y otros proveedores Center PA Dallas, TX 75205-1338 Atlast Rehab & Wellness Center 4740 W Mockingbird Ln, Ste 100B (214) 739-2225 13154 Coit Rd, Ste 105 Dallas, TX 75209 Dallas, TX 75240-5787 (214) 613-1210 Samadzada, Farid , DCM (214) 774-4614 Eff 15-Jun-17 • Languages spoken / Idioma(s) Fowler, Paul L, DCM Lakewood Chiropractic Clinic hablado(s): Russian Eff 01-Nov-16 6336 Gaston Ave Expressions Chiropractic of Dallas, Dallas, TX 75214-3926 Kilguss, Beatrice , DCM PC (214) 824-7000 Eff 01-May-16 601 N Akard St Desoto Chiropractic Center Dallas, TX 75201-3303 Savoy, Benjamin , DCM 101 South Lyndalyn Ave (214) 969-6999 Eff 15-Aug-16 Desoto, TX 75115 Savoy Chiropractor (972) 223-2433 Hanks, Ricky , DCM 6434 Mockingbird Ln Ste 201 Eff 01-Jul-16 Dallas, TX 75214-7000 Griffin, Gregory A, DCM Hanks Chiropractor Center (214) 827-4444 Eff 15-Oct-18 11411 E Northwest Hwy, Ste 107 Elite Spine & Sport Dallas, TX 75218-1442 Smith, Keiland , DCM 603 N Cedar Ridge Dr, Ste 300 (214) 343-2225 Eff 01-Jul-18 Duncanville, TX 75116-5300 KC Core (972) 298-2649 Hobbs, Brian K, DC 7777 Forest Ln, Ste C534 Eff 23-Oct-20 Dallas, TX 75230-6849 Hanks Chiropractic Center (972) 566-3355 11411 E Northwest Hwy Ste 107 Dallas, TX 75218-1442 (214) 343-2225

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 116 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Brunk, Darcy E, DCM Conboy, Thomas , DCM Chukhman, Zinovy , DCM Eff 01-Nov-15 Eff 15-Aug-16 Eff 01-Dec-17 Achieve Chiropractic Health Las Colinas Chiropractic PC Alignright Chiropractic, LLC Associates, LLC 7423 Las Colinas Blvd, Ste 100 777 South Central Expy 1606 Wynn Joyce Irving, TX 75063 Richardson, TX 75080 Garland, TX 75043 (972) 401-9100 (972) 907-2800 (972) 303-0683 Longenecker, John , DCM Cobian-Silver, Ana Christina, DCM Cook, Phil , DC Eff 01-Mar-16 Eff 01-Apr-15 Eff 01-Jul-16 Longenecker Chiropractic Center Silver Health Center Cook Chiropractor Center 4301 N MacArthur Blvd, Ste 205 850 S Greenville Ave Ste 104 104 E Centerville Rd Irving, TX 75038 Richardson, TX 750815046 Garland, TX 75041 (972) 254-2225 (972) 644-6336 (972) 864-0999 • Languages spoken / Idioma(s) Adrian, Janet L, DCM Silver, Glen A, DCM hablado(s): Spanish Eff 01-Mar-15 Eff 01-Apr-15 Adrian Chiropractic, PC Silver Health Center Jones, Teresa , DCM 323 S Bryan-Beltline 850 S Greenville Ave, Ste 104 Eff 15-Aug-16 Mesquite, TX 75149-4663 Richardson, TX 75081-5046 Whole Health Chiropractic (972) 288-2225 (972) 644-6336 3930 Naaman School Rd, Ste B • Languages spoken / Idioma(s) Garland, TX 75040 hablado(s): Spanish Tran, Juliette Y, DCM (972) 530-2273 Eff 01-May-17 Doughty, Rhea , DCM Silver Health Center Mixon, James A, DCM Eff 15-Aug-16 850 S Greenville Ave, Ste 104 Specialty Care Physicians & Other Providers/ Eff 01-Jan-17 Private Practice Richardson, TX 75081-5086 Texas Spine & Wellness 2007 N Galloway Ave (972) 644-6336 1919 S Shiloh Rd, Ste 107 Mesquite, TX 75149 Médicos de cuidado especializado y otros proveedores Garland, TX 75042-8234 (972) 285-0010 Dudrow, Joseph G, DCM (972) 840-2520 Eff 02-Nov-18 • Languages spoken / Idioma(s) Draughon, Angela , DCM Southwestern Chiropractic and hablado(s): Spanish Eff 01-Jul-16 Wellness Center Angela Draughon-Preston DC PA 114 S Jackson Ave, Ste 200 Paek, Josh , DCM 2007 North Galloway Ave Wylie, TX 75098-3923 Eff 01-Nov-15 Mesquite, TX 75149 (972) 429-4677 Achieve Chiropractic Health (972) 285-0010 Associates, LLC Reif, Shad , DCM 1606 Wynn Joyce Khodaparast, Roya , DC Eff 15-Sep-16 Garland, TX 75043 Eff 01-Sep-17 Southwestern Chiropractic and (972) 303-0683 Roya Khodaparast, DC Wellness Center • Languages spoken / Idioma(s) 2007 N Galloway 114 S Jackson Ave, Ste 200 hablado(s): Korean Mesquite, TX 75149 Wylie, TX 75098-3923 (972) 285-0010 (972) 429-4677 Walden, Carin , DCM Eff 01-Jun-16 Mihelich, Michael A, DCM Rios, Thomas C, DCM Walden Pain Center LLC Eff 01-Nov-15 Eff 20-Nov-18 2525 S Garland Ave Mihelich Chiropractic Southwestern Chiropractic and Garland, TX 75041 2515 Gus Thomasson Rd Wellness Center (214) 703-9990 Mesquite, TX 75150 114 S Jackson Ave, Ste 200 (972) 279-3663 Wylie, TX 75098-3923 (972) 429-4677

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 117 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Denton County | Condado de Autrey, Lance , DCM Parton, Nickolas K, DC Eff 01-Sep-18 Eff 06-Apr-20 Denton Reclaim Physicians Medical Group The Back & Body Clinic Inc 571 W Main St Ste 100 Brannan, John , DCM 2430 FM 407, Ste B Lewisville, TX 75057-3667 Eff 15-Nov-18 Highland Village, TX 75077-3090 (972) 436-9785 Trinity Integrated Medical (972) 317-3146 3008 E Hebron Pkwy, Bldg 500 Elliott, Joshua B, DC Carrollton, TX 75010-4470 Cox, Jerimy , DCM Eff 01-Jun-20 (972) 478-5538 Eff 01-Sep-18 Elliott Spine & Sport PLLC Reclaim Physicians Medical Group 2103 E Eldorado Pkwy Ste 200 Nocus, Monte , DCM Inc Little Elm, TX 75068-5868 Eff 29-Oct-19 2430 FM 407, Ste B (469) 200-5574 Trinity Integrated Medical Highland Village, TX 75077-3090 3008 E Hebron Pkwy, Bldg 500 (972) 317-3146 Amon, Thomas D, DCM Carrollton, TX 75010-4470 Eff 15-Sep-17 (972) 478-5538 Davis, Timothy , DCM HealthSource of Roanoke Eff 01-Sep-18 509 E Byron Nelson Blvd, Ste A Uselton, Timothy J, DCM Reclaim Physicians Medical Group Roanoke, TX 76262-6183 Eff 15-Nov-18 Inc (817) 490-6200 Trinity Integrated Medical 2430 FM 407, Ste B 3008 E Hebron Pkwy, Bldg 500 Highland Village, TX 75077-3090 Robinowitz, Erica P, DCM Carrollton, TX 75010-4470 (972) 317-3146 Eff 26-Jul-19 (972) 478-5538 Colony Chiropractic, PA Shane, Parker E, DCM 4709 SH 121, Ste 124 Specialty Care Physicians & Other Providers/ Uselton, Timothy J, DCM Eff 24-Jan-19 The Colony, TX 75056-2903 Eff 01-May-15 Reclaim Physicians Medical Group (972) 625-4800 Médicos de cuidado especializado y otros proveedores Trinity Chiropractic Center Inc 3008 E Hebron Pkwy, Ste 500 2430 FM 407, Ste B Smith, Kelly , DCM Carrollton, TX 75010-4470 Highland Village, TX 75077-3090 Eff 01-Dec-16 (972) 478-5538 (972) 317-3146 Colony Chiropractic, PA 4709 SH 121, Ste 124 Taylor, Kermit G, DCM Judge, Jessica R, DCM The Colony, TX 75056-2903 Eff 01-Feb-16 Eff 03-Jun-19 (972) 625-4800 Private Practice Impact Medical and Chiropractic, 4218 N I-35 PLLC Ellis County | Condado de Ellis Denton, TX 76207-3441 112 W 4th St, Ste B (940) 891-4357 Justin, TX 76247-5014 Davis, William C, DCM (940) 648-1700 Butler, Randy , DCM Eff 01-Oct-15 Eff 15-Sep-16 Ennis Chiropractic & Wellness Bonitatibus, Dori , DCM Center PA Butler Chiropractic Eff 15-Oct-16 1501 Cross Timbers Rd, Ste 200 109 NW Main St Shine Chiropractic, PLLC Ennis, TX 75119 Flower Mound, TX 75028-1201 1422 W Main St, Ste 205 (972) 221-7533 (972) 875-9377 Lewisville, TX 75067-3391 • Languages spoken / Idioma(s) (972) 221-2225 Graham, Robert , DCM hablado(s): Spanish Eff 01-May-17 Gilbert, Matthew W, DC Moreland, Krystle M, DC Victory Sports Rehab Eff 06-Apr-20 2500 Lakeside Pkwy, Ste 120 Eff 15-Jun-20 The Back & Body Clinic Progressive Pace Chiropractic Flower Mound, TX 75022 571 W Main St Ste 100 (214) 285-8774 800 Water St Lewisville, TX 75057-3667 Waxahachie, TX 75165-3260 (972) 436-9785 (972) 923-2616

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 118 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Verhaert, Jozef P, DCM Talley, Andrea D, DC Knight, Ryan L, DC Eff 15-Apr-18 Eff 23-Sep-19 Eff 01-Dec-18 Ellis County Back Institute Knight Family Chiropractic of Anna Knight Family Chiropractic 905 Ferris Ave LLC 2021 N Heritage Pkwy Waxahachie, TX 75165-2556 3230 S Eisenhower Pkwy Sherman, TX 75092 (972) 937-0086 Denison, TX 75020-7818 (903) 465-1881 • Languages spoken / Idioma(s) (903) 465-1881 hablado(s): French Talley, Andrea D, DC Taylor, Andre , DC Eff 14-Feb-19 Grayson County | Condado de Eff 31-Jan-19 Knight Family Chiropractic Knight Family Chiropractic 2021 N Heritage Pkwy Grayson 3230 S Eisenhower Pkwy Sherman, TX 75092 Denison, TX 75020-7818 (903) 465-1881 Dizdarevic, Sanio , DC (903) 465-1881 Eff 07-Oct-19 Taylor, Andre , DC Knight Family Chiropractic Taylor, Andre , DC Eff 31-Jan-19 3230 S Eisenhower Pkwy Eff 23-Sep-19 Knight Family Chiropractic Denison, TX 75020-7818 Knight Family Chiropractic of Anna 2021 N Heritage Pkwy (903) 465-1881 LLC Sherman, TX 75092 3230 S. Eisenhower Pkwy (903) 465-1881 Dizdarevic, Sanio , DC Denison, TX 75020-7818 Eff 05-Sep-19 (903) 465-1881 Turner, Michael J, DC Knight Family Chiropractic of Anna Eff 01-Dec-18 LLC Turner, Michael J, DC Knight Family Chiropractic 3230 S. Eisenhower Pkwy Eff 01-Dec-18 2021 N Heritage Pkwy Specialty Care Physicians & Other Providers/ Denison, TX 75020-7818 Knight Family Chiropractic Sherman, TX 75092 (903)465-1881 3230 S Eisenhower Pkwy (903) 465-1881 Denison, TX 75020-7818 Médicos de cuidado especializado y otros proveedores Knight, Ryan L, DC (903) 465-1881 Wilson, Shelbi L, DCM Eff 01-Dec-18 Eff 01-Dec-18 Knight Family Chiropractic Wilson, Shelbi L, DCM Knight Family Chiropractic 3230 S Eisenhower Pkwy Eff 01-Dec-18 2021 N Heritage Pkwy Denison, TX 75020-7818 Knight Family Chiropractic Sherman, TX 75092 (903) 465-1881 3230 S Eisenhower Pkwy (903) 465-1881 Denison, TX 75020-7818 Knight, Ryan L, DC (903) 465-1881 Hill County | Condado de Hill Eff 23-Sep-19 Knight Family Chiropractic of Anna Dizdarevic, Sanio , DC Auten, Kristopher N, DCM LLC Eff 07-Oct-19 Eff 01-Nov-19 3230 S. Eisenhower Pkwy Knight Family Chiropractic Kristopher N Auten, PA Denison, TX 75020-7818 2021 N Heritage Pkwy 305 S Bosque St, Ste B (903) 465-1881 Sherman, TX 75092 Whitney, TX 76692-2737 (903) 465-1881 Talley, Andrea D, DC (254)694-1117 Eff 14-Feb-19 Dizdarevic, Sanio , DC Knight Family Chiropractic Eff 05-Sep-19 Johnson County | Condado de 3230 S Eisenhower Pkwy Knight Family Chiropractic of Anna Johnson Denison, TX 75020-7818 LLC (903) 465-1881 229 W Washington Albracht, Nick G, DCM Sherman, TX 75090-5833 Eff 01-Feb-15 (903)892-3471 Private Practice 281 Market St Burleson, TX 76028-5711 (817) 295-6176

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 119 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Pruitt, Sidney , DCM Labus, Bryan H, DCM Jones, Richard T, DCM Eff 15-Feb-18 Eff 15-Mar-19 Eff 15-Oct-16 Cleburne Chiropractic Clinic Awareness Chiropractic Center KC Core 103 E Lone Star 3930 Glade Rd, Ste 114 800 8th Ave, Ste 114 Cleburne, TX 76031-3226 Colleyville, TX 76034-5930 Fort Worth, TX 76104 (817) 645-8116 (817) 868-0252 (817) 367-9981

Rockwall County | Condado de Mills, Jon , DCM Roberts, Andrea , DCM Eff 01-Mar-18 Eff 01-Sep-18 Rockwall Mills Chiropractic Reclaim Physicians Medical Group 4601 Colleyville Blvd, # 120 Inc Woodward, Daniel A, DC Colleyville, TX 76034-3975 501 Carroll St, Ste 612 Eff 01-Feb-20 (817) 581-0123 Fort Worth, TX 76107-8201 Doc's Body Shop Chiropractic (817) 348-8488 3084 N Goliad St Ste 114 Harkins, Danielle , DCM Rockwall, TX 75087-7164 Eff 15-Nov-18 Schweitzer, Jon W, DCM (972) 722-2500 Bodyworks Chiropractic PLLC Eff 19-Dec-16 414 N Main St, Ste 124 Steven Simmons, DO, PLLC Tarrant County | Condado de Euless, TX 76039-3633 1307 8th Ave, Ste 201 Tarrant (682) 503-4177 Fort Worth, TX 76104 (817) 294-0934 Johnson, Michael A, MD Anderson, Monte , DCM Eff 15-Jun-18 Schweitzer, Jon W, DCM Eff 01-Aug-16 R2 Wellness Medical Group, PLLC Eff 19-Dec-16 Arkansas Lane Chiropractic PA 451 Westpark Way, Ste 1 Steven Simmons, DO, PLLC Specialty Care Physicians & Other Providers/ 2704 W Arkansas Lane Euless, TX 76040-3994 6800 Manhattan Blvd, Ste 100 Arlington, TX 76016 (817) 354-7300 Fort Worth, TX 76120 Médicos de cuidado especializado y otros proveedores (817) 274-7776 (817) 294-0934 • Languages spoken / Idioma(s) Witt, Kevin E, DCM hablado(s): Spanish Eff 01-Sep-18 Schweitzer, Jon W, DCM Witt Chiropractic Clinic Eff 19-Dec-16 Ardis, Jason Lane, DCM 503 W Euless Blvd Steven Simmons, DO, PLLC Eff 17-Aug-16 Euless, TX 76040-4426 7148 Trail Lake Dr Superior Health Care Centre (817) 267-8850 Fort Worth, TX 76123 3939 W Green Oaks Blvd, Ste 100 (817) 294-0934 Arlington, TX 76016 Harris, Stacy P, DCM (682) 888-0747 Eff 22-May-19 Shanley, Spencer C, DCM The Wellness Center Health and Eff 15-Mar-18 Griffin, Neal E, DCM Therapy LLC Shanley Family Chiropractic Eff 01-Apr-19 5521 Bellaire Dr S, Ste 114 5500 N Tarrant Pkwy, Ste 108 Green Oaks Spine & Sport, PA Fort Worth, TX 76109-5855 Fort Worth, TX 76244-5392 4200 SW Green Oaks Blvd, Ste (817) 926-9642 (817) 605-9500 100 Arlington, TX 76017-4162 Harris, Stacy P, DCM Davis, Timothy , DCM (817) 478-5800 Eff 22-May-19 Eff 01-Sep-18 Fine Spine, LLC Reclaim Physicians Medical Group Speaks, Kirtland , DCM 5521 Bellaire Dr S, Ste 114B Inc Eff 24-Nov-16 Fort Worth, TX 76109-5855 913 S Main St, Unit 212 Expressions Chiropractic & Rehab (817) 451-7979 Grapevine, TX 76051-7582 Center PA (817) 985-4500 3132 Matlock Rd Ste 305 Arlington, TX 76015 (817) 277-8811

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 120 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bartlett, Richard K, DCM Braddock, Eryn M, DCM Clinical Cardiac Electrophys/ Eff 15-Feb-19 Eff 27-Mar-19 Clinical Cardiac Electrophys Absolute Chiropractic and Rehab City Point Chiropractic LLC 480 W Harwood Rd 7500 Blvd 26 Collin County | Condado de Hurst, TX 76054-2939 North Richland Hills, TX 76180- (817) 428-0801 8318 Collin (817) 259-1300 Glans, Howard , DC Oyenuga, Olusegun A, MD Eff 01-Jul-16 Cooley, Kent , DCM Eff 10-Dec-19 Keller Spine And Auto Injury Eff 15-Aug-16 HeartPlace, PA 426 Keller Pkwy Ste 500 Cooley Chiropractic 1105 Central Expy, Ste 2330 Keller, TX 76248 6605 Precinct Lane Rd, Ste 100 B Allen, TX 75013-6116 (817) 798-4226 North Richland Hills, TX 76182 (972)649-6511 (817) 281-1995 Bhakta, Jay P, DCM Oyenuga, Olusegun A, MD Eff 17-Apr-17 Paeltz, Justin P, DCM Eff 10-Dec-19 Mansfield Physical Medicine and Eff 01-Mar-16 HeartPlace, PA Chiropractic City Point Chiropractic LLC 3801 W 15th St, Bldg B Ste 536 221 Regency Pkwy, Ste 101 7500 Blvd 26 Plano, TX 75075-7767 Mansfield, TX 76063 North Richland Hills, TX 76180- (972)985-8838 (817) 453-0430 8318 (817) 259-1300 Dallas County | Condado de Bhakta, Prakash , DCM Eff 01-Oct-16 Paeltz, Kara , DCM Dallas Mansfield Physical Medicine and Eff 01-Mar-16 Specialty Care Physicians & Other Providers/ Chiropractic City Point Chiropractic LLC Oyenuga, Olusegun A, MD 221 Regency Pkwy, Ste 101 7500 Blvd 26 Eff 10-Dec-19 Mansfield, TX 76063 North Richland Hills, TX 76180- HeartPlace, PA Médicos de cuidado especializado y otros proveedores (817) 453-0430 8318 7777 Forest Ln, Ste A-341 (817) 259-1300 Dallas, TX 75230 Dacus, Clint , DCM (972)566-5700 Eff 15-Nov-16 Minatrea, Nicole , DCM True Balance Chiropractic & Eff 01-Dec-16 Oyenuga, Olusegun A, MD Physical Therapy Healthsource Chiropractic & Eff 10-Dec-19 2771 E Broad St #211 Rehab of Saginaw HeartPlace, PA Mansfield, TX 76063 705 W Bailey Boswell Rd, Ste 200 3001 E President George Bush (682) 518-6263 Saginaw, TX 76179 Hwy, Ste 175 (817) 306-8585 Richardson, TX 75082 Duong, Peter , DCM (214)635-5701 Eff 01-Oct-16 Hergert, Tyce D, DCM Functional Improvement Therapy, Eff 01-Apr-15 Colon & Rectal Surgery/ Cirugía LLC Chiropractic Care Center de colon y recto 3213 Ridge Trace Cir Southlake Mansfield, TX 76063-5365 1500 W Southlake Blvd, Ste 120 Collin County | Condado de (817) 473-4348 Southlake, TX 76092 (817) 416-6116 Collin Adetola, Esther O, DCM Eff 01-Sep-17 Boostrom, Sarah Y, MD North Hills Chiropractic Series, Eff 01-Jan-14 LLC Colon & Rectal Surgical 5424 Rufe Snow Dr, Ste 101 Associates North Richland Hills, TX 76180 3900 Gaylord Pkwy, Ste 910 (817) 656-4330 Frisco, TX 75034- (469)800-4770

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 121 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Burleson Jr, Dale D, MD Franko, Edward R, MD Downs, John M, MD Eff 01-Jan-14 Eff 09-Jun-14 Eff 01-Jan-14 Texas Colon & Rectal Specialists Baylor Scott & White Orthopedic Texas Colon & Rectal Specialists 1518 Legacy Dr, Ste 120 Associates of Dallas 8315 Walnut Hill Ln, Ste 220 Frisco, TX 75034 4716 Alliance Blvd, Ste 600 Dallas, TX 75231 (214) 618-3455 Plano, TX 75093-5378 (214) 363-6123 • Languages spoken / Idioma(s) (469) 800-7200 hablado(s): Spanish Fichera, Alessandro , MD Lowney, Jennifer K, MD Eff 30-Oct-19 Fayiga, Yomi Odunlami, MD Eff 01-Jan-14 Baylor Center for Inflammatory Eff 01-Jan-14 Texas Colon & Rectal Specialists Bowel Diseases Texas Oncology, PA 6124 W Parker Rd, Ste 3-534 3409 Worth St, Ste 640 5236 W University Dr, Ste 1700 Plano, TX 75093 Dallas, TX 75246 McKinney, TX 75071-8109 (972) 981-8277 (469) 800-7180 (972) 562-5999 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Fleshman, James W, MD hablado(s): Spanish Eff 01-Jan-14 Macaluso Jr, Anthony K, MD Colon & Rectal Surgical Novosad, Laurie S, MD Eff 01-Jan-14 Associates Eff 15-Oct-18 Texas Colon & Rectal Specialists 3409 Worth St, Ste 600 Texas Colon and Rectal Surgeons 4001 W 15th St, Ste 280 Dallas, TX 75246 5236 W University Dr, Ste 4300 Plano, TX 75093 (469) 800-7600 McKinney, TX 75071 (972) 985-7988 (214) 884-2332 • Languages spoken / Idioma(s) Flores, Jesus , MD Eff 15-Oct-18 Specialty Care Physicians & Other Providers/ hablado(s): Spanish Boostrom, Sarah Y, MD Texas Colon and Rectal Surgeons Eff 01-Jan-14 Boostrom, Sarah Y, MD 7777 Forest Ln, Ste A321 Médicos de cuidado especializado y otros proveedores Colon & Rectal Surgical Eff 01-Jan-14 Dallas, TX 75230 Associates Colon & Rectal Surgical (972) 661-3575 4716 Alliance Boulevard Ste 210 Associates • Languages spoken / Idioma(s) Plano, TX 75093 821 N Coleman St, Ste 100 hablado(s): Spanish (469) 800-4770 Prosper, TX 75078 (469) 814-2770 Franko, Edward R, MD Burleson Jr, Dale D, MD Eff 09-Jun-14 Eff 01-Jan-14 Dallas County | Condado de Baylor Scott & White North Texas Texas Colon & Rectal Specialists Colon & Rectal Associates 4708 Alliance Blvd, Ste 770 Dallas 3409 Worth St, Ste 600 Plano, TX 75093 Dallas, TX 75246 (972) 526-0910 Boostrom, Sarah Y, MD (214) 824-1730 • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Spanish Colon & Rectal Surgical Gregorcyk, Sharon G, MD Associates Eff 01-Jan-14 Chan, Winston M, MD 9101 N Central Expy, Ste 300 Texas Colon & Rectal Specialists Eff 22-May-19 Dallas, TX 75231 7777 Forest Ln, Ste A321 Texas Oncology, PA (214) 820-8768 Dallas, TX 75230 3705 W 15th St (972) 661-3575 Plano, TX 75075-7753 Chan, Winston M, MD (972) 867-3577 Eff 22-May-19 Texas Oncology, PA 3410 Worth St, Ste 160 Dallas, TX 75246 (214) 826-9797

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 122 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hackett, Paul S, MD Lodha, Anand K, MD Peters, Walter R, MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 30-Oct-15 Associates of Colorectal Surgical Methodist Colon and Rectal Colon & Rectal Surgical Care Surgery Associates 3450 W Wheatland Rd, POB II, 221 W Colorado Blvd, Pavilion II, 3409 Worth St, Ste 600 Ste 340 Ste 644 Dallas, TX 75246 Dallas, TX 75237-4411 Dallas, TX 75208 (469) 800-7600 (972) 709-9300 (214) 943-1171 • Languages spoken / Idioma(s) Rodriguez-Ruesga, Roberto , MD Hurley, Jefferson B, MD hablado(s): Spanish Eff 12-Jan-15 Eff 01-Jan-14 Texas Oncology, PA Texas Colon & Rectal Specialists Lodha, Anand K, MD 3410 Worth St, Ste 160 8315 Walnut Hill Ln, Ste 220 Eff 15-Oct-18 Dallas, TX 75246 Dallas, TX 75231 Methodist Colon and Rectal (214) 826-9797 (214) 363-6123 Surgery • Languages spoken / Idioma(s) 3450 W Wheatland Rd, POB II, Simmang, Clifford L, MD hablado(s): Spanish Ste 340 Eff 01-Jan-14 Dallas, TX 75237 Texas Colon & Rectal Specialists Jacobson, Robert M, MD (214) 943-1171 7777 Forest Ln, Ste A321 Eff 05-May-14 • Languages spoken / Idioma(s) Dallas, TX 75230 Baylor Scott & White North Texas hablado(s): Spanish (972) 661-3575 Colon & Rectal Associates • Languages spoken / Idioma(s) 11970 N Central Expy, Ste 480 Lodha, Anand K, MD hablado(s): Spanish Dallas, TX 75243 Eff 15-Oct-18 Wells, Katerina O, MD (214) 824-1730 Methodist Colon and Rectal Specialty Care Physicians & Other Providers/ Surgery Eff 08-Aug-16 Jacobson, Robert M, MD Colon & Rectal Surgical

5709 W Lovers Ln Médicos de cuidado especializado y otros proveedores Eff 05-May-14 Dallas, TX 75209 Associates Baylor Scott & White North Texas (214) 943-1171 3409 Worth St, Ste 600 Colon & Rectal Associates • Languages spoken / Idioma(s) Dallas, TX 75246 3409 Worth St, Ste 600 hablado(s): Spanish (469) 800-7600 Dallas, TX 75246 (214) 824-1730 Macaluso Jr, Anthony K, MD Franko, Edward R, MD Eff 01-Jan-14 Eff 09-Jun-14 Lichliter, Warren E, MD Texas Colon & Rectal Specialists Baylor Scott & White North Texas Eff 05-May-14 7777 Forest Ln, Ste A321 Colon & Rectal Associates Baylor Scott & White North Texas Dallas, TX 75230 777 Walter Reed Blvd, Ste 103 Colon & Rectal Associates (972) 661-3575 Garland, TX 75042 3409 Worth St, Ste 600 • Languages spoken / Idioma(s) (972) 494-4548 Dallas, TX 75246 hablado(s): Spanish (214) 824-1730 Franko, Edward R, MD Pendola, Michael J, MD Eff 09-Jun-14 Lichliter, Warren E, MD Eff 05-May-14 Baylor Scott & White Family Eff 05-May-14 Baylor Scott & White North Texas Medical Center - North Garland Baylor Scott & White North Texas Colon & Rectal Associates 5345 N President George Bush Colon & Rectal Associates 3409 Worth St, Ste 600 Fwy 9330 Poppy Dr, Ste 503 Dallas, TX 75246 Garland, TX 75040 Dallas, TX 75218 (214) 824-1730 (469) 800-2300 (214) 324-2881

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 123 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Pendola, Michael J, MD Denton County | Condado de Peters, Walter R, MD Eff 05-May-14 Eff 30-Oct-15 Baylor Scott & White North Texas Denton Colon & Rectal Surgical Colon & Rectal Associates Associates 777 Walter Reed Blvd, Ste 103 Hughes, Matthew R, MD 2460 N IH-35 E, Ste 215 Garland, TX 75042 Eff 01-Jan-14 Waxahachie, TX 75165 (972) 494-4548 Texas Colon & Rectal Specialists (469) 800-7610 4333 N Josey Ln, Ste 103 Lodha, Anand K, MD Carrollton, TX 75010 Hunt County | Condado de Eff 15-Oct-18 (972) 528-4623 Methodist Colon and Rectal Hunt Surgery Capehart, Shelley , MD 4560 Lake Ridge Pkwy, Ste 300 Eff 13-Aug-19 Cloud, Robert R, MD Grand Prairie, TX 75052 Texas Colon & Rectal Specialists Eff 05-May-14 (214) 943-1171 4370 Medical Arts Dr, Ste 265 Baylor Scott & White North Texas • Languages spoken / Idioma(s) Flower Mound, TX 75028 Colon & Rectal Associates hablado(s): Spanish (972) 388-1444 4400 IN 30 Frontage Rd Ste 100 Greenville, TX 75402 Crim, Randall W, MD Capehart, Shelley , MD (469) 267-6814 Eff 01-Jan-14 Eff 13-Aug-19 Texas Colon & Rectal Specialists Texas Colon & Rectal Specialists Rockwall County | Condado de 1600 W College St Ste 440 2001 N MacArthur Blvd, Ste 750 Rockwall Irving, TX 75061 Flower Mound, TX 75028 (972) 759-2040 (817)865-6200 Cloud, Robert R, MD Specialty Care Physicians & Other Providers/ Hurley, Jefferson B, MD Stadler, Ronney F, MD Eff 05-May-14 Eff 01-Jan-14 Eff 01-Jan-14 Baylor Scott & White North Texas Médicos de cuidado especializado y otros proveedores Texas Colon & Rectal Specialists Texas Colon & Rectal Specialists Colon & Rectal Associates 2001 N MacArthur Blvd, Ste 750 4370 Medical Arts Dr, Ste 265 2504 Ridge Rd Ste 202 Irving, TX 75061 Flower Mound, TX 75028 Rockwall, TX 75087 (972) 759-2040 (972) 388-1444 (469) 267-6814 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Wandrey, Daniel E, MD hablado(s): Spanish hablado(s): Spanish Eff 28-Apr-18 Stadler, Ronney F, MD Ellis County | Condado de Ellis Texas Oncology, PA Eff 01-Jan-14 3142 Horizon Rd, Ste 110 Texas Colon & Rectal Specialists Hackett, Paul S, MD Rockwall, TX 75032-7810 2001 N MacArthur Blvd, Ste 750 Eff 15-Oct-18 (972) 771-3322 Irving, TX 75061 Associates of Colorectal Surgical (972) 759-2040 Care Tarrant County | Condado de • Languages spoken / Idioma(s) 1700 Dallas Hwy 77, Ste 210 Tarrant hablado(s): Spanish Waxahachie, TX 75165 (972) 709-9300 Chan, Winston M, MD Giesler, Danielle M, MD Eff 22-May-19 Eff 15-Oct-18 Kandel, Anuj Raj, MD Texas Oncology, PA Texas Colon and Rectal Surgeons Eff 15-Oct-18 902 W Randol Mill Rd, Ste 150 2821 E President George Bush Texas Colon and Rectal Surgeons Arlington, TX 76012 Hwy, Ste 502 2460 N, Ste 215 (817) 664-9600 Richardson, TX 75082 Waxahachie, TX 75165 (972) 479-5568 (972) 935-1150

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 124 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dwyer, Christopher R, MD Toker, Anna-Maria B , MD Couch, Christopher M, MD Eff 24-Aug-18 Eff 15-Mar-20 Eff 01-Sep-17 Texas Colon & Rectal Specialists Anna M Toker MD, PA North Texas Critical Care 515 West Mayfield Rd, Ste 250 3150 E Broad St Ste 100 2710 Swiss Ave Arlington, TX 76014 Mansfield, TX 76063 Dallas, TX 75204 (682) 217-2102 (214) 942-3740 (214) 821-1599 Bryan, Michael W, MD Cox, Clifton , MD Curry, Matthew W, MD Eff 01-Jan-14 Eff 01-Oct-14 Eff 01-Jan-14 Surgical Associates of the Mid- Cope Center for Colorectal & Pulmonary and Critical Care Cities Pelvic Health Consultants of North Texas 9509 N Beach St, Ste 102 300 S Nolen Dr, Ste 100 3600 Gaston Ave, Ste 962, Fort Worth, TX 76244 Southlake, TX 76092 Wadley Tower (817) 267-2678 (817) 410-7777 Dallas, TX 75246 (214) 820-8380 Gordon, Lori L, MD Cox, Clifton , MD Eff 01-Sep-20 Eff 21-Sep-17 Curry, Matthew W, MD Privia Medical Group North Texas Texas Digestive Disease Eff 01-Jan-14 2000 Cooper, Ste 100B Consultants Pulmonary and Critical Care Fort Worth, TX 76104-2528 300 S Nolen Dr, Ste 100 Consultants of North Texas (817) 924-9002 Southlake, TX 76092-9167 3600 Gaston Ave, Ste 962, (817) 410-7777 Wadley Tower Bryan, Michael W, MD Dallas, TX 75246 Eff 01-Jan-14 Critical Care Medicine/ Medicina (214) 820-8380 Surgical Associates of the Mid- de atención crítica Specialty Care Physicians & Other Providers/ Cities Dhesi, Sukhdeep S, DO 2050 Hall Johnson Rd, Ste 200 Eff 20-Sep-19 Dallas County | Condado de Médicos de cuidado especializado y otros proveedores Grapevine, TX 76051 Questcare Intensivists, PLLC (817) 267-2678 Dallas 11970 N Central Expwy Dallas, TX 75243 Lowney, Jennifer K, MD Abbasi, Jamil , MD (972) 940-8000 Eff 01-Jan-14 Eff 22-Sep-18 Texas Colon & Rectal Specialists Questcare Intensivists, PLLC Dhesi, Sukhdeep S, DO 1600 W College, Ste 440 13737 Noel Rd, Ste 1600 Eff 20-Sep-19 Grapevine, TX 76051 Dallas, TX 75240 Questcare Intensivists, PLLC (817) 865-6200 (214) 919-0757 13737 Noel Rd Ste 1600 • Languages spoken / Idioma(s) Dallas, TX 75240 hablado(s): Spanish Ahmed, Saman , MD (214) 919-0757 Eff 01-Nov-18 Simmang, Clifford L, MD Texas Pulmonary Critical Care Foreman, Michael L, MD Eff 01-Jan-14 Specialists Eff 15-Aug-17 Texas Colon & Rectal Specialists 3600 Gaston Ave, Ste 962, Urgent Surgery Associates, PA 1600 W College, Ste 440 Wadley Tower 2710 Swiss Ave Grapevine, TX 76051 Dallas, TX 75246 Dallas, TX 75204-5900 (817) 865-6200 (469) 800-7686 (214) 821-1599 • Languages spoken / Idioma(s) hablado(s): Spanish Baird, Robert W, MD Foreman, Michael L, MD Eff 01-Jan-14 Eff 18-Oct-19 Capehart, Shelley , MD Robert Baird, MD North Texas Critical Care Eff 13-Aug-19 3500 Gaston Avenue, 4 Roberts 2710 Swiss Ave Texas Colon & Rectal Specialists Dallas, TX 75246 Dallas, TX 75204 10840 Texas Health Tr Ste 265 (214) 957-1067 (214) 821-1599 Keller, TX 76244 (817)865-6200

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Funk, Geoffrey A, MD Kaila, Divya , MD Mogri, Mohammed , MD Eff 15-Aug-17 Eff 26-Jul-16 Eff 15-Dec-16 Urgent Surgery Associates, PA Garland Pulmonary and Pulmonary and Critical Care 2710 Swiss Ave Intensivists Associates of Garland Dallas, TX 75204-5900 3600 Gaston Ave, Ste 1158, 3417 Gaston Ave, Ste 950 (214) 821-1599 Wadley Tower Dallas, TX 75246 Dallas, TX 75246 (469) 800-8070 Funk, Geoffrey A, MD (214) 820-8380 Eff 18-Oct-19 Mogri, Mohammed , MD North Texas Critical Care Kelbe, Jilalu A, MD Eff 15-Dec-16 2710 Swiss Ave Eff 01-Sep-17 Pulmonary and Critical Care Dallas, TX 75204 Pulmonary and Critical Care Specialists of Dallas (214) 821-1599 Specialists of Dallas 3600 Gaston Ave, Ste 960, 3600 Gaston Ave, Ste 960, Wadley Tower Goyal, Vikas , MD Wadley Tower Dallas, TX 75246 Eff 17-May-20 Dallas, TX 75246 (214) 820-5630 Baylor Scott & White Pulmonary & (214) 820-5630 Critical Care Specialists - Dallas Mooney, Jennifer L, MD 3600 Gaston Ave Khan, Asjad M, MD Eff 18-May-18 Dallas, TX 75246 Eff 21-Oct-18 Urgent Surgery Associates, PA (469) 800-7686 Questcare Intensivists, PLLC 2710 Swiss Ave 11970 N Central Expy Dallas, TX 75204-5900 Grazia, Todd , MD Dallas, TX 75243 (214) 821-1599 Eff 01-Dec-18 (972) 940-8000 Baylor Scott & White Texas Lung Mooney, Jennifer L, MD Specialty Care Physicians & Other Providers/ Center Khan, Asjad M, MD Eff 18-Oct-19 3410 Worth St, Ste 250 Eff 21-Oct-18 North Texas Critical Care Médicos de cuidado especializado y otros proveedores Dallas, TX 75246 Questcare Intensivists, PLLC 2710 Swiss Ave (214) 820-6856 13737 Noel Rd Ste 1600 Dallas, TX 75204 Dallas, TX 75240 (214) 821-1599 Iyer, Nithya K, MD (214) 919-0757 Eff 14-Dec-15 Mora, Adan , MD Pulmonary and Critical Care Lilly, Jeffrey C, MD Eff 01-Jan-14 Associates of Garland Eff 01-Jan-14 Baylor Scott & White Pulmonary & 3417 Gaston Ave, Ste 950 Pulmonary and Critical Care Critical Care Specialists - Dallas, TX 75246 Consultants of North Texas 3600 Gaston Ave Wadley Ste 550 (469) 800-8070 3600 Gaston Ave Ste 962 Wadley Dallas, TX 75246 Twr (972) 451-0219 Iyer, Nithya K, MD Dallas, TX 75246 Eff 14-Dec-15 (214) 820-8380 Nannapaneni, Srikant , MD Pulmonary and Critical Care Eff 22-Sep-18 Specialists of Dallas Lilly, Jeffrey C, MD Questcare Intensivists, PLLC 3600 Gaston Ave, Ste 960, Eff 01-Jan-14 11970 N Central Expy Wadley Tower Pulmonary and Critical Care Dallas, TX 75243 Dallas, TX 75246 Consultants of North Texas (974) 940-8000 (214) 820-5630 3600 Gaston Ave Ste 962 Wadley Twr Nannapaneni, Srikant , MD Dallas, TX 75246 Eff 22-Sep-18 (214) 820-8380 Questcare Intensivists, PLLC 13737 Noel Rd Ste 1600 Dallas, TX 75240 (214) 919-0757

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 126 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Petrey, Laura B, MD Udeozo, Obiora Igwedumma, MD Grayson County | Condado de Eff 15-Aug-17 Eff 22-Sep-18 Urgent Surgery Associates, PA Questcare Intensivists, PLLC Grayson 2710 Swiss Ave 11970 N Central Expy Dallas, TX 75204-5900 Dallas, TX 75243 Singh, Anil , MD (214) 821-1599 (972) 940-8000 Eff 15-Mar-20 Lung Specialist Associates of Petrey, Laura B, MD Udeozo, Obiora Igwedumma, MD Texas PLLC Eff 18-Oct-19 Eff 22-Sep-18 5016 US Hwy 75 North Texas Critical Care Questcare Intensivists, PLLC Denison, TX 75020-4584 2710 Swiss Ave 13737 Noel Rd Ste 1600 (903)416-4454 Dallas, TX 75204 Dallas, TX 75240 (214) 821-1599 (214) 919-0757 Singh, Anil , MD Eff 15-Mar-20 Rabeler, Brandon C, MD Weddle, Rebecca J, MD Lung Specialist Associates of Eff 15-Aug-17 Eff 15-Aug-17 Texas PLLC Urgent Surgery Associates, PA Urgent Surgery Associates, PA 1810 W US Hwy 82 2710 Swiss Ave 2710 Swiss Ave Sherman, TX 75092-7069 Dallas, TX 75204-5900 Dallas, TX 75204-5900 (903)870-2600 (214) 821-1599 (214) 821-1599 Singh, Anil , MD Rabeler, Brandon C, MD Weddle, Rebecca J, MD Eff 15-Mar-20 Eff 18-Oct-19 Eff 18-Oct-19 Lung Specialist Associates of North Texas Critical Care North Texas Critical Care Texas PLLC 2710 Swiss Ave 2710 Swiss Ave 300 N Highland Ave Ste 455 Specialty Care Physicians & Other Providers/ Dallas, TX 75204 Dallas, TX 75204 Sherman, TX 75092-7391 (214) 821-1599 (214) 821-1599 (516)474-2893 Médicos de cuidado especializado y otros proveedores Sutton, Shelby E, MD Zima Zegarra, Harry M, MD Singh, Anil , MD Eff 04-Oct-19 Eff 04-Jun-17 Eff 15-Mar-20 Baylor Scott & White Pulmonary & Pulmonary and Critical Care Lung Specialist Associates of Critical Care Specialists - Dallas Specialists of Dallas Texas PLLC 3600 Gaston Ave, Ste 962, 3600 Gaston Ave, Ste 960, 500 N Highland Ave Wadley Tower Wadley Tower Sherman, TX 75092-7354 Dallas, TX 75246 Dallas, TX 75246 (903)870-4598 (469) 800-7686 (214) 820-5630 Dermatology/ Dermatología Taylor, Edward E, MD Singh, Anil , MD Eff 15-Aug-17 Eff 15-Mar-20 Collin County | Condado de Urgent Surgery Associates, PA Lung Specialist Associates of 2710 Swiss Ave Texas PLLC Collin Dallas, TX 75204-5900 2700 Walker Way # D (214) 821-1599 Desoto, TX 75115-2088 Barrows, Matthew D, MD (516)474-2893 Eff 01-Jul-20 Taylor, Edward E, MD Dermatology and Skin Cancer Eff 18-Oct-19 Patel, Harsh N, MD Surgery Center North Texas Critical Care Eff 27-Mar-18 780 N Watters Rd Ste 180 2710 Swiss Ave Southwest Pulmonary Associates Allen, TX 75013-5085 Dallas, TX 75204 2001 N MacArthur Blvd, Ste 450 (972) 390-9002 (214) 821-1599 Irving, TX 75061-2294 (972) 259-3221

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 127 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hixon, Christopher G, DO Dharamsi, Jennifer W, MD Patel, Akash A, MD Eff 01-Jul-20 Eff 01-Jul-17 Eff 09-Apr-18 Dermatology and Skin Cancer Legacy Dermatology, PLLC Dallas Associated Dermatology Surgery Center 3140 Legacy Dr, Ste 110 5899 Preston Rd, Ste 1202 2100 W White St Ste 120 Frisco, TX 75034 Frisco, TX 75034-7425 Anna, TX 75409-5155 (972) 469-2626 (817) 421-3376 (214) 831-0001 • Languages spoken / Idioma(s) hablado(s): Spanish Pham, Ryan , DO Hixon, Christopher G, DO Eff 15-Nov-20 Eff 01-Jul-20 Earnest, Rachael F, MD Wellworx Health, Hormone, & Dermatology and Skin Cancer Eff 13-Sep-19 Wellness Clinic dba WHHWC Surgery Center Legacy Dermatology, PLLC 5899 Preston Rd Ste 803 1050 S Preston Rd Ste 120 3140 Legacy Dr, Ste 110 Frisco, TX 75034-9592 Celina, TX 75009-3861 Frisco, TX 75034 (972) 645-1677 (469) 813-2700 (972) 469-2626 Posten, William D, MD Bhambri, Avani , MD Earnest, Rachael F, MD Eff 01-Apr-15 Eff 01-May-15 Eff 13-Sep-19 Dallas Associated Dermatology Texas Dermatology and Skin Legacy Dermatology, PLLC 5899 Preston Rd, Ste 1202 Cancer Center 3140 Legacy Dr, Ste 610 Frisco, TX 75034-7425 5757 Warren Pkwy, Ste 330 Frisco, TX 75034-7918 (817) 421-3376 Frisco, TX 75034 (972) 469-2626 (469) 453-2100 Rembold, Julie C, MD Fleischli, Mary E, MD Eff 29-Jan-18 Bhambri, Sanjay , DO Eff 01-Jan-14 Dallas Associated Dermatology Specialty Care Physicians & Other Providers/ Eff 01-May-15 Dallas Associated Dermatology 5899 Preston Rd, Ste 1202 Texas Dermatology and Skin 5899 Preston Rd, Ste 1202 Frisco, TX 75034-7425 Médicos de cuidado especializado y otros proveedores Cancer Center Frisco, TX 75034-7425 (817) 421-3376 5757 Warren Pkwy, Ste 330 (817) 421-3376 Frisco, TX 75034 Richey, Jonathan D, DO (469) 453-2100 Ghali, Fred E, MD Eff 01-Jan-14 Eff 19-Mar-19 Baylor Scott & White Dermatology Carr, Christopher , MD Dallas Associated Dermatology Specialists - McKinney Eff 12-Jan-15 5899 Preston Rd, Ste 1202 3800 Gaylord Pkwy Ste 910 Dallas Associated Dermatology Frisco, TX 75034-7425 Frisco, TX 75034- 5899 Preston Rd, Ste 1202 (817) 421-3376 (469)800-5325 Frisco, TX 75034-7425 • Languages spoken / Idioma(s) (817) 421-3376 Kia, Kevin F, MD hablado(s): Spanish Eff 11-Jul-16 Crawford, Chris W, MD Dallas Associated Dermatology Rodgers, Timothy G, MD Eff 01-Jan-14 5899 Preston Rd, Ste 1202 Eff 01-Nov-15 Dallas Associated Dermatology Frisco, TX 75034-7425 Rodgers Dermatology 5899 Preston Rd, Ste 1202 (817) 421-3376 3880 Parkwood Blvd, Ste 102 Frisco, TX 75034-7425 • Languages spoken / Idioma(s) Frisco, TX 75034 (817) 421-3376 hablado(s): Spanish (972) 704-2400 • Languages spoken / Idioma(s) hablado(s): Spanish Momin, Saira B, DO Scott, Sarah R, MD Eff 20-Nov-17 Eff 01-Jan-14 Custis, Trenton , MD Dallas Associated Dermatology Dallas Associated Dermatology Eff 12-Jan-15 5899 Preston Rd, Ste 1202 5899 Preston Rd, Ste 1202 PDP of Texas Frisco, TX 75034-7425 Frisco, TX 75034-7425 5899 Preston Rd, Ste 1202 (817) 421-3376 (817) 421-3376 Frisco, TX 75034-7425 (817) 421-3376

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 128 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Sears, Laura L, MD Barrows, Matthew D, MD Marinaro, Robert E, MD Eff 01-Jan-14 Eff 01-Jul-20 Eff 01-Oct-15 Dallas Associated Dermatology Dermatology and Skin Cancer Warthan Dermatology Associates, 5899 Preston Rd, Ste 1202 Surgery Center PA Frisco, TX 75034-7425 1790 N Stonebridge Dr 5881 Virginia Pkwy Ste 200 (817) 421-3376 McKinney, TX 75071-7437 McKinney, TX 75071 (972) 390-9002 (972) 542-4646 Singer, Allison F, MD Eff 15-Oct-17 Bush, Amelia E, MD Richey, Jonathan D, DO Dallas Associated Dermatology Eff 27-Sep-20 Eff 01-Jan-14 5899 Preston Rd, Ste 1202 Warthan Dermatology MOHS Skin Baylor Scott & White Dermatology Frisco, TX 75034-7425 Cancer Surgery Center Specialists - McKinney (817) 421-3376 5971 Virginia Pkwy Ste 100 5236 W University Dr Ste 2200 McKinney, TX 75071 McKinney, TX 75071 Sklar, Jerald L, MD (972) 542-4646 (469) 800-5325 Eff 01-Jan-14 • Languages spoken / Idioma(s) Dallas Associated Dermatology Custis, Trenton , MD hablado(s): Spanish 5899 Preston Rd, Ste 1202 Eff 12-Jan-15 Frisco, TX 75034-7425 PDP of Texas Selkin, Bryan A, MD (817) 421-3376 7300 Eldorado Pkwy Ste 100 Eff 21-Jun-18 McKinney, TX 75070 US Dermatology Associates Spencer, Brent A, MD (214)919-4986 4701 Medical Center Dr, Ste #1B Eff 15-Jul-20 McKinney, TX 75069-1831 Dermatology & Skin Surgery Danford, Brandon C, MD (972) 985-9003 Institute of North Texas, PA Eff 04-Nov-19 Specialty Care Physicians & Other Providers/ 3535 Victory Group Wy Ste 200 Dallas Associated Dermatology Warthan, Mandy L, MD Frisco, TX 75034-6721 7300 Eldorado Pkwy Ste 100 Eff 01-Oct-15 (972) 712-5100 McKinney, TX 75070 Warthan Dermatology Associates, Médicos de cuidado especializado y otros proveedores (214) 987-3376 PA Stroud, Christopher M, MD • Languages spoken / Idioma(s) 5881 Virginia Pkwy Ste 200 Eff 17-Dec-17 hablado(s): Spanish McKinney, TX 75071 Dallas Associated Dermatology (972) 542-4646 5899 Preston Rd, Ste 1202 Helm, Matthew , MD Frisco, TX 75034-7425 Eff 02-Apr-18 Warthan, Mandy L, MD (817) 421-3376 US Dermatology Associates Eff 01-Oct-15 4701 Medical Center Dr, Ste #1B Warthan Dermatology Associates, Weisberg, Eric L, MD McKinney, TX 75069-1831 PA Eff 17-Jul-20 (972) 985-9003 5913 Virginia Pkwy Ste 300 PDP of Texas PLLC McKinney, TX 75071 4685 Eldorado Pkwy Ste 100 Lai, Jennifer Chia Fang, MD (972) 542-4646 Frisco, TX 75033 Eff 01-Jan-20 (972) 335-2727 PDP of Texas PLLC Wofford, John S, MD 8080 State Highway 121 Ste 200 Eff 12-Dec-17 Awan, Sam , MD McKinney, TX 75070-2902 US Dermatology Associates Eff 24-Oct-18 (214) 987-3376 4701 Medical Center Dr, Ste #1B US Dermatology Associates McKinney, TX 75069-1831 4701 Medical Center Dr Ste #1B Marinaro, Robert E, MD (972) 985-9003 McKinney, TX 75069-1831 Eff 01-Oct-15 (972) 985-9003 Warthan Dermatology Associates, Hodges, Lesia , DO PA Eff 05-Oct-16 5913 Virginia Pkwy, Ste 300 Michael McGuiness, PA McKinney, TX 75071 152 N Brand Ste 100 (972) 542-4646 Murphy, TX 75094-3717 (972)316-4555

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 129 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

McGuiness, Michael A, MD Custis, Trenton , MD Gou, Darlene E, MD Eff 01-Aug-15 Eff 12-Jan-15 Eff 22-Jan-20 Michael McGuiness, PA PDP of Texas Southlake Dermatology 416 Village Dr, Ste B 7000 Preston Rd, Ste 500 7000 Preston Rd Ste 500 Murphy, TX 75094 Plano, TX 75024-2573 Plano, TX 75024-2573 (972) 316-4555 (214) 987-3376 (214) 987-3376 Achtman, Daniel S, MD Dacso, Mara M, MD Gou, Darlene E, MD Eff 01-Nov-16 Eff 26-Jun-18 Eff 22-Jan-20 Private Practice US Dermatology Associates Southlake Dermatology 4010 W Park Blvd 5030 Tennyson Pkwy, Ste 100 8080 Independence Pkwy Ste 150 Plano, TX 75093 Plano, TX 75024 Plano, TX 75025-4006 (972) 985-7100 (972) 985-1176 (214) 919-3500 Achtman, Daniel S, MD Dacso, Mara M, MD Gustovich, Carla A, MD Eff 01-Jan-20 Eff 26-Jun-18 Eff 06-Oct-17 PDP of Texas PLLC US Dermatology Associates US Dermatology Associates 4010 W Park Blvd Ste D 5030 Tennyson Pkwy, Ste 200 5805 Coit Rd, Ste 203 Plano, TX 75093-3839 Plano, TX 75024 Plano, TX 75093-6990 (972) 985-7100 (972)985-9003 (972) 769-8180 Aftergut, Kent S, MD Danford, Brandon C, MD Hollabaugh, Eric S, MD Eff 01-Dec-15 Eff 04-Nov-19 Eff 01-Jun-15 Dallas Associated Dermatology Dallas Associated Dermatology Eric S Hollabaugh MD, PA 7000 Preston Rd, Ste 500 7000 Preston Rd Ste 500 6100 Windhaven Pkwy, Ste 208 Specialty Care Physicians & Other Providers/ Plano, TX 75024-2573 Plano, TX 75024 Plano, TX 75093 (214) 987-3376 (214) 987-3376 (972) 378-0620 Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Houpt, Karen R, MD Eff 01-Aug-15 Awan, Sam , MD Desai, Seemal R, MD Jennifer R Stalkup, MD, PA Eff 24-Oct-18 Eff 11-Mar-20 6100 Windhaven Pkwy US Dermatology Associates Innovative Dermatology PA Plano, TX 75093 5030 Tennyson Pkwy, Ste 200 8080 Independence Pkwy Ste 150 (972) 608-0330 Plano, TX 75024 Plano, TX 75025 (972)985-9003 (214) 919-3500 Kelly-Sell, Michael J, MD Eff 17-Sep-19 Carr, Christopher , MD Fleischli, Mary E, MD Dallas Associated Dermatology Eff 12-Jan-15 Eff 01-Jan-14 7000 Preston Rd Ste 500 Dallas Associated Dermatology Dallas Associated Dermatology Plano, TX 75024 7000 Preston Rd, Ste 500 7000 Preston Rd, Ste 500 (214) 987-3376 Plano, TX 75024-2573 Plano, TX 75024-2573 (214) 987-3376 (214) 987-3376 Li, Janet Y, MD Eff 18-Nov-18 Crawford, Chris W, MD Gou, Darlene E, MD US Dermatology Associates Eff 01-Jan-14 Eff 22-Jan-20 5030 Tennyson Pkwy, Ste 100 Dallas Associated Dermatology Southlake Dermatology Plano, TX 75024 7000 Preston Rd, Ste 500 5425 W Spring Crk Pkwy Ste 265 (972) 985-9003 Plano, TX 75024-2573 Plano, TX 75024-4344 (214) 987-3376 (214) 919-3500 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 130 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lockhart, Suzanne , MD Posten, William D, MD Selkin, Bryan A, MD Eff 26-Sep-17 Eff 01-Apr-15 Eff 21-Jun-18 US Dermatology Associates Dallas Associated Dermatology US Dermatology Associates 5805 Coit Rd, Ste 203 7000 Preston Rd, Ste 500 5030 Tennyson Pkwy, Ste 100 Plano, TX 75093-6990 Plano, TX 75024-2573 Plano, TX 75024 (972) 769-8180 (214) 987-3376 (972) 985-1176 Martinelli, Paul T, MD Quinby Graves, Rachel H, MD Sklar, Jerald L, MD Eff 01-Jan-14 Eff 24-Jul-18 Eff 01-Jan-14 Texas Skin Surgery Center, PA US Dermatology Associates Dallas Associated Dermatology 4716 Alliance Blvd, Ste 150 5805 Coit Rd, Ste 203 7000 Preston Rd, Ste 500 Plano, TX 75093 Plano, TX 75093 Plano, TX 75024-2573 (469) 467-6647 (972) 769-8180 (214) 987-3376 • Languages spoken / Idioma(s) hablado(s): Spanish Rorrie, Kendra A, MD Smith, Daniel A, MD Eff 01-Jan-14 Eff 01-Jan-14 Matter, Christie E, MD Dallas Diagnostic Association- Dallas Diagnostic Association- Eff 25-Sep-17 Plano Plano US Dermatology Associates 4716 Alliance Blvd Ste 750 4716 Alliance Blvd, Ste 750 5805 Coit Rd, Ste 203 Plano, TX 75093 Plano, TX 75093 Plano, TX 75093-6990 (469) 800-6000 (469) 800-6000 (972) 769-8180 Rorrie, Kendra A, MD Smith, Daniel A, MD McGuiness, Michael A, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Aug-15 Baylor Scott & White Dallas Baylor Scott & White Dallas Specialty Care Physicians & Other Providers/ Michael McGuiness, PA Diagnostic Association - Plano Diagnostic Association - Plano 6000 W Spring Creek Pkwy, Ste 4716 Alliance Blvd Ste 750 4716 Alliance Blvd, Ste 750 200 Plano, TX 75093 Plano, TX 75093 Médicos de cuidado especializado y otros proveedores Plano, TX 75024 (469) 800-6000 (469) 800-6000 (972)316-4555 Rubianes, Elba I, MD Snavely, Nicholas R, MD Meyer, Michael , MD Eff 03-Sep-19 Eff 17-Dec-17 Eff 21-Feb-19 Michael McGuiness, PA US Dermatology Associates US Dermatology Associates 6000 W Spring Creek Pkwy, Ste 5030 Tennyson Pkwy Ste 100 5030 Tennyson Pkwy, Ste 100 200 Plano, TX 75024 Plano, TX 75024 Plano, TX 75024 (972) 985-9003 (972) 985-9003 (972)316-4555 Stalkup, Jennifer R, MD Modi, Gunjan M, MD Scott, Sarah R, MD Eff 01-Aug-15 Eff 01-Jun-15 Eff 01-Jan-14 Jennifer R Stalkup, MD, PA Gunjan M Modi, MD, PA Dallas Associated Dermatology 6100 Windhaven Pkwy 6100 Windhaven Pkwy 7000 Preston Rd, Ste 500 Plano, TX 75093 Plano, TX 75093-8046 Plano, TX 75024-2573 (972) 608-0330 (972) 378-0620 (214) 987-3376 Stroud, Christopher M, MD Parry, Edward , MD Sears, Laura L, MD Eff 17-Dec-17 Eff 01-Jun-15 Eff 01-Jan-14 Dallas Associated Dermatology Edward Parry, MD, PA Dallas Associated Dermatology 7000 Preston Rd, Ste 500 6100 Windhaven Pkwy, Ste 210 7000 Preston Rd, Ste 500 Plano, TX 75024-2573 Plano, TX 75093-8046 Plano, TX 75024-2573 (214) 987-3376 (972) 378-0620 (214) 987-3376

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 131 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Thieberg, Mark D, MD Wofford, John S, MD Cooke County | Condado de Eff 01-Jan-14 Eff 12-Dec-17 Baylor Scott & White Dallas US Dermatology Associates Cooke Diagnostic Association - Plano 5030 Tennyson Pkwy, Ste 200 4716 Alliance Blvd, Ste 750 Plano, TX 75024 Barrows, Matthew D, MD Plano, TX 75093 (972)985-9003 Eff 01-Jul-20 (469) 800-6000 Dermatology and Skin Cancer Wright, Natalie Ann, MD Surgery Center Thieberg, Mark D, MD Eff 15-Dec-18 214 E California St Eff 01-Jan-14 Natalie A Wright MD PLLC Gainesville, TX 76240-4004 Dallas Diagnostic Association- 6100 Windhaven Pkwy (940) 665-1551 Plano Plano, TX 75093-8046 4716 Alliance Blvd, Ste 750 (214) 615-1900 Dallas County | Condado de Plano, TX 75093 Dallas (469) 800-6000 McGuiness, Michael A, MD Eff 01-Aug-15 Truong, Valerie L, MD Michael McGuiness, PA Aftergut, Kent S, MD Eff 06-Nov-19 2440 E Prosper Trl, Ste 70 Eff 01-Dec-15 US Dermatology Associates Prosper, TX 75078 Dallas Associated Dermatology 5030 Tennyson Pkwy, Ste 200 (469) 481-3001 610 Uptown Blvd, Ste 102 Plano, TX 75024 Cedar Hill, TX 75104-3528 (972) 985-9003 McGuiness, Michael A, MD (972) 283-8979 Eff 01-Aug-15 • Languages spoken / Idioma(s) Truong, Valerie L, MD Michael McGuiness, PA hablado(s): Spanish Eff 06-Nov-19 1450 N Preston Rd Ste 60 Specialty Care Physicians & Other Providers/ US Dermatology Associates Prosper, TX 75078 Gou, Darlene E, MD 5026 Tennyson Pkwy (972)316-4555 Eff 22-Jan-20 Médicos de cuidado especializado y otros proveedores Plano, TX 75024-3360 Southlake Dermatology (972) 985-1920 Richey, Jonathan D, DO 610 Uptown Ste 102 Eff 01-Jan-14 Cedar Hill, TX 75104-3528 Wells, Michael , MD Baylor Scott & White Dermatology (972) 283-8979 Eff 01-Feb-18 Specialists - McKinney Private Practice 821 N Coleman Ste 100 Orseth, Meredith L, MD 6100 Windhaven Pkwy Prosper, TX 75078-2304 Eff 27-Aug-19 Plano, TX 75093-8046 (469) 800-5325 Dermatology Associates of (972) 378-0620 • Languages spoken / Idioma(s) Uptown hablado(s): Spanish 610 Uptown Ste 102 Werner, Kimberly A, MD Cedar Hill, TX 75104-3528 Eff 08-Jul-20 Rubianes, Elba I, MD (972) 283-8979 McGuiness Dermatology Eff 03-Sep-19 6000 W Spring Creek Pkwy Ste Michael McGuiness, PA Chung, Nancy , MD 215 1450 N Preston Rd Ste 60 Eff 23-Nov-17 Plano, TX 75024-3617 Prosper, TX 75078 Epiphany Dermatology PA (972) 316-4555 (972)316-4555 580 S Denton Tap Rd, Ste 290 Coppell, TX 75019-5066 Wofford, John S, MD Rubianes, Elba I, MD (972) 712-3131 Eff 12-Dec-17 Eff 03-Sep-19 US Dermatology Associates Michael McGuiness, PA Fuller, Christopher K, MD 5030 Tennyson Pkwy, Ste 100 2440 E Prosper Trail Ste 70 Eff 03-Nov-17 Plano, TX 75024 Prosper, TX 75078-9280 Epiphany Dermatology PA (972) 985-1176 (972)316-4555 215 S Denton Tap Rd Ste 170 Coppell, TX 75019-5066 (469) 312-7302

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 132 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Greer, Sara , MD Blackburn-Woolfolk, Daneeque , Crawford, Chris W, MD Eff 07-Nov-17 MD Eff 01-Jan-14 Epiphany Dermatology PA Eff 15-Feb-18 Dallas Associated Dermatology 215 S Denton Tap Rd, Ste 170 Blackburn Woolfolk Dermatology 5924 Royal Ln, Ste 104 Coppell, TX 75019-5066 PLLC Dallas, TX 75230-7891 (469) 312-7302 8200 Brookriver Dr, Ste N705 (214) 987-3376 Dallas, TX 75247-4052 • Languages spoken / Idioma(s) Li, Lucy , MD (214) 630-5256 hablado(s): Spanish Eff 23-Nov-17 Epiphany Dermatology, PA Brown, Christine D, MD Custis, Trenton , MD 215 Denton Tap Rd Ste 170 Eff 01-Jan-14 Eff 12-Jan-15 Coppell, TX 75019 Christine D Brown, MD, PA PDP of Texas (469) 312-7302 3801 Gaston Ave, Ste 302 12222 Coit Rd, Ste 102 Dallas, TX 75246 Dallas, TX 75251-2302 Plott, Ronald T, MD (214) 828-0016 (972) 726-6647 Eff 27-Nov-17 • Languages spoken / Idioma(s) Epiphany Dermatology PA hablado(s): Spanish Custis, Trenton , MD 215 S Denton Tap Rd Ste 170 Eff 12-Jan-15 Coppell, TX 75019-5066 Carr, Christopher , MD PDP of Texas (469) 312-7302 Eff 12-Jan-15 3900 Junius St, Ste 710 Dallas Associated Dermatology Dallas, TX 75246-1627 Abramovits, William , MD 3900 Junius St, Ste 710 (214) 987-3376 Eff 15-Nov-17 Dallas, TX 75246-1627 Dermatology Treatment & (214) 987-3376 Dacso, Mara M, MD Research Center, PA Eff 17-Sep-19 Specialty Care Physicians & Other Providers/ 5310 Harvest Hill Rd, Ste 160 Carr, Christopher , MD PDP of Texas Dallas, TX 75230 Eff 12-Jan-15 12700 Park Central, Ste B150 (972) 661-2729 Dallas Associated Dermatology Dallas, TX 75251-1500 Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) 5924 Royal Ln, Ste 104 (214)987-3376 hablado(s): Spanish Dallas, TX 75230-7891 (214) 987-3376 Dacso, Mara M, MD Aftergut, Kent S, MD Eff 17-Sep-19 Eff 01-Dec-15 Cather, Jennifer C, MD PDP of Texas Dallas Associated Dermatology Eff 01-Feb-19 3900 Junius St, Ste 710 3900 Junius St, Ste 710 Mindful Dermatology PLLC Dallas, TX 75246-1627 Dallas, TX 75246-1627 9101 N Central Expy Ste 160 (214)987-3376 (214) 987-3376 Dallas, TX 75231-5927 • Languages spoken / Idioma(s) (214) 265-1818 Dacso, Mara M, MD hablado(s): Spanish Eff 17-Sep-19 Cockerell, Clay J, MD PDP of Texas Aftergut, Kent S, MD Eff 01-Jan-14 5924 Royal Ln, Ste 104 Eff 01-Dec-15 Cockerell Dermatopathology, PA Dallas, TX 75230-7891 Dallas Associated Dermatology 2110 Research Row, Ste 100 (214)987-3376 7777 Forest Lane, Ste 760 Dallas, TX 75235 Dallas, TX 75230 (214) 530-5200 Danford, Brandon C, MD (972) 283-8979 Eff 04-Nov-19 • Languages spoken / Idioma(s) Crawford, Chris W, MD Dallas Associated Dermatology hablado(s): Spanish Eff 01-Jan-14 5924 Royal Ln, Ste 104 Dallas Associated Dermatology Dallas, TX 75230-7891 3900 Junius St, Ste 710 (214) 987-3376 Dallas, TX 75246-1627 • Languages spoken / Idioma(s) (214) 987-3376 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 133 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Danford, Brandon C, MD Greenberg, Cindy , MD Kuruvilla, Abraham , MD Eff 04-Nov-19 Eff 13-Jun-19 Eff 12-Jul-18 Dallas Associated Dermatology US Dermatology Associates US Dermatology Associates 3900 Junius St Ste 710 5310 Harvest Hill Rd, Ste 290 8210 Walnut Hill Ln, Ste 810 Dallas, TX 75246 Dallas, TX 75230-5826 Dallas, TX 75231-4421 (214) 987-3376 (214) 420-0650 (214) 369-8180 • Languages spoken / Idioma(s) hablado(s): Spanish Grimshaw, Emily , MD Lai, Jennifer Chia Fang, MD Eff 01-Jan-20 Eff 01-Jan-20 Dolan, Elizabeth , MD PDP of Texas PLLC PDP of Texas PLLC Eff 01-Nov-16 5924 Royal Ln Ste 104 5924 Royal Ln Ste 104 White Rock Dermatology Dallas, TX 75230-3863 Dallas, TX 75230-3863 10611 Garland Rd, # 210 (214) 987-3376 (214) 987-3376 Dallas, TX 75218-2695 (214) 324-2881 Kelly-Sell, Michael J, MD Li, Janet Y, MD Eff 17-Sep-19 Eff 18-Nov-18 Eubank, Kelly , MD Dallas Associated Dermatology US Dermatology Associates Eff 20-Aug-19 5924 Royal Ln, Ste 104 8210 Walnut Hill Ln, POB 1, Ste US Dermatology Associates Dallas, TX 75230-7891 810 5310 Harvest Hill Rd Ste 290 (214) 987-3376 Dallas, TX 75231 Dallas, TX 75230-5826 (214) 369-6411 (214)420-0650 Kelly-Sell, Michael J, MD Eff 17-Sep-19 McDonough, Patrick H, MD Fleischli, Mary E, MD Dallas Associated Dermatology Eff 23-Jul-17 Eff 01-Jan-14 3900 Junius St Ste 710 Lakewood Dermatology, PLLC Specialty Care Physicians & Other Providers/ Dallas Associated Dermatology Dallas, TX 75246 6162 E Mockingbird Lne, Ste 120 3900 Junius St, Ste 710 (214) 987-3376 Dallas, TX 75214 Médicos de cuidado especializado y otros proveedores Dallas, TX 75246-1627 (214) 463-8328 (214) 987-3376 Kivelevitch, Dario N, MD Eff 20-Dec-19 McGuiness, Michael A, MD Fleischli, Mary E, MD Texas Dermatology Associates Eff 01-Aug-15 Eff 01-Jan-14 3900 Junius St Ste 145 Michael McGuiness, PA Dallas Associated Dermatology Dallas, TX 75246-1616 6301 Gaston Ave, Ste 325W 5924 Royal Ln, Ste 104 (972) 386-7546 Dallas, TX 75214 Dallas, TX 75230-7891 (972) 316-4555 (214) 987-3376 Kollipara, Siaramya , MD Eff 13-Jun-19 Menter, Martin A, MD Gou, Darlene E, MD Westlake Dermatology, PA Eff 01-Jan-14 Eff 22-Jan-20 6565 Hillcrest Ave Ste 110 Texas Dermatology Associates Southlake Dermatology Dallas, TX 75205 3900 Junius St, Ste 145 3900 Junius St Ste 710 (972) 512-4800 Dallas, TX 75246-1616 Dallas, TX 75265 (972) 386-7546 (214) 987-3376 Kuruvilla, Abraham , MD Eff 12-Jul-18 Momin, Saira B, DO Gou, Darlene E, MD US Dermatology Associates Eff 20-Nov-17 Eff 22-Jan-20 3607 Oak Lawn Ave, Ste 200 Dallas Associated Dermatology Southlake Dermatology Dallas, TX 75219-4787 12222 Coit Rd, Ste 102 7777 Forest Ln Ste C760 (469) 941-4212 Dallas, TX 75251-2302 Dallas, TX 75230-2571 (972) 726-6647 (469) 523-1523

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 134 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Niroomand, Farhad , MD Posten, William D, MD Scott, Sarah R, MD Eff 01-Jul-15 Eff 01-Apr-15 Eff 01-Jan-14 Farhad Niroomand, MD, PA Dallas Associated Dermatology Dallas Associated Dermatology 4144 N Central Expy, Ste 855 3900 Junius St, Ste 710 5924 Royal Ln, Ste 104 Dallas, TX 75204 Dallas, TX 75246-1627 Dallas, TX 75230-7891 (214) 303-1102 (214) 987-3376 (214) 987-3376 • Languages spoken / Idioma(s) hablado(s): Farsi Rabin, Vicki , MD Sears, Laura L, MD Eff 21-Aug-19 Eff 01-Jan-14 Paek, So Y, MD US Dermatology Associates Dallas Associated Dermatology Eff 20-Nov-17 2300 Green Oak Dr Ste 200 3900 Junius St, Ste 710 Texas Dermatology Associates Dallas, TX 75230-5826 Dallas, TX 75246-1627 3900 Junius St, Ste 145 (281)358-7600 (214) 987-3376 Dallas, TX 75246-1616 (972) 386-7546 Rembold, Julie C, MD Sears, Laura L, MD • Languages spoken / Idioma(s) Eff 29-Jan-18 Eff 01-Jan-14 hablado(s): Korean Dallas Associated Dermatology Dallas Associated Dermatology 5924 Royal Ln, Ste 104 5924 Royal Ln, Ste 104 Patel, Trisha J, MD Dallas, TX 75230-7891 Dallas, TX 75230-7891 Eff 29-Oct-18 (214) 987-3376 (214) 987-3376 US Dermatology Associates 8210 Walnut Hill Ln, POB 1, Ste Rubin, Howard A, MD Singer, Allison F, MD 810 Eff 08-Aug-19 Eff 15-Oct-17 Dallas, TX 75231 US Dermatology Associates Dallas Associated Dermatology 12740 Hillcrest Rd, Ste 200 5924 Royal Ln, Ste 104 (214) 369-6411 Specialty Care Physicians & Other Providers/ Dallas, TX 75230-2012 Dallas, TX 75230-7891 Perone, Jennifer , MD (972) 386-9600 (214) 987-3376 Eff 01-Dec-17 Médicos de cuidado especializado y otros proveedores Surgical Dermatology Associates Saporito, Frank C, MD Sklar, Jerald L, MD Dallas Eff 01-Aug-15 Eff 01-Jan-14 12200 Park Ctrl Dr, Ste 215 Dallas Skin Cancer Center Dallas Associated Dermatology Dallas, TX 75251-3210 411 N Washington Ave, Ste 1200 3900 Junius St, Ste 710 (972) 239-6999 Dallas, TX 75246 Dallas, TX 75246-1627 (214) 396-5227 (214) 987-3376 Phillips, Rhea , MD Eff 24-Aug-18 Saxton-Daniels, Stephanie A, MD Sklar, Jerald L, MD US Dermatology Associates Eff 15-Nov-17 Eff 01-Jan-14 8210 Walnut Hill Ln, POB 1, Ste Dermatology Treatment & Dallas Associated Dermatology 810 Research Center, PA 5924 Royal Ln, Ste 104 Dallas, TX 75231 5310 Harvest Hill Rd, Ste 160 Dallas, TX 75230-7891 (214) 369-6411 Dallas, TX 75230 (214) 987-3376 (972) 661-2729 Posten, William D, MD Stroud, Christopher M, MD Eff 01-Apr-15 Scott, Sarah R, MD Eff 17-Dec-17 Dallas Associated Dermatology Eff 01-Jan-14 Dallas Associated Dermatology 12222 Coit Rd, Ste 102 Dallas Associated Dermatology 5924 Royal Ln, Ste 104 Dallas, TX 75251-2302 3900 Junius St, Ste 710 Dallas, TX 75230-7891 (972) 726-6647 Dallas, TX 75246-1627 (214) 987-3376 (214) 987-3376

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 135 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Thrash, Dustin B, MD Zeikus, Priya , MD Desai, Seemal R, MD Eff 20-Nov-17 Eff 01-Dec-17 Eff 11-Mar-20 US Dermatology Associates Surgical Dermatology Associates Innovative Dermatology PA 3607 Oak Lawn Ave, Ste 200 Dallas 5425 W Spring Creek Pkwy Ste Dallas, TX 75219-4787 12200 Park Ctrl Dr, Ste 215 265 (469) 941-4212 Dallas, TX 75251-3210 Grand Prairie, TX 75054 (972) 239-6999 (214) 919-3500 Truong, Valerie L, MD Eff 06-Nov-19 Le, Tang D, DO Grice, David , DO US Dermatology Associates Eff 15-Mar-17 Eff 15-Aug-16 8210 Walnut Hill Ln, Ste 810 Mesquite Medical & Cosmetic Private Practice Dallas, TX 75231-4421 Dermatology 3155 S Carrier Pkwy (214) 369-8180 1005 York Dr, Ste 101 Grand Prairie, TX 75052 Desoto, TX 75115-2083 (972) 263-5064 Weitzul, Sarah , MD (972) 572-1122 Eff 01-Dec-17 • Languages spoken / Idioma(s) Carr, Christopher , MD Surgical Dermatology Associates hablado(s): Spanish Eff 12-Jan-15 Dallas Dallas Associated Dermatology 12200 Park Ctrl Dr, Ste 215 Garner, Lisa A, MD 6750 N MacArthur Blvd, Ste 260 Dallas, TX 75251-3210 Eff 25-Jun-18 Irving, TX 75039-2489 (972) 239-6999 PDP of Texas PLLC (214) 987-3376 3310 Broadway Blvd Wilder, Elizabeth G, MD Garland, TX 75043-1531 Custis, Trenton , MD Eff 01-Jun-18 (972) 271-4141 Eff 12-Jan-15 Dallas Skin Cancer Center PDP of Texas Specialty Care Physicians & Other Providers/ 411 N Washington Ave, Ste 1200 Kia, Kevin F, MD 7445 Las Colinas Blvd Dallas, TX 75246 Eff 11-Jul-16 Irving, TX 75063-7561 Médicos de cuidado especializado y otros proveedores (214) 396-5227 Dallas Associated Dermatology (972) 726-6647 1919 S Shiloh Rd, Ste 300, LB 42 Witheiler, Daniel D, MD Garland, TX 75042-8241 Dacso, Mara M, MD Eff 15-Oct-18 (972) 278-4992 Eff 17-Sep-19 Daniel D. Witheiler, MD, PA • Languages spoken / Idioma(s) PDP of Texas 1411 N. Beckley Ave. Pavilion III hablado(s): Spanish 6750 N MacArthur Blvd, Ste 260 Suite 470 Irving, TX 75039-2489 Dallas, TX 75203 Nguyen, Thao U, MD (214)987-3376 (214) 941-7546 Eff 01-Jan-20 PDP of Texas PLLC Danford, Brandon C, MD Wolthoff, Amanda J, MD 3310 Broadway Blvd Eff 04-Nov-19 Eff 20-Nov-17 Garland, TX 75043-1531 Dallas Associated Dermatology US Dermatology Associates (972) 271-4141 6750 N MacArthur Blvd Ste 260 3607 Oak Lawn Ave, Ste 200 Irving, TX 75039 Dallas, TX 75219-4787 Patel, Akash A, MD (214) 987-3376 (469) 941-4212 Eff 09-Apr-18 • Languages spoken / Idioma(s) Dallas Associated Dermatology hablado(s): Spanish Wooming, George A, MD 1919 S Shiloh Rd, Ste 300, LB 42 Eff 01-Jan-14 Garland, TX 75042-8241 Gou, Darlene E, MD George A Wooming, MD PA (972) 278-4992 Eff 22-Jan-20 4514 Travis St, Ste 117 Southlake Dermatology Dallas, TX 75205 6750 N MacArthur Blvd Ste 260 (972) 661-5476 and 260B Irving, TX 75039-2489 (214) 987-3376

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 136 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Gou, Darlene E, MD Le, Tang D, DO McDonough, Patrick H, MD Eff 22-Jan-20 Eff 15-Mar-17 Eff 23-Jul-17 Southlake Dermatology Mesquite Medical & Cosmetic Lakewood Dermatology, PLLC 7300 Eldorado Pkwy Ste 100 Dermatology 341 Wheatfield Dr, Ste 100 Irving, TX 75039-2489 2704 N Galloway Ave, Ste 101 Sunnyvale, TX 75182 (214) 987-3376 Mesquite, TX 75150-6379 (214) 463-8328 (972) 288-3376 Kelly-Sell, Michael J, MD • Languages spoken / Idioma(s) Denton County | Condado de Eff 17-Sep-19 hablado(s): Spanish Dallas Associated Dermatology Denton 6750 N MacArthur Blvd Ste 260 Ekpo, Felicia , DO Irving, TX 75039 Eff 03-Sep-20 Bentow, Jason J, MD (214) 987-3376 McGuiness Dermatology Eff 22-May-19 1920 N Collins Blvd Dermatology Consultants of Frisco Kim, Carolyn , MD Richardson, TX 75080 1601 W Hebron Pkwy, Ste 220 Eff 15-Aug-17 (972) 316-4555 Carrollton, TX 75010-6340 Pure Dermatology Center (469) 208-7181 2001 N MacArthur Blvd, Ste 444 Gustovich, Carla A, MD Irving, TX 75061 Eff 06-Oct-17 Chappell, Jeaneen A, MD (972) 827-1130 US Dermatology Associates Eff 22-Jul-20 3600 Shire Blvd, Ste 210 Precision Dermatology Kim, Carolyn , MD Richardson, TX 75082 1601 W Hebron Pkwy Ste 220 Eff 15-Aug-17 (469) 326-3376 Carrollton, TX 75010-6340 Pure Dermatology Center (469) 208-7181 2005 West Park Drive, Suite 120 Koriakos, Angie , DO Specialty Care Physicians & Other Providers/ Irving, TX 75061 Eff 01-Jul-17 Gibson, Juliet F, MD (972) 827-1130 K Dermatology, PLLC Eff 07-Aug-19 399 W Campbell Rd, Ste 410 US Dermatology Associates Médicos de cuidado especializado y otros proveedores Momin, Saira B, DO Richardson, TX 75080 4340 N Josey Ln, Ste 100 Eff 20-Nov-17 (972) 469-3376 Carrollton, TX 75010-4604 Dallas Associated Dermatology (972)492-7900 7445 Las Colinas Blvd Lockhart, Suzanne , MD Irving, TX 75063-7561 Eff 26-Sep-17 Guidry Pruett, Lisa A, MD (972) 726-6647 US Dermatology Associates Eff 18-Nov-18 3600 Shire Blvd, Ste 210 US Dermatology Associates Posten, William D, MD Richardson, TX 75082 4340 N Josey Lane, Ste 100 Eff 01-Apr-15 (469) 326-3376 Carrollton, TX 75010-4604 Dallas Associated Dermatology (972) 492-7900 7445 Las Colinas Blvd Matter, Christie E, MD Irving, TX 75063-7561 Eff 25-Sep-17 Patel, Akash A, MD (972) 726-6647 US Dermatology Associates Eff 09-Apr-18 3600 Shire Blvd, Ste 210 Dallas Associated Dermatology Wright, David R, MD Richardson, TX 75082 1601 W Hebron Pkwy, Ste 220 Eff 18-Nov-18 (469) 326-3376 Carrollton, TX 75010-6340 Dallas Associated Dermatology (469) 208-7181 7445 Las Colinas Blvd Quinby Graves, Rachel H, MD Irving, TX 75063-7561 Eff 24-Jul-18 Pidkowicz, Joseph K, DO (972) 726-6647 US Dermatology Associates Eff 21-Feb-19 3600 Shire Blvd, Ste 210 US Dermatology Associates Richardson, TX 75082 4340 N Josey Lane, Ste 100 (469) 326-3376 Carrollton, TX 75010-4604 (972) 492-7900

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 137 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Pidkowicz, Joseph K, DO Chappell, Jeaneen A, MD Brown, Grace E, MD Eff 21-Feb-19 Eff 22-Jul-20 Eff 01-Aug-15 US Dermatology Associates Precision Dermatology Grace Elizabeth Brown, MD, PA 4340 N Josey Ln, Ste 204 2435 W Oak St Ste 102 4471 Long Prairie Rd, Ste 100 Carrollton, TX 75010 Denton, TX 76201-4313 Flower Mound, TX 75028 (972) 492-7900 (940) 312-6767 (972) 316-4555 Pruett, Jon D, MD Chung, Nancy , MD Dacso, Mara M, MD Eff 18-Nov-18 Eff 23-Nov-17 Eff 26-Jun-18 US Dermatology Associates Epiphany Dermatology PA US Dermatology Associates 4340 N Josey Lane, Ste 100 3317 Unicorn Lake Blvd, Ste 142 4001 Long Prairie Rd, Ste 145 Carrollton, TX 75010-4604 Denton, TX 76210-0115 Flower Mound, TX 75028-1528 (972) 492-7900 (940) 222-3724 (972) 985-9003 Ray, Mark K, MD Henry, Clara H, MD Hoang, Jeannine K, MD Eff 08-Aug-19 Eff 01-Jul-20 Eff 15-Dec-18 US Dermatology Associates Dermatology and Skin Cancer United Dermatology Associates of 4340 N Josey Ln, Ste 100 Surgery Center Flower Mound Carrollton, TX 75010-4604 2548 Lillian Miller Pkwy Ste 100 2560 Central Park Ave, Ste 395 (972)492-7900 Denton, TX 76210-7212 Flower Mound, TX 75028 (940) 387-7565 (469) 635-5990 Ray, Mark K, MD Eff 08-Aug-19 Patel, Akash A, MD Kesani, Shaily B, MD US Dermatology Associates Eff 09-Apr-18 Eff 18-Jan-16 4340 N Josey Ln, Ste 204 Dallas Associated Dermatology Michael McGuiness, PA Specialty Care Physicians & Other Providers/ Carrollton, TX 75010 2435 W Oak St, Ste 102 4471 Long Prairie Rd, Ste 100 (972)492-7900 Denton, TX 76201-4313 Flower Mound, TX 75028 Médicos de cuidado especializado y otros proveedores (940) 312-6767 (972) 316-4555 Rubin, Howard A, MD Eff 08-Aug-19 Weisberg, Eric L, MD McGuiness, Michael A, MD US Dermatology Associates Eff 17-Jul-20 Eff 01-Aug-15 4340 N Josey Ln, Ste 204 PDP of Texas PLLC Michael McGuiness, PA Carrollton, TX 75010 2435 West Oak St Ste 102 4471 Long Prairie Rd, Ste 100 (972)492-7900 Denton, TX 76201 Flower Mound, TX 75028 (940) 312-6767 (972) 316-4555 Weisberg, Eric L, MD Eff 17-Jul-20 Werner, Kimberly A, MD Perez, Isaac , MD PDP of Texas PLLC Eff 17-Sep-19 Eff 15-Nov-16 1601 W Hebron Pkwy Ste 220 PDP of Texas Flower Mound Dermatology PA Carrollton, TX 75010 2435 W Oak St, Ste 102 3821 Long Prairie Rd, Ste 100 (469) 208-7181 Denton, TX 76201-4313 Flower Mound, TX 75028 (940) 312-6767 (972) 221-2784 Bentow, Jason J, MD Eff 22-May-19 Zhang, Huayi , MD Selkin, Bryan A, MD Dermatology Consultants of Frisco Eff 23-Aug-18 Eff 21-Jun-18 2435 W Oak St, Ste 102 Epiphany Dermatology PA US Dermatology Associates Denton, TX 76201-4313 3317 Unicorn Lake Blvd, Ste 142 4001 Long Prairie Rd, Ste 145 (940) 312-6767 Denton, TX 76210-0115 Flower Mound, TX 75028-1528 (940) 222-3724 (972) 985-9003

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 138 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Treen, Ben M, MD Posten, William D, MD Grayson County | Condado de Eff 15-Dec-18 Eff 01-Apr-15 United Dermatology Associates of Dallas Associated Dermatology Grayson Flower Mound 2570 Justin Rd, Ste 160 2560 Central Park Ave, Ste 395 Highland Village, TX 75077-3055 Helm, Matthew , MD Flower Mound, TX 75028 (972) 317-3376 Eff 02-Apr-18 (469) 635-5990 US Dermatology Associates Amin, Sanober , MD 815 Pecan Grove Rd E Bentow, Jason J, MD Eff 15-Dec-19 Sherman, TX 75090-1768 Eff 22-May-19 Dermatology Solutions (903) 892-2126 Dermatology Consultants of Frisco 139 Old Town Blvd N 4685 Eldorado Pkwy, Ste 100 Lantana, TX 76226-4491 Koone, Mark D, MD Frisco, TX 75033-0289 (214) 337-6362 Eff 09-Feb-18 (972) 335-2727 US Dermatology Associates Fuller, Christopher K, MD 815 Pecan Grove Rd E Chappell, Jeaneen A, MD Eff 03-Nov-17 Sherman, TX 75090-1768 Eff 22-Jul-20 Epiphany Dermatology PA (903) 892-2126 Dermatology Consultants of Frisco 206 Denton Dr 4685 Eldorado Pkwy Ste 100 Roanoke, TX 76262-6112 Li, Janet Y, MD Frisco, TX 75033-0289 (682) 237-2271 Eff 18-Nov-18 (972) 335-2727 US Dermatology Associates Greer, Sara , MD 815 Pecan Grove Rd E Chung, Nancy , MD Eff 07-Nov-17 Sherman, TX 75090-1768 Eff 23-Nov-17 Epiphany Dermatology PA (903) 892-2126 Epiphany Dermatology PA 206 Denton Dr Specialty Care Physicians & Other Providers/ 9191 Kyser Way, Bldg 3, Ste B Roanoke, TX 76262-6112 Moss, Clint C, MD Frisco, TX 75033-1902 (682) 237-2271 Eff 02-Mar-18 (972) 712-3131 US Dermatology Associates Médicos de cuidado especializado y otros proveedores Plott, Ronald T, MD 815 Pecan Grove Rd E Li, Lucy , MD Eff 27-Nov-17 Sherman, TX 75090-1768 Eff 23-Nov-17 Epiphany Dermatology PA (903) 892-2126 Epiphany Dermatology, PA 206 Denton Dr 9191 Kyser Way Bldg 3 Ste B Roanoke, TX 76262-6112 Truong, Valerie L, MD Frisco, TX 75033-1902 (682) 237-2271 Eff 06-Nov-19 (972) 712-3131 US Dermatology Associates Ellis County | Condado de Ellis 815 Pecan Grove Rd E Tolkachjov, Stanislav M, MD Sherman, TX 75090-1768 Eff 11-Feb-19 Biltz, John M, MD (903) 892-2126 Epiphany Dermatology PA Eff 10-Jan-18 9191 Kyser Way Bldg 3 Ste B US Dermatology Associates Hill County | Condado de Hill Frisco, TX 75033 2460 N I-35 E, Ste 240 (972) 712-3131 Waxahachie, TX 75165-5275 Bloomquist, Luke R, MD (903) 875-0413 Eff 23-Jan-19 Zhang, Huayi , MD Epiphany Dermatology PA Eff 23-Aug-18 Word, Andrew P, MD 1323 E Franklin, Ste 103 Epiphany Dermatology PA Eff 15-Jan-17 Hillsboro, TX 76645 9191 Kyser Way, Bldg 3, Ste B Word Dermatology, PLLC (254) 537-1265 Frisco, TX 75033-1902 2460 N I-35E, Ste 285 (972) 712-3131 Waxahachie, TX 75165 Grenier, Liesl , MD (972) 736-3376 Eff 13-Nov-19 Epiphany Dermatology PA 1323 E Franklin, Ste 103 Hillsboro, TX 76645 (254) 537-1265

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 139 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Warren, Kelly J, MD Biltz, John M, MD Miller, Douglas S, MD Eff 08-Feb-17 Eff 10-Jan-18 Eff 01-Jan-14 Epiphany Dermatology PA US Dermatology Associates Tarrant Dermatology Consultants, 1323 E Franklin, Ste 103 401 Hospital Dr, Ste 100 PA Hillsboro, TX 76645 Corsicana, TX 75110-2415 912 Foster Ln (254) 537-1265 (903) 875-0413 Weatherford, TX 76086 (817) 489-6789 Hunt County | Condado de Grabski, William , MD Eff 06-Jan-14 Miller, Elaine K, DO Hunt US Dermatology Associates Eff 15-Sep-16 401 Hospital Dr Ste 100 The Dermatology Spot, PLLC Dunnigan, Michael , DO Corsicana, TX 75110 1841 Martin Dr, Ste 200 Eff 01-Nov-16 (903)875-0413 Weatherford, TX 76086 US Dermatology Associates (817) 609-4114 8506 Wesley St Li, Janet Y, MD Greenville, TX 75402-3812 Eff 18-Nov-18 Swayden, Tracie Denise, MD (903) 534-6200 US Dermatology Associates Eff 01-Jan-14 401 Hospital Dr, Ste 100 Skin MD, PA Johnson County | Condado de Corsicana, TX 75110-2415 750 Eureka St, Ste A Johnson (903) 875-0413 Weatherford, TX 76086 (817) 550-6073 Snavely, Nicholas R, MD • Languages spoken / Idioma(s) Pham, Ryan K, DO Eff 17-Dec-17 hablado(s): Spanish Eff 09-May-16 US Dermatology Associates Prestige Dermatology, PLLC 401 Hospital Dr Ste 100 Wilkes, Dustin V, DO Specialty Care Physicians & Other Providers/ 621 SW Johnson Ave, Ste C Corsicana, TX 75110-2415 Eff 08-Mar-18 Burleson, TX 76028 (903)875-0413 US Dermatology Associates Médicos de cuidado especializado y otros proveedores (817) 766-7421 2618 E Bankhead Hwy • Languages spoken / Idioma(s) Truong, Valerie L, MD Weatherford, TX 76087-9558 hablado(s): Vietnamese Eff 06-Nov-19 (817) 594-5880 US Dermatology Associates Carletti, Michael D, DO 401 Hospital Dr, Ste 100 Xia, Yang , MD Eff 07-Jan-19 Corsicana, TX 75110-2415 Eff 28-Jul-14 Concierge Dermatology (903) 875-0413 Skin MD PA Management, LLC 750 Eureka St Ste A 1701 Walter Holiday Dr Parker County | Condado de Weatherford, TX 76086 Cleburne, TX 76033-1187 (817) 550-6073 (817) 205-3075 Parker Rockwall County | Condado de Navarro County | Condado de Marra, Diego E, MD Eff 08-Mar-18 Rockwall Navarro US Dermatology Associates 1105 Santa Fe Dr, Ste 105 Bhambri, Avani , MD Anderson, Lawrence L, MD Weatherford, TX 76086-5852 Eff 01-May-15 Eff 01-Jan-14 (817) 594-5880 Texas Dermatology and Skin US Dermatology Associates Cancer Center 401 Hospital Dr Ste 100 Marra, Diego E, MD 6751 Horizon Rd Corsicana, TX 75110-2415 Eff 08-Mar-18 Heath, TX 75032 (903)875-0413 US Dermatology Associates (469) 757-4410 2618 E Bankhead Hwy Weatherford, TX 76087-9558 (817) 594-5880

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 140 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bhambri, Sanjay , DO Moore, Angela Y, MD Carletti, Michael D, DO Eff 01-May-15 Eff 01-Jan-14 Eff 07-Jan-19 Texas Dermatology and Skin Angela Y Moore, MD PA University of Texas Health Science Cancer Center 711 E Lamar Rd, Ste 200 Center-Internal Medicine 6751 Horizon Rd Arlington, TX 76011-3800 855 Montgomery Street 5th Floor Heath, TX 75032 (817) 795-7546 Fort Worth, TX 76107-2553 (469) 757-4410 • Languages spoken / Idioma(s) (817) 735-3627 hablado(s): Chinese Hixon, Christopher G, DO Carroll, Bryan , MD Eff 01-Jul-20 Treen, Ben M, MD Eff 01-Jul-18 Dermatology and Skin Cancer Eff 15-Dec-18 Fort Worth Dermatology Center Surgery Center United Dermatology Associates 6900 Harris Pkwy, Ste 200 1020 W Ralph Hall Pkwy Ste 102 723 N Fielder Rd, Ste C Fort Worth, TX 76132-4260 Rockwall, TX 75032-8711 Arlington, TX 76012 (817) 292-3376 (972) 390-9002 (817) 261-1122 Cothern, William F, DO Saucier, Jessica M, MD Thomas, Danny R, MD Eff 08-Aug-19 Eff 01-Jan-16 Eff 13-Oct-15 US Dermatology Associates Rockwall Dermatology, PLLC US Dermatology Associates 4201 Camp Bowie, Ste A 2701 Sunset Ridge Dr, Ste 404 6100 Southwest Blvd, Ste 100 Fort Worth, TX 76107-3928 Rockwall, TX 75032 Benbrook, TX 76109 (817)337-1243 (469) 377-1700 (817) 989-1595 • Languages spoken / Idioma(s) Durham, Kathryn , MD Tolkachjov, Stanislav M, MD hablado(s): Spanish Eff 17-Dec-17 Eff 11-Feb-19 US Dermatology Associates Specialty Care Physicians & Other Providers/ Epiphany Dermatology PA Blanco, Gabriela , MD 2801 S Hulen St, Ste 400 2504 Ridge Rd Ste 203 Eff 01-Jul-16 Fort Worth, TX 76109-1528 Rockwall, TX 75087-2570 Colleyville Dermatology (817) 921-2838 Médicos de cuidado especializado y otros proveedores (214) 771-3100 5013 Heritage Ave, # 100 Colleyville, TX 76034 Fuller, Christopher K, MD Tran, Kien T, MD (817) 868-1616 Eff 03-Nov-17 Eff 15-Oct-18 Epiphany Dermatology PA Liberty Dermatology, PA Kodali, Sreedevi , MD 12469 Timberland Blvd Ste 501 6800 Heritage Pkwy, Ste 100 Eff 01-Jul-16 Fort Worth, TX 76244-5216 Rockwall, TX 75087 Colleyville Dermatology (817) 431-6555 (972) 475-5300 5013 Heritage Ave, # 100 Colleyville, TX 76034 Fuller, Christopher K, MD Tarrant County | Condado de (817) 868-1616 Eff 03-Nov-17 Epiphany Dermatology PA Tarrant Brooks, Ralph A, MD 616 E Bailey Boswell Eff 04-Dec-18 Fort Worth, TX 76131-3575 Hoang, Jeannine K, MD Ralph Brooks MD LLC (682) 237-2271 Eff 15-Dec-18 7120 McCart Ave United Dermatology Associates Fort Worth, TX 76133-7298 Greer, Sara , MD 723 N Fielder Rd, Ste C (817) 394-3928 Eff 07-Nov-17 Arlington, TX 76012 Epiphany Dermatology PA (817) 261-1122 Bush, Amelia E, MD 12469 Timberland Blvd, Ste 501 Eff 27-Sep-20 Fort Worth, TX 76244-5216 Warthan Dermatology MOHS Skin (817) 431-6555 Cancer Surgery Center 5751 Edwards Ranch Rd Ste 101 Fort Worth, TX 76109 (817) 923-8220

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 141 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ioffe, Boris , DO Pham, Ryan K, DO Warthan, Molly M, MD Eff 01-Jan-14 Eff 09-May-16 Eff 15-Apr-18 Tarrant Dermatology Consultants, Prestige Dermatology of Alliance Warthan Dermatology Mohs Skin PA PLLC Cancer Surgery Center 1622 8th Ave, Ste 100 3629 Western Center Blvd, Ste 5751 Edwards Ranch Rd, Ste 101 Fort Worth, TX 76104 211 Fort Worth, TX 76109 (817) 927-2332 Fort Worth, TX 76137 (817) 923-8220 (817) 766-7422 Marra, Diego E, MD • Languages spoken / Idioma(s) Nguyen, Julie , MD Eff 08-Mar-18 hablado(s): Vietnamese Eff 01-Sep-16 US Dermatology Associates Key Dermatology 2801 S Hulen St, Ste 400 Plott, Ronald T, MD 3516 Golden Triangle Blvd, Ste Fort Worth, TX 76109-1528 Eff 27-Nov-17 120 (817) 921-2838 Epiphany Dermatology PA Ft Worth, TX 76244-4801 12469 Timberland Blvd Ste 501 (817) 898-2188 McCarty, James , MD Fort Worth, TX 76244-5216 • Languages spoken / Idioma(s) Eff 20-Nov-17 (817) 431-6555 hablado(s): Vietnamese US Dermatology Associates 2801 S Hulen St, Ste 400 Plott, Ronald T, MD Amin, Sanober , MD Fort Worth, TX 76109-1528 Eff 27-Nov-17 Eff 15-Dec-19 (817) 921-2838 Epiphany Dermatology PA Dermatology Solutions 616 E Bailey Boswell 1600 W College St LL40 Miller, Douglas S, MD Fort Worth, TX 76131-3575 Grapevine, TX 76051-3578 Eff 01-Jan-14 (817)529-1400 (214)337-6362 Tarrant Dermatology Consultants, Specialty Care Physicians & Other Providers/ PA Rajan, Betty , MD Ghali, Fred E, MD 1622 8th Ave, Ste 100 Eff 01-Jun-15 Eff 19-Mar-19 Médicos de cuidado especializado y otros proveedores Fort Worth, TX 76104 Betty Rajan, MD PLLC Dallas Associated Dermatology (817) 927-2332 6600 Bryant Irvin Rd 1325 W Northwest Hwy Fort Worth, TX 76132-4217 Grapevine, TX 76051 Nguyen, Roselynn , MD (817) 820-0011 (817) 421-3376 Eff 01-Jul-18 • Languages spoken / Idioma(s) Fort Worth Dermatology Center hablado(s): Other Chinese Li, Janet Y, MD 6900 Harris Pkwy, Ste 200 Eff 18-Nov-18 Fort Worth, TX 76132-4260 Readinger, Allison , MD * US Dermatology Associates (817) 292-3376 Eff 25-May-17 2321 Ira E Woods, Ste 180 Trinity Vista Dermatology Grapevine, TX 76051-8632 Patel, Trisha J, MD 800 8th Ave, Ste 326 (817) 329-2263 Eff 29-Oct-18 Fort Worth, TX 76104-2602 US Dermatology Associates (817) 885-8222 Walker, Daniel P, MD 2801 S Hulen St, Ste 400 Eff 20-Nov-17 Fort Worth, TX 76109-1528 Thrash, Dustin B, MD US Dermatology Associates (817) 921-2838 Eff 20-Nov-17 2321 Ira E Woods, Ste 180 US Dermatology Associates Grapevine, TX 76051-8632 Pedro, Steven D, MD 2801 S Hulen St, Ste 400 (817) 329-2263 Eff 01-Jun-16 Fort Worth, TX 76109-1528 Steven D Pedro MD PA (817) 921-2838 Wolthoff, Amanda J, MD 7833 Oakmont Blvd Eff 20-Nov-17 Fort Worth, TX 76132 US Dermatology Associates (817) 336-0661 1042 Texan Trl, Ste 200 • Languages spoken / Idioma(s) Grapevine, TX 76051-3703 hablado(s): Spanish (972) 985-9003

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 142 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Swayden, Tracie Denise, MD Chung, Nancy , MD Parry, Edward , MD Eff 01-Jan-14 Eff 23-Nov-17 Eff 01-Jun-15 Skin MD, PA Epiphany Dermatology PA Edward Parry, MD, PA 804 NE Mall Blvd 204 WJ Boaz Rd, Ste 200 6100 Windhaven Pkwy, Ste 210 Hurst, TX 76053 Saginaw, TX 76179-4396 Plano, TX 75093-8046 (817) 595-4500 (817) 529-1400 (972) 378-0620 • Languages spoken / Idioma(s) hablado(s): Spanish Bowers, Angela G, MD Truong, Valerie L, MD Eff 16-Nov-19 Eff 06-Nov-19 Xia, Yang , MD PDP of Texas US Dermatology Associates Eff 28-Jul-14 431 E State Hwy 114 Ste 300 5030 Tennyson Pkwy, Ste 200 Skin MD PA Southlake, TX 76092 Plano, TX 75024 804 NE Mall Blvd (817) 251-6500 (972) 985-9003 Hurst, TX 76053 (817) 595-4500 Gou, Darlene E, MD Truong, Valerie L, MD Eff 22-Jan-20 Eff 06-Nov-19 Walker, Daniel P, MD Southlake Dermatology US Dermatology Associates Eff 20-Nov-17 431 E St Hwy 114 Ste 300 5026 Tennyson Pkwy US Dermatology Associates Southlake, TX 76092-0408 Plano, TX 75024-3360 9808 N Beach St, Ste 600 (817) 251-6500 (972) 985-1920 Keller, TX 76244-6184 (817) 741-7515 Tajnert, Kathrene , MD Dallas County | Condado de Eff 02-Jan-20 Williams, Calvin L, MD PDP of Texas PLLC Dallas Eff 21-Oct-18 431 E State Hwy 114 Ste 300 Specialty Care Physicians & Other Providers/ US Dermatology Associates Southlake, TX 76092-1484 Truong, Valerie L, MD 9808 N Beach St, Ste 600 (817) 251-6500 Eff 06-Nov-19 Keller, TX 76244-6184 US Dermatology Associates Médicos de cuidado especializado y otros proveedores (817) 741-7515 Dermatology - MOHS/ 8210 Walnut Hill Ln, Ste 810 Dermatología - MOHS Dallas, TX 75231-4421 Mittelbronn, Matthew A., MD (214) 369-8180 Eff 12-Jan-19 Collin County | Condado de Lakeview Dermatology Grayson County | Condado de Collin 3918 Telephone Rd, Ste 100 Grayson Lake Worth, TX 76135-2933 (817) 752-5256 Hollabaugh, Eric S, MD Eff 01-Jun-15 Truong, Valerie L, MD Hoang, Jeannine K, MD Eric S Hollabaugh MD, PA Eff 06-Nov-19 Eff 15-Dec-18 6100 Windhaven Pkwy, Ste 208 US Dermatology Associates United Dermatology Associates Plano, TX 75093 815 Pecan Grove Rd E 130 Regency Pkwy (972) 378-0620 Sherman, TX 75090-1768 Mansfield, TX 76063 (903) 892-2126 (817) 539-0959 Modi, Gunjan M, MD Eff 01-Jun-15 Navarro County | Condado de Treen, Ben M, MD Gunjan M Modi, MD, PA Navarro Eff 15-Dec-18 6100 Windhaven Pkwy United Dermatology Associates Plano, TX 75093-8046 Truong, Valerie L, MD 130 Regency Pkwy (972) 378-0620 Eff 06-Nov-19 Mansfield, TX 76063 US Dermatology Associates (817) 539-0959 401 Hospital Dr, Ste 100 Corsicana, TX 75110-2415 (903) 875-0413

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 143 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tarrant County | Condado de Denton County | Condado de Rhodes, Susan J, RD Eff 27-Jun-19 Tarrant Denton Dallas Nephrology Associates 3800 Gaylord Pkwy Ste 910 Richardson, Steven J, MD Handley, Robert A, MD Frisco, TX 75034 Eff 01-Jun-16 Eff 15-Jul-16 (214) 358-2300 Richardson Dermatology, PLLC Flower Mound Vein Center 7000 Bryant Irvin, Ste 100 4921 Long Prairie Rd, #110 Rhodes, Susan J, RD Fort Worth, TX 76132 Flower Mound, TX 75028 Eff 27-Jun-19 (817) 882-6338 (972) 410-5757 Dallas Nephrology Associates 5575 Warren Pkwy Ste 304 Stewart, Faith A, MD Dietitian/ Dietista Frisco, TX 75034 Eff 01-Jun-16 (214) 358-2300 Richardson Dermatology, PLLC Collin County | Condado de 7000 Bryant Irvin, Ste 100 Cochran, Carolyn C, RD Fort Worth, TX 76132 Collin Eff 12-Mar-19 (817) 882-6338 Dallas Nephrology Associates Khan, Uzma W, RD 4510 Medical Center Dr Ste 210 Dermatopathology/ Eff 15-Jun-17 McKinney, TX 75069 Dermatopathology UP4 Nutrition LLC (214) 358-2300 1020 Exchange Pkwy Ste 160 Collin County | Condado de Allen, TX 75013 Cochran, Carolyn C, RD (972) 332-8866 Eff 12-Mar-19 Collin • Languages spoken / Idioma(s) Dallas Nephrology Associates 5236 West University Ste 2000

Specialty Care Physicians & Other Providers/ hablado(s): Hindi Froehlich, Heather , MD McKinney, TX 75071 Eff 21-Sep-20 Cochran, Carolyn C, RD (214) 358-2300 Médicos de cuidado especializado y otros proveedores Dermatology and Skin Cancer Eff 12-Mar-19 Surgery Center Dallas Nephrology Associates Lakhani, Nadiya , RD 1790 N Stonebridge Dr 3800 Gaylord Pkwy Ste 910 Eff 20-Mar-19 McKinney, TX 75071-7437 Frisco, TX 75034 Dallas Nephrology Associates (972) 390-9002 (214) 358-2300 4510 Medical Center Dr Ste 210 McKinney, TX 75069 Diagnostic Radiology/ Cochran, Carolyn C, RD (214) 358-2300 Radiodiagnóstico Eff 12-Mar-19 Dallas Nephrology Associates Lakhani, Nadiya , RD Eff 20-Mar-19 Dallas County | Condado de 5575 Warren Pkwy Ste 304 Frisco, TX 75034 Dallas Nephrology Associates Dallas (214) 358-2300 5236 West University Ste 2000 McKinney, TX 75071 Everton, Michael J, MD Lakhani, Nadiya , RD (214) 358-2300 Eff 16-Aug-19 Eff 20-Mar-19 American Radiology Consultants, Dallas Nephrology Associates Rhodes, Susan J, RD PA 3800 Gaylord Pkwy Ste 910 Eff 27-Jun-19 712 N Washington, Ste 101 Frisco, TX 75034 Dallas Nephrology Associates Dallas, TX 75246-1657 (214) 358-2300 4510 Medical Center Dr Ste 210 (214) 826-8822 McKinney, TX 75069 Lakhani, Nadiya , RD (214) 358-2300 Lee, Jae S, MD Eff 20-Mar-19 Eff 17-Jul-20 Dallas Nephrology Associates Baylor University Medical Center 5575 Warren Pkwy Ste 304 3409 Worth St Ste 300 Frisco, TX 75034 Dallas, TX 75218 (214) 358-2300 (214) 820-8350

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 144 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rhodes, Susan J, RD Dallas County | Condado de Cochran, Carolyn C, RD Eff 27-Jun-19 Eff 12-Mar-19 Dallas Nephrology Associates Dallas Dallas Nephrology Associates 5236 West University Ste 2000 7777 Forest Ln Ste C-750 McKinney, TX 75071 Cochran, Carolyn C, RD Dallas, TX 75230 (214) 358-2300 Eff 12-Mar-19 (972) 566-7199 Dallas Nephrology Associates Cochran, Carolyn C, RD 1145 N Bishop Ave Ste 100 Cochran, Carolyn C, RD Eff 12-Mar-19 Dallas, TX 75208 Eff 12-Mar-19 Dallas Nephrology Associates (214) 358-2300 Dallas Nephrology Associates 4401 Tradition Trl 8210 Walnut Hill Ste 306 Texas Plano, TX 75093 Cochran, Carolyn C, RD Health POB 1 (214) 579-6600 Eff 12-Mar-19 Dallas, TX 75231 Dallas Nephrology Associates (214) 358-2300 Cochran, Carolyn C, RD 13154 Coit Rd Ste 100 Eff 12-Mar-19 Dallas, TX 75240 Lakhani, Nadiya , RD Dallas Nephrology Associates (214) 358-2300 Eff 20-Mar-19 4701 Old Shepard Pl Ste 100 Dallas Nephrology Associates Plano, TX 75093 Cochran, Carolyn C, RD 1145 N Bishop Ave Ste 100 (214) 358-2300 Eff 12-Mar-19 Dallas, TX 75208 Dallas Nephrology Associates (214) 358-2300 Lakhani, Nadiya , RD 1411 N Beckley Ave Eff 20-Mar-19 Dallas, TX 75203 Lakhani, Nadiya , RD Dallas Nephrology Associates (214) 947-1730 Eff 20-Mar-19 4401 Tradition Trl Dallas Nephrology Associates Specialty Care Physicians & Other Providers/ Plano, TX 75093 Cochran, Carolyn C, RD 13154 Coit Rd Ste 100 (214) 579-6600 Eff 12-Mar-19 Dallas, TX 75240 Dallas Nephrology Associates (214) 358-2300 Médicos de cuidado especializado y otros proveedores Lakhani, Nadiya , RD 1420 Viceroy Dr Eff 20-Mar-19 Dallas, TX 75235 Lakhani, Nadiya , RD Dallas Nephrology Associates (214) 358-2300 Eff 20-Mar-19 4701 Old Shepard Pl Ste 100 Dallas Nephrology Associates Plano, TX 75093 Cochran, Carolyn C, RD 1411 N Beckley Ave (214) 358-2300 Eff 12-Mar-19 Dallas, TX 75203 Dallas Nephrology Associates (214) 947-1730 Rhodes, Susan J, RD 3604 Live Oak St Ste 100 Eff 27-Jun-19 Dallas, TX 75204 Lakhani, Nadiya , RD Dallas Nephrology Associates (214) 358-2300 Eff 20-Mar-19 4401 Tradition Trl Dallas Nephrology Associates Plano, TX 75093 Cochran, Carolyn C, RD 1420 Viceroy Dr (214) 579-6600 Eff 12-Mar-19 Dallas, TX 75235-2208 Dallas Nephrology Associates (214) 358-2300 Rhodes, Susan J, RD 3604 Live Oak St Ste 300 Eff 27-Jun-19 Dallas, TX 75204 Lakhani, Nadiya , RD Dallas Nephrology Associates (214) 826-4224 Eff 20-Mar-19 4701 Old Shepard Pl Ste 100 Dallas Nephrology Associates Plano, TX 75093 Cochran, Carolyn C, RD 3604 Live Oak St Ste 100 (214) 358-2300 Eff 12-Mar-19 Dallas, TX 75204 Dallas Nephrology Associates (214) 358-2300 411 N Washington Ave Ste 7000 Dallas, TX 75246 (214) 358-2300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 145 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lakhani, Nadiya , RD Rhodes, Susan J, RD Zhao, Jun , RD Eff 20-Mar-19 Eff 27-Jun-19 Eff 01-Jan-14 Dallas Nephrology Associates Dallas Nephrology Associates Baylor Scott & White MedProvider 3604 Live Oak St Ste 300 1420 Viceroy Dr 3417 Gaston Avenue, Suite 1100 Dallas, TX 75204 Dallas, TX 75235 Dallas, TX 75246 (214) 826-4224 (214) 358-2300 (469) 800-9000 • Languages spoken / Idioma(s) Lakhani, Nadiya , RD Rhodes, Susan J, RD hablado(s): Mandarin Eff 20-Mar-19 Eff 27-Jun-19 Dallas Nephrology Associates Dallas Nephrology Associates Cochran, Carolyn C, RD 411 N Washington Ave Ste 7000 3604 Live Oak St Ste 100 Eff 12-Mar-19 Dallas, TX 75246 Dallas, TX 75204 Dallas Nephrology Associates (214) 358-2300 (214) 358-2300 2651 Bolton Boone Desoto, TX 75115 Lakhani, Nadiya , RD Rhodes, Susan J, RD (214) 358-2300 Eff 20-Mar-19 Eff 27-Jun-19 Dallas Nephrology Associates Dallas Nephrology Associates Lakhani, Nadiya , RD 7777 Forest Ln Ste C-750 3604 Live Oak St Ste 300 Eff 20-Mar-19 Dallas, TX 75230 Dallas, TX 75204 Dallas Nephrology Associates (972) 566-7199 (214) 826-4224 2651 Bolton Boone Desoto, TX 75115 Lakhani, Nadiya , RD Rhodes, Susan J, RD (214) 358-2300 Eff 20-Mar-19 Eff 27-Jun-19 Dallas Nephrology Associates Dallas Nephrology Associates Rhodes, Susan J, RD 8210 Walnut Hill Ste 306 Texas 411 N Washington Ave Ste 7000 Eff 27-Jun-19 Specialty Care Physicians & Other Providers/ Health POB 1 Dallas, TX 75246 Dallas Nephrology Associates Dallas, TX 75231 (214) 358-2300 2651 Bolton Boone Médicos de cuidado especializado y otros proveedores (214) 358-2300 Desoto, TX 75115 Rhodes, Susan J, RD (214) 358-2300 Rhodes, Susan J, RD Eff 27-Jun-19 Eff 27-Jun-19 Dallas Nephrology Associates Cochran, Carolyn C, RD Dallas Nephrology Associates 7777 Forest Ln Ste C-750 Eff 12-Mar-19 1145 N Bishop Ave Ste 100 Dallas, TX 75230 Dallas Nephrology Associates Dallas, TX 75208 (972) 566-7199 7150 N Pres George Bush Hwy (214) 358-2300 Ste 203 Rhodes, Susan J, RD Garland, TX 75044 Rhodes, Susan J, RD Eff 27-Jun-19 (214) 358-2300 Eff 27-Jun-19 Dallas Nephrology Associates Dallas Nephrology Associates 8210 Walnut Hill Ste 306 Texas Lakhani, Nadiya , RD 13154 Coit Rd Ste 100 Health POB 1 Eff 20-Mar-19 Dallas, TX 75240 Dallas, TX 75231 Dallas Nephrology Associates (214) 358-2300 (214) 358-2300 7150 N Pres George Bush Hwy Ste 203 Rhodes, Susan J, RD Zhao, Jun , RD Garland, TX 75044 Eff 27-Jun-19 Eff 01-Jan-14 (214) 358-2300 Dallas Nephrology Associates Baylor Scott & White MedProvider 1411 N Beckley Ave 3417 Gaston Ave, Ste 1100 Rhodes, Susan J, RD Dallas, TX 75203 Dallas, TX 75246 Eff 27-Jun-19 (214) 947-1730 (469) 800-9000 Dallas Nephrology Associates • Languages spoken / Idioma(s) 7150 N Pres George Bush Hwy hablado(s): Mandarin Ste 203 Garland, TX 75044 (214) 358-2300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 146 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Cochran, Carolyn C, RD Cochran, Carolyn C, RD Rhodes, Susan J, RD Eff 12-Mar-19 Eff 12-Mar-19 Eff 27-Jun-19 Dallas Nephrology Associates Dallas Nephrology Associates Dallas Nephrology Associates 2740 N Hwy 360 Ste 100 701 Tuscan Dr Ste 220 5308 N Galloway Ave Ste 200 Grand Prairie, TX 75050 Irving, TX 75039 Mesquite, TX 75150 (214) 358-2300 (214) 358-2300 (214) 358-2300

Cochran, Carolyn C, RD Lakhani, Nadiya , RD Denton County | Condado de Eff 12-Mar-19 Eff 20-Mar-19 Dallas Nephrology Associates Dallas Nephrology Associates Denton 3095 Kingwood Blvd Ste 250 2005 W Park Dr Ste 300 Grand Prairie, TX 75052 Irving, TX 75061 Cochran, Carolyn C, RD (214) 358-2300 (214) 358-2300 Eff 12-Mar-19 Dallas Nephrology Associates Lakhani, Nadiya , RD Lakhani, Nadiya , RD 4323 N Josey Ln Ste 200 Eff 20-Mar-19 Eff 20-Mar-19 Carrollton, TX 75010 Dallas Nephrology Associates Dallas Nephrology Associates (214) 358-2300 2740 N Hwy 360 Ste 100 701 Tuscan Dr Ste 220 Grand Prairie, TX 75050 Irving, TX 75039 Lakhani, Nadiya , RD (214) 358-2300 (214) 358-2300 Eff 20-Mar-19 Dallas Nephrology Associates Lakhani, Nadiya , RD Rhodes, Susan J, RD 4323 N Josey Ln Ste 200 Eff 20-Mar-19 Eff 27-Jun-19 Carrollton, TX 75010 Dallas Nephrology Associates Dallas Nephrology Associates (214) 358-2300 3095 Kingwood Blvd Ste 250 2005 W Park Dr Ste 300 Specialty Care Physicians & Other Providers/ Grand Prairie, TX 75052 Irving, TX 75061 Rhodes, Susan J, RD (214) 358-2300 (214) 358-2300 Eff 27-Jun-19 Dallas Nephrology Associates Médicos de cuidado especializado y otros proveedores Rhodes, Susan J, RD Rhodes, Susan J, RD 4323 N Josey Ln Ste 200 Eff 27-Jun-19 Eff 27-Jun-19 Carrollton, TX 75010 Dallas Nephrology Associates Dallas Nephrology Associates (214) 358-2300 2740 N Hwy 360 Ste 100 701 Tuscan Dr Ste 220 Grand Prairie, TX 75050 Irving, TX 75039 Ellis County | Condado de Ellis (214) 358-2300 (214) 358-2300 Bonfiglio, Ella M, RD Rhodes, Susan J, RD Cochran, Carolyn C, RD Eff 24-Nov-19 Eff 27-Jun-19 Eff 12-Mar-19 Baylor Scott & White Dallas Nephrology Associates Dallas Nephrology Associates Endocrinology and Diabetes - 3095 Kingwood Blvd Ste 250 5308 N Galloway Ave Ste 200 Midlothian Grand Prairie, TX 75052 Mesquite, TX 75150 1441 S Midlothian Pkwy Ste 100 (214) 358-2300 (214) 358-2300 Midlothian, TX 76065 Cochran, Carolyn C, RD Lakhani, Nadiya , RD (469) 800-9860 Eff 12-Mar-19 Eff 20-Mar-19 Bonfiglio, Ella M, RD Dallas Nephrology Associates Dallas Nephrology Associates Eff 24-Nov-19 2005 W Park Dr Ste 300 5308 N Galloway Ave Ste 200 Baylor Scott & White Family Irving, TX 75061 Mesquite, TX 75150 Medical Center (214) 358-2300 (214) 358-2300 2460 N IH 35E Ste 100 Waxahachie, TX 75165 (469) 800-9500

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 147 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Cochran, Carolyn C, RD Kaufman County | Condado de Tarrant County | Condado de Eff 12-Mar-19 Dallas Nephrology Associates Kaufman Tarrant 2460 North I35 E Ste 275 Waxahachie, TX 75165 Cochran, Carolyn C, RD Cochran, Carolyn C, RD (214) 358-2300 Eff 12-Mar-19 Eff 12-Mar-19 Dallas Nephrology Associates Dallas Nephrology Associates Lakhani, Nadiya , RD 874 Hwy 243 W MOB 1 Ste 110 1005 S Crowley Rd Ste C Eff 20-Mar-19 Kaufman, TX 75142 Crowley, TX 76036 Dallas Nephrology Associates (214) 358-2300 (817) 921-2153 2460 N Interstate Hwy 35E, Ste 160 Lakhani, Nadiya , RD Lakhani, Nadiya , RD Waxahachie, TX 75165 Eff 20-Mar-19 Eff 20-Mar-19 (214) 358-2300 Dallas Nephrology Associates Dallas Nephrology Associates 874 Hwy 243 W MOB 1 Ste 110 1005 Crowley Rd Ste C Rhodes, Susan J, RD Kaufman, TX 75142 Crowley, TX 76036 Eff 27-Jun-19 (214) 358-2300 (817) 921-2153 Dallas Nephrology Associates 2460 North I35 E Ste 275 Rhodes, Susan J, RD Rhodes, Susan J, RD Waxahachie, TX 75165 Eff 27-Jun-19 Eff 27-Jun-19 (214) 358-2300 Dallas Nephrology Associates Dallas Nephrology Associates 874 Hwy 243 W MOB 1 Ste 110 1005 Crowley Rd Ste C Hunt County | Condado de Kaufman, TX 75142 Crowley, TX 76036-3698 (214) 358-2300 (817) 921-2153 Hunt Specialty Care Physicians & Other Providers/ Parker County | Condado de Cochran, Carolyn C, RD Cochran, Carolyn C, RD Eff 12-Mar-19 Médicos de cuidado especializado y otros proveedores Eff 12-Mar-19 Parker Dallas Nephrology Associates Dallas Nephrology Associates 1250 8th Ave Ste 135 4400 I-30 W Ste 300 Cochran, Carolyn C, RD Fort Worth, TX 76104 Greenville, TX 75402 Eff 12-Mar-19 (817) 921-2153 (214) 358-2300 Dallas Nephrology Associates 920 Santa Fe Dr Cochran, Carolyn C, RD Lakhani, Nadiya , RD Weatherford, TX 76086 Eff 12-Mar-19 Eff 20-Mar-19 (817) 923-8050 Dallas Nephrology Associates Dallas Nephrology Associates 1250 8th Ave Ste 500 4400 I-30 W Ste 300 Lakhani, Nadiya , RD Fort Worth, TX 76104 Greenville, TX 75402 Eff 20-Mar-19 (817) 921-2153 (214) 358-2300 Dallas Nephrology Associates 920 Santa Fe Dr Lakhani, Nadiya , RD Rhodes, Susan J, RD Weatherford, TX 76086 Eff 20-Mar-19 Eff 27-Jun-19 (817) 923-8050 Dallas Nephrology Associates Dallas Nephrology Associates 1250 8th Ave Ste 135 4400 I-30 W Ste 300 Rhodes, Susan J, RD Fort Worth, TX 76104 Greenville, TX 75402 Eff 27-Jun-19 (817) 923-8050 (214) 358-2300 Dallas Nephrology Associates 920 Santa Fe Dr Lakhani, Nadiya , RD Weatherford, TX 76086 Eff 20-Mar-19 (817) 923-8050 Dallas Nephrology Associates 1250 8th Ave Ste 500 Fort Worth, TX 76104 (817) 921-2153

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 148 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rhodes, Susan J, RD Cochran, Carolyn C, RD Endocrinology/ Endocrinología, Eff 27-Jun-19 Eff 12-Mar-19 diabetes y metabolismo Dallas Nephrology Associates Dallas Nephrology Associates 1250 8th Ave Ste 135 620 S Main St Ste 240 Collin County | Condado de Fort Worth, TX 76104-4156 Keller, TX 76248 (817) 923-8050 (817) 921-2153 Collin Rhodes, Susan J, RD Lakhani, Nadiya , RD Dhawan, Jasbir , MD Eff 27-Jun-19 Eff 20-Mar-19 Eff 19-Jul-16 Dallas Nephrology Associates Dallas Nephrology Associates North Texas Endocrinology & 1250 8th Ave Ste 500 620 S Main St Ste 240 Diabetes Center, PA Fort Worth, TX 76104-4145 Keller, TX 76248 14725 Lebanon Rd, Ste 100 (817) 923-8050 (817) 921-2153 Frisco, TX 75035 (214) 705-9000 Tapia, Angelica , RD Rhodes, Susan J, RD • Languages spoken / Idioma(s) Eff 17-Apr-19 Eff 27-Jun-19 hablado(s): Hindi Dallas Nephrology Associates Dallas Nephrology Associates 1250 Eighth Ave, Ste 135 620 S Main St Ste 240 Yoon, Vivienne , MD Fort Worth, TX 76104-4156 Keller, TX 76248 Eff 01-Apr-14 (817) 923-8050 (817) 921-2153 Baylor Scott & White Dermatology Specialists - McKinney Tapia, Angelica , RD Cochran, Carolyn C, RD 3800 Gaylord Pkwy Ste 910 Eff 17-Apr-19 Eff 12-Mar-19 Frisco, TX 75034- Dallas Nephrology Associates Dallas Nephrology Associates (469)800-5400 1250 Eighth Ave, Ste 500 925 E Southlake Blvd Ste 270 Specialty Care Physicians & Other Providers/ Fort Worth, TX 76104-4145 Southlake, TX 76092 St John, Jennifer D, DO (817) 923-8050 (214) 358-2300 Eff 13-Jul-15 Endocrinology Specialists of Médicos de cuidado especializado y otros proveedores Cochran, Carolyn C, RD Lakhani, Nadiya , RD McKinney Eff 12-Mar-19 Eff 20-Mar-19 5236 W University Dr Ste 2200 Dallas Nephrology Associates Dallas Nephrology Associates McKinney, TX 75071 2020 State Hwy 114 Ste 190 925 E Southlake Blvd Ste 270 (469) 800-5400 Baylor Medical Plz II Southlake, TX 76092 Grapevine, TX 76051 (214) 358-2300 Ullah, Sana , MD (214) 358-2300 Eff 06-Sep-19 Rhodes, Susan J, RD Endocrinology Specialists of Lakhani, Nadiya , RD Eff 27-Jun-19 McKinney Eff 20-Mar-19 Dallas Nephrology Associates 5236 W University Dr,Ste 2200 Dallas Nephrology Associates 925 E Southlake Blvd Ste 270 McKinney, TX 75071 2020 State Hwy 114 Ste 190 Southlake, TX 76092 (469) 800-5400 Baylor Medical Plz II (214) 358-2300 Grapevine, TX 76051 Yoon, Vivienne , MD (214) 358-2300 Eff 01-Apr-14 Endocrinology Specialists of Rhodes, Susan J, RD McKinney Eff 27-Jun-19 5236 W University Dr Ste 2200 Dallas Nephrology Associates McKinney, TX 75071 2020 State Hwy 114 Ste 190 (469)800-5400 Baylor Medical Plz II Grapevine, TX 76051 (214) 358-2300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 149 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chitrapu, Prathyusha V, MD Fahmi, Saleemah Y, MD Lender, Dan , MD Eff 06-Sep-19 Eff 22-May-19 Eff 15-Oct-19 Baylor Scott & White Dallas Saleemah Fahmi MD PA Diabetes & Endocrinology Clinical Diagnostic Association - Plano 3430 W Wheatland Rd, Ste 219 Consultants of Texas 4716 Alliance Blvd, Ste 500 Dallas, TX 75237-3447 12606 Greenville Ave, #200 Plano, TX 75093 (972) 298-7450 Dallas, TX 75243-1923 (469) 800-6000 • Languages spoken / Idioma(s) (214) 660-2020 hablado(s): Spanish Katta, Sindura , MD Mohan, Alok , MD Eff 15-Sep-17 Fordan, Steve V, MD Eff 01-Jan-14 Balance Diabetes and Eff 15-Oct-18 Baylor Scott & White MedProvider Endocrinology, PLLC Thyroid, Endocrinology and 3417 Gaston Ave, Ste 1000 6533 Preston Rd, Ste 100 Diabetes, PA Dallas, TX 75246 Plano, TX 75024 1018 North Zang Blvd, Ste 110 (469) 800-9000 (469) 277-2700 Dallas, TX 75208 (972) 266-8765 Mohan, Alok , MD Sbong, Stephanie , MD Eff 01-Jan-14 Eff 01-Sep-17 Heller, Howard J, MD Baylor Scott & White MedProvider Dallas Diagnostic Association- Eff 01-Jan-14 3417 Gaston Avenue, Suite 1100 Plano Endocrinology Specialists of North Dallas, TX 75246 4716 Alliance Blvd, Ste 500 Texas (469) 800-9000 Plano, TX 75093 3417 Gaston Ave, Ste 98 (469) 800-6000 Dallas, TX 75246 Popa, Emilia M, MD (469) 800-8020 Eff 01-Apr-14 Sbong, Stephanie , MD Park Lane Endocrinology Specialty Care Physicians & Other Providers/ Eff 01-Sep-17 Herbst, Rebecca A, MD 9101 N Central Expy, Ste 425 Baylor Scott & White Dallas Eff 01-Nov-18 Dallas, TX 75231 Médicos de cuidado especializado y otros proveedores Diagnostic Association - Plano Endocrinology Specialists of North (469) 800-7101 4716 Alliance Blvd, Ste 500 Texas Plano, TX 75093 3417 Gaston Ave, Ste 98 Roe, Erin D, MD (469) 800-6000 Dallas, TX 75246 Eff 21-Feb-20 (469) 800-8020 Diabetes & Endocrinology Clinical Dallas County | Condado de Consultants of Texas Jackson, Kristen N, MD 12606 Greenville Ave Ste 200 Dallas Eff 13-Nov-20 Dallas, TX 75243 Baylor Scott & White (214) 660-2020 Arauz-Pacheco, Carlos , MD Endocrinology Specialists of North Eff 15-Sep-19 Texas Szuszkiewicz-Garcia, Magdalena Diabetes & Endocrinology Clinical 3417 Gaston Ave Ste 980 M, MD Consultants of Texas Dallas, TX 75246 Eff 15-Oct-18 12606 Greenville Ave, #200 (469) 800-8020 Thyroid, Endocrinology and Dallas, TX 75243-1923 Diabetes, PA (214) 660-2020 Kaloyanova, Polina F, MD 1018 North Zang Blvd, Ste 110 Eff 01-Feb-17 Dallas, TX 75208 Aryangat, Ajikumar V, MD Polina Kaloyanova MD PA (972) 266-8765 Eff 01-Jan-14 7777 Forest Ln, Ste C-206 Endocrinology Specialists of North Dallas, TX 75230 Vallera, Raphaelle D, MD Texas (972) 566-7272 Eff 01-Jan-14 3417 Gaston Ave, Ste 98 Endocrinology Specialists of North Dallas, TX 75246 Texas (469) 800-8020 3417 Gaston Ave, Ste 98 Dallas, TX 75246 (469) 800-8020

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 150 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Welch, Brian J, MD Basani, Samata , MD Igala, Sindhu B, MD Eff 01-Jan-14 Eff 01-Jul-18 Eff 09-May-16 Endocrinology Specialists of North Baylor Scott & White Medical & Southern Endocrinology Texas Surgical Clinic - Irving Associates 3417 Gaston Ave, Ste 98 6750 N MacArthur Blvd Ste 250 1621 N Beltline Rd, Ste A Dallas, TX 75246 Irving, TX 75039 Mesquite, TX 75149 (469) 800-8020 (972) 823-3230 (972) 682-5700 • Languages spoken / Idioma(s) Fahmi, Saleemah Y, MD Dattatreya, Rajiv , MD hablado(s): Hindi Eff 22-May-19 Eff 05-Mar-19 Saleemah Fahmi MD PA Premier PHC Physician Group Inc Paturi, Shalini , MD 1200 Plaza Rd 2021 North MacArthur Blvd, Ste Eff 21-Feb-19 Desoto, TX 75115-4241 225 Southern Endocrinology (972) 228-7450 Irving, TX 75061-2219 Associates • Languages spoken / Idioma(s) (972) 253-4380 1621 N Beltline Rd, Ste A hablado(s): Spanish • Languages spoken / Idioma(s) Mesquite, TX 75149 hablado(s): Hindi (972) 682-5700 Fordan, Steve V, MD Eff 15-Oct-18 Subramanyam, Lalitha , MD Duvuuri, Vani , MD Thyroid, Endocrinology and Eff 01-Sep-17 Eff 01-Dec-16 Diabetes, PA Baylor Scott & White - Internal North Texas Endocrine Associates 2304 Bardin Rd, Ste 102 Medicine Associates - Irving 3200 Talon Dr, Ste 400 Grand Prairie, TX 75052 2005 W Park Dr, Ste 300 Richardson, TX 75082 (972) 266-8765 Irving, TX 75061 (972) 231-3129

(469) 800-1150 • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Szuszkiewicz-Garcia, Magdalena hablado(s): Telugu M, MD Gangi, Sumana , MD Eff 15-Oct-18 Eff 01-Mar-15 Gangi, Sumana , MD Médicos de cuidado especializado y otros proveedores Thyroid, Endocrinology and Southern Endocrinology Eff 01-Mar-15 Diabetes, PA Associates Southern Endocrinology 2304 Bardin Rd, Ste 102 1621 N Beltline Rd, Ste A Associates Grand Prairie, TX 75052 Mesquite, TX 75149 7801 Lakeview Pkwy, Ste 110 (972) 266-8765 (972) 682-5700 Rowlett, TX 75088 • Languages spoken / Idioma(s) (972) 682-5700 VanDyke, Lindsey M, DO hablado(s): Spanish • Languages spoken / Idioma(s) Eff 15-Mar-19 hablado(s): Spanish Methodist Mansfield Endocrinology Guttikonda, Sreedevi , MD Associates Eff 01-Mar-15 Ellis County | Condado de Ellis 4560 Lake Ridge Pkwy, Ste 300 Southern Endocrinology Grand Prairie, TX 75052 Associates Suller, Maria Renela G, MD (817) 453-7707 1621 N Beltline Rd, Ste A Eff 28-Jul-19 Mesquite, TX 75149 Baylor Scott & White Family Basani, Samata , MD (972) 682-5700 Eff 15-Oct-18 Medical Center • Languages spoken / Idioma(s) 1441 S Midlothian Prkwy Ste 100 Las Colinas Endocrinology, PA hablado(s): Hindi 6750 N MacArthur Blvd, Ste 205 Midlothian, TX 76065-5592 Irving, TX 75039 Hassan, Youssef S, MD (469) 800-9860 (469) 291-0770 Eff 21-Feb-19 Southern Endocrinology Associates 1621 N Beltline Rd, Ste A Mesquite, TX 75149 (972) 682-5700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 151 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rockwall County | Condado de Sathyaprakash, Roopa , MD Fordan, Steve V, MD Eff 01-Jan-16 Eff 15-Oct-18 Rockwall Endocrine & Thyroid Center Thyroid, Endocrinology and 7141 Colleyville Rd Diabetes, PA Arauz-Pacheco, Carlos , MD Colleyville, TX 76034 305 Regency Pkwy, Ste 405 Eff 15-Sep-19 (817) 410-9993 Mansfield, TX 76063 Diabetes & Endocrinology Clinical (682) 518-1100 Consultants of Texas Addington, Stefanie L, MD 890 Rockwall Pkwy #105 Eff 23-Sep-17 Szuszkiewicz-Garcia, Magdalena Rockwall, TX 75032-6871 Diabetes & Thyroid Center of Fort M, MD (972) 475-5600 Worth, PLLC Eff 15-Oct-18 7801 Oakmont Blvd, Ste 101 Thyroid, Endocrinology and Lender, Dan , MD Fort Worth, TX 76132 Diabetes, PA Eff 15-Oct-19 (817) 263-0007 305 Regency Pkwy, Ste 405 Diabetes & Endocrinology Clinical Mansfield, TX 76063 Consultants of Texas Bajaj, Chris P, DO (682) 518-1100 890 Rockwall Pkwy, #105 Eff 01-Jan-14 Rockwall, TX 75032-6871 Chris P Bajaj, DO, PA VanDyke, Lindsey M, DO (972) 475-5600 7801 Oakmont Blvd, Ste 101 Eff 15-Mar-19 Fort Worth, TX 76132 Methodist Mansfield Endocrinology Roe, Erin D, MD (817) 263-0007 Associates Eff 21-Feb-20 252 Matlock Rd, Ste 130 Diabetes & Endocrinology Clinical Lackan, Darren W, MD Mansfield, TX 76063 Consultants of Texas Eff 01-Jan-14 (817) 453-7707 890 Rockwall Pkwy Ste 102 Darren W Lackan, MD, PA Specialty Care Physicians & Other Providers/ Rockwall, TX 75032-6871 7801 Oakmont Blvd, Ste 101 Addington, Stefanie L, MD (972) 475-5600 Fort Worth, TX 76132 Eff 23-Sep-17 Médicos de cuidado especializado y otros proveedores (817) 263-0007 Diabetes & Thyroid Center of Fort Tarrant County | Condado de Worth, PLLC Tan, Anjanette S, MD Tarrant 731 E Southlake Blvd St 170 Eff 01-Jan-14 Southlake, TX 76092-6382 Diabetes & Thyroid Center of Fort (817) 263-0007 Hartman, Israel A, MD Worth, PLLC Eff 15-Feb-18 7801 Oakmont Blvd, Ste 101 Bajaj, Chris P, DO Israel Hartman, MD PA Fort Worth, TX 76132 Eff 01-Jan-14 501 Rita Ln, Ste 113 (817) 263-0007 Chris P Bajaj, DO, PA Arlington, TX 76014-2010 731 E Southlake Blvd Ste 170 (817) 468-9200 Ebrahim, Ayesha , MD Southlake, TX 76092-6282 • Languages spoken / Idioma(s) Eff 01-Dec-18 (817) 263-0007 hablado(s): Spanish MD Trucare PA 210 North Park Blvd, Ste 105 Bashyam, Mani , MD Prost, Henry M, MD Grapevine, TX 76051 Eff 06-Sep-19 Eff 01-Jan-16 (817) 722-6078 Baylor Scott & White Endocrine & Thyroid Center Endocrinology and Diabetes - 7141 Colleyville Rd Ebrahim, Ayesha , MD Southlake Colleyville, TX 76034 Eff 01-Dec-18 925 E Southlake Blvd, Ste 100 (817) 410-9993 MD Trucare PA Southlake, TX 76092 • Languages spoken / Idioma(s) 823 Ira E Woods Ave, Ste 200 (817) 912-9230 hablado(s): Spanish Grapevine, TX 76051 (817) 722-6078

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 152 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tan, Anjanette S, MD Caldwell, Sandra K, MD ElSaadi, Bachar , MD Eff 01-Jan-14 Eff 06-Feb-19 Eff 21-Sep-20 Diabetes & Thyroid Center of Fort Advanced Medical Pain & Wound Integrity Worth, PLLC Rehabilitation Center, PLLC 4001 W 15th St Ste 100 731 E Southlake Blvd St 170 2600 Eldorado Pkwy, Ste 100 Plano, TX 75093 Southlake, TX 76092-6382 McKinney, TX 75070 (214) 473-7671 (817) 263-0007 (972) 540-6630 Grimes, Tate A, MD Family Medicine/ Medicina Khan, Ali R, MD Eff 01-Sep-17 familiar Eff 05-Nov-20 Wellness in Sleep PA Healthcare Associates of Irving 7500 Preston Rd, Ste 100 Collin County | Condado de LLP Plano, TX 75024 8080 State Highway 121 Ste 210 (817) 820-0427 Collin McKinney, TX 75070 • Languages spoken / Idioma(s) (972) 268-9383 hablado(s): Spanish Beckstrom, Perry K, DO Eff 05-Aug-18 Khan, Ali R, MD Madhavapeddi, Naga Sai , MD Frisco Total Wellness Clinic PLLC Eff 05-Nov-20 Eff 25-Nov-19 14550 S Hwy 121 Ste 130 Healthcare Associates of Irving Direct Orthopedic Care (DOC LLC) Frisco, TX 75035-4670 LLP 6505 W Park Blvd Ste 100 (800) 246-5698 8080 State Highway 121 Ste 300 Plano, TX 75093-6371 McKinney, TX 75070 (817) 810-1620 Caldwell, Sandra K, MD (972) 268-9383 Eff 06-Feb-19 Satyanarayana, Neha , MD Madhavapeddi, Naga Sai , MD Eff 21-Sep-20

Advanced Medical Pain & Specialty Care Physicians & Other Providers/ Rehabilitation Center, PLLC Eff 25-Nov-19 Family HealthCare Associates 5300 Town and Country Blvd, Ste Direct Orthopedic Care (DOC LLC) 6300 W Parker Rd Ste G20 190 4600 El Dorado Pkwy Ste 600 Plano, TX 75093 Médicos de cuidado especializado y otros proveedores Frisco, TX 75034-6888 McKinney, TX 75070-5762 (214) 473-6655 (972) 427-3570 (972) 987-0970 Sessions, Devin , MD Caldwell, Sandra K, MD Mason, Jeffrey C, MD Eff 21-Sep-20 Eff 06-Feb-19 Eff 01-Jul-18 Wound Integrity Advanced Medical Pain & Baylor Family Medicine at 4001 W 15th St Ste 100 Rehabilitation Center, PLLC McKinney Plano, TX 75093 8501 Wade Blvd, Ste 310 5220 W University Dr Ste 100 (214) 473-7671 Frisco, TX 75034-5801 McKinney, TX 75071-7402 (972) 427-3570 (469)800-5100 Dallas County | Condado de Madhavapeddi, Naga Sai , MD Shelton, Christopher M, MD Dallas Eff 25-Nov-19 Eff 01-Jul-18 Direct Orthopedic Care (DOC LLC) Baylor Family Medicine at Parmar, Harveer S, MD 9500 Dallas Pkwy, Ste 100 McKinney Eff 20-Jan-17 Frisco, TX 75034-4120 5220 W University Dr Ste 100 Health Express Clinics Network (972) 987-0970 McKinney, TX 75071-7402 PLLC (469)800-5100 1212 North Josey Ln, Ste 110 Anani, Constance E, MD Carrollton, TX 75006 Eff 13-Nov-20 Caldwell, Sandra K, MD (469) 294-1402 Baylor Scott & White Hospital Eff 06-Feb-19 Medicine - McKinney Advanced Medical Pain & 5252 W University Dr Rehabilitation Center, PLLC McKinney, TX 75071 2301 W Parker Rd, Ste 3 (469) 764-6950 Plano, TX 75023-7877 (214) 862-5581

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 153 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Patel, Nirav A, MD Flowers, LaTosha , MD Saeed, Sohail A, DO Eff 08-Dec-19 Eff 15-Dec-18 Eff 22-Jun-20 Premier Physicians of North Texas DFW Neuropathy Texas Specialty Clinic 2761 E Trinity Mills Rd, Ste 100 6210 Campbell Rd, Ste 100 2949 Martin Luther Jr Blvd Ste 3 Carrollton, TX 75006-3507 Dallas, TX 75248-1371 Dallas, TX 75215-6319 (469) 453-8118 (972) 931-3131 (888) 871-1883 Beiser, Ned E, DO Garff, Shaun P, DO Savage, Autumn , DO Eff 15-Oct-18 Eff 15-Dec-18 Eff 21-Sep-20 Ned E. Beiser, DO Charlton Family Practice and Wound Integrity 302 N Zang Blvd Sports Medicine Center 7777 Forest Lane Ste C239 Dallas, TX 75208 3500 W Wheatland Rd Dallas, TX 75230 (214) 943-6636 Dallas, TX 75237-3460 (972) 566-4868 (214) 947-5400 Caldwell, Sandra K, MD Sessions, Devin , MD Eff 06-Feb-19 Grimes, Tate A, MD Eff 21-Sep-20 Advanced Medical Pain & Eff 01-Sep-17 Wound Integrity Rehabilitation Center, PLLC Wellness in Sleep PA 7777 Forest Lane Ste C239 13701 Dallas Parkway 1341 W Mockingbird Ln, Ste 200 Dallas, TX 75230 Dallas, TX 75240-4335 W (972) 566-4868 (972) 386-2560 Dallas, TX 75247 (817) 820-0427 Shelton, Christopher M, MD Cano-Penaloza, Jose , MD • Languages spoken / Idioma(s) Eff 01-Jul-18 Eff 21-Sep-20 hablado(s): Spanish Baylor Family Medicine at Wound Integrity Frankford & Josey Specialty Care Physicians & Other Providers/ 7777 Forest Lane Ste C239 Mason, Jeffrey C, MD 5800 E Lovers Lane Dallas, TX 75230 Eff 01-Jul-18 Dallas, TX 75206- Médicos de cuidado especializado y otros proveedores (972) 566-4868 Baylor Family Medicine at (972)817-6260 Frankford & Josey ElSaadi, Bachar , MD 5800 E Lovers Lane Waller, Holli , DO Eff 21-Sep-20 Dallas, TX 75206- Eff 21-Sep-20 Medico MD (972)817-6260 Wound Integrity 2223 Singleton Boulevard Ste 212 7777 Forest Lane Ste C239 Dallas, TX 75212 Saeed, Sohail A, DO Dallas, TX 75230 (214) 678-9200 Eff 22-Jun-20 (972) 566-4868 Texas Specialty Clinic ElSaadi, Bachar , MD 2603 Oaklawn Ave Ste 101 Nangrani, Nilesh D, DO Eff 21-Sep-20 Dallas, TX 75219-4059 Eff 28-Nov-16 Wound Integrity (888) 871-1883 Nilesh Dwarkadas Nangrani 7777 Forest Lane Ste C239 12300 Ford Rd, Ste 135 Dallas, TX 75230 Saeed, Sohail A, DO Farmers Branch, TX 75234-8124 (972) 566-4868 Eff 22-Jun-20 (817) 508-8169 Specialty Care Clinic ElSaadi, Bachar , MD 2700 W Pleasant Run Rd Ste 340 Garff, Shaun P, DO Eff 21-Sep-20 Dallas, TX 75215-6319 Eff 15-Dec-18 Wound Integrity (972) 865-4454 Methodist Sports Medicine 9301 N Central Expy Ste 340 4560 Lake Ridge Pkwy, Ste 300 Dallas, TX 75231 Saeed, Sohail A, DO Grand Prairie, TX 75052 (512) 202-3830 Eff 22-Jun-20 (214) 278-5000 Specialty Care Clinic 2949 Martin Luther Jr Blvd Ste 3 Dallas, TX 75215-6319 (972) 865-4454

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 154 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Furman, Allan J, MD Pham, Hien Q, MD Calderon, Paulo , MD Eff 01-Jul-18 Eff 01-Jul-18 Eff 05-Nov-20 Baylor Scott & White Medical & Baylor Scott & White Medical & Healthcare Associates of Irving Surgical Clinic - Irving Surgical Clinic - Irving LLP 2021 N MacArthur Blvd Ste 115 2021 N MacArthur Blvd Ste 115 7501 Lakeview Pkwy Ste 130 Irving, TX 75061 Irving, TX 75061 Rowlett, TX 75088 (972) 817-1000 (972) 817-1000 (972) 463-3100

Furman, Allan J, MD Pham, Hien Q, MD Denton County | Condado de Eff 01-Jul-18 Eff 01-Jul-18 Baylor Scott & White Medical & Baylor Scott & White Medical & Denton Surgical Clinic - Irving Surgical Clinic - Irving 6750 N MacArthur Blvd Ste 255 6750 N MacArthur Blvd Ste 250 Lindsay, Rodney , MD Irving, TX 75039 Irving, TX 75039 Eff 01-Oct-16 (972) 253-4343 (972) 823-3230 Private Practice 4343 N Josey Lane Ireland, Jack E, MD Shelton, Christopher M, MD Carrollton, TX 75010 Eff 01-Jul-18 Eff 01-Jul-18 (972) 394-2336 Baylor Scott & White Medical & Baylor Scott & White Medical & Surgical Clinic - Irving Surgical Clinic - Irving Lukose, Biju , MD 2021 N MacArthur Blvd Ste 350 2021 N MacArthur Blvd Ste 350 Eff 15-Feb-19 Irving, TX 75061 Irving, TX 75061- Little Lantern Clinic LLC (972) 817-1550 (972)817-1550 4541 N Josey Ln, Ste 110-C Carrollton, TX 75010-4614 Madhavapeddi, Naga Sai , MD Shelton, Christopher M, MD (469) 546-5304 Specialty Care Physicians & Other Providers/ Eff 25-Nov-19 Eff 01-Jul-18 • Languages spoken / Idioma(s) Direct Orthopedic Care (DOC LLC) Baylor Scott & White Medical & hablado(s): Hindi 3014 N O Connor Rd, Ste 110 Surgical Clinic - Irving Médicos de cuidado especializado y otros proveedores Irving, TX 75062-4415 2021 N MacArthur Blvd Ste 350 Madhavapeddi, Naga Sai , MD (214) 444-5558 Irving, TX 75061 Eff 25-Nov-19 (972) 817-1550 Direct Orthopedic Care (DOC LLC) Mason, Jeffrey C, MD 3412 E Hebron Pkwy, Ste 106 Eff 01-Jul-18 Vallury, Visalakshi R, MD Carrollton, TX 75010-4451 Baylor Scott & White Medical & Eff 01-Jul-18 (972) 810-1620 Surgical Clinic - Irving Baylor Scott & White Medical & 2021 N MacArthur Blvd Ste 115 Surgical Clinic - Irving Flowers, LaTosha , MD Irving, TX 75061 2021 N MacArthur Blvd Ste 115 Eff 15-Dec-18 (972) 817-1000 Irving, TX 75061 DFW Neuropathy (972) 817-1000 2435 West Oak St, Ste 101 Mason, Jeffrey C, MD Denton, TX 76201-2308 Eff 01-Jul-18 Vallury, Visalakshi R, MD (817) 924-1000 Baylor Scott & White Medical & Eff 01-Jul-18 Surgical Clinic - Irving Baylor Scott & White Medical & Hays, Randall L, MD 2021 N MacArthur Blvd Ste 325 Surgical Clinic - Irving Eff 31-Jan-19 Irving, TX 75061 6750 N MacArthur Blvd Ste 255 DFW Neuropathy (972) 253-4375 Irving, TX 75039 2435 West Oak St, Ste 101 (972) 253-4343 Denton, TX 76201-2308 Pangtay, Dennis , MD (817) 924-1000 Eff 01-Jul-18 Saeed, Sohail A, DO Baylor Scott & White Medical & Eff 22-Jun-20 Surgical Clinic - Irving Texas Specialty Clinic 2021 N MacArthur Blvd Ste 350 2700 W Pleasant Run Rd Ste 200 Irving, TX 75061 Lancaster, TX 75146-1079 (972) 817-1550 (888) 871-1883

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 155 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Madhavapeddi, Naga Sai , MD Randall, Gary M, DO ElSaadi, Bachar , MD Eff 25-Nov-19 Eff 10-Jul-19 Eff 21-Sep-20 Direct Orthopedic Care (DOC LLC) Complete Health Medical Center, Medico MD 3100 Unicorn Lake Blvd, Ste 120 PLLC 2440 S Collins St Ste 140 Denton, TX 76210-1544 905 Ferris Ave Arlington, TX 76014 (672) 984-7520 Waxahachie, TX 75165-2556 (817) 459-2941 (972) 937-0086 Caldwell, Sandra K, MD Flowers, LaTosha , MD Eff 06-Feb-19 Hood County | Condado de Eff 15-Dec-18 Advanced Medical Pain & DFW Neuropathy Rehabilitation Center, PLLC Hood 919 W Randol Mill Rd 2849 Morriss Rd Arlington, TX 76012-2511 Flower Mound, TX 75028-3662 Waterford, Alana L, MD (682) 323-5904 (972) 956-9887 Eff 24-Aug-20 Cross Timbers Orthopaedics PA Grimes, Tate A, MD Hays, Randall L, MD 2800 Village Rd Eff 01-Sep-17 Eff 31-Jan-19 Granbury, TX 76049-4194 Wellness in Sleep PA DFW Neuropathy (817) 573-0444 431 Omega Dr, Ste. 102 11700 Teel Pkwy, Ste 100 Arlington, TX 76014 Frisco, TX 75033-2037 Johnson County | Condado de (817) 820-0427 (972) 931-3131 Johnson • Languages spoken / Idioma(s) hablado(s): Spanish Martin, Patrick W, MD Eff 06-Apr-20 Hawkins, Jeffery K, MD Hays, Randall L, MD The Back & Body Clinic Eff 05-Aug-18 Eff 31-Jan-19 Specialty Care Physicians & Other Providers/ 571 W Main St Ste 100 Interventional Consultants of DFW Neuropathy Lewisville, TX 75057-3667 Texas, PLLC 919 W Randol Mill Rd Médicos de cuidado especializado y otros proveedores (972) 436-9785 131 S Westmeadow Dr, Ste 300 Arlington, TX 76012-2511 Cleburne, TX 76033-9139 (682) 323-5904 Ellis County | Condado de Ellis (817) 294-0934 Parmar, Harveer S, MD Hawkins, Jeffery K, MD Eff 20-Jan-17 Puckett, Fredric C, DO Eff 22-Aug-18 Eff 15-Mar-20 HP Health and Wellness PLLC Jeffery K Hawkins MD PLLC 5201 Runnymede Ct Dr Fredric C Puckett PLLC 131 S. Westmeadow Dr, Ste 300 2203 W Lampasas St Ste 111 Arlington, TX 76016 Cleburne, TX 76033-9139 (469) 294-1402 Ennis, TX 75119-5667 (817) 294-0934 (972)875-6200 • Languages spoken / Idioma(s) hablado(s): Hindi Mason, Jeffrey C, MD Tarrant County | Condado de Eff 01-Jul-18 Tarrant Grimes, Tate A, MD Baylor Scott & White Family Eff 01-Sep-17 Wellness in Sleep PA Medical Center Eidson, Thomas E, DO 2125 Martin Dr, Ste.200 1441 S Midlothian Pkwy Ste 100A Eff 01-Jul-19 Bedford, TX 76021 Midlothian, TX 76065- Atlas Vein Care (817) 820-0427 (469)800-9440 2701 Matlock Rd Ste 103 • Languages spoken / Idioma(s) Arlington, TX 76015-2529 hablado(s): Spanish Shelton, Christopher M, MD (817) 795-8346 Eff 01-Jul-18 Baylor Scott & White Family Cano-Penaloza, Jose , MD Medical Center Eff 21-Sep-20 1441 S Midlothian Pkwy Ste 100A Wound Integrity Midlothian, TX 76065- 1300 W Rosedale St Ste A (469)800-9440 Fort Worth, TX 76104 (817) 730-5300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 156 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Grimes, Kelly D, DO Hawkins, Jeffery K, MD Morgado-Perez, Andres , MD Eff 22-Jul-15 Eff 22-Aug-18 Eff 12-Nov-20 Private Practice Jeffery K Hawkins MD PLLC Wound Integrity 3437 W 7th St, Ste 210 209 St Louis Ave Ste 100 1300 W Rosedale Ave Ste A Fort Worth, TX 76107 Fort Worth, TX 76104-1231 Fort Worth, TX 76104 (817) 797-6599 (817) 294-0934 (817) 730-5300 • Languages spoken / Idioma(s) hablado(s): Spanish Hawkins, Jeffery K, MD Morgado-Perez, Andres , MD Eff 05-Aug-18 Eff 12-Nov-20 Grimes, Kelly D, DO Interventional Consultants of Wound Integrity Eff 22-Jul-15 Texas, PLLC 1325 Pennsylvania Ave Ste 750 White Settlement Family Medicine 7148 Trail Lake Dr Fort Worth, TX 76104 9668 Barlett Cir Fort Worth, TX 76123-9139 (817) 250-1970 Fort Worth, TX 76108 (817) 294-0934 (817) 900-8031 Pham, Linda , MD • Languages spoken / Idioma(s) Hawkins, Jeffery K, MD Eff 21-Sep-20 hablado(s): Spanish Eff 22-Aug-18 Wound Integrity Jeffery K Hawkins MD PLLC 1300 W Rosedale St Ste A Grimes, Tate A, MD 7148 Trail Lake Dr Fort Worth, TX 76104 Eff 01-Sep-17 Fort Worth, TX 76123-1969 (817) 730-5300 Wellness in Sleep PA (817) 294-0934 908 W Terrell Ave N Pham, Linda , MD Fort Worth, TX 76104 Mason, Jeffrey C, MD Eff 21-Sep-20 (817) 820-0427 Eff 01-Jul-18 Wound Integrity Baylor Scott & White Family 1325 Pennsylvania Ave Ste 750 • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ hablado(s): Spanish Medicine Fort Worth Fort Worth, TX 76104 1101 6th Ave Ste 110 (817) 250-1970 Hawkins, Jeffery K, MD Fort Worth, TX 76104-4306 Médicos de cuidado especializado y otros proveedores Eff 05-Aug-18 (817)912-8360 Pham, Linda , MD Interventional Consultants of Eff 21-Sep-20 Texas, PLLC Matthys, Allyson M, DO Wound Integrity 1307 8th Ave, Ste 201 Eff 13-Nov-20 7777 Forest Lane Ste C239 Fort Worth, TX 76104-4141 Baylor Scott & White Family Fort Worth, TX 75130 (817) 294-0934 Medicine Fort Worth (972) 566-4868 900 W Magnolia Ave Ste 201 Hawkins, Jeffery K, MD Fort Worth, TX 76104 Sanders, Mark Allen, DO Eff 05-Aug-18 (817) 921-6166 Eff 25-Aug-14 Interventional Consultants of Mark Allen Sanders, DO Texas, PLLC Mestry, Kaustubh , MD 3437 W 7th St 6800 Manhattan Blvd, Bldg 1, Ste Eff 01-Apr-18 Fort Worth, TX 76107 100 Hill Medical Services PLLC (817) 688-1588 Fort Worth, TX 76120-1205 6201 Overton Ridge Blvd Savage, Autumn , DO (817) 294-0934 Fort Worth, TX 76132-3613 (817) 370-6078 Eff 21-Sep-20 Hawkins, Jeffery K, MD Wound Integrity Eff 05-Aug-18 Mohammed, Anwarullah , MD 1300 W Rosedale St Ste A Interventional Consultants of Eff 12-Mar-19 Fort Worth, TX 76104 Texas, PLLC Medical Associates of Fort Worth, (817) 730-5300 209 St Louis Ave Ste 100 PLLC Fort Worth, TX 76104-1231 412 Mercedes St, Ste G (817) 294-0934 Fort Worth, TX 76126-2558 (817) 782-9020

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 157 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Savage, Autumn , DO Hawkins, Jeffery K, MD Mihills, Cody L, MD Eff 21-Sep-20 Eff 05-Aug-18 Eff 13-Nov-20 Wound Integrity Interventional Consultants of Healthcare Associates of Irving 1325 Pennsylvania Ave Ste 750 Texas, PLLC LLP Fort Worth, TX 76104 729 Bedford Euless Rd, Ste 202 1001 W Southlake Blvd (817) 250-1970 Hurst, TX 76053-3941 Southlake, TX 76092 (817) 294-0934 (817) 865-1048 Sessions, Devin , MD Eff 21-Sep-20 Hawkins, Jeffery K, MD Shelton, Christopher M, MD Wound Integrity Eff 22-Aug-18 Eff 01-Jul-18 1300 W Rosedale St Ste A Jeffery K Hawkins MD PLLC Baylor Scott & White Southlake Fort Worth, TX 76104 729 Bedford Euless Rd Family Medicine (817) 730-5300 Hurst, TX 76053-3941 925 E Southlake Blvd Ste 100 (817) 294-0934 Southlake, TX 76092-6345 Shelton, Christopher M, MD (817)912-8800 Eff 01-Jul-18 Flowers, LaTosha , MD Baylor Scott & White Family Eff 15-Dec-18 Smith, Amity , MD Medicine Fort Worth DFW Neuropathy Eff 01-Nov-17 1101 6th Ave Ste 110 9525 N Beach Street, Ste 421 Revolution Wellness and Fort Worth, TX 76104-4306 Keller, TX 76244-6438 Prevention Clinic (817)912-8360 (817) 924-1000 803 E Southlake Blvd, Ste 101 Southlake, TX 76092 Story, Elizabeth , MD Hays, Randall L, MD (817) 488-2837 Eff 22-Oct-20 Eff 31-Jan-19 Acclaim Physician Group,Inc DFW Neuropathy Gastroenterology/ Specialty Care Physicians & Other Providers/ 1500 South Main St 4th Fl 9525 N Beach Street, Ste 421 Gastroenterología Fort Worth, TX 76104 Keller, TX 76244-6438 Médicos de cuidado especializado y otros proveedores (817) 702-1215 (817) 924-1000 Collin County | Condado de Story, Elizabeth , MD Garff, Shaun P, DO Collin Eff 22-Oct-20 Eff 15-Dec-18 Acclaim Physician Group,Inc Methodist Sports Medicine Chittajallu, Ravi S, MD 1575 S Main St Pavilion 1718 Highway 287 Frontage Rd, Eff 15-Mar-18 Fort Worth, TX 76104 Ste 200 Digestive Health Associates of (817) 702-3431 Mansfield, TX 76063 Texas PA (214) 884-4700 1105 N Central Expy, Ste 2220 Waller, Holli , DO Allen, TX 75013 Eff 21-Sep-20 Madhavapeddi, Naga Sai , MD (972) 562-8383 Wound Integrity Eff 25-Nov-19 • Languages spoken / Idioma(s) 1300 W Rosedale St Ste A Direct Orthopedic Care (DOC LLC) hablado(s): Hindi Fort Worth, TX 76104 2419 W Southlake Blvd, Ste 100 (817) 730-5300 Southlake, TX 76092-6718 Dhavaleshwar, Deepti , MD (817) 809-2660 Eff 05-Jan-20 Caldwell, Sandra K, MD Digestive Health Associates of Eff 06-Feb-19 Mason, Jeffrey C, MD Texas PA Advanced Medical Pain & Eff 01-Jul-18 981 SH 121 Suite 1140 Bldg A Rehabilitation Center, PLLC Baylor Scott & White Southlake Allen, TX 75013 2011 W Northwest Hwy, Ste 130 Family Medicine (469) 697-5100 Grapevine, TX 76051 925 E Southlake Blvd Ste 100 (817) 310-0998 Southlake, TX 76092-6345 (817)912-8800

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 158 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Maddala, Yamini K, MD Banker, Suvin V, DO Duraiswamy, Sangeethapriya , MD Eff 15-Mar-18 Eff 21-Jul-14 Eff 15-Mar-18 Digestive Health Associates of Baylor Scott & White Digestive Digestive Health Associates of Texas PA Diseases Group Texas PA 981 SH 121 Suite 1140 Bldg A 3800 Gaylord Parkway, Ste 910 4461 Coit Rd, Ste 105 Allen, TX 75013 Frisco, TX 75034- Frisco, TX 75035-0506 (469) 697-5100 (469)800-6020 (469) 980-2708 Padda, Manmeet S, MD Beckman, Venessa M, MD Edling, Jason E, MD Eff 15-Mar-18 Eff 08-Mar-18 Eff 12-Jan-15 Digestive Health Associates of Digestive Health Associates of Texas Digestive Disease Texas PA Texas PA Consultants 1105 N Central Expy, Ste 2220 4401 Coit Rd, Stte 201 3550 Parkwood Blvd, Ste 405 Allen, TX 75013 Frisco, TX 75035-0506 Frisco, TX 75034 (972) 562-8383 (972) 335-7306 (972) 943-8440 Putcha, Rajesh V, MD Bolin, Andrew C, MD Fajardo, Osvaldo , MD Eff 01-Jan-15 Eff 12-Jan-15 Eff 01-Jan-15 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants Consultants Consultants 1105 N Central Expy, Ste 370 3550 Parkwood Blvd, Ste 405 8380 Warren Pkwy, Ste 100 Allen, TX 75013 Frisco, TX 75034 Frisco, TX 75034 (214) 495-6464 (972) 943-8440 (972) 562-4430 • Languages spoken / Idioma(s) Dhavaleshwar, Deepti , MD Choi, Christie E, MD hablado(s): Spanish Specialty Care Physicians & Other Providers/ Eff 05-Jan-20 Eff 08-Feb-16 Digestive Health Associates of Texas Digestive Disease Friedman, Daniel A, MD Texas PA Consultants Eff 09-Feb-15 Médicos de cuidado especializado y otros proveedores 813 W White St. 3550 Parkwood Blvd, Ste 405 Texas Digestive Disease Anna, TX 75409 Frisco, TX 75034 Consultants (469) 697-5100 (972) 943-8440 3550 Parkwood Blvd, Ste 405 Frisco, TX 75034 Alloju, Murali M, MD Collins, Clyde A, MD (972) 943-8440 Eff 15-Mar-18 Eff 09-Jul-14 Digestive Health Associates of Baylor Scott & White Digestive Oommen, Shibu G, MD Texas PA Diseases Group Eff 01-Jan-14 4401 Coit Rd, Stte 201 3800 Gaylord Prkwy Ste 910 Baylor Scott & White Digestive Frisco, TX 75035-0506 Frisco, TX 75034 Diseases Group (972) 335-7306 (469) 800-6020 3800 Gaylord Parkway, Ste 910 • Languages spoken / Idioma(s) Frisco, TX 75034 hablado(s): Telugu De La Pena, Octavio A, MD (469) 800-6020 Eff 15-Mar-18 Alloju, Murali M, MD Digestive Health Associates of Park, David I, MD Eff 15-Mar-18 Texas PA Eff 09-Feb-15 Digestive Health Associates of 4401 Coit Rd, Stte 201 Texas Digestive Disease Texas PA Frisco, TX 75035-0506 Consultants 11330 Legacy Dr Suite 205 (972) 335-7306 3550 Parkwood Blvd, Ste 405 Frisco, TX 75033 Frisco, TX 75034 (469) 535-5070 (972) 943-8440 • Languages spoken / Idioma(s) hablado(s): Telugu

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 159 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Shahidzadeh, Rassa , MD Dhavaleshwar, Deepti , MD Mathews, Sony , MD Eff 01-Jan-14 Eff 05-Jan-20 Eff 09-Mar-15 Baylor Scott & White Digestive Digestive Health Associates of Texas Digestive Disease Diseases Group Texas PA Consultants 3800 Gaylord Parkway, Ste 910 6210 Virginia Parkway 5236 W University Dr, Ste 3300 Frisco, TX 75034 McKinney, TX 75071 McKinney, TX 75071 (469) 800-6020 (469) 697-5100 (972) 562-4430 Tsiakos, Aris J, MD Evans, Tanya H, MD Mathews, Sony , MD Eff 09-Feb-15 Eff 01-Jan-15 Eff 09-Mar-15 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants Consultants Consultants 3550 Parkwood Blvd, Ste 405 5236 W University Dr, Ste 3300 7300 W Eldorado Pkwy, Ste 275 Frisco, TX 75034 McKinney, TX 75071 McKinney, TX 75070 (972) 943-8440 (972) 562-4430 (972) 562-4430 • Languages spoken / Idioma(s) hablado(s): Spanish Evans, Tanya H, MD Nayyar, Sanjay , MD Eff 01-Jan-15 Eff 15-Mar-18 Vanesko, Grace C, MD Texas Digestive Disease Digestive Health Associates of Eff 09-Feb-15 Consultants Texas PA Texas Digestive Disease 7300 W Eldorado Pkwy, Ste 275 4521 Medical Center Dr, Ste 500 Consultants McKinney, TX 75070 McKinney, TX 75069 3550 Parkwood Blvd, Ste 405 (972) 562-4430 (972) 562-8383 Frisco, TX 75034 Fajardo, Osvaldo , MD Padda, Manmeet S, MD Specialty Care Physicians & Other Providers/ (972) 943-8440 Eff 01-Jan-15 Eff 15-Mar-18 Chittajallu, Ravi S, MD Texas Digestive Disease Digestive Health Associates of Médicos de cuidado especializado y otros proveedores Eff 15-Mar-18 Consultants Texas PA Digestive Health Associates of 5236 W University Dr, Ste 3300 4521 Medical Center Dr, Ste 500 Texas PA McKinney, TX 75071 McKinney, TX 75069 4521 Medical Center Dr, Ste 500 (972) 562-4430 (972) 562-8383 McKinney, TX 75069 • Languages spoken / Idioma(s) (972) 562-8383 hablado(s): Spanish Padda, Manmeet S, MD • Languages spoken / Idioma(s) Eff 15-Mar-18 hablado(s): Hindi Fajardo, Osvaldo , MD Digestive Health Associates of Eff 01-Jan-15 Texas PA Collins, Clyde A, MD Texas Digestive Disease 5337 W University Dr, Bldg G, Ste Eff 09-Jul-14 Consultants 200 Digestive Diseases Group - 7300 W Eldorado Pkwy, Ste 275 McKinney, TX 75071 McKinney McKinney, TX 75070 (972) 562-8383 5236 W University Dr Ste 2200 (972) 562-4430 McKinney, TX 75071 • Languages spoken / Idioma(s) Putcha, Rajesh V, MD (469) 800-5375 hablado(s): Spanish Eff 01-Jan-15 Texas Digestive Disease Collins, Clyde A, MD Maddala, Yamini K, MD Consultants Eff 09-Jul-14 Eff 15-Mar-18 5236 W University Dr, Ste 3300 Baylor Scott & White Dallas Digestive Health Associates of McKinney, TX 75071 Diagnostic Association - McKinney Texas PA (972) 562-4430 5236 W University Dr Ste 2200 6210 Virginia Parkway McKinney, TX 75071 McKinney, TX 75071 (469) 800-5375 (469) 697-5100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 160 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Putcha, Rajesh V, MD Akerman, Stuart , MD Bassel, Katrina M, MD Eff 01-Jan-15 Eff 15-Mar-18 Eff 01-Jan-14 Texas Digestive Disease Digestive Health Associates of Baylor Scott & White Digestive Consultants Texas PA Diseases Group 7300 W Eldorado Pkwy, Ste 275 3242 Preston Rd Ste 200 4708 Alliance Blvd Ste 200 McKinney, TX 75070 Plano, TX 75093-3328 Plano, TX 75093 (972) 562-4430 (972) 867-0019 (469) 800-6020 Rendon, Gabriel , MD Anderson, Paul K, MD Bassel, Katrina M, MD Eff 01-Jan-15 Eff 01-Jan-14 Eff 01-Jan-14 Texas Digestive Disease Baylor Scott & White Digestive Baylor Scott & White Dallas Consultants Diseases Group Diagnostic Association - Plano 5236 W University Dr, Ste 3300 4708 Alliance Blvd, Ste 200 4708 Alliance Blvd Ste 200 McKinney, TX 75071 Plano, TX 75093 Plano, TX 75093 (972) 562-4430 (469) 800-6020 (469) 800-6020 • Languages spoken / Idioma(s) hablado(s): Spanish Anderson, Paul K, MD Bolin, Andrew C, MD Eff 01-Jan-14 Eff 12-Jan-15 Rendon, Gabriel , MD Baylor Scott & White Dallas Texas Digestive Disease Eff 01-Jan-15 Diagnostic Association - Plano Consultants Texas Digestive Disease 4708 Alliance Blvd, Ste 200 5425 W Spring Creek Pkwy, Ste Consultants Plano, TX 75093 205 7300 W Eldorado Pkwy, Ste 275 (469) 800-6020 Plano, TX 75024 McKinney, TX 75070 (972) 943-8440 Badr, Adnan S, MD (972) 562-4430 Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) Eff 15-Mar-18 Bolin, Andrew C, MD Digestive Health Associates of Eff 12-Jan-15

hablado(s): Spanish Médicos de cuidado especializado y otros proveedores Texas PA Texas Digestive Disease Srungaram, Praveen R, MD 6130 W Parker Rd, Ste 310 Consultants Eff 01-Jan-14 Plano, TX 75093 8080 Independence Pkwy, Ste 235 Digestive Diseases Group - (972) 265-4190 Plano, TX 75025 McKinney (972) 943-8440 5236 W University Dr, Ste 2200 Bapat, Vijay , MD McKinney, TX 75071 Eff 06-Jun-16 Bolin, Andrew C, MD (469) 800-5375 Baylor Scott & White Digestive Eff 12-Jan-15 Diseases Group Texas Digestive Disease Srungaram, Praveen R, MD 4708 Alliance Blvd Ste 200 Consultants Eff 01-Jan-14 Plano, TX 75093 3032 Communications Pkwy Baylor Scott & White Dallas (469) 800-6020 Plano, TX 75093 Diagnostic Association - McKinney (972) 943-8440 5236 W University Dr, Ste 2200 Bapat, Vijay , MD McKinney, TX 75071 Eff 06-Jun-16 Brown, Kenneth , MD (469) 800-5375 Baylor Scott & White Dallas Eff 15-Mar-18 Diagnostic Association - Plano Digestive Health Associates of Abraham, Sindhu , MD 4708 Alliance Blvd Ste 200 Texas PA Eff 15-Mar-18 Plano, TX 75093 3242 Preston Rd Ste 200 Digestive Health Associates of (469) 800-6020 Plano, TX 75093-3328 Texas PA (972) 867-0019 3242 Preston Rd Ste 200 Plano, TX 75093-3328 (972) 867-0019

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 161 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chan, Vincent , MD Edling, Jason E, MD Friedman, Daniel A, MD Eff 01-Jan-14 Eff 12-Jan-15 Eff 09-Feb-15 Baylor Scott & White Digestive Texas Digestive Disease Texas Digestive Disease Diseases Group Consultants Consultants 4708 Alliance Blvd Ste 300 Baylor 5425 W Spring Creek Pkwy, Ste 5425 W Spring Creek Pkwy, Ste Med Plaza 1 205 205 Plano, TX 75093 Plano, TX 75024 Plano, TX 75024 (469) 800-6000 (972) 943-8440 (972) 943-8440 Choi, Christie E, MD Edling, Jason E, MD Friedman, Daniel A, MD Eff 08-Feb-16 Eff 12-Jan-15 Eff 09-Feb-15 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants Consultants Consultants 5425 W Spring Creek Pkwy, Ste 8080 Independence Pkwy, Ste 235 8080 Independence Pkwy, Ste 235 205 Plano, TX 75025 Plano, TX 75025 Plano, TX 75024 (972) 943-8440 (972) 943-8440 (972) 943-8440 Edling, Jason E, MD Friedman, Daniel A, MD Choi, Christie E, MD Eff 12-Jan-15 Eff 09-Feb-15 Eff 08-Feb-16 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants Consultants Consultants 3032 Communications Pkwy 3032 Communications Pkwy 8080 Independence Pkwy, Ste 235 Plano, TX 75093 Plano, TX 75093 Plano, TX 75025 (972) 943-8440 (972) 943-8440

Specialty Care Physicians & Other Providers/ (972) 943-8440 Eidem, Matthew W, MD Gadol, Steven M, MD Choi, Christie E, MD Eff 15-Mar-18 Eff 01-Dec-14 Médicos de cuidado especializado y otros proveedores Eff 08-Feb-16 Digestive Health Associates of Private Practice Texas Digestive Disease Texas PA 4100 W 15th St Consultants 3242 Preston Rd Ste 200 Plano, TX 75075 3032 Communications Pkwy Plano, TX 75093-3328 (972) 596-6000 Plano, TX 75093 (972) 867-0019 • Languages spoken / Idioma(s) (972) 943-8440 hablado(s): Spanish Evans, Tanya H, MD Cooley, Brian K, MD Eff 01-Jan-15 Jantz, Candice P, MD Eff 15-Mar-18 Texas Digestive Disease Eff 15-Mar-18 Digestive Health Associates of Consultants Digestive Health Associates of Texas PA 8080 Independence Pkwy, Ste 235 Texas PA 1600 Coit Rd, Ste 401 Plano, TX 75025 6130 W Parker Rd, Ste 310 Plano, TX 75075 (972) 943-8440 Plano, TX 75093 (972) 758-5484 (972) 265-4190 Fan, Xinqing F, MD • Languages spoken / Idioma(s) Do, Son T, MD Eff 01-Feb-17 hablado(s): Spanish Eff 15-Mar-18 North Dallas Digestive Disease Digestive Health Associates of Specialists Kuo, Vincent , MD Texas PA 4690 McDermott Dr, Ste 188 Eff 15-Mar-18 3108 Midway Rd Ste104 Plano, TX 75024 Digestive Health Associates of Plano, TX 75093-8485 (214) 494-4480 Texas PA (972) 398-0393 • Languages spoken / Idioma(s) 3108 Midway Rd Ste 104 hablado(s): Chinese Plano, TX 75093-8485 (972) 398-0393

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 162 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Malik, Arshad Husain, MD Park, David I, MD Tsiakos, Aris J, MD Eff 15-Mar-18 Eff 09-Feb-15 Eff 09-Feb-15 Digestive Health Associates of Texas Digestive Disease Texas Digestive Disease Texas PA Consultants Consultants 3242 Preston Rd Ste 200 3032 Communications Pkwy 5425 W Spring Creek Pkwy, Ste Plano, TX 75093-3328 Plano, TX 75093 205 (972) 867-0019 (972) 943-8440 Plano, TX 75024 (972) 943-8440 Masand, Amit H, MD Rendon, Gabriel , MD • Languages spoken / Idioma(s) Eff 15-Mar-18 Eff 01-Jan-15 hablado(s): Spanish Digestive Health Associates of Texas Digestive Disease Texas PA Consultants Tsiakos, Aris J, MD 6130 W Parker Rd, Ste 310 8080 Independence Pkwy, Ste 235 Eff 09-Feb-15 Plano, TX 75093 Plano, TX 75025 Texas Digestive Disease (972) 265-4190 (972) 943-8440 Consultants • Languages spoken / Idioma(s) 8080 Independence Pkwy, Ste 235 Oommen, Shibu G, MD hablado(s): Spanish Plano, TX 75025 Eff 01-Jan-14 (972) 943-8440 Baylor Scott & White Digestive Sanchez, Luis Lizardo, MD • Languages spoken / Idioma(s) Diseases Group Eff 15-Mar-18 hablado(s): Spanish 4708 Alliance Blvd, Ste 200 Digestive Health Associates of Plano, TX 75093 Texas PA Tsiakos, Aris J, MD (469) 800-6020 3242 Preston Rd Ste 200 Eff 09-Feb-15 Plano, TX 75093-3328 Texas Digestive Disease Oommen, Shibu G, MD (972) 867-0019 Consultants Specialty Care Physicians & Other Providers/ Eff 01-Jan-14 3032 Communications Pkwy Baylor Scott & White Dallas Scott-Winful, Terilyn R, MD

Plano, TX 75093 Médicos de cuidado especializado y otros proveedores Diagnostic Association - Plano Eff 01-Jan-14 (972) 943-8440 4708 Alliance Blvd, Ste 200 Dallas Diagnostic Association- • Languages spoken / Idioma(s) Plano, TX 75093 Plano hablado(s): Spanish (469) 800-6020 4708 Alliance Blvd, Ste 550 Plano, TX 75093 Van Dinter, Thomas G, MD Park, David I, MD (469) 800-1130 Eff 01-Jan-14 Eff 09-Feb-15 Baylor Scott & White Digestive Texas Digestive Disease Shahidzadeh, Rassa , MD Diseases Group Consultants Eff 01-Jan-14 4708 Alliance Blvd, Ste 200 5425 W Spring Creek Pkwy, Ste Baylor Scott & White Digestive Plano, TX 75093 205 Diseases Group (469) 800-6020 Plano, TX 75024 4708 Alliance Blvd, Ste 200 (972) 943-8440 Plano, TX 75093 Van Dinter, Thomas G, MD (469) 800-6020 Eff 01-Jan-14 Park, David I, MD Baylor Scott & White Dallas Eff 09-Feb-15 Shahidzadeh, Rassa , MD Diagnostic Association - Plano Texas Digestive Disease Eff 01-Jan-14 4708 Alliance Blvd, Ste 200 Consultants Baylor Scott & White Dallas Plano, TX 75093 8080 Independence Pkwy, Ste 235 Diagnostic Association - Plano (469) 800-6020 Plano, TX 75025 4708 Alliance Blvd, Ste 200 (972) 943-8440 Plano, TX 75093 (469) 800-6020

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 163 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Vanesko, Grace C, MD Alsahhar, Jamil S, MD Bogus, Houston , MD Eff 09-Feb-15 Eff 06-Sep-19 Eff 01-Jan-14 Texas Digestive Disease Baylor Scott & White Liver Baylor Scott & White Digestive Consultants Consultants of Texas Diseases Group 5425 W Spring Creek Pkwy, Ste 3410 Worth St, Ste 860 7777 Forest Ln Ste C300 205 Dallas, TX 75246-2064 Dallas, TX 75230 Plano, TX 75024 (214) 820-8500 (972) 991-6000 (972) 943-8440 Alvarez, Lisa , MD Carollo, Angela A, MD Vanesko, Grace C, MD Eff 15-Mar-18 Eff 15-Mar-18 Eff 09-Feb-15 Digestive Health Associates of Digestive Health Associates of Texas Digestive Disease Texas PA Texas PA Consultants 8220 Walnut Hill Ln, Ste 710, LB 3417 Gaston Ave, Ste 790 8080 Independence Pkwy, Ste 235 101 Dallas, TX 75246-2031 Plano, TX 75025 Dallas, TX 75231 (214) 821-5266 (972) 943-8440 (214) 368-6707 Dassopoulos, Themistocles , MD Vanesko, Grace C, MD Anderson, Paul K, MD Eff 11-Aug-14 Eff 09-Feb-15 Eff 01-Jan-14 Baylor Center for Inflammatory Texas Digestive Disease Dallas Diagnostic Association- Bowel Diseases Consultants Plano 3409 Worth St Ste 640 3032 Communications Pkwy 7777 Forest Ln, Ste C340 Dallas, TX 75246 Plano, TX 75093 Dallas, TX 75230 (469) 800-7180 (972) 943-8440 (972) 758-4620 • Languages spoken / Idioma(s)

Specialty Care Physicians & Other Providers/ hablado(s): Greek Duraiswamy, Sangeethapriya , MD Anderson, Robert D, MD Eff 15-Mar-18 Eff 15-Mar-18 DeMarco, Daniel C, MD Médicos de cuidado especializado y otros proveedores Digestive Health Associates of Digestive Health Associates of Eff 30-Oct-19 Texas PA Texas PA Baylor Scott & White Community 1970 W University Dr, Ste 210 3417 Gaston Ave, Ste 790 Care Worth Street Prosper, TX 75078-1796 Dallas, TX 75246-2031 3600 Gaston Avenue Suite 651 (469) 980-2708 (214) 821-5266 Wadley Tower Dallas, TX 75246 Dallas County | Condado de Arslanlar, Sami , MD (214) 820-3275 Eff 15-Mar-18 Dallas Digestive Health Associates of DeMarco, Daniel C, MD Texas PA Eff 30-Oct-19 Moparty, Bhavani , MD 8220 Walnut Hill Ln, Ste 710, LB Baylor Scott & White Community Eff 01-Jan-15 101 Care Worth Street Texas Digestive Disease Dallas, TX 75231 4001 Worth St Consultants (214) 368-6707 Dallas, TX 75246 294 Uptown Blvd, Ste 100 (972) 817-7070 Cedar Hill, TX 75104 Bassel, Katrina M, MD (214) 323-8500 Eff 01-Jan-14 Elwazir, Esmail M, MD • Languages spoken / Idioma(s) Dallas Diagnostic Association- Eff 01-Jan-15 hablado(s): Spanish Plano Texas Digestive Disease 7777 Forest Ln Ste C340 Consultants Ahmed, Abrar , MD Dallas, TX 75230 3417 Gaston Ave, Ste 800 Eff 15-Jun-16 (972) 758-4620 Dallas, TX 75246 Texas Digestive Disease (214) 323-8500 Consultants • Languages spoken / Idioma(s) 8230 Walnut Hill Ln Ste 610 hablado(s): German Dallas, TX 75231-4482 (214) 345-7398

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 164 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Elwazir, Esmail M, MD Hamilton, John K, MD Kedia, Prashant S, MD Eff 01-Jan-15 Eff 15-Mar-18 Eff 15-Mar-18 Texas Digestive Disease Digestive Health Associates of Digestive Health Associates of Consultants Texas PA Texas PA 9101 N Central Expwy, Ste 300 3417 Gaston Ave, Ste 790 221 W Colorado Blvd, PAV II, Ste Dallas, TX 75231 Dallas, TX 75246-2031 630 (214) 323-8500 (214) 821-5266 Dallas, TX 75208-2345 • Languages spoken / Idioma(s) (214) 941-6891 hablado(s): German Hodges, William G, MD Eff 01-Jan-15 Kedia, Prashant S, MD Fernandes, Neville F, MD Texas Digestive Disease Eff 15-Dec-19 Eff 01-Jan-15 Consultants Physician Associates of Southwest Texas Digestive Disease 3417 Gaston Ave, Ste 800 Dallas Consultants Dallas, TX 75246 122 W Colorado Blvd 7777 Forest Lane, C828 (214) 323-8500 Dallas, TX 75208-2382 Dallas, TX 75230-2572 • Languages spoken / Idioma(s) (214) 947-6700 (214) 496-1100 hablado(s): Spanish Konda, Vani J, MD Gandhi, Soren , MD Hodges, William G, MD Eff 15-Dec-16 Eff 01-Nov-18 Eff 01-Jan-15 HealthTexas Provider Network Digestive Health Associates of Texas Digestive Disease Center for Esophageal Diseases Texas PA Consultants 3410 Worth Street, Ste 235 3430 W Wheatland Rd, 1 POB, 9101 N Central Expwy, Ste 300 Dallas, TX 75246 Ste 109 Dallas, TX 75231 (469) 800-7050

Dallas, TX 75234-3447 (214) 323-8500 Specialty Care Physicians & Other Providers/ (972) 296-1983 • Languages spoken / Idioma(s) Konda, Vani J, MD Eff 15-Dec-16

hablado(s): Spanish Médicos de cuidado especializado y otros proveedores Gayle, Sarita , MD HealthTexas Provider Network Eff 15-Mar-18 Isbell III, Gerald M, MD Center for Esophageal Diseases Digestive Health Associates of Eff 15-Mar-18 3600 Gaston Ave, Ste 711, Barnett Texas PA Digestive Health Associates of Tower 3417 Gaston Ave, Ste 790 Texas PA Dallas, TX 75246 Dallas, TX 75246-2031 7777 Forest Ln, Ste C604 (469) 800-7050 (214) 821-5266 Dallas, TX 75230-2505 (972) 566-6667 Lee, Alexander , MD Gottesman, Andrew Rodney, MD Eff 09-Oct-15 Eff 01-Jan-19 Kahn, Ben J, MD Texas Digestive Disease Andrew Gottesman MD PA Eff 12-Sep-16 Consultants 7515 Greenville Ave, Ste 706 Texas Digestive Disease 7777 Forest Lane, C828 Dallas, TX 75231 Consultants Dallas, TX 75230-2572 (214) 360-9877 3417 Gaston Ave, Ste 800 (214) 496-1100 Dallas, TX 75246 Hakert, James D, MD (214) 323-8500 Lee, David P, MD Eff 15-Mar-18 Eff 14-Sep-20 Digestive Health Associates of Kale, Hemangi , MD Digestive Health Associates of Texas PA Eff 15-Mar-18 Texas, PA 8220 Walnut Hill Ln, Ste 710, LB Digestive Health Associates of 221 W. Colorado Blvd PAV II Suite 101 Texas PA 630 Dallas, TX 75231 3417 Gaston Ave, Ste 790 Dallas, TX 752082345 (214) 368-6707 Dallas, TX 75246-2031 (214) 941-6891 (214) 821-5266

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 165 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lee, John C, MD Macurak, Randal Bruce, MD Nguyen, Anh , MD Eff 15-Mar-18 Eff 15-Mar-18 Eff 04-Oct-19 Digestive Health Associates of Digestive Health Associates of Baylor Scott & White Center for Texas PA Texas PA Esophageal Diseases 8220 Walnut Hill Ln, Ste 710, LB 3430 W Wheatland Rd, 1 POB, 3600 Gaston Ave Ste 711 Barnett 101 Ste 109 Twr Dallas, TX 75231 Dallas, TX 75234-3447 Dallas, TX 75246 (214) 368-6707 (972) 296-1983 (469) 800-7050 Linder, Jeffrey D, MD Magee, David J, MD Nunez, Michael , MD Eff 15-Mar-18 Eff 15-Mar-18 Eff 06-Jul-16 Digestive Health Associates of Digestive Health Associates of Texas Digestive Disease Texas PA Texas PA Consultants 221 W Colorado Blvd, Ste 630, 12200 Park Central Dr Ste 403 8230 Walnut Hill Ln, Ste 610 Pavillion III Dallas, TX 75251 Dallas, TX 75231-4482 Dallas, TX 75208 (972)566-6700 (214) 345-7398 (214) 941-6891 Mantas, Alexander Michael, MD Odstrcil, Elizabeth A, MD Linder, Jeffrey D, MD Eff 15-Mar-18 Eff 15-Mar-18 Eff 15-Mar-18 Digestive Health Associates of Digestive Health Associates of Digestive Health Associates of Texas PA Texas PA Texas PA 12200 Park Central Dr, Ste 403 3417 Gaston Ave, Ste 790 3430 W Wheatland Rd, Ste 116, Dallas, TX 75251-- Dallas, TX 75246-2031 POB 1 (214) 617-2000 (214) 821-5266

Specialty Care Physicians & Other Providers/ Dallas, TX 75237 (972) 780-1111 Martin, Jason , MD Odstrcil, Elizabeth A, MD Eff 08-Aug-16 Eff 15-Mar-18 Médicos de cuidado especializado y otros proveedores Linder, Jeffrey D, MD Texas Digestive Disease Digestive Health Associates of Eff 15-Oct-18 Consultants Texas PA Physician Associates of Southwest 3600 Gaston Ave, Ste 809 7777 Forest Ln Ste B304 Dallas Dallas, TX 75246 Dallas, TX 75230-6818 122 W Colorado Blvd (214) 818-0948 (972) 306-3767 Dallas, TX 75208 (214) 947-6700 Martinez, Juan G, MD Patel, Rikin S, MD Eff 01-Jan-15 Eff 01-Jan-15 Loeb, Peter , MD Texas Digestive Disease Texas Digestive Disease Eff 18-May-16 Consultants Consultants Texas Digestive Disease 7777 Forest Lane, C828 7777 Forest Lane, C828 Consultants Dallas, TX 75230-2572 Dallas, TX 75230-2572 8230 Walnut Hill Ln, Ste 610 (214) 496-1100 (214) 496-1100 Dallas, TX 75231-4482 • Languages spoken / Idioma(s) (214) 345-7398 hablado(s): Spanish Patel, Viralkumar V, MD Eff 15-Mar-18 Lostak, Charles , DO Moparty, Bhavani , MD Digestive Health Associates of Eff 15-Oct-18 Eff 01-Jan-15 Texas PA Methodist Charlton Texas Digestive Disease 8220 Walnut Hill Ln, Ste 710, LB Gastroenterology Consultants 101 3450 W Wheatland Rd, POB II Ste 3417 Gaston Ave, Ste 800 Dallas, TX 75231 245 Dallas, TX 75246 (214) 368-6707 Dallas, TX 75237 (214) 323-8500 (214) 948-8856 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 166 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Perrillo, Robert P, MD Schwartz, Armond G, MD Souza, Rhonda F, MD Eff 01-Jan-14 Eff 15-Mar-18 Eff 20-Oct-16 Baylor Scott & White Liver Digestive Health Associates of HealthTexas Provider Network Consultants of Texas Texas PA Center for Esophageal Diseases 3410 Worth St Ste 860 221 W Colorado Blvd, PAV II, Ste 3600 Gaston Ave, Ste 711, Barnett Dallas, TX 75246-2064 630 Tower (214) 820-8500 Dallas, TX 75208-2345 Dallas, TX 75246 (214) 941-6891 (469) 800-7050 Persley, Kimberly , MD Eff 13-Jul-16 Schwartz, Armond G, MD Spechler, Stuart J, MD Texas Digestive Disease Eff 15-Oct-18 Eff 18-Aug-16 Consultants Physician Associates of Southwest HealthTexas Provider Network 8230 Walnut Hill Ln, Ste 610 Dallas Center for Esophageal Diseases Dallas, TX 75231-4482 122 W Colorado Blvd 3600 Gaston Ave, Ste 711, Barnett (214) 345-7398 Dallas, TX 75208-2382 Tower (214) 947-6701 Dallas, TX 75246 Qureshi, Zeeshan , MD (469) 800-7050 Eff 12-Oct-16 Scott-Winful, Terilyn R, MD Texas Digestive Disease Eff 01-Jan-14 Sreenarasimhaiah, Jayaprakash , Consultants Dallas Diagnostic Association- MD 7777 Forest Lane, C828 Plano Eff 20-Nov-17 Dallas, TX 75230-2572 7777 Forest Ln, Ste C300 Texas Digestive Disease (214) 496-1100 Dallas, TX 75230 Consultants (972) 991-6000 7777 Forest Lane, C828 Reddy, Chanakyaram A, MD Dallas, TX 75230-2572 Specialty Care Physicians & Other Providers/ Eff 13-Nov-20 Secor, John W, MD (214) 496-1100 Baylor Scott & White Center for Eff 15-Mar-18 Esophageal Diseases Digestive Health Associates of Stevens, William , MD Médicos de cuidado especializado y otros proveedores 3600 Gaston Ave Ste 711 Texas PA Eff 18-May-16 Dallas, TX 75246 8220 Walnut Hill Ln, Ste 710, Texas Digestive Disease (469) 800-7050 LB101 Consultants Dallas, TX 75231 8230 Walnut Hill Ln, Ste 610 Sandoval, Ruben E, MD (214) 368-6707 Dallas, TX 75231-4482 Eff 15-Mar-18 (214) 345-7398 Digestive Health Associates of Shah, Rushikesh , MD Texas PA Eff 15-Oct-20 Surkunalingam, Nantha , MD 9330 Poppy Dr Ste 500 Digestive Health Associates of Eff 14-Dec-18 Dallas, TX 75218 Texas PA Digestive Health Associates of (972) 771-2222 3417 Gaston Avenue Suite 790 Texas PA Dallas, TX 75246 8220 Walnut Hill Ln, Ste 710, Schiller, Lawrence R, MD (214) 821-5266 LB101 Eff 09-Apr-18 Dallas, TX 75231 Digestive Health Associates of Snowberger, Noel L, MD (214) 368-6707 Texas PA Eff 15-Mar-18 3500 Gaston Ave, Ste 260, Digestive Health Associates of Tarnasky, Paul R, MD Wadley Tower Texas PA Eff 15-Mar-18 Dallas, TX 75246-2017 12200 Park Central Dr, Ste 403 Digestive Health Associates of (214) 689-5960 Dallas, TX 75251 Texas PA (972) 239-2400 221 W Colorado Blvd, PAV II, Ste 630 Dallas, TX 75208-2345 (214) 941-6891

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 167 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tarnasky, Paul R, MD Kankanala, Vineel , MD Bogus, Houston , MD Eff 15-Oct-18 Eff 01-Jun-18 Eff 01-Jan-14 Physician Associates of Southwest Digestive Health Associates of Baylor Scott & White Dallas Dallas Texas PA Diagnostic Association - Garland 122 W Colorado Blvd 2811 Duke of Gloucester, Ste 101 7217 Telecom Pkwy Ste 250 Dallas, TX 75208-2382 Desoto, TX 75115-2091 Garland, TX 75044 (214) 947-6701 (972) 780-7300 (469) 800-2010 • Languages spoken / Idioma(s) Van Dinter, Thomas G, MD hablado(s): Spanish Chan, Vincent , MD Eff 01-Jan-14 Eff 01-Jan-14 Dallas Diagnostic Association- Konda, Janardhan , MD Baylor Scott & White Digestive Plano Eff 15-Mar-18 Diseases Group 7777 Forest Ln, Ste C340 Digestive Health Associates of 7217 Telecom Prkwy Ste 250 Dallas, TX 75230 Texas PA Garland, TX 75044 (972) 758-4620 2811 Duke of Gloucester, Ste 101 (469) 800-2010 Desoto, TX 75115-2091 Vesy, Christopher J, MD (972) 780-7300 Chan, Vincent , MD Eff 01-Jan-15 Eff 01-Jan-14 Texas Digestive Disease Bassel, Katrina M, MD Baylor Scott & White Dallas Consultants Eff 01-Jan-14 Diagnostic Association - Garland 3600 Gaston Ave, Ste 809 Dallas Diagnostic Association- 7217 Telecom Prkwy Ste 250 Dallas, TX 75246 Plano Garland, TX 75044 (214) 818-0948 601 Clara Barton Blvd Ste 300 (469) 800-2010 • Languages spoken / Idioma(s) Garland, TX 75042 Khan, Bilal A, MD Specialty Care Physicians & Other Providers/ hablado(s): Spanish (469) 800-2000 Eff 15-Mar-18 Weinstein, Jeffrey Scott, MD Blank, Kristie L, MD Digestive Health Associates of Médicos de cuidado especializado y otros proveedores Eff 15-Mar-18 Eff 15-Mar-18 Texas, PA Digestive Health Associates of Digestive Health Associates of 7150 N President George Bush Texas PA Texas, PA Hwy, Ste 201 1411 N Beckley Ave, PAV III, Ste 7150 N President George Bush Garland, TX 75044 268 Hwy, Ste 201 (972) 771-2222 Dallas, TX 75203-1260 Garland, TX 75044 (214) 947-4400 (972) 771-2222 Linder, Jeffrey D, MD Eff 15-Mar-18 Yaussy, Catherine M, MD Blank, Kristie L, MD Digestive Health Associates of Eff 15-Mar-18 Eff 15-Mar-18 Texas PA Digestive Health Associates of Digestive Health Associates of 7150 N President George Bush Texas PA Texas PA Hwy Suite 201 3417 Gaston Ave, Ste 790 777 Walter Reed Blvd, Ste 301 Garland, TX 75044 Dallas, TX 75246-2031 Garland, TX 75042 (214) 629-4454 (214) 821-5266 (972) 487-8855 Miller, Mark R, MD Young, Walter , MD Bogus, Houston , MD Eff 15-Mar-18 Eff 15-Mar-18 Eff 01-Jan-14 Digestive Health Associates of Digestive Health Associates of Baylor Scott & White Digestive Texas, PA Texas PA Diseases Group 7150 N President George Bush 221 W Colorado Blvd, PAV II, Ste 7217 Telecom Pkwy Ste 250 Hwy, Ste 201 630 Garland, TX 75044 Garland, TX 75044 Dallas, TX 75208-2345 (469) 800-2010 (972) 771-2222 (214) 467-8302

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 168 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Oommen, Shibu G, MD Van Dinter, Thomas G, MD Martinez, Juan G, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-15 Dallas Diagnostic Association- Dallas Diagnostic Association- Texas Digestive Disease Plano Plano Consultants 601 Clara Barton Blvd, Ste 300 601 Clara Barton Blvd, Ste 300 701 Tuscan Dr, Ste 110 Garland, TX 75042 Garland, TX 75042 Irving, TX 75039-3838 (469) 800-2010 (469) 800-2010 (214) 496-1100 • Languages spoken / Idioma(s) Paradiso, Paul , DO Burdick, James S, MD hablado(s): Spanish Eff 13-Sep-19 Eff 15-Nov-18 Digestive Health Associates of Advanced Endoscopy Consultants Patel, Rikin S, MD Texas PA PLLC Eff 01-Jan-15 7150 N President Bush Hwy Ste 6500 Sierra Dr, Ste 170 Texas Digestive Disease 201 Irving, TX 75039-2480 Consultants Garland, TX 75044 (972) 884-4030 701 Tuscan Dr, Ste 110 (972) 771-2222 Irving, TX 75039-3838 Fernandes, Neville F, MD (214) 496-1100 Sarles, Harry E, MD Eff 01-Jan-15 Eff 15-Mar-18 Texas Digestive Disease Qureshi, Zeeshan , MD Digestive Health Associates of Consultants Eff 12-Oct-16 Texas, PA 701 Tuscan Dr, Ste 110 Texas Digestive Disease 7150 N President George Bush Irving, TX 75039-3838 Consultants Hwy, Ste 201 (214) 496-1100 701 Tuscan Dr, Ste 110 Garland, TX 75044 Irving, TX 75039-3838 Houston, Jody W, MD (972) 771-2222 (214) 496-1100 Specialty Care Physicians & Other Providers/ Eff 01-Jan-15 Sarles, Harry E, MD Texas Digestive Disease Sreenarasimhaiah, Jayaprakash , Eff 15-Mar-18 Consultants MD Médicos de cuidado especializado y otros proveedores Digestive Health Associates of 701 Tuscan Dr, Ste 110 Eff 20-Nov-17 Texas PA Irving, TX 75039-3838 Texas Digestive Disease 777 Walter Reed Blvd, Ste 301 (214) 496-1100 Consultants Garland, TX 75042 701 Tuscan Dr, Ste 110 (972) 487-8855 Lee, Alexander , MD Irving, TX 75039-3838 Eff 09-Oct-15 (214) 496-1100 Sheikh, Imran , MD Texas Digestive Disease Eff 11-Apr-16 Consultants Vallera, Raymond A, MD Baylor Scott & White Digestive 701 Tuscan Dr, Ste 110 Eff 01-Jan-15 Diseases Group Irving, TX 75039-3838 Texas Digestive Disease 7217 Telecom Parkway, Ste 250 (214) 496-1100 Consultants Garland, TX 75044 701 Tuscan Dr, Ste 110 (469) 800-2010 Mahatma, Mahendra , MD Irving, TX 75039-3838 Eff 01-Jan-14 (214) 496-1100 Sheikh, Imran , MD Mahendra Mahatma, MD Eff 11-Apr-16 6500 Sierra Dr, Ste 170 Wilkofsky, Steven I, MD Baylor Scott & White Dallas Irving, TX 75039 Eff 01-Jan-15 Diagnostic Association - Garland (972) 331-1590 Texas Digestive Disease 7217 Telecom Parkway, Ste 250 • Languages spoken / Idioma(s) Consultants Garland, TX 75044 hablado(s): Hindi 701 Tuscan Dr, Ste 110 (469) 800-2010 Irving, TX 75039-3838 (214) 496-1100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 169 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Zafar, Sunbal , MD Gadol, Steven M, MD Arslanlar, Sami , MD Eff 01-Aug-18 Eff 01-Dec-14 Eff 15-Mar-18 Digestive Health Associates of Private Practice Digestive Health Associates of Texas PA 399 W Campbell Rd, Ste 202 Texas PA 6750 N MacArthur Blvd Ste 201 Richardson, TX 75080 7501 Lakeview Pkwy, Ste 260 Irving, TX 75039 (972) 498-4401 Rowlett, TX 75088 (817) 855-9988 • Languages spoken / Idioma(s) (972) 475-8183 hablado(s): Spanish Kedika, Ramalinga R, MD Hakert, James D, MD Eff 29-May-18 Kethu, Sripathi R, MD Eff 15-Mar-18 Texas Digestive Disease Eff 15-Mar-18 Digestive Health Associates of Consultants Digestive Health Associates of Texas PA 2694 N Galloway, Ste 501 Texas PA 7501 Lakeview Pkwy, Ste 260 Mesquite, TX 75150 2621 E President George Bush Rowlett, TX 75088 (972) 681-2226 Hwy, Ste 305 (972) 475-8183 Richardson, TX 75082 Oliver, German A, MD (972) 238-9696 Lee, John C, MD Eff 01-Jan-15 Eff 15-Mar-18 Texas Digestive Disease Kethu, Sripathi R, MD Digestive Health Associates of Consultants Eff 15-Mar-18 Texas PA 2694 N Galloway, Ste 501 Digestive Health Associates of 7501 Lakeview Pkwy, Ste 260 Mesquite, TX 75150 Texas PA Rowlett, TX 75088 (972) 681-2226 399 W Campbell Rd, Ste 304 (972) 475-8183 • Languages spoken / Idioma(s) Richardson, TX 75080 Patel, Viralkumar V, MD Specialty Care Physicians & Other Providers/ hablado(s): Spanish (972) 238-9696 Eff 15-Mar-18 Seif, Fayez G, MD Kethu, Sripathi R, MD Digestive Health Associates of Médicos de cuidado especializado y otros proveedores Eff 01-Jan-15 Eff 15-Mar-18 Texas PA Texas Digestive Disease Digestive Health Associates of 7501 Lakeview Pkwy, Ste 260 Consultants Texas PA Rowlett, TX 75088 2694 N Galloway, Ste 501 970 Coit Rd, Ste 3040 (972) 475-8183 Mesquite, TX 75150 Richardson, TX 75080 (972) 681-2226 (972) 238-8092 Surkunalingam, Nantha , MD Eff 14-Dec-18 Wright, Paul H, MD Kumaravel, Veena , MD Digestive Health Associates of Eff 21-Dec-15 Eff 15-Mar-18 Texas PA Texas Digestive Disease Digestive Health Associates of 7501 Lakeview Pkwy Ste 260 Consultants Texas PA Rowlett, TX 75088 2694 N Galloway, Ste 501 2821 E President George Bush (972) 475-8183 Mesquite, TX 75150 Tpke, Ste 205 (972) 681-2226 Richardson, TX 75082 Magee, David J, MD (972) 238-9696 Eff 15-Mar-18 Fan, Xinqing F, MD Digestive Health Associates of Eff 01-Feb-17 Alvarez, Lisa , MD Texas PA North Dallas Digestive Disease Eff 15-Mar-18 490 US HWY 80 Ste 200 Specialists Digestive Health Associates of Sunnyvale, TX 75182 3509 Spectrum Blvd, Ste A Texas PA (972)771-2222 Richardson, TX 75082 7501 Lakeview Pkwy, Ste 260 (972) 238-1858 Rowlett, TX 75088 • Languages spoken / Idioma(s) (972) 475-8183 hablado(s): Chinese

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 170 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Sandoval, Ruben E, MD Scott-Winful, Terilyn R, MD Holt, Andrew F, MD Eff 15-Mar-18 Eff 01-Jan-14 Eff 01-Jan-15 Digestive Health Associates of Baylor Scott & White Digestive Texas Digestive Disease Texas PA Diseases Group Consultants 490 US HWY 80 Ste 200 4333 N Josey Ln, Ste 205 4370 Medical Arts Dr, Ste 295 Sunnyvale, TX 75182 Carrollton, TX 75010 Flower Mound, TX 75028 (972) 771-2222 (469) 800-6020 (972) 691-3777

Denton County | Condado de Scott-Winful, Terilyn R, MD Krieger, Jeffrey L, MD Eff 01-Jan-14 Eff 08-Aug-16 Denton Baylor Scott & White Dallas Texas Digestive Disease Diagnostic Association - Carrollton Consultants Banker, Suvin V, DO 4333 N Josey Ln, Ste 205 4370 Medical Arts Dr, Ste 295 Eff 21-Jul-14 Carrollton, TX 75010 Flower Mound, TX 75028 Baylor Scott & White Dallas (469) 800-6020 (972) 691-3777 Diagnostic Association - Carrollton 4333 N Josey Ln, Ste 205 Joseph, Roy M, MD Mehta, Shailesh N, MD Carrollton, TX 75010 Eff 15-Mar-18 Eff 01-Jan-15 (469) 800-6020 Digestive Health Associates of Texas Digestive Disease Texas PA Consultants Hasan, Syed S, MD 3324 Colorado Blvd, Ste 101 3051 Churchill Dr Ste 120 Eff 15-Mar-18 Denton, TX 76210 Flower Mound, TX 75022 Digestive Health Associates of (940) 243-7200 (469)496-2860 Texas PA 4221 Medical Pkwy, Bldg 100, Ste Panzer, Shawn W, MD Patel, Nishant J, MD Specialty Care Physicians & Other Providers/ 150 Eff 15-Nov-20 Eff 08-Feb-16 Carrollton, TX 75010-4545 North Texas Gastrointestinal Texas Digestive Disease (972) 939-2120 Associates, PA Consultants Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) 2501 Scripture Ave #201 4370 Medical Arts Dr, Ste 295 hablado(s): Hindi Denton, TX 76201-2314 Flower Mound, TX 75028 (940) 556-4720 (972) 691-3777 Nadir, Adnan , MD Eff 15-Mar-18 Raj, Abhinandan , MD Steephen, Anita C, MD Digestive Health Associates of Eff 01-May-16 Eff 01-Jan-15 Texas PA Denton Digestive Institute PLLC Texas Digestive Disease 4221 Medical Pkwy, Bldg 100, Ste 1614 Scripture St, Ste 6 Consultants 150 Denton, TX 76201-3838 4370 Medical Arts Dr, Ste 295 Carrollton, TX 75010-4545 (940) 383-1400 Flower Mound, TX 75028 (972) 939-2120 (972) 691-3777 • Languages spoken / Idioma(s) Srinivasan, Ramesh , MD hablado(s): Spanish Eff 01-Jan-15 Nayyar, Sanjay , MD Texas Digestive Disease Eff 15-Mar-18 Sanders, Barry , MD Consultants Digestive Health Associates of Eff 18-Jun-17 209 N Bonnie Brae St Texas PA North Texas Gastroenterology Denton, TX 76201 475 W Elm Street Suite 201 Consultants (940) 222-6900 Lewisville, TX 75057 4323 N Josey Ln, Ste 106 (972) 562-8383 Carrollton, TX 75010 Cano, Joseph , MD (972) 394-7744 Eff 09-Aug-18 Texas Digestive Disease Consultants 4370 Medical Arts Dr, Ste 295 Flower Mound, TX 75028-1742 (972) 691-3777

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 171 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Sanders, Barry , MD Kale, Hemangi , MD Youssef, Moustafa A, MD Eff 18-Jun-17 Eff 15-Mar-18 Eff 15-Mar-18 North Texas Gastroenterology Digestive Health Associates of Digestive Health Associates of Consultants Texas PA Texas PA 560 W Main St, Ste 106 2460 N Interstate 35E Ste 190 2460 N Interstate 35E Ste 190 Lewisville, TX 75057 Waxahachie, TX 75165 Waxahachie, TX 75165 (972) 420-8800 (214) 821-5266 (214) 821-5266 • Languages spoken / Idioma(s) Ellis County | Condado de Ellis Linder, Jeffrey D, MD hablado(s): Spanish Eff 15-Mar-18 Ahmad, Imad I, MD Digestive Health Associates of Grayson County | Condado de Texas PA Eff 04-Sep-18 Grayson Digestive Health Associates of 2460 N I35 E, Ste 215 Texas PA Waxahachie, TX 75165 (214) 941-6891 Fletcher, John T, MD 2220 Bryan Pl, Ste 104 Eff 11-Apr-16 Midlothian, TX 76065 Linder, Jeffrey D, MD Texas Digestive Disease (817) 877-0888 Eff 15-Mar-18 Consultants Memon, Muhammad A, MD Digestive Health Associates of 425 N Highland Ave, Ste 130 Eff 15-Oct-18 Texas PA Sherman, TX 75092 Methodist Digestive Health 2460 N Interstate 35E Ste 190 (903) 892-9179 Associates Waxahachie, TX 75165 (214) 629-4544 Young, Glenn T, MD 2230 Bryan Place Ste 200 Eff 11-Apr-16 Midlothian, TX 76065 Odstrcil, Elizabeth A, MD Texas Digestive Disease Specialty Care Physicians & Other Providers/ (817)477-5500 Eff 15-Mar-18 Consultants Digestive Health Associates of 425 N Highland Ave, Ste 130 Médicos de cuidado especializado y otros proveedores Youssef, Moustafa A, MD Eff 15-Mar-18 Texas PA Sherman, TX 75092 Digestive Health Associates of 2460 N Interstate 35E Ste 190 (903) 892-9179 Texas PA Waxahachie, TX 75165 2220 Bryan Place Suite 104 (214) 821-5266 Johnson County | Condado de Midlothian, TX 76065 Puli, Srinivas R, MD Johnson (817) 877-0888 Eff 30-Jun-19 • Languages spoken / Idioma(s) Baylor Scott & White Digestive Bismar, Mike , MD hablado(s): Spanish Diseases Group Eff 07-Jun-18 2460 N IH 35E Ste 265 Gastroenterology Center, PA Hamilton, John K, MD 11797 S Fwy, Ste 136 Eff 15-Mar-18 Waxahachie, TX 75165 (972) 817-6370 Burleson, TX 76028-7035 Digestive Health Associates of (817) 551-6161 Texas PA Reddy, Rathan , MD 2460 N Interstate 35E Ste 190 Eff 13-Sep-19 Rangasamy, Priya , MD Waxahachie, TX 75165 Digestive Health Associates of Eff 15-Mar-18 (214) 821-5266 Texas PA Digestive Health Associates of 2460 N Interstate 35 E Ste 190 Texas PA Harris, Samar , MD 11803 South Fwy, Ste 201 Eff 04-Oct-19 Waxahachie, TX 75165 (214) 941-6891 Burleson, TX 76028-7029 Baylor Scott & White Digestive (817) 877-0888 Diseases Group • Languages spoken / Idioma(s) 2460 N IH 35E Ste 225 hablado(s): Tamil Waxahachie, TX 75165 (972) 817-6370

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 172 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ostrinsky, Yevgeniy , MD Miller, Mark R, MD Tarrant County | Condado de Eff 08-Oct-14 Eff 15-Mar-18 Cleburne Digestive Health Digestive Health Associates of Tarrant 1701 Walter Holiday Dr, Ste 200 Texas PA Cleburne, TX 76033 3144 Horizon Rd Ste 210 Abiodun, Olufemi J, MD (817) 760-0234 Rockwall, TX 75032-7045 Eff 01-Jun-15 • Languages spoken / Idioma(s) (972) 771-2222 Gastroenterology Practice hablado(s): Russian Associates Paradiso, Paul , DO 301 Highlander Blvd, Ste 121 Kaufman County | Condado de Eff 13-Sep-19 Arlington, TX 76018 Digestive Health Associates of (817) 468-7200 Kaufman Texas PA 3144 Horizon Rd Ste 210 Chandra, Balu , MD Khan, Bilal A, MD Rockwall, TX 75032 Eff 15-Mar-18 Eff 15-Mar-18 (972) 771-2222 Digestive Health Associates of Digestive Health Associates of Texas, PA Texas PA Sandoval, Ruben E, MD 515 W Mayfield Rd, Ste 250 375 FM 548 Ste, 100 Eff 15-Mar-18 Arlington, TX 76014 Forney, TX 75126-6985 Digestive Health Associates of (817) 589-1822 (972) 771-2222 Texas PA 3144 Horizon Rd Ste 210 Ho, Kevin K, MD Parker County | Condado de Rockwall, TX 75032 Eff 15-Mar-18 (972) 771-2222 Digestive Health Associates of Parker Texas, PA Sarles, Harry E, MD 515 W Mayfield Rd, Ste 250 Specialty Care Physicians & Other Providers/ Rangasamy, Priya , MD Eff 15-Mar-18 Arlington, TX 76014 Eff 15-Mar-18 Digestive Health Associates of (817) 589-1822 Digestive Health Associates of Texas PA Médicos de cuidado especializado y otros proveedores Texas PA 3144 Horizon Rd Ste 210 Kamran, Hamid , MD 909 SE Pkwy, Ste 103 Rockwall, TX 75032-7045 Eff 01-Jan-14 Azle, TX 76020-3600 (972) 771-2222 Arlington Gastroenterology (817) 877-0888 Services • Languages spoken / Idioma(s) Seif, Fayez G, MD 3125 Matlock Rd, Ste 108 hablado(s): Tamil Eff 01-Jan-15 Arlington, TX 76015 Texas Digestive Disease (817) 417-4027 Rockwall County | Condado de Consultants Osowo, Ayodele T, MD Rockwall 1005 W Ralph Hall Pkwy, Ste 125 Rockwall, TX 75032 Eff 01-Jun-15 (972) 475-1277 Gastroenterology Practice Blank, Kristie L, MD Associates Eff 15-Mar-18 Wright, Paul H, MD 301 Highlander Blvd, Ste 121 Digestive Health Associates of Eff 21-Dec-15 Arlington, TX 76018 Texas PA Texas Digestive Disease (817) 468-7200 3144 Horizon Rd Ste 210 Consultants Rockwall, TX 75032-7045 1005 W Ralph Hall Pkwy, Ste 125 Rangasamy, Priya , MD (972) 771-2222 Rockwall, TX 75032 Eff 15-Mar-18 (972) 475-1277 Digestive Health Associates of Khan, Bilal A, MD Texas PA Eff 15-Mar-18 8200 Matlock Rd, Ste 100 Digestive Health Associates of Arlington, TX 76002-4805 Texas PA (817) 877-0888 3144 Horizon Rd Ste 210 • Languages spoken / Idioma(s) Rockwall, TX 75032-7045 hablado(s): Tamil (972) 771-2222

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 173 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Uddin, Fatema S, MD Shah, Jessica Praful, MD Gutta, Kumar , MD Eff 08-May-19 Eff 15-Mar-18 Eff 01-Jan-14 Fatema S. Uddin, MD PLLC Digestive Health Associates of Texas Digestive Disease 601 Omega Dr, Ste 201 Texas PA Consultants Arlington, TX 76014-2075 1600 Central Dr, Ste 310 900 W Magnolia St, Ste 100 (817) 467-4488 Bedford, TX 76022 Fort Worth, TX 76104 (817) 267-8470 (817) 870-7300 Hall, David A, MD Eff 15-Mar-18 Shea, Andrew C, MD Kumaravel, Arthi , MD Digestive Health Associates of Eff 15-Mar-18 Eff 12-Oct-16 Texas PA Digestive Health Associates of Texas Digestive Disease 1600 Central Dr, Ste 310 Texas PA Consultants Bedford, TX 76022 1600 Central Dr, Ste 155 900 W Magnolia St, Ste 100 (817) 267-8470 Bedford, TX 76022-6053 Fort Worth, TX 76104 (817) 267-8470 (817) 870-7300 Luk, Gordon D, MD Eff 15-Mar-18 Yepuri, Jay N, MD Moster, Susan G, DO Digestive Health Associates of Eff 15-Mar-18 Eff 01-Jan-14 Texas PA Digestive Health Associates of Texas Digestive Disease 1600 Central Dr, Ste 310 Texas PA Consultants Bedford, TX 76022 1600 Central Dr, Ste 155 900 W Magnolia St, Ste 100 (817) 267-8470 Bedford, TX 76022-6053 Fort Worth, TX 76104 (817) 267-8470 (817) 870-7300 Lyles III, Thomas Edward, MD Eff 15-Mar-18 Dave, Virat R, MD Pathikonda, Murali , MD Specialty Care Physicians & Other Providers/ Digestive Health Associates of Eff 01-Jan-14 Eff 20-Mar-18 Texas PA Texas Digestive Disease Texas Digestive Disease Médicos de cuidado especializado y otros proveedores 1600 Central Dr Suite 155 Consultants Consultants Bedford, TX 760226029 900 W Magnolia St, Ste 100 900 W Magnolia St, Ste 100 (817) 267-8470 Fort Worth, TX 76104 Fort Worth, TX 76104 (817) 870-7300 (817) 870-7300 Mills, Jeffrey A, DO Eff 15-Mar-18 Dewar, Thomas N, MD Perrillo, Robert P, MD Digestive Health Associates of Eff 01-Jan-14 Eff 01-Jan-14 Texas PA Texas Digestive Disease Baylor Scott & White Liver 1600 Central Dr, Ste 310 Consultants Consultants of Texas Bedford, TX 76022 6317 Harris Pkwy, Ste 300 1250 8th Ave Ste 515 (817) 267-8470 Fort Worth, TX 76132 Fort Worth, TX 76104-4130 (817) 361-6900 (817) 922-9968 Mirza, Faiz A, MD Eff 15-Mar-18 George, Josh O, MD Sadiq, Syed A, MD Digestive Health Associates of Eff 01-Jan-14 Eff 01-Jan-14 Texas PA Texas Digestive Disease Texas Digestive Disease 1600 Central Dr, Ste 155 Consultants Consultants Bedford, TX 76022-6053 900 W Magnolia St, Ste 100 900 W Magnolia St, Ste 100 (817) 267-8470 Fort Worth, TX 76104 Fort Worth, TX 76104 (817) 870-7300 (817) 870-7300 Nackley II, James J, MD Eff 15-Mar-18 Digestive Health Associates of Texas PA 1600 Central Dr, Ste 155 Bedford, TX 76022-6053 (817) 267-8470

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 174 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Shelton, Joseph H, MD Holt, Andrew F, MD Schmidt, Troy D, MD Eff 01-Jan-14 Eff 01-Jan-15 Eff 07-Dec-15 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants Consultants Consultants 900 W Magnolia St, Ste 100 9509 N Beach St, Ste 101 9509 N Beach St, Ste 101 Fort Worth, TX 76104 Keller, TX 76244 Keller, TX 76244 (817) 870-7300 (817) 741-4347 (817) 741-4347 Simien, Melvin P, MD Houston, Jody W, MD Smith, Jeffrey A, MD Eff 19-Jan-20 Eff 01-Jan-15 Eff 01-Jan-15 Baylor Scott & White Digestive Texas Digestive Disease Texas Digestive Disease Diseases Group Consultants Consultants 5701 Bryant Irvin Rd Ste 301 9509 N Beach St, Ste 101 9509 N Beach St, Ste 101 Fort Worth, TX 76132 Keller, TX 76244 Keller, TX 76244 817-912-9180 (817) 741-4347 (817) 741-4347 Syed, Kamal A, MD Krieger, Jeffrey L, MD Spady, David K, MD Eff 01-Jan-14 Eff 08-Aug-16 Eff 01-Jan-15 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants Consultants Consultants 900 W Magnolia St, Ste 100 9509 N Beach St, Ste 101 9509 N Beach St, Ste 101 Fort Worth, TX 76104 Keller, TX 76244 Keller, TX 76244 (817) 870-7300 (817) 741-4347 (817) 741-4347 Yang, Kenneth J, MD Lamba, Anu R, MD Steephen, Anita C, MD Specialty Care Physicians & Other Providers/ Eff 01-Jan-14 Eff 07-Dec-15 Eff 01-Jan-15 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants Consultants Consultants Médicos de cuidado especializado y otros proveedores 900 W Magnolia St, Ste 100 9509 N Beach St, Ste 101 9509 N Beach St, Ste 101 Fort Worth, TX 76104 Keller, TX 76244 Keller, TX 76244 (817) 870-7300 (817) 741-4347 (817) 741-4347 Youssef, Moustafa A, MD Levitan, David R, MD Weber, James J, MD Eff 15-Mar-18 Eff 01-Jan-15 Eff 01-Jan-15 Digestive Health Associates of Texas Digestive Disease Texas Digestive Disease Texas PA Consultants Consultants 909 9th Ave Ste 205 9509 N Beach St, Ste 101 9509 N Beach St, Ste 101 Fort Worth, TX 76104 Keller, TX 76244 Keller, TX 76244 (817) 877-0888 (817) 741-4347 (817) 741-4347 • Languages spoken / Idioma(s) hablado(s): Spanish Ong, Brian Allan, MD Ahmad, Imad I, MD Eff 15-Mar-18 Eff 04-Sep-18 Ho, Kevin K, MD Digestive Health Associates of Digestive Health Associates of Eff 15-Mar-18 Texas PA Texas PA Digestive Health Associates of 10840 Texas Health Trail Suite 309 Regency Pkwy, Ste 201 Texas, PA 280 Mansfield, TX 76063 10840 Texas Health Trail Suite Keller, TX 76244 (214) 630-4320 280 (817) 380-7176 Keller, TX 76244 (817) 380-7176

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 175 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Brennan, Gregory T, MD Ho, Kevin K, MD Ho, Kevin K, MD Eff 08-Feb-20 Eff 15-Mar-18 Eff 15-Mar-18 Texas Digestive Disease Digestive Health Associates of Digestive Health Associates of Consultants Texas PA Texas PA 920 Highway 287 North Ste 308 7620 NE Loop 820 7835 Blvd 26 Mansfield, TX 76063 North Richland, TX 76180-8302 North Richland Hills, TX 76180 (817) 760-7969 (817) 284-2693 (817) 589-1822 Memon, Muhammad A, MD Abraham, Cherian , MD Murray, Mark D, MD Eff 15-Oct-18 Eff 15-Mar-18 Eff 15-Mar-18 Methodist Digestive Health Digestive Health Associates of Digestive Health Associates of Associates Texas PA Texas PA 2800 E Broad St, Ste 304 7835 Blvd 26 7620 NE Loop 820 Mansfield, TX 76063 North Richland Hills, TX 76180 North Richland Hills, TX 76180- (817)477-5500 (817) 589-1822 8302 (817) 284-2693 Odunsi-Shiyanbade, Suwebatu T, Antin, Vinay , DO MD Eff 15-Mar-18 Ong, Brian Allan, MD Eff 08-Feb-20 Digestive Health Associates of Eff 15-Mar-18 Texas Digestive Disease Texas PA Digestive Health Associates of Consultants 4375 Booth Calloway Rd, Ste 307 Texas PA 920 Highway 287 North Ste 308 North Richland Hills, TX 76180- 7620 NE Loop 820 Mansfield, TX 76063 8361 North Richland Hills, TX 76180- (817) 760-7969 (682) 463-0400 8302

Specialty Care Physicians & Other Providers/ (817) 284-2693 Pudhota, Sunitha G, MD Bass, David , MD Eff 01-Nov-15 Eff 15-Mar-18 Abiodun, Olufemi J, MD Médicos de cuidado especializado y otros proveedores Summit Gastroenterology, PLLC Digestive Health Associates of Eff 01-Jun-15 1770 E Broad St, Ste 102 Texas PA Gastroenterology Practice Mansfield, TX 76063 4375 Booth Calloway Rd, Ste 307 Associates (972) 314-9900 North Richland Hills, TX 76180- 200 Pecan Creek • Languages spoken / Idioma(s) 8361 Southlake, TX 76092 hablado(s): Hindi (682) 463-0400 (817) 468-7200 Rangasamy, Priya , MD Chandra, Balu , MD Houston, Jody W, MD Eff 15-Mar-18 Eff 15-Mar-18 Eff 01-Jan-15 Digestive Health Associates of Digestive Health Associates of Texas Digestive Disease Texas PA Texas PA Consultants 2800 E Broad St, Ste 318 7835 Blvd 26 505 S Nolan Dr, Ste A Mansfield, TX 76063-6413 North Richland Hills, TX 76180 Southlake, TX 76092 (817) 877-0888 (817) 589-1822 (817) 424-1525 • Languages spoken / Idioma(s) hablado(s): Tamil Hill, Eric M, MD Kara, Nishita P, MD Eff 15-Mar-18 Eff 28-Apr-18 Youssef, Moustafa A, MD Digestive Health Associates of Texas Digestive Disease Eff 15-Mar-18 Texas PA Consultants Digestive Health Associates of 7620 NE Loop 820 505 S Nolan Dr, Ste A Texas PA North Richland Hills, TX 76180- Southlake, TX 76092 309 Regency Parkway Suite 201 8302 (817) 424-1525 Mansfield, TX 76063 (817) 284-2693 (214) 630-4320 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 176 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lacey, Brent , MD Ritter, Timothy E, MD Weber, James J, MD Eff 09-Aug-18 Eff 01-Jan-15 Eff 01-Jan-15 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants PLLC Consultants Consultants 505 S Nolen Dr 505 S Nolan Dr, Ste A 505 S Nolan Dr, Ste A Southlake, TX 76092-9167 Southlake, TX 76092 Southlake, TX 76092 (817) 424-1525 (817) 424-1525 (817) 424-1525 Lacey, Stephen W, MD Schmidt, Troy D, MD Yalamanchili, Kanthi , MD Eff 01-Jan-15 Eff 07-Dec-15 Eff 01-Jan-15 Texas Digestive Disease Texas Digestive Disease Texas Digestive Disease Consultants Consultants Consultants 505 S Nolan Dr, Ste A 505 S Nolan Dr, Ste A 505 S Nolan Dr, Ste A Southlake, TX 76092 Southlake, TX 76092 Southlake, TX 76092 (817) 424-1525 (817) 424-1525 (817) 424-1525 Lamba, Anu R, MD Smith, Jeffrey A, MD Geriatric Medicine/ Medicina Eff 07-Dec-15 Eff 01-Jan-15 geriátrica Texas Digestive Disease Texas Digestive Disease Consultants Consultants Collin County | Condado de 505 S Nolan Dr, Ste A 505 S Nolan Dr, Ste A Southlake, TX 76092 Southlake, TX 76092 Collin (817) 424-1525 (817) 424-1525 Haq, Mahenaaz , MD Levitan, David R, MD Spady, David K, MD

Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ Eff 01-Jan-15 Eff 01-Jan-15 Dallas Diagnostic Association- Texas Digestive Disease Texas Digestive Disease Plano Consultants Consultants 4708 Alliance Blvd Ste 300 Baylor Médicos de cuidado especializado y otros proveedores 505 S Nolan Dr, Ste A 505 S Nolan Dr, Ste A Med Plaza 1 Southlake, TX 76092 Southlake, TX 76092 Plano, TX 75093 (817) 424-1525 (817) 424-1525 (469) 800-6000 • Languages spoken / Idioma(s) Osowo, Ayodele T, MD Srinivasan, Ramesh , MD hablado(s): Hindi Eff 01-Jun-15 Eff 01-Jan-15 Gastroenterology Practice Texas Digestive Disease Haq, Mahenaaz , MD Associates Consultants Eff 01-Jan-14 200 Pecan Creek 505 S Nolan Dr, Ste A Dallas Diagnostic Association- Southlake, TX 76092 Southlake, TX 76092 Plano (817) 468-7200 (817) 424-1525 4708 Alliance Blvd Ste 300 Baylor Med Plaza 1 Patel, Nishant J, MD Steffer, Karen J, MD Plano, TX 75093 Eff 08-Feb-16 Eff 01-Jan-15 (469) 800-6000 Texas Digestive Disease Texas Digestive Disease • Languages spoken / Idioma(s) Consultants Consultants hablado(s): Hindi 505 S Nolan Dr, Ste A 505 S Nolan Dr, Ste A Southlake, TX 76092 Southlake, TX 76092 (817) 424-1525 (817) 424-1525

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 177 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Garcia Soto, Arlene , MD Matthews, Carolyn M, MD Eff 21-Jun-19 Eff 01-Jan-14 Dallas Texas Oncology, PA Texas Oncology, PA 6957 W Plano Pkwy Ste 2000 3410 Worth St, Ste 400 Nayak, Neeta G, MD Plano, TX 75093 Dallas, TX 75246-2092 Eff 01-Jan-14 (214) 483-6933 (214) 370-1400 Baylor Scott & White HouseCalls 712 N Washington, Ste 415 Oh, Jonathan Chun, MD Matthews, Carolyn M, MD Dallas, TX 75246 Eff 01-Jan-14 Eff 08-Aug-16 (214) 820-9115 Texas Oncology, PA Baylor Scott & White Integrative & 4708 Alliance Blvd, Ste 150 Functional Medicine Strickland, Richard M, MD Plano, TX 75093-5339 3600 Gaston Ave Ste 1130 Eff 01-Jan-14 (972) 596-7801 Dallas, TX 75246-1800 Richard M Strickland, MD (214) 820-2988 14655 Preston Rd Dallas County | Condado de Dallas, TX 75254 Moron, Abel , MD (972) 726-7575 Dallas Eff 31-Aug-20 Texas Oncology PA Mostafa Elsawy, Bassem M, MD Divine, Laura M, MD 7777 Forest Lane, Bldg. D, Suite Eff 15-Mar-17 Eff 17-Dec-17 400 Private Practice Texas Oncology, PA Dallas, TX 75230 419 South Cockrell Hill Rd 3410 Worth St, Ste 400 (972) 566-7790 Duncanville, TX 75116 Dallas, TX 75246-2092 (972) 708-8800 (214) 370-1400 Oh, Jonathan Chun, MD Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ Mostafa Elsawy, Bassem M, MD Fine, Bruce Anthony, MD Texas Oncology, PA Eff 15-Mar-17 Eff 01-Jan-14 8220 Walnut Hill Ln, Ste 202 Médicos de cuidado especializado y otros proveedores Private Practice Texas Oncology, PA Dallas, TX 75231 1850 W Pleasant Run Rd 7777 Forest Ln, Ste D400 (214) 346-3540 Lancaster, TX 75146 Dallas, TX 75230 (972) 275-1900 (972) 566-7790 Spillman, Monique A, MD Eff 13-Jul-15 Nayak, Neeta G, MD Garcia Soto, Arlene , MD Texas Oncology, PA Eff 15-Nov-18 Eff 21-Jun-19 3410 Worth St, Ste 400 Alliance Post Acute Associates Texas Oncology, PA Dallas, TX 75246-2092 LLC 7777 Forest Ln, Ste D400 (214) 370-1400 4016 Nicole Dr Dallas, TX 75230 Richardson, TX 75082-3768 (972) 566-7790 Stringer, Claude A, MD (866) 400-0476 Eff 01-Jan-14 Koon, Erik Colin, MD Texas Oncology, PA Gynecologic Oncology/ Eff 01-Jan-14 3410 Worth St, Ste 160 Oncología ginecológica Texas Oncology, PA Dallas, TX 75246 3410 Worth St, Ste 400 (214) 826-9797 Collin County | Condado de Dallas, TX 75246-2092 (214) 370-1400 Collin Manders, Dustin B, MD Garcia Soto, Arlene , MD Eff 12-Oct-16 Eff 21-Jun-19 Texas Oncology, PA Texas Oncology, PA 8196 Walnut Hill Ln, Ste 100 6300 W Parker Rd MOB II, Ste Dallas, TX 75231-- 123 (214) 739-4175 Plano, TX 75093 (972) 398-2899

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 178 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Johnson County | Condado de Street, Reagan Michelle, MD Gynecology (GYN Only)/ Eff 01-Jan-14 Ginecología (sólo) Johnson Texas Oncology, PA 1609 Hospital Pkwy Collin County | Condado de Vasques, DeEtte R, DO Bedford, TX 76022 Eff 01-Feb-14 (817) 359-9000 Collin The Center for Cancer and Blood Disorders Cloven, Noelle Gillette, MD Nguyen, Aimee L, MD 11805 S I35W Ste 201 Eff 01-Jan-14 Eff 01-Jun-15 Burleson, TX 76028 Texas Oncology, PA North Dallas Urogynecology, PLLC (817)551-5312 1001 12th Ave, Ste 200 3140 Legacy Dr, Ste 210 • Languages spoken / Idioma(s) Fort Worth, TX 76104 Frisco, TX 75034-7961 hablado(s): Spanish (817) 850-2000 (469) 234-8888 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Tarrant County | Condado de hablado(s): Spanish hablado(s): Spanish Tarrant Hancock, Kenneth Charles, MD Jackson, Tiffany , MD Eff 01-Jan-14 Eff 01-Jan-14 Moron, Abel , MD Texas Oncology, PA Baylor Scott & White Gynecology Eff 31-Aug-20 1001 12th Ave, Ste 200 Specialists Texas Oncology PA Fort Worth, TX 76104 5220 W University Dr Ste 100 902 West Randol Mill Road, Suite (817) 850-2000 McKinney, TX 75071 150 (469) 800-2240 Arlington, TX 76012 Street, Reagan Michelle, MD (817) 664-9600 Eff 01-Jan-14

Jackson, Tiffany , MD Specialty Care Physicians & Other Providers/ Texas Oncology, PA Eff 01-Jan-14 Street, Reagan Michelle, MD 1001 12th Ave, Ste 200 Baylor Scott & White Gynecology Eff 01-Jan-14 Fort Worth, TX 76104 Specialists Médicos de cuidado especializado y otros proveedores Texas Oncology, PA (817) 850-2000 4716 Alliance Blvd, Ste 500 902 W Randol Mill Rd, Ste 150 Plano, TX 75093-5386 Arlington, TX 76012 Vasques, DeEtte R, DO (469) 800-2240 (817) 664-9600 Eff 01-Feb-14 The Center for Cancer and Blood Mathews, J Kyle , MD Vasques, DeEtte R, DO Disorders Eff 01-Aug-16 Eff 01-Feb-14 800 W Magnolia Ave Plano OB GYN Associates The Center for Cancer and Blood Fort Worth, TX 76104 3108 Midway Rd 200 Disorders (817) 759-7000 Plano, TX 75093 515 W Mayfield Rd, Ste 102 • Languages spoken / Idioma(s) (972) 781-1444 Arlington, TX 76014-2084 hablado(s): Spanish (817) 333-3300 Patel, Amit Indravadan, MD • Languages spoken / Idioma(s) Eff 15-Nov-14 hablado(s): Spanish Modern Gynecology, PLLC 1600 Coit Rd, Ste 210 Messing, Mark Joseph, MD Plano, TX 75075 Eff 01-Jan-14 (469) 999-4519 Texas Oncology, PA • Languages spoken / Idioma(s) 1615 Hospital Pkwy, Ste 300 hablado(s): Gujrati Bedford, TX 76022 (817) 354-5581

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 179 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Patel, Amit Indravadan, MD Hearing Aids/ audífonos Eff 15-Nov-14 Dallas Modern Gynecology, PLLC Collin County | Condado de 440 W LBJ Fwy, Plaza II, Ste 335 Patel, Amit Indravadan, MD Irving, TX 75063 Collin Eff 15-Nov-14 (469) 999-4519 Modern Gynecology, PLLC • Languages spoken / Idioma(s) Lunde, Kevin C, MD 12200 Park Central Dr, Ste 130 hablado(s): Gujrati Eff 01-Oct-15 Dallas, TX 75251 Kevin Lunde, MD, PA (469) 999-4519 Peters, James D, DO * 4701 W Plano Pkwy, Ste 150 • Languages spoken / Idioma(s) Eff 01-Jan-14 Plano, TX 75093 hablado(s): Gujrati Baylor Family Medical Center at (972) 985-3223 Riverside Patel, Amit Indravadan, MD 400 W I-635, Ste 300 Pero, Colin D, MD Eff 15-Nov-14 Irving, TX 75063 Eff 21-May-17 Modern Gynecology, PLLC (972) 606-8300 North Dallas Otolaryngology 2701 S Hampton Rd, Ste 102 Consultants, PA Dallas, TX 75224 Zavaleta, John J, MD 5425 W Springcreek Pkwy, Ste (469) 999-4519 Eff 01-Mar-15 170 • Languages spoken / Idioma(s) Las Colinas OB/GYN Plano, TX 75024 hablado(s): Gujrati 3501 N MacArthur Blvd, Ste 350 (214) 382-5100 Irving, TX 75062 Patel, Amit Indravadan, MD (972) 257-5300 Wyatt, Joseph R, MD Eff 15-Nov-14 Eff 31-Aug-16 Modern Gynecology, PLLC Specialty Care Physicians & Other Providers/ Tarrant County | Condado de North Dallas Otolaryngology 700 N Pearl St, Ste N207 Consultants, PA Dallas, TX 75201 Tarrant 5425 W Springcreek Pkwy, Ste Médicos de cuidado especializado y otros proveedores (469) 999-4519 170 • Languages spoken / Idioma(s) Brooks, Jennifer C, MD Plano, TX 75024 hablado(s): Gujrati Eff 15-May-17 (214) 382-5100 Jennifer C Brooks, MD, PLLC Jackson, Tiffany , MD 1001 12th Ave, Ste 150 Wyll, Allison N, MD Eff 01-Jan-14 Fort Worth, TX 76104 Eff 01-Oct-15 Baylor Scott & White Gynecology (817) 334-0562 North Dallas Otolaryngology Specialists Consultants, PA 7217 Telecom Pkwy Ste 290 Whitfield, John A, MD 5425 W Springcreek Pkwy, Ste Garland, TX 75044-2203 Eff 10-Sep-19 170 (469) 800-2240 John Whitfield, MD, FACOG, PA Plano, TX 75024 (Unified) (214) 382-5100 Peters, James D, DO * 1250 8th Ave, Ste 540 Eff 01-Jan-14 Fort Worth, TX 76104 Dallas County | Condado de Baylor Family Medical Center at (817) 927-2229 Riverside Dallas 2740 N Hwy 360, Ste 100 Grand Prairie, TX 75050 Bornstein, Laurie K, AUD (972) 606-8300 Eff 15-Feb-19 Executive Hearing LLC Peters, James D, DO * 8300 Douglas Ave, Ste 800 Eff 01-Jan-14 Dallas, TX 75225-5826 Baylor Scott & White Riverside (972) 447-8330 OB/GYN 2740 N. Highway 360, Suite 100 Grand Prairie, TX 75050 (972) 606-8300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 180 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Copley, Jill E, AUD Pero, Colin D, MD Denton County | Condado de Eff 15-Mar-17 Eff 21-May-17 Total Hearing Care North Dallas Otolaryngology Denton 4130 Abrams Rd Consultants, PA Dallas, TX 75214 11970 N Central Expy, Ste 400 Bessent, Katie L, AUD (214) 827-1900 Dallas, TX 75243 Eff 01-Sep-17 (214) 382-5100 Denton Hearing Health Care Copley, Jill E, AUD 2540 Lillian Miller Pkwy, Ste 100 Eff 15-Mar-17 Rodgers, Brian C, MD Denton, TX 76210-7215 Total Hearing Care Eff 07-Jan-18 (940) 387-0550 7615 Campbell Rd #109 Dallas Ear Institute Dallas, TX 75248 7777 Forest Ln Ste A103 Caudle, Chris D, AUD (972) 380-0222 Dallas, TX 75230-6800 Eff 01-Sep-17 (972) 566-7600 Denton Hearing Health Care Hahn, Yoav , MD 2540 Lillian Miller Pkwy, Ste 100 Eff 01-Jul-16 Venkatesan, Naren N, MD Denton, TX 76210-7215 Dallas Ear Institute Eff 17-Dec-17 (940) 387-0550 7777 Forest Ln, Ste A103 White Rock ENT Dallas, TX 75230-6800 1130 Beachview St, Ste 240 Tarrant County | Condado de (972) 566-7600 Dallas, TX 75218-3630 Tarrant (214) 324-0418 Jordan, Jennifer A, MD Eff 01-Jan-16 Wyatt, Joseph R, MD Cho, Allis H, MD White Rock ENT Eff 31-Aug-16 Eff 15-Feb-17 1130 Beachview St, Ste 240 North Dallas Otolaryngology Cross Timbers ENT, PLLC Specialty Care Physicians & Other Providers/ Dallas, TX 75218-3630 Consultants, PA 400 W Arbrook Blvd, Ste 301 (214) 324-0418 11970 N Central Expy, Ste 400 Arlington, TX 76014 Dallas, TX 75243 (817) 261-3000 Médicos de cuidado especializado y otros proveedores Kronenberger, Michael B, MD (214) 382-5100 Eff 01-Apr-15 Leffingwell, James F, MD Ear Nose & Throat Specialty Care, Wyll, Allison N, MD Eff 15-Feb-17 PLLC Eff 01-Oct-15 Cross Timbers ENT, PLLC 411 N Washington Ave, Ste 6400 North Dallas Otolaryngology 400 W Arbrook Blvd, Ste 301 Dallas, TX 75246 Consultants, PA Arlington, TX 76014 (214) 826-3681 11970 N Central Expy, Ste 400 (817) 261-3000 • Languages spoken / Idioma(s) Dallas, TX 75243 Shellenberger, David L, MD hablado(s): Spanish (214) 382-5100 Eff 15-Feb-17 Lippert, Dylan Corey, MD Maddox, James B, MD Cross Timbers ENT, PLLC Eff 12-Dec-16 Eff 01-Jan-14 400 W Arbrook Blvd, Ste 301 Ear Nose & Throat Specialty Care, James B Maddox, MD, PA Arlington, TX 76014 PLLC 530 Clara Barton Blvd, Ste 200 (817) 261-3000 411 N Washington Ave, Ste 6400 Garland, TX 75042 Wu, Jonathan , MD Dallas, TX 75246 (972) 272-5555 Eff 19-Aug-17 (214) 826-3681 Cross Timbers ENT, PLLC Oxford, Lance E, MD 400 W Arbrook Blvd, Ste 301 Eff 01-Apr-15 Arlington, TX 76014 Ear Nose & Throat Specialty Care, (817) 261-3000 PLLC 411 N Washington Ave, Ste 6400 Dallas, TX 75246 (214) 826-3681

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 181 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ashmead, Mary G, MD Cho, Allis H, MD Hematology/ Hematología Eff 12-Oct-16 Eff 15-Feb-17 Texas Ear, Nose and Throat Cross Timbers ENT, PLLC Collin County | Condado de Specialists, LLP 2500 E Broad St, Ste 200 1615 Hospital Pkwy, Ste 210 Mansfield, TX 76063 Collin Bedford, TX 76022-5936 (817) 261-3000 (817) 540-3121 Nwizu, Tobenna I, MD Leffingwell, James F, MD Eff 15-Oct-17 Janicki, Peter T, MD Eff 15-Feb-17 Texas Oncology PA Eff 11-Jul-16 Cross Timbers ENT, PLLC 4461 Coit Rd Ste 100 Texas Ear, Nose and Throat 2500 E Broad St, Ste 200 Frisco, TX 75069 Specialists, LLP Mansfield, TX 76063 (972) 987-1975 1615 Hospital Pkwy, Ste 210 (817) 261-3000 Bedford, TX 76022-5936 Athar, M A Ahad, MD (817) 540-3121 Shellenberger, David L, MD Eff 01-Jan-14 Eff 15-Feb-17 Texas Oncology, PA Lee, Yvonne T, MD Cross Timbers ENT, PLLC 5236 W University Dr, Ste 1000 Eff 08-Aug-17 2500 E Broad St, Ste 200 McKinney, TX 75071 Texas Ear, Nose and Throat Mansfield, TX 76063 (972) 542-8609 Specialists, LLP (817) 261-3000 1615 Hospital Pkwy Ste 210 Jones, Monte F, MD Bedford, TX 76022-5936 Ashmead, Mary G, MD Eff 01-Jan-14 (817) 540-3121 Eff 12-Oct-16 Texas Oncology, PA Texas Ear, Nose and Throat 5236 W University Dr, Ste 1000 Ragsdale, Timothy F, MD Specialists, LLP

Specialty Care Physicians & Other Providers/ McKinney, TX 75071 Eff 13-Jun-16 2813 W Southlake Blvd, Ste 150 (972) 542-8609 Texas Ear, Nose and Throat Southlake, TX 76092 Médicos de cuidado especializado y otros proveedores Specialists, LLP (817) 540-3121 Palanisamy, Nithya , MD 1615 Hospital Pkwy, Ste 210 Eff 01-Jan-14 Bedford, TX 76022-5936 Gonzales, James D, MD Texas Oncology, PA (817) 540-3121 Eff 01-Apr-15 5236 W University Dr, Ste 1000 Texas Ear, Nose and Throat McKinney, TX 75071 Carson, Robin , AUD Specialists, LLP (972) 542-8609 Eff 15-Jun-17 2813 W Southlake Blvd, Ste 150 Carson Hearing Care Southlake, TX 76092 Rao, Nandita Gopal, MD 5104 Camp Bowie Blvd (817) 540-3121 Eff 01-Jan-14 Fort Worth, TX 76107 • Languages spoken / Idioma(s) Texas Oncology, PA (817) 737-4327 hablado(s): Spanish 5236 W University Dr, Ste 1000 McKinney, TX 75071 Janicki, Peter T, MD Ragsdale, Timothy F, MD (972) 542-8609 Eff 11-Jul-16 Eff 13-Jun-16 Texas Ear, Nose and Throat Texas Ear, Nose and Throat Rizvi, Akbar , MD Specialists, LLP Specialists, LLP Eff 14-May-17 1600 W College St, Ste 270 2813 W Southlake Blvd, Ste 150 Texas Oncology, PA Grapevine, TX 76051 Southlake, TX 76092 4510 Medical Center Dr, Ste 215 (817) 540-3121 (817) 540-3121 McKinney, TX 75069-- (469) 952-5007 Ponder, John C, MD Eff 01-Apr-15 Kovoor, Andrew I, MD Texas Ear, Nose and Throat Eff 21-Feb-19 Specialists, LLP Texas Oncology, PA 1600 W College St, Ste 270 5425 W Spring Crk, Ste 150 Grapevine, TX 76051 Plano, TX 75024-4331 (817) 540-3121 (972) 403-5425

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 182 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Le, Thuy Bich, MD Coyle, Yvonne M, MD Juvvadi, Sridevi , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 6300 W Parker Rd MOB II, Ste 3410 Worth St, Ste 400 7777 Forest Ln, Bldg C, Ste 850 123 Dallas, TX 75246-2092 Dallas, TX 75230 Plano, TX 75093 (214) 370-1400 (972) 566-7766 (972) 398-2899 Escobar, Carolina , MD Kannan, Lakshmi Priya, MD Saez, Ruben A, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 21-Jun-19 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 300 3555 W Wheatland Rd 6957 W Plano Pkwy Ste 2000 Dallas, TX 75246 Dallas, TX 75237-3461 Plano, TX 75093 (214) 370-1500 (972) 709-2580 (214) 483-6933 Escobar, Carolina , MD Koshy, Nebu , MD Dallas County | Condado de Eff 01-Jan-14 Eff 21-Jun-19 Texas Oncology, PA Texas Oncology, PA Dallas 7777 Forest Ln, Bldg D, Ste 220 3410 Worth St, Ste 300 Dallas, TX 75230 Dallas, TX 75246 Agarwal, Ashwani K, MD (972) 566-7790 (214) 370-1500 Eff 24-Aug-18 Texas Oncology, PA Gandhi, Darshan G, MD Maisel, Christopher Marc, MD 1441 N Beckley Ave, Ste 101 Eff 21-Oct-18 Eff 01-Jan-14 Dallas, TX 75203-1201 Texas Oncology, PA Texas Oncology, PA (214) 943-9911 1441 N Beckley Ave, Ste 101 3410 Worth St, Ste 240 Specialty Care Physicians & Other Providers/ Dallas, TX 75203-1201 Dallas, TX 75246 Agarwal, Ashwani K, MD (214) 943-9911 (214) 370-1111 Eff 24-Aug-18 Médicos de cuidado especializado y otros proveedores Texas Oncology, PA Gandhi, Darshan G, MD Manhas, Atisha P, MD 3555 W Wheatland Rd Eff 21-Oct-18 Eff 24-Aug-18 Dallas, TX 75237-3461 Texas Oncology, PA Texas Oncology, PA (972) 709-2580 3555 W Wheatland Rd 1441 N Beckley Ave, Ste 101 Dallas, TX 75237-3461 Dallas, TX 75203-1201 Arjunan, Ananth K, MD (972) 709-2580 (214) 943-9911 Eff 21-Jun-19 Texas Oncology, PA Holmes, Houston E, MD Manhas, Atisha P, MD 3555 W Wheatland Rd Eff 01-Jan-14 Eff 24-Aug-18 Dallas, TX 75237-3461 Texas Oncology, PA Texas Oncology, PA (972) 709-2580 3410 Worth St, Ste 400 3555 W Wheatland Rd Dallas, TX 75246-2092 Dallas, TX 75237-3461 Cooper, Barry , MD (214) 370-1400 (972) 709-2580 Eff 01-Jan-14 Texas Oncology, PA Jimenez-Justiniano, Gilberto , MD Pearson, Edward , MD 3410 Worth St, Ste 400 Eff 01-Jan-14 Eff 20-Nov-17 Dallas, TX 75246-2092 Gregory A Echt, MD, PA Texas Oncology, PA (214) 370-1400 2909 S Hampton Rd, Ste E222 3410 Worth St, Ste 400 Dallas, TX 75224 Dallas, TX 75246-2092 Cowey, Charles Lance, MD (214) 379-2729 (214) 370-1400 Eff 01-Jan-14 Texas Oncology, PA 3410 Worth St, Ste 400 Dallas, TX 75246-2092 (214) 370-1400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 183 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Perkins, Steve , MD Jimenez-Justiniano, Gilberto , MD Bibawi, Samer E, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 15-Oct-18 Texas Oncology, PA Gregory A Echt, MD, PA Methodist Richardson Hematology 7777 Forest Ln, Bldg C, Ste 850 7415 Las Colinas Blvd, Ste 100 Oncology Associates Dallas, TX 75230 Irving, TX 75063 2805 E President George Bush (972) 566-7766 (214) 379-2700 TPKE Richardson, TX 75082-3561 Reese, Merrick Hogan, MD Juvvadi, Sridevi , MD (469) 204-6100 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Nwizu, Tobenna I, MD 3410 Worth St, Ste 400 2021 N MacArthur Blvd, Ste 400 Eff 15-Oct-17 Dallas, TX 75246-2092 Irving, TX 75061 Texas Oncology, PA (214) 370-1400 (972) 256-3537 7501 Lakeview Pkwy, Ste 100 Rowlett, TX 75088-9330 Thudi, Narotham Reddy, MD Kancharla, Kiran R, MD (972) 412-2577 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Gregory A Echt, MD, PA Nwizu, Tobenna I, MD 7777 Forest Ln, Bldg C, Ste 850 7415 Las Colinas Blvd, Ste 100 Eff 15-Oct-17 Dallas, TX 75230 Irving, TX 75063 Texas Oncology, PA (972) 566-7766 (214) 379-2700 9100 Lakeview Pkwy • Languages spoken / Idioma(s) Rowlett, TX 75088-4537 White, Charles Stanley, MD hablado(s): Hindi (972) 412-2577 Eff 01-Jan-14 Texas Oncology, PA Perkins, Steve , MD Denton County | Condado de 7777 Forest Ln, Ste D400 Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ Dallas, TX 75230 Texas Oncology, PA Denton (972) 566-7790 2021 N MacArthur Blvd, Ste 400 Médicos de cuidado especializado y otros proveedores Irving, TX 75061 Bhogaraju, Anil Kumar Venkat, MD Olivares, Jairo Rafael, MD (972) 256-3537 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Thudi, Narotham Reddy, MD 4352 N Josey Ln 530 Clara Barton, Ste 250 Eff 01-Jan-14 Carrollton, TX 75010 Garland, TX 75042 Texas Oncology, PA (972) 394-4368 (972) 272-3417 2021 N MacArthur Blvd, Ste 400 Irving, TX 75061 Jimenez-Justiniano, Gilberto , MD Allada, Naveena , MD (972) 256-3537 Eff 01-Jan-14 Eff 01-Jan-14 Gregory A Echt, MD, PA Texas Oncology, PA Chittoor, Sreenivas R, MD 4333 Josey Ln, Plaza II, Ste 200 2021 N MacArthur Blvd, Ste 400 Eff 07-Dec-15 Carrollton, TX 75010 Irving, TX 75061 Texas Oncology, PA (972) 492-3587 (972) 256-3537 4700 N Galloway Ave Mesquite, TX 75150 Jain, Sharad K, MD Drinkard, Lee Campbell, MD (972) 686-6411 Eff 01-Feb-16 Eff 14-Apr-14 Texas Oncology, PA Gregory A Echt, MD, PA Haffar, Shiela , MD 3720 S I-35 E 7415 Las Colinas Blvd, Ste 100 Eff 07-Dec-15 Denton, TX 76210 Irving, TX 75063 Texas Oncology, PA (940) 382-1022 (214) 379-2700 4700 N Galloway Ave Mesquite, TX 75150 Bhogaraju, Anil Kumar Venkat, MD (972) 686-6411 Eff 01-Jan-14 Texas Oncology, PA 4370 Medical Arts Dr, Ste 100 Flower Mound, TX 75028 (972) 537-4100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 184 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Drinkard, Lee Campbell, MD Potluri, Vinaya , MD Skiba, Mary A, DO Eff 14-Apr-14 Eff 01-Jan-14 Eff 01-Jan-14 Gregory A Echt, MD, PA The Center for Cancer and Blood The Center for Cancer and Blood 500 N Valley Pkwy, Ste 100 Disorders Disorders Lewisville, TX 75067 11805 S I-35W, Ste 201 920 Santa Fe Dr (972) 316-4220 Burleson, TX 76028 Weatherford, TX 76086 (817) 551-5312 (817) 596-0637 Jimenez-Justiniano, Gilberto , MD • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Hindi Rockwall County | Condado de Gregory A Echt, MD, PA 500 N Valley Pkwy, Ste 100 Ahmad, Asim , MD Rockwall Lewisville, TX 75067 Eff 27-Jul-18 (972) 316-4220 The Center for Cancer and Blood Haffar, Shiela , MD Disorders Eff 07-Dec-15 Kancharla, Kiran R, MD 141 S Westmeadow Drive Texas Oncology, PA Eff 01-Jan-14 Cleburne, TX 76033 1005 W Ralph Hall Pkwy, Ste 211 Gregory A Echt, MD, PA (817)759-7000 Rockwall, TX 75032 500 N Valley Pkwy, Ste 100 (972) 771-3322 Lewisville, TX 75067 Mansoor, Shadan , MD (972) 316-4220 Eff 01-Jan-14 Tarrant County | Condado de • Languages spoken / Idioma(s) The Center for Cancer and Blood Tarrant hablado(s): Hindi Disorders 141 S Westmeadow Dr Ahmad, Asim , MD Cleburne, TX 76033 Grayson County | Condado de Eff 27-Jul-18

(817)759-7000 Specialty Care Physicians & Other Providers/ Grayson The Center for Cancer and Blood • Languages spoken / Idioma(s) Disorders

hablado(s): Hindi Médicos de cuidado especializado y otros proveedores Faridi, Amir A, MD 515 W Mayfield Rd, Ste 102 Eff 01-Feb-16 Potluri, Vinaya , MD Arlington, TX 76014 Texas Oncology, PA Eff 01-Jan-14 (817) 759-7000 2800 Hwy 75 N The Center for Cancer and Blood Angitapalli, Revathi , MD Sherman, TX 75090 Disorders Eff 23-Jun-18 (903) 892-9455 141 S Westmeadow Dr The Center for Cancer and Blood Cleburne, TX 76033 Disorders Johnson County | Condado de (817)759-7000 811 W I20, Ste G14 • Languages spoken / Idioma(s) Johnson Arlington, TX 76017 hablado(s): Hindi (817) 759-7000 Mansoor, Shadan , MD Eff 01-Jan-14 Parker County | Condado de Diggikar, Shrinivas M, MD The Center for Cancer and Blood Parker Eff 01-Feb-16 Disorders Texas Oncology, PA 11805 S I-35W, Ste 201 Mansoor, Shadan , MD 515 W Mayfield Rd, Ste 101 Burleson, TX 76028 Eff 01-Jan-14 Arlington, TX 76014 (817) 551-5312 The Center for Cancer and Blood (817) 467-6092 • Languages spoken / Idioma(s) Disorders Jaiswal, Deepna D, DO hablado(s): Hindi 920 Santa Fe Dr Eff 27-Jul-18 Weatherford, TX 76086 The Center for Cancer and Blood (817)596-0637 Disorders • Languages spoken / Idioma(s) 515 W Mayfield Rd, Ste 102 hablado(s): Hindi Arlington, TX 76014 (817) 759-7000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 185 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Khurshid, Anwar , MD Barrera, David N, DO Potluri, Vinaya , MD Eff 21-Jun-19 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA The Center for Cancer and Blood 906 W Randol Mill Rd 6500 Harris Pkwy Disorders Arlington, TX 76012-2510 Fort Worth, TX 76132 6100 Harris Pkwy, Ste 260 (817) 261-0929 (817) 263-2600 Fort Worth, TX 76132 • Languages spoken / Idioma(s) (817) 333-3282 Liao, Lixin , MD hablado(s): Spanish • Languages spoken / Idioma(s) Eff 01-Feb-16 hablado(s): Hindi Texas Oncology, PA Griffin, Patrick T, MD 515 W Mayfield Rd, Ste 101 Eff 12-Dec-16 Richey, Stephen Lane, MD Arlington, TX 76014 Texas Oncology, PA Eff 01-Jan-14 (817) 467-6092 6500 Harris Pkwy Texas Oncology, PA Fort Worth, TX 76132 1001 12th Ave, Ste 200 Parra, Alberto , MD (817) 263-2600 Fort Worth, TX 76104 Eff 28-Apr-18 (817) 850-2000 The Center for Cancer and Blood Mandell, Harold L, MD Disorders Eff 01-Jan-14 Skiba, Mary A, DO 811 W I20, Ste G14 The Center for Cancer and Blood Eff 01-Jan-14 Arlington, TX 76017 Disorders The Center for Cancer and Blood (817)759-7000 800 W Magnolia Ave Disorders Fort Worth, TX 76104 800 W Magnolia Ave Davis, Randall Thomas, MD (817) 759-7000 Fort Worth, TX 76104 Eff 01-Jan-14 (817) 759-7000 Texas Oncology, PA Naina, Harris V, MD Specialty Care Physicians & Other Providers/ 1609 Hospital Pkwy Eff 21-Jun-19 Trang, Vinh Q, MD Bedford, TX 76022 Texas Oncology, PA Eff 21-Jun-19 Médicos de cuidado especializado y otros proveedores (817) 662-0008 500 S Henderson St Texas Oncology, PA Fort Worth, TX 76104 500 S Henderson St Rojas, Ana M, MD (817) 413-1500 Fort Worth, TX 76104 Eff 09-May-16 (817) 413-1500 Texas Oncology, PA Oommen, Sanjay Philip, MD 1609 Hospital Pkwy Eff 01-Jan-14 Aurora, Vikas , MD Bedford, TX 76022 Texas Oncology, PA Eff 01-Jan-14 (817) 359-9000 1001 12th Ave, Ste 200 Texas Oncology, PA Fort Worth, TX 76104 1631 Lancaster Dr, Ste 150 Ahmad, Asim , MD (817) 850-2000 Grapevine, TX 76051-3586 Eff 27-Jul-18 (817) 251-9080 The Center for Cancer and Blood Parra, Alberto , MD Disorders Eff 28-Apr-18 Davis, Randall Thomas, MD 800 W Magnolia Avenue The Center for Cancer and Blood Eff 01-Jan-14 Fort Worth, TX 76104 Disorders Texas Oncology, PA (817)759-7000 800 W Magnolia Ave 1631 Lancaster Dr, Ste 150 Fort Worth, TX 76104 Grapevine, TX 76051-3586 Angitapalli, Revathi , MD (817) 759-7000 (817) 251-9080 Eff 23-Jun-18 The Center for Cancer and Blood Pham, Chi Mai, MD Firstenberg, Barry A, DO Disorders Eff 01-Jan-14 Eff 21-Jun-19 800 W Magnolia Ave Texas Oncology, PA Texas Oncology, PA Fort Worth, TX 76104- 1001 12th Ave, Ste 200 1631 Lancaster Dr, Ste 150 (817)759-7000 Fort Worth, TX 76104 Grapevine, TX 76051-3586 (817) 850-2000 (817) 251-9080

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 186 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Patel, Ravi V, MD Kancharla, Kiran R, MD Hoof, Pamela D, MD Eff 20-Mar-18 Eff 01-Jan-14 Eff 31-Aug-20 Texas Oncology, PA Gregory A Echt, MD, PA Texas Oncology PA 1631 Lancaster Dr, Ste 150 1545 E Southlake Blvd, Ste 280 4700 North Galloway Avenue Grapevine, TX 76051-3586 Southlake, TX 76092 Mesquite, TX 75150 (817) 251-9080 (817) 416-0202 (972) 686-6411 • Languages spoken / Idioma(s) Rojas, Ana M, MD hablado(s): Hindi Denton County | Condado de Eff 09-May-16 Texas Oncology, PA Hematology & Oncology/ Denton 1631 Lancaster Dr, Ste 150 Hematología y Oncología Grapevine, TX 76051-3586 Kancharla, Kiran R, MD (817) 251-9080 Eff 18-Jun-20 Dallas County | Condado de Texas Oncology PA Negron, Angel , MD Dallas 500 West Main Street, Suite 350 Eff 01-Dec-19 Lewisville, TX 75057 DiagnosTEX Consultants PLLC Hayes, Pamela P, MD (972) 459-1300 500 Grapevine Hwy Ste 106 Eff 31-Aug-20 • Languages spoken / Idioma(s) Hurst, TX 76054-2707 7777 Forest Lane, Bldg. D, Suite hablado(s): Hindi (817) 514-6271 400 Dallas, TX 75230 Johnson County | Condado de Patel, Ravi V, MD (972) 566-7790 Eff 20-Mar-18 Johnson Texas Oncology, PA Jimenez-Justiniano, Gilberto , MD 100 Bourland Rd, Ste 130 Ross, Jeremy A, MD

Eff 30-May-20 Specialty Care Physicians & Other Providers/ Keller, TX 76248-3595 Texas Oncology, PA Eff 04-Sep-20 (817) 284-4994 1501 W Royal Ln The Center for Cancer and Blood Irving, TX 75063 Disorders Médicos de cuidado especializado y otros proveedores Rojas, Ana M, MD (469) 513-5500 11805 South Fwy Ste 201 Eff 09-May-16 Burleson, TX 76028 Texas Oncology, PA Jimenez-Justiniano, Gilberto , MD (817) 759-7000 100 Bourland Rd, Ste 130 Eff 30-May-20 Keller, TX 76248-3595 Texas Oncology, PA Parker County | Condado de (817) 284-4994 2021 N MacArthur Blvd Ste 400 Parker Irving, TX 75061 Liao, Lixin , MD (972) 256-3537 Eff 01-Feb-16 Riaz, Talha , MD Texas Oncology, PA Kancharla, Kiran R, MD Eff 04-Sep-20 2800 E Broad St Ste 218 Eff 18-Jun-20 The Center for Cancer and Blood Mansfield, TX 76063 Texas Oncology PA Disorders (817) 276-3300 1501 W Royal Lane 920 Santa Fe Dr Irving, TX 75063 Weatherford, TX 76086 Drinkard, Lee Campbell, MD (469) 513-5500 (817) 759-7000 Eff 14-Apr-14 • Languages spoken / Idioma(s) Gregory A Echt, MD, PA hablado(s): Hindi 461 E State Hwy 114, Ste 470 Southlake, TX 76092 Kancharla, Kiran R, MD (817) 416-0202 Eff 18-Jun-20 Texas Oncology PA 2021 N MacArthur Blvd Ste 400 Irving, TX 75061 (972) 256-3537 • Languages spoken / Idioma(s) hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 187 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tarrant County | Condado de Dallas County | Condado de Mantry, Parvez S, MD Eff 15-Oct-18 Tarrant Dallas Methodist Transplant Specialists 1411 N Beckley Ave, Pavilion 3, Ross, Jeremy A, MD Asrani, Sumeet K, MD Ste 268 Eff 04-Sep-20 Eff 01-Jan-14 Dallas, TX 75203-1260 The Center for Cancer and Blood Baylor Scott & White Liver (214) 947-4450 Disorders Consultants of Texas • Languages spoken / Idioma(s) 515 W Mayfield Rd Ste 102 3410 Worth St, Ste 860 hablado(s): Spanish Arlington, TX 76014 Dallas, TX 75246 (817) 759-7000 (214) 820-8500 Mehta, Ashwini P, DO Eff 14-Jul-19 Ross, Jeremy A, MD Bahirwani, Ranjeeta R, MD Methodist Transplant Specialists Eff 04-Sep-20 Eff 06-Jun-16 1411 N Beckley Ave, Pavilion 3, The Center for Cancer and Blood Baylor Scott & White Liver Ste 268 Disorders Consultants of Texas Dallas, TX 75203-1260 800 W Magnolia Ave 3410 Worth St, Ste 860 (214) 947-4450 Fort Worth, TX 76104 Dallas, TX 75246-2064 (817) 759-7000 (214) 820-8500 Mubarak, Abdullah , MD Eff 07-Jun-18 Hepatology/ hepatología Barnes, Maisha N, MD Liver Center of Texas PLLC Eff 15-Oct-18 9 Medical Pkwy Plaza 4 Ste 206 Collin County | Condado de Methodist Transplant Specialists Dallas, TX 75234-7858 1411 N Beckley Ave, Pavilion 3, (469) 317-7703 Collin Ste 268 Specialty Care Physicians & Other Providers/ Dallas, TX 75203-1260 Nazario, Hector E, MD Bahirwani, Ranjeeta R, MD (214) 947-4450 Eff 15-Oct-18 Médicos de cuidado especializado y otros proveedores Eff 06-Jun-16 Methodist Transplant Specialists North Texas Surgical Oncology Elwir, Saleh , MD 1411 N Beckley Ave, Pavilion 3, Associates Eff 18-Jul-16 Ste 268 5236 W University Dr, Ste 2900 Baylor Scott & White Liver Dallas, TX 75203-1260 McKinney, TX 75071 Consultants of Texas (214) 947-4450 (972) 335-7874 3410 Worth St, Ste 860 • Languages spoken / Idioma(s) Dallas, TX 75246-2064 hablado(s): Spanish Barnes, Maisha N, MD (214) 820-8500 Eff 15-Oct-18 Pagadala, Mangesh R, MD Methodist Transplant Specialists Gonzalez, Stevan A, MD Eff 15-Oct-18 5300 W. Plano Pkwy, Ste 300 Eff 01-Jan-14 Methodist Transplant Specialists Plano, TX 75093 Baylor Scott & White Liver 1411 N Beckley Ave, Pavilion 3, (214) 947-4400 Consultants of Texas Ste 268 3410 Worth St, Ste 860 Dallas, TX 75203-1260 Nazario, Hector E, MD Dallas, TX 75246-2064 (214) 947-4450 Eff 15-Oct-18 (214) 820-8500 Methodist Transplant Specialists Trotter, James F, MD 5300 W. Plano Pkwy, Ste 300 Habib, Adil , MD Eff 01-Jan-14 Plano, TX 75093 Eff 15-Oct-18 Baylor Scott & White Liver (214) 947-4400 Methodist Transplant Specialists Consultants of Texas • Languages spoken / Idioma(s) 1411 N Beckley Ave, Pavilion 3, 3410 Worth St Ste 860 hablado(s): Spanish Ste 268 Dallas, TX 75246-2064 Dallas, TX 75203-1260 (214) 820-8500 (214) 947-4450 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 188 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Vahora, Zahid M, MD Tarrant County | Condado de Modi, Apurva A, MD Eff 15-Oct-18 Eff 01-Jan-14 Methodist Transplant Specialists Tarrant Baylor Scott & White Liver 1411 N Beckley Ave, Pavilion 3, Consultants of Texas Ste 268 Ashfaq, Mohammad , MD 1250 8th Ave Ste 515 Dallas, TX 75203-1260 Eff 05-May-14 Fort Worth, TX 76104-4130 (214) 947-4450 Baylor Scott & White Liver (817) 922-9968 Consultants of Texas Vahora, Zahid M, MD 1250 8th Ave, Ste 515 Mehta, Ashwini P, DO Eff 15-Oct-18 Fort Worth, TX 76104-4130 Eff 14-Jul-19 Methodist Transplant Specialists (817) 922-9968 Methodist Transplant Specialists 1411 N Beckley Ave, Ste 268 2800 E Broad St, Ste 404 Dallas, TX 75203-1260 Elsiesy, Hussien A, MD Mansfield, TX 76063 (214) 947-4400 Eff 01-Dec-17 (214) 947-4400 Baylor Scott & White Liver Mubarak, Abdullah , MD Consultants of Texas Pagadala, Mangesh R, MD Eff 07-Jun-18 1250 8th Ave Ste 515 Eff 15-Oct-18 Liver Center of Texas PLLC Fort Worth, TX 76104-4130 Methodist Transplant Specialists 929 Galloway Rd Ste 221 (817) 922-9968 2800 E Broad St, Ste 404 Mesquite, TX 75149-2491 Mansfield, TX 76063 (469) 317-7703 Gautam, Manjushree , MD (214) 947-4400 Eff 01-Jan-14 Barnes, Maisha N, MD Baylor Scott & White Liver Hospice and Palliative Medicine/ Eff 15-Oct-18 Consultants of Texas Hospicio y medicina paliativa Methodist Transplant Specialists 1250 8th Ave, Ste 515 Specialty Care Physicians & Other Providers/ 2821 E. President George Bush Fort Worth, TX 76104-4130 Collin County | Condado de Highway Ste 304 (817) 922-9968 Richardson, TX 75082 Collin Médicos de cuidado especializado y otros proveedores (214) 947-4400 Gonzalez, Stevan A, MD Eff 01-Jan-14 Kutagula, Vinay V, MD Mantry, Parvez S, MD Baylor Scott & White Liver Eff 09-Mar-17 Eff 15-Oct-18 Consultants of Texas Supportive and Palliative Care at Methodist Transplant Specialists 1250 8th Ave, Ste 515 Plano 2821 E. President George Bush Fort Worth, TX 76104-4130 4708 Allilance Blvd, Ste 550 Highway Ste 304 (817) 922-9968 Plano, TX 75093 Richardson, TX 75082 (469) 800-6140 (214) 947-4400 Habib, Adil , MD • Languages spoken / Idioma(s) Eff 15-Oct-18 Levy, Alfred E, MD hablado(s): Spanish Methodist Transplant Specialists Eff 01-Jan-14 914 Lipscomb St, Ste A Supportive and Palliative Care at Hood County | Condado de Fort Worth, TX 76104 Plano (214) 947-4400 4708 Allilance Blvd, Ste 550 Hood Plano, TX 75093 Mehta, Ashwini P, DO (469) 800-6140 Mehta, Ashwini P, DO Eff 14-Jul-19 Eff 14-Jul-19 Methodist Transplant Specialists Methodist Transplant Specialists 914 Lipscomb St, Ste A 1200 Crawford Ave, Ste E Fort Worth, TX 76104 Granbury, TX 76048 (214) 947-4400 (214) 947-4400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 189 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Rajack, Nadia K, MD Rezaie, Morvarid , DO Eff 24-Nov-19 Eff 19-Mar-18 Dallas Baylor Scott & White Supportive & The Center for Cancer and Blood Palliative Care Disorders Casanova, Mark A, MD 3410 Worth St Ste 820 800 W Magnolia Ave Eff 01-Jan-14 Dallas, TX 75246 Fort Worth, TX 76104-4611 Baylor Scott & White Supportive & (214) 820-9248 (817) 759-7000 Palliative Care • Languages spoken / Idioma(s) 3410 Worth St Ste 820 Ligon, Kathy , MD hablado(s): Farsi Dallas, TX 75246 Eff 19-Jan-17 (214) 820-9248 Supportive and Palliative Care Infectious Disease/ Grapevine-Irving Enfermedades infecciosas Fine, Robert L, MD 1901 N MacArthur Blvd Eff 01-Jan-14 Irving, TX 75061 Collin County | Condado de Baylor Scott & White Supportive & (214) 820-9248 Palliative Care Collin 3410 Worth Street, Suite 820 Nation-Howard, Brieanna J, DO Dallas, TX 75246 Eff 08-Jun-20 Fojtasek, Marvin , MD (214) 820-9248 Three Oaks Palliative Care Attigo Infusion Inc 331 Melrose Dr Ste 230 1125 Raintree Cir Ste 170 Kim, Min J, MD Richardson, TX 75080-4774 Allen, TX 75013-5289 Eff 13-Nov-20 (214) 628-9090 (972) 661-2273 Baylor Scott & White Supportive & Palliative Care - Dallas Denton County | Condado de Ahmad, Shahbaz , MD 3410 Worth St Ste 820

Specialty Care Physicians & Other Providers/ Eff 01-May-19 Dallas, TX 75246 Denton Comprehensive ID Care (214) 820-9248 425 Old Newman Rd, Ste 402 Médicos de cuidado especializado y otros proveedores Nation-Howard, Brieanna J, DO Frisco, TX 75034 Nation-Howard, Brieanna J, DO Eff 08-Jun-20 (972) 499-5551 Eff 08-Jun-20 Three Oaks Palliative Care Three Oaks Palliative Care 209 N Bonnie Brae St Ste 201 Dina, Torten N, MD 717 N Harwood St Ste 550 Denton, TX 76201-3748 Eff 01-Dec-19 Dallas, TX 75201-6540 (817) 328-1628 Dina Torten, MD (214) 628-9941 4461 Coit Rd, Ste 409 Tarrant County | Condado de Frisco, TX 75035-0526 Nguyen, Ann , MD (214)396-8877 Eff 14-Sep-15 Tarrant Baylor Scott & White Supportive & Krishnan, Sujatha , MD Palliative Care Cupak, Michael , DO Eff 01-May-18 3410 Worth Street, Suite 820 Eff 01-Nov-18 Sujatha Krishnan MD PA Dallas, TX 75246 Supportive and Palliative Care of 4461 Coit Rd, # 409 (214) 820-9248 Fort Worth Frisco, TX 75035-0521 1400 8th Ave (214) 396-8877 Pittman-Hobbs, Shawnta R, MD Fort Worth, TX 76104 • Languages spoken / Idioma(s) Eff 01-Jan-14 (214) 820-9248 hablado(s): Spanish Supportive and Palliative Care of Fort Worth Martinez, Marcos , DO 3600 Gaston Ave Barnett, Ste 605 Eff 01-Apr-18 Dallas, TX 75246 Marcos Martinez DO (214) 820-9248 4461 Coit Rd, # 409 Frisco, TX 75035-0521 (214) 396-8877 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 190 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tummala, Chaitanya , MD Nicoletti, Brianne T, DO Akbar, Muhammad , MD Eff 15-Mar-19 Eff 08-Nov-16 Eff 08-Feb-17 Chaitanya Tummala, MD PA Infectious Disease Doctors, PA Claire E Brenner MD PA 4461 Coit Rd, # 409 6537 Preston Rd 5515 Glen Lakes Dr Frisco, TX 75035-0526 Plano, TX 75024 Dallas, TX 75231-4309 (214) 296-8877 (972) 867-9131 (972) 494-1155 Fojtasek, Marvin , MD Seriburi, Vimon , MD Akbar, Muhammad , MD Attigo Infusion Inc Eff 01-Aug-16 Eff 08-Feb-17 7300 W Eldorado Pkwy Ste 240 Texas Premier Infectious Disease Claire E Brenner MD PA McKinney, TX 75070-7891 Consultants, PLLC 8703 Sults Rd (972) 661-2273 6200 W Parker Rd Dallas, TX 75243-4109 Plano, TX 75093 (972) 494-1155 Ansari, Sofia T, MD (917) 519-3765 Eff 08-Nov-16 Al Masri, Rahaf , MD Infectious Disease Doctors, PA Sheth, Arpita A, MD Eff 20-Nov-17 6537 Preston Rd Eff 22-Jun-17 North Texas Infectious Disease Plano, TX 75024 Infectious Disease Doctors, PA Consultants, PA (972) 867-9131 6537 Preston Rd 3409 Worth St, Ste 710 Plano, TX 75024 Dallas, TX 75246-2060 Flom, Judith , MD (972) 867-9131 (214) 823-2533 Eff 09-Jan-17 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Infectious Disease Doctors, PA hablado(s): Spanish hablado(s): French 6537 Preston Rd Plano, TX 75024 Thakor, Kunjan P, MD Al Masri, Rahaf , MD Specialty Care Physicians & Other Providers/ (972) 867-9131 Eff 01-Apr-15 Eff 20-Nov-17 • Languages spoken / Idioma(s) Kunjan P Thakor, MD, PA North Texas Infectious Disease hablado(s): Spanish 5930 W Parker Rd, Ste 600 Consultants, PA Médicos de cuidado especializado y otros proveedores Plano, TX 75093 9301 N Central Exwy, Ste 310 Fojtasek, Marvin , MD (972) 378-3242 Dallas, TX 75231-0814 Eff 17-Aug-16 • Languages spoken / Idioma(s) (214) 890-1616 Americare Medical Partners PLLC hablado(s): Spanish • Languages spoken / Idioma(s) 3701 W Plano Pkwy, Ste 320 hablado(s): French Plano, TX 75075 Dallas County | Condado de (972) 661-2273 Berhe, Mezgebe , MD Dallas Eff 01-Dec-14 Fojtasek, Marvin , MD North Texas Infectious Disease Eff 17-Aug-16 Fojtasek, Marvin , MD Consultants, PA Americare Medical Partners PLLC Eff 17-Aug-16 3409 Worth St, Ste 710 5425 Spring Creek Pkwy, Ste 135 Americare Medical Partners PLLC Dallas, TX 75246-2060 Plano, TX 75024 15800 Dooley Rd, Ste 170 (214) 823-2533 (972) 661-2273 Addison, TX 75001-5712 • Languages spoken / Idioma(s) (972) 661-2273 hablado(s): German Fojtasek, Marvin , MD Attigo Infusion Inc Fojtasek, Marvin , MD Berhe, Mezgebe , MD 3701 W Plano Pkwy Ste 320 Attigo Infusion Inc Eff 01-Dec-14 Plano, TX 75075-7833 15301 Spectrum Dr Ste 330 North Texas Infectious Disease (972) 661-2273 Addison, TX 75001-6462 Consultants, PA (972) 661-2273 9301 N Central Exwy, Ste 310 Fojtasek, Marvin , MD Dallas, TX 75231-0814 Attigo Infusion Inc (214) 890-1616 4888 Dexter Dr Ste 400 • Languages spoken / Idioma(s) Plano, TX 75093-5505 hablado(s): German (972) 661-2273

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 191 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bettacchi, Christopher J, MD Haley, Clinton C, MD Voskuhl, Gene , MD Eff 01-Dec-14 Eff 01-Dec-14 Eff 15-Aug-16 North Texas Infectious Disease North Texas Infectious Disease AIDS Arms, Inc Consultants, PA Consultants, PA 219 Sunset Ave, Ste 116-A 3409 Worth St, Ste 710 3409 Worth St, Ste 710 Dallas, TX 75208 Dallas, TX 75246-2060 Dallas, TX 75246-2060 (972) 807-7370 (214) 823-2533 (214) 823-2533 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Voskuhl, Gene , MD hablado(s): German hablado(s): Spanish Eff 15-Aug-16 AIDS Arms, Inc Bettacchi, Christopher J, MD Haley, Clinton C, MD 1906 Peabody Ave Eff 01-Dec-14 Eff 01-Dec-14 Dallas, TX 75215 North Texas Infectious Disease North Texas Infectious Disease (214) 421-7848 Consultants, PA Consultants, PA 9301 N Central Exwy, Ste 310 9301 N Central Exwy, Ste 310 Jasti, Yashwanth , MD Dallas, TX 75231-0814 Dallas, TX 75231-0814 Eff 01-May-17 (214) 890-1616 (214) 890-1616 Mahesh Kottapalli, MD, PA • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 2727 Bolton Boone, Ste 109 hablado(s): German hablado(s): Spanish Desoto, TX 75115-2019 (972) 283-2370 Dominguez, Edward A, MD Sandkovsky, Uriel S, MD Eff 15-Oct-18 Eff 16-Sep-18 Jasty, Prasanthi , MD Methodist Transplant Specialists North Texas Infectious Disease Eff 01-May-17 1411 N Beckley Ave, Pavilion 3, Consultants, PA Mahesh Kottapalli, MD, PA 2727 Bolton Boone, Ste 109 Specialty Care Physicians & Other Providers/ Ste 268 3409 Worth St, Ste 710 Dallas, TX 75203-1260 Dallas, TX 75246-2060 Desoto, TX 75115-2019 (972) 283-2370

Médicos de cuidado especializado y otros proveedores (214) 947-4450 (214) 823-2533 • Languages spoken / Idioma(s) Kottapalli, Mahesh B, MD hablado(s): Spanish Sinclair, Gary , MD Eff 15-Aug-16 Eff 01-Nov-15 Fojtasek, Marvin , MD AIDS Arms, Inc Mahesh Kottapalli, MD, PA Eff 17-Aug-16 219 Sunset Ave, Ste 116-A 2727 Bolton Boone, Ste 109 Americare Medical Partners PLLC Dallas, TX 75208 Desoto, TX 75115-2019 11970 N Central Expy, Ste 630 (972) 807-7370 (972) 283-2370 Dallas, TX 75243-3793 Akbar, Muhammad , MD (214) 506-2610 Sinclair, Gary , MD Eff 15-Aug-16 Eff 08-Feb-17 Gillman, Jason , MD AIDS Arms, Inc Claire E Brenner MD PA Eff 15-Aug-16 1906 Peabody Ave 2241 Peggy Ln, Ste E AIDS Arms, Inc Dallas, TX 75215 Garland, TX 75042-5709 219 Sunset Ave, Ste 116-A (214) 421-7848 (972) 494-1155 Dallas, TX 75208 Brenner, Claire E, MD (972) 807-7370 Tribble, Marc A, MD Eff 01-Apr-15 Eff 01-Aug-16 Gillman, Jason , MD Uptown Physicians Group Claire Brenner, MD, PA Eff 15-Aug-16 4144 N Central Expy, Ste 750 2241 Peggy Ln, Ste E AIDS Arms, Inc Dallas, TX 75204-3208 Garland, TX 75042 1906 Peabody Ave (214) 303-1033 (972) 494-1155 Dallas, TX 75215 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) (214) 421-7848 hablado(s): Spanish hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 192 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Manthena, Geeta , MD Denton County | Condado de Fojtasek, Marvin , MD Eff 17-Aug-17 Attigo Infusion Inc Claire E Brenner MD PA Denton 1003 Legacy Ranch Rd 2241 Peggy Ln, Ste E Waxahachie, TX 75165-1294 Garland, TX 75042-5709 Akram, Javed , MD (972) 661-2273 (972) 494-1155 Eff 01-Apr-18 • Languages spoken / Idioma(s) Texas Infectious Diseases Grayson County | Condado de hablado(s): Spanish Associates 2214 Emery St Ste 220 Grayson Suthun, Parisa Ann , MD Denton, TX 76201 Eff 13-Jan-15 (940) 556-0714 Fojtasek, Marvin , MD Dallas ID Associates, PA Attigo Infusion Inc 7200 N State Hwy 161, Ste 220 Fojtasek, Marvin , MD 2620 N Travis Dr Irving, TX 75039-3830 Eff 17-Aug-16 Sherman, TX 75092-2523 (214) 689-7806 Americare Medical Partners PLLC (972) 661-2273 2800 Shoreline Dr Ste 270 Jasti, Yashwanth , MD Denton, TX 76210-0128 Swami, Aditi , MD Eff 01-May-17 (972) 661-2273 Eff 01-Mar-18 Mahesh Kottapalli, MD, PA Aditi Swami, PA 1621 N Beltline Rd, Ste A Fojtasek, Marvin , MD 2600 N Highway 75 Ste 120 Mesquite, TX 75149 Attigo Infusion Inc Sherman, TX 75090 (972) 283-2370 2800 Shoreline Dr Ste 270 (888) 312-6847 Denton, TX 76210-0128 Jasty, Prasanthi , MD (972) 661-2273 Johnson County | Condado de Eff 01-May-17 Johnson Specialty Care Physicians & Other Providers/ Mahesh Kottapalli, MD, PA Khair, Hani N, MD 1621 N Beltline Rd, Ste A Eff 01-Mar-18 Kwon, Joong Y, MD Médicos de cuidado especializado y otros proveedores Mesquite, TX 75149 ID Experts PLLC Eff 13-Mar-19 (972) 283-2370 3537 S Int 35 E, Ste 220 Denton, TX 76210-6813 Fort Worth Infectious Disease Qavi, Abdul , MD (972) 296-4308 Consultants, PLLC Eff 09-Nov-15 • Languages spoken / Idioma(s) 11803 S Fwy, Ste 111 Community Infectious Diseases, hablado(s): Arabic Burleson, TX 76028-7028 PA (817) 349-9500 929 N Galloway Ave, Ste 220 Fojtasek, Marvin , MD Manthena, Geeta , MD Mesquite, TX 75149-7413 Attigo Infusion Inc Eff 04-Jan-19 (214) 660-2533 2790 Lake Vista Dr Lewisville, TX 75067-3884 Fort Worth Infectious Disease Fojtasek, Marvin , MD (972) 661-2273 Consultants, PLLC Attigo Infusion Inc 11803 S Fwy, Ste 111 5706 Rowlett Rd Ste 100 Fojtasek, Marvin , MD Burleson, TX 76028-7028 Rowlett, TX 75089-3463 Attigo Infusion Inc (817) 349-9500 (972) 661-2273 751 Hebron Pkwy Ste 330 Lewisville, TX 75057-5054 Tiu, Ceres , MD (972) 661-2273 Eff 01-Aug-15 Infectious Disease Doctors, PA Ellis County | Condado de Ellis 11803 S Fwy, Ste 315 Burleson, TX 76028 Fojtasek, Marvin , MD (817) 887-9358 Eff 17-Aug-16 Americare Medical Partners PLLC 1003 Legacy Ranch Rd Waxahachie, TX 75165-1294 (972) 661-2273

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 193 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rockwall County | Condado de Prabhakar, Meenakshi S, MD Berg, Joshua B, MD Eff 01-Aug-15 Eff 01-Feb-16 Rockwall Infectious Disease Doctors, PA Texas Centers for Infectious 2636 Tibbets Dr, Ste 110 Disease Associates, PA Fojtasek, Marvin , MD Bedford, TX 76022 1025 College Avenue Eff 17-Aug-16 (817) 858-0065 Fort Worth, TX 76104-4514 Americare Medical Partners PLLC (817) 810-9810 6800 Heritage Pkwy, Ste 105 Sen, Ajanta , DO • Languages spoken / Idioma(s) Rockwall, TX 75087-8746 Eff 01-Aug-15 hablado(s): Spanish (972) 661-2273 Infectious Disease Doctors, PA 2636 Tibbets Dr, Ste 110 Berg, Joshua B, MD Fojtasek, Marvin , MD Bedford, TX 76022 Eff 01-Feb-16 Attigo Infusion Inc (817) 858-0065 Texas Centers for Infectious 6800 Heritage Pkwy Ste 105 Disease Associates, PA Rockwall, TX 75087-8746 Subramanian, Obulakshmipriya , 1125 College Ave (972) 661-2273 MD Fort Worth, TX 76104-4514 Eff 15-May-17 (817) 810-9810 Tarrant County | Condado de Priya Subramaniyan, MD, PA • Languages spoken / Idioma(s) Tarrant 1615 Hospital Pkwy, Ste 200 hablado(s): Spanish Bedford, TX 76022 (817) 916-8877 Hupert, Mark J, MD Fojtasek, Marvin , MD • Languages spoken / Idioma(s) Eff 01-Feb-16 Attigo Infusion Inc hablado(s): Tamil Texas Centers for Infectious 1001 W Arbrook Blvd Ste 161 Disease Associates, PA Arlington, TX 76015-4222 Subramanian, Obulakshmipriya , Specialty Care Physicians & Other Providers/ 1025 College Avenue (972) 661-2273 MD Fort Worth, TX 76104-4514 Eff 15-May-17 Médicos de cuidado especializado y otros proveedores Woldesenbet, Elleni , MD (817) 810-9810 Priya Subramaniyan, MD, PA Eff 01-Apr-18 2700 Tibbets Dr, Ste 408 Hupert, Mark J, MD Arlington Infectious Disease Bedford, TX 76022-6900 Eff 01-Feb-16 Associates (817) 916-8877 Texas Centers for Infectious 3132 Matlock Rd, Ste 309 • Languages spoken / Idioma(s) Disease Associates, PA Arlington, TX 76015-2922 hablado(s): Tamil 1125 College Ave (817) 417-0260 Fort Worth, TX 76104-4514 Barbaro, Daniel , MD Anwar, Muhammad A, MD (817) 810-9810 Eff 05-Apr-16 Eff 12-Oct-16 Texas Centers for Infectious McDonald, Cheryl , MD Infectious Disease Doctors, PA Disease Associates, PA Eff 07-Apr-16 2636 Tibbets Dr, Ste 110 1025 College Avenue Texas Centers for Infectious Bedford, TX 76022 Fort Worth, TX 76104-4514 Disease Associates, PA (817) 858-0065 (817) 810-9810 1025 College Avenue • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Fort Worth, TX 76104-4514 hablado(s): Spanish hablado(s): Spanish (817) 810-9810 Gallegos, Cinthia , MD • Languages spoken / Idioma(s) Barbaro, Daniel , MD Eff 21-Oct-18 hablado(s): Spanish Eff 05-Apr-16 Infectious Disease Doctors, PA Texas Centers for Infectious 2636 Tibbets Dr, Ste 110 Disease Associates, PA Bedford, TX 76022 1125 College Ave (817) 858-0065 Fort Worth, TX 76104-4514 (817) 810-9810 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 194 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

McDonald, Cheryl , MD Shroff, Miloni , MD Youree, Bryan E, MD Eff 07-Apr-16 Eff 28-Apr-18 Eff 01-Feb-16 Texas Centers for Infectious Infectious Disease Doctors, PA Texas Centers for Infectious Disease Associates, PA 1325 Pennsylvania Ave, Ste 325 Disease Associates, PA 1125 College Ave Fort Worth, TX 76104 1025 College Avenue Fort Worth, TX 76104-4514 (817) 887-4389 Fort Worth, TX 76104-4514 (817) 810-9810 (817) 810-9810 • Languages spoken / Idioma(s) Sisay, Emnet , MD hablado(s): Spanish Eff 08-Nov-16 Youree, Bryan E, MD Infectious Disease Doctors, PA Eff 01-Feb-16 Mushtaq, Adnan , MD 1325 Pennsylvania Ave, Ste 325 Texas Centers for Infectious Eff 22-Sep-18 Fort Worth, TX 76104 Disease Associates, PA Infectious Disease Doctors, PA (817) 887-4389 1125 College Ave 1325 Pennsylvania Ave, Ste 325 Fort Worth, TX 76104-4514 Fort Worth, TX 76104 Spak, Cedric W, MD (817) 810-9810 (817) 887-4389 Eff 25-Feb-19 Texas Centers for Infectious Desai, Devak G, MD Ramarathnam, Vivek , MD Disease Associates, PA Eff 15-Mar-19 Eff 21-Sep-16 1025 College Avenue ID Partners PA Texas Centers for Infectious Fort Worth, TX 76104-4514 309 Regency Pkwy Ste 205 Disease Associates, PA (817) 810-9810 Mansfield, TX 76063-7305 1025 College Avenue • Languages spoken / Idioma(s) (817) 539-9091 Fort Worth, TX 76104-4514 hablado(s): German • Languages spoken / Idioma(s) (817) 810-9810 hablado(s): Spanish Spak, Cedric W, MD Specialty Care Physicians & Other Providers/ Ramarathnam, Vivek , MD Eff 25-Feb-19 Farran, Sumaya , MD Eff 21-Sep-16 Texas Centers for Infectious Eff 04-Nov-19 Texas Centers for Infectious Disease Associates, PA ID Partners PA Médicos de cuidado especializado y otros proveedores Disease Associates, PA 1125 College Ave 309 Regency Pkwy, Ste 205 1125 College Ave Fort Worth, TX 76104-4514 Mansfield, TX 76063-7305 Fort Worth, TX 76104-4514 (817) 810-9810 (817) 539-9091 (817) 810-9810 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): German hablado(s): Arabic Sambathkumar, Lakshmi , MD Eff 02-Jul-18 Tiu, Ceres , MD Jasti, Yashwanth , MD Texas Centers for Infectious Eff 01-Aug-15 Eff 01-May-17 Disease Associates, PA Infectious Disease Doctors, PA Mahesh Kottapalli, MD, PA 1025 College Avenue 1325 Pennsylvania Ave, Ste 325 2800 E Broad St, Professional Fort Worth, TX 76104-4514 Fort Worth, TX 76104 Bldg 1, Ste 318 (817) 810-9810 (817) 887-4389 Mansfield, TX 76063 (972) 283-2370 Sambathkumar, Lakshmi , MD Vadlamudi, Naga S, MD Eff 02-Jul-18 Eff 08-Nov-16 Jasty, Prasanthi , MD Texas Centers for Infectious Infectious Disease Doctors, PA Eff 01-May-17 Disease Associates, PA 1325 Pennsylvania Ave, Ste 325 Mahesh Kottapalli, MD, PA 1125 College Ave Fort Worth, TX 76104 2800 E Broad St, Professional Fort Worth, TX 76104-4514 (817) 887-4389 Bldg 1, Ste 318 (817) 810-9810 Mansfield, TX 76063 (972) 283-2370

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 195 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kottapalli, Mahesh B, MD Johnson, Bryan G, MD Thompson, Mandy , MD Eff 01-Nov-15 Eff 05-Aug-18 Eff 01-Sep-18 Mahesh Kottapalli, MD, PA Frisco Total Wellness Clinic PLLC Reclaim Physicians Medical Group 2800 E Broad St, Professional 14550 S Hwy 121 Ste 130 Inc Bldg 1, Ste 318 Frisco, TX 75035-4670 2600 Eldorado Pkwy, Ste 100 Mansfield, TX 76063 (800) 246-5698 McKinney, TX 75070-7517 (972) 283-2370 (972) 540-6630 Shah, Neela , MD Samart, Shantala R, MD Eff 01-Dec-17 Thompson, Mandy , MD Eff 16-Aug-19 Frisco Center for Internal Medicine Eff 01-Sep-18 ID Partners PA 4401 Coit Rd, Ste 311 Reclaim Physicians Medical Group 309 Regency Pkwy Ste 205 Frisco, TX 75035-0512 Inc Mansfield, TX 76063-7305 (214) 297-0297 3900 S Stonebridge Dr, Ste 1404 (817) 539-9091 McKinney, TX 75070-8097 Thakkar, Rumit P, DO (214) 379-4234 Fojtasek, Marvin , MD Eff 26-Apr-20 Attigo Infusion Inc Baylor Scott & White Hospital Zafar, Zahid N, MD 4351 Booth Calloway Rd Ste 201 Medicine - Centennial Eff 15-Apr-19 North Richland, TX 76180-7379 12505 Lebanon Rd Crescent Doctors Group PA (972) 661-2273 Frisco, TX 75035 4201 Medical Center Dr Ste 360 (972) 963-3550 McKinney, TX 75069-1779 Golub, Vitaly , MD (469) 975-8480 Eff 01-Apr-19 Thompson, Mandy , MD Complete Infectious Diseases Eff 01-Sep-18 Zafar, Zahid , MD Care Associates, PLLC Reclaim Physicians Medical Group Eff 15-Apr-19 Specialty Care Physicians & Other Providers/ 4351 Booth Calloway Rd, Ste 404 Inc Wilson Creek Internal Medicine North Richland Hills, TX 76180 8501 Wade Blvd, Ste 310 Group PLLC Médicos de cuidado especializado y otros proveedores (817) 255-1067 Frisco, TX 75034-5801 1820 N Lake Forest Dr Ste 300 (972) 427-3570 McKinney, TX 75071-7653 Internal Medicine/ Medicina (469) 975-8480 interna Abebe, Eyoel T, MD Eff 17-Oct-19 Zafar, Zahid , MD Collin County | Condado de Wilson Creek Internal Medicine Eff 15-Apr-19 Group PLLC Wilson Creek Internal Medicine Collin 4201 Medical Center Dr Ste 360 Group PLLC McKinney, TX 75069 4201 Medical Center Dr Ste 360 Ayass, Mohamad-Ammar , MD (469) 975-8480 McKinney, TX 75069-1779 Eff 15-Aug-17 (469) 975-8480 Ayass Lung Clinic, PLLC Abebe, Eyoel T, MD 8501 Wade Blvd, Ste 750 Eff 17-Dec-19 Zafar, Zahid , MD Frisco, TX 75034 Mobile MD PA Eff 15-Apr-19 (972) 668-6005 4201 Medical Center Dr Ste 360 Mobile MD PA McKinney, TX 75069 4201 Medical Center Dr Ste 360 Benjamin, Bijas , MD (972) 822-5973 McKinney, TX 75069 Eff 01-Jul-20 (972) 822-5973 Inspire Health PLLC Mohapatra, Swatee , MD 5575 Warren Pkwy Ste 115 Eff 14-Apr-20 Bang, Linda S, MD Frisco, TX 75034-4063 Doctors of Internal Medicine Eff 01-Nov-15 (469) 200-6100 240 Adriatic Pkwy Doctors of Internal Medicine McKinney, TX 75072 5941 Dallas Pkwy, Ste 100 (972) 382-9292 Plano, TX 75093-9002 (972) 758-4455 • Languages spoken / Idioma(s) hablado(s): Korean

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 196 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bayya, Swathi R, MD Pham-Hill, Tram , MD Tharian, Anita , DO Eff 01-Jan-17 Eff 01-Apr-18 Eff 22-Oct-19 Hospitalist Internists Associates, Hill Medical Services PLLC Pro Physicians Clinic, PA PLLC 6800 Preston Rd 6957 W Plano Pkwy Ste 1100 1100 Alllied Dr Plano, TX 75024-2505 Plano, TX 75093 Plano, TX 75093 (214) 479-3600 (972) 820-1400 (469) 814-3278 • Languages spoken / Idioma(s) hablado(s): Vietnamese Thompson, Mandy , MD Chen, Alice , DO Eff 01-Sep-18 Eff 01-Feb-17 Raghu, Aarti , MD Reclaim Physicians Medical Group Alpha Physicians of Texas PA Eff 14-Dec-15 Inc 1220 Coit Rd, Ste 105 Baylor Scott & White Plano IPCU 2301 W Parker Rd, Ste 3 Plano, TX 75075 4700 Alliance Blvd Ste 400 Plano, TX 75023-7877 (972) 889-8888 Plano, TX 75093 (214) 862-5581 • Languages spoken / Idioma(s) (469) 814-6631 hablado(s): Chinese Verma, Anupam Y, MD Raghu, Aarti , MD Eff 01-Jan-17 Johnson, Nichole K, MD Eff 14-Dec-15 Hospitalist Internists Associates, Eff 30-Apr-20 Baylor Scott & White Dallas PLLC Wound Integrity Diagnostic Association - Plano 1100 Alllied Dr 3901 W 15th St 4700 Alliance Blvd Ste 400 Plano, TX 75093 Plano, TX 750757738 Plano, TX 75093 (469) 814-3278 (972) 596-6800 (469) 814-6631 Yaghmaie, Mehran , MD Johnson, Nichole K, MD Rosenstein, David M, MD Eff 15-Aug-19 Specialty Care Physicians & Other Providers/ Eff 30-Apr-20 Eff 15-Aug-19 Hospitalist Internists Associates, Wound Integrity Hospitalist Internists Associates, PLLC 4001 W 15th St Ste 100 PLLC 1100 Alllied Dr Médicos de cuidado especializado y otros proveedores Plano, TX 75093-5837 1100 Alllied Dr Plano, TX 75093 (214) 473-7671 Plano, TX 75093 (469) 814-3278 (469) 814-3278 Mohapatra, Swatee , MD Dallas County | Condado de Eff 14-Apr-20 Sharma, Neeraj R, MD Doctors of Internal Medicine Eff 14-Aug-19 Dallas 5941 Dallas Pkwy Ste 100 Curate HealthCare Services Plano, TX 75093 1400 Preston Rd, Ste 400 Bigham, Gene O, MD (972) 758-4455 Plano, TX 75093 Eff 15-Oct-18 (972) 632-2358 Promontory Geriatrics, LLC Muthu, Krishnakumar R, MD 214 W Beltline Rd, Ste B Eff 03-Jun-19 Tharian, Anita , DO Cedar Hill, TX 75104 DFW MDCare, PLLC Eff 19-Jan-19 (972) 291-6667 4116 W Spring Creek Pkwy, Ste Reclaim Physicians Medical Group • Languages spoken / Idioma(s) 400-C Inc hablado(s): Spanish Plano, TX 75024-5238 6957 W Plano Pkwy, Ste 1100 (469) 983-5000 Plano, TX 75093-1621 Abdul-Karim, Raghad M, MD (469) 364-7880 Eff 01-Feb-16 Perijoc, Mihaela , MD • Languages spoken / Idioma(s) Texas Oncology, PA Eff 15-Oct-18 hablado(s): Malay 3535 Worth St, Ste C-1025 Mihaela Perijoc, MD PA Dallas, TX 75246-2006 7713 San Jacinto Place, Ste 300 (214) 865-1020 Plano, TX 75024 (214) 790-6428 • Languages spoken / Idioma(s) hablado(s): French

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 197 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Alavi, Ali H, DO Bronowitz, Philip F, MD Hodges, Slade , MD Eff 15-Dec-18 Eff 12-Dec-17 Eff 13-Nov-20 DFW Neuropathy Arthritis Strategies of Texas PLLC Baylor Scott & White Hospital 6210 Campbell Rd, Ste 100 8611 Hillcrest Ave Ste 200B Medicine Dallas Dallas, TX 75248-1371 Dallas, TX 75225-4203 3600 Gaston Ave Ste 550 Wadley (972) 931-3131 (214) 812-9770 Tower Dallas, TX 75246 Alobaidi, Fahad , MD Chan, Samuel C, DO (214) 821-1177 Eff 22-May-19 Eff 15-Oct-18 Dallas Renal Group, PA Samuel C. Chan, DO, PA Hodges, Slade , MD 3571 W Wheatland Rd, Ste 101 5787 S Hampton Rd, Ste 300 Eff 13-Nov-20 Dallas, TX 75237-3461 Dallas, TX 75232 Baylor Scott & White Hospital (972) 274-5555 (214) 330-3034 Medicine - Dallas 3600 Gaston Ave Ste 550 Wadley Andino Velez, Julio , MD Chapel, Ashley K, MD Tower Eff 18-Apr-17 Eff 11-Nov-20 Dallas, TX 75246 Paradigm Neurodiagnostics Dallas Hospital Consultants PA (214) 821-1177 6634 Aberdeen Ave 1441 N Beckley Ave Dallas, TX 75230-5304 Dallas, TX 75203-1201 Kelly, Ronan , MD (469) 708-6280 (214) 947-2380 Eff 21-Jun-19 Texas Oncology, PA Arauz-Pacheco, Carlos , MD Edwards, Jennifer L, MD 3410 Worth St, Ste 160 Eff 15-Sep-19 Eff 21-Jan-20 Dallas, TX 75246 Diabetes & Endocrinology Clinical North Texas Preferred Health (214) 826-9797 Consultants of Texas Partners Specialty Care Physicians & Other Providers/ 12606 Greenville Ave, #200 3417 Gaston Ave Ste 700 Kohl, Susan E, MD Dallas, TX 75243-1923 Dallas, TX 75246-2031 Eff 01-Jan-16 Médicos de cuidado especializado y otros proveedores (214) 660-2020 (214)823-4800 Baylor Scott & White Hospital Medicine - Dallas Barsik, Tamara , MD Freeland, Zachary , MD 3600 Gaston Ave Ste 550 Wadley Eff 30-Dec-19 Eff 26-Apr-20 Twr Medico MD Baylor Scott & White Hospital Dallas, TX 75246 2223 Singleton Boulevard Ste 212 Medicine - Dallas (214) 821-1177 Dallas, TX 75212-3784 3600 Gaston Ave (214) 678-9200 Dallas, TX 75246 Lopez, Sonya , MD (214) 821-1177 Eff 01-Nov-18 Barsik, Tamara , MD Baylor Scott & White Supportive & Eff 30-Dec-19 Hammad Al Taq, Hiba , MD Palliative Care Medico MD Eff 13-Nov-20 3410 Worth Street, Suite 820 6909 Lake June Rd Baylor Scott & White Hospital Dallas, TX 75246 Dallas, TX 75217-1325 Medicine - Dallas (214) 820-9248 (214) 391-1900 3600 Gaston Ave Ste 550 Dallas, TX 75246 Mallat, Damien B, MD Bommisetty, Deepak , MD (214) 821-1177 Eff 20-Jan-17 Eff 07-Sep-20 Premier Gastroenterology of Dallas Hospital Consultants PA Hassan, Sarah , MD Texas PA 1441 N Beckley Ave Eff 26-Apr-20 12200 Park Central Dr Ste 240 Dallas, TX 75203-1201 Baylor Scott & White Hospital Dallas, TX 75230-3220 (214) 947-2380 Medicine - Dallas (972) 404-4700 3600 Gaston Ave Dallas, TX 75246 (214) 821-1177

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 198 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Marchessault, Michelle , MD Srivastava, Ashwani D, MD Jimenez-Justiniano, Gilberto , MD Eff 13-Nov-20 Eff 15-Oct-18 Eff 30-May-20 Baylor Scott & White Hospital Internal Medicine Associates of Texas Oncology, PA Medicine - Dallas South Dallas, PA 1501 W Royal Ln 3600 Gaston Ave Ste 550 4305 W. Wheatland Rd, Ste 101 Irving, TX 75063 Dallas, TX 75246 Dallas, TX 75237 (469) 513-5500 (214) 821-1177 (972) 708-9494 Jimenez-Justiniano, Gilberto , MD Mintz, Howard M, MD Tharian, Anita , DO Eff 30-May-20 Eff 01-Sep-16 Eff 19-Jan-19 Texas Oncology, PA Private Practice- Howard M Mintz Reclaim Physicians Medical Group 2021 N MacArthur Blvd Ste 400 MD Inc Irving, TX 75061 10501 N Central Expy, Ste 101 12606 Greenville Ave, Ste 160 (972) 256-3537 Dallas, TX 75231 Dallas, TX 75243-1915 (214) 363-8447 (469) 364-7800 Koyya, Venkata , MD • Languages spoken / Idioma(s) Eff 26-Apr-20 Raver, Catherine A, MD hablado(s): Malay Baylor Scott & White Hospital Eff 01-Jan-14 Medicine - Irving Baylor Scott & White Hospital Tharian, Anita , DO 2001 N. MacArthur Blvd Medicine Dallas Eff 22-Oct-19 Irving, TX 75061 3600 Gaston Ave Ste 550 Wadley Pro Physicians Clinic, PA (972) 579-8485 Twr 12606 Greenville Ave Ste 185 Dallas, TX 75246 Dallas, TX 75243-1915 Maddox, Ty C, DO (214) 821-1177 (469) 364-7880 Eff 01-Jul-18 Baylor Scott & White Medical & Specialty Care Physicians & Other Providers/ Raver, Catherine A, MD Fordjour, Kusi , MD Surgical Clinic - Irving Eff 01-Jan-14 Eff 15-Oct-18 2021 N MacArthur Blvd Ste 115 Baylor Scott & White Hospital Kusi Fordjour, MD, PA Irving, TX 75061 Médicos de cuidado especializado y otros proveedores Medicine - Dallas 2505 Bolton Boone Drive Suite (972) 817-1000 3600 Gaston Ave Ste 550 Wadley 101 Twr Desoto, TX 75115 Maddox, Ty C, DO Dallas, TX 75246 (972) 283-9100 Eff 01-Jul-18 (214) 821-1177 Baylor Scott & White Medical & Singh, Anil , MD Surgical Clinic - Irving Rosenstock, David , MD Eff 15-Mar-20 2021 N MacArthur Blvd Ste 350 Eff 15-Dec-18 Lung Specialist Associates of Irving, TX 75061 David Rosenstock, MD Texas PLLC (972) 817-1550 3443 W Wheatland Rd 2700 Walker Way # D Dallas, TX 75237-3459 Desoto, TX 75115-2088 Acharya, Nikhil B, MD (972) 709-8500 (516)474-2893 Eff 18-Jan-18 Star MD, PLLC Shah, Mili , MD Paradiso, Paul , DO 1011 N Galloway Ave Eff 13-Nov-20 Eff 13-Sep-19 Mesquite, TX 75149-2760 Baylor Scott & White Hospital Digestive Health Associates of (972) 698-2371 Medicine - Dallas Texas PA 3600 Gaston Ave Ste 550 7150 N President Bush Hwy Ste Alobaidi, Fahad , MD Dallas, TX 75246 201 Eff 22-May-19 (214) 821-1177 Garland, TX 75044 Dallas Renal Group, PA (972) 771-2222 2698 N Galloway Ave, Ste 104 Mesquite, TX 75150 (972) 681-4444

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 199 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Castillo, Roman A, MD Iqbal, Mohammed S, MD Alavi, Ali H, DO Eff 08-Jun-20 Eff 15-Nov-19 Eff 15-Dec-18 Dallas Medical Physician Group Q Physician Group, PLLC DFW Neuropathy 820 E Cartwright Rd Ste 100 3306 Wendover Ct 2435 West Oak St, Ste 101 Mesquite, TX 75149-6063 Richardson, TX 75082-3248 Denton, TX 76201-2308 (214) 320-7600 (469) 757-1600 (817) 924-1000 Elmahi, Mutaz A, MD Rose, Cary , MD Harman, Bruce A, MD Eff 08-Dec-18 Eff 05-Aug-18 Eff 01-Dec-17 Star MD, PLLC Apex Imaging, Inc Medical Experts Of Texas, PA 1011 N Galloway Ave 1701 N Collins Blvd, Ste 230 2725 Wind River Ln Mesquite, TX 75149-2760 Richardson, TX 75080-3553 Denton, TX 76210-2999 (972) 698-2371 (469) 277-8484 (972) 434-8000 Jabi, Abdulatif A, MD Dang, Van , MD Patel, Manoj , MD Eff 22-Jun-20 Eff 01-Jun-18 Eff 01-Aug-17 Star MD PLLC Baylor Scott & White Hospital Kunik Health, PA 1011 N Galloway Ave Medicine - Lake Pointe 2281 Olympia Dr, Ste 100 Mesquite, TX 75149-2433 6800 Scenic Drive, Suite 1071 Flower Mound, TX 75028-1857 (972) 698-2371 Rowlett, TX 75088 (469) 322-0089 (972) 535-2946 Olinde, Allison E, MD Mansoor, Urooj , MD Eff 24-Oct-18 Dickson, Devin L, MD Eff 08-Dec-19 Star MD, PLLC Eff 19-Mar-20 Urooj Mansoor MD 1011 N Galloway Ave Primary Care Physicians of Texas 11330 Legacy Dr, Ste 204 Specialty Care Physicians & Other Providers/ Mesquite, TX 75149-2760 PA Frisco, TX 75033-1206 (972) 698-2371 6900 Scenic Dr Ste 102 (469) 731-4200 Médicos de cuidado especializado y otros proveedores Rowlett, TX 75088 Reddy, Padi , MD (972) 463-2001 Quarshie, Christopher Trebi, DO Eff 14-Mar-19 Eff 03-Aug-18 Star MD, PLLC Denton County | Condado de Artesan Infectious Disease 1011 N Galloway Ave Consultant Mesquite, TX 75149-2760 Denton 4645 Avon Ln Ste 215 (972) 698-2371 Frisco, TX 75033-1614 Mathew, Anita S, MD (469) 212-9171 Tharian, Anita , DO Eff 15-Jan-20 Eff 19-Jan-19 Dallas Rheumatology PLLC Thompson, Mandy , MD Reclaim Physicians Medical Group 2008 E Hebron Pkwy Ste 100 Eff 01-Sep-18 Inc Carrollton, TX 75007-1601 Reclaim Physicians Medical Group 1645 N Town East Blvd, Ste 503 (972) 626-3280 Inc Mesquite, TX 75150-4147 2570 FM 407, Ste 135 (469) 547-6541 Raghu, Aarti , MD Highland Village, TX 75077-3078 • Languages spoken / Idioma(s) Eff 14-Dec-15 (214) 245-1269 hablado(s): Malay Baylor Scott & White Hospital Medicine - Carrollton Johnson, Bryan G, MD Tharian, Anita , DO 4343 N Josey Ln Eff 05-Aug-18 Eff 22-Oct-19 Carrollton, TX 75010 The Colony Total Wellness Clinic Pro Physicians Clinic, PA (972) 600-2989 PLLC 1645 N Town East Blvd 4815 TX-121 Ste 5 Mesquite, TX 75150 The Colony, TX 75056-2906 (469) 547-6541 (800) 246-5698

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 200 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ellis County | Condado de Ellis Hill County | Condado de Hill Rockwall County | Condado de Rockwall Reddy, Rathan , MD Havins, Jeremiah D, MD Eff 13-Sep-19 Eff 25-Jan-18 Arauz-Pacheco, Carlos , MD Digestive Health Associates of Waco Heart & Vascular Eff 15-Sep-19 Texas PA 1323 E Franklin, Ste 103 Diabetes & Endocrinology Clinical 2460 N Interstate 35 E Ste 190 Hillsboro, TX 76645 Consultants of Texas Waxahachie, TX 75165 (254) 235-9355 890 Rockwall Pkwy #105 (214) 941-6891 Rockwall, TX 75032-6871 Hood County | Condado de (972) 475-5600 Grayson County | Condado de Hood Grayson Paradiso, Paul , DO Alobaidi, Fahad , MD Eff 13-Sep-19 Singh, Anil , MD Eff 22-May-19 Digestive Health Associates of Eff 15-Mar-20 Dallas Renal Group, PA Texas PA Lung Specialist Associates of 1200 Crawford Ave, Ste E 3144 Horizon Rd Ste 210 Texas PLLC Granbury, TX 76048 Rockwall, TX 75032 5016 US Hwy 75 (817) 488-6669 (972) 771-2222 Denison, TX 75020-4584 (903)416-4454 Johnson County | Condado de Tarrant County | Condado de Tarrant Singh, Anil , MD Johnson Eff 15-Mar-20 Alavi, Ali H, DO

Vu, Angelo , DO Specialty Care Physicians & Other Providers/ Lung Specialist Associates of Eff 15-Dec-18 Texas PLLC Eff 01-Aug-16 The Internal Medicine Center of DFW Neuropathy 1810 W US Hwy 82 Médicos de cuidado especializado y otros proveedores Fort Worth 919 W Randol Mill Rd Sherman, TX 75092-7069 Arlington, TX 76012-2511 (903)870-2600 12001 South Freeway Burleson, TX 76028 (682) 323-5904 Singh, Anil , MD (817) 568-8700 Amin, Aamir A, MD Eff 15-Mar-20 Eff 15-Oct-18 Lung Specialist Associates of Parker County | Condado de HeartPlace, PA Texas PLLC Parker 400 W Arbrook Blvd, Ste 200 300 N Highland Ave Ste 455 Arlington, TX 76014 Sherman, TX 75092-7391 Mughal, Aleem , MD (817) 468-2028 (516)474-2893 Eff 14-Aug-17 Heart Center of North Texas, PA Barsik, Tamara , MD Singh, Anil , MD Eff 30-Dec-19 Eff 15-Mar-20 920 Hilltop Weatherford, TX 76086 Medico MD Lung Specialist Associates of 6302 Meadowbrook Dr Ste 112 Texas PLLC (817) 334-2800 • Languages spoken / Idioma(s) Fort Worth, TX 76112-5163 500 N Highland Ave (817) 446-0800 Sherman, TX 75092-7354 hablado(s): Spanish (903)870-4598 Gautam, Shovendra , MD Eff 13-Nov-20 Baylor Scott & White Hospital Medicine - Fort Worth 1400 8th Ave C770 Fort Worth, TX 76104 (817) 922-1770

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 201 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Goyal, Vikas , MD Rheams, Christopher N, MD Thompson, Mandy , MD Eff 21-Nov-16 Eff 26-Apr-20 Eff 01-Sep-18 Texas Pulmonary & Critical Care Baylor Scott & White Hospital Reclaim Physicians Medical Group Consultants, PA Medicine - Fort Worth Inc 1521 Cooper St 1400 8th Ave 913 S Main St, Unit 212 Fort Worth, TX 76104 Fort Worth, TX 76104 Grapevine, TX 76051-7582 (817) 336-5864 (817) 922-1770 (817) 985-4500 Kalu, Ifemoa A, MD Simien, Melvin P, MD Alavi, Ali H, DO Eff 23-Mar-20 Eff 19-Jan-20 Eff 15-Dec-18 Medical Associates of North Texas Baylor Scott & White Digestive DFW Neuropathy 923 College Ave Ste 101 Diseases Group 9525 N Beach Street, Ste 421 Fort Worth, TX 76104-3051 5701 Bryant Irvin Rd Ste 301 Keller, TX 76244-6438 (972) 544-6600 Fort Worth, TX 76132 (817) 924-1000 817-912-9180 Kommana, Sandhya L, MD Seth, Sharon , MD Eff 19-Jul-18 Subedi, Ramesh , MD Eff 08-Aug-16 PPG Health, PA Eff 21-Feb-20 Texas Regional Asthma & Allergy 1001 Pennsylvania Ave Texas Pulmonary & Critical Care Center, LLP Fort Worth, TX 76104-2228 1201 Fairmount Ave 4312 Heritage Trace Pkwy, Ste (817) 877-5858 Fort Worth, TX 76104 708 (817) 335-5288 Keller, TX 76244 Mallat, Damien B, MD (817) 421-0770 Eff 20-Jan-17 Suleiman, Yousef N, MD Premier Gastroenterology of Eff 13-Nov-20 Seth, Sharon , MD Specialty Care Physicians & Other Providers/ Texas PA Baylor Scott & White Hospital Eff 08-Aug-16 1001 12th Ave Ste 171 Medicine - Fort Worth Texas Regional Asthma & Allergy Médicos de cuidado especializado y otros proveedores Fort Worth, TX 76104-3926 1400 8th Ave C770 Center, LLP (972) 404-4700 Fort Worth, TX 76104 900 E Southlake Blvd, Ste 300 (817) 922-1770 Southlake, TX 76092 Mallat, Damien B, MD (817) 421-0770 Eff 20-Jan-17 Thompson, Mandy , MD Premier Gastroenterology of Eff 01-Sep-18 Maternal and Fetal Medicine/ Texas PA Reclaim Physicians Medical Group Medicina materno-fetal 800 8th Ave Ste 116 Inc Fort Worth, TX 76104-2606 525 Bailey Ave Collin County | Condado de (817) 632-1906 Fort Worth, TX 76107-2125 (817) 348-8488 Collin Mansoor, Urooj , MD Eff 13-Nov-20 Uppalapati, Sesha S, MD Albert Jr, Thomas J, MD Baylor Scott & White Hospital Eff 01-Jul-20 Eff 15-Feb-17 Medicine - Fort Worth Alliance Endocrinology PC Private Practice 1400 8th Ave C770 3025 N Tarrant Pkwy Ste 240 6130 W Parker, MIB 1, Ste 308 Fort Worth, TX 76104 Fort Worth, TX 76177 Plano, TX 75093 (817) 922-1770 (817) 310-8881 (972) 981-8889 Mughal, Aleem , MD Bamgbelu, Olukayode A, MD Eff 14-Aug-17 Eff 17-May-20 Heart Center of North Texas, PA Baylor Scott & White Hospital 1017 12th Ave Medicine - Grapevine Fort Worth, TX 76104 1650 W College St (817) 334-2800 Grapevine, TX 76051 • Languages spoken / Idioma(s) (817) 388-3440 hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 202 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Yost, Nicole P, MD Spooner, Elizabeth G, MD Eff 01-Jan-15 Eff 24-Jan-19 Dallas Fetal Care Consultants, LLC Fort Worth Perinatal Associates, 411 N Washington Ave, Ste 3300 PA Magee, Kevin P, MD Dallas, TX 75246-1707 1250 8th Ave, Ste 570 Eff 15-Jan-15 (214) 824-9600 Fort Worth, TX 76104-4145 Fetal Care Consultants, LLC • Languages spoken / Idioma(s) (817) 332-6667 411 N Washington Ave, Ste 3300 hablado(s): German Dallas, TX 75246-1707 Graham, Jack M, MD (214) 824-9600 Yost, Nicole P, MD Eff 15-Nov-16 • Languages spoken / Idioma(s) Eff 12-Jan-20 Perinatal Medicine Associates hablado(s): Spanish Physician Associates of Southwest 1600 W College St, Ste 210 Dallas Grapevine, TX 76051-2100 Magee, Kevin P, MD 122 W Colorado Blvd (817) 481-0111 Eff 12-Jan-20 Dallas, TX 75208 Physician Associates of Southwest (214) 947-6700 Mental Health Counselor (LPC, Dallas LCDC, LMFT, LCSW)/ Consejero 122 W Colorado Blvd Denton County | Condado de de Salud Mental (LPC, LCDC, Dallas, TX 75208-2382 LMFT, LCSW) (214) 947-6700 Denton Ogunleye, Oluseyi K, MD Koster, Erin L, MD Collin County | Condado de Eff 14-May-19 Eff 01-Nov-15 Collin Fetal Care Consultants, LLC Erin L Koster MD PA 7777 Forest Lane Bldg C, Ste 742 4645 Avon Ln Ste 180B

Armstrong, Lucille , LCSW Specialty Care Physicians & Other Providers/ Dallas, TX 75230-2571 Frisco, TX 75033-1547 Eff 29-Jul-16 (972) 566-5600 (972) 704-1318 AssuraSource 100 Allentown Pkwy, Ste 206 Médicos de cuidado especializado y otros proveedores Ogunleye, Oluseyi K, MD Tarrant County | Condado de Allen, TX 75002-4215 Eff 12-Jan-20 (972) 233-1010 Physician Associates of Southwest Tarrant Dallas Ballenger, James , LCSW 122 W Colorado Blvd Hadley, Emily E, MD Eff 28-Sep-16 Dallas, TX 75208 Eff 13-Dec-18 AssuraSource (214) 947-6700 Fort Worth Perinatal Associates, 100 Allentown Pkwy, Ste 206 PA Allen, TX 75002-4215 Warren, Margaret A, DO 1250 8th Ave, Ste 570 (972) 233-1010 Eff 05-Oct-18 Fort Worth, TX 76104-4145 Fetal Care Consultants, LLC (817) 332-6667 Brackenridge, Sandra , LCSW 7777 Forest Lane Bldg C, Ste 742 Eff 16-Sep-16 Dallas, TX 75230-2571 Hernandez, Celso A, MD AssuraSource (972) 566-5600 Eff 05-Feb-19 100 Allentown Pkwy, Ste 206 Fort Worth Perinatal Associates, Allen, TX 75002-4215 Warren, Margaret A, DO PA (972) 233-1010 Eff 12-Jan-20 1250 8th Ave, Ste 570 Physician Associates of Southwest Fort Worth, TX 76104-4145 Calhoun, Tisha W, LCSW Dallas (817) 332-6667 Eff 08-Sep-17 122 W Colorado Blvd AssuraSource Dallas, TX 75208 Papa, Tracy E, DO 100 Allentown Pkwy, Ste 206 (214) 947-6700 Eff 01-Jan-14 Allen, TX 75002-4215 Fort Worth Perinatal Associates (972) 233-1010 1250 8th Ave, Ste 570 Fort Worth, TX 76104 (817) 332-6667

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 203 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Campbell, Leah , LCSW James, Suzanne , LCSW McClelland-Sladovnik, Linda , Eff 29-Jul-16 Eff 28-Aug-17 LCSW AssuraSource AssuraSource Eff 26-Dec-17 100 Allentown Pkwy, Ste 206 100 Allentown Pkwy, Ste 206 AssuraSource Allen, TX 75002-4215 Allen, TX 75002-4215 100 Allentown Pkwy, Ste 206 (972) 233-1010 (972) 233-1010 Allen, TX 75002-4215 (972) 233-1010 Capurso, Denise , LCSW Jarmon, Martha , LCSW Eff 13-Jul-20 Eff 01-Aug-16 Overton, Leanna , LCSW Assurasource Ltd AssuraSource Eff 20-Feb-18 100 Allentown Pkwy Ste 206 100 Allentown Pkwy, Ste 206 AssuraSource Allen, TX 75002-4215 Allen, TX 75002-4215 100 Allentown Pkwy, Ste 206 (972) 233-1010 (972) 233-1010 Allen, TX 75002-4215 (972) 233-1010 Casey, Brenda , LCSW Lebeau, Dorian , LCSW Eff 26-May-16 Eff 09-Sep-16 Soto, Linda , LCSW AssuraSource AssuraSource Eff 28-Aug-17 100 Allentown Pkwy, Ste 206 100 Allentown Pkwy, Ste 206 AssuraSource Allen, TX 75002-4215 Allen, TX 75002-4215 100 Allentown Pkwy, Ste 206 (972) 233-1010 (972) 233-1010 Allen, TX 75002-4215 (972) 233-1010 Ciminelli, Lisa , LCSW Lewis, Lisa , LCSW • Languages spoken / Idioma(s) Eff 08-Sep-17 Eff 01-Aug-16 hablado(s): Spanish AssuraSource AssuraSource 100 Allentown Pkwy, Ste 206 100 Allentown Pkwy, Ste 206 Walker, Alexsandra , LCSW Specialty Care Physicians & Other Providers/ Allen, TX 75002-4215 Allen, TX 75002-4215 Eff 19-Aug-16 (972) 233-1010 (972) 233-1010 AssuraSource Médicos de cuidado especializado y otros proveedores 100 Allentown Pkwy, Ste 206 Cooper, Laquita , LCSW Lindgren, Cynthia , LCSW Allen, TX 75002-4215 Eff 19-Aug-16 Eff 26-Sep-16 (972) 233-1010 AssuraSource AssuraSource 100 Allentown Pkwy, Ste 206 100 Allentown Pkwy, Ste 206 Walker, Rebecca , LCSW Allen, TX 75002-4215 Allen, TX 75002-4215 Eff 28-Aug-17 (972) 233-1010 (972) 233-1010 AssuraSource 100 Allentown Pkwy, Ste 206 Dimock, Julie , LCSW Marsden, David , LCSW Allen, TX 75002-4215 Eff 16-Aug-16 Eff 03-Oct-17 (972) 233-1010 AssuraSource AssuraSource 100 Allentown Pkwy, Ste 206 100 Allentown Pkwy, Ste 206 Chrisman-Fewell, Indira , LCSW Allen, TX 75002-4215 Allen, TX 75002-4215 Eff 01-Feb-20 (972) 233-1010 (972) 233-1010 CTCS Therapy PLLC 9555 Lebanon Rd Ste 402 Hawkins, Phillip , LCSW Martin, Gail , LCSW Frisco, TX 75035-6082 Eff 11-Oct-16 Eff 26-May-16 (833) 282-7378 AssuraSource AssuraSource 100 Allentown Pkwy, Ste 206 100 Allentown Pkwy, Ste 206 Weilage, Vanessa V, LCSW Allen, TX 75002-4215 Allen, TX 75002-4215 Eff 03-Sep-19 (972) 233-1010 (972) 233-1010 The Center for Integrative Counseling & Psychology 6400 Stonebrook Pkwy Frisco, TX 75034 (214)526-4525

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 204 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hanson, Ronald , LCSW Heald, Joan , LCSW Shepherd, Leslie , LCSW Eff 15-Aug-16 Eff 01-Mar-16 Eff 01-Jun-17 Private Practice Private Practice Heritage Behavioral Center 1575 Heritage Dr 203 5068 W Plano Pkwy, Ste 196 2222 W Spring Crk Pkwy, Ste 116 McKinney, TX 75069 Plano, TX 75093-4439 Plano, TX 75023-4183 (214) 856-4483 (972) 931-2757 (972) 964-3214 Stevens, Porscha , LCSW Jones, Rebecca , LCSW Taylor, Anastasia C, LCSW Eff 23-Oct-20 Eff 01-Jun-17 Eff 01-Dec-16 Healing Counseling Center Inc Heritage Behavioral Center ACFS Texas 8751 Collin McKinney Pkwy Ste 2222 W Spring Crk Pkwy, Ste 116 3700 W. 15th St. Ste. 100 204 Plano, TX 75023-4183 Plano, TX 75075-4736 McKinney, TX 75070-1658 (972) 964-3214 (817) 851-2042 (940) 220-9307 Lochridge, Mary C, LCSW Vu, Hien T, LCSW Twedell, Heather , PsyD Eff 15-Feb-20 Eff 18-Jul-16 Eff 28-Sep-19 Center for Psychological Services Baylor Scott & White Douglass Counseling & Consulting 3700 W 15th St Ste 100D Community Clinic Associates of North Texas Plano, TX 75075-4736 801 E Plano Prkwy Ste 160 2750 W Virginia Pkwy, Ste 108 (972) 332-3805 Plano, TX 75074-6797 McKinney, TX 75071-4970 (469) 800-6230 (972) 542-8144 Morrison, Cynthia , LCSW • Languages spoken / Idioma(s) Eff 20-Aug-17 hablado(s): Chinese Clarke, Aimee S, LCSW Heritage Behavioral Center Eff 01-Jun-20 2222 W Spring Crk Pkwy, Ste 116 Walton, Sandra , LCSW Specialty Care Physicians & Other Providers/ Clarke Counseling PLLC Plano, TX 75023-4183 Eff 01-Jun-17 8105 Rasor Blvd Ste 115 (972) 964-3214 Heritage Behavioral Center Plano, TX 75024-0116 2222 W Spring Crk Pkwy, Ste 116 Médicos de cuidado especializado y otros proveedores (214) 210-0160 Parnell, Abigail , LCSW Plano, TX 75023-4183 Eff 07-Feb-20 (972) 964-3214 Davis, Pamela A, LCSW ACFS Texas • Languages spoken / Idioma(s) Eff 14-Sep-15 3700 W 15th St Ste 100 hablado(s): Spanish Hope Clinic of Garland Plano, TX 75075-4736 801 E Plano Prkwy Ste 160 (817) 851-2042 Wells, Carol C, LCSW Plano, TX 75074 Eff 06-Sep-17 (469) 800-6230 Rigg, Michelle L, LCSW ACFS Texas • Languages spoken / Idioma(s) Eff 01-Jul-20 3700 W. 15th St. Ste. 100 hablado(s): Spanish Michelle L Rigg PLLC Plano, TX 75075-4736 5509 Pleasant Valley Dr Ste 70 (817) 851-2042 English, Jamie G, LCSW Plano, TX 75023-5225 Eff 15-Feb-20 (214) 616-3700 Whitted, Jennifer , LPC Center for Psychological Services Eff 29-Nov-17 3700 W 15th St Ste 100D Saliba, Lauren Kellersman, LCSW Dallas Counseling and Treatment Plano, TX 75075-1736 Eff 01-Jun-17 Center (972) 332-3805 Heritage Behavioral Center 5445 Legacy Dr, Ste 125 2222 W Spring Crk Pkwy, Ste 116 Plano, TX 75024-3309 Gerich, Alicia D, LCSW Plano, TX 75023-4183 (972) 865-8782 Eff 01-Jul-16 (972) 964-3214 Child and Family Guidance Centers 4031 W Plano Pkwy, Ste 121 Plano, TX 75093 (214) 351-3490

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 205 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Gerich, Alicia D, LCSW Murphy, Rachel , LCSW Eff 01-Jul-16 Eff 05-Jul-18 Dallas Child and Family Guidance The Center for Integrative Centers Counseling & Psychology Clark, Susan L, LCSW * 210 W 10th St 4525 Lemmon Ave, Ste 200 Eff 14-Sep-15 Dallas, TX 75208 Dallas, TX 75219-2145 Baylor Scott & White Community (214) 351-3490 (214) 526-4525 Care Fort Worth 2835 Al Lipscomb Way Gerich, Alicia D, LCSW Murphy, Rachel , LCSW Dallas, TX 75215 Eff 01-Jul-16 Eff 05-Jul-18 (972) 817-6000 Child and Family Guidance The Center for Integrative • Languages spoken / Idioma(s) Centers Counseling & Psychology hablado(s): Spanish 8915 Harry Hines Blvd 125 Sunset Ave Dallas, TX 75235 Dallas, TX 75208-4516 Corbin, Tabitha K, LCSW (214) 351-3490 (214) 526-4525 Eff 08-Aug-17 The Center for Integrative Groth, Jessica , LCSW Murphy, Rachel , LCSW Counseling & Psychology Eff 30-Oct-20 Eff 05-Jul-18 4525 Lemmon Ave, Ste 200 Dallas Counseling and Treatment The Center for Integrative Dallas, TX 75219-2145 Center Counseling & Psychology (214) 526-4525 4144 N Central Expy Ste 850 4316 Abrams Road Dallas, TX 75204-3226 Dallas, TX 75214-2354 Davis, Pamela A, LCSW (972) 865-8782 (214)526-4525 Eff 14-Sep-15 Hope Clinic of Garland Horton, Barbara , LCSW Niemann, Natalie A, LPC Specialty Care Physicians & Other Providers/ 2835 Al Lipcomb Way Eff 10-May-16 Eff 04-Nov-19 Dallas, TX 75215 The Center for Integrative Child and Family Guidance Médicos de cuidado especializado y otros proveedores (214) 421-1783 Counseling & Psychology Centers • Languages spoken / Idioma(s) 4525 Lemmon Ave, Ste 200 210 W 10th St hablado(s): Spanish Dallas, TX 75219-2145 Dallas, TX 75208 (214) 526-4525 (214) 351-3490 Davis, Pamela A, LCSW Eff 14-Sep-15 Kursawe, Megan , LCSW Pomroy, Patricia , LCSW Hope Clinic of Garland Eff 28-Jul-16 Eff 20-Aug-18 4001 Worth Street Dallas Counseling and Treatment Dallas Counseling and Treatment Dallas, TX 75246 Center Center (972) 817-7070 4144 N Central Expy, Ste 850 4144 N Central Expy, Ste 850 • Languages spoken / Idioma(s) Dallas, TX 75204-3226 Dallas, TX 75204-3226 hablado(s): Spanish (972) 865-8782 (972) 865-8782 Davis, Pamela A, LCSW Merchant, Albert W, LCSW Redington, Judy , LCSW Eff 14-Sep-15 Eff 01-Mar-16 Eff 01-Jul-19 Hope Clinic of Garland Private Practice Private Practice 4500 Spring Avenue 10300 N Central Exprwy, Ste 203 12800 Hillcrest Rd, # A218 Dallas, TX 75210 Dallas, TX 75231 Dallas, TX 75230-1524 (214) 349-4325 (214) 503-9222 (972) 233-5277 • Languages spoken / Idioma(s) hablado(s): Spanish Murillo, Eva M, LCSW Rees, Gina , LCSW Eff 14-Sep-15 Eff 01-Jun-18 Baylor Scott & White HouseCalls The Center for Integrative 4009 Worth St Counseling & Psychology Dallas, TX 75246 4525 Lemmon Ave, Ste 200 (214) 820-9115 Dallas, TX 75219-2145 (214) 526-4525

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 206 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Richards, Rosa M, LCSW Whitted, Jennifer , LPC Craft, Nancy , LCSW Eff 18-Jun-20 Eff 29-Nov-17 Eff 15-May-19 The Center for Integrative Dallas Counseling and Treatment Senior Psychological Care Dallas Counseling & Psychology Center I, LLC 4525 Lemmon Ave Ste 200 4144 N Central Expy, Ste 850 2300 Valley View Ln, Ste 330 Dallas, TX 75219-2145 Dallas, TX 75204-3226 Irving, TX 75062-1736 (214) 526-4526 (972) 865-8782 (713) 850-0049 Seligson, Alyce , LCSW Thomas, LaTisha A, LCSW Davis, Pamela A, LCSW Eff 23-Dec-16 Eff 15-Jun-20 Eff 14-Sep-15 Dallas Counseling and Treatment Tomorrow and Beyond PLLC Hope Clinic of Garland Center 1666 N Hampton Rd Ste 109 1302 Ln St Ste 100 4144 N Central Expy, Ste 850 Desoto, TX 75115-2390 Irving, TX 75061 Dallas, TX 75204-3226 (972) 427-4332 (469) 800-1012 (972) 865-8782 • Languages spoken / Idioma(s) Davis, Pamela A, LCSW hablado(s): Spanish Smith, Robert , LCSW Eff 14-Sep-15 Eff 15-Jul-20 Hope Clinic of Garland Davis, Tricia , LCSW Rob Smith LCSW 601 Clara Barton Blvd Ste 180 Eff 15-May-19 8035 E R L Thornton Fwy Ste 503 Garland, TX 75042 Senior Psychological Care Dallas Dallas, TX 75228-7012 (469) 800-2050 I, LLC (214) 543-5449 • Languages spoken / Idioma(s) 2300 Valley View Ln, Ste 330 hablado(s): Spanish Irving, TX 75062-1736 Strenger, Nathaniel R, PsyD (713) 850-0049 Eff 21-Aug-20 Davis, Pamela A, LCSW Specialty Care Physicians & Other Providers/ The Center for Integrative Eff 14-Sep-15 Denson, Michael , LCSW Counseling & Psychology Hope Clinic of Garland Eff 01-Jul-16 4525 Lemmon Ave Ste 200 800 S 6th St Ste 100 Private Practice Médicos de cuidado especializado y otros proveedores Dallas, TX 75219 Garland, TX 75040 1075 Kinwest Pkwy, Ste 107 (214) 526-4526 (469) 800-2500 Irving, TX 75063 • Languages spoken / Idioma(s) (972) 910-8388 Todd, Laurie A, LCDC hablado(s): Spanish Eff 08-Dec-17 Earwood, Kristen , LCSW Dallas Counseling and Treatment Horton, Barbara , LCSW Eff 15-May-19 Center Eff 10-May-16 Senior Psychological Care Dallas 4144 N Central Expy, Ste 850 The Center for Integrative I, LLC Dallas, TX 75204-3226 Counseling & Psychology 2300 Valley View Ln, Ste 330 (972) 865-8782 1212 W Buckingham Rd Irving, TX 75062-1736 Garland, TX 75040 (713) 850-0049 Vargas Vilugron, Marisol A, LCSW (214) 526-4525 Eff 19-Jan-20 Hopkins, Loyce , LCSW Baylor Scott & White Community Littleberry, Merrill , LCSW Eff 01-Sep-19 Care Worth Street Eff 01-Mar-16 Senior Psychological Care Dallas 4001 Worth St TRI-S Counseling & Education, I, LLC Dallas, TX 75246 LLC 2300 Valley View Ln, Ste 330 (972) 817-7070 2100 N Hwy 360, 1403 Irving, TX 75062-1736 Grand Prairie, TX 75050 (713) 850-0049 Weilage, Vanessa V, LCSW (817) 920-9321 Eff 03-Sep-19 The Center for Integrative Counseling & Psychology 4525 Lemmon Ave, Ste 200 Dallas, TX 75219-2145 (214) 526-4525

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 207 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Jones-McCracken, Ashley , LCSW Turner, Rhonda , LCSW Gill, Vanessa M, LCSW Eff 15-May-19 Eff 15-May-19 Eff 10-Aug-17 Senior Psychological Care Dallas Senior Psychological Care Dallas Counseling Center of North Texas I, LLC I, LLC 303 S Hwy 78, Ste 100 2300 Valley View Ln, Ste 330 2300 Valley View Ln, Ste 330 Wylie, TX 75098-3957 Irving, TX 75062-1736 Irving, TX 75062-1736 (469) 342-3468 (713) 850-0049 (713) 850-0049 Siddiqui, Sheema , LCSW Korn, Rebecca , LCSW Gerich, Alicia D, LCSW Eff 17-Sep-19 Eff 15-Nov-19 Eff 01-Jul-16 Counseling Center of North Texas Senior Psychcare of Dallas I PLLC Child and Family Guidance 303 S Hwy 78, Ste 100 2300 Valley View Ln Ste 330 Centers Wylie, TX 75098-3957 Irving, TX 75062-1736 120 W Main St, Ste 220 (469) 342-3468 (713) 850-0049 Mesquite, TX 75149 (214) 351-3490 Denton County | Condado de Korn, Rebecca , LCSW Eff 08-Jul-20 Horton, Barbara , LCSW Denton Senior Psychological Care Dallas I Eff 10-May-16 LLC The Center for Integrative Davis, Pamela A, LCSW 2300 Valley View Ln Ste 330 Counseling & Psychology Eff 14-Sep-15 Irving, TX 75062-1736 2520 Oates Dr Hope Clinic of Garland (713) 850-0049 Mesquite, TX 75150 4325 Josey Ln Ste 103 (214) 526-4525 Carrollton, TX 75010 Korn, Rebecca , LCSW (469) 800-1200 Eff 08-Jul-20 Beckham, Melissia E, LCSW • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Senior Psychological Care I LLC Eff 01-Jan-15 hablado(s): Spanish 2300 Valley View Ln Ste 330 Melissa Beckham, LCSW Médicos de cuidado especializado y otros proveedores Irving, TX 75062-1736 2821 E President George Bush Kursawe, Megan , LCSW (713) 850-0049 Hwy, Ste 100 Eff 28-Jul-16 Richardson, TX 75082-4277 Dallas Counseling and Treatment Reese, Tascha , LCSW (254) 415-7989 Center Eff 15-May-19 101 S Locust St, Ste 602 Senior Psychological Care Dallas Weilage, Vanessa V, LCSW Denton, TX 76201-6045 I, LLC Eff 03-Sep-19 (972) 865-8782 2300 Valley View Ln, Ste 330 The Center for Integrative Irving, TX 75062-1736 Counseling & Psychology Seligson, Alyce , LCSW (713) 850-0049 503 N Central Expwy Eff 23-Dec-16 Richardson, TX 75080 Dallas Counseling and Treatment Selby, Anita , LCSW (214)526-4525 Center Eff 15-May-19 101 S Locust St, Ste 602 Senior Psychological Care Dallas Shields, Sandra , LCSW Denton, TX 76201-6045 I, LLC Eff 01-Jun-18 (972) 865-8782 2300 Valley View Ln, Ste 330 Private Practice Irving, TX 75062-1736 775 Justin Rd Whitted, Jennifer , LPC (713) 850-0049 Rockwall, TX 75087-4840 Eff 29-Nov-17 (972) 772-4006 Dallas Counseling and Treatment Tome, Deborah , LCSW Center Eff 06-Dec-19 Cortez, Amanda R, LCSW 101 S Locust St, Ste 602 Senior Psychological Care Dallas Eff 01-Aug-17 Denton, TX 76201-6045 I, LLC Counseling Center of North Texas (972) 865-8782 2300 Valley View Ln, Ste 330 303 S Hwy 78, Ste 100 Irving, TX 75062-1736 Wylie, TX 75098-3957 (713) 850-0049 (469) 342-3468

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 208 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ellis County | Condado de Ellis Johnson County | Condado de Ricks, Jasmine A, LMFT Eff 09-Oct-20 Johnson Lucente, Barbara P, LCSW ACFS Texas 104 Maverick St Eff 09-May-16 Douglas, Janet , LCSW * Baylor Scott & White Family Aledo, TX 76008 Eff 01-Aug-15 (817) 851-2042 Medical Center Country Place Counseling, PLLC 2460 N IH 35, Ste 100 240 E Renfro St, Ste 201 Taylor, Anastasia C, LCSW Waxahachie, TX 75165 Burleson, TX 76028-3940 Eff 01-Dec-16 (469) 800-9500 (817) 228-4855 ACFS Texas • Languages spoken / Idioma(s) 104 Maverick St hablado(s): Spanish Parnell, Abigail , LCSW Aledo, TX 76008-4450 Eff 07-Feb-20 (817) 851-2042 Lucente, Barbara P, LCSW ACFS Texas Eff 09-May-16 140 W Eldred Wells, Carol C, LCSW Baylor Scott & White Family Burleson, TX 76028-4281 Eff 06-Sep-17 Medical Center Waxahachie (817) 851-2042 ACFS Texas 2460 N IH 35E, Ste 100 104 Maverick St Waxahachie, TX 75165 Taylor, Anastasia C, LCSW Aledo, TX 76008-4450 (469) 800-9500 Eff 01-Dec-16 (817) 851-2042 • Languages spoken / Idioma(s) ACFS Texas hablado(s): Spanish 140 W Eldred St Rockwall County | Condado de Burleson, TX 76028-4281 Rosenberger, Jackie , LCSW (817) 851-2042 Rockwall Eff 15-Aug-16 Private Practice Wells, Carol C, LCSW Kursawe, Megan , LCSW Specialty Care Physicians & Other Providers/ 508 Grace St Eff 06-Sep-17 Eff 28-Jul-16 Waxahachie, TX 75165 ACFS Texas Dallas Counseling and Treatment Médicos de cuidado especializado y otros proveedores (214) 399-3918 140 W Eldred St Center Burleson, TX 76028-4281 500 Turtle Cove, Ste 101 Hill County | Condado de Hill (817) 851-2042 Rockwall, TX 75087 (972) 865-8782 Cheek, Amie L, LCSW Parker County | Condado de Seligson, Alyce , LCSW Eff 01-Jan-18 Parker Private Practice Eff 23-Dec-16 105 N Pleasant St Dallas Counseling and Treatment Parnell, Abigail , LCSW Center Hillsboro, TX 76645 Eff 07-Feb-20 (254) 580-9116 500 Turtle Cove, Ste 101 ACFS Texas Rockwall, TX 75087 Douglas, Janet , LCSW * 104 Maverick St (972) 865-8782 Eff 01-Aug-15 Aledo, TX 76008-4450 Country Place Counseling, PLLC (817) 851-2042 Tarrant County | Condado de 1725 Old Brandon Rd Perez, Colby R, LMFT Tarrant Hillsboro, TX 76645 Eff 09-Oct-20 (817) 228-4855 ACFS Texas Black, John , LCSW 104 Maverick St Eff 01-Jul-16 Aledo, TX 76008 New Horizon Counseling Center (817) 851-2402 1601 E Lamar Blvd, Ste 210 Arlington, TX 76011-4464 (817) 522-1095

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 209 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Cobb, Sandra G, LCSW Powers, Gregory , LCSW Wells, Carol C, LCSW Eff 14-Jul-20 Eff 01-Jul-16 Eff 06-Sep-17 New Horizon Counseling Center New Horizon Counseling Center ACFS Texas 1601 E Lamar Blvd Ste 210 1601 E Lamar Blvd, Ste 210 6043 W Interstate 20 Arlington, TX 76011-4464 Arlington, TX 76011-4464 Arlington, TX 76017-1042 (817) 522-1095 (817) 522-1095 (817) 851-4042 • Languages spoken / Idioma(s) English, Jamie G, LCSW hablado(s): Spanish Griffin, Robin , LCSW Eff 15-Feb-20 Eff 01-Oct-16 Center for Psychological Services Reed, Susan R, LCSW Private Practice 6043 W I 20 Eff 01-Apr-16 1912 Central Dr, Ste A Arlington, TX 76017-1042 Private Practice Bedford, TX 76021-5894 (817) 533-0825 5628 SW Green Oaks Blvd, Ste B (817) 545-1972 Arlington, TX 76017 Fallin, Kenneth J, LCSW (817) 933-4878 Parnell, Abigail , LCSW Eff 01-Mar-16 Eff 07-Feb-20 Private Practice Taylor, Anastasia C, LCSW ACFS Texas 750 N Fielder Eff 01-Dec-16 2700 Tibbets Dr 504 Arlington, TX 76012 ACFS Texas Bedford, TX 76022-5916 (817) 253-4773 1201 N Watson Rd, Ste 286 (817) 851-2042 Arlington, TX 76006-6256 Garza, Elma A, LCSW (817) 851-2042 Taylor, Anastasia C, LCSW Eff 23-Oct-20 Eff 01-Dec-16 New Horizon Counseling Center Taylor, Anastasia C, LCSW ACFS Texas 1601 E Lamar Blvd Ste 210 Eff 01-Dec-16 2700 Tibbits Dr. #504 Specialty Care Physicians & Other Providers/ Arlington, TX 76011-4464 ACFS Texas Bedford, TX 76022-5916 (817) 522-1095 1215 W Randol Mill Rd (817) 851-2042 Médicos de cuidado especializado y otros proveedores Arlington, TX 76012-3113 Lehmann, Peter J, LCSW (817) 851-2042 Wells, Carol C, LCSW Eff 09-Jul-20 Eff 06-Sep-17 New Horizon Counseling Center Taylor, Anastasia C, LCSW ACFS Texas 1601 E Lamar Blvd Ste 210 Eff 01-Dec-16 2700 Tibbits Dr. #504 Arlington, TX 76011-4464 ACFS Texas Bedford, TX 76022-5916 (817) 522-1095 6043 W Interstate 20 (817) 851-2042 Arlington, TX 76017-1042 Lochridge, Mary C, LCSW (817) 851-4042 Black, John , LCSW Eff 15-Feb-20 Eff 01-Jul-16 Center for Psychological Services Wells, Carol C, LCSW New Horizon Counseling Center 6043 W I 20 Eff 06-Sep-17 3900 Merrett Dr, Ste A Arlington, TX 76017-1042 ACFS Texas Fort Worth, TX 76114 (817) 533-0825 1201 N Watson Rd, Ste 286 (817) 624-1222 Arlington, TX 76006-6256 Parnell, Abigail , LCSW (817) 851-2042 Braun, Heather , LCSW Eff 07-Feb-20 Eff 05-Sep-19 ACFS Texas Wells, Carol C, LCSW The Oaks Life Center 6043 W I 20 Eff 06-Sep-17 6012 Reef Point Ln Ste C Arlington, TX 76017-1042 ACFS Texas Fort Worth, TX 76135-2056 (817) 851-2042 1215 W Randol Mill Rd (682) 312-8184 Arlington, TX 76012-3113 (817) 851-2042

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 210 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Brown, Ariel , LCSW Guzzardo, Paulina N, LMFT Parnell, Abigail , LCSW Eff 30-Dec-18 Eff 05-Dec-19 Eff 07-Feb-20 Baylor Scott & White Family The Telos Project ACFS Texas Medicine Fort Worth 1650 W Rosedale St 1307 8th Ave Ste 310 900 W Magnolia, Ste 201 Fort Worth, TX 76104-7400 Fort Worth, TX 76104 Fort Worth, TX 76104 (682) 841-1475 (817) 851-2042 (817) 921-6166 Hazzard, Shana L, LCSW Parnell, Abigail , LCSW Brown, Ariel , LCSW Eff 15-Aug-16 Eff 07-Feb-20 Eff 30-Dec-18 Lena Pope Home Inc ACFS Texas Baylor Scott & White Family 3200 Sanguient St 1550 Bolton Blvd Medicine Fort Worth Fort Worth, TX 76107-5355 Fort Worth, TX 76111-2660 1101 6th Ave Ste 100 (817) 255-2652 (817) 851-2042 Fort Worth, TX 76104 (817) 912-8360 Landes, Courtney , LCSW Parnell, Abigail , LCSW Eff 15-Aug-16 Eff 07-Feb-20 Brown, Janet , LCSW Lena Pope Home Inc ACFS Texas Eff 01-May-16 3200 Sanguient St 2011 Prospect Ave Private Practice Fort Worth, TX 76107-5355 Fort Worth, TX 76164-8260 516 College Ave (817) 255-2652 (817) 851-2042 Fort Worth, TX 76104-2238 • Languages spoken / Idioma(s) (817) 996-5664 hablado(s): Spanish Parnell, Abigail , LCSW Eff 07-Feb-20 Clark, Susan L, LCSW * Lewis, Stacey L, LCSW ACFS Texas Eff 14-Sep-15 Eff 15-Aug-16 3250 Pecos St Specialty Care Physicians & Other Providers/ Baylor Scott & White Community Lena Pope Home Inc Fort Worth, TX 76119-5700 Care Fort Worth 3200 Sanguient St (817) 851-2042 1650 W Magnolia, Ste 208 Fort Worth, TX 76107-5355 Médicos de cuidado especializado y otros proveedores Fort Worth, TX 76104 (817) 255-2652 Parnell, Abigail , LCSW (817) 912-8006 Eff 07-Feb-20 • Languages spoken / Idioma(s) Littleberry, Merrill , LCSW ACFS Texas hablado(s): Spanish Eff 01-Mar-16 8340 Mojave Tr TRI-S Counseling & Education, Fort Worth, TX 76116-3638 Davis, Pamela A, LCSW LLC (817) 851-2042 Eff 14-Sep-15 100 E 15th, Ste 615 Hope Clinic of Garland Fort Worth, TX 76102 Parnell, Abigail , LCSW 1650 W Magnolia Ave Ste 208 (817) 920-9321 Eff 07-Feb-20 Fort Worth, TX 76104 ACFS Texas (817) 912-8006 Lowe, Andrea , LCSW 9800 Hillwood Pkwy Ste 140 • Languages spoken / Idioma(s) Eff 21-Feb-17 Fort Worth, TX 76177-1532 hablado(s): Spanish The Oaks Life Center (817) 851-2042 6012 Reef Point Ln Ste C Fraser, Yolanda M, LCSW Fort Worth, TX 76135-2056 Perez, Colby R, LMFT Eff 27-Mar-18 (682) 312-8184 Eff 09-Oct-20 The Oaks Life Center ACFS Texas 6012 Reef Point Ln Ste C Mattocks, Debra , LCSW 1307 8th Ave Ste 310 Fort Worth, TX 76135-2056 Eff 01-Aug-16 Fort Worth, TX 76104 (682) 312-8184 The Oaks Life Center (817) 851-2402 6012 Reef Point Ln Ste C Fort Worth, TX 76135-2056 (682) 312-8184

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 211 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Powers, Gregory , LCSW Taylor, Anastasia C, LCSW Wells, Carol C, LCSW Eff 01-Jul-16 Eff 01-Dec-16 Eff 06-Sep-17 New Horizon Counseling Center ACFS Texas ACFS Texas 3900 Merrett Dr, Ste A 2011 Prospect Ave 3250 Pecos St Fort Worth, TX 76114 Fort Worth, TX 76164-8260 Fort Worth, TX 76119-5700 (817) 624-1222 (817) 851-2042 (817) 851-2042 • Languages spoken / Idioma(s) hablado(s): Spanish Taylor, Anastasia C, LCSW Wells, Carol C, LCSW Eff 01-Dec-16 Eff 06-Sep-17 Revard, Ann , LCSW ACFS Texas ACFS Texas Eff 15-Aug-17 3250 Pecos St 8340 Mojave Trl Private Practice Fort Worth, TX 76119-5700 Fort Worth, TX 76116-3638 1533 Merrimac Cir, Ste 101 (817) 851-2042 (817) 851-2042 Fort Worth, TX 76107 (817) 810-0030 Taylor, Anastasia C, LCSW Wells, Carol C, LCSW Eff 01-Dec-16 Eff 06-Sep-17 Ricks, Jasmine A, LMFT ACFS Texas ACFS Texas Eff 09-Oct-20 8340 Mojave Trl 9800 Hillwood Pkwy. Ste. 140 ACFS Texas Fort Worth, TX 76116-3638 Fort Worth, TX 76177-1532 1307 8th Ave Ste 310 (817) 851-2042 (817) 851-2042 Fort Worth, TX 76104 (817) 851-2042 Taylor, Anastasia C, LCSW Taylor, Anastasia C, LCSW Eff 01-Dec-16 Eff 01-Dec-16 Shaw, Kasey G, LCSW ACFS Texas ACFS Texas Eff 05-Mar-19 9800 Hillwood Pkwy. Ste. 140 4232 Heritage Trace Pkwy Specialty Care Physicians & Other Providers/ The Oaks Life Center Fort Worth, TX 76177-1532 Keller, TX 76244-5375 6012 Reef Point Ln Ste C (817) 851-2042 (817) 851-2042 Médicos de cuidado especializado y otros proveedores Fort Worth, TX 76135-2056 (682) 312-8184 Wells, Carol C, LCSW Wells, Carol C, LCSW Eff 06-Sep-17 Eff 06-Sep-17 Steffens, Marie E, LCSW ACFS Texas ACFS Texas Eff 09-Oct-20 1307 8th Ave, Ste 310 4232 Heritage Trace Pkwy ACFS Texas Fort Worth, TX 76104-4140 Keller, TX 76244-5375 1307 8th Ave Ste 310 (817) 851-2042 (817) 851-2042 Fort Worth, TX 76104 (817) 851-2042 Wells, Carol C, LCSW Jeane, Martin (Marty) K, PHD Eff 06-Sep-17 Eff 01-Apr-16 Taylor, Anastasia C, LCSW ACFS Texas Martin K Jeane, PhD Eff 01-Dec-16 1550 Bolton St 305 Regency Pkwy, Ste 601 ACFS Texas Fort Worth, TX 76111-2660 Mansfield, TX 76063 1307 8th Ave, Ste 310 (817) 851-2042 (817) 539-0499 Fort Worth, TX 76104-4140 (817) 851-2042 Wells, Carol C, LCSW Taylor, Anastasia C, LCSW Eff 06-Sep-17 Eff 01-Dec-16 Taylor, Anastasia C, LCSW ACFS Texas ACFS Texas Eff 01-Dec-16 2011 Prospect Ave 602 Stada Cr, Ste 116 ACFS Texas Fort Worth, TX 76164-8260 Mansfield, TX 76063-3201 1550 Bolton St (817) 851-2042 (817) 851-2042 Fort Worth, TX 76111-2660 (817) 851-2042

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 212 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Wells, Carol C, LCSW Mattocks, Debra , LCSW Wells, Carol C, LCSW Eff 06-Sep-17 Eff 01-Aug-16 Eff 06-Sep-17 ACFS Texas The Oaks Life Center ACFS Texas 602 Stada Cr, Ste 116 8621 Mid Cities Blvd Ste 300 410 N Carroll Ave Ste 190 Mansfield, TX 76063-3201 North Richland Hills, TX 76182- Southlake, TX 76092 (817) 851-2042 4111 (817) 851-2042 (682) 312-8184 Perez, Colby R, LMFT Neonatal-Perinatal Medicine/ Eff 09-Oct-20 Shaw, Kasey G, LCSW Neonatal – Medicina perinatal ACFS Texas Eff 05-Mar-19 6051 Davis Blvd #821277 The Oaks Life Center Dallas County | Condado de North Richland, TX 76180 8621 Mid Cities Blvd Ste 300 (817) 851-2402 North Richland Hills, TX 76182- Dallas 4111 Ricks, Jasmine A, LMFT (682) 312-8184 Arias, Juan W, MD Eff 09-Oct-20 Eff 15-Oct-18 ACFS Texas Black, John , LCSW Physician Associates of Southwest 6051 Davis Rd #821277 Eff 01-Jul-16 Dallas North Richland, TX 76180 New Horizon Counseling Center 122 W Colorado Blvd (817) 851-2042 4805 Green Oaks Dr Dallas, TX 75208-2382 River Oaks, TX 76114-3004 (214) 947-6701 Sami, Kaliah A, LCSW (817) 624-1222 • Languages spoken / Idioma(s) Eff 15-Sep-20 hablado(s): Spanish New Horizon Counseling Center Powers, Gregory , LCSW 5424 Rufe Snow Dr Ste 304 Eff 01-Jul-16

Rivera-Alsina, Manuel E, MD Specialty Care Physicians & Other Providers/ North Richland, TX 76180-6684 New Horizon Counseling Center Eff 15-Oct-18 (817) 576-2447 4805 Green Oaks Dr Physician Associates of Southwest River Oaks, TX 76114-3004 Dallas Médicos de cuidado especializado y otros proveedores Braun, Heather , LCSW (817) 624-1222 122 W Colorado Blvd Eff 05-Sep-19 • Languages spoken / Idioma(s) Dallas, TX 75208-2382 The Oaks Life Center hablado(s): Spanish (214) 947-6701 8621 Mid Cities Blvd Ste 300 • Languages spoken / Idioma(s) North Richland Hills, TX 76182- Parnell, Abigail , LCSW hablado(s): Spanish 4111 Eff 07-Feb-20 (682) 312-8184 ACFS Texas Nephrology/ Nefrología 410 N Carroll Ave Ste 190 Fraser, Yolanda M, LCSW Southlake, TX 76092-6455 Collin County | Condado de Eff 27-Mar-18 (817) 851-2042 The Oaks Life Center Collin 8621 Mid Cities Blvd Ste 300 Taylor, Anastasia C, LCSW North Richland Hills, TX 76182- Eff 01-Dec-16 Bayssa, Eyerusalem E, MD 4111 ACFS Texas Eff 23-Sep-17 (682) 312-8184 410 N Carroll Ave, Ste 190 Dallas Nephrology Associates Southlake, TX 76092 3800 Gaylord Pkwy Ste 910 Lowe, Andrea , LCSW (817) 851-2042 Frisco, TX 75034 Eff 21-Feb-17 (214) 358-2300 The Oaks Life Center Wells, Carol C, LCSW 8621 Mid Cities Blvd Ste 300 Eff 06-Sep-17 North Richland Hills, TX 76182- ACFS Texas 4111 1330 N White Chapel Blvd, Ste (682) 312-8184 100 Southlake, TX 76092-4323 (817) 851-2042

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 213 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chebrolu, Srivasa B, MD Butt, Salman , MD Saquib, Rehana A, MD Eff 01-Jan-14 Eff 01-Aug-16 Eff 01-Jan-14 North Texas Kidney Disease Texas Renal Care Dallas Nephrology Associates Associates 4201 Medical Center Dr, 240 5236 W University Dr Ste 2000 4401 Coit Rd Pavilion One Ste 303 McKinney, TX 75069 McKinney, TX 75071-7889 Frisco, TX 75034 (972) 668-9713 (214)358-2300 (469) 850-6139 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) George, Jessie , MD hablado(s): Spanish hablado(s): Hindi Eff 01-Jan-14 Advanced Kidney Care of North Ali, Deeba N, MD Chen, Jun , MD Texas Eff 08-Feb-16 Eff 01-Jan-14 5236 W University Dr, Ste 4200 North Texas Kidney Disease North Texas Kidney Disease McKinney, TX 75071 Associates Associates (214) 544-9590 6300 W Parker Rd Bldg 2 Ste 224 4401 Coit Rd Pavilion One Ste 303 Plano, TX 75093 Frisco, TX 75034 Glowacki, Lori S, MD (469) 574-0464 (469) 850-6139 Eff 01-Jan-14 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Dallas Nephrology Associates hablado(s): Hindi hablado(s): Chinese 4510 Medical Center Dr, Ste 309 McKinney, TX 75069-1604 Baig, Mirza S, MD Asghar, Syed-Ali , MD (214) 358-2300 Eff 21-Jun-19 Eff 01-Jan-14 Advanced Kidney Care of North Dallas Nephrology Associates Ijaz, Adeel , MD Texas 4510 Medical Ctr Dr, Ste 108A Eff 01-Aug-16 4708 Alliance Blvd, Ste 600 Texas Renal Care Specialty Care Physicians & Other Providers/ McKinney, TX 75069-1624 Plano, TX 75093 (214) 358-2300 4201 Medical Center Dr, 240 (469) 467-0011 McKinney, TX 75069 Médicos de cuidado especializado y otros proveedores Baig, Mirza S, MD (972) 668-9713 Bayssa, Eyerusalem E, MD Eff 21-Jun-19 Eff 23-Sep-17 Advanced Kidney Care of North Mawla, Neghae , MD Dallas Nephrology Associates Texas Eff 01-Jan-14 4708 Alliance Blvd Ste 835 5236 W University Dr, Ste 4200 Dallas Nephrology Associates Plano, TX 75093-5344 McKinney, TX 75071 4510 Medical Center Dr, Ste 309 (214) 358-2300 (214) 544-9590 McKinney, TX 75069-1604 (214) 358-2300 Beathard, Steven D, MD Bayssa, Eyerusalem E, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 Eff 23-Sep-17 hablado(s): Bengali Dallas Nephrology Associates Dallas Nephrology Associates 4708 Alliance Blvd, Ste 835 4510 Medical Center Ste 210 Reddy, Samitha M, MD Plano, TX 75093-5344 McKinney, TX 75069 Eff 01-Jan-14 (214) 358-2300 (214) 358-2300 Advanced Kidney Care of North Texas Biedermann, Scott A, MD Biedermann, Scott A, MD 5236 W University Dr, Ste 4200 Eff 01-Jan-14 Eff 01-Jan-14 McKinney, TX 75071 Advanced Kidney Care of North Advanced Kidney Care of North (214) 544-9590 Texas Texas 4708 Alliance Blvd, Ste 600 5236 W University Dr, Ste 4200 Saquib, Rehana A, MD Plano, TX 75093 McKinney, TX 75071 Eff 01-Jan-14 (469) 467-0011 (214) 544-9590 Dallas Nephrology Associates 4510 Medical Center Dr, Ste 309 McKinney, TX 75069-1604 (214) 358-2300 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 214 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chebrolu, Srivasa B, MD Hartono, John R, MD Reddy, Samitha M, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 North Texas Kidney Disease Advanced Kidney Care of North Advanced Kidney Care of North Associates Texas Texas 6300 W Parker Rd Bldg 2 Ste 224 4708 Alliance Blvd, Ste 600 4708 Alliance Blvd, Ste 600 Plano, TX 75093 Plano, TX 75093 Plano, TX 75093 (469) 574-0464 (469) 467-0011 (469) 467-0011 • Languages spoken / Idioma(s) hablado(s): Hindi Hsu, Alice L, MD Siddiqui, Nadeem A, MD Eff 01-Jan-14 Eff 18-Jul-19 Chen, Jun , MD Advanced Kidney Care of North Dallas Nephrology Associates Eff 01-Jan-14 Texas 4701 Old Shepard Pl, Ste 100 North Texas Kidney Disease 4708 Alliance Blvd, Ste 600 Plano, TX 75093 Associates Plano, TX 75093 (214) 358-2300 6300 W Parker Rd Bldg 2 Ste 224 (469) 467-0011 Plano, TX 75093 Syed, Samaha , MD (469) 574-0464 Landgarten, Michael J, MD Eff 01-Jan-14 • Languages spoken / Idioma(s) Eff 01-May-15 Dallas Nephrology Associates hablado(s): Chinese North Texas Kidney Disease 4708 Alliance Blvd, Ste 835 Associates Plano, TX 75093-5344 Elsayed, Essam , MD 4708 Alliance Blvd Pavilion I Ste (214) 358-2300 Eff 28-Apr-18 685 Advanced Kidney Care of North Plano, TX 75093 Venkatesan, Jayanti , MD Texas (214) 466-7230 Eff 01-Jan-14 Dallas Nephrology Associates 4708 Alliance Blvd, Ste 600 Specialty Care Physicians & Other Providers/ Plano, TX 75093 Mao, Zhi , MD 4701 Old Shepard Pl, Ste 100 Eff 01-Jan-14 Plano, TX 75093

(469) 467-0011 Médicos de cuidado especializado y otros proveedores North Texas Kidney Disease (214) 358-2300 Farkas, Robert A, MD Associates • Languages spoken / Idioma(s) Eff 01-May-15 1600 Coit Rd, Bldg 1, Ste 300 hablado(s): Hindi North Texas Kidney Disease Plano, TX 75075 Associates (972) 295-9669 Venkatesan, Jayanti , MD 4708 Alliance Blvd Pavilion I Ste Eff 01-Jan-14 685 Mapakshi, Nandana , MD Dallas Nephrology Associates Plano, TX 75093 Eff 09-Jun-14 12400 Dallas Pkwy (214) 466-7230 North Texas Kidney Disease Plano, TX 75033 Associates (469) 495-2000 George, Jessie , MD 1600 Coit Rd, Bldg 1, Ste 300 • Languages spoken / Idioma(s) Eff 01-Jan-14 Plano, TX 75075 hablado(s): Hindi Advanced Kidney Care of North (972) 295-9669 Texas • Languages spoken / Idioma(s) Asgaonkar, Anil V, MD 4708 Alliance Blvd, Ste 600 hablado(s): Hindi Eff 15-May-20 Plano, TX 75093 Star Nephrology (469) 467-0011 Mapakshi, Nandana , MD 1970 W University Dr Ste 210 Eff 09-Jun-14 Prosper, TX 75078-8134 Glowacki, Lori S, MD North Texas Kidney Disease (940) 312-7356 Eff 01-Jan-14 Associates Dallas Nephrology Associates 6300 W Parker Rd Bldg 2 Ste 224 Krishnamurthy, Gururaj , MD 4701 Old Shepard Pl, Ste 100 Plano, TX 75093 Eff 15-May-20 Plano, TX 75093 (469) 574-0464 Star Nephrology (214) 358-2300 • Languages spoken / Idioma(s) 1970 W University Dr Ste 210 hablado(s): Hindi Prosper, TX 75078-8134 (940) 312-7356

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 215 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Cooke County | Condado de Agha, Irfan A, MD Ali, Syed M, MD Eff 15-Oct-18 Eff 18-Jan-18 Cooke Dallas Renal Group, PA Kidney Care of Dallas 3600 Gaston Road Suite 561 10611 Garland Rd, Ste 105 Asgaonkar, Anil V, MD Dallas, TX 75246 Dallas, TX 75218-2680 Eff 15-May-20 (972) 274-5555 (469) 904-2020 Star Nephrology • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 836 E California St hablado(s): Spanish hablado(s): Hindi Gainesville, TX 76240-4202 (940) 312-7356 Agha, Irfan A, MD Amberker, Deepa , MD Eff 15-Oct-18 Eff 15-Feb-19 Krishnamurthy, Gururaj , MD Dallas Renal Group, PA Dallas Renal Group, PA Eff 15-May-20 7777 Forest Lane Suite C630 3571 W. Wheatland Road Ste 101 Star Nephrology Dallas, TX 75230 Dallas, TX 75237-3461 836 E California St (972) 566-3431 (972) 274-5555 Gainesville, TX 76240-4202 • Languages spoken / Idioma(s) (940) 312-7356 hablado(s): Spanish Arce, Cristina M, MD Eff 15-Feb-19 Dallas County | Condado de Ahmed, Sana M, MD Dallas Renal Group, PA Dallas Eff 01-Jan-14 3571 W Wheatland Rd, Ste 101 Kidney and Hypertension Dallas, TX 75237-3461 Associates of Dallas (972) 274-5555 Abdelwahab-Elhamahmi, Dina , 3417 Gaston Ave, Ste 875 MD Dallas, TX 75246-2032 Arce, Cristina M, MD Eff 22-Oct-20 Eff 15-Feb-19 Specialty Care Physicians & Other Providers/ (972) 388-5970 Dallas Nephrology Associates • Languages spoken / Idioma(s) Dallas Renal Group, PA 411 N Washington Ave Ste 7000 3600 Gaston Rd, Ste 561

Médicos de cuidado especializado y otros proveedores hablado(s): Farsi Dallas, TX 75246 Dallas, TX 75246 (214) 366-6285 Ahmed, Shahbaz , MD (972) 274-5555 Eff 18-Oct-19 Agha, Irfan A, MD Dallas Nephrology Associates Arce, Cristina M, MD Eff 15-Oct-18 411 N Washington Ave, Ste 7000 Eff 15-Feb-19 Dallas Renal Group, PA Dallas, TX 75246-1791 Dallas Renal Group, PA 3571 W Wheatland Rd, Ste 101 (214) 358-2300 7777 Forest Lane, Ste C630 Dallas, TX 75237-3461 Dallas, TX 75230 (972) 274-5555 Ahmed, Vaqar , MD (972) 566-3431 • Languages spoken / Idioma(s) Eff 20-Aug-18 hablado(s): Spanish Dallas Nephrology Associates Azam, Muhammad O, MD 411 N Washington Ave, Ste 7000 Eff 21-Jun-19 Agha, Irfan A, MD Dallas, TX 75246-1791 Dallas Nephrology Associates Eff 15-Oct-18 (214) 358-2300 13154 Coit Rd, Ste 100 Dallas Renal Group, PA Dallas, TX 75240-5787 1411 N. Beckley Pavilion III Suite Akinfolarin, Akinwande A, MD (214) 358-2300 268 Eff 20-Nov-17 Dallas, TX 75208 Dallas Nephrology Associates Azam, Muhammad O, MD (214) 947-4400 411 N Washington Ave, Ste 7000 Eff 21-Jun-19 • Languages spoken / Idioma(s) Dallas, TX 75246-1791 Dallas Nephrology Associates hablado(s): Spanish (214) 358-2300 8210 Walnut Hill Ln Ste 306 Dallas, TX 75231-4419 (214) 358-2300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 216 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bagri, Amola S, MD Chaudhry, Muhammad K, MD Corpier, Cindy L, MD Eff 09-Nov-15 Eff 01-Dec-14 Eff 01-Jan-14 Dallas Nephrology Associates Dallas Renal Group, PA Dallas Nephrology Associates 13154 Coit Rd, Ste 100 3571 W Wheatland Rd, Ste 101 13154 Coit Rd, Ste 100 Dallas, TX 75240-5787 Dallas, TX 75237-3461 Dallas, TX 75240-5787 (214) 358-2300 (972) 274-5555 (214) 358-2300 • Languages spoken / Idioma(s) Carino, Enrique , MD hablado(s): Malay Daheshpour, Sepehr , MD Eff 11-Aug-14 Eff 13-Feb-19 Dallas Nephrology Associates Chimata, Yugandhar P, MD Straightline Medical Consultants, 411 N Washington Ave, Ste 7000 Eff 15-Oct-18 PA Dallas, TX 75246-1791 Dallas Renal Group, PA 9900 N Central Expy #215 (214) 358-2300 3571 W Wheatland Rd, Ste 101 Dallas, TX 75231-0929 • Languages spoken / Idioma(s) Dallas, TX 75237-3461 (214) 396-4950 hablado(s): Spanish (972) 274-5555 • Languages spoken / Idioma(s) Danda, Ratna S, MD Castillo-Lugo, Jose A, MD hablado(s): Spanish Eff 15-Oct-18 Eff 01-Jan-14 Dallas Renal Group, PA Dallas Nephrology Associates Chimata, Yugandhar P, MD 3571 W Wheatland Rd, Ste 101 1150 N Bishop, Ste 100 Eff 15-Oct-18 Dallas, TX 75237-3461 Dallas, TX 75208-4168 Dallas Renal Group, PA (972) 274-5555 (214) 358-2300 7777 Forest Lane, Ste C630 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Dallas, TX 75230 hablado(s): Spanish hablado(s): Spanish (972) 566-3431 Danda, Ratna S, MD • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Cespedes, Paul L, MD hablado(s): Spanish Eff 15-Oct-18 Eff 08-Nov-16 Dallas Renal Group, PA Dallas Renal Group, PA Chowdhury, Renuka , MD 3600 Gaston Rd, Ste 561 Médicos de cuidado especializado y otros proveedores 3571 W Wheatland Rd, Ste 101 Eff 01-Jan-14 Dallas, TX 75246 Dallas, TX 75237-3461 Dallas Nephrology Associates (972) 274-5555 (972) 274-5555 1150 N Bishop, Ste 100 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Dallas, TX 75208-4168 hablado(s): Spanish hablado(s): Spanish (214) 358-2300 Danda, Ratna S, MD Cespedes, Paul L, MD Colbert, Gates B, MD Eff 15-Oct-18 Eff 08-Nov-16 Eff 14-Mar-16 Dallas Renal Group, PA Dallas Renal Group, PA Kidney and Hypertension 7777 Forest Lane, Ste C630 7777 Forest Ln, Ste C630 Associates of Dallas Dallas, TX 75230 Dallas, TX 75230 3417 Gaston Ave, Ste 875 (972) 566-3431 (972) 566-3431 Dallas, TX 75246-2032 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) (972) 388-5970 hablado(s): Spanish hablado(s): Spanish Collazo-Maldonado, Roberto L, Fa, Kosunarty , MD Chandrakantan, Arun , MD MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 15-Oct-18 Dallas Nephrology Associates Dallas Nephrology Associates Physician Associates of Southwest 1150 N Bishop, Ste 100 3601 Swiss Ave Dallas Dallas, TX 75208-4168 Dallas, TX 75204-6225 122 W Colorado Blvd (214) 358-2300 (214) 358-2300 Dallas, TX 75208-2382 • Languages spoken / Idioma(s) (214) 947-6701 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 217 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Farkas, Robert A, MD Gupta, Arti , MD Haque, Mahmudul , MD Eff 01-May-15 Eff 01-Jan-14 Eff 30-Apr-20 North Texas Kidney Disease Dallas Nephrology Associates Dallas Renal Group PA Associates 1420 Viceroy Dr 7777 Forest Lane Ste C865 6190 LBJ Fwy, Ste 702 Dallas, TX 75235-2208 Dallas, TX 75230 Dallas, TX 75240 (214) 358-2300 (972) 566-3431 (214) 466-7230 • Languages spoken / Idioma(s) hablado(s): Spanish Hasan, Asma , MD Farrukh, Omar , MD Eff 17-Apr-19 Eff 21-Mar-19 Haque, Ammar A, MD Straightline Medical Consultants, Straightline Medical Consultants, Eff 15-Oct-18 PA PA Dallas Renal Group, PA 9900 N Central Expy #215 9900 N Central Expy #215 3571 W Wheatland Rd, Ste 101 Dallas, TX 75231-0929 Dallas, TX 75231-0929 Dallas, TX 75237-3461 (214) 396-4950 (214) 396-4950 (972) 274-5555 • Languages spoken / Idioma(s) Hasnain, Wirasat , MD Fazal, Samina , MD hablado(s): Hindi Eff 17-Apr-19 Eff 01-Jan-14 Straightline Medical Consultants, Dallas Nephrology Associates Haque, Ammar A, MD PA 3601 Swiss Ave Eff 15-Oct-18 9900 N Central Expy #215 Dallas, TX 75204-6225 Dallas Renal Group, PA Dallas, TX 75231-0929 (214) 358-2300 3600 Gaston Rd, Ste 561 (214) 396-4950 • Languages spoken / Idioma(s) Dallas, TX 75246 hablado(s): Hindi (972) 274-5555 Hays, Steven R, MD Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) Gieser, Steven M, MD hablado(s): Hindi Dallas Nephrology Associates Eff 01-Jan-14 3601 Swiss Ave Médicos de cuidado especializado y otros proveedores Dallas Nephrology Associates Haque, Ammar A, MD Dallas, TX 75204-6225 411 N Washington Ave, Ste 7000 Eff 15-Oct-18 (214) 358-2300 Dallas, TX 75246-1791 Dallas Renal Group, PA (214) 358-2300 7777 Forest Lane, Ste C630 Hebert, Christopher A, MD Dallas, TX 75230 Eff 01-Jan-14 Guo, Xunxi S, MD (972) 566-3431 Kidney and Hypertension Eff 19-Mar-19 • Languages spoken / Idioma(s) Associates of Dallas Dallas Nephrology Associates hablado(s): Hindi 3417 Gaston Ave, Ste 875 411 N Washington Ave, Ste 7000 Dallas, TX 75246-2032 Dallas, TX 75246-1791 Haque, Mahmudul , MD (972) 388-5970 (214) 358-2300 Eff 30-Apr-20 Dallas Renal Group PA Hunt, Judson M, MD Gupta, Arti , MD 3571 W Wheatland Rd Ste 101 Eff 09-Nov-15 Eff 01-Jan-14 Dallas, TX 75237 Dallas Nephrology Associates Dallas Nephrology Associates (972) 274-5555 13154 Coit Rd, Ste 100 1150 N Bishop, Ste 100 Dallas, TX 75240-5787 Dallas, TX 75208-4168 Haque, Mahmudul , MD (214) 358-2300 (214) 358-2300 Eff 30-Apr-20 • Languages spoken / Idioma(s) Dallas Renal Group PA Hussain, Muzzaffar , MD hablado(s): Spanish 3600 Gaston Ave Ste 561 Eff 08-Sep-17 Dallas, TX 75246 Kidney Care of Dallas (972) 449-0918 10611 Garland Rd, Ste 105 Dallas, TX 75218-2680 (469) 904-2020 • Languages spoken / Idioma(s) hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 218 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ilahe, Amna , MD Khan, Mahboob A, MD Kumar, Surachit , MD Eff 14-Aug-19 Eff 08-Feb-16 Eff 08-Feb-16 Methodist Transplant Specialists Dallas Renal Group, PA Straightline Medical Consultants, 1411 N Beckley Ave, Pavilion 3, 7777 Forest Ln, Ste C630 PA Ste 268 Dallas, TX 75230 9900 N Central Expy, Ste 215 Dallas, TX 75203-1260 (972) 566-3431 Dallas, TX 75231 (214) 947-4450 • Languages spoken / Idioma(s) (214) 396-4950 hablado(s): Spanish • Languages spoken / Idioma(s) Kaiser, Shaun P, MD hablado(s): Hindi Eff 11-Jan-16 Khan, Salman , MD Straightline Medical Consultants, Eff 14-Sep-15 Landgarten, Michael J, MD PA Dallas Nephrology Associates Eff 01-May-15 9900 N Central Expy, Ste 215 1150 N Bishop, Ste 100 North Texas Kidney Disease Dallas, TX 75231 Dallas, TX 75208-4168 Associates (214) 396-4950 (214) 358-2300 6190 LBJ Fwy, Ste 702 Dallas, TX 75240 Khalil, Ali , MD Koganti, Asa D, MD (214) 466-7230 Eff 13-Nov-19 Eff 14-May-17 Dallas Nephrology Associates Dallas Renal Group, PA Lapsiwala, Apurva , MD 13154 Coit Rd, Ste 100 3571 W Wheatland Rd, Ste 101 Eff 01-Dec-14 Dallas, TX 75240-5787 Dallas, TX 75237-3461 Dallas Renal Group, PA (214)358-2300 (972) 274-5555 3571 W Wheatland Rd, Ste 101 Dallas, TX 75237-3461 Khan, Kiran N, MD Koganti, Asa D, MD (972) 274-5555 Eff 21-Sep-20 Eff 14-May-17 • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Dallas Renal Group PA Dallas Renal Group, PA hablado(s): Spanish 3571 W Wheatland Rd Ste 101 7777 Forest Ln, Ste C630 Dallas, TX 75237 Dallas, TX 75230 Lauriat, Sandra M, MD Médicos de cuidado especializado y otros proveedores (972) 274-5555 (972) 566-3431 Eff 01-Jan-14 Dallas Nephrology Associates Khan, Kiran N, MD Kotla, Suman Krishna , MD 1420 Viceroy Dr Eff 21-Sep-20 Eff 22-Oct-20 Dallas, TX 75235-2208 Dallas Renal Group PA Dallas Nephrology Associates (214) 358-2300 3600 Gaston Ave Ste 561 411 N Washington Ave Ste 7000 • Languages spoken / Idioma(s) Dallas, TX 75246 Dallas, TX 75246 hablado(s): Spanish (972) 449-0918 (214) 366-6285 Lerman, Mark J, MD Khan, Kiran N, MD Kumar, Sumit , MD Eff 09-Nov-15 Eff 21-Sep-20 Eff 01-May-15 Dallas Nephrology Associates Dallas Renal Group PA Straightline Medical Consultants, 13154 Coit Rd, Ste 100 7777 Forest Lane Ste C865 PA Dallas, TX 75240-5787 Dallas, TX 75230 9900 N Central Expy, Ste 215 (214) 358-2300 (972) 566-3431 Dallas, TX 75231 • Languages spoken / Idioma(s) (214) 396-4950 hablado(s): Spanish Khan, Mahboob A, MD • Languages spoken / Idioma(s) Eff 08-Feb-16 hablado(s): Hindi Lohiya, Piyush S, MD Dallas Renal Group, PA Eff 15-Oct-18 3571 W Wheatland Rd, Ste 101 Dallas Renal Group, PA Dallas, TX 75237-3461 3571 W Wheatland Rd, Ste 101 (972) 274-5555 Dallas, TX 75237-3461 • Languages spoken / Idioma(s) (972) 274-5555 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 219 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lohiya, Piyush S, MD Mallareddy, Madhavi , MD Mehta, Ankit N, MD Eff 15-Oct-18 Eff 01-Dec-14 Eff 01-Jan-14 Dallas Renal Group, PA Dallas Renal Group, PA Dallas Nephrology Associates 3600 Gaston Rd, Ste 561 3571 W Wheatland Rd, Ste 101 3601 Swiss Ave Dallas, TX 75246 Dallas, TX 75237-3461 Dallas, TX 75204-6225 (972) 274-5555 (972) 274-5555 (214) 358-2300 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish hablado(s): Spanish Lohiya, Piyush S, MD Margassery, Suresh K, MD Nadella, Rama , MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 01-Dec-14 Dallas Renal Group, PA Dallas Renal Group, PA Dallas Renal Group, PA 7777 Forest Lane, Ste C630 1222 N. Bishop Ave, Ste 500 3571 W Wheatland Rd, Ste 101 Dallas, TX 75230 Dallas, TX 75208 Dallas, TX 75237-3461 (972) 566-3431 (214) 943-1687 (972) 274-5555 • Languages spoken / Idioma(s) hablado(s): Spanish Margassery, Suresh K, MD Nadella, Rama , MD Eff 15-Oct-18 Eff 01-Dec-14 Mahbod, Diana , MD Dallas Renal Group, PA Dallas Renal Group, PA Eff 15-Feb-19 3571 W. Wheatland Road Ste 101 7777 Forest Ln, Ste C630 Dallas Renal Group, PA Dallas, TX 75237-3461 Dallas, TX 75230 3571 W. Wheatland Road Ste 101 (972) 274-5555 (972) 566-3431 Dallas, TX 75237-3461 (972) 274-5555 Margassery, Suresh K, MD Nangia, Samir K, MD Eff 15-Oct-18 Eff 15-Oct-18 Specialty Care Physicians & Other Providers/ Makadia, Parin M, MD Dallas Renal Group, PA Dallas Renal Group, PA Eff 15-Oct-18 3600 Gaston Road Ste 561 3571 W Wheatland Rd, Ste 101 Médicos de cuidado especializado y otros proveedores Dallas Renal Group, PA Dallas, TX 75246 Dallas, TX 75237-3461 3571 W Wheatland Rd, Ste 101 (972) 274-5555 (972) 274-5555 Dallas, TX 75237-3461 (972) 274-5555 Margassery, Suresh K, MD Nangia, Samir K, MD • Languages spoken / Idioma(s) Eff 15-Oct-18 Eff 15-Oct-18 hablado(s): Gujrati Dallas Renal Group, PA Dallas Renal Group, PA 7777 Forest Lane Ste C360 3600 Gaston Rd, Ste 561 Makadia, Parin M, MD Dallas, TX 75230 Dallas, TX 75246 Eff 15-Oct-18 (972) 566-3867 (972) 274-5555 Dallas Renal Group, PA 3600 Gaston Rd, Ste 561 McDonald, Lauren A, MD Nangia, Samir K, MD Dallas, TX 75246 Eff 01-Jan-14 Eff 15-Oct-18 (972) 274-5555 Dallas Nephrology Associates Dallas Renal Group, PA • Languages spoken / Idioma(s) 1150 N Bishop, Ste 100 7777 Forest Lane, Ste C630 hablado(s): Gujrati Dallas, TX 75208-4168 Dallas, TX 75230 (214) 358-2300 (972) 566-3431 Makadia, Parin M, MD Eff 15-Oct-18 Mehdi, Uzma F, MD Nesser, David , MD Dallas Renal Group, PA Eff 01-Jan-14 Eff 01-Jan-14 7777 Forest Lane, Ste C630 Dallas Nephrology Associates Dallas Nephrology Associates Dallas, TX 75230 13154 Coit Rd, Ste 100 3604 Live Oak, Ste 100 (972) 566-3431 Dallas, TX 75240-5787 Dallas, TX 75204-6169 • Languages spoken / Idioma(s) (214) 358-2300 (214) 358-2300 hablado(s): Gujrati

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 220 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nguyen, Hoang L, DO Pariti, Sreevalli , MD Patel, Tapan J, MD Eff 15-Oct-18 Eff 11-Jan-16 Eff 01-Jan-14 Dallas Renal Group, PA Dallas Nephrology Associates Dallas Nephrology Associates 3571 W Wheatland Rd, Ste 101 1150 N Bishop, Ste 100 8210 Walnut Hill Ln Ste 306 Dallas, TX 75237-3461 Dallas, TX 75208-4168 Dallas, TX 75231-4419 (972) 274-5555 (214) 358-2300 (214) 358-2300 • Languages spoken / Idioma(s) hablado(s): Vietnamese Park, Joonho , MD Peri, Usha N, MD Eff 21-Sep-20 Eff 01-Jan-14 Nguyen, Hoang L, DO Dallas Renal Group PA North Texas Kidney Disease Eff 15-Oct-18 3571 W Wheatland Rd Ste 101 Associates Dallas Renal Group, PA Dallas, TX 75237 8 Medical Pkwy, Plaza II, Ste 201 7777 Forest Lane, Ste C630 (972) 274-5555 Dallas, TX 75234 Dallas, TX 75230 (972) 759-4600 (972) 566-3431 Park, Joonho , MD • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Eff 21-Sep-20 hablado(s): Hindi hablado(s): Vietnamese Dallas Renal Group PA 3600 Gaston Ave Ste 561 Prakash, Vikyath , MD Pakkivenkata, Uma , MD Dallas, TX 75246 Eff 15-Oct-18 Eff 08-Feb-16 (972) 449-0918 Dallas Renal Group, PA Straightline Medical Consultants, 3571 W Wheatland Rd, Ste 101 PA Park, Joonho , MD Dallas, TX 75237-3461 9900 N Central Expy, Ste 215 Eff 21-Sep-20 (972) 274-5555 Dallas, TX 75231 Dallas Renal Group PA 7777 Forest Lane Ste C865 Prakash, Vikyath , MD (214) 396-4950 Specialty Care Physicians & Other Providers/ Dallas, TX 75230 Eff 15-Oct-18 Pamulaparthy, Smitha R, MD (972) 566-3431 Dallas Renal Group, PA Eff 23-Sep-17 3600 Gaston Rd, Ste 561 Médicos de cuidado especializado y otros proveedores Dallas Renal Group, PA Patel, Raviina , DO Dallas, TX 75246 3571 W Wheatland Rd, Ste 101 Eff 22-Sep-18 (972) 274-5555 Dallas, TX 75237-3461 Dallas Nephrology Associates (972) 274-5555 1150 N Bishop, Ste 100 Prakash, Vikyath , MD • Languages spoken / Idioma(s) Dallas, TX 75208-4168 Eff 15-Oct-18 hablado(s): Hindi (214) 358-2300 Dallas Renal Group, PA 7777 Forest Lane, Ste C630 Pamulaparthy, Smitha R, MD Patel, Raviina , DO Dallas, TX 75230 Eff 23-Sep-17 Eff 22-Sep-18 (972) 566-3431 Dallas Renal Group, PA Dallas Nephrology Associates 7777 Forest Ln, Ste C630 1411 N Beckley Ave Proctor, Gregory W, MD Dallas, TX 75230 Dallas, TX 75203 Eff 15-Feb-19 (972) 566-3431 (214) 358-2300 Dallas Renal Group, PA • Languages spoken / Idioma(s) 7777 Forest Lane Ste C360 Patel, Tapan J, MD hablado(s): Hindi Dallas, TX 75230 Eff 01-Jan-14 (972) 566-3867 Panesar, Atinder P, MD Dallas Nephrology Associates Eff 01-Jan-14 13154 Coit Rd, Ste 100 Racheruvu, Mamatha , MD Dallas Nephrology Associates Dallas, TX 75240-5787 Eff 11-Jul-16 1420 Viceroy Dr (214) 358-2300 Dallas Renal Group, PA Dallas, TX 75235-2208 3571 W Wheatland Rd, Ste 101 (214) 358-2300 Dallas, TX 75237-3461 • Languages spoken / Idioma(s) (972) 274-5555 hablado(s): Hindi • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 221 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Racheruvu, Mamatha , MD Saim, Muhammad , MD Sebastian, Lisa M, MD Eff 11-Jul-16 Eff 13-Oct-14 Eff 15-Oct-18 Dallas Renal Group, PA Dallas Nephrology Associates Physician Associates of Southwest 7777 Forest Ln, Ste C630 13154 Coit Rd, Ste 100 Dallas Dallas, TX 75230 Dallas, TX 75240-5787 122 W Colorado Blvd (972) 566-3431 (214) 358-2300 Dallas, TX 75208 • Languages spoken / Idioma(s) (214) 947-6700 hablado(s): Spanish Saim, Muhammad , MD Eff 13-Oct-14 Shetty, Anupkumar , MD Rajagopal, Arthi , MD Dallas Nephrology Associates Eff 01-Jan-14 Eff 01-Jan-14 3604 Live Oak, Ste 100 Dallas Nephrology Associates Dallas Nephrology Associates Dallas, TX 75204-6169 1150 N Bishop, Ste 100 3601 Swiss Ave (214) 358-2300 Dallas, TX 75208-4168 Dallas, TX 75204-6225 (214) 358-2300 (214) 358-2300 Sanchez-Velez, Catalina , MD • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Hindi hablado(s): Hindi Dallas Nephrology Associates 3601 Swiss Ave Silverstein, Russell L, MD Rice, Kim M, MD Dallas, TX 75204-6225 Eff 01-Jan-14 Eff 01-Jan-14 (214) 358-2300 Dallas Nephrology Associates Dallas Nephrology Associates • Languages spoken / Idioma(s) 13154 Coit Rd, Ste 100 3601 Swiss Ave hablado(s): Spanish Dallas, TX 75240-5787 Dallas, TX 75204-6225 (214) 358-2300 (214) 358-2300 Sarfaraz, Nimra , DO Eff 21-Jul-18 Simon, Silvi M, MD Specialty Care Physicians & Other Providers/ Rizwan, Syed A, MD Dallas Renal Group, PA Eff 15-Oct-18 Eff 01-Jan-14 3571 W Wheatland Rd, Ste 101 Methodist Transplant Specialists Médicos de cuidado especializado y otros proveedores Dallas Nephrology Associates Dallas, TX 75237-3461 1411 N Beckley Ave, Pavilion 3, 13154 Coit Rd, Ste 100 (972) 274-5555 Ste 268 Dallas, TX 75240-5787 • Languages spoken / Idioma(s) Dallas, TX 75203-1260 (214) 358-2300 hablado(s): Hindi (214) 947-4450 • Languages spoken / Idioma(s) hablado(s): Spanish Sarfaraz, Nimra , DO Simon, Silvi M, MD Eff 21-Jul-18 Eff 15-Oct-18 Rizwan, Syed A, MD Dallas Renal Group, PA Dallas Renal Group, PA Eff 01-Jan-14 7777 Forest Ln, Ste C630 3571 W Wheatland Rd, Ste 101 Dallas Nephrology Associates Dallas, TX 75230 Dallas, TX 75237-3461 8210 Walnut Hill Ln Ste 306 (972) 566-3431 (972) 274-5555 Dallas, TX 75231-4419 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) (214) 358-2300 hablado(s): Hindi hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish Schuller, Joris M, MD Simon, Silvi M, MD Eff 01-Jan-14 Eff 15-Oct-18 Roman-Latorre, Jorge M, MD Dallas Nephrology Associates Dallas Renal Group, PA Eff 01-Jan-14 3601 Swiss Ave 3600 Gaston Rd, Ste 561 Dallas Nephrology Associates Dallas, TX 75204-6225 Dallas, TX 75246 13154 Coit Rd, Ste 100 (214) 358-2300 (972) 274-5555 Dallas, TX 75240-5787 • Languages spoken / Idioma(s) (214) 358-2300 Sebastian, Lisa M, MD hablado(s): Spanish • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Spanish Dallas Nephrology Associates 1150 N Bishop, Ste 100 Dallas, TX 75208-4168 (214) 358-2300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 222 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Simon, Silvi M, MD Tran, Long D, MD Umber, Afia , MD Eff 15-Oct-18 Eff 01-Jan-14 Eff 17-Dec-17 Dallas Renal Group, PA Dallas Nephrology Associates Dallas Nephrology Associates 7777 Forest Lane, Ste C630 3601 Swiss Ave 3604 Live Oak, Ste 100 Dallas, TX 75230 Dallas, TX 75204-6225 Dallas, TX 75204-6169 (972) 566-3431 (214) 358-2300 (214) 358-2300 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Velez, Ruben L, MD Eff 01-Jan-14 Smith, Kyle , DO Truong, Phuong M, MD Dallas Nephrology Associates Eff 24-Aug-18 Eff 08-Nov-16 1420 Viceroy Dr Dallas Nephrology Associates Dallas Renal Group, PA Dallas, TX 75235-2208 3604 Live Oak, Ste 300 3571 W Wheatland Rd, Ste 101 (214) 358-2300 Dallas, TX 75204-6114 Dallas, TX 75237-3461 • Languages spoken / Idioma(s) (214) 826-4224 (972) 274-5555 hablado(s): Spanish • Languages spoken / Idioma(s) Stephens, Gregory K, MD hablado(s): Spanish Velusamy, Latha , MD Eff 09-Oct-15 Eff 15-Oct-18 Dallas Nephrology Associates Truong, Phuong M, MD Dallas Renal Group, PA 13154 Coit Rd, Ste 100 Eff 08-Nov-16 3571 W Wheatland Rd, Ste 101 Dallas, TX 75240-5787 Dallas Renal Group, PA Dallas, TX 75237-3461 (214) 358-2300 7777 Forest Ln, Ste C630 (972) 274-5555 Dallas, TX 75230 • Languages spoken / Idioma(s) Szerlip, Harold M, MD (972) 566-3431 hablado(s): Malay Eff 12-Jan-15 • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Dallas Nephrology Associates hablado(s): Spanish Velusamy, Latha , MD 411 N Washington Ave, Ste 7000 Eff 15-Oct-18 Dallas, TX 75246-1791 Turner, Taryn J, DO Dallas Renal Group, PA Médicos de cuidado especializado y otros proveedores (214) 358-2300 Eff 08-Nov-16 3600 Gaston Rd, Ste 561 Dallas Renal Group, PA Dallas, TX 75246 Thomas, Hanna , MD 3571 W Wheatland Rd, Ste 101 (972) 274-5555 Eff 08-Feb-16 Dallas, TX 75237-3461 • Languages spoken / Idioma(s) Dallas Renal Group, PA (972) 274-5555 hablado(s): Malay 3571 W Wheatland Rd, Ste 101 • Languages spoken / Idioma(s) Dallas, TX 75237-3461 hablado(s): Spanish Velusamy, Latha , MD (972) 274-5555 Eff 15-Oct-18 • Languages spoken / Idioma(s) Turner, Taryn J, DO Dallas Renal Group, PA hablado(s): Spanish Eff 08-Nov-16 7777 Forest Lane, Ste C630 Dallas Renal Group, PA Dallas, TX 75230 Thomas, Hanna , MD 7777 Forest Ln, Ste C630 (972) 566-3431 Eff 08-Feb-16 Dallas, TX 75230 • Languages spoken / Idioma(s) Dallas Renal Group, PA (972) 566-3431 hablado(s): Malay 7777 Forest Ln, Ste C630 • Languages spoken / Idioma(s) Dallas, TX 75230 hablado(s): Spanish Venkataraman, Srividya , MD (972) 566-3431 Eff 15-Oct-18 • Languages spoken / Idioma(s) Umber, Afia , MD Dallas Renal Group, PA hablado(s): Spanish Eff 17-Dec-17 3571 W Wheatland Rd, Ste 101 Dallas Nephrology Associates Dallas, TX 75237-3461 1150 N Bishop, Ste 100 (972) 274-5555 Dallas, TX 75208-4168 • Languages spoken / Idioma(s) (214) 358-2300 hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 223 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Venkataraman, Srividya , MD Alhalabi, Hassan , MD Yalamanchili, Venkata A, MD Eff 15-Oct-18 Eff 20-Nov-17 Eff 12-Sep-16 Dallas Renal Group, PA Dallas Nephrology Associates Dallas Nephrology Associates 3600 Gaston Rd, Ste 561 2651 Bolton Boone Dr 2651 Bolton Boone Dr Dallas, TX 75246 Desoto, TX 75115-2011 Desoto, TX 75115-2011 (972) 274-5555 (214) 358-2300 (214) 358-2300 • Languages spoken / Idioma(s) hablado(s): Spanish Firoz, Najam M, MD Garg, Nidhi , MD Eff 08-Aug-16 Eff 01-Jan-14 Venkataraman, Srividya , MD Dallas Nephrology Associates Dallas Nephrology Associates Eff 15-Oct-18 2651 Bolton Boone Dr 700 Walter Reed Blvd, Ste 300 Dallas Renal Group, PA Desoto, TX 75115-2011 Garland, TX 75042-3701 7777 Forest Lane, Ste C630 (214) 358-2300 (214) 358-2300 Dallas, TX 75230 • Languages spoken / Idioma(s) (972) 566-3431 Fuquay, Richard C, MD hablado(s): Spanish • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Spanish Dallas Nephrology Associates Hartono, John R, MD 2651 Bolton Boone Dr Eff 01-Jan-14 Verma, Suneet , MD Desoto, TX 75115-2011 Advanced Kidney Care of North Eff 08-Aug-16 (214) 358-2300 Texas Dallas Renal Group, PA 530 Clara Barton, Ste 200 3571 W Wheatland Rd, Ste 101 Kodali, Jyothsna , MD Garland, TX 75042 Dallas, TX 75237-3461 Eff 01-Jan-14 (972) 276-0139 (972) 274-5555 Dallas Nephrology Associates 2651 Bolton Boone Dr Hsu, Alice L, MD Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) hablado(s): Spanish Desoto, TX 75115-2011 Eff 01-Jan-14 (214) 358-2300 Advanced Kidney Care of North Médicos de cuidado especializado y otros proveedores Verma, Suneet , MD Texas Eff 08-Aug-16 Pancorvo, Carlos E, MD 530 Clara Barton, Ste 200 Dallas Renal Group, PA Eff 01-Jan-14 Garland, TX 75042 7777 Forest Ln, Ste C630 Dallas Nephrology Associates (972) 276-0139 Dallas, TX 75230 2651 Bolton Boone Dr (972) 566-3431 Desoto, TX 75115-2011 Mohmand, Hashim K, MD • Languages spoken / Idioma(s) (214) 358-2300 Eff 01-Jan-14 hablado(s): Spanish • Languages spoken / Idioma(s) Dallas Nephrology Associates hablado(s): Spanish 700 Walter Reed Blvd, Ste 300 Wall, Bruce R, MD Garland, TX 75042-3701 Eff 01-Jan-14 Robles-Franceschini, Mario J, MD (214) 358-2300 Dallas Nephrology Associates Eff 19-Mar-19 • Languages spoken / Idioma(s) 13154 Coit Rd, Ste 100 Dallas Nephrology Associates hablado(s): Urdu Dallas, TX 75240-5787 2651 Bolton Boone Dr (214) 358-2300 Desoto, TX 75115-2011 Nguyen, Thai Q, MD • Languages spoken / Idioma(s) (214) 358-2300 Eff 01-Jan-14 hablado(s): Spanish Dallas Nephrology Associates Skluzacek, Paul A, MD 700 Walter Reed Blvd, Ste 300 Wiederkehr, Michael R, MD Eff 01-Jan-14 Garland, TX 75042-3701 Eff 01-Jan-14 Dallas Nephrology Associates (214) 358-2300 Dallas Nephrology Associates 2651 Bolton Boone Dr 3601 Swiss Ave Desoto, TX 75115-2011 Dallas, TX 75204-6225 (214) 358-2300 (214) 358-2300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 224 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Agha, Irfan A, MD Margassery, Suresh K, MD Al Rifai, Anas , MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 28-Apr-18 Dallas Renal Group, PA Dallas Renal Group, PA Dallas Nephrology Associates 2698 N. Galloway Ave. Suite 104 2698 N. Galloway Ave. Ste 104 1625 N Story Rd, Ste 140 Grand Prairie, TX 75050 Grand Prairie, TX 75050 Irving, TX 75061-1954 (214) 947-4400 (972) 681-4444 (214) 358-2300 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Nangia, Samir K, MD hablado(s): Arabic Eff 15-Oct-18 Arce, Cristina M, MD Dallas Renal Group, PA Bayssa, Eyerusalem E, MD Eff 15-Feb-19 2698 N Galloway Ave, Ste 104 Eff 23-Sep-17 Dallas Renal Group, PA Grand Prairie, TX 75050 Dallas Nephrology Associates 2698 N Galloway Ave, Ste 104 (972) 681-4444 2005 W Park Dr Ste 200 Grand Prairie, TX 75050 Irving, TX 75061 (972) 681-4444 Prakash, Vikyath , MD (214) 358-2300 Eff 15-Oct-18 Danda, Ratna S, MD Dallas Renal Group, PA Chemmalakuzhy, Asha J, MD Eff 15-Oct-18 2698 N Galloway Ave, Ste 104 Eff 01-Jan-14 Dallas Renal Group, PA Grand Prairie, TX 75050 Dallas Nephrology Associates 2698 N Galloway Ave, Ste 104 (972) 681-4444 1625 N Story Rd, Ste 140 Grand Prairie, TX 75050 Irving, TX 75061-1954 (972) 681-4444 Simon, Silvi M, MD (214) 358-2300 • Languages spoken / Idioma(s) Eff 15-Oct-18 hablado(s): Spanish Dallas Renal Group, PA De Soyza, Devinda , MD 2698 N Galloway Ave, Ste 104 Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ Haque, Ammar A, MD Grand Prairie, TX 75050 Dallas Nephrology Associates Eff 15-Oct-18 (972) 681-4444 1625 N Story Rd, Ste 140 Dallas Renal Group, PA • Languages spoken / Idioma(s) Irving, TX 75061-1954 Médicos de cuidado especializado y otros proveedores 2698 N Galloway Ave, Ste 104 hablado(s): Spanish (214) 358-2300 Grand Prairie, TX 75050 (972) 681-4444 Velusamy, Latha , MD Dhelaria, Ranjit K, MD • Languages spoken / Idioma(s) Eff 15-Oct-18 Eff 21-Nov-16 hablado(s): Hindi Dallas Renal Group, PA Tarrant Nephrology Associates 2698 N Galloway Ave, Ste 104 4425 W Airport Fwy, Ste 450 Lohiya, Piyush S, MD Grand Prairie, TX 75050 Irving, TX 75062 Eff 15-Oct-18 (972) 681-4444 (817) 725-7880 Dallas Renal Group, PA • Languages spoken / Idioma(s) 2698 N Galloway Ave, Ste 104 hablado(s): Malay Fahmy, Hanan , MD Grand Prairie, TX 75050 Eff 15-Sep-20 (972) 681-4444 Venkataraman, Srividya , MD Hanan Fahmy MD PA • Languages spoken / Idioma(s) Eff 15-Oct-18 2001 N MacArthur Blvd Ste 335 hablado(s): Spanish Dallas Renal Group, PA Irving, TX 75061-2298 2698 N Galloway Ave, Ste 104 (617) 402-1000 Makadia, Parin M, MD Grand Prairie, TX 75050 Eff 15-Oct-18 (972) 681-4444 Gajanayaka, Ranil , MD Dallas Renal Group, PA • Languages spoken / Idioma(s) Eff 29-Jan-18 2698 N Galloway Ave, Ste 104 hablado(s): Spanish Dallas Nephrology Associates Grand Prairie, TX 75050 1625 N Story Rd, Ste 140 (972) 681-4444 Irving, TX 75061-1954 • Languages spoken / Idioma(s) (214) 358-2300 hablado(s): Gujrati • Languages spoken / Idioma(s) hablado(s): American Sign Language

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 225 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lauriat, Sandra M, MD Walker, Geoffrey S, MD Khan, Mahboob A, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 08-Feb-16 Dallas Nephrology Associates Dallas Nephrology Associates Dallas Renal Group, PA 2005 West Park Dr Ste 200 1625 N Story Rd, Ste 140 2698 N Galloway Ave, Ste 104 Irving, TX 75061 Irving, TX 75061-1954 Mesquite, TX 75150 (817) 923-8832 (214) 358-2300 (972) 681-4444 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish hablado(s): Spanish Liang, Alexander S, MD Alladi, Uma , MD Khan, Shehpar A, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 21-Feb-19 Dallas Nephrology Associates Dallas Nephrology Associates Dallas Renal Group, PA 1625 N Story Rd, Ste 140 5308 N Galloway Ave, Ste 200 2698 N Galloway Ave, Ste 104 Irving, TX 75061-1954 Mesquite, TX 75150-1125 Mesquite, TX 75150 (214) 358-2300 (214) 358-2300 (972) 681-4444 • Languages spoken / Idioma(s) hablado(s): Spanish Cespedes, Paul L, MD Koganti, Asa D, MD Eff 08-Nov-16 Eff 14-May-17 Nurenberg, Michael E, MD Dallas Renal Group, PA Dallas Renal Group, PA Eff 01-Jan-14 2698 N Galloway Ave, Ste 104 2698 N Galloway Ave, Ste 104 Dallas Nephrology Associates Mesquite, TX 75150 Mesquite, TX 75150 1625 N Story Rd, Ste 140 (972) 681-4444 (972) 681-4444 Irving, TX 75061-1954 • Languages spoken / Idioma(s) (214) 358-2300 hablado(s): Spanish Lapsiwala, Apurva , MD Eff 01-Dec-14 Specialty Care Physicians & Other Providers/ Panesar, Atinder P, MD Chaudhry, Muhammad K, MD Dallas Renal Group, PA Eff 01-Jan-14 Eff 01-Dec-14 2698 N Galloway Ave, Ste 104 Médicos de cuidado especializado y otros proveedores Dallas Nephrology Associates Dallas Renal Group, PA Mesquite, TX 75150 1625 N Story Rd, Ste 140 2698 N Galloway Ave, Ste 104 (972) 681-4444 Irving, TX 75061-1954 Mesquite, TX 75150 • Languages spoken / Idioma(s) (214) 358-2300 (972) 681-4444 hablado(s): Spanish • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Hindi hablado(s): Malay Mallareddy, Madhavi , MD Eff 01-Dec-14 Perez, Maria Carmina E, MD Haque, Mahmudul , MD Dallas Renal Group, PA Eff 01-Jan-14 Eff 30-Apr-20 2698 N Galloway Ave, Ste 104 Dallas Nephrology Associates Dallas Renal Group PA Mesquite, TX 75150 1625 N Story Rd, Ste 140 2698 N Galloway Ste 104 (972) 681-4444 Irving, TX 75061-1954 Mesquite, TX 75150 • Languages spoken / Idioma(s) (214) 358-2300 (972) 681-4444 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish Iqbal, Sajid , MD Pamulaparthy, Smitha R, MD Eff 09-Oct-15 Eff 23-Sep-17 Reyes, Hector M, MD Dallas Nephrology Associates Dallas Renal Group, PA Eff 01-Jan-14 5308 N Galloway Ave, Ste 200 2698 N Galloway Ave, Ste 104 Dallas Nephrology Associates Mesquite, TX 75150-1125 Mesquite, TX 75150 1625 N Story Rd, Ste 140 (214) 358-2300 (972) 681-4444 Irving, TX 75061-1954 • Languages spoken / Idioma(s) (214) 358-2300 Khan, Kiran N, MD hablado(s): Hindi • Languages spoken / Idioma(s) Eff 21-Sep-20 hablado(s): Spanish Dallas Renal Group PA 2698 N Galloway Ste 104 Mesquite, TX 75150 (972) 681-4444

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 226 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Parikh, Palak S, MD Truong, Phuong M, MD Denton County | Condado de Eff 20-Nov-17 Eff 08-Nov-16 Dallas Nephrology Associates Dallas Renal Group, PA Denton 5308 N Galloway Ave, Ste 200 2698 N Galloway Ave, Ste 104 Mesquite, TX 75150-1125 Mesquite, TX 75150 Panesar, Atinder P, MD (214) 358-2300 (972) 681-4444 Eff 01-Jan-14 • Languages spoken / Idioma(s) Dallas Nephrology Associates Park, Joonho , MD hablado(s): Spanish 4221 Medical Pkwy, Bldg 100, Ste Eff 21-Sep-20 150 Dallas Renal Group PA Turner, Taryn J, DO Carrollton, TX 75010-4545 2698 N Galloway Ste 104 Eff 08-Nov-16 (214) 358-2300 Mesquite, TX 75150 Dallas Renal Group, PA • Languages spoken / Idioma(s) (972) 681-4444 2698 N Galloway Ave, Ste 104 hablado(s): Hindi Mesquite, TX 75150 Racheruvu, Mamatha , MD (972) 681-4444 Panesar, Atinder P, MD Eff 11-Jul-16 • Languages spoken / Idioma(s) Eff 01-Jan-14 Dallas Renal Group, PA hablado(s): Spanish Dallas Nephrology Associates 2698 N Galloway Ave, Ste 104 4323 N Josey Ln Ste 200 Mesquite, TX 75150 Verma, Suneet , MD Carrollton, TX 75010 (972) 681-4444 Eff 08-Aug-16 (214) 358-2300 • Languages spoken / Idioma(s) Dallas Renal Group, PA • Languages spoken / Idioma(s) hablado(s): Spanish 2698 N Galloway Ave, Ste 104 hablado(s): Hindi Mesquite, TX 75150 Rao, Archana , MD (972) 681-4444 Reyes, Hector M, MD Eff 01-Jan-14 Eff 01-Jan-14 • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Dallas Nephrology Associates hablado(s): Spanish Dallas Nephrology Associates 5308 N Galloway Ave, Ste 200 4221 Medical Pkwy, Bldg 100, Ste Mesquite, TX 75150-1125 Kaiser, Shaun P, MD 150 Médicos de cuidado especializado y otros proveedores (214) 358-2300 Eff 11-Jan-16 Carrollton, TX 75010-4545 Straightline Medical Consultants, (214) 358-2300 Sarfaraz, Nimra , DO PA • Languages spoken / Idioma(s) Eff 21-Jul-18 2821 E Pres George Bush Hwy, hablado(s): Spanish Dallas Renal Group, PA Ste 506 2698 N Galloway Ave, Ste 104 Richardson, TX 75082 Reyes, Hector M, MD Mesquite, TX 75150 (214) 396-4950 Eff 01-Jan-14 (972) 681-4444 Dallas Nephrology Associates • Languages spoken / Idioma(s) Kumar, Sumit , MD 4323 N Josey Ln Ste 200 hablado(s): Hindi Eff 01-May-15 Carrollton, TX 75010 Straightline Medical Consultants, (214) 358-2300 Thomas, Hanna , MD PA • Languages spoken / Idioma(s) Eff 08-Feb-16 2821 E Pres George Bush Hwy, hablado(s): Spanish Dallas Renal Group, PA Ste 506 2698 N Galloway Ave, Ste 104 Richardson, TX 75082 Sachdev, Sachin , MD Mesquite, TX 75150 (214) 396-4950 Eff 21-Jan-20 (972) 681-4444 • Languages spoken / Idioma(s) Dallas Nephrology Associates • Languages spoken / Idioma(s) hablado(s): Hindi 4323 N Josey Ln, Ste 200 hablado(s): Spanish Carrollton, TX 75010 (214)358-2300 Ext. 6081

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 227 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Asgaonkar, Anil V, MD Asghar, Syed-Ali , MD Baker, Bruce H, MD Eff 15-May-20 Eff 01-Jan-14 Eff 01-Jan-14 Star Nephrology Dallas Nephrology Associates North Texas Kidney Disease 3400 Corinth Pkwy Ste 140 12400 Dallas Pkwy Associates Corinth, TX 76208-1313 Frisco, TX 75033 1600 Waters Ridge Dr, Ste A (940) 312-7356 (469) 495-2000 Lewisville, TX 75057 (972) 219-0558 Krishnamurthy, Gururaj , MD Firoz, Najam M, MD • Languages spoken / Idioma(s) Eff 15-May-20 Eff 08-Aug-16 hablado(s): Spanish Star Nephrology Dallas Nephrology Associates 3400 Corinth Pkwy Ste 140 12400 Dallas Pkwy Jagalur, Anjana S, MD Corinth, TX 73208-1313 Frisco, TX 75033 Eff 13-Oct-14 (940) 312-7356 (469) 495-2000 North Texas Kidney Disease Associates Hussain, Mohammad F, MD Glowacki, Lori S, MD 1600 Waters Ridge Dr, Ste A Eff 01-Jan-14 Eff 01-Jan-14 Lewisville, TX 75057 North Texas Kidney Disease Dallas Nephrology Associates (972) 219-0558 Associates 12400 Dallas Pkwy • Languages spoken / Idioma(s) 3315 Colorado Bvd, Ste 102 Frisco, TX 75033 hablado(s): Hindi Denton, TX 76210 (469) 495-2000 (940) 320-1708 Jyothinagaram, Praveena , MD • Languages spoken / Idioma(s) Kilari, Rakesh , MD Eff 14-Mar-16 hablado(s): Bengali Eff 15-Oct-17 North Texas Kidney Disease Dallas Nephrology Associates Associates Rojas, George A, DO 12400 Dallas Pkwy Specialty Care Physicians & Other Providers/ 1600 Waters Ridge Dr, Ste A Eff 01-Jan-14 Frisco, TX 75033 Lewisville, TX 75057 North Texas Kidney Disease (469) 495-2000

Médicos de cuidado especializado y otros proveedores (972) 219-0558 Associates • Languages spoken / Idioma(s) Saquib, Rehana A, MD 3315 Colorado Bvd, Ste 102 hablado(s): Telugu Denton, TX 76210 Eff 01-Jan-14 (940) 320-1708 Dallas Nephrology Associates Peri, Usha N, MD • Languages spoken / Idioma(s) 12400 Dallas Pkwy Eff 01-Jan-14 hablado(s): Spanish Frisco, TX 75033 North Texas Kidney Disease (469) 495-2000 Associates Zamann, Asad , MD • Languages spoken / Idioma(s) 1600 Waters Ridge Dr, Ste A Eff 16-Aug-19 hablado(s): Spanish Lewisville, TX 75057 North Texas Kidney Disease (972) 219-0558 Siddiqui, Nadeem A, MD Associates • Languages spoken / Idioma(s) Eff 18-Jul-19 3315 Colorado Bvd, Ste 102 hablado(s): Hindi Denton, TX 76210 Dallas Nephrology Associates (940) 320-1708 12400 Dallas Pkwy Frisco, TX 75033 Ellis County | Condado de Ellis Bireddy, Suman K, MD (469) 495-2000 Eff 01-Mar-16 Agha, Irfan A, MD Tarrant Nephrology Associates Syed, Samaha , MD Eff 15-Oct-18 785 Cross Timbers Rd, Ste 145 Eff 01-Jan-14 Dallas Renal Group, PA Flower Mound, TX 75028 Dallas Nephrology Associates 2460 N. IH-35E Suite 210 (817) 725-7880 12400 Dallas Pkwy Waxahachie, TX 75165 Frisco, TX 75033 (469) 530-0967 (469) 495-2000 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 228 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Arce, Cristina M, MD Nangia, Samir K, MD Hood County | Condado de Eff 15-Feb-19 Eff 15-Oct-18 Dallas Renal Group, PA Dallas Renal Group, PA Hood 2460 N IH-35E, Ste 210 2460 N IH-35E, Ste 210 Waxahachie, TX 75165 Waxahachie, TX 75165 Agha, Irfan A, MD (469) 530-0967 (469) 530-0967 Eff 15-Oct-18 Dallas Renal Group, PA Danda, Ratna S, MD Prakash, Vikyath , MD 1200 Crawford Ave. Suite E Eff 15-Oct-18 Eff 15-Oct-18 Granbury, TX 76048 Dallas Renal Group, PA Dallas Renal Group, PA (972) 681-4444 2460 N IH-35E, Ste 210 2460 N IH-35E, Ste 210 • Languages spoken / Idioma(s) Waxahachie, TX 75165 Waxahachie, TX 75165 hablado(s): Spanish (469) 530-0967 (469) 530-0967 • Languages spoken / Idioma(s) Aragon, Michael A, MD * hablado(s): Spanish Sachdev, Sachin , MD Eff 08-Sep-14 Eff 21-Jan-20 North Texas Kidney Consultants Haque, Ammar A, MD Dallas Nephrology Associates 1200 Crawford Ave, Ste A Eff 15-Oct-18 2460 N IH 35 E, Ste 265 Granbury, TX 76048 Dallas Renal Group, PA Waxahachie, TX 75165 (817) 294-0280 2460 N IH-35E, Ste 210 (214)358-2300 Ext. 6550 • Languages spoken / Idioma(s) Waxahachie, TX 75165 hablado(s): Spanish (469) 530-0967 Simon, Silvi M, MD • Languages spoken / Idioma(s) Eff 15-Oct-18 Arce, Cristina M, MD hablado(s): Hindi Dallas Renal Group, PA Eff 15-Feb-19 2460 N IH-35E, Ste 210 Dallas Renal Group, PA Specialty Care Physicians & Other Providers/ Lohiya, Piyush S, MD Waxahachie, TX 75165 1200 Crawford Ave, Ste E Eff 15-Oct-18 (469) 530-0967 Granbury, TX 76048 Dallas Renal Group, PA • Languages spoken / Idioma(s) (972) 681-4444 Médicos de cuidado especializado y otros proveedores 2460 N IH-35E, Ste 210 hablado(s): Spanish Waxahachie, TX 75165 Cespedes, Paul L, MD (469) 530-0967 Velusamy, Latha , MD Eff 08-Nov-16 • Languages spoken / Idioma(s) Eff 15-Oct-18 Dallas Renal Group, PA hablado(s): Spanish Dallas Renal Group, PA 1200 Crawford Ave, Ste E 2460 N IH-35E, Ste 210 Granbury, TX 76048 Makadia, Parin M, MD Waxahachie, TX 75165 (817) 488-6669 Eff 15-Oct-18 (469) 530-0967 • Languages spoken / Idioma(s) Dallas Renal Group, PA • Languages spoken / Idioma(s) hablado(s): Spanish 2460 N IH-35E, Ste 210 hablado(s): Malay Waxahachie, TX 75165 Danda, Ratna S, MD (469) 530-0967 Venkataraman, Srividya , MD Eff 15-Oct-18 • Languages spoken / Idioma(s) Eff 15-Oct-18 Dallas Renal Group, PA hablado(s): Gujrati Dallas Renal Group, PA 1200 Crawford Ave, Ste E 2460 N IH-35E, Ste 210 Granbury, TX 76048 Margassery, Suresh K, MD Waxahachie, TX 75165 (972) 681-4444 Eff 15-Oct-18 (469) 530-0967 • Languages spoken / Idioma(s) Dallas Renal Group, PA • Languages spoken / Idioma(s) hablado(s): Spanish 2460 N IH-35E, Ste 210 hablado(s): Spanish Waxahachie, TX 75165 (469) 530-0967

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 229 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Haque, Ammar A, MD Nangia, Samir K, MD Truong, Phuong M, MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 08-Nov-16 Dallas Renal Group, PA Dallas Renal Group, PA Dallas Renal Group, PA 1200 Crawford Ave, Ste E 1200 Crawford Ave, Ste E 1200 Crawford Ave, Ste E Granbury, TX 76048 Granbury, TX 76048 Granbury, TX 76048 (972) 681-4444 (972) 681-4444 (817) 488-6669 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Hindi Pamulaparthy, Smitha R, MD hablado(s): Spanish Eff 23-Sep-17 Haque, Mahmudul , MD Dallas Renal Group, PA Turner, Taryn J, DO Eff 30-Apr-20 1200 Crawford Ave, Ste E Eff 08-Nov-16 Dallas Renal Group PA Granbury, TX 76048 Dallas Renal Group, PA 1200 Crawford Ave Ste E (817) 488-6669 1200 Crawford Ave, Ste E Granbury, TX 76048 • Languages spoken / Idioma(s) Granbury, TX 76048 (682) 205-3501 hablado(s): Hindi (817) 488-6669 • Languages spoken / Idioma(s) Khan, Kiran N, MD Park, Joonho , MD hablado(s): Spanish Eff 21-Sep-20 Eff 21-Sep-20 Dallas Renal Group PA Dallas Renal Group PA Velusamy, Latha , MD 1200 Crawford Ave Ste E 1200 Crawford Ave Ste E Eff 15-Oct-18 Granbury, TX 76048 Granbury, TX 76048 Dallas Renal Group, PA (682) 205-3501 (682) 205-3501 1200 Crawford Ave, Ste E Granbury, TX 76048 Koganti, Asa D, MD Prakash, Vikyath , MD (972) 681-4444 Eff 14-May-17 Eff 15-Oct-18 Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) Dallas Renal Group, PA Dallas Renal Group, PA hablado(s): Malay 1200 Crawford Ave, Ste E 1200 Crawford Ave, Ste E Médicos de cuidado especializado y otros proveedores Granbury, TX 76048 Granbury, TX 76048 Venkataraman, Srividya , MD (817) 488-6669 (972) 681-4444 Eff 15-Oct-18 Dallas Renal Group, PA Lohiya, Piyush S, MD Racheruvu, Mamatha , MD 1200 Crawford Ave, Ste E Eff 15-Oct-18 Eff 11-Jul-16 Granbury, TX 76048 Dallas Renal Group, PA Dallas Renal Group, PA (972) 681-4444 1200 Crawford Ave, Ste E 1200 Crawford Ave, Ste E • Languages spoken / Idioma(s) Granbury, TX 76048 Granbury, TX 76048 hablado(s): Spanish (972) 681-4444 (817) 488-6669 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Verma, Suneet , MD hablado(s): Spanish hablado(s): Spanish Eff 08-Aug-16 Dallas Renal Group, PA Makadia, Parin M, MD Simon, Silvi M, MD 1200 Crawford Ave, Ste E Eff 15-Oct-18 Eff 15-Oct-18 Granbury, TX 76048 Dallas Renal Group, PA Dallas Renal Group, PA (817) 488-6669 1200 Crawford Ave, Ste E 1200 Crawford Ave, Ste E • Languages spoken / Idioma(s) Granbury, TX 76048 Granbury, TX 76048 hablado(s): Spanish (972) 681-4444 (972) 681-4444 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Gujrati hablado(s): Spanish Margassery, Suresh K, MD Eff 15-Oct-18 Dallas Renal Group, PA 1200 Crawford Ave. Ste E Granbury, TX 76048 (972) 681-4444

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 230 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hunt County | Condado de Patil, Raju A, MD Nguyen, Phuc T, DO Eff 15-Apr-20 Eff 01-Mar-16 Hunt Ft Worth Renal Group Tarrant Nephrology Associates 209 Old Hwy 1187 504 Sante Fe Dr Gieser, Steven M, MD Burleson, TX 76028-0281 Weatherford, TX 76086 Eff 01-Jan-14 (817) 259-0611 (817) 877-5858 Dallas Nephrology Associates • Languages spoken / Idioma(s) 4400 I-30 W, Ste 300 Ramamurthy, Geethanjali , MD hablado(s): Spanish Greenville, TX 75402-4643 Eff 15-Apr-20 (214) 358-2300 Ft Worth Renal Group Richey, Daniel S, DO 209 Old Hwy 1187 Eff 01-Jan-14 Johnson County | Condado de Burleson, TX 76028-0281 Dallas Nephrology Associates Johnson (817) 259-0611 920 Santa Fe Dr Ste 103 Weatherford, TX 76086-5865 Raju, Malathi C, MD (214) 358-2300 Abraham, Koshy O, MD Eff 01-Mar-16 Eff 15-Apr-20 Tarrant Nephrology Associates Yager, Mariana B, MD Ft Worth Renal Group 1206 W Henderson, Ste C Eff 15-Oct-17 209 Old Hwy 1187 Cleburne, TX 76033 Dallas Nephrology Associates Burleson, TX 76028-0281 (817) 877-5858 920 Santa Fe Dr, Ste 103 (817) 259-0611 • Languages spoken / Idioma(s) Weatherford, TX 76086-5865 hablado(s): Kannada (214) 358-2300 Afolabi, Oladapo , MD • Languages spoken / Idioma(s) Eff 15-Apr-20 Raju, Malathi C, MD hablado(s): Spanish Ft Worth Renal Group Eff 13-Feb-20 209 Old Hwy 1187 Specialty Care Physicians & Other Providers/ Malathi Chamarthi Raju MD PA Tarrant County | Condado de Burleson, TX 76028-0281 203 Walls Dr Ste 100 (817) 259-0611 Cleburne, TX 76033-7029 Tarrant Médicos de cuidado especializado y otros proveedores (817) 928-5669 Chandupatla, Samatha , MD Agha, Irfan A, MD Eff 15-Apr-20 Parker County | Condado de Eff 15-Oct-18 Ft Worth Renal Group Dallas Renal Group, PA 209 Old Hwy 1187 Parker 8200 Matlock Road Suite 160 Burleson, TX 76028-0281 Arlington, TX 76002 (817) 259-0611 Dhelaria, Ranjit K, MD (817) 678-6449 Eff 21-Nov-16 • Languages spoken / Idioma(s) Nef, Patrick C, MD Tarrant Nephrology Associates hablado(s): Spanish Eff 15-Apr-20 504 Sante Fe Dr Ft Worth Renal Group Weatherford, TX 76086 Al-Laham, Ammar , MD 209 Old Hwy 1187 (817) 877-5858 Eff 01-Dec-18 Burleson, TX 76028-0281 North Texas Kidney Consultants (817) 259-0611 Holt, Shea R, MD 4907 S Collins St, Ste 101 Eff 01-Apr-15 Arlington, TX 76018 Nguyen, Phuc T, DO Dialysis Associates (817) 375-0610 Eff 01-Mar-16 2025 Fort Worth Hwy, Ste 200 • Languages spoken / Idioma(s) Tarrant Nephrology Associates Weatherford, TX 76086 hablado(s): Arabic 12201 Bear Plaza (817) 336-5060 Burleson, TX 76028 Arce, Cristina M, MD (817) 293-0037 Eff 15-Feb-19 • Languages spoken / Idioma(s) Dallas Renal Group, PA hablado(s): Spanish 8200 Matlock Rd, Ste 160 Arlington, TX 76002 (817) 678-6449

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 231 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chalmers, Stephen J, MD Khan, Kiran N, MD Norris, Christopher J, MD Eff 01-Feb-15 Eff 21-Sep-20 Eff 08-Sep-14 North Texas Nephrology Dallas Renal Group PA North Texas Kidney Consultants Associates PA 8200 Matlock Rd Ste 160 4907 S Collins St, Ste 101 1132 S Bowen Rd Arlington, TX 76002 Arlington, TX 76018 Arlington, TX 76013-2204 (972) 274-5555 (817) 375-0610 (817) 265-9700 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Lohiya, Piyush S, MD hablado(s): Spanish hablado(s): Spanish Eff 15-Oct-18 Dallas Renal Group, PA Park, Joonho , MD Danda, Ratna S, MD 8200 Matlock Rd, Ste 160 Eff 21-Sep-20 Eff 15-Oct-18 Arlington, TX 76002 Dallas Renal Group PA Dallas Renal Group, PA (817) 678-6449 8200 Matlock Rd Ste 160 8200 Matlock Rd, Ste 160 • Languages spoken / Idioma(s) Arlington, TX 76002 Arlington, TX 76002 hablado(s): Spanish (972) 274-5555 (817) 678-6449 • Languages spoken / Idioma(s) Makadia, Parin M, MD Prakash, Vikyath , MD hablado(s): Spanish Eff 15-Oct-18 Eff 15-Oct-18 Dallas Renal Group, PA Dallas Renal Group, PA Haque, Ammar A, MD 8200 Matlock Rd, Ste 160 8200 Matlock Rd, Ste 160 Eff 15-Oct-18 Arlington, TX 76002 Arlington, TX 76002 Dallas Renal Group, PA (817) 678-6449 (817) 678-6449 8200 Matlock Rd, Ste 160 • Languages spoken / Idioma(s) Arlington, TX 76002 hablado(s): Gujrati Sarfaraz, Nimra , DO Eff 21-Jul-18 Specialty Care Physicians & Other Providers/ (817) 678-6449 • Languages spoken / Idioma(s) Margassery, Suresh K, MD Dallas Renal Group, PA Eff 15-Oct-18 8200 Matlock Rd, Ste 160

Médicos de cuidado especializado y otros proveedores hablado(s): Hindi Dallas Renal Group, PA Arlington, TX 76002 Haque, Mahmudul , MD 8200 Matlock Road Ste 160 (972) 274-5555 Eff 30-Apr-20 Arlington, TX 76002 • Languages spoken / Idioma(s) Dallas Renal Group PA (817) 678-6449 hablado(s): Hindi 8200 Matlock Rd Ste 160 Arlington, TX 76002 Martin, David R, MD * Simon, Silvi M, MD (972) 274-5555 Eff 08-Sep-14 Eff 15-Oct-18 North Texas Kidney Consultants Dallas Renal Group, PA Jameson, Michael D, MD 4907 S Collins St, Ste 101 8200 Matlock Rd, Ste 160 Eff 01-Feb-15 Arlington, TX 76018 Arlington, TX 76002 North Texas Nephrology (817) 375-0610 (817) 678-6449 Associates PA • Languages spoken / Idioma(s) 1132 S Bowen Rd Nangia, Samir K, MD hablado(s): Spanish Arlington, TX 76013-2204 Eff 15-Oct-18 (817) 265-9700 Dallas Renal Group, PA Singh, Davinder , MD 8200 Matlock Rd, Ste 160 Eff 01-Feb-15 Jaradat, Majd I, MD Arlington, TX 76002 North Texas Nephrology Eff 08-Sep-14 (817) 678-6449 Associates PA North Texas Kidney Consultants 1132 S Bowen Rd 4907 S Collins St, Ste 101 Nguyen, Peter V, MD Arlington, TX 76013-2204 Arlington, TX 76018 Eff 01-Mar-16 (817) 265-9700 (817) 375-0610 Tarrant Nephrology Associates 203 W Randal Mill Rd Arlington, TX 76011 (817) 877-5858 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 232 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Velusamy, Latha , MD Ramamurthy, Geethanjali , MD Abraham, Koshy O, MD Eff 15-Oct-18 Eff 15-Apr-20 Eff 15-Apr-20 Dallas Renal Group, PA Ft Worth Renal Group Ft Worth Renal Group 8200 Matlock Rd, Ste 160 909 Southeast Pkwy Ste 102 1902 Windsor Pl Ste 102 Arlington, TX 76002 Azle, TX 76020-3600 Fort Worth, TX 76110-3051 (817) 678-6449 (817) 259-0611 (817) 259-0611 • Languages spoken / Idioma(s) hablado(s): Malay Aragon, Michael A, MD * Abraham, Koshy O, MD Eff 08-Sep-14 Eff 15-Apr-20 Venkataraman, Srividya , MD North Texas Kidney Consultants Ft Worth Renal Group Eff 15-Oct-18 2425 Hwy 121, Ste 201 3100 N Tarrant Pkwy Ste 104 Dallas Renal Group, PA Bedford, TX 76021 Fort Worth, TX 76177-8616 8200 Matlock Rd, Ste 160 (817) 283-5166 (817) 259-0611 Arlington, TX 76002 • Languages spoken / Idioma(s) (817) 678-6449 hablado(s): Spanish Abraham, Koshy O, MD • Languages spoken / Idioma(s) Eff 15-Apr-20 hablado(s): Spanish Chalmers, Stephen J, MD Ft Worth Renal Group Eff 01-Feb-15 4900 Boat Club Rd Abraham, Koshy O, MD North Texas Nephrology Fort Worth, TX 76135-1802 Eff 15-Apr-20 Associates PA (817) 259-0611 Ft Worth Renal Group 1600 Central Dr, Ste 131 909 Southeast Pkwy Ste 102 Bedford, TX 76022 Abraham, Koshy O, MD Azle, TX 76020-3600 (817) 571-1417 Eff 15-Apr-20 (817) 259-0611 • Languages spoken / Idioma(s) Ft Worth Renal Group 5801 Oakbend Trl Ste 200 hablado(s): Spanish Specialty Care Physicians & Other Providers/ Afolabi, Oladapo , MD Fort Worth, TX 76132-3916 Eff 15-Apr-20 Dikkala, Sudharani , MD * (817) 259-0611 Ft Worth Renal Group Eff 08-Sep-14 Médicos de cuidado especializado y otros proveedores 909 Southeast Pkwy Ste 102 North Texas Kidney Consultants Abraham, Koshy O, MD Azle, TX 76020-3600 2425 Hwy 121, Ste 201 Eff 15-Apr-20 (817) 259-0611 Bedford, TX 76021 Ft Worth Renal Group (817) 283-5166 711 Pennsylvania Ave Chandupatla, Samatha , MD Fort Worth, TX 76104-2222 Eff 15-Apr-20 Martin, David R, MD * (817) 259-0611 Ft Worth Renal Group Eff 08-Sep-14 909 Southeast Pkwy Ste 102 North Texas Kidney Consultants Afolabi, Oladapo , MD Azle, TX 76020-3600 2425 Hwy 121, Ste 201 Eff 15-Apr-20 (817) 259-0611 Bedford, TX 76021 Ft Worth Renal Group (817) 283-5166 1902 Windsor Pl Ste 102 Nef, Patrick C, MD Fort Worth, TX 76110-3051 Eff 15-Apr-20 Singh, Davinder , MD (817) 259-0611 Ft Worth Renal Group Eff 01-Feb-15 909 Southeast Pkwy Ste 102 North Texas Nephrology Afolabi, Oladapo , MD Azle, TX 76020-3600 Associates PA Eff 15-Apr-20 (817) 259-0611 1600 Central Dr, Ste 131 Ft Worth Renal Group Bedford, TX 76022 3100 N Tarrant Pkwy Ste 104 Patil, Raju A, MD (817) 571-1417 Fort Worth, TX 76177-8616 Eff 15-Apr-20 (817) 259-0611 Ft Worth Renal Group Richey, Daniel S, DO 909 Southeast Pkwy Ste 102 Eff 01-Jan-14 Azle, TX 76020-3600 Dallas Nephrology Associates (817) 259-0611 1005 S Crowley Rd Crowley, TX 76036 (817) 921-2153

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 233 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Afolabi, Oladapo , MD Balamuthusamy, Saravanan , MD Chandupatla, Samatha , MD Eff 15-Apr-20 Eff 01-Mar-16 Eff 15-Apr-20 Ft Worth Renal Group Tarrant Nephrology Associates Ft Worth Renal Group 4900 Boat Club Rd 1001 Pennsylvania Ave 711 Pennsylvania Ave Fort Worth, TX 76135-1802 Fort Worth, TX 76104-2228 Fort Worth, TX 76104-2222 (817) 259-0611 (817) 877-5858 (817) 259-0611 • Languages spoken / Idioma(s) Afolabi, Oladapo , MD hablado(s): American Sign Dhelaria, Ranjit K, MD Eff 15-Apr-20 Language Eff 21-Nov-16 Ft Worth Renal Group Tarrant Nephrology Associates 5801 Oakbend Trl Ste 200 Bhagat, Neena , MD 1001 Pennsylvania Ave Fort Worth, TX 76132-3916 Eff 01-Mar-16 Fort Worth, TX 76104-2228 (817) 259-0611 Tarrant Nephrology Associates (817) 877-5858 1001 Pennsylvania Ave Afolabi, Oladapo , MD Fort Worth, TX 76104-2228 Elmhishi, Osama , MD Eff 15-Apr-20 (817) 877-5858 Eff 25-Oct-17 Ft Worth Renal Group • Languages spoken / Idioma(s) PPG Health, PA 711 Pennsylvania Ave hablado(s): Hindi 1001 Pennsylvania Ave Fort Worth, TX 76104-2222 Fort Worth, TX 76104-2228 (817) 259-0611 Bista, Bipin R, MD (817) 877-5858 Eff 17-Dec-17 • Languages spoken / Idioma(s) Al-Laham, Ammar , MD Dallas Nephrology Associates hablado(s): Arabic Eff 01-Dec-18 1250 8th Ave, Ste 500 North Texas Kidney Consultants Fort Worth, TX 76104-4145 Epstein, Ira M, DO 7250 Hawkins View Dr, Ste 410 Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ (214) 921-2153 Fort Worth, TX 76132 North Texas Kidney Disease (817) 294-0280 Chandupatla, Samatha , MD Associates Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Eff 15-Apr-20 919 Alston, Ste 101 hablado(s): Arabic Ft Worth Renal Group Fort Worth, TX 76104 1902 Windsor Pl Ste 102 (817) 870-9941 Allam, Sridhar R, MD Fort Worth, TX 76110-3051 Eff 01-Mar-16 (817) 259-0611 Fischbach, Bernard V, MD Tarrant Nephrology Associates Eff 01-Jan-14 1001 Pennsylvania Ave Chandupatla, Samatha , MD Dallas Nephrology Associates Fort Worth, TX 76104-2228 Eff 15-Apr-20 1250 8th Ave, Ste 135 (817) 877-5858 Ft Worth Renal Group Fort Worth, TX 76104-4145 • Languages spoken / Idioma(s) 3100 N Tarrant Pkwy Ste 104 (214) 921-2153 hablado(s): Spanish Fort Worth, TX 76177-8616 • Languages spoken / Idioma(s) (817) 259-0611 hablado(s): Spanish Aragon, Michael A, MD * Eff 08-Sep-14 Chandupatla, Samatha , MD Fischbach, Bernard V, MD North Texas Kidney Consultants Eff 15-Apr-20 Eff 01-Jan-16 7250 Hawkins View Dr, Ste 410 Ft Worth Renal Group LVAD Clinic Fort Worth, TX 76132 4900 Boat Club Rd 1250 Eighth Ave Ste 500 (817) 294-0280 Fort Worth, TX 76135-1802 Fort Worth, TX 76104 • Languages spoken / Idioma(s) (817) 259-0611 (817) 921-2153 hablado(s): Spanish Chandupatla, Samatha , MD Eff 15-Apr-20 Ft Worth Renal Group 5801 Oakbend Trl Ste 200 Fort Worth, TX 76132-3916 (817) 259-0611

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 234 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Gratch, Jack O, DO Kanu, Obiajuju U, MD Memon, Imran A, MD Eff 01-Jul-14 Eff 22-Oct-20 Eff 02-Feb-16 Clinical Nephrology Associates, Acclaim Physician Group,Inc Tarrant Nephrology Associates PA 1500 South Main St 1001 Pennsylvania Ave 1700 Mistletoe Blvd Fort Worth, TX 76104-4917 Fort Worth, TX 76104-2228 Fort Worth, TX 76104-4042 (817) 702-3431 (817) 877-5858 (817) 927-2612 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Karmegam, Sathish , MD hablado(s): Spanish hablado(s): Spanish Eff 09-Aug-19 Tarrant Nephrology Associates Nef, Patrick C, MD Hafeez, Abdul , MD 1650 W Rosedale St, Ste 301 Eff 15-Apr-20 Eff 01-Apr-15 Fort Worth, TX 76104 Ft Worth Renal Group Dialysis Associates (817)877-5858 1902 Windsor Pl Ste 102 950 W Magnolia Fort Worth, TX 76110-3051 Fort Worth, TX 76104 Kennedy, Shane W, MD (817) 259-0611 (817) 336-5060 Eff 01-Apr-15 Dialysis Associates Nef, Patrick C, MD Halker, Raj R, MD 6100 Harris Pkwy, Ste 275 Eff 15-Apr-20 Eff 01-Apr-15 Fort Worth, TX 76132 Ft Worth Renal Group Dialysis Associates (817) 336-5060 3100 N Tarrant Pkwy Ste 104 919 Travis Ave Fort Worth, TX 76177-8616 Fort Worth, TX 76104 Kennedy, Shane W, MD (817) 259-0611 (817) 810-0700 Eff 01-Apr-15 Dialysis Associates Nef, Patrick C, MD Halker, Raj R, MD 950 W Magnolia Eff 15-Apr-20 Specialty Care Physicians & Other Providers/ Eff 01-Apr-15 Fort Worth, TX 76104 Ft Worth Renal Group Dialysis Associates (817) 336-5060 4900 Boat Club Rd 950 W Magnolia Fort Worth, TX 76135-1802 Médicos de cuidado especializado y otros proveedores Fort Worth, TX 76104 Khan, Rubina A, MD (817) 259-0611 (817) 336-5060 Eff 01-Apr-15 Dialysis Associates Nef, Patrick C, MD Holt, Shea R, MD 950 W Magnolia Eff 15-Apr-20 Eff 01-Apr-15 Fort Worth, TX 76104 Ft Worth Renal Group Dialysis Associates (817) 336-5060 5801 Oakbend Trl Ste 200 950 W Magnolia • Languages spoken / Idioma(s) Fort Worth, TX 76132-3916 Fort Worth, TX 76104 hablado(s): American Sign (817) 259-0611 (817) 336-5060 Language Nef, Patrick C, MD Jalandhara, Nishant , MD Madhrira, Machaiah M, MD Eff 15-Apr-20 Eff 06-Jul-16 Eff 01-Mar-16 Ft Worth Renal Group Tarrant Nephrology Associates Tarrant Nephrology Associates 711 Pennsylvania Ave 1001 Pennsylvania Ave 1001 Pennsylvania Ave Fort Worth, TX 76104-2222 Fort Worth, TX 76104-2228 Fort Worth, TX 76104-2228 (817) 259-0611 (817) 877-5858 (817) 877-5858 • Languages spoken / Idioma(s) Nguyen, Peter V, MD Kannaeganti, Prasad V, MD hablado(s): Hindi Eff 01-Mar-16 Eff 01-Jan-14 Tarrant Nephrology Associates North Texas Kidney Disease 1001 Pennsylvania Ave Associates Fort Worth, TX 76104-2228 919 Alston, Ste 101 (817) 877-5858 Fort Worth, TX 76104 • Languages spoken / Idioma(s) (817) 870-9941 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 235 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nguyen, Phuc T, DO Patil, Raju A, MD Rattan, Jaswinder S, MD Eff 01-Mar-16 Eff 15-Apr-20 Eff 08-Aug-16 Tarrant Nephrology Associates Ft Worth Renal Group Dialysis Associates 1001 Pennsylvania Ave 711 Pennsylvania Ave 950 W Magnolia Fort Worth, TX 76104-2228 Fort Worth, TX 76104-2222 Fort Worth, TX 76104 (817) 877-5858 (817) 259-0611 (817) 336-5060 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Raju, Malathi C, MD hablado(s): American Sign Eff 01-Mar-16 Language Niazi, Faryal , MD Tarrant Nephrology Associates Eff 01-Jun-18 1001 Pennsylvania Ave Richey, Daniel S, DO Dallas Nephrology Associates Fort Worth, TX 76104-2228 Eff 01-Jan-14 1250 8th Ave, Ste 500 (817) 877-5858 Dallas Nephrology Associates Fort Worth, TX 76104-4145 • Languages spoken / Idioma(s) 1250 8th Ave Ste 135 (214) 921-2153 hablado(s): Kannada Fort Worth, TX 76104-4156 (214) 921-2153 Pasala, Radha , MD Ramamurthy, Geethanjali , MD Eff 25-Sep-17 Eff 15-Apr-20 Sankarapandian, Balamurugan P, PPG Health, PA Ft Worth Renal Group MD 1001 Pennsylvania Ave 1902 Windsor Pl Ste 102 Eff 01-Mar-16 Fort Worth, TX 76104-2228 Fort Worth, TX 76110-3051 Tarrant Nephrology Associates (817) 877-5858 (817) 259-0611 1001 Pennsylvania Ave • Languages spoken / Idioma(s) Fort Worth, TX 76104-2228 hablado(s): Spanish Ramamurthy, Geethanjali , MD (817) 877-5858 Eff 15-Apr-20 Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) Patil, Raju A, MD Ft Worth Renal Group hablado(s): Spanish Eff 15-Apr-20 3100 N Tarrant Pkwy Ste 104 Médicos de cuidado especializado y otros proveedores Ft Worth Renal Group Fort Worth, TX 76177-8616 Shah, Dar B, MD 1902 Windsor Pl Ste 102 (817) 259-0611 Eff 01-Jan-14 Fort Worth, TX 76110-3051 Lone Star Kidney Care, PLLC (817) 259-0611 Ramamurthy, Geethanjali , MD 800 8th Ave, Ste 236 Eff 15-Apr-20 Fort Worth, TX 76104 Patil, Raju A, MD Ft Worth Renal Group (817) 810-9800 Eff 15-Apr-20 4900 Boat Club Rd Ft Worth Renal Group Fort Worth, TX 76135-1802 Shori, Sandeep K, DO 3100 N Tarrant Pkwy Ste 104 (817) 259-0611 Eff 01-Apr-15 Fort Worth, TX 76177-8616 Dialysis Associates (817) 259-0611 Ramamurthy, Geethanjali , MD 950 W Magnolia Eff 15-Apr-20 Fort Worth, TX 76104 Patil, Raju A, MD Ft Worth Renal Group (817) 336-5060 Eff 15-Apr-20 5801 Oakbend Trl Ste 200 Ft Worth Renal Group Fort Worth, TX 76132-3916 Sidhu, Ishwinder S, MD 4900 Boat Club Rd (817) 259-0611 Eff 01-Apr-15 Fort Worth, TX 76135-1802 Dialysis Associates (817) 259-0611 Ramamurthy, Geethanjali , MD 919 Travis Ave Eff 15-Apr-20 Fort Worth, TX 76104 Patil, Raju A, MD Ft Worth Renal Group (817) 810-0700 Eff 15-Apr-20 711 Pennsylvania Ave • Languages spoken / Idioma(s) Ft Worth Renal Group Fort Worth, TX 76104-2222 hablado(s): Hindi 5801 Oakbend Trl Ste 200 (817) 259-0611 Fort Worth, TX 76132-3916 (817) 259-0611

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 236 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Sidhu, Ishwinder S, MD Yang, Yan , MD Bireddy, Suman K, MD Eff 01-Apr-15 Eff 01-Apr-15 Eff 01-Mar-16 Dialysis Associates Dialysis Associates Tarrant Nephrology Associates 950 W Magnolia 950 W Magnolia 6455 HIll Top Dr, Ste 112 Fort Worth, TX 76104 Fort Worth, TX 76104 North Richland Hills, TX 76180 (817) 336-5060 (817) 336-5060 (817) 877-5858 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Hindi hablado(s): American Sign Epstein, Ira M, DO Language Eff 01-Jan-14 Singh, Sandeep , MD North Texas Kidney Disease Eff 01-Apr-15 Yango, Angelito F, MD Associates Dialysis Associates Eff 01-Jan-14 6331 Boulevard 26, Ste 220 950 W Magnolia Dallas Nephrology Associates North Richland Hills, TX 76180 Fort Worth, TX 76104 1250 8th Ave, Ste 500 (817) 628-0284 (817) 336-5060 Fort Worth, TX 76104-4145 • Languages spoken / Idioma(s) (214) 921-2153 Kannaeganti, Prasad V, MD hablado(s): Hindi • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Spanish North Texas Kidney Disease Vallurupalli, Avinash , DO Associates Eff 01-Mar-16 Al Rifai, Anas , MD 6331 Boulevard 26, Ste 220 Tarrant Nephrology Associates Eff 28-Apr-18 North Richland Hills, TX 76180 1001 Pennsylvania Ave Dallas Nephrology Associates (817) 628-0284 Fort Worth, TX 76104-2228 2020 W Hwy 114, Ste 190 • Languages spoken / Idioma(s) (817) 877-5858 Grapevine, TX 76051 hablado(s): Hindi

• Languages spoken / Idioma(s) (214) 366-6225 Specialty Care Physicians & Other Providers/ hablado(s): Spanish • Languages spoken / Idioma(s) Zamann, Asad , MD Eff 16-Aug-19

hablado(s): Arabic Médicos de cuidado especializado y otros proveedores Vanguru, Raghuveer , MD North Texas Kidney Disease Eff 01-Jan-14 Arce, Cristina M, MD Associates North Texas Kidney Disease Eff 15-Feb-19 6331 Boulevard 26, Ste 220 Associates Dallas Renal Group, PA North Richland Hills, TX 76180 919 Alston, Ste 101 4100 Heritage Ave, Ste 106 (817) 628-0284 Fort Worth, TX 76104 Grapevine, TX 76051 (817) 870-9941 (972) 274-5555 Abraham, Koshy O, MD • Languages spoken / Idioma(s) Eff 15-Apr-20 hablado(s): Hindi Margassery, Suresh K, MD Ft Worth Renal Group Eff 15-Oct-18 200 Pecan Crk Yager, Mariana B, MD Dallas Renal Group, PA Southlake, TX 76092-6371 Eff 15-Oct-17 4100 Heritage Ave, Ste 106 (817) 259-0611 Dallas Nephrology Associates Grapevine, TX 76051 1250 8th Ave, Ste 500 (972) 274-5555 Afolabi, Oladapo , MD Fort Worth, TX 76104-4145 Eff 15-Apr-20 (214) 921-2153 Bireddy, Suman K, MD Ft Worth Renal Group • Languages spoken / Idioma(s) Eff 01-Mar-16 200 Pecan Crk hablado(s): Spanish Tarrant Nephrology Associates Southlake, TX 76092-6371 4420 Heritage Trace Pkwy, Ste (817) 259-0611 Yager, Mariana B, MD 312 Eff 15-Oct-17 Keller, TX 76244 Chandupatla, Samatha , MD Dallas Nephrology Associates (817) 877-5858 Eff 15-Apr-20 1700 Mistletoe Blvd Ft Worth Renal Group Fort Worth, TX 76104-4042 200 Pecan Crk (214) 358-2300 Southlake, TX 76092-6371 • Languages spoken / Idioma(s) (817) 259-0611 hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 237 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Devidoss, Sharmila , MD Masel, David L, MD Kutz, Scott C, MD Eff 16-Jan-20 Eff 01-Oct-14 Eff 15-Jul-20 Southlake Kidney Specialists Frisco Spine, PA Minimally Invasive Neurosurgery PLLC 8350 Dallas Pkwy Ste 200 of Texas, PLLC 630 N Kimball Ave, Ste 100 Frisco, TX 75034-4020 5425 W SpringCreek Pkwy #133 Southlake, TX 76092-6886 (972) 377-9200 Plano, TX 75024-4334 (817) 233-6923 (972) 244-3491 McCullough, William T, MD Nef, Patrick C, MD Eff 09-May-16 Masel, David L, MD Eff 15-Apr-20 Frisco Spine, PA Eff 01-Oct-14 Ft Worth Renal Group 8350 Dallas Pkwy Ste 200 Frisco Spine, PA 200 Pecan Crk Frisco, TX 75034-4020 7150 Preston Rd, Bldg 3, Ste 300 Southlake, TX 76092-6371 (972) 377-9200 Plano, TX 75024 (817) 259-0611 (214) 705-9599 Panchal, Ripul R, DO Patil, Raju A, MD Eff 01-Jul-19 Panchal, Ripul R, DO Eff 15-Apr-20 American Neurospine Institute Eff 01-Jul-19 Ft Worth Renal Group PLLC American Neurospine Institute 200 Pecan Crk 5150 Warren Pkwy, Bldg 8 PLLC Southlake, TX 76092-6371 Frisco, TX 75034-7462 4001 W 15th St, Ste 445 (817) 259-0611 (972) 806-1188 Plano, TX 75093-5845 (972) 806-1188 Ramamurthy, Geethanjali , MD Salinas, Paul , MD Eff 15-Apr-20 Eff 01-Oct-14 Dallas County | Condado de Ft Worth Renal Group Frisco Spine, PA Specialty Care Physicians & Other Providers/ 200 Pecan Crk 8350 Dallas Pkwy, Ste 200 Dallas Southlake, TX 76092-6371 Frisco, TX 75034-4020 Médicos de cuidado especializado y otros proveedores (817) 259-0611 (972) 377-9200 Barnett, David W, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 Neurological Surgery/ Cirugía hablado(s): Spanish Texas Neurosurgery, PA neurológica 17051 Dallas Pkwy Ste 370 Morgan, Brent C, MD Addison, TX 75001 Collin County | Condado de Eff 30-Jun-19 (214) 823-2052 Baylor Scott & White Neurosurgery Collin Associates Bidiwala, Shaad B, MD 5236 W University Drive, Ste 460 Eff 01-Jan-14 Banister, William M, MD McKinney, TX 75071 Texas Neurosurgery, PA Eff 01-May-16 (469) 800-9260 17051 Dallas Pkwy Ste 370 William M Banister, MD, PA Addison, TX 75001 5575 Warren Pkwy, Professional Silver, Mark V, MD (214) 823-2052 Bldg I, Ste 314 Eff 15-Jul-17 • Languages spoken / Idioma(s) Frisco, TX 75034-4092 Mark Viktor Silver, PLLC hablado(s): Hindi (972)499-4280 2719 Virginia Pkwy McKinney, TX 75071-4917 Michael, Christopher B, MD Ferraro, Nicholas C, MD (469)625-2500 Eff 01-Jan-14 Eff 01-Nov-18 Texas Neurosurgery, PA Baylor Scott & White Neurosurgery Dickerman, Rob D, DO 17051 Dallas Pkwy Ste 370 Associates Eff 15-Nov-14 Addison, TX 75001 3800 Gaylord Pkwy, Ste 910 Rob D Dickerman DO PhD PA (214) 823-2052 Frisco, TX 75034 6130 W Parker Rd MOB 1-52 (469) 800-9260 Plano, TX 75093 (972) 238-0512

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 238 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Barnett, David W, MD Finn, S S, MD Naftalis, Richard C, MD Eff 01-Jan-14 Eff 01-Apr-15 Eff 01-Jan-14 Texas Neurosurgery, PA S Sam Finn, MD, PA Baylor Scott & White Neurosurgery 3600 Gaston Ave, Ste 907 3600 Gaston Ave, Ste 856, Associates Dallas, TX 75246 Wadley Tower 3417 Gaston Ave, Ste 920 (214) 823-2052 Dallas, TX 75246 Dallas, TX 75246 (214) 823-2161 (469) 800-9260 Bidiwala, Shaad B, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): French Naftalis, Richard C, MD Texas Neurosurgery, PA Eff 01-Jan-14 3600 Gaston Ave, Ste 907 Giri, Bala K, MD Baylor Scott & White Neurosurgery Dallas, TX 75246 Eff 14-Jul-19 Associates (214) 823-2052 Texas Neuro Spine Institute 3417 Gaston Ave, Ste 920 • Languages spoken / Idioma(s) 1411 N. Beckley Ave, Pavilion III, Dallas, TX 75246 hablado(s): Hindi Ste 474 (469) 800-9260 Dallas, TX 75203 Coimbra, Caetano P, MD (214) 393-5007 Neece, Stephen R, MD Eff 01-Jul-17 Eff 27-Aug-20 Dallas Brain, Spine, & Skull Base Giri, Bala K, MD Stephen R. Neece, MD, PA Surgery Eff 14-Jul-19 9 Medical Pkwy, Ste 108 7777 Forest Ln, Ste A337 Texas Neuro Spine Institute Dallas, TX 752347868 Dallas, TX 75230 3430 W Wheatland Rd, POB I Ste (972) 803-8270 (972) 566-5200 216 Dallas, TX 75267 Neece, Stephen S, MD Doughty, Kyle E, MD Eff 22-Jul-19 (972) 709-8378 Specialty Care Physicians & Other Providers/ Eff 01-Jan-14 Medcare Sports and Family Baylor Scott & White Neurosurgery Kerr, Edward E, MD Medicine, PLLC Associates Eff 06-Apr-15 15110 Dallas Pkwy, Ste 102 Médicos de cuidado especializado y otros proveedores 3417 Gaston Ave, Ste 920 Baylor Scott & White Neurosurgery Dallas, TX 75248 Dallas, TX 75246 Associates (972) 792-0204 (469) 800-9260 3417 Gaston Ave Ste 920 Dallas, TX 75246 Orozco, Ludwig D, MD Doughty, Kyle E, MD (469) 800-9260 Eff 15-Nov-16 Eff 01-Jan-14 Texas Brain and Spine Baylor Scott & White Neurosurgery Kerr, Edward E, MD 12800 Preston Rd, Ste 101 Associates Eff 06-Apr-15 Dallas, TX 75230 3417 Gaston Ave, Ste 920 Baylor Scott & White Neurosurgery (469) 626-1577 Dallas, TX 75246 Associates • Languages spoken / Idioma(s) (469) 800-9260 3417 Gaston Ave Ste 920 hablado(s): Spanish Dallas, TX 75246 Ferraro, Nicholas C, MD (469) 800-9260 Patel, Ankur R, MD Eff 01-Nov-18 Eff 13-Nov-20 Baylor Scott & White Neurosurgery Michael, Christopher B, MD Baylor Scott & White Neurosurgery Associates Eff 01-Jan-14 Associates 3417 Gaston Ave, Ste 920 Texas Neurosurgery, PA 3417 Gaston Ave Ste 920 Dallas, TX 75246 3600 Gaston Ave, Ste 907 Dallas, TX 75246 (469) 800-9260 Dallas, TX 75246 (469) 800-9260 (214) 823-2052 Giri, Bala K, MD Eff 14-Jul-19 Texas Neuro Spine Institute 2704 N Galloway Ave, Ste 100 Mesquite, TX 75150 (972) 270-4121

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 239 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Orozco, Ludwig D, MD Doughty, Kyle E, MD Johnson County | Condado de Eff 15-Nov-16 Eff 01-Jan-14 Texas Brain and Spine Baylor Scott & White Neurosurgery Johnson 7501 Lakeview Pkwy, Ste 245 Associates Rowlett, TX 75088 2460 N. IH 35 East, Suite 265 Zielinski, Steven C, MD (469) 626-1577 Waxahachie, TX 75165 Eff 01-Jan-14 • Languages spoken / Idioma(s) (469) 800-9260 Texas Spine & Neurosurgery hablado(s): Spanish 1200 W Henderson St, Ste H Naftalis, Richard C, MD Cleburne, TX 76033-8725 Denton County | Condado de Eff 01-Jan-14 (254) 732-3987 Baylor Scott & White Neurosurgery Denton Associates Parker County | Condado de 2460 N. IH 35 East, Suite 265 Parker Aryan, Saeid E, DO Waxahachie, TX 75165 Eff 01-Jan-16 (469) 800-9260 Axis Brain and Back Institute, Haque, Atif , MD Eff 01-Jan-16 PLLC Grayson County | Condado de 2435 W Oak St Ste 101 Fort Worth Brain & Spine Institute, Denton, TX 76201 Grayson LLP (817) 502-7411 2035 Fort Worth Hwy Ste 100 • Languages spoken / Idioma(s) Silver, Mark V, MD Weatherford, TX 76086 hablado(s): Farsi Eff 15-Jul-17 (469) 800-9260 Mark Viktor Silver, PLLC Boah, Akwasi O, MD 600 E Taylor St, Ste 304 Tarrant County | Condado de Eff 28-Apr-18 Sherman, TX 75090-2880 Specialty Care Physicians & Other Providers/ Tarrant Texas Back Institute (903) 957-7246 3537 I-35 E, Ste 308 Médicos de cuidado especializado y otros proveedores Todd, Frederick D, MD Denton, TX 76210-6870 Hood County | Condado de Eff 01-Feb-17 (940) 382-2204 Hood Arlington Neurosurgical & Spine • Languages spoken / Idioma(s) Associates hablado(s): Italian Lapsiwala, Samir B, MD 4927 S Collins #101 Turner, Michael Scott, MD Eff 01-Jan-16 Arlington, TX 76018 Eff 15-May-18 Fort Worth Brain & Spine Institute, (817) 465-7764 Comprehensive Neurosurgery, LLP Alford, Brent T, MD PLLC 1200 Crawford, Ste A Eff 01-Jan-16 1700 FM 544, Ste 100 Granbury, TX 76048 Fort Worth Brain & Spine Institute, Lewisville, TX 75056-4686 (817) 878-5333 LLP (972) 394-4600 Hunt County | Condado de 1900 Mistletoe Blvd, Ste 200 Fort Worth, TX 76104 Ellis County | Condado de Ellis Hunt (817) 878-5333 Zielinski, Steven C, MD Silver, Mark V, MD Aryan, Saeid E, DO Eff 01-Jan-14 Eff 15-Jul-17 Eff 01-Jan-16 Texas Spine & Neurosurgery Mark Viktor Silver, PLLC Axis Brain and Back Institute, 109 NW Main St 4101 Wesley St Ste B PLLC Ennis, TX 75119-4053 Greenville, TX 75401-5635 9525 E Beach St, Ste 405 (254) 732-3987 (903) 957-7246 Fort Worth, TX 76244-6438 (817) 502-7411 • Languages spoken / Idioma(s) hablado(s): Farsi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 240 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Booher, Grant A, MD Lee, Anthony W, MD Ellis, Thomas S, MD Eff 20-Dec-19 Eff 01-Jan-16 Eff 01-Jan-16 Fort Worth Brain & Spine Institute Fort Worth Brain & Spine Institute, Fort Worth Brain & Spine Institute, LLP LLP LLP 1900 Mistletoe Blvd Ste 200 1900 Mistletoe Blvd, Ste 200 4400 Heritage Trace Pkwy, Ste Fort Worth, TX 76104 Fort Worth, TX 76104 204 (817) 878-5333 (817) 878-5333 Keller, TX 76244 (817) 878-5333 Chaudhari, Alok M, MD Siadati, Abdolreza , MD Eff 01-Jan-16 Eff 01-Jan-16 Lapsiwala, Samir B, MD Fort Worth Brain & Spine Institute, Fort Worth Brain & Spine Institute, Eff 01-Jan-16 LLP LLP Fort Worth Brain & Spine Institute, 1900 Mistletoe Blvd, Ste 200 1900 Mistletoe Blvd, Ste 200 LLP Fort Worth, TX 76104 Fort Worth, TX 76104 4400 Heritage Trace Pkwy, Ste (817) 878-5333 (817) 878-5333 204 • Languages spoken / Idioma(s) Keller, TX 76244 hablado(s): German Wilson, Diana , MD (817) 878-5333 Eff 11-Apr-16 Cravens, George F, MD Neurosurgical & Spine Aryan, Saeid E, DO Eff 11-Apr-17 Consultants, PA Eff 01-Jan-16 Center for Neurological Disorders 1001 12th Ave, Ste 171 Axis Brain and Back Institute, PA Fort Worth, TX 76104 PLLC 1000 Houston St, Ste 200 (817) 576-6500 1110 E St Hwy 114 Ste 100 Fort Worth, TX 76102-6415 Southlake, TX 76092 Ferraro, Nicholas C, MD (817) 336-0551 (817) 502-7411 Specialty Care Physicians & Other Providers/ Eff 01-Nov-18 • Languages spoken / Idioma(s) Ellis, Thomas S, MD Baylor Scott & White Neurosurgery

hablado(s): Farsi Médicos de cuidado especializado y otros proveedores Eff 01-Jan-16 Associates Fort Worth Brain & Spine Institute, 1600 W College St, Ste 690 Wise County | Condado de LLP Grapevine, TX 76051 1900 Mistletoe Blvd, Ste 200 (469) 800-9260 Wise Fort Worth, TX 76104 (817) 878-5333 Ferraro, Nicholas C, MD Aryan, Saeid E, DO Eff 01-Nov-18 Eff 01-Jan-16 Haque, Atif , MD Baylor Scott & White Neurosurgery Axis Brain and Back Institute, Eff 01-Jan-16 Associates PLLC Fort Worth Brain & Spine Institute, 1600 W College St Ste 690 1000 Medical Center Blvd LLP Grapevine, TX 76051-2105 Decatur, TX 76234 1900 Mistletoe Blvd Ste 200 (469) 800-9260 (817) 502-7411 Fort Worth, TX 76104 • Languages spoken / Idioma(s) (817) 878-5333 Alford, Brent T, MD hablado(s): Farsi Eff 01-Jan-16 Lapsiwala, Samir B, MD Fort Worth Brain & Spine Institute, Eff 01-Jan-16 LLP Fort Worth Brain & Spine Institute, 4400 Heritage Trace Pkwy, Ste LLP 204 1900 Mistletoe Blvd, Ste 200 Keller, TX 76244 Fort Worth, TX 76104 (817) 878-5333 (817) 878-5333

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 241 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Neurology/ Neurología Zhao, Yu , MD Verma, Avesh R, MD Eff 16-Aug-19 Eff 01-Jan-14 Collin County | Condado de Lone Star Neurology Baylor Scott & White Dallas 5375 Coit Rd, Ste 130 Diagnostic Association - Plano Collin Frisco, TX 75035 4716 Alliance Blvd, Ste 700 (214) 619-1910 Plano, TX 75093 Riaz, Jawad , MD (469) 800-6000 Eff 15-Apr-17 Anitube, Maximus N, MD Premier Psychiatric & Sleep Eff 01-Feb-20 Dallas County | Condado de Medicine Associates Psychmed Innovative Solutions 935 W Exchange Pkwy, Ste 110 130 S Central Expy Dallas Allen, TX 75013 McKinney, TX 75070-3742 (972) 985-7499 (972) 547-8000 Ata, Ahmad S, MD Eff 01-Dec-15 Ansari, Ramin , MD Francesconi, James E, MD NeuroCare of Texas Eff 01-Jan-16 Eff 01-May-15 722 S Denton Tap Rd Ste 190 Lone Star Neurology Texoma Neurology Associates Coppell, TX 75019 4461 Coit Rd,Ste 407 4510 Medical Center Dr, Ste 301 (817) 502-7411 Frisco, TX 75035 McKinney, TX 75071 • Languages spoken / Idioma(s) (214) 619-1910 (972) 984-1025 hablado(s): Urdu • Languages spoken / Idioma(s) Ata, Ahmad S, MD hablado(s): Spanish Koganti, Madhuri L, MD Eff 01-Dec-15 Eff 01-Dec-14 NeuroCare of Texas Joseph, Rajiv , MD Neurology Associates of Eff 15-Aug-16 Metroplex, PA

Specialty Care Physicians & Other Providers/ 5550 Warren Pkwy Ste 100 Frisco, TX 75034 Rajiv Joseph MD PA 722 S Denton Tap Rd, Ste 190 (214) 618-0808 7920 Preston Rd Ste 100 Coppell, TX 75019 Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Plano, TX 75024 (817) 865-6280 hablado(s): Urdu (972) 712-4141 Agadi, Satish , MD Gaddam, Satish K, MD Kellam, Michael P, MD Eff 26-Apr-20 Eff 22-May-19 Eff 01-Jan-14 Baylor Scott & White Hospital Lone Star Neurology Dallas Diagnostic Association- Medicine - Neurology 5375 Coit Rd, Ste 130 Plano 3417 Gaston Ave Frisco, TX 75035 4716 Alliance Blvd, Ste 700 Dallas, TX 75246 (214) 619-1910 Plano, TX 75093 (469) 800-7680 (469) 800-6000 Garza, Aimee , MD Andino Velez, Julio , MD Eff 15-Dec-17 Tang, Wei , MD Eff 18-Apr-17 The Center for Neurology and Eff 06-Jun-16 Paradigm Neurodiagnostics Neurophysiology, PA Baylor Scott & White Dallas 6634 Aberdeen Ave 7000 Parkwood Blvd Ste F100 Diagnostic Association - Plano Dallas, TX 75230-5304 Frisco, TX 75034-7407 4716 Alliance Blvd, Ste 700 (469) 708-6280 (214) 494-4424 Plano, TX 75093 (469) 800-6000 Blaik, Ziad A, MD Sheth, Maushmi N, MD Eff 01-Jan-14 Eff 01-Jan-16 Verma, Avesh R, MD Neurology Specialists of Dallas, Lone Star Neurology Eff 01-Jan-14 PA 5375 Coit Rd, Ste 130 Dallas Diagnostic Association- 8330 Meadow Rd, Ste 204 Frisco, TX 75035 Plano Dallas, TX 75231 (214) 619-1910 4716 Alliance Blvd, Ste 700 (214) 379-1100 Plano, TX 75093 (469) 800-6000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 242 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chaudhry, Priyanka , MD Haq, Anwarul , MD Moore, Paul T, MD Eff 01-Oct-18 Eff 01-Jan-14 Eff 01-Jan-16 Healing Headaches, PLLC Neurology Specialists of Dallas, P Terrence Moore, MD, PA 9101 N Central Epwy, Ste 400 PA 8722 Greenville Ave, Ste 102 Dallas, TX 75231-6009 8330 Meadow Rd, Ste 204 Dallas, TX 75243 (214) 820-9272 Dallas, TX 75231 (972) 272-6558 (214) 379-1100 • Languages spoken / Idioma(s) Cruz, Erwin A, MD hablado(s): Spanish Eff 01-Sep-16 Heitzman, Daragh , MD Erwin Cruz MD, PA Eff 01-Jan-14 Nagaraj, Arun , MD 12800 Preston Rd, Ste 101 Texas Neurology, PA Eff 19-Mar-19 Dallas, TX 75230 6080 N Central Expy Ste 100 Texas Neurology, PA (972) 503-2780 Dallas, TX 75206-5202 6080 N Central Expy Ste 100 (214) 826-6700 Dallas, TX 75206 El-Feky, Waleed H, MD (214) 826-6700 Eff 01-Jan-14 Herzog, Steven P, MD Texas Neurology, PA Eff 01-Jan-14 Okai, Annette F, MD 6080 N Central Expy Ste 100 Texas Neurology, PA Eff 01-Jan-14 Dallas, TX 75206-5202 6080 N Central Expy Ste 100 Multiple Sclerosis Treatment (214) 826-6700 Dallas, TX 75206-5202 Center of Dallas (214) 826-6700 3600 Gaston Ave, Wadley Ste Fink, Karen L, MD 1155 Eff 01-Jan-14 Hussaini, Syed M, MD Dallas, TX 75246 Neuro-Oncology Associates Eff 01-Sep-18 (214) 820-4655 3410 Worth St, Ste 820 Premier Neurology, PA Specialty Care Physicians & Other Providers/ Dallas, TX 75246 9930 Poppy Dr, #300 Padilla, Claudia R, MD (214) 820-8690 Dallas, TX 75218-4624 Eff 13-Jul-15 (469) 909-1388 Cognitive and Behavioral Médicos de cuidado especializado y otros proveedores Fink, Karen L, MD • Languages spoken / Idioma(s) Neurology Associates Eff 01-Jan-14 hablado(s): Urdu 9101 N Central Expy, Ste 230 Baylor Scott & White Neuro- Dallas, TX 75231 Oncology Associates Jenevein, Nolan B, MD (214) 818-5765 3410 Worth Street, Ste 820 Eff 01-Jan-14 Dallas, TX 75246 Texas Neurology, PA Pearson, Rachel , MD (214) 820-7400 6080 N Central Expy Ste 100 Eff 04-Oct-19 Dallas, TX 75206-5202 Baylor Scott & White Neurology at Graybeal, Dion F, MD (214) 826-6700 Dallas Eff 01-Jan-14 3417 Gaston Ave, Ste 935 Baylor Scott & White Neurology at Martin, Alan W, MD Dallas, TX 75246 Dallas Eff 01-Jan-14 (469) 800-7680 3417 Gaston Ave, Ste 935 Texas Neurology, PA Dallas, TX 75246 6080 N Central Expy Ste 100 Philip, Maria , MD (469) 800-7680 Dallas, TX 75206-5202 Eff 01-Jan-14 (214) 826-6700 Texas Neurology, PA Greenfield, Charles F, MD 6080 N Central Expy Ste 100 Eff 01-Jan-14 Mella, Divya B, MD Dallas, TX 75206-5202 Texas Neurology, PA Eff 27-Apr-19 (214) 826-4224 6080 N Central Expy Ste 100 Baylor Scott & White Neuro- Dallas, TX 75206-5202 Oncology Associates (214) 826-6700 3410 Worth St Ste 820 Dallas, TX 75246 (214) 820-7400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 243 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Samuel, Gincy , MD Akhavi, Mahmood S, MD Denton County | Condado de Eff 01-Jan-14 Eff 01-Jan-14 Texas Neurology, PA Garland Neurological Clinic Denton 6080 N Central Expy Ste 100 315 N Shiloh Rd, Ste 103 Dallas, TX 75206-5202 Garland, TX 75042 Shah, Alpa K, MD (214) 826-6700 (972) 494-1100 Eff 09-May-16 • Languages spoken / Idioma(s) Kiran P Shah, MD, PA hablado(s): Spanish Chaudhry, Priyanka , MD 4217 Marsh Ridge Rd, Ste 120 Eff 01-Oct-18 Carrollton, TX 75010 Shamim, Sadat A, MD Healing Headaches, PLLC (972) 306-6300 Eff 01-Jan-14 3365 Regent Blvd, Ste 110 • Languages spoken / Idioma(s) Baylor Scott & White Neurology at Irving, TX 75063 hablado(s): Spanish Dallas (972) 564-0352 3417 Gaston Ave, Ste 935 Shah, Kiran P, MD Dallas, TX 75246 Ramirez, Carmen T, MD Eff 01-May-15 (469) 800-7680 Eff 01-Jan-14 Kiran P Shah, MD, PA • Languages spoken / Idioma(s) Neurology Associates of Irving 4217 Marsh Ridge Rd, Ste 120 hablado(s): Hindi 2021 N MacArthur Blvd, Ste 515 Carrollton, TX 75010 Irving, TX 75061 (972) 306-6300 Simpkins, Nicole A, MD (813) 956-2332 • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Hindi Neurology Specialists of Dallas, Shahdad, Novreen , MD PA Eff 08-Feb-16 Summakia, Mohamed , MD 8330 Meadow Rd, Ste 204 Neurology Associates of Irving Eff 01-Aug-17 2021 N MacArthur Blvd, Ste 210 Neuroscience and Headache Specialty Care Physicians & Other Providers/ Dallas, TX 75231 (214) 379-1100 Irving, TX 75061 Center of North Texas, PLLC (469) 800-1180 2516 Lillian Miller Pkwy, Ste 110 Médicos de cuidado especializado y otros proveedores Taneja, Aanchal , MD Denton, TX 76210 Eff 01-May-17 Siddiq, Zakaria , MD (940) 243-0202 Texas Parkinson and Movement Eff 01-Jun-16 Disorders North Texas Neurological Dike, Nnamdi C, DO 10455 N Central Expy, Ste 110 Associates Eff 15-Apr-19 Dallas, TX 75231 1050 N Beltline #103 Affinity Neurocare (469) 994-1817 Mesquite, TX 75149 3388 Main St, Ste 100 (972) 288-1038 Frisco, TX 75033 Watts, Maureen W, MD • Languages spoken / Idioma(s) (214) 407-8580 Eff 01-Jan-14 hablado(s): Hindi • Languages spoken / Idioma(s) Neurology Specialists of Dallas, hablado(s): Spanish PA Torabi, Amir M, MD 8330 Meadow Rd, Ste 204 Eff 01-Jan-14 Ellis County | Condado de Ellis Dallas, TX 75231 East Dallas Neurological Services, (214) 379-1100 PLLC Khalid, Shahram , MD 2540 N Galloway Ave, Ste 105 Eff 15-Aug-18 Gardner, Jack D, MD Mesquite, TX 75150 Neurology Care, PLLC Eff 15-Oct-18 (972) 677-7157 151 RVG Pkwy, Ste 103 Medical Sleep Solutions, PLLC • Languages spoken / Idioma(s) Waxahachie, TX 75165 1001 Robbie Mince Way hablado(s): Farsi (214) 980-1503 Desoto, TX 75115 (972) 709-7190

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 244 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Grayson County | Condado de Morales, Andres G, DO Taylor, Walter L, MD Eff 01-May-15 Eff 15-Feb-17 Grayson Texoma Neurology Associates Southwest Neurology, PA 321 N Highland Ave, Ste 200 4000 Wesley St, Ste D Morales, Andres G, DO Sherman, TX 75092 Greenville, TX 75401 Eff 01-May-15 (903) 893-5141 (972) 412-8700 Texoma Neurology Associates • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 2201 S Austin hablado(s): Spanish hablado(s): Spanish Denison, TX 75020 (903) 463-4752 Riaz, Jawad , MD Taylor, Walter L, MD • Languages spoken / Idioma(s) Eff 15-Apr-17 Eff 15-Feb-17 hablado(s): Spanish Premier Psychiatric & Sleep Southwest Neurology, PA Medicine Associates 3900 Joe Ramsey Blvd Sundaram, Bharathy E, MD 121 W Lamberth Rd, Ste A Greenville, TX 75401 Eff 01-May-15 Sherman, TX 75092 (972) 412-8700 Texoma Neurology Associates (972) 985-7499 • Languages spoken / Idioma(s) 2201 S Austin hablado(s): Spanish Denison, TX 75020 Sundaram, Bharathy E, MD (903) 463-4752 Eff 01-May-15 Kaufman County | Condado de Texoma Neurology Associates Ali, Ishaq , MD 321 N Highland Ave, Ste 200 Kaufman Eff 13-Feb-17 Sherman, TX 75092 Texoma Neurology Associates (903) 893-5141 Taylor, Walter L, MD 321 N Highland Ave, Ste 200 Eff 15-Feb-17 Sherman, TX 75092 Sundaram, Easwar M, MD Southwest Neurology, PA Specialty Care Physicians & Other Providers/ (903) 893-5141 Eff 01-May-15 763 E Hwy 80, Ste 130 Texoma Neurology Associates Forney, TX 75126 Francesconi, James E, MD 321 N Highland Ave, Ste 200 (972) 412-8700 Médicos de cuidado especializado y otros proveedores Eff 01-May-15 Sherman, TX 75092 • Languages spoken / Idioma(s) Texoma Neurology Associates (903) 893-5141 hablado(s): Spanish 321 N Highland Ave, Ste 200 Sherman, TX 75092 Tank, Vivek H, MD Rockwall County | Condado de (903) 893-5141 Eff 09-Oct-15 • Languages spoken / Idioma(s) Texoma Neurology Associates Rockwall hablado(s): Spanish 321 N Highland Ave, Ste 200 Sherman, TX 75092 Moore, Paul T, MD Lopez, Jerome E, MD (903) 893-5141 Eff 01-Jan-16 Eff 01-May-15 P Terrence Moore, MD, PA Texoma Neurology Associates Hunt County | Condado de 6435 S FM 549, Ste 202 321 N Highland Ave, Ste 200 Heath, TX 75032 Sherman, TX 75092 Hunt (972) 272-6558 (903) 893-5141 • Languages spoken / Idioma(s) Ata, Ahmad S, MD hablado(s): Spanish Mayakrishnan, Indurashmi , MD Eff 01-Dec-15 Eff 01-May-15 NeuroCare of Texas Hussaini, Syed M, MD Texoma Neurology Associates 4501 Joe Ramsey Blvd Ste 200 Eff 01-Sep-18 321 N Highland Ave, Ste 200 Greenville, TX 75401 Premier Neurology, PA Sherman, TX 75092 (903) 450-8122 6701 Heritage Pkwy, Ste 165 (903) 893-5141 • Languages spoken / Idioma(s) Rockwall, TX 75087-8700 • Languages spoken / Idioma(s) hablado(s): Urdu (469) 786-5890 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Urdu

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 245 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Taylor, Walter L, MD Maddukuri, Srirekha , MD Hughes, Charlece , DO Eff 15-Feb-17 Eff 13-Apr-15 Eff 01-Oct-16 Southwest Neurology, PA Kane Hall Barry Neurology Clinical Neuroscience PA 6800 Heritage Pkwy, Ste 201 1305 Airport Fwy, Ste 205 1307 Eighth Ave, Ste 408 Rockwall, TX 75087-8746 Bedford, TX 76021-6606 Fort Worth, TX 76104-4143 (972) 412-8700 (817) 267-6290 (817) 921-4191 • Languages spoken / Idioma(s) hablado(s): Spanish Shah, Nirav C, MD Kadiwala, Hamid H, MD Eff 18-Nov-18 Eff 15-Oct-17 Tarrant County | Condado de Kane Hall Barry Neurology Tarrant Neurology Consultants, PA 1305 Airport Fwy, Ste 205 713 Grainger St Tarrant Bedford, TX 76021-6606 Fort Worth, TX 76104-3261 (817) 267-6290 (817) 336-3968 Dennis, Wesley , MD Eff 15-Aug-16 Bhambhvani, Dinesh , MD Leavens, Thomas A, MD The Arlington Sleep Disorder Eff 01-Aug-16 Eff 28-Jul-17 Center, PA Private Practice Clinical Neuroscience PA 6518 S Cooper St 1325 Pennsylvania Ave, Ste 610 1307 Eighth Ave, Ste 408 Arlington, TX 76001-5620 Fort Worth, TX 76104 Fort Worth, TX 76104-4143 (817) 962-0381 (817) 962-2340 (817) 921-4191 Ansari, Sharique , MD Chahil, Mandeep S, MD Mehrotra, Vinit , MD Eff 18-Nov-18 Eff 15-Oct-17 Eff 15-Oct-17 Kane Hall Barry Neurology Tarrant Neurology Consultants, PA Tarrant Neurology Consultants, PA 1305 Airport Fwy, Ste 205 713 Grainger St 713 Grainger St Specialty Care Physicians & Other Providers/ Bedford, TX 76021-6606 Fort Worth, TX 76104-3261 Fort Worth, TX 76104-3261 (817) 267-6290 (817) 336-3968 (817) 336-3968 Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Arif, Hassan , MD hablado(s): Hindi Nagineni, Lavanya L, MD Eff 17-Sep-19 Eff 01-Jan-14 Kane Hall Barry Neurology Chennu, Yamini P, MD DFW Neurology PLLC 1305 Airport Fwy, Ste 205 Eff 15-Oct-17 6800 Harris Pkwy Ste 100 Bedford, TX 76021-6606 Tarrant Neurology Consultants, PA Fort Worth, TX 76132-4247 (817) 267-6290 713 Grainger St (817) 915-4224 Fort Worth, TX 76104-3261 • Languages spoken / Idioma(s) Barry, James M, MD (817) 336-3968 hablado(s): Hindi Eff 13-Apr-15 Kane Hall Barry Neurology Chin, Lincoln F, MD Nair, Sreekumaran K, MD 1305 Airport Fwy, Ste 205 Eff 20-Nov-17 Eff 01-Jan-14 Bedford, TX 76021-6606 Tarrant Neurology Consultants, PA Private Practice (817) 267-6290 713 Grainger St 915 S Main St, Ste A Fort Worth, TX 76104-3261 Fort Worth, TX 76104 Kane, Jerome M, MD (817) 336-3968 (817) 336-2026 Eff 13-Apr-15 • Languages spoken / Idioma(s) Kane Hall Barry Neurology Chunduri, Krishnababu , MD hablado(s): Malay 1305 Airport Fwy, Ste 205 Eff 23-Sep-17 Bedford, TX 76021-6606 Tarrant Neurology Consultants, PA Nwosu, Victoria , MD (817) 267-6290 713 Grainger St Eff 28-Aug-17 Fort Worth, TX 76104-3261 Clinical Neuroscience PA (817) 336-3968 1307 Eighth Ave, Ste 408 Fort Worth, TX 76104-4143 (817) 921-4191 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 246 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Poon, Magdala , MD McMichael, Robert E, MD Naeem, Muhammad , MD Eff 24-Aug-18 Eff 15-Dec-18 Eff 01-Jun-15 Tarrant Neurology Consultants, PA Neurology Associates of Arlington North Central Texas Advanced 713 Grainger St 2800 E Broad St, Ste 504 Neurology, PA Fort Worth, TX 76104-3261 Mansfield, TX 76063 2351 S FM 51 Ste 100 (817) 336-3968 (817) 225-0410 Decatur, TX 76234-3778 (940) 626-8634 Koganti, Madhuri L, MD Nieto, Roberto M, MD • Languages spoken / Idioma(s) Eff 01-Dec-14 Eff 15-Dec-18 hablado(s): Urdu Neurology Associates of Neurology Associates of Arlington Metroplex, PA 2800 E Broad St, Ste 504 Neuromuscular Medicine/ 2020 W St Hwy 114, Ste 220 Mansfield, TX 76063 Medicina neuromuscular Grapevine, TX 76051 (817) 225-0410 (888) 510-7395 Tesfa, Ganana , MD Tarrant County | Condado de Ansari, Sharique , MD Eff 15-Dec-18 Tarrant Eff 18-Nov-18 Neurology Associates of Arlington Kane Hall Barry Neurology 2800 E Broad St, Ste 504 Dirnberger, Mark A, DO 4525 Heritage Trace Pkwy, Ste Mansfield, TX 76063 Eff 01-Jan-14 117 (817) 225-0410 Mark A Dirnberger, DO, PA Keller, TX 76244 74 Regency Pkwy (817) 267-6290 Imam, Asher S, DO Mansfield, TX 76063-7816 Eff 15-Dec-19 (817) 419-6111 Barry, James M, MD Southlake Neurology and Sleep Eff 13-Apr-15 Wellness Clinic

Williams, Stuart F, DO Specialty Care Physicians & Other Providers/ Kane Hall Barry Neurology 175 Stonebridge Ln Ste 100 Eff 13-Jul-18 4525 Heritage Trace Pkwy, Ste Southlake, TX 76092 North Texas Musculoskeletal 117 (817) 421-2905 Medicine Médicos de cuidado especializado y otros proveedores Keller, TX 76244 230 Miron Dr, #110 (817) 267-6290 Naeem, Muhammad , MD Southlake, TX 76092-7846 Eff 01-Jun-15 (817) 416-0970 Kane, Jerome M, MD North Central Texas Advanced Eff 13-Apr-15 Neurology, PA Neuropsychology/ Kane Hall Barry Neurology 630 E Hwy 114 Neuropsicología 4525 Heritage Trace Pkwy, Ste Southlake, TX 76092 117 (817) 329-8910 Collin County | Condado de Keller, TX 76244 • Languages spoken / Idioma(s) (817) 267-6290 hablado(s): Urdu Collin

Maddukuri, Srirekha , MD Wise County | Condado de Reynolds, Erin , PHD Eff 13-Apr-15 Eff 01-Aug-18 Wise Kane Hall Barry Neurology Baylor Scott & White Physical 4525 Heritage Trace Pkwy, Ste Medicine and Rehabilitation Ph 117 Ata, Ahmad S, MD 3800 Gaylord Pkwy Ste 810 Keller, TX 76244 Eff 01-Dec-15 Frisco, TX 75034 (817) 267-6290 NeuroCare of Texas (469) 800-7540 1851 Medical Center Dr Shah, Nirav C, MD Decatur, TX 76234 Eff 18-Nov-18 (817) 502-7411 Kane Hall Barry Neurology • Languages spoken / Idioma(s) 4525 Heritage Trace Pkwy, Ste hablado(s): Urdu 117 Keller, TX 76244 (817) 267-6290

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 247 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dahdah, Marie , PHD Denton County | Condado de Nuclear Medicine/ Medicina Eff 24-Jul-17 nuclear Baylor Scott & White Medical Denton Center - Plano Dallas County | Condado de 4708 Alliance Blvd, Pavilion I, Ste Della Nebbia, Christina , PHD 400 Eff 15-Oct-16 Dallas Plano, TX 75093-5340 Private Practice (469) 814-4850 1001 Cross Timbers Rd, Ste 1240 Griffeth, Landis K, MD Flower Mound, TX 75028-8866 Eff 01-Jan-14 Dallas County | Condado de (972) 966-1079 American Radiology Consultants, PA Dallas Tarrant County | Condado de 712 N Washington, Ste 101 Tarrant Dallas, TX 75246-1657 Clark, Timothy S, PhD (214) 826-8822 Eff 08-Feb-20 Baylor University Medical Center Houtz, Andrew , PHD Grossman, Stanley J, MD 3600 Gaston Avenue Ste 360 Eff 01-Feb-19 Eff 01-Jan-14 Wadley Tower Kane Hall Barry Neurology American Radiology Consultants, Dallas, TX 75246 1305 Airport Fwy, Ste 205 PA (214) 820-7730 Bedford, TX 76021-6606 712 N Washington, Ste 101 (817) 267-6290 Dallas, TX 75246-1657 Cobbs, David , PHD (214) 826-8822 Eff 15-Sep-16 Sasano, Carolyn , PHD Private Practice Eff 01-Feb-19 Obstetrics/Gynecology 12900 Preston Rd, Ste 1015 Kane Hall Barry Neurology

Specialty Care Physicians & Other Providers/ (OB/GYN)/ Obstetricia y Dallas, TX 75230-1339 1305 Airport Fwy, Ste 205 ginecología (Ob/Gyn, sigla en (972) 385-0983 Bedford, TX 76021-6606 inglés) Médicos de cuidado especializado y otros proveedores (817) 267-6290 Doyle, Kimberly C, PHD Eff 21-Aug-20 Cannici, James , PHD Collin County | Condado de Baylor University Medical Center Eff 01-Jun-16 Collin 9101 N Central Expy Ste 230 Private Practice Dallas, TX 75231 909 W Magnolia Ave, # 20 Alexander, Preston C, MD (214) 818-5765 Fort Worth, TX 76104 Eff 18-Jul-19 (817) 925-6594 Health Central, PA Hester, Andrea , PhD 4401 Coit Rd Ste 205 Eff 08-Feb-20 Houtz, Andrew , PHD Eff 01-Feb-19 Frisco, TX 75035-0504 Baylor University Medical Center (972) 377-6553 9101 N Central Expressway Ste Kane Hall Barry Neurology 230 4525 Heritage Trace Pkwy, Ste Allen, Jennifer E, MD Dallas, TX 75231 117 Eff 01-Feb-15 (214) 818-5765 Keller, TX 76244-8910 Frisco Obstetrics and Gynecology, (817) 267-6290 PA Jackson, Warren T, PHD 4461 Coit Rd, Ste 205 Eff 10-Nov-14 Sasano, Carolyn , PHD Eff 01-Feb-19 Frisco, TX 75035 Baylor Medical Psychology Clinic (972) 731-9299 3600 Gaston Ave, Ste 404 Kane Hall Barry Neurology 4525 Heritage Trace Pkwy, Ste • Languages spoken / Idioma(s) Dallas, TX 75246 hablado(s): Spanish (214) 820-5516 117 Keller, TX 76244-8910 (817) 267-6290

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 248 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bailey, Jennifer L, MD Fong, David W, MD Jarnagin, Hillary , MD Eff 12-Oct-16 Eff 24-Aug-19 Eff 15-Sep-18 Frisco Obstetrics and Gynecology, David W Fong MD (Unified) Frisco Womens Health PA 2840 Legacy Dr Ste 300 5680 Frisco Square Blvd, Ste 2700 4461 Coit Rd, Ste 205 Frisco, TX 75034 Frisco, TX 75034-3316 Frisco, TX 75035 (972) 890-9250 (972) 668-8300 (972) 731-9299 • Languages spoken / Idioma(s) Gaitonde, Ashwin , MD Ku, Christine V, MD hablado(s): Spanish Eff 10-Sep-19 Eff 01-Jan-14 Obstetrics & Gynecology Christine V Ku, MD Bailey, Melissa K, MD * Associates of Dallas (Unified) 3880 Parkwood Blvd, Ste 403 Eff 01-Dec-14 5575 Warren Pkwy Ste 204 Frisco, TX 75034 Centennial OB/GYN Frisco, TX 75034 (214) 618-2802 5757 Warren Pkwy, Ste 210 (972) 332-5078 • Languages spoken / Idioma(s) Frisco, TX 75034 • Languages spoken / Idioma(s) hablado(s): Vietnamese (972) 731-6565 hablado(s): Gujrati Littles, Xercerla A, MD Branning, George B, MD Gulick, Jennifer R, MD Eff 18-Oct-19 Eff 18-Oct-19 Eff 15-Sep-17 OBHG Texas Holdings PA Texas Gynecology (Unified) Jennifer Rose Gulick, MD, PLLC 5601 Warren Parkway 5757 Warren Pkwy Ste 310 3880 Parkwood Blvd, Ste 403 Frisco, TX 75034 Frisco, TX 75034 Frisco, TX 75034 (214) 407-5002 (214) 824-2547 (214) 618-2802 McClure, Meredith A, MD Callejas-Weintz, Arminda , MD Harn, Jason B, MD Eff 12-Oct-16 Specialty Care Physicians & Other Providers/ Eff 01-Jun-19 Eff 01-Jan-16 Frisco Obstetrics and Gynecology, Health Central, PA Northlake Obstetrics & PA 4401 Coit Rd Ste 205 Gynecology, PA 4461 Coit Rd, Ste 205 Médicos de cuidado especializado y otros proveedores Frisco, TX 75035-0504 5757 Warren Pkwy, Ste 200 Frisco, TX 75035 (972) 377-6553 Frisco, TX 75034-4777 (972) 731-9299 (214) 618-7100 Dobi, Brittany C, MD Meggs, Paul D, MD Eff 11-Jan-16 Harper, Elise M, MD Eff 01-Sep-16 Northlake Obstetrics & Eff 07-Feb-20 Private Practice- Paul Meggs MD Gynecology, PA Health Central PA PA 5757 Warren Pkwy, Ste 200 4401 Coit Rd Ste 205 2840 Legacy Dr, Bldg 4, Ste 420 Frisco, TX 75034-4777 Frisco, TX 75035-0504 Frisco, TX 75034 (214) 618-7100 (469) 326-0110 (214) 705-1513 Elliott, Tracy H, MD Heckman, Glen W, MD Mehta, Rinku , MD Eff 18-Jul-19 Eff 20-May-19 Eff 23-Nov-19 Health Central, PA Obstetrics & Gynecology Frisco Fertility Center PLLC 4401 Coit Rd Ste 205 Associates of Dallas (Unified) 2840 Legacy Dr Ste 100 Frisco, TX 75035-0504 5575 Warren Pkwy Ste 204 Frisco, TX 75034-6050 (972) 377-6553 Frisco, TX 75034 (214) 297-0028 (972) 332-5078 Ellis, Malathi V, MD Ortiz, Christopher J, DO Eff 19-Mar-20 Innes, Kristen N, MD Eff 16-Aug-19 Unified Women's Healthcare of Eff 01-Jan-14 Frisco Womens Health (Unified) Texas PLLC Kristen N Innes, MD, PA 5680 Frisco Square Blvd, Ste 2700 4085 Ohio Dr Ste 100 3880 Parkwood Blvd, Ste 403 Frisco, TX 75034 Frisco, TX 75035 Frisco, TX 75034 (972) 668-8300 (972) 335-1490 (214) 618-2802

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 249 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Patterson, Carrie K, MD Ward, Alisa K, MD * Derrick, Heather S, MD Eff 21-May-20 Eff 01-Dec-14 Eff 10-Sep-19 Unified Women's Healthcare of Centennial OB GYN Craig Ranch OB/Gyn (Unified) Texas PLLC 5757 Warren Pkwy Ste 210 7900 Henneman Way Ste 100 4085 Ohio Dr Ste 100 Frisco, TX 75034 McKinney, TX 75070 Frisco, TX 75035 (972) 731-6565 (214) 544-6600 (972) 335-1490 Weinstein, Jonathan Robert, MD Havemann, Dara L, MD Patterson, Carrie K, MD Eff 10-Sep-19 Eff 01-Jan-16 Eff 21-May-20 Frisco Womens Health (Unified) McKinney Fertility Center Unified Women's Healthcare of 5680 Frisco Square Blvd, Ste 2700 5301 W University Dr Texas PLLC Frisco, TX 75034 McKinney, TX 75071 5757 Warren Pkwy Ste 310 (972) 668-8300 (469) 219-8210 Frisco, TX 75034 • Languages spoken / Idioma(s) (214) 824-2547 hablado(s): Spanish Jones, Michael W, MD Eff 12-Sep-16 Pendley, Nicole M, MD Welborne, Leslie S, MD * New Life Women's Health & Eff 01-Jan-16 Eff 01-Dec-14 Infertility of North Texas Northlake Obstetrics & Centennial OB/GYN 5801 W virginia Pkwy, Ste 101B Gynecology, PA 5757 Warren Pkwy, Ste 210 McKinney, TX 75071 5757 Warren Pkwy, Ste 200 Frisco, TX 75034 (469) 352-7140 Frisco, TX 75034-4777 (972) 731-6565 (214) 618-7100 Joyner, Shea S, MD Baidwan, Christine W, MD Eff 10-Sep-19 Pepperell, Michele M, MD Eff 27-Apr-19 Craig Ranch OB/Gyn (Unified) Specialty Care Physicians & Other Providers/ Eff 12-Oct-16 Craig Ranch OB/Gyn (Unified) 7900 Henneman Way Ste 100 Frisco Obstetrics and Gynecology, 7900 Henneman Way Ste 100 McKinney, TX 75070 Médicos de cuidado especializado y otros proveedores PA McKinney, TX 75070 (214) 544-6600 4461 Coit Rd, Ste 205 (214) 544-6600 Frisco, TX 75035 • Languages spoken / Idioma(s) Kinman, Casey L, MD (972) 731-9299 hablado(s): Chinese Eff 01-Sep-17 • Languages spoken / Idioma(s) Baylor Scott & White Texas hablado(s): Spanish Boreham, Muriel K, MD Urogynecology Associates Eff 01-Jan-14 5236 W. University Dr Ste 2200 Petrovski, Pauline , MD Baylor Scott & White Texas McKinney, TX 75071 Eff 12-Oct-16 Urogynecology Associates (214) 820-8700 Frisco Obstetrics and Gynecology, 5236 W University Dr Ste 2200 PA McKinney, TX 75071 Luciani, Gerald D, MD 4461 Coit Rd, Ste 205 (214)820-8700 Eff 01-Jan-14 Frisco, TX 75035 Comprehensive OB/GYN (972) 731-9299 Carley, Michael E, MD 1700 N Lake Forest Dr • Languages spoken / Idioma(s) Eff 01-Jan-14 McKinney, TX 75071-7600 hablado(s): Spanish Baylor Scott & White Texas (214) 733-8001 Urogynecology Associates Stoehr, Angela R, MD 5236 W University Dr Ste 2200 McCutchin, Brittnee E, MD Eff 30-Apr-20 McKinney, TX 75071 Eff 08-Feb-20 Unified Women's Healthcare of (214) 820-8700 Unified Women's Healthcare of Texas PLLC Texas PLLC 4085 Ohio Dr Ste 100 Chan, Renee L, MD 7900 Henneman Way Ste 100 Frisco, TX 75035 Eff 01-Jan-14 McKinney, TX 75070 (972) 335-1490 Comprehensive OB/GYN (214) 544-6600 1700 N Lake Forest Dr McKinney, TX 75071-7600 (214) 733-8001

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 250 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ramirez, Yara S, MD Baghdassarian, David , MD Coronado, Elizabeth Neugart, MD Eff 18-Jun-20 Eff 08-Aug-16 Eff 15-Oct-14 Comprehensive OB/GYN Women's Specialists of Plano, Women's Specialists of Plano, 1700 North Lake Forest Dr PLLC PLLC McKinney, TX 75071 3809 W 15th St, Ste A 4716 Alliance Blvd, Ste 270, (214) 733-8001 Plano, TX 75075 Pavillion 2 (972) 379-2416 Plano, TX 75093 Reyes, Cesar A, MD • Languages spoken / Idioma(s) (972) 379-2416 Eff 01-Jan-14 hablado(s): Spanish Comprehensive OB/GYN Dang, Quyen N, MD 1700 N Lake Forest Dr Boreham, Muriel K, MD Eff 11-May-15 McKinney, TX 75071-7600 Eff 01-Jan-14 Women's Specialists of Plano, (214) 733-8001 Baylor Scott & White Texas PLLC Urogynecology Associates 3809 W 15th St, Ste A Robert, Sara A, MD 4700 Dexter Dr, Ste 400 Plano, TX 75075 Eff 10-Sep-19 Plano, TX 75093 (972) 379-2416 Craig Ranch OB/Gyn (Unified) (972) 596-3242 • Languages spoken / Idioma(s) 7900 Henneman Way Ste 100 hablado(s): Vietnamese McKinney, TX 75070 Boreham, Muriel K, MD (214) 544-6600 Eff 01-Jan-14 Desai, Shuchi G, MD Baylor Scott & White Texas Eff 13-Jun-16 Sadler, Sean A, DO Urogynecology Associates Women's Specialists of Plano, Eff 01-Jan-14 4601 Old Shepard Pace Bldg 3 PLLC Comprehensive OB/GYN Suite 301 3809 W 15th St, Ste A 1700 N Lake Forest Dr Plano, TX 75093 Plano, TX 75075 Specialty Care Physicians & Other Providers/ McKinney, TX 75071-7600 (214) 820-8700 (972) 379-2416 (214) 733-8001 Bradley, Laura M, MD Edwards-Key, Karen A, MD Médicos de cuidado especializado y otros proveedores Sandmann, Timothy L, MD Eff 14-May-19 Eff 30-Apr-19 Eff 01-Mar-15 North Texas Obstetrics & North Texas Obstetrics & AMS Womens Care Gynecology Associates II, PLLC Gynecology Associates II, PLLC 5236 W University Dr, Ste 2700 (Uni (Uni McKinney, TX 75070 5425 W Spring Creek Pkwy, Ste 5425 W Spring Creek Pkwy, Ste (972) 542-5444 280 280 Plano, TX 75024-4321 Plano, TX 75024-4321 Shimer, Andrew T, MD (972) 867-6400 (972) 867-6400 Eff 10-Sep-19 Craig Ranch OB/Gyn (Unified) Carley, Michael E, MD Eisenberg, Dennis Craig, MD 7900 Henneman Way Ste 100 Eff 01-Jan-14 Eff 10-Sep-19 McKinney, TX 75070 Baylor Scott & White Texas North Texas Obstetrics & (214) 544-6600 Urogynecology Associates Gynecology Associates (Unified) 4601 Old Shepard Pace Bldg 3 4716 Alliance Blvd, Ste 270, Albert Jr, Thomas J, MD Suite 301 Pavillion II Eff 15-Feb-17 Plano, TX 75093 Plano, TX 75093-5323 Private Practice (214) 820-8700 (972) 867-6400 6130 W Parker, MIB 1, Ste 308 Plano, TX 75093 Coronado, Elizabeth Neugart, MD Eisenberg, Dennis Craig, MD (972) 981-8889 Eff 15-Oct-14 Eff 10-Sep-19 Women's Specialists of Plano, North Texas Obstetrics & PLLC Gynecology Associates (Unified) 3809 W 15th St, Ste A 5425 W Springcreek, Pkwy #280 Plano, TX 75075 Plano, TX 75024 (972) 379-2416 (972) 867-6400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 251 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Jibril, Deanah A, DO Monier, Jules C, MD Dallas County | Condado de Eff 01-Mar-15 Eff 01-Nov-14 Health Center for Women Women's Specialists of Plano, Dallas 4001 W 15th St, Ste 375 PLLC Plano, TX 75093 4716 Alliance Blvd, Ste 270, Abbas, Dennis R, MD (972) 867-4880 Pavillion 2 Eff 01-Sep-16 Plano, TX 75093 Private Practice- Dennis Abbas, Joseph, Ralph E, DO (972) 379-2416 MD Eff 15-Apr-17 6300 Samuell Blvd, Ste 154 North Texas Obstetrics & Roshanravan, Shayzreen M, MD Dallas, TX 75228 Gynecology Associates Eff 01-Jan-14 (214) 388-8898 5425 W Springcreek, Pkwy #280 Baylor Scott & White Texas Plano, TX 75024 Urogynecology Associates Alexander, Preston C, MD (972) 867-6400 4601 Old Shepard Pace Bldg 3 Eff 01-Mar-15 Ste 301 Adjust Physical Medicine PLLC Kinman, Casey L, MD Plano, TX 75093 13450 Inwood Rd, Ste 100 Eff 01-Sep-17 (214) 820-8700 Dallas, TX 75244 Baylor Scott & White Texas (972) 701-9355 Urogynecology Associates Roshanravan, Shayzreen M, MD • Languages spoken / Idioma(s) 4601 Old Shepard Pace Bldg 3 Eff 01-Jan-14 hablado(s): Hindi Suite 301 Baylor Scott & White Texas Plano, TX 75093 Urogynecology Associates Anders, Brittney N, MD (214) 820-8700 4700 Dexter Dr Ste 400 Eff 20-Sep-19 Plano, TX 75093 Legacy Women's Health Mathews, J Kyle , MD 712 N Washington Ave, Ste 250 Specialty Care Physicians & Other Providers/ (214) 820-8700 Eff 01-Aug-16 Dallas, TX 75246 Plano OB GYN Associates Roshanravan, Shayzreen M, MD (214) 515-9001 Médicos de cuidado especializado y otros proveedores 3108 Midway Rd 200 Eff 01-Jan-14 Plano, TX 75093 Baylor Scott & White Texas Anumudu, Uchechi B, MD (972) 781-1444 Urogynecology Associates Eff 01-Sep-17 4700 Dexter Dr Ste 400 Baylor Scott & White Women's Mehta, Rinku , MD Plano, TX 75093 Health Group Dallas Eff 23-Nov-19 (972) 596-3242 3600 Gaston Ave, Ste 1158, Frisco Fertility Center PLLC Wadley Tower 3000 Communications Pkwy Ste Rovner, Ivan D, MD Dallas, TX 75246-1853 200 Eff 15-Apr-17 (469) 800-9290 Plano, TX 75093-8901 North Texas Obstetrics & (469) 429-2640 Gynecology Associates Arzac, Jorge A, MD 5425 W Springcreek, Pkwy #280 Eff 15-Feb-19 Monier, Jules C, MD Plano, TX 75024 Jorge A. Arzac MD PA Eff 01-Nov-14 (972) 867-6400 1411 N. Beckley Ave, Pavilion III Women's Specialists of Plano, Ste 356 PLLC Vu, Julie K, MD Dallas, TX 75203 3809 W 15th St, Ste A Eff 10-Sep-19 (214) 941-0100 Plano, TX 75075 North Texas Obstetrics & (972) 379-2416 Gynecology Associates (Unified) 5425 W Springcreek, Pkwy #280 Plano, TX 75024 (972) 867-6400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 252 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Arzac, Jorge A, MD Boyd, Katherine K, DO Collins, Linden R, MD Eff 15-Oct-18 Eff 01-Aug-15 Eff 10-Sep-19 Physician Associates of Southwest Infinity Women's Healthcare, PA Obstetrics & Gynecology Dallas 2301 S Hampton Rd, Ste 200 Associates of Dallas (Unified) 1411 N. Beckley Ave, Pavilion III, Dallas, TX 75224 3801 Gaston Ave, Ste 200 Ste 356 (214) 339-5336 Dallas, TX 75246 Dallas, TX 75203 • Languages spoken / Idioma(s) (214) 823-9630 (214) 941-0100 hablado(s): Spanish • Languages spoken / Idioma(s) Cook, Paul A, MD hablado(s): Spanish Browning, Adrianne C, MD Eff 13-Nov-20 Eff 27-Jul-15 Baylor Scott & White Residency - Arzac, Jorge A, MD Baylor Scott & White Women's Dallas Eff 15-Oct-18 Health Group Dallas 3600 Gaston Ave St 651 Physician Associates of Southwest 3600 Gaston Ave Ste 1158 Dallas, TX 75246 Dallas Wadley Twr (214) 820-3275 122 W Colorado Blvd Dallas, TX 75246-1853 Dallas, TX 75208-2382 (469) 800-9290 Cornelius, Brandon C, MD (214) 947-6701 Eff 19-Mar-19 • Languages spoken / Idioma(s) Caram, Bianca M, MD Texas Oncology, PA hablado(s): Spanish Eff 01-Feb-17 3410 Worth St, Ste 100 Legacy Women's Health Dallas, TX 75246 Benjamin, Shruti , MD 712 N Washington Ave, Ste 250 (214) 370-1400 Eff 01-Feb-17 Dallas, TX 75246 Legacy Women's Health (214) 515-9001 Cornelius, Brandon C, MD Eff 13-Jul-15 712 N Washington Ave, Ste 250 • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Dallas, TX 75246 hablado(s): Spanish Baylor Scott & White Residency at Dallas

(214) 515-9001 Médicos de cuidado especializado y otros proveedores Carley, Michael E, MD 3600 Gaston Ave, Ste 651, Blair, Donald L, MD Eff 01-Jan-14 WadleyTower Eff 15-Oct-18 Baylor Scott & White Texas Dallas, TX 75246 Trinity Women's Center Urogynecology Associates (214) 820-3275 3920 W Wheatland Rd, Ste 108 4501 Swiss Ave Dallas, TX 75237 Dallas, TX 75204 Downey, Charles R, MD (214) 948-7779 (214) 820-8700 Eff 15-Oct-18 Physician Associates of Southwest Boreham, Muriel K, MD Carley, Michael E, MD Dallas Eff 01-Jan-14 Eff 01-Jan-14 122 W Colorado Blvd Baylor Scott & White Texas Baylor Scott & White Texas Dallas, TX 75208-2382 Urogynecology Associates Urogynecology Associates (214) 947-6701 4501 Swiss Ave 4501 Swiss Ave Dallas, TX 75204 Dallas, TX 75204 Fuller, Deborah A, MD (214) 820-8700 (214) 820-8700 Eff 01-Jun-15 Dallas Obstetrics & Gynecology Boreham, Muriel K, MD Chee-Awai, Randall J, MD 3801 Gaston Ave, Suite 250 Eff 01-Jan-14 Eff 01-Nov-19 Dallas, TX 75246 Baylor Scott & White Texas EMMAR Physicians PA (214) 887-6100 Urogynecology Associates 3650 W Wheatland Rd Ste B 4501 Swiss Ave Dallas, TX 75237-4409 Dallas, TX 75204 (972) 572-8380 (214) 820-8700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 253 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Gaitonde, Ashwin , MD Haddock, Leann , MD Jelliffe, Katherine H, MD Eff 10-Sep-19 Eff 01-Feb-16 Eff 25-Oct-19 Obstetrics & Gynecology Magnolia Obstetrics & Fetal Care Consultants, LLC Associates of Dallas (Unified) Gynecology, PLLC 7777 Forest Lane Bldg C, Ste 742 3801 Gaston Ave, Ste 200 3600 Gaston Ave, Ste 601 Dallas, TX 75230-2571 Dallas, TX 75246 Dallas, TX 75246-1806 (972) 566-5600 (214) 823-9630 (214) 377-1699 • Languages spoken / Idioma(s) Jones, Kristina M, MD hablado(s): Gujrati Haley, Lindsey , MD Eff 06-Sep-19 Eff 01-Dec-16 Baylor Scott & White Women's Garcia, Tiffany N, MD Dallas Women's Healthcare Health Group Dallas Eff 18-Jul-16 Specialists, PLLC 3600 Gaston Ave, Ste 1158, Park Lane OB/GYN Associates 3611 Swiss Ave Wadley Tower 9101 N Central Expy, Ste 250 Dallas, TX 75204 Dallas, TX 75246-1853 Dallas, TX 75231 (214) 879-8585 (469) 800-9290 (214) 826-2979 • Languages spoken / Idioma(s) hablado(s): Spanish Joykutty, Jessy , DO Garcia Ruiz de Somocurcio, Javier Eff 01-Apr-14 , MD Harris, Steven A, MD Park Lane OB/GYN Associates Eff 15-Apr-19 Eff 27-Apr-19 9101 N Central Expy, Ste 250 White Rock OB Gyn PLLC Obstetrics & Gynecology Dallas, TX 75231 1110 N Buckner Blvd, Ste 103 Associates of Dallas (Unified) (214) 826-2979 Dallas, TX 75218-3498 3801 Gaston Ave, Ste 200 (214) 660-8200 Dallas, TX 75246 Kakarla, Raj , MD Eff 15-Oct-18 Specialty Care Physicians & Other Providers/ (214) 823-9630 Gladney, Robert , MD Phases of Life Women's Health Eff 17-May-20 Havemann, Leslie C, MD Care, PA Médicos de cuidado especializado y otros proveedores Baylor Scott & White Residency - Eff 15-Dec-16 7999 W Virginia Dr, Ste A Dallas Baylor Scott & White Residency at Dallas, TX 75237 3600 Gaston Ave Dallas (972) 296-4777 Dallas, TX 75246 3600 Gaston Ave, Ste 651, (214) 820-3275 WadleyTower Kinman, Casey L, MD Dallas, TX 75246 Eff 01-Sep-17 Gunby, Robert T, MD (214) 820-3275 Baylor Scott & White Texas Eff 27-Jul-15 Urogynecology Associates Baylor Scott & White Residency at Heckman, Glen W, MD 4501 Swiss Ave Dallas Eff 20-May-19 Dallas, TX 75204 3600 Gaston Ave, Ste 651, Obstetrics & Gynecology (214) 820-8700 WadleyTower Associates of Dallas (Unified) Dallas, TX 75246 3801 Gaston Ave, Ste 200 Leinauer, Meghan M, MD (214) 820-3275 Dallas, TX 75246 Eff 14-Sep-15 (214) 823-9630 Baylor Scott & White Women's Gunby, Robert T, MD Health Group Dallas Eff 01-Jan-14 Inzer, Robert W, MD 3600 Gaston Ave, Ste 1158, Robert T Gundy, MD Eff 09-Mar-17 Wadley Tower 4224 Swiss Ave Baylor Scott & White Women's Dallas, TX 75246-1853 Dallas, TX 75204 Health Group Dallas (469) 800-9290 (214) 821-9938 3600 Gaston Ave, Ste 1158, Wadley Tower Littrell, Christina P, MD Dallas, TX 75246-1853 Eff 01-Feb-15 (469) 800-9290 Christina P Littrell 4244 Swiss Ave Dallas, TX 75204 (214) 821-9938

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 254 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

McKown, R. Rochelle , MD Reyna, Michelle R, MD Schermerhorn, James E, MD Eff 14-Aug-19 Eff 15-Oct-18 Eff 15-Jan-19 Physician Associates of Southwest Physician Associates of Southwest James E Schermerhorn, MD Dallas Dallas 1151 N Buckner Blvd, Ste 206 122 W Colorado Blvd 122 W Colorado Blvd Dallas, TX 75218-3426 Dallas, TX 75208-2382 Dallas, TX 75208-2382 (214) 320-8447 (214) 947-6700 (214) 947-6701 • Languages spoken / Idioma(s) Shepherd, Jessica A, MD Monti, Lauren B, MD hablado(s): Spanish Eff 01-Feb-18 Eff 01-Jan-14 Baylor Scott & White Women's Lauren Monti-Jones, MD Rhoades-Lazenby, Courtney P, Health Group Dallas 3600 Gaston Ave, Ste 560 DO 3600 Gaston Ave Ste 1158 Dallas, TX 75246 Eff 15-Oct-18 Wadley Twr (214) 828-9495 Physician Associates of Southwest Dallas, TX 75246-1853 Dallas (469) 800-9290 Newman, Erin , MD 122 W Colorado Blvd Eff 01-Feb-16 Dallas, TX 75208-2382 Shimer, Tricia A, MD Magnolia Obstetrics & (214) 947-6701 Eff 30-Apr-20 Gynecology, PLLC Unified Women's Healthcare of 3600 Gaston Ave, Ste 601 Roe, Kimberlea A, MD Texas PLLC Dallas, TX 75246-1806 Eff 31-Jan-17 8160 Walnut Hill Lane Ste LL001 (214) 377-1699 Dallas Women's Healthcare Dallas, TX 75231 Specialists, PLLC (469) 364-3760 Ogunleye, Oluseyi K, MD 3611 Swiss Ave Eff 14-May-19 Singer, Alejandro R, MD Dallas, TX 75204 Specialty Care Physicians & Other Providers/ Fetal Care Consultants, LLC (214) 879-8585 Eff 31-Jan-17 7777 Forest Lane Bldg C, Ste 742 Dallas Women's Healthcare Dallas, TX 75230-2571 Roshanravan, Shayzreen M, MD Specialists, PLLC Médicos de cuidado especializado y otros proveedores (972) 566-5600 Eff 01-Jan-14 3611 Swiss Ave Baylor Scott & White Texas Dallas, TX 75204 Payne, Paul B, MD Urogynecology Associates (214) 879-8585 Eff 14-Sep-15 3600 Gaston Ave Ste 558 • Languages spoken / Idioma(s) Baylor Scott & White Residency at Dallas, TX 75246 hablado(s): Spanish Dallas (214) 820-8700 3600 Gaston Ave, Ste 651, Stevenson-Gargiulo, Elizabeth A, WadleyTower Roth, Casey , MD DO Dallas, TX 75246 Eff 21-Feb-20 Eff 01-Apr-14 (214) 820-3275 Magnolia Obstetrics & Park Lane OB/GYN Associates Gynecology, PLLC 9101 N Central Expy, Ste 250 Payne, Paul B, MD 3600 Gaston Ave Ste 601 Barnett Dallas, TX 75231 Eff 01-Dec-14 Tower (214) 826-2979 Private Practice Dallas, TX 75246 4244 Swiss Ave (214) 377-1699 Stovall, Dale W, MD Dallas, TX 75204 Eff 14-Aug-19 (214) 821-9938 Ruk, Michael T, MD Physician Associates of Southwest Eff 01-Jan-16 Dallas Northlake Obstetrics & 122 W Colorado Blvd Gynecology, PA Dallas, TX 75208-2382 7777 Forest Ln, Ste C234 (214) 947-6700 Dallas, TX 75230-6839 (972) 566-7711

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 255 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Sureddi, Seetha D, MD Usuga, Luis D, MD Roshanravan, Shayzreen M, MD Eff 15-Oct-18 Eff 15-Jan-20 Eff 01-Jan-14 Phases of Life Women's Health Dr. Deleon's Women's Healthcare Baylor Scott & White Texas Care, PA Clinic PA Urogynecology Associates 7999 W Virginia Dr, Ste A 517 W I30 Ste C 3095 Kingswood Blvd Ste 250 Dallas, TX 75237 Garland, TX 75043-5702 Grand Prairie, TX 75052 (972) 296-4777 (972) 240-4242 (469)800-1330 Warren, Margaret A, DO Berzinskas, Egle E, MD * Beltran, Frans , MD Eff 05-Oct-18 Eff 01-Jan-14 Eff 01-Jul-18 Fetal Care Consultants, LLC Baylor Family Medical Center at Baylor Scott & White Medical & 7777 Forest Lane Bldg C, Ste 742 Riverside Surgical Clinic - Irving Dallas, TX 75230-2571 2740 N Hwy 360, Ste 100 6750 N MacArthur Blvd Ste 250 (972) 566-5600 Grand Prairie, TX 75050 Irving, TX 75039 (972) 606-8300 (972) 817-1249 Warren, Margaret A, DO Eff 12-Jan-20 Berzinskas, Egle E, MD * Berzinskas, Egle E, MD * Physician Associates of Southwest Eff 01-Jan-14 Eff 01-Jan-14 Dallas Baylor Scott & White Riverside Baylor Family Medical Center at 122 W Colorado Blvd OB/GYN Riverside Dallas, TX 75208 2740 N. Highway 360, Suite 100 400 W I-635, Ste 300 (214) 947-6700 Grand Prairie, TX 75050 Irving, TX 75063 (972) 606-8300 (972) 606-8300 Wells, Lauren A, MD Eff 18-Jun-18 Carley, Michael E, MD Boreham, Muriel K, MD Specialty Care Physicians & Other Providers/ Magnolia Obstetrics & Eff 01-Jan-14 Eff 01-Jan-14 Gynecology, PLLC Baylor Scott & White Texas Baylor Scott & White Texas Médicos de cuidado especializado y otros proveedores 3600 Gaston Ave, Ste 601 Urogynecology Associates Urogynecology Associates Dallas, TX 75246-1806 5236 W University Dr Ste 2200 2001 N. McArthur Boulevard Ste (214) 377-1699 Grand Prairie, TX 75051 425 (214)820-8700 Irving, TX 75061 Dean, F. Thomas , MD (469) 800-1330 Eff 05-May-19 Kinman, Casey L, MD F. Thomas Dean, MD Eff 01-Sep-17 Carley, Michael E, MD 2727 Bolton Boone Dr, Ste 105 Baylor Scott & White Texas Eff 01-Jan-14 Desoto, TX 75115-2019 Urogynecology Associates Baylor Scott & White Texas (972) 298-4300 3095 Kingswood Boulevard , Suite Urogynecology Associates 250 2001 N MacArthur Blvd Ste 425 Saldivar, Jorge A, MD Grand Prairie, TX 75052 Irving, TX 75061 Eff 15-Oct-18 (469) 800-1330 (469)800-1330 Jorge A Saldivar, MD, PA 2715 Bolton Boone Drive, Ste B McCullough, Michael R, DO Carmichael, Kristen R, MD Desoto, TX 75115-2009 Eff 19-Jul-20 Eff 01-Jul-18 (972) 780-8009 Michael R. McCullough, DO Baylor Scott & White Medical & 643 S Great Southwest Pkwy, Ste Surgical Clinic - Irving Lora Alcantara, Isamarie , MD 101 6750 N MacArthur Blvd Ste 250 Eff 15-Jan-20 Grand Prairie, TX 75051-1056 Irving, TX 75039 Dr. Deleon's Women's Healthcare (972) 988-1588 (972) 817-1249 Clinic PA 517 W I30 Ste C Garland, TX 75043-5702 (972) 240-4242

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 256 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Garcia, Gonzalo H, MD Downey, Charles R, MD Do, Linda , MD Eff 14-Apr-15 Eff 14-Jun-19 Eff 01-Sep-17 Las Colinas OB/GYN Women's Health Associates of Lake Pointe Obstetrics & 3501 N MacArthur Blvd, Ste 350 Richardson, PLLC Gynecology Irving, TX 75062 2821 E President George Bush 9500 Lakeview Pkwy, Ste 200 (972) 257-5300 Hwy, Ste 400 Rowlett, TX 75088 Richardson, TX 75082 (972) 475-0960 Kinman, Casey L, MD (972) 231-9144 Eff 01-Sep-17 Hearne, Monika , MD Baylor Scott & White Texas Gibson, Charmaine , MD Eff 10-Aug-15 Urogynecology Associates Eff 14-Aug-19 Lake Pointe Obstetrics & 2001 N MacArthur Blvd, Ste 425 Women's Health Associates of Gynecology Irving, TX 75061-2299 Richardson, PLLC 9500 Lakeview Pkwy Ste 100 (469) 800-1330 2821 E President George Bush Rowlett, TX 75088 Hwy, Ste 400 (469)800-2575 Kinman, Casey L, MD Richardson, TX 75082 Eff 01-Sep-17 (972) 231-9144 Lora Alcantara, Isamarie , MD Baylor Scott & White Texas Eff 15-Jan-20 Urogynecology Associates Khan, Yasmin B, MD Dr. Deleon's Women's Healthcare 2001 N MacArthur Blvd, Ste 425 Eff 01-May-19 Clinic PA Irving, TX 75061 Private Practice 3705 Lakeview Pkwy Ste 215 (469) 800-1330 1080 W Campbell Rd, # 200 Rowlett, TX 75088-4179 Richardson, TX 75080-2990 (972) 463-1811 Roshanravan, Shayzreen M, MD (972) 498-4510 Eff 01-Jan-14 Nguyen-Reyes, Tracy N, MD Specialty Care Physicians & Other Providers/ Baylor Scott & White Texas Norton, Carol B, MD Eff 13-Nov-20 Urogynecology Associates Eff 15-Oct-18 Baylor Scott & White Obstetrics & 2001 N MacArthur Blvd Ste 425 Women's Health Associates of Gynecology - Rowlett Médicos de cuidado especializado y otros proveedores Irving, TX 75061 Richardson 9500 Lakeview Prkwy Ste 100 (469)800-1330 2821 E President George Bush Rowlett, TX 75088 Hwy, Ste 400 (469) 800-2575 Odogwu, Maduka H, MD Richardson, TX 75082 Eff 01-Sep-19 (972) 231-9144 Usuga, Luis D, MD Holy Cross OBGYN Eff 15-Jan-20 1010 N Belt Line Rd, Ste 104 Pajoohi, Fariba , MD Dr. Deleon's Women's Healthcare Mesquite, TX 75149-1770 Eff 15-Mar-17 Clinic PA (469) 862-3756 LOR Women's Health Care PLLC 3705 Lakeview Pkwy Ste 215 1080 W Campbell Rd, #100 Rowlett, TX 75088-4179 Brooks, Elayna M, MD Richardson, TX 75080 (972) 463-1811 Eff 15-Oct-18 (972) 479-1222 Women's Health Associates of Ward, Jenaya J, MD Richardson Sreedevi, Mini , MD Eff 10-Aug-15 2821 E President George Bush Eff 15-Dec-19 Lake Pointe Obstetrics & Hwy, Ste 400 Atlas OB-GYN, PLLC Gynecology Richardson, TX 75082 2821 E President George Bush 9500 Lakeview Pkwy, Ste 200 (972) 231-9144 Hwy, Ste 207 Rowlett, TX 75088 Richardson, TX 75082 (469) 267-6200 (972) 907-1280

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 257 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Grant, J Kirkland , MD Brown, Jason P, MD Kinman, Casey L, MD Eff 01-Aug-16 Eff 19-Jul-18 Eff 01-Sep-17 J Kirkland Grant MD FACOG PA Jason P. Brown, MD PLLC Baylor Scott & White Texas 182 S Collins Rd Ste 800 151 Rvg Pkwy, Ste 100 Urogynecology Associates Sunnyvale, TX 75182 Waxahachie, TX 75165 1505 W Jefferson St, Ste 160 (972) 686-8200 (469) 848-7070 Waxahachie, TX 75165 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) (214)820-8700 hablado(s): Spanish hablado(s): Spanish Morehead, David B, DO Denton County | Condado de Carley, Michael E, MD Eff 01-Feb-15 Eff 01-Jan-14 Waxahachie Women's Health Denton Baylor Scott & White Texas 2460 N IH-35 E, Ste 165 Urogynecology Associates Waxahachie, TX 75165 Bartos, Heather R, MD 1505 W Jefferson St, Ste 160 (972) 938-3493 Eff 15-Jul-17 Waxahachie, TX 75165 • Languages spoken / Idioma(s) Be. Women's Health and (214)820-8700 hablado(s): Spanish Wellness, PLLC 8700 E US Hwy 380, Ste 300 Carley, Michael E, MD Roshanravan, Shayzreen M, MD Crossroads, TX 76227 Eff 01-Jan-14 Eff 01-Jan-14 (940) 365-9001 Baylor Scott & White Texas Baylor Scott & White Texas • Languages spoken / Idioma(s) Urogynecology Associates Urogynecology Associates hablado(s): Spanish 2460 N I-35E, Ste 215 1505 W Jefferson St Ste 160 Waxahachie, TX 75165 Waxahachie, TX 75165 Mitchell, Janice Louise, MD (214) 820-8700 (214)820-8700 Eff 15-May-17 Specialty Care Physicians & Other Providers/ Obstetrics and Gynecology Carley, Michael E, MD Roshanravan, Shayzreen M, MD Associates, PA Eff 01-Jan-14 Eff 01-Jan-14 Médicos de cuidado especializado y otros proveedores 4001 Long Prarie Rd, Ste 150 Baylor Scott & White Texas Baylor Scott & White Texas Flower Mound, TX 75028-- Urogynecology Associates Urogynecology Associates (972) 420-1470 505 N Hwy 77, Ste 200 2460 N I-35E Ste 215 Waxahachie, TX 75165 Waxahachie, TX 75165 Ellis County | Condado de Ellis (972) 923-1686 (214) 820-8700

Boreham, Muriel K, MD Davis, Cynthia Nicole , MD Williams, Kristin N, MD Eff 01-Jan-14 Eff 11-Jul-16 Eff 01-Feb-15 Baylor Scott & White Texas Waxahachie Women's Health Waxahachie Women's Health Urogynecology Associates 2460 N IH-35 E, Ste 165 2460 N IH-35 E, Ste 165 2460 N I-35E, Ste 215 Waxahachie, TX 75165 Waxahachie, TX 75165 Waxahachie, TX 75165 (972) 938-3493 (972) 938-3493 (214) 820-8700 Kindred, Robin , MD Grayson County | Condado de Eff 11-Apr-16 Boreham, Muriel K, MD Grayson Eff 01-Jan-14 Waxahachie Women's Health 2460 N IH-35 E, Ste 165 Baylor Scott & White Texas Abrantes, Anthony , MD Urogynecology Associates Waxahachie, TX 75165 (972) 938-3493 Eff 01-Aug-19 1505 W Jefferson St Ste 160 WNJ Wellcare Medical Group Waxahachie, TX 75165 • Languages spoken / Idioma(s) hablado(s): Spanish 3401 N Calais Ste A (214)820-8700 Sherman, TX 75090-3104 (903) 870-2094

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 258 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rockhill, Teresa , MD Farzam, Steven A, MD Tarrant County | Condado de Eff 01-Aug-19 Eff 08-Sep-17 WNJ Wellcare Medical Group Cleburne OB & GYN Associates, Tarrant 300 N Highland Ave, Ste 310 PA Sherman, TX 75092-7389 201 Walls Dr, Ste 502 Cane, Michael T, MD (903) 463-3033 Cleburne, TX 76033-4006 Eff 15-Mar-17 (817) 556-7796 Family HealthCare Associates Sandmann, Timothy L, MD 1300 S Fielder Rd Eff 01-Mar-15 Rockwall County | Condado de Arlington, TX 76013-2348 AMS Womens Care (817) 277-2221 260 E Evergreen St Rockwall Sherman, TX 75090 Bradford, Laura A, MD (903) 870-1080 Slabas, Karen K, MD Eff 01-Jan-16 Eff 01-Nov-15 Laura A Bradford MD Hood County | Condado de Lake Pointe Medical Partners 1425 8th Ave OB/GYN at Rockwall Fort Worth, TX 76104 Hood 1005 W Ralph Hall Pkwy, Ste 233 (817) 926-4118 Heath, TX 75032-6661 Rainer, Drew E, MD (469) 267-6200 Hardick, Leslie C, DO Eff 16-May-19 Eff 01-Sep-19 Caring Center for Women of Do, Linda , MD Leslie C. Hardick, DO, PA Central Texas (Unified) Eff 01-Sep-17 1325 Pennsylvania Ave, Ste 690 1200 Crawford Ave, Ste B Lake Pointe Obstetrics & Fort Worth, TX 76104 Granbury, TX 76048-4562 Gynecology (817) 924-2216 (817) 578-8077 1005 W Ralph Hall Pkwy, Ste 115 Specialty Care Physicians & Other Providers/ Rockwall, TX 75032 Hardt, Pattyann Amanda, MD Hunt County | Condado de (469) 267-6200 Eff 15-Sep-14 Pattyann A Hardt, MD, PA Médicos de cuidado especializado y otros proveedores Hunt Sudela, Thomas S, MD 1425 8th Ave Eff 01-Sep-19 Fort Worth, TX 76104 Kowalczyk, Teresa , MD Thomas Sudela, MD PA (817) 926-4118 Eff 15-Oct-16 2504 Ridge Road Ste 201 Greenville Women's Wellness Rockwall, TX 75087-2571 Hernandez, Celso A, MD Center, PA (972)722-0404 Eff 05-Feb-19 4221 Ridgecrest, Ste 109 Fort Worth Perinatal Associates, Greenville, TX 75402 Ward, Jenaya J, MD PA (903) 455-5686 Eff 10-Aug-15 1250 8th Ave, Ste 570 Lake Pointe Obstetrics & Fort Worth, TX 76104-4145 Johnson County | Condado de Gynecology (817) 332-6667 Johnson 1005 W Ralph Hall Pkwy, Ste 115 Rockwall, TX 75032 Lagomichos, Melanie H, DO (469) 267-6200 Eff 20-Apr-20 Rainer, Drew E, MD HSC Obstetrics and Gynecology Eff 16-May-19 Zandomeni, Gabriela M, MD 1307 8th Ave Ste 403 Caring Center for Women of Eff 01-Jul-20 Fort Worth, TX 76104-4143 Central Texas (Unified) Crossroads Women's Health (682) 207-1375 2760 SW Wilshire Blvd, Ste 100 1307 Ridge Rd Ste 1106 Burleson, TX 76028-8346 Rockwall, TX 75087-4301 (817) 447-0507 (214) 771-9910

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 259 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

McAlpine, David , MD Wood, Rita G, DO Flowers, Julia C, MD Eff 01-Nov-15 Eff 15-Sep-20 Eff 01-Jan-14 Private Practice Rita G Wood, DO PA Obstetrics & Gynecology of North 7100 Oakmont Blvd, Ste 102 1425 8th Ave Texas, LLP Fort Worth, TX 76132 Fort Worth, TX 76104 1600 W College, Ste 540 (817) 370-2440 (817) 926-4118 Grapevine, TX 76051 • Languages spoken / Idioma(s) (817) 481-5863 hablado(s): Spanish Berzinskas, Egle E, MD * • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Spanish Pasciucco, Alison , MD Baylor Scott & White Riverside Eff 20-Apr-20 OB/GYN Lieser, Sofia A, MD HSC Obstetrics and Gynecology 2020 W State Hwy 115, Ste 320 Eff 08-Feb-16 1307 8th Ave Ste 403 Grapevine, TX 76051 Sofia A Lieser, MD, PLLC Fort Worth, TX 76104-4143 (817) 912-8330 1600 W College St, Ste 540 (682) 207-1375 Grapevine, TX 76051 Boreham, Muriel K, MD (817) 481-5863 Rainer, Drew E, MD Eff 01-Jan-14 • Languages spoken / Idioma(s) Eff 16-May-19 Baylor Scott & White Texas hablado(s): Spanish Caring Center for Women of Urogynecology Associates Central Texas (Unified) 2020 W. Highway 114 Ste 200 Morris, Carrie P, MD 6100 Harris Pkwy, Ste 140 Grapevine, TX 76051 Eff 01-Jan-14 Fort Worth, TX 76132-4130 (817) 416-7214 Obstetrics & Gynecology of North (817) 346-5336 Texas, LLP Bruce, Heather A, DO 1600 W College, Ste 540 Reyes, Rebecca A, MD Eff 26-Jul-16 Specialty Care Physicians & Other Providers/ Grapevine, TX 76051 Eff 01-Jan-14 Baylor Family Medical Center at (817) 481-5863 Fort Worth Perinatal Associates Riverside Médicos de cuidado especializado y otros proveedores 1250 8th Ave, Ste 570 2020 W St Hwy 114, Ste 320 Neal, Kerry D, MD Fort Worth, TX 76104 Grapevine, TX 76051 Eff 01-Jan-16 (817) 332-6667 (817) 912-8330 Comprehensive Women's HealthCare, PA Robbins, Cynthia J, MD * Carley, Michael E, MD 1054 Texan Trl Eff 01-Jan-14 Eff 01-Jan-14 Grapevine, TX 76051 Cynthia Robbins, MD PA Baylor Scott & White Texas (817) 424-3112 1425 8th Ave Urogynecology Associates Fort Worth, TX 76104 2020 W Hwy 114 Ste 200 New, Troy G, MD * (817) 926-4118 Grapevine, TX 76051 Eff 01-Apr-15 (817)416-7214 Contemporary OB/GYN of Spooner, Elizabeth G, MD Grapevine, PA Eff 24-Jan-19 Clark, Edward D, MD 1600 W College St, Ste 340 Fort Worth Perinatal Associates, Eff 30-Apr-20 Grapevine, TX 76051 PA Unified Women's Healthcare of (817) 329-0389 1250 8th Ave, Ste 570 Texas PLLC • Languages spoken / Idioma(s) Fort Worth, TX 76104-4145 1600 W College St Ste 510 hablado(s): Spanish (817) 332-6667 Grapevine, TX 76051 (817) 410-7982 Payne, Gerald G, MD Wiley, Ruth R, DO Eff 15-Nov-16 Eff 01-Jul-15 Cowen, Alan E, MD Perinatal Medicine Associates Ruth R Wiley, DO., PA Eff 01-Jan-16 1600 W College St, Ste 210 1425 8th Ave Comprehensive Women's Grapevine, TX 76051-2100 Fort Worth, TX 76104 HealthCare, PA (817) 481-0111 (817) 926-4118 1054 Texan Trl Grapevine, TX 76051 (817) 424-3112

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 260 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Robert, Rebecca Maring, MD Morehead, David B, DO Occupational Therapy/ Terapia Eff 10-Sep-19 Eff 01-Feb-15 ocupacional Rebecca Maring Robert MD PA Waxahachie Women's Health (Unified) 1670 E Broad St, Ste 101 Collin County | Condado de 1631 Lancaster Dr Ste 220 Mansfield, TX 76063 Grapevine, TX 76051 (972) 938-3493 Collin (817) 865-5300 • Languages spoken / Idioma(s) hablado(s): Spanish Krips, Inga , OT Rost, Timothy J, MD * Eff 21-Feb-19 Eff 01-Apr-15 Northrop, Sara C, DO Libra Occupational Therapy PC Grapevine OB/GYN Eff 15-Oct-18 3105 W 15th St, Ste A-3 1600 W College St, Ste 340 Women's Care Associates Plano, TX 75075-7700 Grapevine, TX 76051 120 N. Miller Rd, Ste 300 (469) 296-9900 (817) 329-0389 Mansfield, TX 76063 (817) 303-0496 Krips, Inga , OT Wai, Robert B, MD Eff 06-Oct-19 Eff 01-Jan-14 Pearce, Jessica L, DO Libra OT PLLC Obstetrics & Gynecology of North Eff 15-Oct-18 3105 W 15th St, Ste A-3 Texas, LLP Women's Care Associates Plano, TX 75075-7700 1600 W College, Ste 540 120 N. Miller Rd, Ste 300 (469) 296-9900 Grapevine, TX 76051 Mansfield, TX 76063 (817) 481-5863 (817) 303-0496 Oncology/ Oncología • Languages spoken / Idioma(s) Williams, Kristin N, MD hablado(s): Spanish Collin County | Condado de Eff 01-Feb-15 Specialty Care Physicians & Other Providers/ Turner, Roy , MD Waxahachie Women's Health Collin Eff 01-Dec-19 2800 E Broad St, Ste 212 DiagnosTEX Consultants PLLC Mansfield, TX 76063 Nwizu, Tobenna I, MD Médicos de cuidado especializado y otros proveedores 500 Grapevine Hwy Ste 106 (972) 938-3493 Eff 15-Oct-17 Hurst, TX 76054-2707 Texas Oncology PA (817) 514-6271 Zinnante, Marian , MD 4461 Coit Rd Ste 100 Eff 15-Oct-18 Frisco, TX 75069 Turner, Roy , MD Women's Care Associates (972) 987-1975 Eff 01-Dec-19 120 N. Miller Rd, Ste 300 DiagnosTEX Consultants PLLC Mansfield, TX 76063 Trillo, Gerardo Hernandez, MD 500 Grapevine Hwy Ste 106 (817) 303-0496 Eff 01-Jan-14 Hurst, TX 76054-2707 Texas Oncology, PA (817) 514-6271 Occupational Medicine/ Medicina 4461 Coit Rd, Ste 100 ocupacional Frisco, TX 75035 Bhakta Nunez, Bhavisha , DO (972) 987-1975 Eff 12-Jan-20 Dallas County | Condado de Women's Care Associates Athar, M A Ahad, MD 120 N. Miller Rd, Ste 300 Dallas Eff 01-Jan-14 Mansfield, TX 76063 Texas Oncology, PA (817) 303-0496 Prychodko, Andrew W, MD 5236 W University Dr, Ste 1000 Eff 09-Jan-19 McKinney, TX 75071 Kindred, Robin , MD Functional Recovery Associates, (972) 542-8609 Eff 11-Apr-16 PLLC Waxahachie Women's Health 5701 Maple Ave Ste 100 Jones, Monte F, MD 2800 E Broad St, Ste 212 Dallas, TX 75235-6596 Eff 01-Jan-14 Mansfield, TX 76063 (214) 351-6600 Texas Oncology, PA (972) 938-3493 5236 W University Dr, Ste 1000 • Languages spoken / Idioma(s) McKinney, TX 75071 hablado(s): Spanish (972) 542-8609

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 261 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Palanisamy, Nithya , MD Le, Thuy Bich, MD Agarwal, Ashwani K, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 24-Aug-18 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 5236 W University Dr, Ste 1000 6300 W Parker Rd MOB II, Ste 3555 W Wheatland Rd McKinney, TX 75071 123 Dallas, TX 75237-3461 (972) 542-8609 Plano, TX 75093 (972) 709-2580 (972) 398-2899 Rao, Nandita Gopal, MD Arjunan, Ananth K, MD Eff 01-Jan-14 Mahone-Johnson, Wendy L, MD Eff 21-Jun-19 Texas Oncology, PA Eff 19-Jul-19 Texas Oncology, PA 5236 W University Dr, Ste 1000 Texas Oncology, PA 3555 W Wheatland Rd McKinney, TX 75071 6957 W Plano Pkwy Ste 2000 Dallas, TX 75237-3461 (972) 542-8609 Plano, TX 75093 (972) 709-2580 (214) 483-6933 Rizvi, Akbar , MD Barve, Minal A, MD Eff 14-May-17 Qureshi, Khusroo , MD Eff 21-Mar-17 Texas Oncology, PA Eff 01-Jan-14 Texas Oncology, PA 4510 Medical Center Dr, Ste 215 Texas Oncology, PA 8196 Walnut Hill Ln, Ste 100 McKinney, TX 75069-- 3705 W 15th St Dallas, TX 75231-- (469) 952-5007 Plano, TX 75075-7753 (214) 739-4175 (972) 867-3577 • Languages spoken / Idioma(s) Connor, Charles Keith, MD hablado(s): Hindi Eff 01-Jan-14 Saez, Ruben A, MD Texas Oncology, PA Eff 21-Jun-19 Becerra, Carlos H Roberto, MD 3705 W 15th St Texas Oncology, PA Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ Plano, TX 75075-7753 6957 W Plano Pkwy Ste 2000 Texas Oncology, PA (972) 867-3577 Plano, TX 75093 3410 Worth St, Ste 400 Médicos de cuidado especializado y otros proveedores (214) 483-6933 Dallas, TX 75246 Flippo, Korie L, MD (214) 370-1500 Eff 01-Jan-14 Stokoe, Christopher Thomas, MD Texas Oncology, PA Eff 01-Jan-14 Berryman, Robert B, MD 4708 Alliance Blvd, Ste 150 Texas Oncology, PA Eff 01-Jan-14 Plano, TX 75093-5339 3705 W 15th St Texas Oncology, PA (972) 596-7801 Plano, TX 75075-7753 3410 Worth St, Ste 300 (972) 867-3577 Dallas, TX 75246 Gupta, Manish , MD (214) 370-1500 Eff 01-Jan-14 Stone, Scott Andrew, MD Texas Oncology, PA Eff 01-Jan-14 Berryman, Robert B, MD 4708 Alliance Blvd, Ste 150 Texas Oncology, PA Eff 01-Jan-14 Plano, TX 75093-5339 3705 W 15th St Texas Oncology, PA (972) 596-7801 Plano, TX 75075-7753 7777 Forest Ln, Ste D400 (972) 867-3577 Dallas, TX 75230 Kovoor, Philip Abraham, MD (972) 566-7790 Eff 01-Jan-14 Dallas County | Condado de Texas Oncology, PA Bhushan, Vikas , MD 4708 Alliance Blvd, Ste 150 Dallas Eff 01-Jan-14 Plano, TX 75093-5339 Texas Oncology, PA (972) 596-7801 Agarwal, Ashwani K, MD 7777 Forest Ln, Ste D400 Eff 24-Aug-18 Dallas, TX 75230 Texas Oncology, PA (972) 566-7790 1441 N Beckley Ave, Ste 101 Dallas, TX 75203-1201 (214) 943-9911

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 262 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Blum, Joanne Lorraine, MD Escobar, Carolina , MD Juvvadi, Sridevi , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 400 3410 Worth St, Ste 300 7777 Forest Ln, Bldg C, Ste 850 Dallas, TX 75246-2092 Dallas, TX 75246 Dallas, TX 75230 (214) 370-1400 (214) 370-1500 (972) 566-7766 Brooks, Barry Don, MD Escobar, Carolina , MD Kannan, Lakshmi Priya, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 7777 Forest Ln, Ste D400 7777 Forest Ln, Bldg D, Ste 220 3555 W Wheatland Rd Dallas, TX 75230 Dallas, TX 75230 Dallas, TX 75237-3461 (972) 566-7790 (972) 566-7790 (972) 709-2580 Burch, Micah Matthew, MD Gandhi, Darshan G, MD Kerr, Ronald Neal, MD Eff 01-Jan-14 Eff 21-Oct-18 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 400 1441 N Beckley Ave, Ste 101 7777 Forest Ln, Ste D400 Dallas, TX 75246-2092 Dallas, TX 75203-1201 Dallas, TX 75230 (214) 370-1400 (214) 943-9911 (972) 566-7790 Cooper, Barry , MD Gandhi, Darshan G, MD Konduri, Kartik , MD Eff 01-Jan-14 Eff 21-Oct-18 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 400 3555 W Wheatland Rd 3410 Worth St, Ste 160 Specialty Care Physicians & Other Providers/ Dallas, TX 75246-2092 Dallas, TX 75237-3461 Dallas, TX 75246 (214) 370-1400 (972) 709-2580 (214) 826-9797 Médicos de cuidado especializado y otros proveedores Cowey, Charles Lance, MD Holmes, Houston E, MD Koshy, Nebu , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 21-Jun-19 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 400 3410 Worth St, Ste 400 3410 Worth St, Ste 300 Dallas, TX 75246-2092 Dallas, TX 75246-2092 Dallas, TX 75246 (214) 370-1400 (214) 370-1400 (214) 370-1500 Coyle, Yvonne M, MD Hutson, Thomas Edgar, DO Levy, Moshe Y, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 400 3410 Worth St, Ste 400 3410 Worth St, Ste 400 Dallas, TX 75246-2092 Dallas, TX 75246-2092 Dallas, TX 75246-2092 (214) 370-1400 (214) 370-1400 (214) 370-1400 Denham, Claude A, MD Jimenez-Justiniano, Gilberto , MD Maisel, Christopher Marc, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Gregory A Echt, MD, PA Texas Oncology, PA 3410 Worth St, Ste 400 2909 S Hampton Rd, Ste E222 3410 Worth St, Ste 240 Dallas, TX 75246-2092 Dallas, TX 75224 Dallas, TX 75246 (214) 370-1400 (214) 379-2729 (214) 370-1111

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 263 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Manhas, Atisha P, MD Orr, Douglas W, MD Perkins, Steve , MD Eff 24-Aug-18 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 1441 N Beckley Ave, Ste 101 3410 Worth St, Ste 400 7777 Forest Ln, Bldg C, Ste 850 Dallas, TX 75203-1201 Dallas, TX 75246-2092 Dallas, TX 75230 (214) 943-9911 (214) 370-1400 (972) 566-7766 Manhas, Atisha P, MD Orr, Douglas W, MD Pippen, John Eldred, MD Eff 24-Aug-18 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3555 W Wheatland Rd 7777 Forest Ln, Bldg C, Ste 707 3410 Worth St, Ste 400 Dallas, TX 75237-3461 Dallas, TX 75230 Dallas, TX 75246-2092 (972) 709-2580 (972) 566-3000 (214) 370-1400 Mathews, John , MD Osborne, Cynthia R, MD Reese, Merrick Hogan, MD Eff 07-Dec-15 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 7777 Forest Ln, Ste D400 3410 Worth St, Ste 400 3410 Worth St, Ste 400 Dallas, TX 75230 Dallas, TX 75246-2092 Dallas, TX 75246-2092 (972) 566-7790 (214) 370-1400 (214) 370-1400 McCollum, Andrew David, MD O'Shaughnessy, Joyce Ann, MD Reynolds, Jana M, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 09-Nov-15 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 400 3410 Worth St, Ste 400 3410 Worth St, Ste 300 Specialty Care Physicians & Other Providers/ Dallas, TX 75246-2092 Dallas, TX 75246-2092 Dallas, TX 75246 (214) 370-1400 (214) 370-1400 (214) 370-1500 Médicos de cuidado especializado y otros proveedores Mennel, Robert G, MD Paulson, Andrew S, MD Schneider, Reva E, MD Eff 01-Jan-14 Eff 13-Jul-15 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 400 3410 Worth St, Ste 400 7777 Forest Ln, Bldg C, Ste 707 Dallas, TX 75246-2092 Dallas, TX 75246-2092 Dallas, TX 75230 (214) 370-1400 (214) 370-1400 (972) 566-3000 Moparty, Srinivasu Rao, MD Paulson, Roy Steven, MD Shmerlin, Inna , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 24-Aug-18 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3555 W Wheatland Rd 3410 Worth St, Ste 400 1441 N Beckley Ave, Ste 101 Dallas, TX 75237-3461 Dallas, TX 75246-2092 Dallas, TX 75203-1201 (972) 709-2580 (214) 370-1400 (214) 943-9911 Nadler, Eric Samuel, MD Pearson, Edward , MD Shmerlin, Inna , MD Eff 01-Jan-14 Eff 20-Nov-17 Eff 24-Aug-18 Texas Oncology, PA Texas Oncology, PA Texas Oncology, PA 3410 Worth St, Ste 400 3410 Worth St, Ste 400 3555 W Wheatland Rd Dallas, TX 75246-2092 Dallas, TX 75246-2092 Dallas, TX 75237-3461 (214) 370-1400 (214) 370-1400 (972) 709-2580

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 264 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Thudi, Narotham Reddy, MD Juarez, Maria I, MD Olivares, Jairo Rafael, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Baylor Scott & White Oncology Texas Oncology, PA 7777 Forest Ln, Bldg C, Ste 850 310 E Hwy 67 530 Clara Barton, Ste 250 Dallas, TX 75230 Duncanville, TX 75137-4159 Garland, TX 75042 (972) 566-7766 (469) 800-9300 (972) 272-3417 Vance, Estil A, MD Juarez, Maria I, MD Reddy, Sashidhar Narapa, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Baylor Scott & White Oncology Texas Oncology, PA 3410 Worth St, Ste 300 310 E Hwy 67 530 Clara Barton, Ste 250 Dallas, TX 75246 Duncanville, TX 75137 Garland, TX 75042 (214) 370-1500 (469) 800-9300 (972) 272-3417 Vance, Estil A, MD Reddy, Maryada S, MD Allada, Naveena , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Baylor Scott & White Oncology Texas Oncology, PA 7777 Forest Ln, Ste D400 310 E Hwy 67 2021 N MacArthur Blvd, Ste 400 Dallas, TX 75230 Duncanville, TX 75137-4159 Irving, TX 75061 (972) 566-7790 (469) 800-9300 (972) 256-3537 Von Hoff, Daniel Douglas, MD Reddy, Maryada S, MD Drinkard, Lee Campbell, MD Eff 01-Feb-16 Eff 01-Jan-14 Eff 14-Apr-14 Texas Oncology, PA Baylor Scott & White Oncology Gregory A Echt, MD, PA 3410 Worth St, Ste 730 310 E Hwy 67 7415 Las Colinas Blvd, Ste 100 Specialty Care Physicians & Other Providers/ Dallas, TX 75246 Duncanville, TX 75137 Irving, TX 75063 (214) 370-1254 (469) 800-9300 (214) 379-2700 Médicos de cuidado especializado y otros proveedores Walberg, Mark William, MD Gupta, Manish , MD Jimenez-Justiniano, Gilberto , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Texas Oncology, PA Gregory A Echt, MD, PA 3410 Worth St, Ste 400 530 Clara Barton, Ste 250 7415 Las Colinas Blvd, Ste 100 Dallas, TX 75246-2092 Garland, TX 75042 Irving, TX 75063 (214) 370-1400 (972) 272-3417 (214) 379-2700 White, Charles Stanley, MD Li, Zhiyong , MD Juvvadi, Sridevi , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Dallas Cancer Specialists, PA Texas Oncology, PA 7777 Forest Ln, Ste D400 315 N Shiloh Rd, Ste 101 2021 N MacArthur Blvd, Ste 400 Dallas, TX 75230 Garland, TX 75042 Irving, TX 75061 (972) 566-7790 (972) 487-8866 (972) 256-3537 • Languages spoken / Idioma(s) Whiteley, Andrew , MD hablado(s): Chinese Kancharla, Kiran R, MD Eff 23-Sep-17 Eff 01-Jan-14 Texas Oncology, PA Melmed, Gavin Mark, MD Gregory A Echt, MD, PA 3410 Worth St, Ste 400 Eff 01-Jan-14 7415 Las Colinas Blvd, Ste 100 Dallas, TX 75246-2092 Texas Oncology, PA Irving, TX 75063 (214) 370-1400 530 Clara Barton, Ste 250 (214) 379-2700 Garland, TX 75042 • Languages spoken / Idioma(s) (972) 272-3417 hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 265 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Mackey, James D, MD Seals, Scott R, MD Denton County | Condado de Eff 01-Jan-14 Eff 07-Dec-15 Gregory A Echt, MD, PA Texas Oncology, PA Denton 7415 Las Colinas Blvd, Ste 100 4700 N Galloway Ave Irving, TX 75063 Mesquite, TX 75150 Bhogaraju, Anil Kumar Venkat, MD (214) 379-2700 (972) 686-6411 Eff 01-Jan-14 Texas Oncology, PA Perkins, Steve , MD Teerdhala, Sudha , MD 4352 N Josey Ln Eff 01-Jan-14 Eff 11-Jan-16 Carrollton, TX 75010 Texas Oncology, PA Texas Oncology, PA (972) 394-4368 2021 N MacArthur Blvd, Ste 400 4700 N Galloway Ave Irving, TX 75061 Mesquite, TX 75150 Jimenez-Justiniano, Gilberto , MD (972) 256-3537 (972) 686-6411 Eff 01-Jan-14 Gregory A Echt, MD, PA Thudi, Narotham Reddy, MD Trumbly, Alan R, DO 4333 Josey Ln, Plaza II, Ste 200 Eff 01-Jan-14 Eff 15-Oct-18 Carrollton, TX 75010 Texas Oncology, PA Methodist Richardson Hematology (972) 492-3587 2021 N MacArthur Blvd, Ste 400 Oncology Associates Irving, TX 75061 2805 E President George Bush Perez, Enrique A, MD (972) 256-3537 TPKE Eff 01-Jan-14 Richardson, TX 75082-3561 Texas Oncology, PA Boswank, Stephen E, MD (469) 204-6100 4352 N Josey Ln Eff 11-Jan-16 Carrollton, TX 75010 Texas Oncology, PA Nwizu, Tobenna I, MD (972) 394-4368 4700 N Galloway Ave Eff 15-Oct-17 Specialty Care Physicians & Other Providers/ Mesquite, TX 75150 Texas Oncology, PA Thomas, Vibha T, MD (972) 686-6411 7501 Lakeview Pkwy, Ste 100 Eff 12-Dec-16 Médicos de cuidado especializado y otros proveedores Rowlett, TX 75088-9330 Texas Oncology, PA Chittoor, Sreenivas R, MD (972) 412-2577 4352 N Josey Ln Eff 07-Dec-15 Carrollton, TX 75010 Texas Oncology, PA Nwizu, Tobenna I, MD (972) 394-4368 4700 N Galloway Ave Eff 15-Oct-17 Mesquite, TX 75150 Texas Oncology, PA Jain, Sharad K, MD (972) 686-6411 9100 Lakeview Pkwy Eff 01-Feb-16 Rowlett, TX 75088-4537 Texas Oncology, PA Haffar, Shiela , MD (972) 412-2577 3720 S I-35 E Eff 07-Dec-15 Denton, TX 76210 Texas Oncology, PA Younas, Ahmer , MD (940) 382-1022 4700 N Galloway Ave Eff 01-Jan-14 Mesquite, TX 75150 Texas Oncology, PA Bhogaraju, Anil Kumar Venkat, MD (972) 686-6411 7501 Lakeview Pkwy, Ste 100 Eff 01-Jan-14 Rowlett, TX 75088-9330 Texas Oncology, PA Horadam, Victor W, MD (972) 412-2577 4370 Medical Arts Dr, Ste 100 Eff 07-Dec-15 Flower Mound, TX 75028 Texas Oncology, PA Younas, Ahmer , MD (972) 537-4100 4700 N Galloway Ave Eff 01-Jan-14 Mesquite, TX 75150 Texas Oncology, PA Costa, Dennis James, MD (972) 686-6411 9100 Lakeview Pkwy Eff 01-Jan-14 Rowlett, TX 75088-4537 Texas Oncology, PA (972) 412-2577 4370 Medical Arts Dr, Ste 100 Flower Mound, TX 75028 (972) 537-4100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 266 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Park, Michael Hyungwook, MD Grayson County | Condado de Potluri, Vinaya , MD Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Grayson The Center for Cancer and Blood 4370 Medical Arts Dr, Ste 100 Disorders Flower Mound, TX 75028 Faridi, Amir A, MD 11805 S I-35W, Ste 201 (972) 537-4100 Eff 01-Feb-16 Burleson, TX 76028 Texas Oncology, PA (817) 551-5312 Thomas, Vibha T, MD 2800 Hwy 75 N • Languages spoken / Idioma(s) Eff 12-Dec-16 Sherman, TX 75090 hablado(s): Hindi Texas Oncology, PA (903) 892-9455 4370 Medical Arts Dr, Ste 100 Reddy, Bibas , DO Flower Mound, TX 75028 Hood County | Condado de Eff 01-Jan-14 (972) 537-4100 Hood The Center for Cancer and Blood Disorders Drinkard, Lee Campbell, MD 11805 S I35W Ste 201 Ochs, Ann-Margaret , DO Eff 14-Apr-14 Burleson, TX 76028 Eff 01-Jan-14 Gregory A Echt, MD, PA (817)551-5312 500 N Valley Pkwy, Ste 100 Texas Oncology, PA Lewisville, TX 75067 303 W Pearl St Ross, Michael B, MD (972) 316-4220 Granbury, TX 76048 Eff 01-Jan-14 (817) 579-3700 The Center for Cancer and Blood Jimenez-Justiniano, Gilberto , MD Disorders Eff 01-Jan-14 Hunt County | Condado de 11805 S I-35W, Ste 201 Gregory A Echt, MD, PA Hunt Burleson, TX 76028 500 N Valley Pkwy, Ste 100 (817) 551-5312 Specialty Care Physicians & Other Providers/ Lewisville, TX 75067 Shreedhara Vasudha, Meera , MD (972) 316-4220 Xiong, Henry Q, MD Eff 29-Jan-18 Médicos de cuidado especializado y otros proveedores Eff 01-Jan-14 Texas Oncology, PA Kancharla, Kiran R, MD The Center for Cancer and Blood 4215 Joe Ramsay Blvd Eff 01-Jan-14 Disorders Greenville, TX 75401-7852 Gregory A Echt, MD, PA 11805 S I35W Ste 201 (903) 408-5112 500 N Valley Pkwy, Ste 100 Burleson, TX 76028 Lewisville, TX 75067 (817)551-5312 (972) 316-4220 Johnson County | Condado de • Languages spoken / Idioma(s) Johnson Ahmad, Asim , MD hablado(s): Hindi Eff 27-Jul-18 Gupta, Rohan , DO The Center for Cancer and Blood Ellis County | Condado de Ellis Eff 17-Sep-19 Disorders The Center for Cancer and Blood 141 S Westmeadow Drive Nair, Binu S, MD Disorders Cleburne, TX 76033 Eff 07-Apr-14 11805 S I35 W Ste 201 (817)759-7000 Baylor Scott & White Oncology Burleson, TX 76028-7220 Mansoor, Shadan , MD 505 N Hwy 77, Ste 200 (817) 551-5312 Waxahachie, TX 75165 Eff 01-Jan-14 (972) 283-2389 Mansoor, Shadan , MD The Center for Cancer and Blood Eff 01-Jan-14 Disorders Nair, Binu S, MD The Center for Cancer and Blood 141 S Westmeadow Dr Eff 07-Apr-14 Disorders Cleburne, TX 76033 Baylor Scott & White Oncology 11805 S I-35W, Ste 201 (817)759-7000 2380 S I-35E Burleson, TX 76028 • Languages spoken / Idioma(s) Waxahachie, TX 75165 (817) 551-5312 hablado(s): Hindi (469) 843-6000 • Languages spoken / Idioma(s) hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 267 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Potluri, Vinaya , MD Xiong, Henry Q, MD Tarrant County | Condado de Eff 01-Jan-14 Eff 01-Jan-14 The Center for Cancer and Blood The Center for Cancer and Blood Tarrant Disorders Disorders 141 S Westmeadow Dr 920 Santa Fe Dr Ahmad, Asim , MD Cleburne, TX 76033 Weatherford, TX 76086 Eff 27-Jul-18 (817)759-7000 (817)596-0637 The Center for Cancer and Blood • Languages spoken / Idioma(s) Disorders hablado(s): Hindi Young, Robyn R, MD 515 W Mayfield Rd, Ste 102 Eff 01-Jan-14 Arlington, TX 76014 Parker County | Condado de The Center for Cancer and Blood (817) 759-7000 Disorders Parker 920 Santa Fe Dr Angitapalli, Revathi , MD Weatherford, TX 76086 Eff 23-Jun-18 Bartosh, Nicole S, DO (817) 596-0637 The Center for Cancer and Blood Eff 07-Jan-14 Disorders The Center for Cancer and Blood Rockwall County | Condado de 811 W I20, Ste G14 Disorders Arlington, TX 76017 920 Santa Fe Dr Rockwall (817) 759-7000 Weatherford, TX 76086 (817) 596-0637 Boswank, Stephen E, MD Diggikar, Shrinivas M, MD Eff 11-Jan-16 Eff 01-Feb-16 Jordan, William M, DO Texas Oncology, PA Texas Oncology, PA Eff 02-Mar-17 3142 Horizon Rd, Ste 110 515 W Mayfield Rd, Ste 101 The Center for Cancer and Blood Rockwall, TX 75032-7810 Arlington, TX 76014 Specialty Care Physicians & Other Providers/ Disorders (972) 771-3322 (817) 467-6092 920 Santa Fe Dr Médicos de cuidado especializado y otros proveedores Weatherford, TX 76086 Haffar, Shiela , MD Fleischauer, Scott L, MD (817) 759-7000 Eff 07-Dec-15 Eff 01-Feb-16 Texas Oncology, PA Texas Oncology, PA Mansoor, Shadan , MD 1005 W Ralph Hall Pkwy, Ste 211 801 Road to Six Flags W #105 Eff 01-Jan-14 Rockwall, TX 75032 Arlington, TX 76012 The Center for Cancer and Blood (972) 771-3322 (817) 274-6532 Disorders 920 Santa Fe Dr Seals, Scott R, MD Jaiswal, Deepna D, DO Weatherford, TX 76086 Eff 07-Dec-15 Eff 27-Jul-18 (817)596-0637 Texas Oncology, PA The Center for Cancer and Blood • Languages spoken / Idioma(s) 3142 Horizon Rd, Ste 110 Disorders hablado(s): Hindi Rockwall, TX 75032-7810 515 W Mayfield Rd, Ste 102 (972) 771-3322 Arlington, TX 76014 Page, Ray D, DO (817) 759-7000 Eff 01-Jan-14 Teerdhala, Sudha , MD The Center for Cancer and Blood Eff 11-Jan-16 Khurshid, Anwar , MD Disorders Texas Oncology, PA Eff 21-Jun-19 920 Santa Fe Dr 3142 Horizon Rd, Ste 110 Texas Oncology, PA Weatherford, TX 76086 Rockwall, TX 75032-7810 906 W Randol Mill Rd (817) 596-0637 (972) 771-3322 Arlington, TX 76012-2510 • Languages spoken / Idioma(s) (817) 261-0929 hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 268 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Liao, Lixin , MD Patel, Mrugesh Prahlad, MD Bartosh, Nicole S, DO Eff 01-Feb-16 Eff 01-Jan-14 Eff 07-Jan-14 Texas Oncology, PA Texas Oncology, PA The Center for Cancer and Blood 515 W Mayfield Rd, Ste 101 1615 Hospital Pkwy, Ste 300 Disorders Arlington, TX 76014 Bedford, TX 76022 6100 Harris Pkwy, Ste 260 (817) 467-6092 (817) 354-5581 Fort Worth, TX 76132 (817) 333-3282 Parra, Alberto , MD Rojas, Ana M, MD Eff 28-Apr-18 Eff 09-May-16 Bartosh, Nicole S, DO The Center for Cancer and Blood Texas Oncology, PA Eff 07-Jan-14 Disorders 1609 Hospital Pkwy The Center for Cancer and Blood 811 W I20, Ste G14 Bedford, TX 76022 Disorders Arlington, TX 76017 (817) 359-9000 800 W Magnolia Ave (817)759-7000 Fort Worth, TX 76104 Turner, James M, MD (817) 759-7000 Davis, Randall Thomas, MD Eff 01-Jan-14 Eff 01-Jan-14 Texas Oncology, PA Dean, Asad , MD Texas Oncology, PA 1609 Hospital Pkwy Eff 01-Jan-14 1609 Hospital Pkwy Bedford, TX 76022 Texas Oncology, PA Bedford, TX 76022 (817) 359-9000 1001 12th Ave, Ste 200 (817) 662-0008 Fort Worth, TX 76104 Ahmad, Asim , MD (817) 850-2000 Gill, Sandeep Singh, DO Eff 27-Jul-18 Eff 01-Jan-14 The Center for Cancer and Blood Ganesa, Prasanthi , MD Texas Oncology, PA Disorders Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ 1615 Hospital Pkwy, Ste 300 800 W Magnolia Avenue The Center for Cancer and Blood Bedford, TX 76022 Fort Worth, TX 76104 Disorders (817) 354-5581 (817)759-7000 601 W Terrell Ave Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Fort Worth, TX 76104 hablado(s): Hindi Aitelli, Cristi Lynn, DO (817)927-1500 Eff 01-Jan-14 Gill, Sandeep Singh, DO Texas Oncology, PA Ganesa, Prasanthi , MD Eff 01-Jan-14 6500 Harris Pkwy Eff 01-Jan-14 Texas Oncology, PA Fort Worth, TX 76132 The Center for Cancer and Blood 1609 Hospital Pkwy (817) 263-2600 Disorders Bedford, TX 76022 800 W Magnolia Ave (817) 359-9000 Angitapalli, Revathi , MD Fort Worth, TX 76104 • Languages spoken / Idioma(s) Eff 23-Jun-18 (817) 759-7000 hablado(s): Hindi The Center for Cancer and Blood Disorders Griffin, Patrick T, MD Illum, Henrik B, MD 800 W Magnolia Ave Eff 12-Dec-16 Eff 08-Aug-16 Fort Worth, TX 76104- Texas Oncology, PA Texas Oncology, PA (817)759-7000 6500 Harris Pkwy 1609 Hospital Pkwy Fort Worth, TX 76132 Bedford, TX 76022 Barrera, David N, DO (817) 263-2600 (817) 359-9000 Eff 01-Jan-14 Texas Oncology, PA Gupta, Rohan , DO Krekow, Lea Kathleen, MD 6500 Harris Pkwy Eff 17-Sep-19 Eff 01-Jan-14 Fort Worth, TX 76132 The Center for Cancer and Blood Texas Oncology, PA (817) 263-2600 Disorders 1615 Hospital Pkwy, Ste 300 • Languages spoken / Idioma(s) 800 W Magnolia Ave Bedford, TX 76022 hablado(s): Spanish Fort Worth, TX 76104-4611 (817) 354-5581 (817) 759-7000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 269 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Milam, Mary , MD Reddy, Bibas , DO Young, Robyn R, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Mary Milam, MD, PA The Center for Cancer and Blood The Center for Cancer and Blood 1307 8th Ave, Ste 205 Disorders Disorders Fort Worth, TX 76104 800 W Magnolia Ave 800 W Magnolia Ave (817) 924-4392 Fort Worth, TX 76104 Fort Worth, TX 76104 (817) 759-7000 (817) 759-7000 Oommen, Sanjay Philip, MD Eff 01-Jan-14 Richey, Stephen Lane, MD Aurora, Vikas , MD Texas Oncology, PA Eff 01-Jan-14 Eff 01-Jan-14 1001 12th Ave, Ste 200 Texas Oncology, PA Texas Oncology, PA Fort Worth, TX 76104 1001 12th Ave, Ste 200 1631 Lancaster Dr, Ste 150 (817) 850-2000 Fort Worth, TX 76104 Grapevine, TX 76051-3586 (817) 850-2000 (817) 251-9080 Page, Ray D, DO Eff 01-Jan-14 Ross, Michael B, MD Davis, Randall Thomas, MD The Center for Cancer and Blood Eff 01-Jan-14 Eff 01-Jan-14 Disorders The Center for Cancer and Blood Texas Oncology, PA 800 W Magnolia Ave Disorders 1631 Lancaster Dr, Ste 150 Fort Worth, TX 76104 6100 Harris Pkwy, Ste 260 Grapevine, TX 76051-3586 (817) 759-7000 Fort Worth, TX 76132 (817) 251-9080 • Languages spoken / Idioma(s) (817) 333-3282 hablado(s): Spanish Firstenberg, Barry A, DO Ross, Michael B, MD Eff 21-Jun-19 Parra, Alberto , MD Eff 01-Jan-14 Texas Oncology, PA Specialty Care Physicians & Other Providers/ Eff 28-Apr-18 The Center for Cancer and Blood 1631 Lancaster Dr, Ste 150 The Center for Cancer and Blood Disorders Grapevine, TX 76051-3586 Médicos de cuidado especializado y otros proveedores Disorders 800 W Magnolia Ave (817) 251-9080 800 W Magnolia Ave Fort Worth, TX 76104 Fort Worth, TX 76104 (817) 759-7000 Jordan, Heidi A, MD (817) 759-7000 Eff 01-Jan-14 Ruxer, Robert L, MD Texas Oncology, PA Pham, Chi Mai, MD Eff 01-Jan-14 1631 Lancaster Dr, Ste 150 Eff 01-Jan-14 Texas Oncology, PA Grapevine, TX 76051-3586 Texas Oncology, PA 1001 12th Ave, Ste 200 (817) 251-9080 1001 12th Ave, Ste 200 Fort Worth, TX 76104 Fort Worth, TX 76104 (817) 850-2000 Patel, Ravi V, MD (817) 850-2000 Eff 20-Mar-18 Xiong, Henry Q, MD Texas Oncology, PA Potluri, Vinaya , MD Eff 01-Jan-14 1631 Lancaster Dr, Ste 150 Eff 01-Jan-14 The Center for Cancer and Blood Grapevine, TX 76051-3586 The Center for Cancer and Blood Disorders (817) 251-9080 Disorders 601 W Terrell Ave 6100 Harris Pkwy, Ste 260 Fort Worth, TX 76104 Rojas, Ana M, MD Fort Worth, TX 76132 (817)927-1500 Eff 09-May-16 (817) 333-3282 Texas Oncology, PA • Languages spoken / Idioma(s) Xiong, Henry Q, MD 1631 Lancaster Dr, Ste 150 hablado(s): Hindi Eff 01-Jan-14 Grapevine, TX 76051-3586 The Center for Cancer and Blood (817) 251-9080 Disorders 800 W Magnolia Ave Fort Worth, TX 76104 (817) 759-7000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 270 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Patel, Mrugesh Prahlad, MD Kancharla, Kiran R, MD Barke, Ronald M, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-16 Texas Oncology, PA Gregory A Echt, MD, PA Key-Whitman Eye Center 100 Bourland Rd, Ste 130 1545 E Southlake Blvd, Ste 280 11445 Dallas Pkwy Ste 290 Keller, TX 76248-3595 Southlake, TX 76092 Frisco, TX 75033 (817) 284-4994 (817) 416-0202 (214) 754-0000 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Patel, Ravi V, MD hablado(s): Hindi hablado(s): Spanish Eff 20-Mar-18 Texas Oncology, PA Mackey, James D, MD Corona, Jorge , MD 100 Bourland Rd, Ste 130 Eff 01-Jan-14 Eff 08-Mar-17 Keller, TX 76248-3595 Gregory A Echt, MD, PA Key-Whitman Eye Center (817) 284-4994 1545 E Southlake Blvd, Ste 280 11445 Dallas Pkwy Ste 290 Southlake, TX 76092 Frisco, TX 75033 Rojas, Ana M, MD (817) 416-0202 (214) 754-0000 Eff 09-May-16 • Languages spoken / Idioma(s) Texas Oncology, PA Ophthalmology/ Oftalmología hablado(s): Spanish 100 Bourland Rd, Ste 130 Keller, TX 76248-3595 Collin County | Condado de Fish, Larry A, MD (817) 284-4994 Eff 11-Jul-16 Collin Key-Whitman Eye Center Zhrebker, Leah , MD 11445 Dallas Pkwy Ste 290 Eff 21-Feb-19 Joseph, Jay A, MD Frisco, TX 75033 Texas Oncology, PA Eff 12-Mar-19 (214) 754-0000 100 Bourland Rd, Ste 130 Dallas Eye MD • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Keller, TX 76248-3595 915 W Exchange Pkwy, Ste 160 hablado(s): Spanish (817) 284-4994 Allen, TX 75013-7019 (469) 421-2100 Goldsberry, Dennis H, MD Médicos de cuidado especializado y otros proveedores Liao, Lixin , MD Eff 01-May-15 Eff 01-Feb-16 Khetpal, Vijay , MD North Texas Eye MD Texas Oncology, PA Eff 28-Jul-16 4461 Coit Rd, Ste 311 2800 E Broad St Ste 218 Texoma Retina Center, PA Frisco, TX 75035 Mansfield, TX 76063 981 SH 121 Ste 1120 (972) 215-7500 (817) 276-3300 Allen, TX 75013 (903) 337-0055 Haq, Faisal E, MD Waghela, Sarju , DO • Languages spoken / Idioma(s) Eff 01-Jan-16 Eff 01-Feb-16 hablado(s): Hindi Key-Whitman Eye Center Texas Oncology, PA 11445 Dallas Pkwy Ste 290 2800 E Broad St Ste 218 Norbury, James W, MD Frisco, TX 75033 Mansfield, TX 76063 Eff 09-Nov-15 (214) 754-0000 (817) 276-3300 RC Eye Associates, PA • Languages spoken / Idioma(s) 400 N Allen Dr hablado(s): Urdu Drinkard, Lee Campbell, MD Allen, TX 75013 Eff 14-Apr-14 (972) 727-7477 Hong, Chian-Huey , MD Gregory A Echt, MD, PA Eff 01-Jan-16 461 E State Hwy 114, Ste 470 Patel, Sanjay K, MD Key-Whitman Eye Center Southlake, TX 76092 Eff 07-Dec-15 11445 Dallas Pkwy Ste 290 (817) 416-0202 RC Eye Associates, PA Frisco, TX 75033 400 N Allen Dr (214) 754-0000 Allen, TX 75013 • Languages spoken / Idioma(s) (972) 727-7477 hablado(s): French • Languages spoken / Idioma(s) hablado(s): Gujrati

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 271 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Humphrey, Alfred L, MD Choi, Henry , MD Ali, Ferhina S, MD Eff 01-Jan-16 Eff 15-Oct-18 Eff 05-Dec-19 Key-Whitman Eye Center Retina Specialists Retina Center of Texas 11445 Dallas Pkwy Ste 290 1501 Redbud Blvd 3804 W. 15th Street Frisco, TX 75033 McKinney, TX 75069 Plano, TX 75075-4752 (214) 754-0000 (972) 548-0771 (469) 326-6800 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Chinese hablado(s): Korean Ali, Ferhina S, MD Eff 05-Dec-19 Lee, Kate , MD Khaja, Hena A, MD Retina Center of Texas Eff 28-Apr-18 Eff 01-Nov-20 3804 W. 15th Street Key-Whitman Eye Center Texas Eye Doctors, PA Plano, TX 75075-4752 11445 Dallas Pkwy Ste 290 4501 Medical Center Dr Ste 300 (469) 326-6800 Frisco, TX 75033 McKinney, TX 75069-6802 (214) 754-0000 (469) 373-2727 Alloju, Shashi M, MD • Languages spoken / Idioma(s) Eff 11-Jan-16 hablado(s): Spanish Norbury, James W, MD EyeHealth Texas, PA Eff 09-Nov-15 6533 Preston Rd, Ste 100 Pfeiffer, Margaret L, MD RC Eye Associates, PA Plano, TX 75024-2689 Eff 12-Nov-19 1501 Redbud Blvd (469) 277-7460 Key-Whitman Eye Center McKinney, TX 75069 • Languages spoken / Idioma(s) 11445 Dallas Pkwy Ste 290 (972) 548-0771 hablado(s): Spanish Frisco, TX 75033 (214) 754-0000 Patel, Mamta , MD Anand, Rajiv , MD Eff 06-Dec-17 Eff 01-Oct-15 Specialty Care Physicians & Other Providers/ Rostamizadeh, Mahdi , MD ECSC II PA Texas Retina Associates Eff 08-Jun-20 7300 El Dorado Pkwy Ste 200 1708 Coit Rd, Ste 215 Médicos de cuidado especializado y otros proveedores Lone Star Eye Specialists PA McKinney, TX 75070 Plano, TX 75075-5025 11500 State Highway 121 Ste 720 (214) 361-1443 (972) 596-9222 Frisco, TX 75035-9348 (972) 362-5577 Patel, Sanjay K, MD Barke, Ronald M, MD Eff 07-Dec-15 Eff 01-Jan-16 Wang, Allen S, MD RC Eye Associates, PA Key-Whitman Eye Center Eff 24-Aug-18 1501 Redbud Blvd 3060 Communications Pkwy, Ste North Dallas Eye Associates McKinney, TX 75069 205 5575 Warren Pkwy, # 308 (972) 548-0771 Plano, TX 75093 Frisco, TX 75034-4062 • Languages spoken / Idioma(s) (214) 754-0000 (214) 618-3937 hablado(s): Gujrati • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Chinese Patel, Santosh Chandrakant, MD Eff 01-Oct-14 Beebe, Walter E, MD Warren, Kimberly S, MD Retina Specialists Eff 01-Jan-16 Eff 01-Jan-16 1501 Redbud Blvd Cornea Associates of Texas/QVN Key-Whitman Eye Center McKinney, TX 75069 1708 Coit Rd, Ste 220 11445 Dallas Pkwy Ste 290 (972) 548-0771 Plano, TX 75075 Frisco, TX 75033 (972) 612-9555 (214) 754-0000 Ahmad, Syed , MD • Languages spoken / Idioma(s) Eff 01-Jun-17 hablado(s): Spanish Whitman, Jeffrey , MD Private Practice Eff 01-Jan-16 3950 W Plano Pkwy Ste A Key-Whitman Eye Center Plano, TX 75075 11445 Dallas Pkwy Ste 290 (972) 519-9933 Frisco, TX 75033 (214) 754-0000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 272 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bowman, Charles (Brad) , MD Dao, Lori , MD Gicheru, Sidney K, MD Eff 01-Jan-16 Eff 01-Oct-16 Eff 01-Nov-15 Cornea Associates of Texas/QVN Pediatric Ophthalmology, PA LaserCare Eye Center 1708 Coit Rd, Ste 220 6130 W Parker Rd, 508 4708 Alliance Blvd, Ste 620 Plano, TX 75075 Plano, TX 75093 Plano, TX 75093 (972) 612-9555 (972) 981-8430 (469) 331-8585 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Emanuel, Matthew E, MD hablado(s): Spanish Eff 01-Jan-16 Brochner, Michelle L, MD Glaucoma Associates of Texas Godfrey, David G, MD Eff 01-Mar-15 1708 Coit Rd, Ste 220 Eff 01-Jan-16 Visual Images Ophthalmology Plano, TX 75075 Glaucoma Associates of Texas 4708 Alliance Blvd, Ste 825 (972) 612-9522 1708 Coit Rd, Ste 220 Plano, TX 75093 Plano, TX 75075 (972) 596-1300 Evangelista, Anthony W, MD (972) 612-9522 Eff 01-Nov-15 Butler, Michelle R, MD Kleiman Evangelista Eye Center Grover, Davinder S, MD Eff 01-Jan-16 3645 Dallas Pkwy, Ste 545 Eff 01-Jan-16 Glaucoma Associates of Texas Plano, TX 75093 Glaucoma Associates of Texas 1708 Coit Rd, Ste 220 (214) 440-5200 1708 Coit Rd, Ste 220 Plano, TX 75075 • Languages spoken / Idioma(s) Plano, TX 75075 (972) 612-9522 hablado(s): Spanish (972) 612-9522 • Languages spoken / Idioma(s) Chavala, Sai H, MD Fish, Gary E, MD hablado(s): Yoruba Eff 07-Sep-18 Eff 01-Oct-15 Specialty Care Physicians & Other Providers/ Kleiman Evangelista Eye Center Texas Retina Associates Haidara, Moulaye A, MD 3645 Dallas Parkway, Ste 545 1708 Coit Rd, Ste 215 Eff 16-Jan-19 Plano, TX 75093-8167 Plano, TX 75075-5025 Kleiman Evangelista Eye Center Médicos de cuidado especializado y otros proveedores (817) 784-0222 (972) 596-9222 3645 Dallas Parkway, Ste 545 Plano, TX 75093-8167 Choi, Henry , MD Frasier, Kelly J, MD (817) 784-0222 Eff 15-Oct-18 Eff 01-Nov-15 Retina Specialists Kleiman Evangelista Eye Center Haq, Faisal E, MD 1706 Preston Park Blvd 3645 Dallas Pkwy, Ste 545 Eff 01-Jan-16 Plano, TX 75093 Plano, TX 75093 Key-Whitman Eye Center (972) 599-9098 (214) 440-5200 3060 Communications Pkwy, Ste • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 205 hablado(s): Korean hablado(s): Spanish Plano, TX 75093 (214) 754-0000 Chu, Claire , MD Frazee, Lewis J, MD • Languages spoken / Idioma(s) Eff 15-Sep-16 Eff 15-Nov-16 hablado(s): Urdu Newman & Taub Vision Center, North Texas Eye Center PLLC 4100 W 15th St, Ste 210 Hines, Mujahid A, MD 1708 Coit Rd Plano, TX 75093-5801 Eff 14-Sep-17 Plano, TX 75075 (972) 867-7777 Kleiman Evangelista Eye Center (972) 312-9312 3645 Dallas Pkwy, Ste 545 Gelender, Henry , MD Plano, TX 75093 Coors, Lori E, MD Eff 01-Jan-16 (214) 440-5200 Eff 01-Oct-15 Cornea Associates of Texas/QVN Texas Retina Associates 1708 Coit Rd, Ste 220 1708 Coit Rd, Ste 215 Plano, TX 75075 Plano, TX 75075-5025 (972) 612-9555 (972) 596-9222 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 273 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hong, Chian-Huey , MD Nettune, Gregory R, MD Reinecke, Steven M, MD Eff 01-Jan-16 Eff 01-Jan-16 Eff 21-Feb-19 Key-Whitman Eye Center Cornea Associates of Texas/QVN Retina Specialists 3060 Communications Pkwy, Ste 1708 Coit Rd, Ste 220 1706 Preston Park Blvd 205 Plano, TX 75075 Plano, TX 75093 Plano, TX 75093 (972) 612-9555 (972) 599-9098 (214) 754-0000 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish hablado(s): French Newman, Gordon , MD Singh, Ashish , MD Kleiman, David A, MD Eff 15-Sep-16 Eff 19-Jun-19 Eff 01-Nov-15 Newman & Taub Vision Center, Kleiman Evangelista Eye Center Kleiman Evangelista Eye Center PLLC 3645 Dallas Parkway, Ste 545 3645 Dallas Pkwy, Ste 545 1708 Coit Rd Plano, TX 75093-8167 Plano, TX 75093 Plano, TX 75075 (817) 784-0222 (214) 440-5200 (972) 312-9312 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Pandya, Hemang K, MD Eff 15-Dec-19 Stephens, Mark , MD Maclean, Kyle , MD Dallas Retina Center Eff 30-Nov-18 Eff 17-Sep-19 6000 W Spring Crk Pkwy Ste 215 Kleiman Evangelista Eye Center LaserCare Eye Center, PA Plano, TX 75024-3578 3645 Dallas Parkway, Ste 545 4708 Alliance Blvd (469)430-8375 Plano, TX 75093-8167 Plano, TX 75093-5340 (817) 784-0222 Passmore, James A, MD Specialty Care Physicians & Other Providers/ (469) 331-8585 • Languages spoken / Idioma(s) Eff 01-Jun-18 Taub, Larry , MD North Texas Eye Center Eff 15-Sep-16

Médicos de cuidado especializado y otros proveedores hablado(s): Spanish 4100 W 15th St, Ste 210 Newman & Taub Vision Center, McCall, Tyrone L, MD Plano, TX 75093-5801 PLLC Eff 01-Jan-16 (972) 867-7777 1708 Coit Rd Cornea Associates of Texas/QVN Plano, TX 75075 1708 Coit Rd, Ste 220 Patel, Santosh Chandrakant, MD (972) 312-9312 Plano, TX 75075 Eff 01-Oct-14 (972) 612-9555 Retina Specialists Torti, Robert E, MD • Languages spoken / Idioma(s) 1706 Preston Park Blvd Eff 01-Jan-14 hablado(s): Spanish Plano, TX 75093 Retina Specialists (972) 599-9098 1706 Preston Park Blvd Minadeo, Michael , MD Plano, TX 75093 Eff 19-Dec-18 Pfeiffer, Margaret L, MD (972) 599-9098 Kleiman Evangelista Eye Center Eff 12-Nov-19 3645 Dallas Pkwy, Ste 545 Key-Whitman Eye Center Wang, Allen S, MD Plano, TX 75093 3060 Communications Pkwy Ste Eff 24-Aug-18 (214) 440-5200 205 North Dallas Eye Associates Plano, TX 75093-1629 6020 West Parker Rd, Ste 250 Morris, Carrie L, MD (214) 754-0000 Plano, TX 75093 Eff 02-May-19 (972) 378-5117 Kleiman Evangelista Eye Center Ramsey, Loan , MD • Languages spoken / Idioma(s) 3645 Dallas Parkway, Ste 545 Eff 01-Aug-16 hablado(s): Chinese Plano, TX 75093-8167 Kleiman Evangelista Eye Center (817) 784-0222 3645 Dallas Pkwy, Ste 545 Plano, TX 75093 (214) 440-5200 • Languages spoken / Idioma(s) hablado(s): Vietnamese

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 274 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Warren, Kimberly S, MD Motamarry, Silus , MD Allen, Marcus L, MD Eff 01-Jan-16 Eff 15-Oct-18 Eff 08-Jun-15 Key-Whitman Eye Center Eye Care Associates of Texas, PA Retina Institute of Texas, PA 3060 Communications Pkwy Ste 634 Uptown Blvd 3414 Oak Grove Ave 205 Cedar Hill, TX 75104 Dallas, TX 75204 Plano, TX 75093 (972) 637-1300 (214) 521-1153 (214) 754-0000 • Languages spoken / Idioma(s) hablado(s): Spanish Anand, Rajiv , MD Long, Clinton A, MD Eff 01-Oct-15 Eff 01-Nov-19 Pachigolla, Gowri , MD Texas Retina Associates Texoma Eye Associates, PLLP Eff 15-Oct-18 10740 N Central Expy, Ste 170 170 N Preston, Ste 10 Eye Care Associates of Texas, PA Dallas, TX 75231 Prosper, TX 75078-8650 634 Uptown Blvd (214) 363-2300 (972)347-1010 Cedar Hill, TX 75104 (972) 637-1300 Anand, Rajiv , MD Starks, Katie , MD • Languages spoken / Idioma(s) Eff 01-Oct-15 Eff 01-Nov-19 hablado(s): Telugu Texas Retina Associates Texoma Eye Associates, PLLP 9600 N Central Expy, Ste 100 170 N Preston, Ste 10 Abbey, Ashkan M, MD Dallas, TX 75231 Prosper, TX 75078-8650 Eff 10-Aug-15 (214) 692-6941 (972)347-1010 Texas Retina Associates 9600 N Central Expy, Ste 100 Barke, Ronald M, MD Cooke County | Condado de Dallas, TX 75231 Eff 01-Jan-16 (214) 692-6941 Key-Whitman Eye Center Cooke 2801 Lemmon Ave, Ste 400 Specialty Care Physicians & Other Providers/ Adams, Cedric Cordell, MD Dallas, TX 75204 Khetpal, Vijay , MD Eff 26-Oct-18 (214) 754-0000 Eff 28-Jul-16 C Cordell Adams, MD PA • Languages spoken / Idioma(s) Médicos de cuidado especializado y otros proveedores Texoma Retina Center, PA 3600 Gaston Ave, Ste 454 hablado(s): Spanish 818 US 82 Dallas, TX 75246 Gainesville, TX 76240 (214) 826-7231 Beauchamp, Cynthia , MD (903) 337-0055 Eff 01-Oct-16 • Languages spoken / Idioma(s) Adams, Cedric Cordell, MD Pediatric Ophthalmology, PA hablado(s): Hindi Eff 26-Oct-18 7150 Greenville Ave, Ste 305 C Cordell Adams, MD PA Dallas, TX 75231-5185 Dallas County | Condado de 3600 Gaston Ave, Ste 858 (214) 369-6434 Dallas Dallas, TX 75246 (214) 826-7231 Beebe, Walter E, MD Eff 01-Jan-16 Bishop, Beverly B, MD Alexander, Jamie K, MD Cornea Associates of Texas/QVN Eff 15-Oct-18 Eff 09-Jan-17 10740 N Central Expy, Ste 350 Eye Care Associates of Texas, PA Cornea Associates of Texas/QVN Dallas, TX 75231 634 Uptown Blvd 10740 N Central Expy, Ste 350 (214) 692-0146 Cedar Hill, TX 75104 Dallas, TX 75231 • Languages spoken / Idioma(s) (972) 637-1300 (214) 692-0146 hablado(s): Spanish • Languages spoken / Idioma(s) Le, Trang D, MD hablado(s): Spanish Bentley, James A, MD Eff 15-Oct-18 Eff 01-May-16 Eye Care Associates of Texas, PA Ali, Ferhina S, MD ECSC, II PA 634 Uptown Blvd Eff 05-Dec-19 5421 La Sierra Dr Cedar Hill, TX 75104 Retina Center of Texas Dallas, TX 75231-4107 (972) 637-1300 12222 N Central Expwy, Ste 240 (214) 361-1443 • Languages spoken / Idioma(s) Dallas, TX 75243 hablado(s): Spanish (817) 865-6800

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 275 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bowman, Charles (Brad) , MD Chavala, Sai H, MD Dao, Lori , MD Eff 01-Jan-16 Eff 07-Sep-18 Eff 01-Oct-16 Cornea Associates of Texas/QVN Kleiman Evangelista Eye Center Pediatric Ophthalmology, PA 10740 N Central Expy, Ste 350 5494 Glen Lakes Dr 7150 Greenville Ave, Ste 305 Dallas, TX 75231 Dallas, TX 75231-4308 Dallas, TX 75231-5185 (214) 692-0146 (817) 784-0222 (214) 369-6434 • Languages spoken / Idioma(s) hablado(s): Spanish Choi, Rene , MD Emanuel, Matthew E, MD Eff 13-Aug-20 Eff 01-Jan-16 Burk, Linda , MD Texas Retina Associates Glaucoma Associates of Texas Eff 15-Oct-18 9600 N Central Expy Ste 100 10740 N Central Expy, Ste 300 Linda L. Burk, MD Dallas, TX 75231 Dallas, TX 75231 10740 N. Central Expressway (214) 692-6941 (214) 360-0000 Suite 120 Dallas, TX 75231 Chong, Deborah Y, MD Evangelista, Anthony W, MD (214) 987-2875 Eff 01-Oct-15 Eff 01-Nov-15 • Languages spoken / Idioma(s) Texas Retina Associates Kleiman Evangelista Eye Center hablado(s): Spanish 9600 N Central Expy, Ste 100 5494 Glen Lakes Dr Dallas, TX 75231 Dallas, TX 75231-4308 Burk, Linda , MD (214) 692-6941 (817) 784-0222 Eff 15-Oct-18 • Languages spoken / Idioma(s) Linda L. Burk, MD Chu, Claire , MD hablado(s): Spanish 1703 N. Beckley Ave Eff 15-Sep-16 Dallas, TX 75203-1007 Newman & Taub Vision Center, Fass, Oren N, MD PLLC Eff 01-Jan-16 Specialty Care Physicians & Other Providers/ (214) 987-2875 • Languages spoken / Idioma(s) 5744 LBJ Fwy, #150 Dallas Eye Consultants Dallas, TX 75240-6382 2301 S Hampton Rd, Ste 500

Médicos de cuidado especializado y otros proveedores hablado(s): Spanish (972) 392-2020 Dallas, TX 75224 Butler, Michelle R, MD (214) 330-3937 Eff 01-Jan-16 Coors, Lori E, MD • Languages spoken / Idioma(s) Glaucoma Associates of Texas Eff 01-Oct-15 hablado(s): Spanish 10740 N Central Expy, Ste 300 Texas Retina Associates Dallas, TX 75231 10740 N Central Expy, Ste 170 Fellman, Ronald L, MD (214) 360-0000 Dallas, TX 75231 Eff 01-Jan-16 (214) 363-2300 Glaucoma Associates of Texas Carter, Harvey L, MD 10740 N Central Expy, Ste 300 Eff 15-Jan-18 Coors, Lori E, MD Dallas, TX 75231 Carter Eye Center Eff 01-Oct-15 (214) 360-0000 5315 N Central Expy Texas Retina Associates Dallas, TX 75205 9600 N Central Expy, Ste 100 Fish, Gary E, MD (214) 750-1962 Dallas, TX 75231 Eff 01-Oct-15 (214) 692-6941 Texas Retina Associates Chavala, Sai H, MD 9600 N Central Expy, Ste 100 Eff 10-Oct-17 Corona, Jorge , MD Dallas, TX 75231 Dallas Eye Care Associates, PLLC Eff 08-Mar-17 (214) 692-6941 5494 Glen Lakes Dr Key-Whitman Eye Center Dallas, TX 75231-4308 11442 N Central Expwy Fish, Larry A, MD (214) 692-6220 Dallas, TX 75243 Eff 11-Jul-16 (214) 754-0000 Key-Whitman Eye Center • Languages spoken / Idioma(s) 11442 N Central Expy hablado(s): Spanish Dallas, TX 75243 (214) 754-0000 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 276 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Frasier, Kelly J, MD Godfrey, David G, MD Hines, Mujahid A, MD Eff 01-Nov-15 Eff 01-Jan-16 Eff 15-Aug-17 Kleiman Evangelista Eye Center Glaucoma Associates of Texas Dallas Eye Care Associates, PLLC 5494 Glen Lakes Dr 10740 N Central Expy, Ste 300 5494 Glen Lakes Dr Dallas, TX 75231-4308 Dallas, TX 75231 Dallas, TX 75231-4308 (817) 784-0222 (214) 360-0000 (214) 692-6220 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Gross, Robert David, MD hablado(s): Spanish Eff 01-Oct-16 Fuller, Dwain G, MD Pediatric Ophthalmology, PA Hines, Mujahid A, MD Eff 01-Oct-15 7150 Greenville Ave, Ste 305 Eff 14-Sep-17 Texas Retina Associates Dallas, TX 75231-5185 Kleiman Evangelista Eye Center 10740 N Central Expy, Ste 170 (214) 369-6434 5494 Glen Lakes Dr Dallas, TX 75231 Dallas, TX 75231-4308 (214) 363-2300 Grover, Davinder S, MD (817) 784-0222 Eff 01-Jan-16 Fuller, Dwain G, MD Glaucoma Associates of Texas Hong, Chian-Huey , MD Eff 01-Oct-15 10740 N Central Expy, Ste 300 Eff 01-Jan-16 Texas Retina Associates Dallas, TX 75231 Key-Whitman Eye Center 9600 N Central Expy, Ste 100 (214) 360-0000 2801 Lemmon Ave, Ste 400 Dallas, TX 75231 • Languages spoken / Idioma(s) Dallas, TX 75204 (214) 692-6941 hablado(s): Yoruba (214) 754-0000 • Languages spoken / Idioma(s) Fuller, Timothy S, MD Haidara, Moulaye A, MD hablado(s): French Eff 01-Oct-15 Eff 16-Jan-19 Specialty Care Physicians & Other Providers/ Texas Retina Associates Kleiman Evangelista Eye Center Humphrey, Alfred L, MD 9600 N Central Expy, Ste 100 5494 Glen Lakes Dr Eff 01-Jan-16 Dallas, TX 75231 Dallas, TX 75231-4308 Key-Whitman Eye Center Médicos de cuidado especializado y otros proveedores (214) 692-6941 (817) 784-0222 11442 N Central Expy • Languages spoken / Idioma(s) Dallas, TX 75243 hablado(s): Spanish Haidara, Moulaye A, MD (214) 754-0000 Eff 01-Aug-19 • Languages spoken / Idioma(s) Gelender, Henry , MD Dallas Eye Care Associates, PLLC hablado(s): Chinese Eff 01-Jan-16 5494 Glen Lakes Dr Cornea Associates of Texas/QVN Dallas, TX 75231-4308 Idrizovic, Azra , DO 10740 N Central Expy, Ste 350 (214) 692-6220 Eff 23-Jan-17 Dallas, TX 75231 Glaucoma Center of Texas (214) 692-0146 Hargrave, Sylvia L, MD 9600 N Central Expy, Ste 300 • Languages spoken / Idioma(s) Eff 15-Oct-18 Dallas, TX 75231 hablado(s): Spanish The Hargrave Eye Center (214) 739-3900 1411 N Beckley Ave, Pavillion III, Gilliland, Grant D, MD Ste 460 Joseph, George M, MD Eff 01-Jul-18 Dallas, TX 75203 Eff 08-May-19 Grant D. Gilliland, MD PA (972) 572-6262 Metro Eye Center PLLC 9301 N Central Texas Expwy, Ste • Languages spoken / Idioma(s) 14651 Dallas Pkwy, Ste 120 595 hablado(s): Spanish Dallas, TX 75254-7651 Dallas, TX 75231--080 (214) 983-2880 (214) 522-7733 Herman, Wesley K, MD Eff 01-May-16 Kay, Dennis , MD ECSC, II PA Eff 15-Aug-16 5421 La Sierra Dr Private Practice Dallas, TX 75231-4107 8345 Walnut Hill Ln, Ste 140 (214) 361-1443 Dallas, TX 75231 (214) 368-8600

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 277 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kirby, Judith , MD Milner, Michael S, MD Patel, Mamta , MD Eff 01-Aug-16 Eff 01-Jan-14 Eff 06-Dec-17 Kirby Eye Center Berry, Milner and Uhr, LLP ECSC, II PA 9301 N Central Expy, Ste 180 3600 Gaston Ave, Ste 609 5421 La Sierra Dr Tower II Dallas, TX 75246 Dallas, TX 75231-4107 Dallas, TX 75231 (214) 826-8201 (214) 361-1443 (214) 253-0202 Minadeo, Michael , MD Payseur, G Stephon , MD Kleiman, David A, MD Eff 19-Dec-18 Eff 01-Aug-16 Eff 01-Nov-15 Kleiman Evangelista Eye Center Kirby Eye Center Kleiman Evangelista Eye Center 5494 Glen Lakes Dr 9301 N Central Expy, Ste 180 5494 Glen Lakes Dr Dallas, TX 75231-4308 Tower II Dallas, TX 75231-4308 (817) 784-0222 Dallas, TX 75231 (817) 784-0222 (214) 253-0202 • Languages spoken / Idioma(s) Mirza, Sarah N, MD hablado(s): Spanish Eff 02-Oct-19 Pfeiffer, Margaret L, MD Fagadau & Hawk, MD LLP Eff 12-Nov-19 Kozielec, Gregory F, MD 6131 Luther Ln, #216 Key-Whitman Eye Center Eff 08-Jun-15 Dallas, TX 75225 11442 N Central Expy Retina Institute of Texas, PA (214) 987-2020 Dallas, TX 75243-6602 3414 Oak Grove Ave (214) 754-0000 Dallas, TX 75204 Morris, Carrie L, MD (214) 521-1153 Eff 02-May-19 Potts, Luke B, MD Kleiman Evangelista Eye Center Eff 18-Oct-19 Mazow, Mark , MD 5494 Glen Lakes Dr Cornea Associates of Texas/QVN Specialty Care Physicians & Other Providers/ Eff 12-Oct-16 Dallas, TX 75231-4308 10740 N Central Expy, Ste 350 Eye Plastic Surgery Associates (817) 784-0222 Dallas, TX 75231 Médicos de cuidado especializado y otros proveedores 7777 Forest Ln, Ste C710 (214) 692-0146 Dallas, TX 75230-- Neelakantan, Arvind , MD (972) 566-2020 Eff 01-Sep-16 Ramsey, Loan , MD Glaucoma Center of Texas Eff 01-Aug-16 McCall, Tyrone L, MD 9600 N Central Expy, Ste 300 Kleiman Evangelista Eye Center Eff 01-Jan-16 Dallas, TX 75231 5494 Glen Lakes Dr Cornea Associates of Texas/QVN (214) 739-3900 Dallas, TX 75231-4308 10740 N Central Expy, Ste 350 • Languages spoken / Idioma(s) (817) 784-0222 Dallas, TX 75231 hablado(s): Hindi • Languages spoken / Idioma(s) (214) 692-0146 hablado(s): Vietnamese • Languages spoken / Idioma(s) Nettune, Gregory R, MD hablado(s): Spanish Eff 01-Jan-16 Ramsey, Loan , MD Cornea Associates of Texas/QVN Eff 27-Mar-19 Miller, Adam R, MD 10740 N Central Expy, Ste 350 Dallas Eye Care Associates, PLLC Eff 01-May-17 Dallas, TX 75231 5494 Glen Lakes Dr Private Practice (214) 692-0146 Dallas, TX 75231-4308 7777 Forest Ln, B424 • Languages spoken / Idioma(s) (214) 692-6220 Dallas, TX 75230 hablado(s): Spanish (972) 566-8200 Reinecke, Steven M, MD • Languages spoken / Idioma(s) Newman, Gordon , MD Eff 21-Feb-19 hablado(s): Spanish Eff 15-Sep-16 Retina Specialists Newman & Taub Vision Center, 10740 North Central Expwy Ste PLLC 100 5744 LBJ Fwy, #150 Dallas, TX 75231 Dallas, TX 75240-6382 (214) 361-6700 (972) 392-2020 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 278 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Robertson, Jeffrey B, MD Spencer, William B, MD Taub, Larry , MD Eff 01-Mar-16 Eff 01-Oct-15 Eff 15-Sep-16 Oak Cliff Ophthalmomogy, PA Texas Retina Associates Newman & Taub Vision Center, 1114 N Bishop Ave 10740 N Central Expy, Ste 170 PLLC Dallas, TX 75208-4113 Dallas, TX 75231 5744 LBJ Fwy, #150 (214) 416-8100 (214) 363-2300 Dallas, TX 75240-6382 (972) 392-2020 Sargent, James W, MD Spencer, William B, MD Eff 01-Jan-14 Eff 01-Oct-15 Tong, John , MD Berry, Milner and Uhr, LLP Texas Retina Associates Eff 24-Nov-16 3600 Gaston Ave, Ste 609 9600 N Central Expy, Ste 100 Pediatric Ophthalmology, PA Dallas, TX 75246 Dallas, TX 75231 7150 Greenville Ave, Ste 305 (214) 826-8201 (214) 692-6941 Dallas, TX 75231-5185 • Languages spoken / Idioma(s) (214) 369-6434 hablado(s): Spanish Stephens, Mark T, MD Eff 09-Oct-17 Vrcek, Ivan M, MD Shulkin, Zev A, MD Dallas Eye Care Associates, PLLC Eff 01-Apr-18 Eff 01-Aug-16 5494 Glen Lakes Dr Ivan M Vrcek, MD, PA Shulkin Eye Associates Dallas, TX 75231-4308 9301 N Central Expwy, Ste 595 7777 Forest Ln, Ste C200 (214) 692-6220 Dallas, TX 75231-0812 Dallas, TX 75230 (214) 522-7733 (972) 566-7999 Stephens, Mark , MD • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Eff 30-Nov-18 hablado(s): American Sign hablado(s): Spanish Kleiman Evangelista Eye Center Language 5494 Glen Lakes Dr Specialty Care Physicians & Other Providers/ Singh, Ashish , MD Dallas, TX 75231-4308 Wang, Robert C, MD Eff 19-Jun-19 (817) 784-0222 Eff 01-Oct-15 Kleiman Evangelista Eye Center Texas Retina Associates Médicos de cuidado especializado y otros proveedores 5494 Glen Lakes Dr Strong, Bradley D, MD 10740 N Central Expy, Ste 170 Dallas, TX 75231-4308 Eff 01-Jan-14 Dallas, TX 75231 (817) 784-0222 Strong Eye Care, PC (214) 363-2300 • Languages spoken / Idioma(s) 4131 N Central Expy, Ste 725 hablado(s): Spanish Dallas, TX 75204 Wang, Robert C, MD (214) 522-6380 Eff 01-Oct-15 Singh, Ashish , MD • Languages spoken / Idioma(s) Texas Retina Associates Eff 18-Oct-19 hablado(s): Spanish 9600 N Central Expy, Ste 100 Dallas Eye Care Associates, PLLC Dallas, TX 75231 5494 Glen Lakes Dr Swanson, Susan L, MD (214) 692-6941 Dallas, TX 75231-4308 Eff 01-Sep-17 (214) 692-6220 Fagadau & Hawk, MD LLP Whitman, Jeffrey , MD 6131 Luther Ln, #216 Eff 01-Jan-16 Smith, Oluwatosin U, MD Dallas, TX 75225 Key-Whitman Eye Center Eff 01-Jan-16 (214) 987-2020 11442 N Central Expy Glaucoma Associates of Texas Dallas, TX 75243 10740 N Central Expy, Ste 300 Syrquin, Maurice G, MD (214) 754-0000 Dallas, TX 75231 Eff 08-Jun-15 (214) 360-0000 Retina Institute of Texas, PA Wiggins, Lauren N, MD • Languages spoken / Idioma(s) 3414 Oak Grove Ave Eff 15-Dec-18 hablado(s): Yoruba Dallas, TX 75204 C Cordell Adams, MD PA (214) 521-1153 3600 Gaston Ave, Ste 454 Dallas, TX 75246 (214) 826-7231

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 279 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Wiggins, Lauren N, MD Lee, Andy M, MD Motamarry, Silus , MD Eff 15-Dec-18 Eff 01-Dec-16 Eff 15-Oct-18 C Cordell Adams, MD PA Total Eye Care Eye Care Associates of Texas, PA 3600 Gaston Ave, Ste 858 388 E Hwy 67 507 W Crossland Blvd Dallas, TX 75246 Duncanville, TX 75137 Grand Prairie, TX 75052 (214) 826-7231 (972) 296-2020 (972) 642-2121 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Witherspoon, Scott R, MD hablado(s): Spanish hablado(s): Spanish Eff 08-Jun-15 Retina Institute of Texas, PA Haley, Carlton M, MD Pachigolla, Gowri , MD 3414 Oak Grove Ave Eff 01-Jan-14 Eff 15-Oct-18 Dallas, TX 75204 Garland Eye Associates, PA Eye Care Associates of Texas, PA (214) 521-1153 1626 Forest Ln Ste B 507 W Crossland Blvd • Languages spoken / Idioma(s) Garland, TX 75042 Grand Prairie, TX 75052 hablado(s): Spanish (972) 272-5591 (972) 642-2121 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Zaffos, Joshua A, MD hablado(s): Spanish hablado(s): Telugu Eff 09-Jan-17 Cornea Associates of Texas/QVN Haley, John M, MD Allen, Marcus L, MD 10740 N Central Expy, Ste 350 Eff 01-Jan-14 Eff 08-Jun-15 Dallas, TX 75231 Garland Eye Associates, PA Retina Institute of Texas, PA (214) 692-0146 1626 Forest Lane, Ste B 400 W I 635, Ste 320 • Languages spoken / Idioma(s) Garland, TX 75042 Irving, TX 75063 hablado(s): Spanish (972) 272-5591 (972) 869-1242 Specialty Care Physicians & Other Providers/ Choi, Henry , MD Keehn, Gordon C, MD Dharma, Shashi K, MD Eff 15-Oct-18 Eff 01-Jan-14 Eff 01-Jan-14 Médicos de cuidado especializado y otros proveedores Retina Specialists Garland Eye Associates, PA Retina/Advance Glaucoma 2625 Bolton Boone Dr 1626 Forest Lane, Ste B 6500 Sierra Dr, Ste 170 Desoto, TX 75115 Garland, TX 75042 Irving, TX 75039 (972) 283-1516 (972) 272-5591 (972) 331-1590 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Korean hablado(s): Spanish hablado(s): Spanish MomPremier, Mikelson , MD Bishop, Beverly B, MD Gicheru, Sidney K, MD Eff 01-Jun-19 Eff 15-Oct-18 Eff 01-Nov-15 Mompremier Eye Institute, PLLC Eye Care Associates of Texas, PA LaserCare Eye Center 1510 N Hampton Rd, Ste 290 507 W Crossland Blvd 440 W Hwy 635, Ste 300 Desoto, TX 75115-8300 Grand Prairie, TX 75052 Irving, TX 75063 (469) 687-5664 (972) 642-2121 (214) 574-9600 • Languages spoken / Idioma(s) Patel, Santosh Chandrakant, MD Le, Trang D, MD hablado(s): Spanish Eff 01-Oct-14 Eff 15-Oct-18 Retina Specialists Eye Care Associates of Texas, PA Gregory, David K, MD 2625 Bolton Boone Dr 507 W Crossland Blvd Eff 01-Apr-15 Desoto, TX 75115 Grand Prairie, TX 75052 Private Practice (972) 283-1516 (972) 642-2121 440 W IH 635, Plaza II, Ste 415 • Languages spoken / Idioma(s) Irving, TX 75063-3839 Torti, Robert E, MD hablado(s): Spanish (972) 254-4297 Eff 01-Jan-14 Retina Specialists 2625 Bolton Boone Dr Desoto, TX 75115 (972) 283-1516

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 280 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Klein, Diane F, MD Choi, Henry , MD Kansal, Rishav , MD Eff 01-Sep-15 Eff 15-Oct-18 Eff 15-May-17 Las Colinas Ophthalmology Retina Specialists Ophthalmology Associates Association 1600 Republic Pkwy, Ste 210 770 N Coit Rd, Ste 2486 440 W IH 635 Fwy Ste 355 Mesquite, TX 75150 Richardson, TX 75080 Irving, TX 75063-3776 (214) 393-5880 (972) 690-1922 (972) 556-1915 • Languages spoken / Idioma(s) hablado(s): Korean Teska, Lyle , MD Kozielec, Gregory F, MD Eff 01-Jul-16 Eff 08-Jun-15 Choi, Henry , MD Private Practice Retina Institute of Texas, PA Eff 15-Oct-18 399 W Campbell Rd 400 W I 635, Ste 320 Retina Specialists Richardson, TX 75080-3636 Irving, TX 75063 18640 LBJ Fwy, Ste 101 (972) 690-1990 (972) 869-1242 Mesquite, TX 75150 (214) 393-5880 Wyll, Gene E, MD Kuriachan, Vipin P, MD • Languages spoken / Idioma(s) Eff 01-Jan-16 Eff 01-Jan-19 hablado(s): Korean Gene E Wyll, MD, PA Kuriachan Eye Institute PLLC 610 N Coit Rd, Ste 2115 6750 N MacArthur Blvd Ste 331 Lee, Kate , MD Richardson, TX 75080 Irving, TX 75039-2516 Eff 28-Apr-18 (214) 575-4455 (469) 886-8888 Key-Whitman Eye Center 18661 LBJ Frwy, Ste 400 Denton County | Condado de Maclean, Kyle , MD Mesquite, TX 75150-6468 Denton Eff 17-Sep-19 (214) 754-0000 LaserCare Eye Center, PA • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Hsiao, Marvin L, MD 440 W Hwy 635 hablado(s): Spanish Irving, TX 75063-0001 Eff 01-Jan-14 (214) 574-9600 Patel, Santosh Chandrakant, MD Lee Eye Surgery Clinic, PA Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Eff 01-Oct-14 1948 E Hebron Pkwy, Ste 200 hablado(s): Spanish Retina Specialists Carrollton, TX 75007 18640 LBJ Fwy Ste 100 (972) 395-7131 Moody, Everett , MD Mesquite, TX 75150 • Languages spoken / Idioma(s) Eff 09-Oct-17 (214) 393-5880 hablado(s): Korean Ophthalmology Consultants PA 3200 N MacArthur, Ste 200 Reinecke, Steven M, MD Lee, Jong H, MD Irving, TX 75062-4404 Eff 21-Feb-19 Eff 01-Jan-14 (972) 258-7979 Retina Specialists Lee Eye Surgery Clinic, PA 18640 LBJ Fwy Ste 100 1948 E Hebron Pkwy, Ste 200 Syrquin, Maurice G, MD Mesquite, TX 75150 Carrollton, TX 75007 Eff 08-Jun-15 (214) 393-5880 (972) 395-7131 Retina Institute of Texas, PA • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 400 W I 635, Ste 320 hablado(s): Spanish hablado(s): Korean Irving, TX 75063 (972) 869-1242 Fass, Oren N, MD Dharma, Shashi K, MD Eff 01-Jan-16 Eff 01-Jan-14 Witherspoon, Scott R, MD Dallas Eye Consultants Retina/Advance Glaucoma Eff 08-Jun-15 2520 N Central Expy, Ste 200 3504 Corinth Pkwy, Ste 140 Retina Institute of Texas, PA Richardson, TX 75080-2050 Corinth, TX 76208 400 W I 635, Ste 320 (469) 435-3045 (940) 269-4230 Irving, TX 75063 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) (972) 869-1242 hablado(s): Spanish hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 281 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Moody, Everett , MD Syrquin, Maurice G, MD Hurst, Edward P, MD Eff 09-Oct-17 Eff 08-Jun-15 Eff 08-May-19 Ophthalmology Consultants PA Retina Institute of Texas, PA Key-Whitman Eye Center 2210 San Jacinto Blvd 3331 Unicorn Lake Blvd 11445 Dallas Pkwy Ste 290 Corinth, TX 76205 Denton, TX 76210 Frisco, TX 75033 (888) 511-2026 (940) 381-9100 (214) 754-0000 Allen, Marcus L, MD Wang, Allen S, MD Elieff, Steven L, MD Eff 08-Jun-15 Eff 24-Aug-18 Eff 01-Sep-16 Retina Institute of Texas, PA North Dallas Eye Associates North Dallas Eye Associates 3331 Unicorn Lake Blvd 2817 South Mayhill Rd, Ste 110 1850 Lakepoint Dr, Ste 200 Denton, TX 76210 Denton, TX 76208 Lewisville, TX 75057 (940) 381-9100 (940) 898-1512 (972) 436-5040 • Languages spoken / Idioma(s) Anand, Rajiv , MD hablado(s): Chinese Ku, Stephen W, MD Eff 01-Oct-15 Eff 01-Sep-16 Texas Retina Associates Witherspoon, Scott R, MD North Dallas Eye Associates 3324 Colorado Blvd, Ste 102 Eff 08-Jun-15 1850 Lakepoint Dr, Ste 200 Denton, TX 76210-6891 Retina Institute of Texas, PA Lewisville, TX 75057 (940) 382-1261 3331 Unicorn Lake Blvd (972) 436-5040 Denton, TX 76210 Chong, Deborah Y, MD (940) 381-9100 Ellis County | Condado de Ellis Eff 01-Oct-15 • Languages spoken / Idioma(s) Texas Retina Associates hablado(s): Spanish Kemp, Richard G, MD 3324 Colorado Blvd, Ste 102 Specialty Care Physicians & Other Providers/ Eff 01-Jan-14 Denton, TX 76210-6891 Elieff, Steven L, MD R Galen Kemp, MD, PA (940) 382-1261 Eff 01-Sep-16 Médicos de cuidado especializado y otros proveedores 1626 W Hwy 287 Business, Ste North Dallas Eye Associates 105 Fish, Gary E, MD 2817 Mayhill Rd, Ste 110 Eff 01-Oct-15 Waxahachie, TX 75165 Flower Mound, TX 75028 (972) 938-1919 Texas Retina Associates (940) 898-1512 3324 Colorado Blvd, Ste 102 Pandya, Hemang K, MD Denton, TX 76210-6891 Ku, Stephen W, MD Eff 15-Dec-19 (940) 382-1261 Eff 01-Sep-16 Dallas Retina Center North Dallas Eye Associates 101 YMCA Dr Kozielec, Gregory F, MD 2817 Mayhill Rd, Ste 110 Eff 08-Jun-15 Waxahachie, TX 75165-5124 Flower Mound, TX 75028 (469)430-8375 Retina Institute of Texas, PA (940) 898-1512 3331 Unicorn Lake Blvd Reagan, David W, MD Denton, TX 76210 Snook, Russell W, MD Eff 15-May-18 (940) 381-9100 Eff 01-Sep-16 David W Reagan, MD North Dallas Eye Associates 101 YMCA Dr Sayani, Namrata M, MD 2817 Mayhill Rd, Ste 110 Eff 15-Apr-19 Waxahachie, TX 75165-5124 Flower Mound, TX 75028 (972) 938-7909 North Texas Center for Sight PA (940) 898-1512 2220 Emery St, Ste 100 • Languages spoken / Idioma(s) Denton, TX 76201-1100 Wang, Allen S, MD hablado(s): Spanish (940) 243-2020 Eff 24-Aug-18 Rugwani, Rajiv M, MD North Dallas Eye Associates Eff 01-Jan-14 2560 Central Pk Ave, # 300 All Eye Care, PA Flower Mound, TX 75028-1566 800 Hwy 77 N, Ste 100 (972) 335-0194 Waxahachie, TX 75165 • Languages spoken / Idioma(s) (972) 937-4433 hablado(s): Chinese

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 282 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Sobti, Deepak , MD Hill County | Condado de Hill Evangelista, Anthony W, MD Eff 01-Nov-19 Eff 01-Nov-15 Texas Eye and Cataract Bealka, Neil M, MD Kleiman Evangelista Eye Center 101 YMCA Dr Eff 01-Jan-18 600 S Harbor Ct Waxahachie, TX 75165-5124 Neil M Bealka, Jr, MD, PA Granbury, TX 76048 (972) 938-7909 1400 East Franklin (817) 784-0222 Hillsboro, TX 76645 • Languages spoken / Idioma(s) Grayson County | Condado de (254) 582-0282 hablado(s): Spanish Grayson • Languages spoken / Idioma(s) Frasier, Kelly J, MD hablado(s): Spanish Eff 01-Nov-15 Khetpal, Vijay , MD Bealka, Peter J, MD Kleiman Evangelista Eye Center Eff 28-Jul-16 600 S Harbor Ct Texoma Retina Center, PA Eff 28-Oct-20 Neil M Bealka Jr MD PA Granbury, TX 76048 5012 S US Hwy 75 Ste 235 (817) 784-0222 Denison, TX 75020 1400 E Franklin St Hillsboro, TX 76645 • Languages spoken / Idioma(s) (903) 337-0055 hablado(s): Spanish • Languages spoken / Idioma(s) (254) 582-0282 hablado(s): Hindi Haidara, Moulaye A, MD Hood County | Condado de Eff 16-Jan-19 Coors, Lori E, MD Hood Kleiman Evangelista Eye Center Eff 01-Oct-15 600 S Harbor Ct Texas Retina Associates Chavala, Sai H, MD Granbury, TX 76048 715 E Taylor St Eff 07-Sep-18 (817) 784-0222 Sherman, TX 75090 Kleiman Evangelista Eye Center Specialty Care Physicians & Other Providers/ (903) 893-8443 600 S Harbor Ct Hines, Mujahid A, MD Eff 14-Sep-17 Long, Clinton A, MD Granbury, TX 76048 Médicos de cuidado especializado y otros proveedores (817) 784-0222 Kleiman Evangelista Eye Center Eff 01-Nov-19 600 S Harbor Ct Texoma Eye Associates, PLLP Clark, Charles L, MD Granbury, TX 76048 2203 N Heritage Pkwy Eff 14-Jun-18 (817) 784-0222 Sherman, TX 75092 West Texas Retina (903) 892-2020 Consultants/North Texas Retina Kerr, Trevor John, MD Eff 16-Nov-17 Starks, Katie , MD Consultants 1201 Medical Plza Crt Stephenville Medical & Surgical Eff 01-Nov-19 Clinic Texoma Eye Associates, PLLP Granbury, TX 76048-5684 (817) 441-1212 1717 Paluxy Rd 2203 N Heritage Pkwy Granbury, TX 76048-5667 Sherman, TX 75092 Crawford, Courtney , MD (254) 968-6051 (903) 892-2020 Eff 15-Jan-18 • Languages spoken / Idioma(s) hablado(s): Spanish Wang, Robert C, MD West Texas Retina Consultants/North Texas Retina Eff 01-Oct-15 Kleiman, David A, MD Texas Retina Associates Consultants 1201 Medical Plza Crt Eff 01-Nov-15 715 E Taylor St Kleiman Evangelista Eye Center Sherman, TX 75090 Granbury, TX 76048-5684 (817) 441-1212 600 S Harbor Ct (903) 893-8443 Granbury, TX 76048 (817) 784-0222 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 283 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lee, Seong , MD Stephens, Mark , MD Johnson County | Condado de Eff 15-Jan-18 Eff 30-Nov-18 West Texas Retina Kleiman Evangelista Eye Center Johnson Consultants/North Texas Retina 600 S Harbor Ct Consultants Granbury, TX 76048 Berry, Nathan E, MD 1201 Medical Plza Crt (817) 784-0222 Eff 24-May-17 Granbury, TX 76048-5684 Berry Eye Center, PA (817) 441-1212 Zavaleta, Eric , MD 2790 SW Wilshire Blvd Eff 15-Jan-18 Burleson, TX 76028 Lynds, Ross T, MD West Texas Retina (817) 484-2020 Eff 09-Oct-18 Consultants/North Texas Retina West Texas Retina Consultants Stewart, Adam , MD Consultants/North Texas Retina 1201 Medical Plza Crt Eff 24-May-17 Consultants Granbury, TX 76048-5684 Berry Eye Center, PA 1201 Medical Plza Crt (817) 441-1212 2790 SW Wilshire Blvd Granbury, TX 76048-5684 Burleson, TX 76028 (817) 441-1212 Hunt County | Condado de (817) 484-2020 Minadeo, Michael , MD Hunt Hu, Gang J, MD Eff 19-Dec-18 Eff 16-Jan-20 Kleiman Evangelista Eye Center Ahmad, Syed , MD Texas Eye & Laser Center PA 600 S Harbor Ct Eff 01-Jun-17 110 W Henderson St Granbury, TX 76048 Private Practice Cleburne, TX 76033-4906 (817) 784-0222 4501 Joe Ramsey Blvd, Ste 110 (817)645-2411 Greenville, TX 75401 Specialty Care Physicians & Other Providers/ Mueller, Nicole A, DO (972) 636-1045 Ranelle, Brian D, DO Eff 01-Jan-14 Eff 16-Jan-20 Médicos de cuidado especializado y otros proveedores Granbury Eye Clinic Bentley, James A, MD Texas Eye & Laser Center PA 1201 Medical Plz Ct Eff 01-May-16 110 W Henderson St Granbury, TX 76048-5684 ECSC, II PA Cleburne, TX 76033-4906 (817) 279-9044 4501 Joe Ramsey Blvd, Ste 220 (817)645-2411 Greenville, TX 75401-7840 Patel, Sunil , MD (214) 361-1443 Navarro County | Condado de Eff 05-Dec-17 Navarro West Texas Retina Herman, Wesley K, MD Consultants/North Texas Retina Eff 01-May-16 Gold, Daniel M, MD Consultants ECSC, II PA Eff 01-Jan-14 1201 Medical Plza Crt 4501 Joe Ramsey Blvd, Ste 220 Gold Eye Clinic Granbury, TX 76048-5684 Greenville, TX 75401-7840 800 N Beaton (817) 441-1212 (214) 361-1443 Corsicana, TX 75110-3149 Ramsey, Loan , MD Patel, Mamta , MD (903) 874-0005 Eff 01-Aug-16 Eff 06-Dec-17 Kleiman Evangelista Eye Center ECSC, II PA Parker County | Condado de 600 S Harbor Ct 4501 Joe Ramsey Blvd, Ste 220 Parker Granbury, TX 76048 Greenville, TX 75401-7840 (214) 361-1443 (817) 784-0222 Ali, Zahra K, MD • Languages spoken / Idioma(s) Eff 20-Oct-19 hablado(s): Vietnamese Zahra K Ali MD PLLC 2801 E I 20 Hudson Oaks, TX 76087-8596 (972) 638-8596

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Hendricks, George D, MD Zavaleta, Eric , MD Neelakantan, Arvind , MD Eff 05-Feb-14 Eff 15-Jan-18 Eff 01-Sep-16 Ophthalmology Associates West Texas Retina Glaucoma Center of Texas 804 Santa Fe Consultants/North Texas Retina 2380 S Goliad, Ste 130 Weatherford, TX 76086 Consultants Rockwall, TX 75032 (817) 594-9500 101 Chuckwagon Trl (214) 739-3900 Willow Park, TX 76087-9132 • Languages spoken / Idioma(s) Clark, Charles L, MD (817) 441-1212 hablado(s): Hindi Eff 14-Jun-18 West Texas Retina Rockwall County | Condado de Pfeiffer, Margaret L, MD Consultants/North Texas Retina Eff 12-Nov-19 Consultants Rockwall Key-Whitman Eye Center 101 Chuckwagon Trl 2380 S Goliad St Ste 100 Willow Park, TX 76087-9132 Abbey, Ashkan M, MD Rockwall, TX 75032-6504 (817) 441-1212 Eff 10-Aug-15 (214) 754-0000 Texas Retina Associates Crawford, Courtney , MD 2380 S Goliad, Ste 120 Tarrant County | Condado de Eff 15-Jan-18 Rockwall, TX 75032 West Texas Retina (972) 722-4739 Tarrant Consultants/North Texas Retina Consultants Anand, Rajiv , MD Allen, Marcus L, MD 101 Chuckwagon Trl Eff 01-Oct-15 Eff 08-Jun-15 Willow Park, TX 76087-9132 Texas Retina Associates Retina Institute of Texas, PA (817) 441-1212 2380 S Goliad, Ste 120 1010 E I 20 Rockwall, TX 75032 Arlington, TX 76018 Specialty Care Physicians & Other Providers/ Lee, Seong , MD (972) 722-4739 (817) 417-7769 Eff 15-Jan-18 West Texas Retina Chong, Deborah Y, MD Barke, Ronald M, MD Médicos de cuidado especializado y otros proveedores Consultants/North Texas Retina Eff 01-Oct-15 Eff 01-Jan-16 Consultants Texas Retina Associates Key-Whitman Eye Center 101 Chuckwagon Trl 2380 S Goliad, Ste 120 400 W Arbrook Blvd, Ste 121 Willow Park, TX 76087-9132 Rockwall, TX 75032 Arlington, TX 76014 (817) 441-1212 (972) 722-4739 (214) 754-0000 • Languages spoken / Idioma(s) Lynds, Ross T, MD Fish, Gary E, MD hablado(s): Spanish Eff 09-Oct-18 Eff 01-Oct-15 West Texas Retina Texas Retina Associates Barke, Ronald M, MD Consultants/North Texas Retina 2380 S Goliad, Ste 120 Eff 01-Jan-16 Consultants Rockwall, TX 75032 Key-Whitman Eye Center 101 Chuckwagon Trl (972) 722-4739 910 N Davis Dr, Ste 400 Willow Park, TX 76087-9132 Arlington, TX 76012 Hurst, Edward P, MD (817) 441-1212 (214) 754-0000 Eff 08-May-19 • Languages spoken / Idioma(s) Patel, Sunil , MD Key-Whitman Eye Center hablado(s): Spanish Eff 05-Dec-17 2380 S Goliad St Ste 100 West Texas Retina Rockwall, TX 75032 Blair, Michael A, MD Consultants/North Texas Retina (214) 220-3937 Eff 21-Mar-17 Consultants Ford Eye Center 101 Chuckwagon Trl 801 W Randol Mill Rd, # 201 Willow Park, TX 76087-9132 Arlington, TX 76012 (817) 441-1212 (817) 277-6433

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 285 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Callanan, David , MD Hines, Mujahid A, MD Mai, Kim-Binh T, MD Eff 01-Oct-15 Eff 14-Sep-17 Eff 01-Nov-17 Texas Retina Associates Kleiman Evangelista Eye Center Alliance Retina 801 W Randol Mill Rd, Ste 101 350 E I-20 1007 W Randol Mill Rd, Ste 110 Arlington, TX 76012-2505 Arlington, TX 76018-1119 Arlington, TX 76012-6503 (817) 261-9625 (817) 784-0222 (817) 617-7678 • Languages spoken / Idioma(s) Chavala, Sai H, MD Hong, Chian-Huey , MD hablado(s): Vietnamese Eff 07-Sep-18 Eff 01-Jan-16 Kleiman Evangelista Eye Center Key-Whitman Eye Center McClellan, Andrew J, MD 350 E I-20 400 W Arbrook Blvd, Ste 121 Eff 23-Sep-17 Arlington, TX 76018-1119 Arlington, TX 76014 Texas Retina Associates (817) 784-0222 (214) 754-0000 801 W Randol Mill Rd, Ste 101 • Languages spoken / Idioma(s) Arlington, TX 76012-2505 Evangelista, Anthony W, MD hablado(s): French (817) 261-9625 Eff 01-Nov-15 Kleiman Evangelista Eye Center Hong, Chian-Huey , MD Minadeo, Michael , MD 350 E I-20 Eff 01-Jan-16 Eff 19-Dec-18 Arlington, TX 76018-1119 Key-Whitman Eye Center Kleiman Evangelista Eye Center (817) 784-0222 910 N Davis Dr, Ste 400 350 E I-20 • Languages spoken / Idioma(s) Arlington, TX 76012 Arlington, TX 76018-1119 hablado(s): Spanish (214) 754-0000 (817) 784-0222 • Languages spoken / Idioma(s) Fish, Gary E, MD hablado(s): French Moody, Everett , MD Eff 01-Oct-15 Eff 09-Oct-17 Specialty Care Physicians & Other Providers/ Texas Retina Associates Kleiman, David A, MD Ophthalmology Consultants PA 801 W Randol Mill Rd, Ste 101 Eff 01-Nov-15 3050 C Center St, Ste 110 Médicos de cuidado especializado y otros proveedores Arlington, TX 76012-2505 Kleiman Evangelista Eye Center Arlington, TX 76014 (817) 261-9625 350 E I-20 (888) 511-2026 Arlington, TX 76018-1119 Ford, Douglas T, MD (817) 784-0222 Morris, Carrie L, MD Eff 01-Feb-17 • Languages spoken / Idioma(s) Eff 02-May-19 Ford Eye Center hablado(s): Spanish Kleiman Evangelista Eye Center 801 W Randol Mill Rd, # 201 350 E I-20 Arlington, TX 76012 Koreishi, Aaleya F, MD Arlington, TX 76018-1119 (817) 277-6433 Eff 01-Jun-17 (817) 784-0222 Cornea Consultants of Texas Frasier, Kelly J, MD 707 N Fielder Rd, Ste B-1 Parekh, Hiren R, MD Eff 01-Nov-15 Arlington, TX 76012 Eff 05-May-17 Kleiman Evangelista Eye Center (817) 987-1248 Arlington Eye Physicians 350 E I-20 1710 Oak Village Blvd, Ste 150 Arlington, TX 76018-1119 Kothari, Nikisha , MD Arlington, TX 76017 (817) 784-0222 Eff 16-Nov-19 (817) 275-1900 • Languages spoken / Idioma(s) Texas Retina Associates hablado(s): Spanish 801 W Randol Mill Rd, Ste 101 Pfeiffer, Margaret L, MD Arlington, TX 76012 Eff 12-Nov-19 Haidara, Moulaye A, MD (817) 261-9625 Key-Whitman Eye Center Eff 16-Jan-19 910 N Davis Dr Ste 400 Kleiman Evangelista Eye Center Kozielec, Gregory F, MD Arlington, TX 76012-3200 350 E I-20 Eff 08-Jun-15 (214) 754-0000 Arlington, TX 76018-1119 Retina Institute of Texas, PA (817) 784-0222 1010 E I 20 Arlington, TX 76018 (817) 417-7769

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 286 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ple-Plakon, Patricia A, MD Witherspoon, Scott R, MD Butler, Michelle R, MD Eff 01-Jun-17 Eff 08-Jun-15 Eff 01-Jan-16 Cornea Consultants of Texas Retina Institute of Texas, PA Glaucoma Associates of Texas 707 N Fielder Rd, Ste B-1 1010 E I 20 417 N Magnolia Ave Arlington, TX 76012 Arlington, TX 76018 Fort Worth, TX 76104 (817) 987-1248 (817) 417-7769 (817) 923-2000 • Languages spoken / Idioma(s) Ramsey, Loan , MD hablado(s): Spanish Callanan, David , MD Eff 01-Aug-16 Eff 01-Oct-15 Kleiman Evangelista Eye Center Reinke, Martin H, MD Texas Retina Associates 350 E I-20 Eff 01-Sep-15 1101 6th Ave, Ste 200 Arlington, TX 76018-1119 Martin Reinke, MD Fort Worth, TX 76104-4377 (817) 784-0222 1916 Central Dr (817) 334-0882 • Languages spoken / Idioma(s) Bedford, TX 76021 hablado(s): Vietnamese (817) 283-6607 Chen, Tina H, MD Eff 21-Sep-20 Singh, Ashish , MD Abdul-Rahim, Aziz S, MD Ophthalmology Associates Eff 19-Jun-19 Eff 07-Jan-14 1201 Summit Ave Kleiman Evangelista Eye Center Ophthalmology Associates Fort Worth, TX 76102-4413 350 E I-20 1201 Summit Ave (817) 332-2020 Arlington, TX 76018-1119 Fort Worth, TX 76102 (817) 784-0222 (817) 332-2020 Choi, Rene , MD • Languages spoken / Idioma(s) Eff 13-Aug-20 hablado(s): Spanish Alexander, Jamie K, MD Texas Retina Associates Eff 09-Jan-17 1101 6th Ave Ste 200 Specialty Care Physicians & Other Providers/ Solley, Wayne A, MD Cornea Associates of Texas/QVN Fort Worth, TX 76104 Eff 01-Oct-15 1101 6th Ave, Ste 100 (817) 334-0882 Texas Retina Associates Fort Worth, TX 76104 Médicos de cuidado especializado y otros proveedores 801 W Randol Mill Rd, Ste 101 (817) 850-9282 Choi, Rene , MD Arlington, TX 76012-2505 • Languages spoken / Idioma(s) Eff 13-Aug-20 (817) 261-9625 hablado(s): Spanish Texas Retina Associates 3324 Colorado Blvd Ste 102 Stephens, Mark , MD Ali, Ferhina S, MD Fort Worth, TX 76210 Eff 30-Nov-18 Eff 05-Dec-19 (940) 691-3232 Kleiman Evangelista Eye Center Retina Center of Texas 350 E I-20 3455 Locke Avenue, Suite 310 Clark, Charles L, MD Arlington, TX 76018-1119 Fort Worth, TX 76107-5747 Eff 14-Jun-18 (817) 784-0222 (817) 865-6800 West Texas Retina Consultants/North Texas Retina Syrquin, Maurice G, MD Bowman, Charles (Brad) , MD Consultants Eff 08-Jun-15 Eff 01-Jan-16 5000 Collinwood Ave Retina Institute of Texas, PA Cornea Associates of Texas/QVN Fort Worth, TX 76107-3606 1010 E I 20 1101 6th Ave, Ste 100 (817) 441-1212 Arlington, TX 76018 Fort Worth, TX 76104 (817) 417-7769 (817) 850-9282 Emanuel, Matthew E, MD • Languages spoken / Idioma(s) Eff 01-Jan-16 Williams, Patrick D, MD hablado(s): Spanish Glaucoma Associates of Texas Eff 01-Oct-15 417 N Magnolia Ave Texas Retina Associates Bruhl, Daniel E, MD Fort Worth, TX 76104 801 W Randol Mill Rd, Ste 101 Eff 11-Feb-14 (817) 923-2000 Arlington, TX 76012-2505 Ophthalmology Associates (817) 261-9625 1201 Summit Ave Fort Worth, TX 76102-4413 (817) 332-2020

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 287 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Flowers, Brian E, MD Hu, Gang J, MD Parchue, John A, MD Eff 07-Jan-14 Eff 16-Jan-20 Eff 07-Jan-14 Ophthalmology Associates Texas Eye & Laser Center PA Ophthalmology Associates 1201 Summit Ave 3405 Locke Ave Ste 100 1201 Summit Ave Fort Worth, TX 76102 Fort Worth, TX 76107 Fort Worth, TX 76102 (817) 332-2020 (817)731-8080 (817) 332-2020 Fuller, Timothy S, MD Iyer, Sandhya , MD Ple-Plakon, Patricia A, MD Eff 01-Oct-15 Eff 28-Apr-18 Eff 01-Jun-17 Texas Retina Associates Ophthalmology Associates Cornea Consultants of Texas 1101 6th Ave, Ste 200 1201 Summit Ave 3455 Locke Ave, Ste 220 Fort Worth, TX 76104-4377 Fort Worth, TX 76102 Fort Worth, TX 76107 (817) 334-0882 (817) 332-2020 (817) 529-3100 • Languages spoken / Idioma(s) hablado(s): Spanish Koreishi, Aaleya F, MD Potts, Luke B, MD Eff 01-Jun-17 Eff 18-Oct-19 Godfrey, David G, MD Cornea Consultants of Texas Cornea Associates of Texas/QVN Eff 01-Jan-16 3455 Locke Ave, Ste 220 1101 6th Ave, Ste 100 Glaucoma Associates of Texas Fort Worth, TX 76107 Fort Worth, TX 76104 417 N Magnolia Ave (817) 529-3100 (817) 850-9282 Fort Worth, TX 76104 (817) 923-2000 Lynds, Ross T, MD Qureshi, Jawad A, MD Eff 09-Oct-18 Eff 01-Aug-17 Grover, Davinder S, MD West Texas Retina Retina Center of Texas Eff 01-Jan-16 Consultants/North Texas Retina 3455 Locke Ave, # 310 Specialty Care Physicians & Other Providers/ Glaucoma Associates of Texas Consultants Fort Worth, TX 76107 417 N Magnolia Ave 5000 Collinwood Ave (817) 865-6800 Médicos de cuidado especializado y otros proveedores Fort Worth, TX 76104 Fort Worth, TX 76107-3606 (817) 923-2000 (817) 441-1212 Ranelle, Brian D, DO • Languages spoken / Idioma(s) Eff 16-Jan-20 hablado(s): Yoruba McCall, Tyrone L, MD Texas Eye & Laser Center PA Eff 01-Jan-16 3405 Locke Ave Ste 100 Hajovsky, Brian A, MD Cornea Associates of Texas/QVN Fort Worth, TX 76107 Eff 07-Jan-14 1101 6th Ave, Ste 100 (817)731-8080 Ophthalmology Associates Fort Worth, TX 76104 1201 Summit Ave (817) 850-9282 Roberts, Dwayne L, MD Fort Worth, TX 76102 • Languages spoken / Idioma(s) Eff 07-Jan-14 (817) 332-2020 hablado(s): Spanish Ophthalmology Associates 5801 Oakbend Trl, Ste 100 Han, Derek Y, MD McClellan, Andrew J, MD Fort Worth, TX 76132 Eff 22-May-19 Eff 23-Sep-17 (817) 346-2969 Ophthalmology Associates Texas Retina Associates • Languages spoken / Idioma(s) 1201 Summit Ave 1101 6th Ave, Ste 200 hablado(s): Spanish Fort Worth, TX 76102 Fort Worth, TX 76104-4377 (817) 332-2020 (817) 334-0882 Roberts, Dwayne L, MD • Languages spoken / Idioma(s) Eff 07-Jan-14 hablado(s): Chinese Nettune, Gregory R, MD Ophthalmology Associates Eff 01-Jan-16 1201 Summit Ave Hendricks, George D, MD Cornea Associates of Texas/QVN Fort Worth, TX 76102 Eff 05-Feb-14 1101 6th Ave, Ste 100 (817) 332-2020 Ophthalmology Associates Fort Worth, TX 76104 • Languages spoken / Idioma(s) 1201 Summit Ave (817) 850-9282 hablado(s): Spanish Fort Worth, TX 76102 • Languages spoken / Idioma(s) (817) 332-2020 hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 288 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Smith, Oluwatosin U, MD Ali, Ferhina S, MD McClellan, Andrew J, MD Eff 01-Jan-16 Eff 05-Dec-19 Eff 23-Sep-17 Glaucoma Associates of Texas Retina Center of Texas Texas Retina Associates 417 N Magnolia Ave 2321 Ira E Wood Ave, Ste 200 1643 Lancaster Dr, Ste 306 Fort Worth, TX 76104 Grapevine, TX 76051 Grapevine, TX 76051-3593 (817) 923-2000 (817) 865-6800 (817) 310-0107 • Languages spoken / Idioma(s) hablado(s): Yoruba Ali, Zahra K, MD Smythe, Barbara , MD Eff 20-Oct-19 Eff 01-Nov-16 Smythe, Barbara , MD Zahra K Ali MD PLLC Glaucoma Consultants of Texas Eff 01-Nov-16 1601 W State Hwy 114 1602 Lancaster Dr, Ste 201 Glaucoma Consultants of Texas Grapevine, TX 76051-8651 Grapevine, TX 76051-3574 1650 West Rosedale, Ste 201 (972) 638-0630 (817) 885-7878 Fort Worth, TX 76104 (817) 885-7878 Beauchamp, Cynthia , MD Solley, Wayne A, MD Eff 01-Oct-16 Eff 01-Oct-15 Solley, Wayne A, MD Pediatric Ophthalmology, PA Texas Retina Associates Eff 01-Oct-15 1631 Lancaster Dr, 200 1040 Texan Trail, Ste 100 Texas Retina Associates Grapevine, TX 76051-2116 Grapevine, TX 76051 1101 6th Ave, Ste 200 (817) 329-5433 (817) 310-0107 Fort Worth, TX 76104-4377 (817) 334-0882 Callanan, David , MD Solley, Wayne A, MD Eff 01-Oct-15 Eff 01-Oct-15 Spencer, William B, MD Texas Retina Associates Texas Retina Associates Eff 01-Oct-15 1040 Texan Trail, Ste 100 1643 Lancaster Dr, Ste 306 Specialty Care Physicians & Other Providers/ Texas Retina Associates Grapevine, TX 76051 Grapevine, TX 76051-3593 1101 6th Ave, Ste 200 (817) 310-0107 (817) 310-0107 Fort Worth, TX 76104 Médicos de cuidado especializado y otros proveedores (817) 334-0882 Callanan, David , MD Tong, John , MD Eff 01-Oct-15 Eff 24-Nov-16 Warmiski, Johnathan D, MD Texas Retina Associates Pediatric Ophthalmology, PA Eff 30-Aug-17 1643 Lancaster Dr, Ste 306 1631 Lancaster Dr, 200 Retina Center of Texas Grapevine, TX 76051-3593 Grapevine, TX 76051-2116 3455 Locke Ave # 310 (817) 310-0107 (817) 329-5433 Fort Worth, TX 76107 (817) 865-6800 Kothari, Nikisha , MD Williams, Patrick D, MD Eff 16-Nov-19 Eff 01-Oct-15 Williams, Patrick D, MD Texas Retina Associates Texas Retina Associates Eff 01-Oct-15 1040 Texan Trail, Ste 100 1040 Texan Trail, Ste 100 Texas Retina Associates Grapevine, TX 76051 Grapevine, TX 76051 1101 6th Ave, Ste 200 (817)310-0107 (817) 310-0107 Fort Worth, TX 76104-4377 (817) 334-0882 McClellan, Andrew J, MD Williams, Patrick D, MD Eff 23-Sep-17 Eff 01-Oct-15 Zaffos, Joshua A, MD Texas Retina Associates Texas Retina Associates Eff 09-Jan-17 1040 Texan Trail, Ste 100 1643 Lancaster Dr, Ste 306 Cornea Associates of Texas/QVN Grapevine, TX 76051 Grapevine, TX 76051-3593 1101 6th Ave, Ste 100 (817) 310-0107 (817) 310-0107 Fort Worth, TX 76104 (817) 850-9282 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 289 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Flowers, Brian E, MD Mai, Kim-Binh T, MD Frasier, Kelly J, MD Eff 07-Jan-14 Eff 01-Nov-17 Eff 01-Nov-15 Ophthalmology Associates Alliance Retina Kleiman Evangelista Eye Center 809 W Harwood, Ste 304 4501 Heritage Trace Pkwy, Ste 1825 E Southlake Blvd Hurst, TX 76054 121 Southlake, TX 76092-6501 (817) 788-9303 Keller, TX 76244-8940 (817) 784-0222 (817) 617-7678 • Languages spoken / Idioma(s) Han, Derek Y, MD • Languages spoken / Idioma(s) hablado(s): Spanish Eff 22-May-19 hablado(s): Vietnamese Ophthalmology Associates Gicheru, Sidney K, MD 809 W Harwood, Ste 304 Strange, Taylor B, DO Eff 01-Nov-15 Hurst, TX 76054 Eff 01-Mar-18 LaserCare Eye Center (817) 788-9303 Alliance Ophthalmology, PLLC 1910 E Hwy 114 • Languages spoken / Idioma(s) 4501 Heritagae Trace Pkwy, Ste Southlake, TX 76092 hablado(s): Chinese 121 (817) 481-2727 Keller, TX 76244-8921 • Languages spoken / Idioma(s) Hu, Gang J, MD (817) 445-2020 hablado(s): Spanish Eff 16-Jan-20 Texas Eye & Laser Center PA Blair, Michael A, MD Haidara, Moulaye A, MD 1872 Norwood Dr Ste 200 Eff 21-Mar-17 Eff 16-Jan-19 Hurst, TX 76054-7018 Ford Eye Center Kleiman Evangelista Eye Center (817)540-6060 2300 Matlock Rd, Ste 35 1825 E Southlake Blvd Mansfield, TX 76063 Southlake, TX 76092-6501 Parchue, John A, MD (817) 477-0223 (817) 784-0222 Eff 07-Jan-14 Specialty Care Physicians & Other Providers/ Ophthalmology Associates Kothari, Nikisha , MD Hines, Mujahid A, MD 809 W Harwood, Ste 304 Eff 16-Nov-19 Eff 14-Sep-17 Médicos de cuidado especializado y otros proveedores Hurst, TX 76054 Texas Retina Associates Kleiman Evangelista Eye Center (817) 788-9303 2925 East Broad Street 1825 E Southlake Blvd Mansfield, TX 76063 Southlake, TX 76092-6501 Ranelle, Brian D, DO (817)779-5686 (817) 784-0222 Eff 16-Jan-20 Texas Eye & Laser Center PA Chavala, Sai H, MD Kleiman, David A, MD 1872 Norwood Dr Ste 200 Eff 07-Sep-18 Eff 01-Nov-15 Hurst, TX 76054-7018 Kleiman Evangelista Eye Center Kleiman Evangelista Eye Center (817)540-6060 1825 E Southlake Blvd 1825 E Southlake Blvd Southlake, TX 76092-6501 Southlake, TX 76092-6501 Roberts, Dwayne L, MD (817) 784-0222 (817) 784-0222 Eff 07-Jan-14 • Languages spoken / Idioma(s) Ophthalmology Associates Evangelista, Anthony W, MD hablado(s): Spanish 809 W Harwood, Ste 304 Eff 01-Nov-15 Hurst, TX 76054 Kleiman Evangelista Eye Center Maclean, Kyle , MD (817) 788-9303 1825 E Southlake Blvd Eff 17-Sep-19 • Languages spoken / Idioma(s) Southlake, TX 76092-6501 LaserCare Eye Center, PA hablado(s): Spanish (817) 784-0222 1910 E. State Hwy 114 • Languages spoken / Idioma(s) Southlake, TX 76092-6510 hablado(s): Spanish (817) 481-2727 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 290 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Minadeo, Michael , MD Stephens, Mark , MD Brantley, Todd , OD Eff 19-Dec-18 Eff 30-Nov-18 Eff 01-Aug-16 Kleiman Evangelista Eye Center Kleiman Evangelista Eye Center Lone Star Vision 1825 E Southlake Blvd 1825 E Southlake Blvd 1060 S Preston Rd, Ste 100 Southlake, TX 76092-6501 Southlake, TX 76092-6501 Celina, TX 75009 (817) 784-0222 (817) 784-0222 (972) 382-2020 Morris, Carrie L, MD Optometry/ Optometría Diaz, Paola , OD Eff 15-Nov-16 Eff 15-Mar-19 Carrie L Morris, MD, PLLC Collin County | Condado de Lone Star Vision 361 W Southlake Blvd, Ste 120 1060 S Preston Rd, Ste 100 Southlake, TX 76092-6141 Collin Celina, TX 75009 (972) 922-3016 (972) 382-2020 Constable, Joseph M, OD • Languages spoken / Idioma(s) Morris, Carrie L, MD Eff 14-Apr-15 hablado(s): Spanish Eff 15-Nov-16 RC Eye Associates, PA Carrie L Morris, MD, PLLC 400 N Allen Dr Hanstad, Bradley , OD 1545 Southlake Blvd Allen, TX 75013 Eff 01-Aug-16 Southlake, TX 76092 (972) 727-7477 Lone Star Vision (817) 748-8700 • Languages spoken / Idioma(s) 1060 S Preston Rd, Ste 100 hablado(s): Spanish Celina, TX 75009 Morris, Carrie L, MD (972) 382-2020 Eff 02-May-19 Leazure, Mary E, OD Kleiman Evangelista Eye Center Eff 15-Apr-17 Lundeen, Benjamin , OD 1825 E Southlake Blvd Eff 06-Aug-16

Modern Family Vision Specialty Care Physicians & Other Providers/ Southlake, TX 76092-6501 906 W McDermott Rd, Ste 106 Lone Star Vision (817) 784-0222 Allen, TX 75013 1060 S Preston Rd, Ste 100 (972) 396-2021 Celina, TX 75009 Médicos de cuidado especializado y otros proveedores Ramsey, Loan , MD (972) 382-2020 Eff 01-Aug-16 Patrick, Carey , OD Kleiman Evangelista Eye Center Eff 01-May-19 Marshall, Brian , OD 1825 E Southlake Blvd Fairview Eyecare, PA Eff 01-Apr-18 Southlake, TX 76092-6501 1546 E Stacy Rd, Ste 100 Marshall Eye Care (817) 784-0222 Allen, TX 75002 17370 Preston Rd, Ste 410 • Languages spoken / Idioma(s) (214) 383-5400 Dallas, TX 75252-5611 hablado(s): Vietnamese (972) 250-2020 Tao, Tony Y, OD Reinke, Martin H, MD Eff 01-Dec-17 Barnett, Valerie A, OD Eff 01-Sep-15 Rophe Eyecare Eff 11-Jul-19 Martin Reinke, MD 1150 N Watters Rd, Ste 107 Texas Vision & Laser Center, 1310 N White Chapel Blvd Allen, TX 75013-5509 PLLC Southlake, TX 76092 (972) 359-8828 8380 Warren Pkwy, Ste 101 (817) 310-6080 • Languages spoken / Idioma(s) Frisco, TX 75034-4199 hablado(s): Chinese (972) 548-2015 Singh, Ashish , MD Eff 19-Jun-19 Jackman, Christopher , OD Bhaga, Sheetal , OD Kleiman Evangelista Eye Center Eff 01-Oct-18 Eff 15-Apr-17 1825 E Southlake Blvd Anna Eyecare PA Frisco Eye Associates Southlake, TX 76092-6501 1108 W White St, # 200 7638 Stonebrook Pkwy (817) 784-0222 Anna, TX 75409-5354 Frisco, TX 75034 • Languages spoken / Idioma(s) (972) 924-8889 (972) 712-1010 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 291 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Brooks, Carey B, OD Lee, Diana , OD Wildridge, Jeffrey A, OD Eff 01-Jul-18 Eff 01-Jul-18 Eff 14-Oct-19 Eye Source PLLC Frisco Eye Care Texas Vision & Laser Center, 8049 Preston Rd Ste 200 2930 Preston Rd, #905 PLLC Frisco, TX 75034 Frisco, TX 75034-9056 8380 Warren Pkwy, Ste 101 (214) 872-2400 (972) 334-9095 Frisco, TX 75034-4199 (972) 548-2015 Campbell, James R, OD Marsh, Coly B, OD Eff 15-Apr-17 Eff 15-Apr-17 Young, Carlee , OD Frisco Eye Associates Frisco Eye Associates Eff 15-Apr-17 7638 Stonebrook Pkwy 7638 Stonebrook Pkwy Frisco Eye Associates Frisco, TX 75034 Frisco, TX 75034 7638 Stonebrook Pkwy (972) 712-1010 (972) 712-1010 Frisco, TX 75034 (972) 712-1010 Clark, Kari A, OD McClintock, Tom R, OD Eff 15-Oct-18 Eff 15-Apr-17 Barnett, Valerie A, OD Frisco In Focus Frisco Eye Associates Eff 11-Jul-19 11511 Independence Pkwy, Ste 7638 Stonebrook Pkwy Texas Vision & Laser Center, 102 Frisco, TX 75034 PLLC Frisco, TX 75035-4676 (972) 712-1010 4701 Medical Center Dr, Ste 1A (972) 478-0550 McKinney, TX 75069-1831 Patel, Kirtesh , OD (972) 548-2015 Curtis, Barry J, OD Eff 01-Aug-16 Eff 15-Apr-17 Today's Vision Frisco Constable, Joseph M, OD Frisco Eye Associates 5530 FM 423, Ste 850 Eff 14-Apr-15 Specialty Care Physicians & Other Providers/ 7638 Stonebrook Pkwy Frisco, TX 75034 RC Eye Associates, PA Frisco, TX 75034 (214) 469-1500 1501 Redbud Blvd Médicos de cuidado especializado y otros proveedores (972) 712-1010 • Languages spoken / Idioma(s) McKinney, TX 75069 hablado(s): Spanish (972) 548-0771 Hardin, Tara L, OD • Languages spoken / Idioma(s) Eff 30-May-18 Schieffer, Jarryd , OD hablado(s): Spanish Key-Whitman Eye Center Eff 15-Apr-17 11445 Dallas Pkwy Ste 290 Frisco Eye Associates Kelly, Shawn M, OD Frisco, TX 75033 7638 Stonebrook Pkwy Eff 01-Jun-18 (214) 754-0000 Frisco, TX 75034 First Eye Care McKinney (972) 712-1010 2301 Eldorado Pkwy Ste 200 Hoelscher, Amanda , OD McKinney, TX 75070-4362 Eff 21-Oct-16 Thomas, Jeff D, OD (972) 540-2015 Key-Whitman Eye Center Eff 04-May-17 11445 Dallas Pkwy Ste 290 Frisco Eye Associates Wildridge, Jeffrey A, OD Frisco, TX 75033 7638 Stonebrook Pkwy Eff 14-Oct-19 (214) 754-0000 Frisco, TX 75034 Texas Vision & Laser Center, (972) 712-1010 PLLC Jacob, Anita M, OD 4701 Medical Center Dr, Ste 1A Eff 15-May-19 Wiedenfeld, James E, OD McKinney, TX 75069-1831 Key-Whitman Eye Center Eff 03-Nov-17 (972) 548-2015 11445 Dallas Pkwy Ste 290 Frisco Eye Associates Frisco, TX 75033 7638 Stonebrook Pkwy Marsh, Coly B, OD (214) 754-0000 Frisco, TX 75034 Eff 15-Apr-17 (972) 712-1010 Melissa Eye Associates • Languages spoken / Idioma(s) 3591 McKinney Street, Ste 200 hablado(s): Spanish Melissa, TX 75454-9573 (972) 837-2222

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 292 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Schieffer, Jarryd , OD Brantley, Todd , OD Do, Thang H, OD Eff 15-Apr-17 Eff 01-Aug-16 Eff 15-Nov-18 Melissa Eye Associates Lone Star Vision Concept Eyecare 3591 McKinney Street, Ste 200 5044 Tennyson Pkwy, Ste B 8315 Preston Road, Ste 200 D Melissa, TX 75454-9573 Plano, TX 75024- Plano, TX 75024-2429 (972) 837-2222 (972)378-4104 (972) 378-0871 Thomas, Jeff D, OD Bui, Thoai , OD Ehie, Chinazo C, OD Eff 04-May-17 Eff 01-Jul-18 Eff 02-Oct-19 Melissa Eye Associates Lighthouse Eye Care Kleiman Evangelista Eye Center 3591 McKinney Street, Ste 200 8080 Independence Pkwy, Ste 100 3645 Dallas Parkway, Ste 545 Melissa, TX 75454-9573 Plano, TX 75025-4001 Plano, TX 75093-8167 (972) 837-2222 (214) 383-9360 (817) 784-0222 • Languages spoken / Idioma(s) Wiedenfeld, James E, OD hablado(s): Vietnamese Harrison, Gregory , OD Eff 03-Nov-17 Eff 01-Jun-18 Melissa Eye Associates Castleberry, Kim , OD Eye Gallery 3591 McKinney Street, Ste 200 Eff 15-Aug-16 1900 Preston Rd, Ste 265 Melissa, TX 75454-9573 Plano Eye Associates, PC Plano, TX 75093-5203 (972) 837-2222 5900 Coit Rd (972) 519-0006 • Languages spoken / Idioma(s) Plano, TX 75023-5959 hablado(s): Spanish (972) 985-1412 Hildebrand, Matthew , OD Eff 14-May-19 Anderson, Beth D, OD Chen, Tiffany , OD Kleiman Evangelista Eye Center Eff 01-Mar-20 Eff 28-Nov-18 3645 Dallas Pkwy, Ste 545 Specialty Care Physicians & Other Providers/ Eye Center of Murphy PLLC Rosemore Eye Care, P.A. Plano, TX 75093 213 N Murphy Rd Ste 100 4637 Hedgcoxe Rd, Ste 108 (214) 440-5200 Murphy, TX 75094-3551 Plano, TX 75024-3693 Médicos de cuidado especializado y otros proveedores (972)429-9011 (972) 596-2224 Holley, Kathryn , OD Eff 04-Nov-19 Colton, Bruce A, OD Deloach, Joe , OD Lone Star Vision Eff 15-Jan-18 Eff 15-Aug-16 5044 Tennyson Pkwy, Ste B Bright Eyes Vision Clinic Plano Eye Associates, PC Plano, TX 75024 601 West FM 544, Ste 102 5900 Coit Rd (972) 378-4104 Murphy, TX 75094-4200 Plano, TX 75023-5959 (972) 578-2020 (972) 985-1412 Jacob, Anita M, OD • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Eff 15-May-19 hablado(s): Spanish hablado(s): Spanish Key-Whitman Eye Center 3060 Communications Pkwy Ste Ferenczhalmy, Suzanne R, OD Demaggio, Julie , DO 205 Eff 01-Mar-20 Eff 15-Aug-16 Plano, TX 75093-1629 Eye Center of Murphy PLLC Plano Eye Associates, PC (214) 754-0000 213 N Murphy Rd Ste 100 5900 Coit Rd Murphy, TX 75094-3551 Plano, TX 75023-5959 James, Michael R, OD (972)429-9011 (972) 985-1412 Eff 03-Dec-18 Kleiman Evangelista Eye Center Bailey, Lauren , OD Diaz, Paola , OD 3645 Dallas Parkway, Ste 545 Eff 15-Apr-18 Eff 15-Mar-19 Plano, TX 75093-8167 First Eye Care West Plano Lone Star Vision (817) 784-0222 3405 Midway Rd, #421 5044 Tennyson Pkwy, Ste B • Languages spoken / Idioma(s) Plano, TX 75093-8144 Plano, TX 75024 hablado(s): Spanish (972) 801-2727 (972)378-4104 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 293 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lee, Diana , OD Sbenaty, Lema , OD Virani, Nadia , OD Eff 01-Jul-18 Eff 22-Oct-19 Eff 16-Sep-16 Lighthouse Eye Care Kleiman Evangelista Eye Center Kleiman Evangelista Eye Center 8080 Independence Pkwy, Ste 100 3645 Dallas Pkwy, Ste 545 3645 Dallas Pkwy, Ste 545 Plano, TX 75025-4001 Plano, TX 75093 Plano, TX 75093 (214) 383-9360 (214) 440-5200 (214) 440-5200 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Nguyen, Angeline T, OD hablado(s): Arabic hablado(s): Spanish Eff 22-Jul-19 Kleiman Evangelista Eye Center Sukenik, Olga T, OD Vo, Van L, OD 3645 Dallas Parkway, Ste 545 Eff 15-Apr-18 Eff 15-Nov-18 Plano, TX 75093-8167 First Eye Care West Plano Concept Eyecare (817) 784-0222 3405 Midway Rd, #421 8315 Preston Road, Ste 200 D Plano, TX 75093-8144 Plano, TX 75024-2429 Nguyen, Boi-Dieu H, OD (972) 801-2727 (972) 378-0871 Eff 02-May-19 • Languages spoken / Idioma(s) Kleiman Evangelista Eye Center hablado(s): Russian Harrison, Gregory , OD 3645 Dallas Parkway, Ste 545 Eff 15-Apr-18 Plano, TX 75093-8167 Tjandra, Easter W, OD Eye Gallery (817) 784-0222 Eff 01-Oct-19 1170 N Preston Rd, Ste 120 Impact Eye Care Prosper, TX 75078-9031 Pham, Krystina Q, OD 240 Legacy Dr Ste 102 (972) 972-5190 Eff 01-Apr-16 Plano, TX 75023-2357 Private Practice (972) 527-7979 Konvalin, Wade , OD 425 Coit Rd, Ste 100 Eff 01-Mar-17 Specialty Care Physicians & Other Providers/ Plano, TX 75075 Tjandra, Easter W, OD 1st Eye Care of Prosper (469) 232-2010 Eff 01-Oct-19 221 N Preston Rd, Ste B Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Impact Eye Care Prosper, TX 75078 hablado(s): Vietnamese 301 Coit Rd (972) 347-2020 Plano, TX 75075-5711 Reuter, Kyle , OD (972) 378-7979 Stiles, Philip B, OD Eff 22-Oct-19 Eff 08-Mar-17 Kleiman Evangelista Eye Center Tran, Jimmy , OD 1st Eye Care of Prosper 3645 Dallas Pkwy Ste 545 Eff 11-Oct-16 221 N Preston Rd, Ste B Plano, TX 75093- Kleiman Evangelista Eye Center Prosper, TX 75078 (214) 440-5200 3645 Dallas Pkwy, Ste 545 (972) 347-2020 Plano, TX 75093 Rosemore, Corey , OD (214) 440-5200 Surdacki, Melinda , OD Eff 01-Aug-16 • Languages spoken / Idioma(s) Eff 18-Apr-17 Rosemore Eye Care hablado(s): Vietnamese 1st Eye Care of Prosper 4637 Hedgcoxe Rd, Ste 108 221 N Preston Rd, Ste B Plano, TX 75024 Tran, Stanley , OD Prosper, TX 75078 (972) 596-2224 Eff 15-Aug-16 (972) 347-2020 Plano Eye Associates, PC Rosemore, Ryan , OD 5900 Coit Rd Wang, Eric D, OD Eff 28-Nov-18 Plano, TX 75023-5959 Eff 28-Sep-19 Rosemore Eye Care, P.A. (972) 985-1412 1st Eye Care of Prosper 4637 Hedgcoxe Rd, Ste 108 221 N Preston Rd, Ste B Plano, TX 75024-3693 Prosper, TX 75078 (972) 596-2224 (972) 347-2020

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 294 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Celico, Brian , OD Hoelscher, Amanda , OD Eff 01-Aug-16 Eff 21-Oct-16 Dallas Private Practice Key-Whitman Eye Center 7150 Greenville Ave, Ste 250 11442 N Central Expy Peterson, Christopher , OD Dallas, TX 75231 Dallas, TX 75243 Eff 01-Mar-18 (214) 265-1111 (214) 754-0000 First Eye Care Carrollton 2810 E Triniity Mills Rd, Ste 173 Clark, Veurmer L, OD Jacob, Anita M, OD Carrollton, TX 75006-2351 Eff 15-Apr-18 Eff 15-May-19 (972) 416-1270 First Eye Care Key-Whitman Eye Center 6446 LBJ Fwy 11442 N Central Expy Stiles, Philip B, OD Dallas, TX 75240-6407 Dallas, TX 75243 Eff 01-Mar-18 (972) 960-2020 (214) 754-0000 First Eye Care Carrollton 2810 E Triniity Mills Rd, Ste 173 Davis, Nicole E, OD James, Michael R, OD Carrollton, TX 75006-2351 Eff 15-Apr-18 Eff 03-Dec-18 (972) 416-1270 First Eye Care Kleiman Evangelista Eye Center 6446 LBJ Fwy 5494 Glen Lakes Dr Stiles, Philip B, OD Dallas, TX 75240-6407 Dallas, TX 75231-4308 Eff 08-Mar-17 (972) 960-2020 (817) 784-0222 1st Eye Care of Prosper • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 2810 E Trinity Mills, Ste 173 hablado(s): Spanish hablado(s): Spanish Carrollton, TX 75006 (972) 416-1270 Ehie, Chinazo C, OD Kumar, Anand (Ned) S, OD Eff 15-Nov-19 Eff 01-Jul-15 Specialty Care Physicians & Other Providers/ Surdacki, Melinda , OD Dallas Eye Care Associates, PLLC East Dallas Family Eye Care Eff 01-Mar-18 5494 Glen Lakes Dr 8202 Elam Rd, Ste 100 First Eye Care Carrollton Dallas, TX 75231-4308 Dallas, TX 75217 Médicos de cuidado especializado y otros proveedores 2810 E Triniity Mills Rd, Ste 173 (214) 692-6220 (214) 391-1119 Carrollton, TX 75006-2351 • Languages spoken / Idioma(s) (972) 416-1270 Ehie, Chinazo C, OD hablado(s): Spanish Eff 02-Oct-19 Weissman, Alan , OD Kleiman Evangelista Eye Center Lemery, Elyse , OD Eff 01-Mar-18 5494 Glen Lakes Dr Eff 15-Apr-18 First Eye Care Carrollton Dallas, TX 75231 First Eye Care Prestonwood 2810 E Triniity Mills Rd, Ste 173 (817) 784-0222 5455 Beltline Rd, # 150 Carrollton, TX 75006-2351 Dallas, TX 75254-1501 (972) 416-1270 Glanzer, Mark , OD (972) 980-1772 Eff 26-Sep-19 Bourque, Lori M, OD Kleiman Evangelista Eye Center Musgrove, Meridith , OD Eff 15-Apr-18 5494 Glen Lakes Dr Eff 01-May-16 First Eye Care Dallas, TX 75231-4308 ECSC, II PA 6446 LBJ Fwy (817)784-0222 5421 La Sierra Dr Dallas, TX 75240-6407 Dallas, TX 75231-4107 (972) 960-2020 Hildebrand, Matthew , OD (214) 361-1443 Eff 14-May-19 • Languages spoken / Idioma(s) Burton, Michael , OD Kleiman Evangelista Eye Center hablado(s): Spanish Eff 15-Apr-17 5494 Glen Lakes Dr T & B Eye Care Services Dallas, TX 75231 Nguyen, Angeline T, OD 3900 W Wheatland Rd (817) 784-0222 Eff 22-Jul-19 Dallas, TX 75237 Kleiman Evangelista Eye Center (972) 780-7199 5494 Glen Lakes Dr Dallas, TX 75231-4308 (817) 784-0222

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 295 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nguyen, Angeline T, OD Rojas, Luis D, OD Thomas, Laurence C, OD Eff 29-Jul-19 Eff 15-Apr-18 Eff 15-Apr-17 Dallas Eye Care Associates, PLLC First Eye Care Prestonwood T & B Eye Care Services 5494 Glen Lakes Dr 5455 Beltline Rd, # 150 3900 W Wheatland Rd Dallas, TX 75231-4308 Dallas, TX 75254-1501 Dallas, TX 75237 (214) 692-6220 (972) 980-1772 (972) 780-7199 Nguyen, Boi-Dieu H, OD Rojas, Luis D, OD Tran, Jimmy , OD Eff 02-May-19 Eff 15-Apr-18 Eff 11-Oct-16 Kleiman Evangelista Eye Center First Eye Care Kleiman Evangelista Eye Center 5494 Glen Lakes Dr 6446 LBJ Fwy 5494 Glen Lakes Dr Dallas, TX 75231-4308 Dallas, TX 75240-6407 Dallas, TX 75231-4308 (817) 784-0222 (972) 960-2020 (817) 784-0222 • Languages spoken / Idioma(s) Nguyen, Boi-Dieu H, OD Saakova, Lilit , OD hablado(s): Vietnamese Eff 01-Jul-19 Eff 10-Mar-20 Dallas Eye Care Associates, PLLC 2020 EyeDr PLLC Virani, Nadia A, OD 5494 Glen Lakes Dr 8687 N Central Expy Ste 2200 Eff 29-Nov-18 Dallas, TX 75231-4308 Dallas, TX 75225-4570 Dallas Eye Care Associates, PLLC (214) 692-6220 (214) 368-0059 5494 Glen Lakes Dr Dallas, TX 75231-4308 Nguyen, Steve , OD Sbenaty, Lema , OD (214) 692-6220 Eff 01-May-16 Eff 05-Oct-19 Southwest Dallas Eye Care Dallas Eye Care Associates, PLLC Virani, Nadia , OD 2811 S Hampton Rd, Ste B 5494 Glen Lakes Dr Eff 16-Sep-16 Specialty Care Physicians & Other Providers/ Dallas, TX 75224 Dallas, TX 75231-4308 Kleiman Evangelista Eye Center (214) 333-2020 (214) 692-6220 5494 Glen Lakes Dr Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Dallas, TX 75231-4308 hablado(s): Spanish hablado(s): Arabic (817) 784-0222 • Languages spoken / Idioma(s) Ohare, Shannon , OD Sbenaty, Lema , OD hablado(s): Spanish Eff 01-Apr-18 Eff 22-Oct-19 Grove Eye Clinic Kleiman Evangelista Eye Center Wang, Xinnan , OD 1830 S Buckner Blvd 5494 Glen Lakes Dr Eff 04-Nov-19 Dallas, TX 75217-1819 Dallas, TX 75231 2020 EyeDr PLLC (214) 398-1144 (817) 784-0222 8687 N Central Expy, Ste 2200 • Languages spoken / Idioma(s) Dallas, TX 75225 Pham, Krystina Q, OD hablado(s): Arabic (214) 368-0059 Eff 01-Apr-16 Private Practice Starchville, Jonathan , OD Weber, David E, OD 6185 Retail Rd Eff 28-Mar-19 Eff 01-May-17 Dallas, TX 75231 Dallas Eye Consultants The Eye Zone (469) 232-2010 2301 S Hampton Rd, Ste 500 11661 Preston Rd, Ste 145 • Languages spoken / Idioma(s) Dallas, TX 75224 Dallas, TX 75230 hablado(s): Vietnamese (214) 330-3937 (214) 368-8825 Reuter, Kyle , OD Stewart-Lee, Aureyelle , OD Weikum, Roger A, OD Eff 22-Oct-19 Eff 26-Feb-18 Eff 01-Aug-19 Kleiman Evangelista Eye Center T & B Eye Care Services First Eye Care 5494 Glen Lakes Dr 3900 W Wheatland Rd 2100 Ross Ave Dallas, TX 75231-4308 Dallas, TX 75237 Dallas, TX 75201-2739 (817) 784-0222 (972) 780-7199 (214) 220-2425

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 296 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Williams, Bryan P, OD Cao, James , OD Abushagur, Noor S, OD Eff 08-Aug-19 Eff 01-Sep-18 Eff 06-Sep-19 First Eye Care Park Forest Desoto Eyecare Associates, PA Mesquite Eye Associates 11888 Marsh Ln, #414 5270 South State Hwy 360 1128 N Galloway Ave Dallas, TX 75234-8083 Grand Prairie, TX 75052-8307 Mesquite, TX 75149-7415 (972)241-8084 (972) 606-4533 (972) 288-4427 Wildridge, Jeffrey A, OD Do, Long T, OD Hardin, Tara L, OD Eff 04-May-17 Eff 01-May-19 Eff 30-May-18 Total Eye Care 20/20 iCare and iWear, PLLC Key-Whitman Eye Center 388 E Hwy 67 4116 S Carrier Pkwy, Ste 120 18661 LBJ Frwy, Ste 400 Duncanville, TX 75137 Grand Prairie, TX 75052-3245 Mesquite, TX 75150-6468 (972) 296-2020 (972) 264-7200 (214) 754-0000 Day, Robert , OD Doan, Dianne , OD Jacob, Anita M, OD Eff 01-Jul-16 Eff 01-May-19 Eff 15-May-19 Broadway Eye Center 20/20 iCare and iWear, PLLC Key-Whitman Eye Center 3034 Broadway Blvd 4116 S Carrier Pkwy, Ste 120 18661 LBJ Frwy, Ste 400 Garland, TX 75041 Grand Prairie, TX 75052-3245 Mesquite, TX 75150-6468 (972) 278-2121 (972) 264-7200 (214) 754-0000 Mendoza, Paul , OD Cargo, Jonathan P, OD John, Sarah J, OD Eff 15-Oct-18 Eff 01-May-15 Eff 15-Feb-17 Vision & Eye Care, PA Cargo Eye Care of Las Colinas Private Practice 1801 Marketplace Dr 1135 Kinwest Pkwy, Ste 100 3000 Towneast Mall Specialty Care Physicians & Other Providers/ Garland, TX 75041-5605 Irving, TX 75063-3505 Mesquite, TX 75150 (972) 279-0445 (972) 432-2020 (972) 681-1715 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Médicos de cuidado especializado y otros proveedores Tran, Pui , OD hablado(s): Spanish hablado(s): Malay Eff 01-Sep-16 Epic Eyecare, LLC Kardatzke, Bradley , OD Karl, Kutch , OD 1138 Beltline Rd, Ste 230 Eff 01-Jun-16 Eff 15-Aug-16 Garland, TX 75040 Irving Eye Care Mesquite Eye Associates (972) 268-7938 708 North MacArthur Blvd 1128 N Galloway Ave • Languages spoken / Idioma(s) Irving, TX 75061 Mesquite, TX 75149-7415 hablado(s): Spanish (972) 254-0033 (972) 288-4427 Wemhoener, Bradley , OD Patel, Reena , OD Nguyen, Dat , OD Eff 01-Jun-17 Eff 15-Feb-18 Eff 15-Apr-18 Garland Family Eye Care, PA Cargo Eye Care of Las Colinas Dat Nguyen OD PLLC 401 W Centerville Rd, # 6 1135 Kinwest Pkwy, Ste 100 3434 Town Crossing Blvd, # 112B Garland, TX 75041-5400 Irving, TX 75063-3505 Mesquite, TX 75150-2724 (972) 840-8998 (972) 432-2020 (972) 686-4738 • Languages spoken / Idioma(s) Alonso, David , OD hablado(s): Gujrati Park, Suzan , OD Eff 01-Dec-18 Eff 15-Aug-16 Grand Prairie Eyecare Weikum, Roger A, OD Mesquite Eye Associates 3050 W Camp Wisdom Rd, Ste Eff 01-Aug-19 1128 N Galloway Ave 140 First Eye Care Mesquite, TX 75149-7415 Grand Prairie, TX 75052-4642 2208 W Shady Grove (972) 288-4427 (972) 532-6999 Irving, TX 75060-4717 (972) 313-9505

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 297 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Black, Douglas N, OD Royster, Ethan D, OD Bartlett, Richard , OD Eff 01-Feb-19 Eff 24-May-19 Eff 01-Jun-18 Douglas N Black OD Wylie Eye Center Vision Source Planet Eyewear 2000 N Plano Rd, Ste 111 130 N Ballard Ave 500 Flower Mound Rd, SPC 108 Richardson, TX 75082-4402 Wylie, TX 75098-4467 Flower Mound, TX 75028-3423 (972) 234-3937 (972) 429-9090 (972) 539-6868 Duong, Nghiem H, OD Schacherer, Craig E, OD Jacob, Anisha , OD Eff 05-Aug-19 Eff 01-Apr-19 Eff 01-Aug-18 Perception Eyecare & Eyewear Wylie Vision Care Village Vision Center LLC 4150 E Renner Rd, Ste 300 303 S Hwy 78, Ste 203 2300 Highland Village Rd, # 200 Richardson, TX 75082 Wylie, TX 75098-3957 Highland Village, TX 75077-7191 (972) 250-0700 (972) 442-2020 (972) 317-3888

Nguyen, Kimuyen D, OD Denton County | Condado de Blansett, Deborah K, OD Eff 01-Apr-17 Eff 15-Feb-19 Perception Eyecare & Eyewear Denton Woodlands Eyecare LLP 4150 E Renner Rd Ste 300 5246 Hwy 377 S, Suite 1 Richardson, TX 75082 Bui, Thoai P, OD Krugerville, TX 76227-1216 (972) 250-0700 Eff 01-Jul-18 (940) 365-0440 OmniVision Eye Care, PC Anderson, Beth D, OD 4112 N Josey Ln, Ste 112 Marsh, Coly B, OD Eff 01-Mar-16 Carrollton, TX 75007-1509 Eff 15-Feb-19 Wylie Eye Center (972) 939-5367 Woodlands Eyecare LLP 130 N Ballard Ave 5246 Hwy 377 S, Suite 1 Specialty Care Physicians & Other Providers/ Wylie, TX 75098-4467 Kuder, Bryan N, OD Krugerville, TX 76227-1216 (972) 429-9090 Eff 01-Jul-17 (940) 365-0440 Médicos de cuidado especializado y otros proveedores Infinity Vision Associates PLLC Denton, Lindsay E, OD 4009 Old Denton Rd, Ste 124 Thomas, Jeff , OD Eff 24-May-19 Carrollton, TX 75007 Eff 15-Feb-19 Wylie Eye Center (972) 939-6268 Woodlands Eyecare LLP 130 N Ballard Ave 5246 Hwy 377 S, Suite 1 Wylie, TX 75098-4467 Luong, Bruce , OD Krugerville, TX 76227-1216 (972) 429-9090 Eff 01-Aug-18 (940) 365-0440 Framed Eyecare, PLLC Ferenczhalmy, Suzanne R, OD 1016 E Hebron Pkwy, Ste 250 Saakova, Lilit , OD Eff 24-May-19 Carrollton, TX 75010-1022 Eff 10-Mar-20 Wylie Eye Center (469) 480-6150 2020 EyeDr PLLC 130 N Ballard Ave 2401 S Stemmons Fwy Ste 2000 Wylie, TX 75098-4467 Luong, Jessica , OD Lewisville, TX 75067-2304 (972) 429-9090 Eff 01-Aug-18 (972) 316-0110 Framed Eyecare, PLLC Gandhi, Tarun , OD 1016 E Hebron Pkwy, Ste 250 Wang, Xinnan , OD Eff 15-May-18 Carrollton, TX 75010-1022 Eff 04-Nov-19 Modern Eye Care (469) 480-6150 2020 EyeDr PLLC 803 Woodbridge Pkwy, # 1400 2401 S Stemmons Fwy, Ste 2000 Wylie, TX 75098-7078 Vo, Phat , OD Lewisville, TX 75067-2304 (972) 442-2250 Eff 15-Apr-19 (972) 316-0110 North Texas Center for Sight PA 2220 Emery St, Ste 100 Denton, TX 76201-1100 (940) 243-2020

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 298 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Davis, Nancy , OD Rosemore, Ryan , OD Johnson, Denise , OD Eff 22-Dec-19 Eff 28-Nov-18 Eff 27-May-16 Roanoke Family Eyecare Rosemore Eye Care, P.A. Cleburne Eye Clinic 1228 N Highway 377 4901 Windhaven Pkwy, Ste 100 4460 E Hwy 287, Ste A Roanoke, TX 76262-9122 The Colony, TX 75056-6757 Midlothian, TX 76065 (817) 491-4994 (972) 596-2224 (972) 775-8000 Hassan, Humaira , OD Lam, Kelvin Q, OD Kuykendall, Traci , OD Eff 03-Nov-17 Eff 15-Dec-18 Eff 01-Nov-15 First Eye Care Vision Source Trophy Club Cleburne Eye Clinic 100 Country View Dr, Ste 100 301 Trophy Lk Dr, Ste 128 4460 E Hwy 287, Ste A Roanoke, TX 76262-2055 Trophy Club, TX 76262-5237 Midlothian, TX 76065 (817) 491-2018 (682) 237-2103 (972) 775-8000 • Languages spoken / Idioma(s) Hughes, Blake , OD hablado(s): Vietnamese Martin, Joe R, OD Eff 01-Aug-16 Eff 01-Nov-15 First Eye Care Noel, Jeffrey M, OD Cleburne Eye Clinic 100 Country View Dr, Ste 100 Eff 01-Dec-19 4460 E Hwy 287, Ste A Roanoke, TX 76262-2055 Trophy Club Vision Care Midlothian, TX 76065 (817) 491-2018 2240 Hwy 114 Ste 620 (972) 775-8000 Trophy Club, TX 76262 Chen, Tiffany , OD (682) 831-0999 Wedel, Karl L, OD Eff 28-Nov-18 Eff 01-Nov-15 Rosemore Eye Care, P.A. Ellis County | Condado de Ellis Cleburne Eye Clinic 4901 Windhaven Pkwy, Ste 100 4460 E Hwy 287, Ste A Specialty Care Physicians & Other Providers/ The Colony, TX 75056-6757 Brown, Marvin W, OD Midlothian, TX 76065 (972) 596-2224 (972) 775-8000 Eff 01-Apr-15 Médicos de cuidado especializado y otros proveedores Myers, Lee A, OD Marvin W Brown, III, OD, PA Brown, Marvin W, OD Eff 23-Mar-18 700 E Ennis Ave Eff 01-Apr-15 Colony Vision Center Ennis, TX 75119 Marvin W Brown, III, OD, PA 4709 Hwy 121, Ste 122 (972) 937-6655 1200 N Hwy 77, Ste A The Colony, TX 75056-2903 Bullard, Heath L, OD Waxahachie, TX 75165 (972) 625-2020 Eff 01-Nov-15 (972) 937-6655 Prescott, Jason A, OD Cleburne Eye Clinic Le, Clara , OD Eff 01-Mar-16 4460 E Hwy 287, Ste A Eff 26-Dec-18 Colony Vision Center Midlothian, TX 76065 Marvin W Brown, III, OD, PA 4709 Hwy 121, Ste 122 (972) 775-8000 1200 N Hwy 77, Ste A The Colony, TX 75056-2903 • Languages spoken / Idioma(s) Waxahachie, TX 75165 (972) 625-2020 hablado(s): Spanish (972) 937-6655 Rosemore, Corey , OD Eylar, Crystal , OD Robinson, Alex J, OD Eff 01-Aug-16 Eff 16-Sep-16 Eff 01-Dec-14 Rosemore Eye Care Cleburne Eye Clinic Private Practice 4901 Windhaven Pkwy, Ste 100 4460 E Hwy 287, Ste A 427 N College The Colony, TX 75056-4131 Midlothian, TX 76065 Waxahachie, TX 75165 (972) 596-2224 (972) 775-8000 (972) 937-1001 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 299 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hill County | Condado de Hill Nguyen, Boi-Dieu H, OD Hunt County | Condado de Eff 02-May-19 Hunt Loven, Travis , OD Kleiman Evangelista Eye Center 600 S Harbor Ct Eff 01-Oct-14 Musgrove, Meridith , OD Neil M Bealka, Jr, MD, PA Granbury, TX 76048 (817) 784-0222 Eff 01-May-16 1400 East Franklin ECSC, II PA Hillsboro, TX 76645 Reuter, Kyle , OD 4501 Joe Ramsey Blvd, Ste 220 (254) 582-0282 Eff 22-Oct-19 Greenville, TX 75401-7840 • Languages spoken / Idioma(s) Kleiman Evangelista Eye Center (214) 361-1443 hablado(s): Spanish 600 S Harbor Ct • Languages spoken / Idioma(s) Eubank, Lon , OD Granbury, TX 76048- hablado(s): Spanish Eff 01-Jan-14 (817) 784-0222 Johnson County | Condado de Whitney Family Eyecare Sbenaty, Lema , OD 1221 N Brazos Ste B Eff 22-Oct-19 Johnson Whitney, TX 76692 Kleiman Evangelista Eye Center (254) 694-3435 600 S Harbor Ct Hall, Jessica , OD Granbury, TX 76048 Eff 15-May-17 Hood County | Condado de (817) 784-0222 Berry Eye Center, PA Hood • Languages spoken / Idioma(s) 2790 SW Wilshire Blvd hablado(s): Arabic Burleson, TX 76028 Ehie, Chinazo C, OD (817) 484-2020 Eff 02-Oct-19 Sorrell, Nancy C, OD Eff 13-Jul-18 Seabert, William R, OD Specialty Care Physicians & Other Providers/ Kleiman Evangelista Eye Center Eff 01-Sep-19 600 S Harbor Ct Granbury Eye Clinic 1201 Medical Plz Ct Seabert Eye Care, PC Médicos de cuidado especializado y otros proveedores Granbury, TX 76048 1305 Hillside Dr (817) 784-0222 Granbury, TX 76048-5684 (817) 279-9044 Burleson, TX 76028-8681 Glanzer, Mark , OD (817)297-3736 Ext. 104 Eff 26-Sep-19 Tran, Jimmy , OD Eff 11-Oct-16 Brown, Corwin , OD Kleiman Evangelista Eye Center Eff 01-Nov-15 600 S Harbor Ct Kleiman Evangelista Eye Center 600 S Harbor Ct Cleburne Eye Clinic Granbury, TX 76048 110 W Henderson (817)784-0222 Granbury, TX 76048 (817) 784-0222 Cleburne, TX 76031 James, Michael R, OD • Languages spoken / Idioma(s) (817) 645-2411 Eff 03-Dec-18 hablado(s): Vietnamese • Languages spoken / Idioma(s) Kleiman Evangelista Eye Center hablado(s): Spanish 600 S Harbor Ct Virani, Nadia , OD Eff 16-Sep-16 Brown, Corwin , OD Granbury, TX 76048 Eff 01-Nov-15 (817) 784-0222 Kleiman Evangelista Eye Center 600 S Harbor Ct Cleburne Eye Clinic • Languages spoken / Idioma(s) 839 N Nolan River Rd hablado(s): Spanish Granbury, TX 76048 (817) 784-0222 Cleburne, TX 76033-7001 Nguyen, Angeline T, OD • Languages spoken / Idioma(s) (817) 645-2411 Eff 22-Jul-19 hablado(s): Spanish • Languages spoken / Idioma(s) Kleiman Evangelista Eye Center hablado(s): Spanish 600 S Harbor Ct Granbury, TX 76048 (817) 784-0222

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 300 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bullard, Heath L, OD Wedel, Karl L, OD Redder, Ronald , OD Eff 01-Nov-15 Eff 01-Nov-15 Eff 15-Nov-18 Cleburne Eye Clinic Cleburne Eye Clinic First Eye Care Corsicana 839 N Nolan River Rd 839 N Nolan River Rd 400 N 15th St Cleburne, TX 76033-7001 Cleburne, TX 76033-7001 Corsicana, TX 75110-4514 (817) 645-2411 (817) 645-2411 (903) 872-2561 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Kaufman County | Condado de hablado(s): Spanish Kaufman Eylar, Crystal , OD Parker County | Condado de Eff 16-Sep-16 Cleburne Eye Clinic Tran, Joey D, OD Parker 839 N Nolan River Rd Eff 01-May-17 Cleburne, TX 76033-7001 Forney Eye Associates Annunziato, Tom , OD (817) 645-2411 780 E US Hwy 80, Ste 160 Eff 15-Jan-18 Forney, TX 75126 First Eye Care Johnson, Denise , OD (972) 552-9681 702 S Main Eff 27-May-16 Weatherford, TX 76086 Cleburne Eye Clinic Wilson, Kent A, OD (817) 594-2121 839 N Nolan River Rd Eff 01-Sep-17 Cleburne, TX 76033-7001 Premier Vision Latimer, Michael J, OD (817) 645-2411 152 9th St Eff 15-Jan-18 Terrell, TX 75160-3088 First Eye Care Kuykendall, Traci , OD (972) 563-5533 702 S Main Eff 01-Nov-15 Weatherford, TX 76086 Specialty Care Physicians & Other Providers/ Cleburne Eye Clinic Navarro County | Condado de (817) 594-2121 839 N Nolan River Rd Navarro Médicos de cuidado especializado y otros proveedores Cleburne, TX 76033-7001 Myers, Judy M, OD (817) 645-2411 Eff 15-Apr-14 Brown, Marvin W, OD Ophthalmology Associates Martin, Joe R, OD Eff 01-Apr-15 804 Santa Fe Eff 01-Nov-15 Marvin W Brown, III, OD, PA Weatherford, TX 76086 Cleburne Eye Clinic 3801 W State Hwy 31 (817) 594-9500 839 N Nolan River Rd Corsicana, TX 75110 Cleburne, TX 76033-7001 (972) 937-6655 Shepard, Joli , OD (817) 645-2411 Eff 15-Jan-18 Ewing, Daniel , OD First Eye Care Pollard, Paige A, OD Eff 01-May-18 702 S Main Eff 01-Nov-15 Gold Eye Clinic Weatherford, TX 76086 Cleburne Eye Clinic 800 N Beaton (817) 594-2121 110 W Henderson Corsicana, TX 75110-3149 Cleburne, TX 76031 (903) 874-0005 Rockwall County | Condado de (817) 645-2411 Le, Clara , OD Rockwall Pollard, Paige A, OD Eff 26-Dec-18 Eff 01-Nov-15 Marvin W Brown, III, OD, PA Jacob, Anita M, OD Cleburne Eye Clinic 3801 W State Hwy 31 Eff 15-May-19 839 N Nolan River Rd Corsicana, TX 75110 Key-Whitman Eye Center Cleburne, TX 76033-7001 (972) 937-6655 2380 S Goliad St, Ste 100 (817) 645-2411 Rockwall, TX 75032-6504 (214) 754-0000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 301 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Schmidlap, Brent , OD Jacob, Anita M, OD Reuter, Kyle , OD Eff 01-Dec-17 Eff 15-May-19 Eff 22-Oct-19 Rockwall Precision Eyecare PLLC Key-Whitman Eye Center Kleiman Evangelista Eye Center 2931 Ridge Rd, Ste 109 910 N Davis Dr Ste 400 350 E I20 Rockwall, TX 75032-6668 Arlington, TX 76012-3200 Arlington, TX 76018-1119 (972) 772-2644 (214) 754-0000 (817) 784-0222 Williams, Michelle Munn, OD James, Michael R, OD Sbenaty, Lema , OD Eff 15-Jul-19 Eff 03-Dec-18 Eff 22-Oct-19 Southern Eyecare Kleiman Evangelista Eye Center Kleiman Evangelista Eye Center 7252 FM 35 350 E I-20 350 E I-20 Royse City, TX 75189-9701 Arlington, TX 76018-1119 Arlington, TX 76018-1119 (972) 636-3937 (817) 784-0222 (817) 784-0222 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Tarrant County | Condado de hablado(s): Spanish hablado(s): Arabic Tarrant Karanges, Gayle A, OD Schunk, Isaac S, OD Eff 15-Dec-17 Eff 01-Aug-19 Curtis, Wiley F, OD First Eye Care North Arlington Arlington Vision Source Eff 01-Apr-16 4110 N Collins 1334 East Pioneer Pkwy Private Practice Arlington, TX 76005-4506 Arlington, TX 76010-6411 1334 E Pioneer Pkwy (817) 860-9050 (817) 461-4453 Arlington, TX 76010 (817) 461-4453 Murr, Edwin , OD Tran, Jimmy , OD Eff 01-Jul-16 Eff 11-Oct-16 Specialty Care Physicians & Other Providers/ Ehie, Chinazo C, OD Edwin V Murr OD PC Kleiman Evangelista Eye Center Eff 02-Oct-19 1334 E Pioneer Pkwy 350 E I-20 Médicos de cuidado especializado y otros proveedores Kleiman Evangelista Eye Center Arlington, TX 76010 Arlington, TX 76018-1119 350 E I-20 (817) 461-4453 (817) 784-0222 Arlington, TX 76018-1119 • Languages spoken / Idioma(s) (817) 784-0222 Nguyen, Angeline T, OD hablado(s): Vietnamese Eff 22-Jul-19 Glanzer, Mark , OD Kleiman Evangelista Eye Center Virani, Nadia , OD Eff 26-Sep-19 350 E I-20 Eff 16-Sep-16 Kleiman Evangelista Eye Center Arlington, TX 76018-1119 Kleiman Evangelista Eye Center 350 E I-20 (817) 784-0222 350 E I-20 Arlington, TX 76018-1119 Arlington, TX 76018-1119 (817) 784-0222 Nguyen, Boi-Dieu H, OD (817) 784-0222 Eff 02-May-19 • Languages spoken / Idioma(s) Hildebrand, Matthew , OD Kleiman Evangelista Eye Center hablado(s): Spanish Eff 14-May-19 350 E I-20 Kleiman Evangelista Eye Center Arlington, TX 76018-1119 Strong, Jamie S, OD 350 E I-20 (817) 784-0222 Eff 15-Oct-18 Arlington, TX 76018-1119 Azle Vision Source (817) 784-0222 Nguyen, Van Vi , OD 601 NW Parkway, Ste B Eff 15-Dec-17 Azle, TX 76020-2930 Jacob, Anita M, OD First Eye Care North Arlington (817) 444-1717 Eff 15-May-19 2301 N Collins # 124 Key-Whitman Eye Center Arlington, TX 76011-2662 Catuncan, Jennifer R, OD 400 W Arbrook Blvd Ste 121 (817) 860-9050 Eff 05-Apr-17 Arlington, TX 76014-3178 First Eye Care Bedford (214) 754-0000 2400 Airport Fwy, Ste 140 Bedford, TX 76022 (817) 284-2964

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 302 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nguyen, Dat , OD Dehn, Kara L, OD Le, Jacqueline S, OD Eff 01-Feb-17 Eff 20-Jul-20 Eff 01-Jun-19 First Eye Care Bedford HealthDrive Eye Care Group Visual Eyes 2400 Airport Fwy, Ste 140 2413 E Lp 820 N 6100 Bryant Irvin Rd Bedford, TX 76022 Fort Worth, TX 76118-6933 Fort Worth, TX 76132-4119 (817) 284-2964 (888) 964-6681 (817) 294-2800 • Languages spoken / Idioma(s) hablado(s): Spanish Fabrygel, Bethany , OD Loe, Valerie , OD Eff 01-Sep-18 Eff 01-Sep-18 De Grasse, Jane , OD HealthDrive Eye Care Group HealthDrive Eye Care Group Eff 09-Aug-16 2413 E Lp 820 N 2413 E Lp 820 N De Grasse & Ratliff Eye Center Fort Worth, TX 76118 Fort Worth, TX 76118 300 Mercedes St (888) 964-6681 (888) 964-6681 Benbrook, TX 76126-2593 • Languages spoken / Idioma(s) (817) 249-4078 Haselhorst, Erik , OD hablado(s): Spanish Eff 01-Sep-18 Ratliff, Jennifer , OD HealthDrive Eye Care Group Mason, Timothy , OD Eff 15-Aug-16 2413 E Lp 820 N Eff 01-Sep-18 De Grasse & Ratliff Eye Center Fort Worth, TX 76118 HealthDrive Eye Care Group 300 Mercedes St (888) 964-6681 2413 East Lp 820 N Benbrook, TX 76126-2593 • Languages spoken / Idioma(s) Fort Worth, TX 76118 (817) 249-4078 hablado(s): French (888) 964-6681 • Languages spoken / Idioma(s) Helbert-Green, Carolyn L, OD Head, Michael K, OD hablado(s): Spanish Eff 01-Mar-19 Eff 11-Apr-19 Specialty Care Physicians & Other Providers/ Colleyville Vision Associates Texas Eye & Laser Center, PA Moore, David A, OD 1213 Hall Johnson Rd, Ste 300 3405 Locke Ave Ste 100 Eff 15-Jan-19 Colleyville, TX 76034-5847 Fort Worth, TX 76107 Clear Eye Associates Plus Optical Médicos de cuidado especializado y otros proveedores (817) 428-0400 (817) 731-8080 PC 5912 Convair Drive, Ste 208 Webb, Crystin D, OD Holub, Leigh Ann, OD Fort Worth, TX 76109 Eff 01-Mar-19 Eff 01-Sep-18 (817) 880-7917 Colleyville Vision Associates HealthDrive Eye Care Group 1213 Hall Johnson Rd, Ste 300 2413 E Lp 820 N Morer, Jeffrey L, OD Colleyville, TX 76034-5847 Fort Worth, TX 76118 Eff 01-Sep-18 (817) 428-0400 (888) 964-6681 HealthDrive Eye Care Group 2413 E Lp 820 N Altig, William , OD Hong, Linh , OD Fort Worth, TX 76118 Eff 01-Jul-16 Eff 01-Sep-18 (888) 964-6681 Altig Optical HealthDrive Eye Care Group 3451 Western Ctr Blvd 2413 E Lp 820 N Myers, Judy M, OD Fort Worth, TX 76137-3101 Fort Worth, TX 76118 Eff 15-Apr-14 (817) 847-0030 (888) 964-6681 Ophthalmology Associates 1201 Summit Ave Annunziato, Tom , OD Latimer, Michael J, OD Fort Worth, TX 76102-4413 Eff 15-Jan-18 Eff 15-Jan-18 (817) 332-2020 First Eye Care First Eye Care 3608 Altamesa Blvd, Ste A 3608 Altamesa Blvd, Ste A Patel, Neha , OD Fort Worth, TX 76133-5641 Fort Worth, TX 76133-5641 Eff 06-Dec-17 (817) 346-2020 (817) 346-2020 Altig Optical 3451 Western Ctr Blvd Fort Worth, TX 76137-3101 (817) 847-0030

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 303 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Phan, Linh V, OD West, Keira , OD Latham, Jerry L, OD Eff 09-Dec-18 Eff 01-Jun-19 Eff 01-Sep-19 HealthDrive Eye Care Group Visual Eyes Eye Associates of Grapevine 2413 East Lp 820 N 6100 Bryant Irvin Rd 819 Ira E Woods Ave Fort Worth, TX 76118-6933 Fort Worth, TX 76132-4119 Grapevine, TX 76051-4012 (888) 964-6681 (817) 294-2800 (817) 488-4893 Poonawala, Alisha , OD Lee, Aaron , OD Latham, Jerry L, OD Eff 01-Dec-18 Eff 01-Feb-19 Eff 01-Sep-19 Pack Optical Insight Eye Associates Harwood Vision Clinic, LLP 1217 Oak Knoll 3924 North Tarrant Pkwy 819 Ira E Woods Ave Fort Worth, TX 76117-5505 Ft Worth, TX 76244-5410 Grapevine, TX 76051-4012 (817) 932-2498 (817) 514-2114 (817) 488-4893 • Languages spoken / Idioma(s) Recko, Daniel , OD hablado(s): Cantonese Thai, Dieu T, OD Eff 03-Apr-19 Eff 01-Jun-19 HealthDrive Eye Care Group Pierce, Jordan J, OD Zebrowski Eye Care 2413 East Lp 820 N Eff 01-Feb-19 1319 State Hwy 114 West, Ste Fort Worth, TX 76118-6933 Insight Eye Associates 320 (888) 964-6681 3924 North Tarrant Pkwy Grapevine, TX 76051-8617 Ft Worth, TX 76244-5410 (817) 421-9705 Shepard, Joli , OD (817) 514-2114 Eff 15-Jan-18 Zebrowski, Mark S, OD First Eye Care Chiranand, Vinita , OD Eff 01-Jun-19 3608 Altamesa Blvd, Ste A Eff 01-Jun-19 Zebrowski Eye Care Specialty Care Physicians & Other Providers/ Fort Worth, TX 76133-5641 Zebrowski Eye Care 1319 State Hwy 114 West, Ste (817) 346-2020 1319 State Hwy 114 West, Ste 320 Médicos de cuidado especializado y otros proveedores 320 Grapevine, TX 76051-8617 Snyder, Jeffrey S, OD Grapevine, TX 76051-8617 (817) 421-9705 Eff 20-Jul-20 (817) 421-9705 HealthDrive Eye Care Group Bate, Joy , OD 2413 E Lp 820 N Dinh, Catherine T, OD Eff 01-Jun-16 Fort Worth, TX 76118-6933 Eff 01-Jun-19 Joy Family Eye Care PLLC (888) 964-6681 Zebrowski Eye Care 1449 Avondale Haslet Rd 1319 State Hwy 114 West, Ste Haslet, TX 76052 Tran, Tara , OD 320 (817) 439-5400 Eff 15-Sep-16 Grapevine, TX 76051-8617 • Languages spoken / Idioma(s) Private Practice (817) 421-9705 hablado(s): Spanish 5300 Overton Ridge Blvd Fort Worth, TX 76132 Grace, Michael L, OD Thomas, Whitney , OD (817) 292-9888 Eff 01-Sep-19 Eff 01-Jun-16 • Languages spoken / Idioma(s) Eye Associates of Grapevine Joy Family Eye Care PLLC hablado(s): Spanish 819 Ira E Woods Ave 1449 Avondale Haslet Rd Grapevine, TX 76051-4012 Haslet, TX 76052 Webb, Stacey L, OD (817) 488-4893 (817) 439-5400 Eff 22-May-19 Texas Eye & Laser Center, PA Granado-Chaney, ReeDee , OD Bean, Richelle , OD 3405 Locke Ave, Ste 100 Eff 01-Sep-19 Eff 01-Aug-16 Fort Worth, TX 76107 Eye Associates of Grapevine First Eye Care (817) 731-8080 819 Ira E Woods Ave 751 Mid Cities Blvd, Ste A Grapevine, TX 76051-4012 Hurst, TX 76054 (817) 488-4893 (817) 656-2020

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 304 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chiranand, Vinita , OD Thai, Dieu T, OD Pham, Kim , OD Eff 01-Jun-19 Eff 01-Jun-19 Eff 15-Aug-16 Zebrowski Eye Care Zebrowski Eye Care Select Vision Care 1101 Melbourne Rd, Ste 3091 1101 Melbourne Rd, Ste 3091 1740 N Hwy 157 Hurst, TX 76053-6054 Hurst, TX 76053-6054 Mansfield, TX 76063 (817) 284-8686 (817) 284-8686 (682) 518-8018 Choksi, Viren S, OD Zebrowski, Mark S, OD Rea, Paul , OD Eff 03-Feb-17 Eff 01-Jun-19 Eff 01-May-19 First Eye Care Zebrowski Eye Care Vision Source- NRH 751 Mid Cities Blvd, Ste A 1101 Melbourne Rd, Ste 3091 5755 Rufe Snow Dr, Ste 100 Hurst, TX 76054 Hurst, TX 76053-6054 North Richland Hills, TX 76180 (817) 656-2020 (817) 284-8686 (817) 656-1111 Dinh, Catherine T, OD Abraham, Manoj , OD Schwartz, Arlene , OD Eff 01-Jun-19 Eff 06-Apr-20 Eff 15-Aug-16 Zebrowski Eye Care Haven Eyecare PLLC Advantage Eyecare 1101 Melbourne Rd, Ste 3091 1150 Whitley Rd 6509 Precinct Line Rd Hurst, TX 76053-6054 Keller, TX 76248-3038 North Richland Hills, TX 76182 (817) 284-8686 (210) 602-1140 (817) 788-2020 Head, Michael K, OD King, Kenneth B, OD Schwartz, Mark , OD Eff 11-Apr-19 Eff 03-Dec-18 Eff 15-Aug-16 Texas Eye & Laser Center, PA Alliance Ophthalmology, PLLC Advantage Eyecare 1872 Norwood Dr, Ste 200 4501 Heritage Trace Parkway, Ste 6509 Precinct Line Rd Specialty Care Physicians & Other Providers/ Hurst, TX 76054 121 North Richland Hills, TX 76182 (817) 540-6060 Keller, TX 76244-8944 (817) 788-2020 (817) 442-2020 Médicos de cuidado especializado y otros proveedores Hughes, Blake , OD Morais, Daniel D, OD Eff 01-Aug-16 Thomas, Pamela , OD Eff 15-Apr-17 First Eye Care Eff 01-Sep-17 Care Optometry PC 751 Mid Cities Blvd, Ste A Keller Eye Care 1401 North Saginaw Blvd Hurst, TX 76054 601 S Main St, Ste 250 Saginaw, TX 76179 (817) 656-2020 Keller, TX 76248 (817) 306-9400 (817) 379-6200 Hughes, Craig , OD Ehie, Chinazo C, OD Eff 01-Aug-16 Conte, Michael D, OD Eff 02-Oct-19 First Eye Care Eff 01-Nov-19 Kleiman Evangelista Eye Center 751 Mid Cities Blvd, Ste A Lake Worth Vision Source 1825 E Southlake Blvd Hurst, TX 76054 6636 Lake Worth Blvd, Ste 300 Southlake, TX 76092-6501 (817) 656-2020 Lake Worth, TX 76135-3026 (817) 784-0222 (817) 626-4441 Orth, Helen , OD Hildebrand, Matthew , OD Eff 15-Aug-16 Stewart, Brandi E, OD Eff 14-May-19 Trinity Vision Eff 01-Nov-19 Kleiman Evangelista Eye Center 1629 Precinct Line Rd Lake Worth Vision Source 1825 E Southlake Blvd Hurst, TX 76054 6636 Lake Worth Blvd, Ste 300 Southlake, TX 76092-6501 (817) 656-7222 Lake Worth, TX 76135-3026 (817) 784-0222 (817) 626-4441

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 305 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ibrahim, Fatima , OD Tran, Jimmy , OD Dallas County | Condado de Eff 06-Apr-20 Eff 11-Oct-16 Southlake Eyes Now Kleiman Evangelista Eye Center Dallas 1251 E Southlake Blvd Ste 331 1825 E Southlake Blvd Southlake, TX 76092-6478 Southlake, TX 76092-6501 Kang, David , MD (817) 668-6393 (817) 784-0222 Eff 13-Feb-17 • Languages spoken / Idioma(s) Head & Neck Surgery of North James, Michael R, OD hablado(s): Vietnamese Texas PLLC Eff 03-Dec-18 1411 N Beckley Ave, Ste 152 Kleiman Evangelista Eye Center Virani, Nadia , OD Dallas, TX 75203 1825 E Southlake Blvd Eff 16-Sep-16 (469) 713-2038 Southlake, TX 76092-6501 Kleiman Evangelista Eye Center • Languages spoken / Idioma(s) (817) 784-0222 1825 E Southlake Blvd hablado(s): Korean • Languages spoken / Idioma(s) Southlake, TX 76092-6501 hablado(s): Spanish (817) 784-0222 Brown, Brandon R, DDS * • Languages spoken / Idioma(s) Eff 01-May-15 Nguyen, Angeline T, OD hablado(s): Spanish Northern Texas Facial & Oral Eff 22-Jul-19 Surgery Kleiman Evangelista Eye Center Wang, Xinnan , OD 440 W IH 635, Ste 445 1825 E Southlake Blvd Eff 04-Nov-19 Irving, TX 75063 Southlake, TX 76092-6501 2020 EyeDr PLLC (972) 401-8301 (817) 784-0222 1251 E Southlake Blvd, Ste 331 Southlake, TX 76092-6478 Buchmann, Craig E, DDS * Nguyen, Boi-Dieu H, OD (817) 668-6393 Eff 01-May-15 Eff 02-May-19 Northern Texas Facial & Oral Specialty Care Physicians & Other Providers/ Kleiman Evangelista Eye Center Abraham, Manoj , OD Surgery 1825 E Southlake Blvd Eff 06-Apr-20 440 W IH 635, Ste 445 Médicos de cuidado especializado y otros proveedores Southlake, TX 76092-6501 Haven Eyecare PLLC Irving, TX 75063 (817) 784-0222 8001 Western Hills Blvd (972) 401-8301 White Settlement, TX 76108-3524 Reuter, Kyle , OD (210) 602-1140 Hunter, David K, DDS * Eff 22-Oct-19 Eff 01-May-15 Kleiman Evangelista Eye Center Oral & Maxillofacial Surgery/ Northern Texas Facial & Oral 1825 E Southlake Blvd Cirugía oral y maxilofacial Surgery Southlake, TX 76092-6501 440 W IH 635, Ste 445 (817) 784-0222 Collin County | Condado de Irving, TX 75063 (972) 401-8301 Saakova, Lilit , OD Collin Eff 10-Mar-20 Spingola, Dean B, MD * 2020 EyeDr PLLC Selkin, Gilbert T, MD Eff 01-May-15 1251 E Southlake Blvd Ste 331 Eff 27-Jun-18 Northern Texas Facial & Oral Southlake, TX 76092-6478 US Dermatology Associates Surgery (817) 668-6393 5030 Tennyson Pkwy, Ste 100 440 W IH 635, Ste 445 Plano, TX 75024 Irving, TX 75063 Sbenaty, Lema , OD (972) 985-1176 (972) 401-8301 Eff 22-Oct-19 Kleiman Evangelista Eye Center Selkin, Gilbert T, MD 1825 E Southlake Blvd Eff 27-Jun-18 Southlake, TX 76092-6501 US Dermatology Associates (817) 784-0222 5030 Tennyson Pkwy, Ste 200 • Languages spoken / Idioma(s) Plano, TX 75024 hablado(s): Arabic (972)985-9003

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 306 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Denton County | Condado de Buchmann, Craig E, DDS * Spingola, Dean B, MD * Eff 01-May-15 Eff 01-May-15 Denton Northern Texas Facial & Oral Northern Texas Facial & Oral Surgery Surgery Brown, Brandon R, DDS * 1612 Lancaster Dr 1139 Keller Pkwy Eff 01-May-15 Grapevine, TX 76051 Keller, TX 76248 Northern Texas Facial & Oral (817) 451-3531 (817) 379-1654 Surgery 4130 Justin Rd Ste 105 Hunter, David K, DDS * Orthopaedic Sports Medicine/ Flower Mound, TX 75077 Eff 01-May-15 Medicina deportiva ortopédica (817) 451-3531 Northern Texas Facial & Oral Surgery Tarrant County | Condado de Buchmann, Craig E, DDS * 1612 Lancaster Dr Eff 01-May-15 Grapevine, TX 76051 Tarrant Northern Texas Facial & Oral (817) 451-3531 Surgery Pham, Linda , MD 4130 Justin Rd Ste 105 Spingola, Dean B, MD * Eff 21-Sep-20 Flower Mound, TX 75077 Eff 01-May-15 Wound Integrity (817) 451-3531 Northern Texas Facial & Oral 1300 W Rosedale St Ste A Surgery Fort Worth, TX 76104 Hunter, David K, DDS * 1612 Lancaster Dr (817) 730-5300 Eff 01-May-15 Grapevine, TX 76051 Northern Texas Facial & Oral (817) 451-3531 Pham, Linda , MD Surgery Eff 21-Sep-20 4130 Justin Rd Ste 105 Brown, Brandon R, DDS *

Wound Integrity Specialty Care Physicians & Other Providers/ Flower Mound, TX 75077 Eff 01-May-15 1325 Pennsylvania Ave Ste 750 (817) 379-1654 Northern Texas Facial & Oral Fort Worth, TX 76104 Surgery (817) 250-1970 Médicos de cuidado especializado y otros proveedores Spingola, Dean B, MD * 1139 Keller Pkwy Eff 01-May-15 Keller, TX 76248 Pham, Linda , MD Northern Texas Facial & Oral (817) 379-1654 Eff 21-Sep-20 Surgery Wound Integrity 4130 Justin Rd Ste 105 Buchmann, Craig E, DDS * 7777 Forest Lane Ste C239 Flower Mound, TX 75077 Eff 01-May-15 Fort Worth, TX 75130 (817) 451-3531 Northern Texas Facial & Oral (972) 566-4868 Surgery Tarrant County | Condado de 1139 Keller Pkwy Orthopaedic Surgery/ Cirugía ortopédica Tarrant Keller, TX 76248 (817) 379-1654 Collin County | Condado de Brown, Brandon R, DDS * Hunter, David K, DDS * Eff 01-May-15 Eff 01-May-15 Collin Northern Texas Facial & Oral Northern Texas Facial & Oral Surgery Surgery Thomas, Darryl B, MD 1612 Lancaster Dr 1139 Keller Pkwy Eff 13-Jul-18 Grapevine, TX 76051 Keller, TX 76248 Direct Orthopedic Care (DOC LLC) (817) 451-3531 (817) 379-1654 9500 Dallas Pkwy, Ste 100 Frisco, TX 75034-4120 (972) 987-0970 • Languages spoken / Idioma(s) hablado(s): French

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 307 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Thomas, Darryl B, MD Mathew, Stephen T, MD Ellis County | Condado de Ellis Eff 13-Jul-18 Eff 30-Oct-19 Direct Orthopedic Care (DOC LLC) Baylor Scott & White Physical Mathew, Stephen T, MD 4600 El Dorado Pkwy Ste 600 Medicine and Rehabilitation Ph Eff 30-Oct-19 McKinney, TX 75070-5762 3717 Gaston Ave Ste 965 Baylor Scott & White Physical (972) 987-0970 Dallas, TX 75246 Medicine and Rehabilitation Ph • Languages spoken / Idioma(s) (469) 800-9790 2460 N IH-35 E Ste 225 hablado(s): French Sackett, James R, MD Waxahachie, TX 75165-5273 Thomas, Darryl B, MD Eff 17-Jul-20 (469) 800-9790 Eff 13-Jul-18 WB Carrell Memorial Clinic Direct Orthopedic Care (DOC LLC) 9301 N Central Expy Tower 1 Ste Hood County | Condado de 6505 W Park Blvd Ste 100 500 Hood Plano, TX 75093-6371 Dallas, TX 75231 (817) 810-1620 (214) 220-2468 McAngus, Jillian K, MD • Languages spoken / Idioma(s) Eff 22-Oct-20 hablado(s): French Stanley, James , MD Cross Timbers Orthopaedics PA Eff 13-Feb-20 2800 Village Rd Dallas County | Condado de NTOS PLLC Granbury, TX 76049-4194 1130 Beachview St Ste 100 (817) 573-0444 Dallas Dallas, TX 75218-3702 (469) 341-5676 Avramis, Ioannis A, MD Kaufman County | Condado de Eff 13-Nov-20 Thomas, Darryl B, MD Kaufman Baylor Scott & White Spine & Eff 13-Jul-18 Specialty Care Physicians & Other Providers/ Scoliosis Center Direct Orthopedic Care (DOC LLC) Stanley, James , MD 3900 Junius St Ste 705 3014 N O Connor Rd, Ste 110 Eff 13-Feb-20 Médicos de cuidado especializado y otros proveedores Dallas, TX 75246 Irving, TX 75062-4415 NTOS PLLC (469) 800-8800 (214) 444-5558 874 W Hwy 243 Ste 110 • Languages spoken / Idioma(s) Kaufman, TX 75142 Baker, John A, MD hablado(s): French (469) 341-5676 Eff 01-Dec-14 WB Carrell Memorial Clinic Denton County | Condado de Rockwall County | Condado de 9301 N Central Expy Ste 500 Tower I Denton Rockwall Dallas, TX 75231 (214) 220-2468 Thomas, Darryl B, MD Acree, Joshua S, DO Eff 13-Jul-18 Eff 17-Jul-20 Blalock, Ryan E, MD Direct Orthopedic Care (DOC LLC) Lake Pointe Orthopaedics Eff 13-Nov-20 3412 E Hebron Pkwy, Ste 106 Associates PA Baylor Scott & White Hand and Carrollton, TX 75010-4451 3136 Horizon Rd Ste 100 Upper Extremity Specialists (972) 810-1620 Rockwall, TX 75032 3900 Junius St Ste 705 • Languages spoken / Idioma(s) (972) 475-8914 Dallas, TX 75246 hablado(s): French (469) 800-8800 Thomas, Darryl B, MD Brodsky, James W, MD Eff 13-Jul-18 Eff 01-Jan-14 Direct Orthopedic Care (DOC LLC) Baylor Scott & White Orthopedic 3100 Unicorn Lake Blvd, Ste 120 Associates of Dallas Denton, TX 76210-1544 3900 Junius St, Ste 500 (672) 984-7520 Dallas, TX 75246-1621 • Languages spoken / Idioma(s) (469) 800-7200 hablado(s): French

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 308 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tarrant County | Condado de Orthopaedics/ Ortopedia Carll, Kendall E, MD Eff 01-Oct-18 Tarrant Collin County | Condado de Spine Care of North Texas 4461 Coit Rd, # 101 Wong, Christopher M, MD Collin Frisco, TX 75035-0522 Eff 01-Jan-14 (469) 998-2273 Family Orthopedic and Burg, Richard , MD Rehabilitation, LLP Eff 14-Jun-19 Chu, Jennifer Y, MD 609 Matlock Centre Cir Total Orthopedic Sports & Spine Eff 01-Jan-14 Arlington, TX 76015-2535 1125 Raintree Circle Ste 100 Baylor Scott & White Orthopedic (817) 676-9046 Allen, TX 75013 Associates of Dallas • Languages spoken / Idioma(s) (972)727-9995 3800 Gaylord Pkwy Ste 810 hablado(s): Chinese Frisco, TX 75034 Davis, Jason A, MD (469) 800-7200 Haile, Nathan B, MD Eff 14-Nov-19 Eff 22-Oct-20 Total Orthopedic Sports & Spine Diehl, Troy Chester, DO Texas Orthopedic Specialists 1125 Raintree Circle, Ste 100 Eff 01-Dec-14 PLLC Allen, TX 75013 Performance Orthopedics & Sports 2425 Highway 121 (972) 727-9995 Medicine Clinic, PA Bedford, TX 76021 14660 State Highwat 121, Ste 100 (817) 540-4477 Jones-Quaidoo, Sean M, MD Frisco, TX 75035-4630 Eff 01-Sep-15 (214) 705-6611 House, Michael A, MD Spine Vue, PLLC Eff 21-Sep-20 1111 Raintree Circle, Ste 170 Dold, Andrew P, MD Texas Orthopedic Specialists Eff 21-Oct-18

Allen, TX 75013-4902 Specialty Care Physicians & Other Providers/ PLLC (214) 452-7705 Star Orthopedics and Sports 3537 S Interstate 35 E Medicine, PLLC Denton, TX 76210 Rodgers, Harold L, MD 5550 Warren Pkwy, Ste 200 Médicos de cuidado especializado y otros proveedores (817) 540-4477 Eff 14-Jun-19 Frisco, TX 75034 Total Orthopedic Sports & Spine (469) 850-0680 Haile, Nathan B, MD 1125 Raintree Circle Ste 100 Eff 22-Oct-20 Allen, TX 75013 Douthit, Bruce E, MD Texas Orthopedic Specialists (972)727-9995 Eff 01-Mar-15 PLLC Orthopedic and Sports Injury 10932 North Riverside Dr Ste 108 Peloza, John H, MD Specialists Fort Worth, TX 76244 Eff 15-Apr-15 4461 Coit Rd, Ste 101 (817) 540-4477 Center for Spine Care Frisco, TX 75035 17980 Dallas Pkwy, Ste 300 (972) 335-8455 Thomas, Darryl B, MD Dallas, TX 75287 Eff 13-Jul-18 (214) 378-7200 Estrera, Kenneth , MD Direct Orthopedic Care (DOC LLC) Eff 29-May-19 2419 W Southlake Blvd, Ste 100 Black, Sheena R, MD TMI Sports Medicine & Orthopedic Southlake, TX 76092-6718 Eff 07-Jul-17 Surgery, PA (817) 809-2660 Baylor Scott & White Orthopedic 5680 Frisco Square Blvd • Languages spoken / Idioma(s) Associates of Dallas Frisco, TX 75034-3323 hablado(s): French 3800 Gaylord Pkwy Ste 810 (817) 419-0303 Frisco, TX 75034 (469) 800-7200 Flanagin, Brody A, MD Eff 01-Jan-14 Baylor Scott & White Orthopedic Associates of Dallas 3800 Gaylord Pkwy Ste 810 Frisco, TX 75034 (469) 800-7200

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 309 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Flanagin, Brody A, MD Heinrich, John B, MD McNutt, Joseph W, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Aug-15 Baylor Scott & White Orthopedic Baylor Scott & White Orthopedic Joseph W McNutt, MD, PA Associates of Dallas Associates of Dallas 4401 Coit Rd, Ste 407 5575 Warren Pkwy Ste 115 5575 Warren Pkwy Ste 115 Frisco, TX 75035 Frisco, TX 75034-4063 Frisco, TX 75034-4063 (214) 472-8100 (214) 823-7090 (214) 823-7090 • Languages spoken / Idioma(s) hablado(s): Spanish Freese, Andrew P, MD Hennessy, Michael W, MD Eff 05-Aug-18 Eff 15-Sep-16 Medlock, Virgil B, MD Direct Orthopedic Care (DOC LLC) Texas Spine Consultants, LLP Eff 01-Jan-14 9500 Dallas Pkwy Ste 100 4461 Coit Rd, Ste 101 Baylor Scott & White Orthopedic Frisco, TX 75034-4120 Frisco, TX 75035 Associates of Dallas (972) 987-0970 (214) 370-3535 3800 Gaylord Pkwy Ste 810 Frisco, TX 75034 Ghattas, Paul , DO Jones-Quaidoo, Sean M, MD (469) 800-7200 Eff 21-Oct-18 Eff 01-Sep-15 Star Orthopedics and Sports Spine Vue, PLLC Michelsen, Steven W, DO Medicine, PLLC 7589 Preston Rd Ste 500 Eff 01-Mar-15 5550 Warren Pkwy, Ste 200 Frisco, TX 75034 Orthopedic and Sports Injury Frisco, TX 75034 (214) 646-8342 Specialists (469) 850-0680 4461 Coit Rd, Ste 101 Khaleel, Mohammed A, MD Frisco, TX 75035 Hall, Christopher S, MD Eff 29-May-19 (972) 335-8455 Eff 25-Nov-19 TMI Sports Medicine & Orthopedic Specialty Care Physicians & Other Providers/ Direct Orthopedic Care (DOC LLC) Surgery, PA Park, Andrew E, MD 9500 Dallas Pkwy, Ste 100 5680 Frisco Square Blvd Eff 15-Sep-16 Médicos de cuidado especializado y otros proveedores Frisco, TX 75034-4120 Frisco, TX 75034-3323 Texas Spine Consultants, LLP (972)987-0970 (817) 419-0303 4461 Coit Rd, Ste 101 Frisco, TX 75035 Haslam, Sean , MD Lessner, Mark A, MD (214) 370-3535 Eff 14-Sep-15 Eff 05-Nov-18 Texas Orthopedic Partners Performance Orthopedics & Sports Pember, Merritt A, MD 4401 Coit Rd, Ste 203 Medicine Clinic, PA Eff 13-Sep-16 Frisco, TX 75035 14660 State Hwy 121, Ste 100 Direct Orthopedic Care (DOC LLC) (469) 287-7179 Frisco, TX 75035-4629 9500 Dallas Pkwy, Ste 100 (214) 705-6611 Frisco, TX 75034-4120 Hassinger, Sean M, MD (972) 987-0970 Eff 10-Jul-19 Manderson, Michael Scott, MD Direct Orthopedic Care (DOC LLC) Eff 13-Sep-16 Ramnath, Devesh , MD 9500 Dallas Pkwy, Ste 100 Direct Orthopedic Care (DOC LLC) Eff 01-Jan-14 Frisco, TX 75034-4120 9500 Dallas Pkwy, Ste 100 Baylor Scott & White Orthopedic (972) 987-0970 Frisco, TX 75034-4120 Associates of Dallas (972) 987-0970 3800 Gaylord Pkwy Ste 810 Heinrich, John B, MD Frisco, TX 75034 Eff 01-Jan-14 Maurer, Daniel Ryan, DO (469) 800-7200 Baylor Scott & White Orthopedic Eff 01-Dec-14 Associates of Dallas Performance Orthopedics & Sports 3800 Gaylord Pkwy Ste 810 Medicine Clinic, PA Frisco, TX 75034 14660 State Highwat 121, Ste 100 (469) 800-7200 Frisco, TX 75035-4630 (214) 705-6611

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 310 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rhodes, Richard D, MD Viere, Robert G, MD Carll, Kendall E, MD Eff 10-Aug-15 Eff 15-Sep-16 Eff 01-Oct-18 Baylor Scott & White Orthopedic Texas Spine Consultants, LLP Spine Care of North Texas Associates of Dallas 4461 Coit Rd, Ste 101 240 Adriatic Pkwy 5575 Warren Pkwy, Professional Frisco, TX 75035 McKinney, TX 75070-8278 Bldg 1, Ste 115 (214) 370-3535 (469) 998-2273 Frisco, TX 75034-4063 (469) 800-6191 Villarreal, Arturo D, MD Davis, Jason A, MD Eff 27-Sep-18 Eff 14-Nov-19 Rhodes, Richard D, MD Direct Orthopedic Care (DOC LLC) Total Orthopedic Sports & Spine Eff 10-Aug-15 9500 Dallas Pkwy, Ste 100 7300 Eldorado Pkwy, Ste 165 Baylor Scott & White Orthopedic Frisco, TX 75034-4120 McKinney, TX 75070 Associates of Dallas (972) 987-0970 (972) 727-9995 3800 Gaylord Pkwy Ste 810 Frisco, TX 75034 Yousuf, Khalid M, MD Hassinger, Sean M, MD (469) 800-7200 Eff 07-Jul-17 Eff 10-Jul-19 Baylor Scott & White Orthopedic Direct Orthopedic Care (DOC LLC) Royer, Christian T, MD Associates of Dallas 4600 El Dorado Pkwy Ste 600 Eff 01-Jan-14 3800 Gaylord Pkwy Ste 810 McKinney, TX 75070-5762 Baylor Scott & White Orthopedic Frisco, TX 75034 (972) 987-0970 Associates of Dallas (469) 800-7200 3800 Gaylord Pkwy Ste 810 Hostin, Richard A, MD Frisco, TX 75034 Yousuf, Khalid M, MD Eff 15-Feb-17 (469) 800-7200 Eff 07-Jul-17 Southwest Scoliosis Institute Baylor Scott & White Orthopedic 5236 W University Dr, Ste 2900 Specialty Care Physicians & Other Providers/ Setayesh, Kian , MD Associates of Dallas McKinney, TX 75071 Eff 07-Jan-19 5575 Warren Pkwy Professional (972) 985-2797 Direct Orthopedic Care (DOC LLC) Bldg 1 Ste 115 • Languages spoken / Idioma(s) Médicos de cuidado especializado y otros proveedores 9500 Dallas Pkwy, Ste 100 Frisco, TX 75034-4063 hablado(s): Spanish Frisco, TX 75034-4120 (469) 800-6191 (972) 987-0970 Hubert, Mark G, MD Arakal, Rajesh G, MD Eff 15-Jan-20 Syed, Ishaq Y, MD Eff 15-Apr-15 Alpha Orthopedic Physician Eff 08-Jun-15 Texas Back Institute Group, PA Baylor Scott & White Orthopedic 6045 Alma Rd, Ste 360 6850 TPC Dr Ste 118 Associates of Dallas McKinney, TX 75070 McKinney, TX 75070 3800 Gaylord Pkwy Ste 810 (800) 247-2225 (972) 838-1635 Frisco, TX 75034 (469) 800-7200 Black, Sheena R, MD Manderson, Michael Scott, MD Eff 07-Jul-17 Eff 13-Sep-16 Syed, Ishaq Y, MD Baylor Scott & White Orthopedic Direct Orthopedic Care (DOC LLC) Eff 08-Jun-15 Associates of Dallas 4600 El Dorado Pkwy Ste 600 Baylor Scott & White Orthopedic 5220 W University Dr Physician McKinney, TX 75070-5762 Associates of Dallas Off Bldg Ste 220 (972) 987-0970 5575 Warren Pkwy Professional McKinney, TX 75071-7064 Bldg 1 Ste 115 (469) 800-7200 Mani, Usha S, MD Frisco, TX 75034-4063 Eff 01-Aug-18 (469) 800-6191 Burg, Richard , MD Baylor Scott & White Orthopaedic Eff 14-Jun-19 Trauma Associates - Dallas Total Orthopedic Sports & Spine 5220 University Ave, Ste 220 7300 Eldorado Pkwy Ste 165 McKinney, TX 75071-7074 McKinney, TX 75070 (469) 800-5220 (972)727-9995

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 311 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Mani, Usha S, MD Smith, Douglas A, DO Barber, F Allen, MD Eff 01-Aug-18 Eff 18-Jul-16 Eff 01-Dec-14 Baylor Scott & White Orthopaedic Baylor Scott & White Orthopaedic Plano Orthopedic Sports Medicine Trauma Associates - Dallas Trauma Associates - Dallas & Spine Center, PA 5220 W University, Ste 220 5236 W University, Ste 2000 5228 W Plano Pkwy McKinney, TX 75071 McKinney, TX 75071-8112 Plano, TX 75093 (469) 800-5220 (469) 800-5220 (972) 250-5700 Montgomery, William K, MD Thompson, Jon C, MD Barrington, John W, MD Eff 01-May-18 Eff 15-Oct-18 Eff 01-May-16 Baylor Scott & White Orthopedic Alpha Orthopedics Joint Replacement Center of Associates of Dallas 6850 TPC Dr, Ste 116 Texas, PLLC 5220 W University Dr, Physician McKinney, TX 75070 5228 W Plano Pkwy Off. Bldg, Ste 220 (972) 838-1635 Plano, TX 75093 McKinney, TX 75071-7064 (972) 250-5700 (469) 800-7200 Toulson, Charles E, MD • Languages spoken / Idioma(s) Eff 15-Oct-18 Bosita, Renato V, MD hablado(s): Spanish Alpha Orthopedics Eff 15-Apr-15 6850 TPC Dr, Ste 116 Texas Back Institute Pagenkopf, Eric L, MD McKinney, TX 75070 6020 W Parker Rd, Ste 200 Eff 24-Nov-19 (972) 838-1635 Plano, TX 75093-8172 Baylor Scott & White Orthopaedic (972) 608-5000 Trauma Associates - Dallas Villarreal, Arturo D, MD 5220 W University Ste 220 Eff 27-Sep-18 Carll, Kendall E, MD Direct Orthopedic Care (DOC LLC) Eff 01-Oct-18 Specialty Care Physicians & Other Providers/ McKinney, TX 75071 (469) 800-5220 4600 El Dorado Pkwy Ste 600 Spine Care of North Texas McKinney, TX 75070-5762 8080 Independence Pkwy, # 110 Médicos de cuidado especializado y otros proveedores Pember, Merritt A, MD (972) 987-0970 Plano, TX 75025-4013 Eff 13-Sep-16 (469) 998-2273 Direct Orthopedic Care (DOC LLC) Yousuf, Khalid M, MD 4600 El Dorado Pkwy Ste 600 Eff 07-Jul-17 Carll, Kendall E, MD McKinney, TX 75070-5762 Baylor Scott & White Orthopedic Eff 01-Oct-18 (972) 987-0970 Associates of Dallas Spine Care of North Texas 5220 W University Dr Physician 8080 Independence Pkwy, # 230 Rodgers, Harold L, MD Off Bldg Ste 220 Plano, TX 75025-4013 Eff 14-Jun-19 McKinney, TX 75071-7064 (469) 998-2273 Total Orthopedic Sports & Spine (469) 800-7200 7300 Eldorado Pkwy Ste 165 Courtney, Stephen P, MD McKinney, TX 75070 Arakal, Rajesh G, MD Eff 01-Apr-18 (972)727-9995 Eff 15-Apr-15 Stephen P Courtney, MD, PA Texas Back Institute 1705 Ohio Dr, Ste 300 Setayesh, Kian , MD 6020 W Parker Rd, Ste 200 Plano, TX 75093-5258 Eff 07-Jan-19 Plano, TX 75093-8172 (972) 499-5457 Direct Orthopedic Care (DOC LLC) (972) 608-5000 • Languages spoken / Idioma(s) 4600 El Dorado Pkwy Ste 600 hablado(s): Spanish McKinney, TX 75070-5762 Avramis, Ioannis A, MD (972) 987-0970 Eff 15-Feb-17 Derman, Peter B, MD Southwest Scoliosis Institute Eff 18-Nov-18 4708 Alliance Blvd, Ste 810 Texas Back Institute Plano, TX 75093 6020 W Parker Rd, Ste 200 (972) 985-2797 Plano, TX 75093-8172 • Languages spoken / Idioma(s) (972) 608-5000 hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 312 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Evanson, J Richard L, DO Hostin, Richard A, MD Markman, Bruce S, MD Eff 07-Nov-18 Eff 15-Feb-17 Eff 16-Jan-20 Plano Orthopedic Sports Medicine Southwest Scoliosis Institute NTOS PLLC & Spine Center, PA 4708 Alliance Blvd, Ste 810 6130 W Parker Rd, Ste 516 5228 W Plano Pkwy Plano, TX 75093 Plano, TX 75093-8033 Plano, TX 75093 (972) 985-2797 (214) 592-9955 (972) 250-5700 • Languages spoken / Idioma(s) hablado(s): Spanish McGarry, John E, MD Freese, Andrew P, MD Eff 22-Sep-18 Eff 05-Aug-18 Howard, Michael S, MD Plano Orthopedic Sports Medicine Direct Orthopedic Care (DOC LLC) Eff 22-Sep-18 & Spine Center, PA 2805 N Dallas Pkwy Ste 640 Plano Orthopedic Sports Medicine 5228 W Plano Pkwy Plano, TX 75093-8724 & Spine Center, PA Plano, TX 75093 (214) 444-5558 5228 W Plano Pkwy (972) 250-5700 Plano, TX 75093 Freese, Andrew P, MD (972) 250-5700 Park, Andrew E, MD Eff 05-Aug-18 Eff 15-Sep-16 Direct Orthopedic Care (DOC LLC) Lue, Jeffrey , MD Texas Spine Consultants, LLP 6505 W Park Blvd Ste 100 Eff 01-Aug-15 8080 Independence Pkwy, Ste 110 Plano, TX 75093-6371 Jeffrey Lue, MD, PLLC Plano, TX 75025 (817) 810-1620 1705 Ohio Dr, Ste 200 (214) 370-3535 Plano, TX 75093 Guyer, Richard D, MD (972) 964-2626 Pember, Merritt A, MD Eff 15-Apr-15 • Languages spoken / Idioma(s) Eff 13-Sep-16 Texas Back Institute Direct Orthopedic Care (DOC LLC) hablado(s): Mandarin Specialty Care Physicians & Other Providers/ 6020 W Parker Rd, Ste 200 6505 W Park Blvd Ste 100 Plano, TX 75093-8172 Lund, Earl R, MD Plano, TX 75093-6371 (972) 608-5000 Eff 01-Dec-14 (817) 810-1620 Médicos de cuidado especializado y otros proveedores Plano Orthopedic Sports Medicine Hall, Christopher S, MD & Spine Center, PA Setayesh, Kian , MD Eff 25-Nov-19 5228 W Plano Pkwy Eff 07-Jan-19 Direct Orthopedic Care (DOC LLC) Plano, TX 75093 Direct Orthopedic Care (DOC LLC) 6505 W Park Blvd Ste 100 (972) 250-5700 2805 N Dallas Pkwy, Ste 640 Plano, TX 75093-6371 • Languages spoken / Idioma(s) Plano, TX 75093-8724 (817) 810-1620 hablado(s): Spanish (214) 444-5558 Hassinger, Sean M, MD Manderson, Michael Scott, MD Setayesh, Kian , MD Eff 10-Jul-19 Eff 13-Sep-16 Eff 07-Jan-19 Direct Orthopedic Care (DOC LLC) Direct Orthopedic Care (DOC LLC) Direct Orthopedic Care (DOC LLC) 6505 W Park Blvd Ste 100 6505 W Park Blvd Ste 100 6505 W Park Blvd Ste 100 Plano, TX 75093-6371 Plano, TX 75093-6371 Plano, TX 75093-6371 (817) 810-1620 (817) 810-1620 (817) 810-1620 Hennessy, Michael W, MD Markman, Bruce S, MD Shellock, Jessica L, MD Eff 15-Sep-16 Eff 16-Jan-20 Eff 15-Apr-15 Texas Spine Consultants, LLP NTOS PLLC Texas Back Institute 8080 Independence Pkwy, Ste 110 4090 Mapleshade Ln, Ste 100 6020 W Parker Rd, Ste 200 Plano, TX 75025 Plano, TX 75093-0025 Plano, TX 75093-8172 (214) 370-3535 (214) 592-9955 (972) 608-5000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 313 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Simpson, Andrew K, MD Viere, Robert G, MD Carmody, Cameron N, MD Eff 15-Apr-15 Eff 15-Sep-16 Eff 01-Jan-18 Texas Back Institute Texas Spine Consultants, LLP Texas Spine Consultants, LLP 6020 W Parker Rd, Ste 200 8080 Independence Pkwy, Ste 110 17051 N Dallas Pkwy, Ste 400 Plano, TX 75093-8172 Plano, TX 75025 Addison, TX 75001-7101 (972) 608-5000 (214) 370-3535 (214) 370-3535 • Languages spoken / Idioma(s) Slabisak, Vudhi V, MD Villarreal, Arturo D, MD hablado(s): Spanish Eff 16-Jan-20 Eff 27-Sep-18 NTOS PLLC Direct Orthopedic Care (DOC LLC) Hennessy, Michael W, MD 4090 Mapleshade Ln, Ste 100 2805 N Dallas Pkwy, Ste 640 Eff 15-Sep-16 Plano, TX 75093-0025 Plano, TX 75093-8724 Texas Spine Consultants, LLP (214) 592-9955 (214) 444-5558 17051 N Dallas Pkwy, Ste 400 Addison, TX 75001-7101 Smith, Purcell , MD Villarreal, Arturo D, MD (214) 370-3535 Eff 01-Jan-15 Eff 27-Sep-18 Plano Orthopedic Sports Medicine Direct Orthopedic Care (DOC LLC) Park, Andrew E, MD & Spine Center, PA 6505 W Park Blvd Ste 100 Eff 15-Sep-16 5228 W Plano Pkwy Plano, TX 75093-6371 Texas Spine Consultants, LLP Plano, TX 75093 (817) 810-1620 17051 N Dallas Pkwy, Ste 400 (972) 250-5700 Addison, TX 75001-7101 • Languages spoken / Idioma(s) Yousuf, Khalid M, MD (214) 370-3535 hablado(s): Spanish Eff 07-Jul-17 Baylor Scott & White Orthopedic Viere, Robert G, MD Sutker, Allan N, MD Associates of Dallas Eff 15-Sep-16 Specialty Care Physicians & Other Providers/ Eff 01-Dec-14 4716 Alliance Blvd Ste 600 Texas Spine Consultants, LLP Plano Orthopedic Sports Medicine Plano, TX 75093-5378 17051 N Dallas Pkwy, Ste 400 Médicos de cuidado especializado y otros proveedores & Spine Center, PA (469) 800-7200 Addison, TX 75001-7101 5228 W Plano Pkwy (214) 370-3535 Plano, TX 75093 Zide, Jacob R, MD (972) 250-5700 Eff 01-Jan-14 Abbaschian, Cyrus E, MD • Languages spoken / Idioma(s) Baylor Scott & White Orthopedic Eff 15-Jan-18 hablado(s): Spanish Associates of Dallas Greater Dallas Orthopaedics, 4716 Alliance Blvd, Ste 600 PLLC Taba, Michael M, MD Plano, TX 75093-5378 12230 Coit Rd, Ste 100 Eff 04-May-17 (469) 800-7200 Dallas, TX 75251-2323 Advanced Orthopedics (214) 252-7020 1705 Ohio Dr, Ste 200 Thompson, Jon C, MD Plano, TX 75093 Eff 15-Oct-18 Appleton, John S, MD (972) 964-2626 Alpha Orthopedics Eff 01-Jan-14 • Languages spoken / Idioma(s) 170 N Preston Rd, Ste 40 Baylor Scott & White Orthopedic hablado(s): Spanish Prosper, TX 75078 Associates of Dallas (972) 838-1635 3900 Junius St, Ste 500 Troop, Randal L, MD Dallas, TX 75246-1621 Eff 01-Dec-14 Dallas County | Condado de (469) 800-7200 Plano Orthopedic Sports Medicine Dallas & Spine Center, PA Araiza, Edgar T, MD 5228 W Plano Pkwy Eff 15-Mar-19 Callewart, Craig C, MD Plano, TX 75093 Dallas Orthopaedic Trauma Eff 01-Jan-14 (972) 250-5700 Institute Craig C Callewart, MD, PA • Languages spoken / Idioma(s) 221 W. Colorado Blvd, Pavilion II, 17051 Dallas Pkwy Ste 420 hablado(s): Spanish Suite 431 Addison, TX 75001 Dallas, TX 75208 (214) 617-1223 (214) 947-3684

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 314 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Araiza, Edgar T, MD Basu, Niladri , MD * Cates, Casey A, MD Eff 15-Mar-19 Eff 15-Mar-20 Eff 01-Jan-14 Dallas Orthopaedic Trauma Dallas Orthopaedic Trauma Baylor Scott & White Orthopaedic Institute Institute Trauma Associates - Dallas 3450 W Wheatland Rd, POB II Ste 221 W Colorado Blvd Pavilion II 3409 Worth St, Ste 300 340 Ste 431 Dallas, TX 75246 Dallas, TX 75237 Dallas, TX 75208 (214) 820-8350 (214) 947-3684 (214) 947-3684 Chambers, Andrew W, MD Aronowitz, Ray F, MD Bell, Clinton S, MD Eff 15-Oct-18 Eff 15-Mar-20 Eff 09-Apr-19 Dallas Orthopaedic Joint Institute Methodist Orthopaedic Surgical Arlington Orthopedic Associates, 221 W Colorado Blvd, Pavilion II, Associates PA Ste 431 12230 Coit Rd Ste 130 7999 W Virginia Dr Ste D Dallas, TX 75208 Dallas, TX 75251 Dallas, TX 75237-3845 (214) 947-3248 (972) 566-2663 (817) 375-5200 Chambers, Andrew W, MD Aronowitz, Ray F, MD Bonsell, Shawn C, MD Eff 15-Oct-18 Eff 15-Mar-20 Eff 01-Jan-14 Dallas Orthopaedic Joint Institute Methodist Orthopaedic Surgical Shawn Bonsell, MD, PA 3450 W Wheatland Rd, POB II, Associates 1015 N Carroll Ave, Ste 2000 Ste 340 3450 W Wheatland Rd POB II Ste Dallas, TX 75204 Dallas, TX 75237 340 (214) 824-7744 (214) 947-3248 Dallas, TX 75237 Bruck, William A, MD Cho, Alexander , MD (214) 941-4243 Specialty Care Physicians & Other Providers/ Eff 01-Dec-14 Eff 15-Mar-20 Aronowitz, Ray F, MD WB Carrell Memorial Clinic Methodist Orthopaedic Surgical Eff 15-Mar-20 9301 N Central Expy Tower I Ste Associates Médicos de cuidado especializado y otros proveedores Methodist Orthopaedic Surgical 500 12230 Coit Rd Ste 130 Associates Dallas, TX 75231 Dallas, TX 75251 810 N Zang Blvd (214) 220-2468 (972) 566-2663 Dallas, TX 75208 (214) 941-4243 Burkhead, Wayne Z, MD Cho, Alexander , MD Eff 08-Feb-16 Eff 15-Mar-20 Ashraf, Ali , MD WB Carrell Memorial Clinic Methodist Orthopaedic Surgical Eff 15-Aug-20 9301 N Central Expy Ste 500 Associates Ali Ashraf MD Tower I 3450 W Wheatland Rd POB II Ste 1015 N Carroll Ave Ste 2000 Dallas, TX 75231 340 Dallas, TX 75204 (214) 220-2468 Dallas, TX 75237 (214) 824-7744 (214) 941-4243 Callewart, Craig C, MD Banta, Charles J, MD Eff 01-Jan-14 Cho, Alexander , MD Eff 15-Sep-17 Craig C Callewart, MD, PA Eff 15-Mar-20 Northpark Orthopaedics, PA 9101 N Central Expy, Ste 300 Methodist Orthopaedic Surgical 8220 Walnut Hill Ln, #608 Dallas, TX 75231 Associates Dallas, TX 75231 (214) 271-4585 810 N Zang Blvd (214) 987-3434 Dallas, TX 75208 Cates, Casey A, MD (214) 941-4243 Eff 01-Jan-14 Baylor Scott & White Orthopaedic Trauma Associates - Dallas 3409 Worth St, Ste 300 Dallas, TX 75246-2039 (214) 820-8350

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 315 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chu, Jennifer Y, MD Gemas, Terry K, MD Harris, John R, MD Eff 01-Jan-14 Eff 01-Nov-15 Eff 15-Mar-20 Baylor Scott & White Orthopedic Lakewood Orthopaedics & Sports Methodist Orthopaedic Surgical Associates of Dallas Medicine, PA Associates 3900 Junius St Ste 500 1130 Beachview Dr, Ste 100 3450 W Wheatland Rd POB II Ste Dallas, TX 75246-1621 Dallas, TX 75218 340 (469) 800-7200 (469) 341-5676 Dallas, TX 75237 (214) 941-4243 Clavenna, Andrew L, MD Gilbert, Nathan F, MD Eff 01-Dec-14 Eff 01-Apr-15 Harris, John R, MD WB Carrell Memorial Clinic Greater Dallas Orthopaedics, Eff 15-Mar-20 9301 N Central Expy Tower 1 Ste PLLC Methodist Orthopaedic Surgical 500 12230 Coit Rd, Ste 100 Associates Dallas, TX 75231 Dallas, TX 75251-2323 810 N Zang Blvd (214) 220-2468 (214) 252-7020 Dallas, TX 75208 • Languages spoken / Idioma(s) (214) 941-4243 hablado(s): Spanish Gladnick, Brian P, MD Eff 21-Feb-19 Heinrich, John B, MD Cooper, Daniel E, MD WB Carrell Memorial Clinic Eff 01-Jan-14 Eff 20-Aug-18 9301 N Central Expy Tower 1 Ste Baylor Scott & White Orthopedic WB Carrell Memorial Clinic 500 Associates of Dallas 9301 N Central Expy Tower I Ste Dallas, TX 75231 3900 Junius St Ste 500 500 (214) 220-2468 Dallas, TX 75246-1621 Dallas, TX 75231 (469) 800-7200 Hansen, Phillip E, MD Specialty Care Physicians & Other Providers/ (214) 220-2468 Eff 01-Jan-14 Hennessy, Michael W, MD Curry, Eugene E, MD Baylor Scott & White Orthopedic Eff 15-Sep-16 Médicos de cuidado especializado y otros proveedores Eff 01-Dec-14 Associates of Dallas Texas Spine Consultants, LLP WB Carrell Memorial Clinic 3900 Junius St Ste 500 3409 Worth St, Ste 510 9301 N Central Expy Tower 1 Ste Dallas, TX 75246-1621 Dallas, TX 75246 500 (469) 800-7200 (214) 370-3535 Dallas, TX 75231 (214) 220-2468 Hansen, Phillip E, MD Hernandez, Miguel A, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 Eff 15-Mar-20 hablado(s): Russian Baylor Scott & White Orthopedic Methodist Orthopaedic Surgical Associates of Dallas Associates Dossett, Andrew B, MD 7777 Forest Ln Ste C106 12230 Coit Rd Ste 130 Eff 01-Dec-14 Dallas, TX 75230-6831 Dallas, TX 75251 WB Carrell Memorial Clinic (214) 823-7090 (972) 566-2663 9301 N Central Expy Tower I Ste 500 Harris, John R, MD Hernandez, Miguel A, MD Dallas, TX 75231 Eff 15-Mar-20 Eff 15-Mar-20 (214) 220-2468 Methodist Orthopaedic Surgical Methodist Orthopaedic Surgical Associates Associates Flanagin, Brody A, MD 12230 Coit Rd Ste 130 3450 W Wheatland Rd POB II Ste Eff 01-Jan-14 Dallas, TX 75251 340 Baylor Scott & White Orthopedic (972) 566-2663 Dallas, TX 75237 Associates of Dallas (214) 941-4243 3900 Junius St Ste 500 Dallas, TX 75246-1621 (469) 800-7200

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 316 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hernandez, Miguel A, MD Jones, Alan L, MD Koganti, Anil K, MD Eff 15-Mar-20 Eff 01-Jan-14 Eff 01-Jan-14 Methodist Orthopaedic Surgical Baylor Scott & White Orthopaedic Baylor Scott & White Orthopaedic Associates Trauma Associates - Dallas Consultants of North Texas 810 N Zang Blvd 3409 Worth St, Ste 300 411 N Washington Ave Ste 7300 Dallas, TX 75208 Dallas, TX 75246 Dallas, TX 75246 (214) 941-4243 (214) 820-8350 (214) 820-9520 • Languages spoken / Idioma(s) Holland, Danny C, DO Jones-Quaidoo, Sean M, MD hablado(s): Spanish Eff 15-Oct-18 Eff 01-Sep-15 Dallas Orthopaedic Trauma Spine Vue, PLLC Koganti, Anil K, MD Institute 8440 Walnut Hill Ln, Ste 230 Eff 01-Jan-14 221 W. Colorado Blvd, Pavilion II, Dallas, TX 75231-3816 Baylor Scott & White Orthopaedic Suite 431 (214) 452-7705 Consultants of North Texas Dallas, TX 75208 411 N Washington Ave Ste 7300 (214) 947-3684 Khair, Mahmoud M, MD Dallas, TX 75246 • Languages spoken / Idioma(s) Eff 13-Jun-16 (214) 820-7922 hablado(s): Spanish WB Carrell Memorial Clinic • Languages spoken / Idioma(s) 9301 N Central Expy Tower 1 Ste hablado(s): Spanish Hotchkiss, William R, MD 500 Eff 13-Feb-17 Dallas, TX 75231 Krishnan, Sumant G, MD WB Carrell Memorial Clinic (214) 220-2468 Eff 01-Jan-14 9301 N Central Expy Tower 1 Ste The Shoulder Center 500 Kishan, Shyam , MD 3900 Junius, Ste 740 Eff 12-Oct-17 Dallas, TX 75231 Dallas, TX 75246 Specialty Care Physicians & Other Providers/ (214) 220-2468 Southwest Scoliosis Institute (214) 818-2700 6805 W Northwest Hwy Ikram, Khawaja , DO Dallas, TX 75225-4202 Lancaster, James M, MD Médicos de cuidado especializado y otros proveedores Eff 08-Aug-17 (972) 347-4783 Eff 01-Jan-14 Texas Pain Physicians Baylor Scott & White Orthopedic 10455 N Central Expwy Ste 110 Kitziger, Kurt J, MD Associates of Dallas Dallas, TX 75231-2211 Eff 01-Dec-14 3900 Junius St Ste 500 (972) 636-5727 WB Carrell Memorial Clinic Dallas, TX 75246-1621 9301 N Central Expy Tower 1 Ste (469) 800-7200 Jamison, John P, MD 500 Eff 09-Apr-19 Dallas, TX 75231 Lo, Eddie Y, MD Arlington Orthopedic Associates, (214) 220-2468 Eff 30-Oct-19 PA • Languages spoken / Idioma(s) Baylor Scott & White The Shoulder 7999 W Virginia Dr Ste D hablado(s): Spanish Center Dallas, TX 75237-3845 3900 Junius, Ste 740 (817) 375-5200 Klein, Jason S, MD Dallas, TX 75246 Eff 21-Feb-19 (214) 818-2700 Jones, Alan L, MD WB Carrell Memorial Clinic Eff 01-Jan-14 9301 N Central Expy Tower 1 Ste Mairura, Edward M, MD Baylor Scott & White Orthopaedic 500 Eff 15-Mar-20 Trauma Associates - Dallas Dallas, TX 75231 Methodist Orthopaedic Surgical 3409 Worth St, Ste 300 (214) 220-2468 Associates Dallas, TX 75246-2039 3450 W Wheatland Rd POB II Ste (214) 820-8350 Knight, John T, MD 340 Eff 03-Aug-18 Dallas, TX 75237 The Hand & Wrist Institute, PA (214) 941-4243 12840 Hillcrest Plaza Dr Ste E104 Dallas, TX 75230-1528 (817) 382-6789

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 317 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Mairura, Edward M, MD Muller, Mark S, MD Reddy, Veerabhadra K, MD Eff 15-Mar-20 Eff 13-Feb-17 Eff 01-Jan-14 Methodist Orthopaedic Surgical WB Carrell Memorial Clinic Baylor Scott & White Orthopedic Associates 9301 N Central Expy Tower 1 Ste Associates of Dallas 810 N Zang Blvd 500 3900 Junius St Ste 500 Dallas, TX 75208 Dallas, TX 75231 Dallas, TX 75246-1621 (214) 941-4243 (214) 220-2468 (469) 800-7200 Markman, Bruce S, MD Ozanne, Stephen , MD Rey, Jesus , MD Eff 16-Jan-20 Eff 15-Oct-18 Eff 09-Apr-19 NTOS PLLC Stephen Ozanne, MD Arlington Orthopedic Associates, 2700 S Hampton Rd, Ste 104 3450 W Wheatland Rd, POB II Ste PA Dallas, TX 75224-2367 330 7999 W Virginia Dr Ste D (214) 592-9955 Dallas, TX 75237 Dallas, TX 75237-3845 (972) 299-6966 (817) 375-5200 Martin, Hal D, DO Eff 01-Jan-14 Park, Andrew E, MD Rhodes, Richard D, MD Hip Preservation Center Eff 15-Sep-16 Eff 10-Aug-15 3900 Junius St, Ste 705 Texas Spine Consultants, LLP Baylor Scott & White Orthopedic Dallas, TX 75246 3409 Worth St, Ste 510 Associates of Dallas (214) 820-9520 Dallas, TX 75246 3900 Junius St, Ste 500 (214) 370-3535 Dallas, TX 75246-1621 Medlock, Virgil B, MD (469) 800-7200 Eff 01-Jan-14 Patel, Nilpesh M, MD Baylor Scott & White Orthopedic Eff 01-Nov-15 Row, Elliot R, MD Specialty Care Physicians & Other Providers/ Associates of Dallas Lakewood Orthopaedics & Sports Eff 01-Oct-17 3900 Junius St Ste 500 Medicine, PA Baylor Scott & White Orthopaedic Médicos de cuidado especializado y otros proveedores Dallas, TX 75246-1621 1130 Beachview Dr, Ste 100 Trauma Associates - Dallas (469) 800-7200 Dallas, TX 75218 3409 Worth St, Ste 300 (469) 341-5676 Dallas, TX 75246 Moen, Todd C, MD (214) 820-8350 Eff 01-Dec-14 Peters, Paul C, MD WB Carrell Memorial Clinic Eff 01-Dec-14 Royer, Christian T, MD 9301 N Central Expy Tower 1 Ste WB Carrell Memorial Clinic Eff 01-Jan-14 500 9301 N Central Expy Tower 1 Ste Baylor Scott & White Orthopedic Dallas, TX 75231 500 Associates of Dallas (214) 220-2468 Dallas, TX 75231 7777 Forest Ln, Ste C106 • Languages spoken / Idioma(s) (214) 220-2468 Dallas, TX 75230-6831 hablado(s): Spanish (214) 823-7090 Ramnath, Devesh , MD Mollabashy, Allaaddin , MD Eff 01-Jan-14 Royer, Christian T, MD Eff 01-Apr-15 Baylor Scott & White Orthopedic Eff 01-Jan-14 Greater Dallas Orthopaedics, Associates of Dallas Baylor Scott & White Orthopedic PLLC 3900 Junius St, Ste 500 Associates of Dallas 12230 Coit Rd, Ste 100 Dallas, TX 75246-1621 3900 Junius St Ste 500 Dallas, TX 75251-2323 (469) 800-7200 Dallas, TX 75246-1621 (214) 252-7020 (469) 800-7200 Ramnath, Devesh , MD Eff 01-Jan-14 Baylor Scott & White Orthopedic Associates of Dallas 7777 Forest Ln Ste C106 Dallas, TX 75230-6831 (214) 823-7090

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 318 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Scovell, John F, MD Viere, Robert G, MD Johnson, Todd Christian, MD Eff 21-Feb-19 Eff 15-Sep-16 Eff 01-Apr-16 WB Carrell Memorial Clinic Texas Spine Consultants, LLP Orthopedic & Sports Medicine 9301 N Central Expy Tower 1 Ste 3409 Worth St, Ste 510 Center of Garland 500 Dallas, TX 75246 2241 Peggy Ln, Ste A Dallas, TX 75231 (214) 370-3535 Garland, TX 75042 (214) 220-2468 (972) 276-0536 Vineyard, Joseph C, MD • Languages spoken / Idioma(s) Simpson, Andrew K, MD Eff 01-Dec-14 hablado(s): Spanish Eff 15-Apr-15 WB Carrell Memorial Clinic Texas Back Institute 9301 N Central Expy Tower 1 Ste Koganti, Anil K, MD 8230 Walnut Hill Ln, Ste 204, Prof- 500 Eff 01-Jan-14 Bldg 3 Dallas, TX 75231 Baylor Scott & White Orthopaedic Dallas, TX 75231 (214) 220-2468 Consultants of North Texas (214) 239-7474 • Languages spoken / Idioma(s) 7217 Telecom Parkway, Ste 100 hablado(s): Spanish Garland, TX 75044 Smith, Douglas A, DO (214) 820-7922 Eff 18-Jul-16 Worrel, Daniel A, MD • Languages spoken / Idioma(s) Baylor Scott & White Orthopaedic Eff 01-Dec-14 hablado(s): Spanish Trauma Associates - Dallas WB Carrell Memorial Clinic 3409 Worth St, Ste 300 9301 N Central Expy Tower 1 Ste Vo, Duc Phu, MD Dallas, TX 75246-2039 500 Eff 01-Apr-16 (214) 820-8350 Dallas, TX 75231 Orthopedic & Sports Medicine (214) 220-2468 Center of Garland Stanley, James H, MD • Languages spoken / Idioma(s) 2241 Peggy Ln, Ste A Specialty Care Physicians & Other Providers/ Eff 01-Dec-15 hablado(s): Spanish Garland, TX 75042 James H Stanley, MD PA

(972) 276-0536 Médicos de cuidado especializado y otros proveedores 1130 Beachview Rd, Ste 100 Zide, Jacob R, MD • Languages spoken / Idioma(s) Dallas, TX 75218 Eff 01-Jan-14 hablado(s): Vietnamese (469) 341-5676 Baylor Scott & White Orthopedic Associates of Dallas Zoys, George Nick, MD Sundblad, Jeffrey J, MD 3900 Junius St, Ste 500 Eff 01-Apr-16 Eff 30-Dec-18 Dallas, TX 75246-1621 Orthopedic & Sports Medicine Baylor Scott & White Orthopaedic (469) 800-7200 Center of Garland Trauma Associates - Dallas 2241 Peggy Ln, Ste A 3409 Worth St, Ste 300 Slabisak, Vudhi V, MD Garland, TX 75042 Dallas, TX 75246-2039 Eff 16-Jan-20 (972) 276-0536 (214) 820-8350 NTOS PLLC • Languages spoken / Idioma(s) 1018 E Wheatland Rd hablado(s): Greek Syed, Ishaq Y, MD Duncanville, TX 75116-4914 Eff 08-Jun-15 (214) 592-9955 Atkinson, Cameron T, MD Baylor Scott & White Orthopedic Eff 08-Dec-14 Associates of Dallas Cates, Casey A, MD Arlington Orthopedic Associates, 3900 Junius St Ste 500 Eff 01-Jan-14 PA Dallas, TX 75246-1621 Baylor Scott & White Orthopaedic 2005 W Park Dr, Ste 100 (469) 800-7200 Trauma Associates - Dallas Irving, TX 75061 601 Clara Barton Rd, Ste 200 (817) 375-5200 Tenny, John R, MD Garland, TX 75042-5755 • Languages spoken / Idioma(s) Eff 15-Oct-18 (214) 865-1350 hablado(s): Spanish John R. Tenny, MD, PA 3503 W Wheatland Rd, Ste 100 Dallas, TX 75237-4410 (972) 283-8700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 319 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bayless, Robert E, MD Hall, Christopher S, MD Roberts, Richard M, MD Eff 01-Jan-15 Eff 25-Nov-19 Eff 01-Jan-16 Precision Orthopedics & Sports Direct Orthopedic Care (DOC LLC) Arlington Orthopedic Associates, Medicine 3014 N O Connor Rd Ste 110 PA 2120 N MacArthur Blvd, Ste 100 Irving, TX 75062-4415 2005 W Park Dr, Ste 100 Irving, TX 75061 (214)444-5558 Irving, TX 75061 (972) 438-4636 (817) 375-5200 Hendawi, Tariq K, MD Crawford, Adam , MD Eff 28-Apr-18 Sanders, Steven B, MD Eff 01-Jan-16 Precision Orthopedics & Sports Eff 01-Jan-15 Arlington Orthopedic Associates, Medicine Precision Orthopedics & Sports PA 2120 N MacArthur Blvd, Ste 100 Medicine 2005 W Park Dr, Ste 100 Irving, TX 75061 2120 N MacArthur Blvd, Ste 100 Irving, TX 75061 (972) 438-4636 Irving, TX 75061 (817) 375-5200 (972) 438-4636 Honig, Kevin M, MD • Languages spoken / Idioma(s) Even, Jesse L, MD Eff 01-Jan-16 hablado(s): Spanish Eff 15-May-17 All-Star Orthopaedics & Sports TMI Sports Medicine & Orthopedic Medicine Schott, Thomas M, MD Sugery, PA 400 W LBJ Fwy, Ste 330 Eff 01-Jan-16 400 West I-30 Suite 300 Irving, TX 75063 All-Star Orthopaedics & Sports Irving, TX 75063 (972) 556-2885 Medicine (817) 419-0303 400 W LBJ Fwy, Ste 330 Hurt, Walter G, MD Irving, TX 75063 Freese, Andrew P, MD Eff 01-Jan-16 Specialty Care Physicians & Other Providers/ (972) 556-2885 Eff 05-Aug-18 All-Star Orthopaedics & Sports Direct Orthopedic Care (DOC LLC) Medicine Sehgal, Bantoo , MD Médicos de cuidado especializado y otros proveedores 3014 N O Connor Rd Ste 110 400 W LBJ Fwy, Ste 330 Eff 21-Jun-19 Irving, TX 75062-4415 Irving, TX 75063 Precision Orthopedics & Sports (214) 444-5558 (972) 556-2885 Medicine • Languages spoken / Idioma(s) 2120 N MacArthur Blvd, Ste 100 Gengler, Brian J, MD hablado(s): Spanish Irving, TX 75061 Eff 18-Apr-19 (972) 438-4636 Precision Orthopedics & Sports Kazewych, Mark A, MD Medicine Eff 01-Jan-14 Setayesh, Kian , MD 2120 N MacArthur Blvd, Ste 100 Arlington Orthopedic Associates, Eff 07-Jan-19 Irving, TX 75061 PA Direct Orthopedic Care (DOC LLC) (972) 438-4636 2005 W Park Dr, Ste 100 3014 N O Connor Rd, Ste 110 Irving, TX 75061 Irving, TX 75062-4415 Greenberg, Mark S, MD (817) 375-5200 (214) 444-5558 Eff 01-Jan-16 All-Star Orthopaedics & Sports Manderson, Michael Scott, MD Straus, Brian E, MD Medicine Eff 13-Sep-16 Eff 01-Jan-16 400 W LBJ Fwy, Ste 330 Direct Orthopedic Care (DOC LLC) All-Star Orthopaedics & Sports Irving, TX 75063 3014 N O Connor Rd, Ste 110 Medicine (972) 556-2885 Irving, TX 75062-4415 400 W LBJ Fwy, Ste 330 (214) 444-5558 Irving, TX 75063 Hahn, Michael K, MD (972) 556-2885 Eff 01-Jan-16 Pember, Merritt A, MD All-Star Orthopaedics & Sports Eff 13-Sep-16 Medicine Direct Orthopedic Care (DOC LLC) 400 W LBJ Fwy, Ste 330 3014 N O Connor Rd, Ste 110 Irving, TX 75063 Irving, TX 75062-4415 (972) 556-2885 (214) 444-5558

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 320 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Timon, Stephen J, MD * Blair, Christopher E, DO Zoys, George Nick, MD Eff 01-Jan-16 Eff 15-Mar-19 Eff 01-Apr-16 All-Star Orthopaedics & Sports Texas Orthopaedic Surgery Orthopedic & Sports Medicine Medicine Consultants Center of Garland 400 W LBJ Fwy, Ste 330 2821 E President George Bush 2821 E Pres George Bush Tpke, Irving, TX 75063 Hwy, Ste 300 Ste 306 (972) 556-2885 Richardson, TX 75082 Richardson, TX 75082 (972) 235-5633 (972) 675-9500 Tsay, Bing S, MD • Languages spoken / Idioma(s) Eff 01-Jan-16 Litke, Diane S, MD hablado(s): Greek All-Star Orthopaedics & Sports Eff 14-Aug-19 Medicine L&W Orthopaedic Associates Burney, Mohammad U, MD 400 W LBJ Fwy, Ste 330 2821 E President George Bush Eff 15-Feb-19 Irving, TX 75063 Hwy, Ste 201 Orthopaedic Specialists of Dallas (972) 556-2885 Richardson, TX 75082 7501 Lakeview Pkwy, Ste 220 • Languages spoken / Idioma(s) (972) 498-4791 Rowlett, TX 75088 hablado(s): Spanish (972) 771-8111 Mehta, Sacheen H, MD • Languages spoken / Idioma(s) Villarreal, Arturo D, MD Eff 01-Jan-14 hablado(s): Spanish Eff 27-Sep-18 Comprehensive Orthopaedic & Direct Orthopedic Care (DOC LLC) Rehabilitation, PA Bartz, Reed L, MD 3014 N O Connor Rd, Ste 110 1120 W Campbell Rd, Ste 109 Eff 20-Jan-19 Irving, TX 75062-4415 Richardson, TX 75080 Dallas Orthopedic & Shoulder (214) 444-5558 (214) 575-2663 Institute

• Languages spoken / Idioma(s) 222 S Collins, Ste 101 Specialty Care Physicians & Other Providers/ Westkaemper, John G, MD hablado(s): Hindi Sunnyvale, TX 75182 Eff 01-Jan-16

(214) 256-3778 Médicos de cuidado especializado y otros proveedores Arlington Orthopedic Associates, Patel, Virendra C, MD PA Eff 12-Jan-20 Zhao, Jeff X, DO 2005 W Park Dr, Ste 100 Comprehensive Orthopaedics & Eff 01-Dec-14 Irving, TX 75061 Rehabilitation, PA Dallas Orthopedic & Shoulder (817) 375-5200 1120 W Campbell Rd, Ste 109 Institute Richardson, TX 75080 222 S Collins, Ste 101 Slabisak, Vudhi V, MD (214) 575-2663 Sunnyvale, TX 75182 Eff 16-Jan-20 (214) 256-3778 NTOS PLLC Vo, Duc Phu, MD • Languages spoken / Idioma(s) 3865 Childress Ave, Ste 101 Eff 01-Apr-16 hablado(s): Chinese Mesquite, TX 75150-2802 Orthopedic & Sports Medicine (214) 592-9955 Center of Garland Burney, Mohammad U, MD 2821 E Pres George Bush Tpke, Eff 15-Feb-19 Slabisak, Vudhi V, MD Ste 306 Orthopaedic Specialists of Dallas Eff 16-Jan-20 Richardson, TX 75082 2300 FM 544, Ste 120 NTOS PLLC (972) 675-9500 Wylie, TX 75098 8668 Skillman St, Ste 101 • Languages spoken / Idioma(s) (972) 771-8111 Mesquite, TX 75150 hablado(s): Vietnamese • Languages spoken / Idioma(s) (214) 592-9955 hablado(s): Spanish Wey, John T, MD Eff 14-Aug-19 L&W Orthopaedic Associates 2821 E President George Bush Hwy, Ste 201 Richardson, TX 75082 (972) 498-4791

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 321 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Patel, Kushal V, MD Freese, Andrew P, MD Greenberg, Mark S, MD Eff 15-Feb-19 Eff 05-Aug-18 Eff 01-Jan-16 Orthopaedic Specialists of Dallas Direct Orthopedic Care (DOC LLC) All-Star Orthopaedics & Sports 2300 FM 544, Ste 120 3100 Unicorn Lake Blvd Ste 120 Medicine Wylie, TX 75098 Denton, TX 76210-1544 3400 Long Prairie Rd, Ste 102 (972) 771-8111 (672) 984-7520 Flower Mound, TX 75022 • Languages spoken / Idioma(s) (972) 556-2885 hablado(s): Hindi Hassinger, Sean M, MD Eff 10-Jul-19 Hahn, Michael K, MD Zavala, John A, MD Direct Orthopedic Care (DOC LLC) Eff 01-Jan-16 Eff 01-Dec-14 3100 Unicorn Lake Blvd, Ste 120 All-Star Orthopaedics & Sports Orthopaedic Specialists of Dallas Denton, TX 76210-1544 Medicine 2300 FM 544, Ste 120 (672) 984-7520 3400 Long Prairie Rd, Ste 102 Wylie, TX 75098-4937 Flower Mound, TX 75022 (972) 771-8111 Schrayer, Aaron , MD (972) 556-2885 Eff 01-Feb-18 Denton County | Condado de Aaron D Schrayer, MD, PA Honig, Kevin M, MD 3200 Colorado Blvd, Ste 101 Eff 01-Jan-16 Denton Denton, TX 76210-6875 All-Star Orthopaedics & Sports (972) 420-1776 Medicine Freese, Andrew P, MD 3400 Long Prairie Rd, Ste 102 Eff 05-Aug-18 Setayesh, Kian , MD Flower Mound, TX 75022 Direct Orthopedic Care (DOC LLC) Eff 07-Jan-19 (972) 556-2885 3412 E Hebron Pkwy Ste 106 Direct Orthopedic Care (DOC LLC) Carrollton, TX 75010-4451 3100 Unicorn Lake Blvd, Ste 120 Hurt, Walter G, MD Specialty Care Physicians & Other Providers/ (972) 810-1620 Denton, TX 76210-1544 Eff 01-Jan-16 (672) 984-7520 All-Star Orthopaedics & Sports Médicos de cuidado especializado y otros proveedores Hall, Christopher S, MD Medicine Eff 25-Nov-19 Tolhurst, Stephen R, MD 3400 Long Prairie Rd, Ste 102 Direct Orthopedic Care (DOC LLC) Eff 15-Apr-15 Flower Mound, TX 75022 3412 E Hebron Pkwy Ste 106 Texas Back Institute (972) 556-2885 Carrollton, TX 75010-4451 2817 S Mayhill Rd, Ste 100 • Languages spoken / Idioma(s) (512)888-1201 Denton, TX 76208 hablado(s): Spanish (940) 382-2204 Hassinger, Sean M, MD McElroy, John C, MD Eff 10-Jul-19 Villarreal, Arturo D, MD Eff 15-Aug-19 Direct Orthopedic Care (DOC LLC) Eff 27-Sep-18 John C McElroy MD PA 3412 E Hebron Pkwy, Ste 106 Direct Orthopedic Care (DOC LLC) 5000 Long Prairie Rd Carrollton, TX 75010-4451 3100 Unicorn Lake Blvd, Ste 120 Flower Mound, TX 75028-2783 (972) 810-1620 Denton, TX 76210-1544 (972) 420-1776 (672) 984-7520 Setayesh, Kian , MD Schott, Thomas M, MD Eff 07-Jan-19 Cantrell, Jeffery S, MD Eff 01-Jan-16 Direct Orthopedic Care (DOC LLC) Eff 15-Jan-17 All-Star Orthopaedics & Sports 3412 E Hebron Pkwy, Ste 106 Jeffery S Cantrell, MD, PA Medicine Carrollton, TX 75010-4451 5000 Long Prairie Rd, #100 3400 Long Prairie Rd, Ste 102 (972) 810-1620 Flower Mound, TX 75028 Flower Mound, TX 75022 (972) 420-1776 (972) 556-2885 Villarreal, Arturo D, MD • Languages spoken / Idioma(s) Eff 27-Sep-18 hablado(s): Spanish Direct Orthopedic Care (DOC LLC) 3412 E Hebron Pkwy, Ste 106 Carrollton, TX 75010-4451 (972) 810-1620

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 322 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Schrayer, Aaron , MD Cantrell, Jeffery S, MD Dean, Thad J, DO Eff 01-Feb-18 Eff 15-Jan-17 Eff 21-Feb-19 Aaron D Schrayer, MD, PA Jeffery S Cantrell, MD, PA Arlington Orthopedic Associates, 5000 Long Prairie Rd 500 W Main St, #200 PA Flower Mound, TX 75028-4109 Lewisville, TX 75057 1441 S Midlothian Pkwy, Ste 130 (972) 420-1776 (972) 420-1776 Midlothian, TX 76065 • Languages spoken / Idioma(s) (817) 375-5200 Singhal, Manuj C, MD hablado(s): Spanish Eff 01-Nov-18 Drkulec, John A, MD Manuj C. Singhal MD, PA Guyer, Richard D, MD Eff 01-Jan-14 5000 Long Prairie Rd, Ste 100 Eff 15-Apr-15 Arlington Orthopedic Associates, Flower Mound, TX 75028 Texas Back Institute PA (972) 420-1780 2800 State Hwy 114, Ste 220 1441 S Midlothian Pkwy, Ste 130 Trophy Club, TX 76262 Midlothian, TX 76065 Slabisak, Vudhi V, MD (817) 430-3900 (817) 375-5200 Eff 16-Jan-20 NTOS PLLC Sanders, Steven B, MD Hopkins, Christopher M, MD 3101 Churchhill Dr, Ste 115 Eff 01-Jan-15 Eff 21-Feb-19 Flower Mound, TX 75022-2799 Precision Orthopedics & Sports Arlington Orthopedic Associates, (214) 592-9955 Medicine PA 2800 E State Highway 114, Ste 1441 S Midlothian Pkwy, Ste 130 Straus, Brian E, MD 220 Midlothian, TX 76065 Eff 01-Jan-16 Trophy Club, TX 76262 (817) 375-5200 All-Star Orthopaedics & Sports (972) 438-4636 Medicine Jamison, John P, MD • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ 3400 Long Prairie Rd, Ste 102 hablado(s): Spanish Eff 09-Apr-19 Flower Mound, TX 75022 Arlington Orthopedic Associates, Médicos de cuidado especializado y otros proveedores (972) 556-2885 Ellis County | Condado de Ellis PA 1441 S Midlothian Pkwy, Ste 130 Timon, Stephen J, MD * Atkinson, Cameron T, MD Midlothian, TX 76065 Eff 01-Jan-16 (817) 375-5200 All-Star Orthopaedics & Sports Eff 08-Dec-14 Medicine Arlington Orthopedic Associates, Lowry, Jason K, MD 3400 Long Prairie Rd, Ste 102 PA Eff 01-Jan-14 Flower Mound, TX 75022 1441 S Midlothian Pkwy, Ste 130 Arlington Orthopedic Associates, (972) 556-2885 Midlothian, TX 76065 PA (817) 375-5200 1441 S Midlothian Pkwy, Ste 130 Tolhurst, Stephen R, MD • Languages spoken / Idioma(s) Midlothian, TX 76065 Eff 15-Apr-15 hablado(s): Spanish (817) 375-5200 Texas Back Institute Bell, Clinton S, MD • Languages spoken / Idioma(s) 4401 Long Prairie Rd, Ste 500 hablado(s): Spanish Flower Mound, TX 75028 Eff 09-Apr-19 (972) 956-8181 Arlington Orthopedic Associates, Nicholls, Danny W, DO PA Eff 01-Jan-14 Tsay, Bing S, MD 1441 S Midlothian Pkwy, Ste 130 Arlington Orthopedic Associates, Eff 01-Jan-16 Midlothian, TX 76065 PA All-Star Orthopaedics & Sports (817) 375-5200 1441 S Midlothian Pkwy, Ste 130 Medicine Midlothian, TX 76065 3400 Long Prairie Rd, Ste 102 (817) 375-5200 Flower Mound, TX 75022 (972) 556-2885 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 323 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Pond, Jay D, MD Roux, Marcus A, MD Hood County | Condado de Eff 01-Jan-14 Eff 01-Jan-14 Arlington Orthopedic Associates, Waxahachie Orthopedics and Hood PA Sports Medicine 1441 S Midlothian Pkwy, Ste 130 1328 W Hwy 287 By-pass, Ste 100 Hull, Christopher K, DO Midlothian, TX 76065 Waxahachie, TX 75165 Eff 01-Jan-14 (817) 375-5200 (972) 923-9999 Fort Worth Orthopedic Surgery & Sports Medicine Rey, Jesus , MD Roye, Robert Price, MD 1220 Paluxy Medical Circle Eff 09-Apr-19 Eff 15-Sep-14 Granbury, TX 76048 Arlington Orthopedic Associates, Regional Orthopaedic & Sports (817) 737-8880 PA Medicine Center • Languages spoken / Idioma(s) 1441 S Midlothian Pkwy, Ste 130 1324 Brown St, Ste 100 hablado(s): Spanish Midlothian, TX 76065 Waxahachie, TX 75165 (817) 375-5200 (972) 937-8900 Pepper, Kraig R, DO Eff 01-Jan-14 Westkaemper, John G, MD Grayson County | Condado de Texas Center for Orthopedics and Eff 01-Jan-16 Spinal Disorders Arlington Orthopedic Associates, Grayson 2200 James Road PA Granbury, TX 76049 1441 S Midlothian Pkwy, Ste 130 Hubert, Mark G, MD (817) 632-0020 Midlothian, TX 76065 Eff 15-Jan-20 • Languages spoken / Idioma(s) (817) 375-5200 Alpha Orthopedic Physician hablado(s): Spanish Group, PA Boone, Benjamin D, MD 204 Medical Dr Ste 110 Smith, Harry G, DO Specialty Care Physicians & Other Providers/ Eff 27-Apr-19 Sherman, TX 75092 Eff 01-Nov-15 Baylor Scott & White Physical (972) 838-1635 Private Practice Médicos de cuidado especializado y otros proveedores Medicine and Rehabilitation Ph 1200 Crawford St, Ste A 1005 Legacy Ranch Rd Ste 100 Osterman, David , MD Granbury, TX 76048 Waxahachie, TX 75165 Eff 01-Aug-19 (817) 687-9517 (469) 800-9790 WNJ Wellcare Medical Group • Languages spoken / Idioma(s) 300 N Highland Ave, Ste 445 hablado(s): Spanish Freudigman, Paul T, MD Sherman, TX 75092-7472 Eff 08-Feb-16 (903) 892-3696 Hunt County | Condado de Baylor Scott & White Physical Medicine and Rehabilitation Ph Thompson, Jon C, MD Hunt 1005 Legacy Ranch Rd Ste 100 Eff 15-Oct-18 Waxahachie, TX 75165 Alpha Orthopedics Burney, Mohammad U, MD (469) 800-9790 204 Medical Dr, Ste 110 Eff 15-Feb-19 Sherman, TX 75092 Orthopaedic Specialists of Dallas McSpadden, Joshua R, DO (972) 838-1635 4400 West IH-30, Ste 300 Eff 15-May-18 Greenville, TX 75402 Waxahachie Orthopedics and Urbanczyk, Jeremy , DO (972) 771-8111 Sports Medicine Eff 01-Aug-19 • Languages spoken / Idioma(s) 1328 W Hwy 287 By-pass, Ste 100 WNJ Wellcare Medical Group hablado(s): Spanish Waxahachie, TX 75165 300 N Highland Ave, Ste 430 (972) 923-9999 Sherman, TX 75092-7390 Chun, Jacob , MD (903) 957-2009 Eff 08-Sep-17 Hunt Orthopedics 4725 Wellington St Greenville, TX 75401-4945 (903) 455-0300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 324 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Johnson County | Condado de Rockwall County | Condado de Johnson, Todd Christian, MD Eff 01-Apr-16 Johnson Rockwall Orthopedic & Sports Medicine Center of Garland Tinley, Jason C, MD Aldrich, Daniel , MD 1975 Alpha Rd Ste 204 Eff 01-Jan-16 Eff 24-Aug-18 Rockwall, TX 75032 DFW Center for Spinal Disorders, Lake Pointe Orthopaedics (972)276-0536 PLLC Associates, PA • Languages spoken / Idioma(s) 649 NE Alsbury 3136 Horizon Rd, Ste 100 hablado(s): Spanish Burleson, TX 76028 Rockwall, TX 75032 (817) 916-4685 (972) 475-8914 Ju, Kevin L, MD Eff 19-Aug-17 Hopkins, Christopher M, MD Ashraf, Ali , MD Texas Back Institute Eff 21-Feb-19 Eff 15-Aug-20 3164 Horizon Rd, Ste 100 Arlington Orthopedic Associates, Ali Ashraf MD Rockwall, TX 75032 PA 3136 Horizon Rd Ste 16 (972) 772-8767 220 N. Ridgeway Drive Rockwall, TX 75032 Cleburne, TX 76033-4115 (214) 824-7744 Patel, Kushal V, MD (817) 375-5200 Eff 15-Feb-19 Bosita, Renato V, MD Orthopaedic Specialists of Dallas Kaufman County | Condado de Eff 15-Apr-15 1301 Summer Lee Dr Texas Back Institute Kaufman Rockwall, TX 75032-5452 3164 Horizon Rd, Ste 100 (972) 771-8111 Rockwall, TX 75032 • Languages spoken / Idioma(s) Burney, Mohammad U, MD (972) 772-8767 hablado(s): Hindi Specialty Care Physicians & Other Providers/ Eff 15-Feb-19 Orthopaedic Specialists of Dallas Burney, Mohammad U, MD Patel, Nilpesh M, MD 375 FM 548, Ste 100 Eff 15-Feb-19 Eff 01-Nov-15 Médicos de cuidado especializado y otros proveedores Forney, TX 75126 Orthopaedic Specialists of Dallas Lakewood Orthopaedics & Sports (972) 771-8111 1301 Summer Lee Dr Medicine, PA • Languages spoken / Idioma(s) Rockwall, TX 75032-5452 810 E Ralph Hall Pkwy, Ste 140 hablado(s): Spanish (972) 771-8111 Rockwall, TX 75032 • Languages spoken / Idioma(s) (469) 341-5676 Volpini, Danilo M, MD hablado(s): Spanish Eff 20-Mar-18 Stanley, James H, MD Orthopaedic Specialists of Dallas Duhon, Craig R, MD Eff 01-Dec-15 345 FM 548, Ste 100 Eff 24-Aug-18 James H Stanley, MD PA Forney, TX 75126-6963 Lake Pointe Orthopaedics 810 Ralph Hall Pkwy, Ste 140 (972) 771-8111 Associates, PA Rockwall, TX 75032 • Languages spoken / Idioma(s) 3136 Horizon Rd, Ste 100 (469) 341-5676 hablado(s): Spanish Rockwall, TX 75032 (972) 475-8914 Volpini, Danilo M, MD Zavala, John A, MD Eff 20-Mar-18 Eff 01-Dec-14 Gemas, Terry K, MD Orthopaedic Specialists of Dallas Orthopaedic Specialists of Dallas Eff 01-Nov-15 1301 Summer Lee Dr 200 N Virginia St Lakewood Orthopaedics & Sports Rockwall, TX 75032-5452 Terrell, TX 75160 Medicine, PA (972) 771-8111 (972) 771-8111 810 E Ralph Hall Pkwy, Ste 140 • Languages spoken / Idioma(s) Rockwall, TX 75032 hablado(s): Spanish (469) 341-5676

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 325 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Zarling, Joel P, MD Chong, Paul Y, MD Kazewych, Mark A, MD Eff 10-Sep-18 Eff 01-Jan-14 Eff 01-Jan-14 Lake Pointe Orthopaedics Family Orthopedic and Arlington Orthopedic Associates, Associates, PA Rehabilitation, LLP PA 3136 Horizon Rd, Ste 100 609 Matlock Centre Cir 800 Orthopedic Way Rockwall, TX 75032 Arlington, TX 76015-2535 Arlington, TX 76015 (972) 475-8914 (817) 676-9046 (817) 375-5200 Zavala, John A, MD Chun, Jacob , MD Khaleel, Mohammed A, MD Eff 01-Dec-14 Eff 08-Sep-17 Eff 29-May-19 Orthopaedic Specialists of Dallas Family Orthopedic and TMI Sports Medicine & Orthopedic 1301 Summer Lee Dr Rehabilitation, LLP Surgery, PA Rockwall, TX 75032-5452 609 Matlock Centre Cir 3533 Matlock Rd (972) 771-8111 Arlington, TX 76015-2535 Arlington, TX 76015-3604 (817) 676-9046 (817) 419-0303 Tarrant County | Condado de Crawford, Adam , MD Lowry, Jason K, MD Tarrant Eff 01-Jan-16 Eff 01-Jan-14 Arlington Orthopedic Associates, Arlington Orthopedic Associates, Au, Brigham K, MD PA PA Eff 21-Feb-19 800 Orthopedic Way 800 Orthopedic Way TMI Sports Medicine & Orthopedic Arlington, TX 76015 Arlington, TX 76015 Surgery, PA (817) 375-5200 (817) 375-5200 3533 Matlock Rd • Languages spoken / Idioma(s) Arlington, TX 76015-3604 Estrera, Kenneth , MD Specialty Care Physicians & Other Providers/ hablado(s): Spanish (817) 419-0303 Eff 29-May-19 TMI Sports Medicine & Orthopedic Nicholls, Danny W, DO Médicos de cuidado especializado y otros proveedores Berman, Joseph M, MD Surgery, PA Eff 01-Jan-14 Eff 01-Jan-14 3533 Matlock Rd Arlington Orthopedic Associates, Arlington Orthopedic Associates, Arlington, TX 76015-3604 PA PA (817) 419-0303 800 Orthopedic Way 800 Orthopedic Way Arlington, TX 76015 Arlington, TX 76015 Even, Jesse L, MD (817) 375-5200 (817) 375-5200 Eff 15-May-17 TMI Sports Medicine & Orthopedic Pollifrone, James J, DO Burnett, James W, MD Sugery, PA Eff 01-Jan-14 Eff 01-Jan-14 3533 Matlock Rd Arlington Orthopedic Associates, Arlington Orthopedic Associates, Arlington, TX 76015-3604 PA PA (817) 419-0303 800 Orthopedic Way 800 Orthopedic Way Arlington, TX 76015 Arlington, TX 76015 Hendawi, Tariq K, MD (817) 375-5200 (817) 375-5200 Eff 21-May-20 TMI Sports Medicine & Orthopedic Pond, Jay D, MD Carter, Jeffrey D, DO Surgery PA Eff 01-Jan-14 Eff 01-Jan-14 3533 Matlock Rd Arlington Orthopedic Associates, Arlington Orthopedic Associates, Arlington, TX 76014 PA PA (817) 419-0303 800 Orthopedic Way 800 Orthopedic Way Arlington, TX 76015 Arlington, TX 76015 (817) 375-5200 (817) 375-5200

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 326 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ramsey, Michael L, MD Drury, Benjamin T, MD Daniels, Joseph , DO Eff 21-Dec-15 Eff 12-Dec-16 Eff 01-Dec-14 Arlington Orthopedic Associates, Texas Orthopedic Specialists, Southwest Orthopedic Associates PA PLLC 6311 Southwest Blvd 800 Orthopedic Way 2425 Hwy 121 Fort Worth, TX 76132 Arlington, TX 76015 Bedford, TX 76021 (817) 731-9400 (817) 375-5200 (817) 540-4477 Dean, Thad J, DO Rodriguez, Francisco J, MD Nguyen, Michael L, MD Eff 21-Feb-19 Eff 01-Jan-14 Eff 01-Dec-14 Arlington Orthopedic Associates, Arlington Orthopedic Associates, Texas Orthopedic Specialists, PA PA PLLC 1101 6th Ave. Ste. 110 800 Orthopedic Way 2425 Hwy 121 Fort Worth, TX 76104-4306 Arlington, TX 76015 Bedford, TX 76021 (817) 375-5200 (817) 375-5200 (817) 540-4477 Deheshi, Benjamin , MD Seroyer, Shane T, MD Adams, Brook A, MD Eff 01-Jan-20 Eff 15-May-17 Eff 13-Jul-18 Dr Ben Deheshi Orthopedics PLLC TMI Sports Medicine & Orthopedic Adams Bone & Joint 909 9th Ave Ste 200 Sugery, PA 7000 Bryant Irvin Rd, Ste 108 Fort Worth, TX 76104-3916 3533 Matlock Rd Fort Worth, TX 76132-4251 (817)332-7867 Arlington, TX 76015-3604 (682) 499-2663 (817) 419-0303 Gill, George K, MD Avramis, Ioannis A, MD Eff 19-Aug-19 Stewart, Donald S, MD Eff 15-Feb-17 The Orthopedic & Sports Medicine Specialty Care Physicians & Other Providers/ Eff 01-Jan-14 Southwest Scoliosis Institute Institute Arlington Orthopedic Associates, 1650 W Magnolia Ave, Ste 210 2901 Acme Brick Plaza PA Fort Worth, TX 76104 Fort Worth, TX 76109-4124 Médicos de cuidado especializado y otros proveedores 800 Orthopedic Way (817) 922-2880 (817) 529-1900 Arlington, TX 76015 • Languages spoken / Idioma(s) (817) 375-5200 hablado(s): Spanish Hennessy, Michael W, MD Eff 15-Sep-16 Wieser, Eric S, MD Beavers, Bret B, MD Texas Spine Consultants, LLP Eff 01-Jan-14 Eff 12-Apr-18 1106 Alston Ave, Ste 201 Arlington Orthopedic Associates, The Orthopedic & Sports Medicine Fort Worth, TX 76104 PA Institute (214) 370-3535 800 Orthopedic Way 2901 Acme Brick Plaza Arlington, TX 76015 Fort Worth, TX 76109-4124 Hull, Christopher K, DO (817) 375-5200 (817) 529-1900 Eff 01-Jan-14 Fort Worth Orthopedic Surgery & Woolf, Mark W, MD Coleman, William G, MD Sports Medicine Eff 01-Jan-14 Eff 01-Mar-16 3625 Camp Bowie Blvd Arlington Orthopedic Associates, William G Coleman, MD PA Fort Worth, TX 76107 PA 1300 W Rosedale, Ste B (817) 737-8880 800 Orthopedic Way Fort Worth, TX 76104 • Languages spoken / Idioma(s) Arlington, TX 76015 (817) 921-3409 hablado(s): Spanish (817) 375-5200 Daniels, Joseph , DO Eff 01-Dec-14 Southwest Orthopedic Associates 4441 Bryant Irvin Rd North Fort Worth, TX 76107 (817) 731-9400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 327 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kent, Allen S, MD Sehgal, Bantoo , MD Donegan, Kerry M, MD Eff 01-Jan-16 Eff 27-Sep-18 Eff 15-Feb-15 Allen S Kent, MD, PA Southlake Orthopedics & Sports North Texas Orthopedics & Sports 800 12th Ave, Ste 200 Medicine, PLLC Medicine Fort Worth, TX 76104 1300 W Rosedale St, Ste B 2535 Ira E Woods Ave (817) 332-5591 Fort Worth, TX 76104-2824 Grapevine, TX 76051-3930 • Languages spoken / Idioma(s) (214) 631-9881 (817) 481-2121 hablado(s): Spanish Smith, Harry G, DO Fleager, Kristen E, MD Kinchen, Melanie B, MD Eff 01-Nov-15 Eff 15-Feb-15 Eff 01-Jun-15 Private Practice North Texas Orthopedics & Sports Melanie B Kinchen, MD, PA 418 S Henderson Medicine 3900 N Tarrant Pkwy, Ste 104 Fort Worth, TX 76104 2535 Ira E Woods Ave Fort Worth, TX 76244-5410 (817) 687-9517 Grapevine, TX 76051-3930 (682) 223-1406 • Languages spoken / Idioma(s) (817) 481-2121 • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Hrnack, Scott A, MD Tinley, Jason C, MD Eff 01-May-15 Markman, Bruce S, MD Eff 01-Jan-16 Texas Institute of Orthopedic Eff 16-Jan-20 DFW Center for Spinal Disorders, Surgery and Sports Medicine, P NTOS PLLC PLLC 815 Ira E Woods Ave, Ste 100 909 9th Ave, Ste 202 6900 Harris Pkwy, Ste 310 Grapevine, TX 76051 Fort Worth, TX 76104-3916 Fort Worth, TX 76132 (817) 421-0505 (214) 592-9955 (817) 916-4685 Khan, Amir M, MD Specialty Care Physicians & Other Providers/ Moore, Gregory T, DO Toy, Jason O, MD Eff 01-May-15 Eff 01-Jan-16 Eff 21-Jul-18 Texas Institute of Orthopedic Médicos de cuidado especializado y otros proveedores Gregory Todd Moore, DO, PA DFW Center for Spinal Disorders, Surgery and Sports Medicine, P 2901 Acme Brick Plaza PLLC 815 Ira E Woods Ave, Ste 100 Fort Worth, TX 76109 6900 Harris Pkwy, Ste 310 Grapevine, TX 76051 (817) 529-1900 Fort Worth, TX 76132 (817) 421-0505 (817) 916-4685 • Languages spoken / Idioma(s) Omey, Monica L, MD hablado(s): Urdu Eff 04-Nov-19 Viere, Robert G, MD Monica L Omey MD Eff 15-Sep-16 Khubchandani, Zubin G, MD 1001 12th Ave, Ste 168 Texas Spine Consultants, LLP Eff 01-May-15 Fort Worth, TX 76104 1106 Alston Ave, Ste 201 Texas Institute of Orthopedic (817) 332-6639 Fort Worth, TX 76104 Surgery and Sports Medicine, P (214) 370-3535 815 Ira E Woods Ave, Ste 100 Park, Andrew E, MD Grapevine, TX 76051 Eff 15-Sep-16 Briseno, Michael R, MD (817) 421-0505 Texas Spine Consultants, LLP Eff 08-Sep-20 1106 Alston Ave, Ste 201 North Texas Orthopedics & Sports Kinchen, Melanie B, MD Fort Worth, TX 76104 Medicine Eff 01-Jun-15 (214) 370-3535 2535 Ira E Woods Ave Melanie B Kinchen, MD, PA Grapevine, TX 76051-3930 1600 W College St. Ste 470 Reyes, Bryan A, MD (817) 481-2121 Grapevine, TX 76051 Eff 18-Oct-19 • Languages spoken / Idioma(s) (682) 223-1406 Privia Medical Group North Texas hablado(s): Spanish • Languages spoken / Idioma(s) 801 W Terrell Ave hablado(s): Spanish Fort Worth, TX 76104 (817)877-3277

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 328 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Moffett, Jeffrey D, MD Weglein, Daniel G, MD Myles, Robert T, MD Eff 15-Feb-15 Eff 01-Jan-14 Eff 01-Jan-16 North Texas Orthopedics & Sports Baylor Scott & White Orthopaedic North Central Texas Spine Medicine Trauma Associates - Dallas Institute, PA 2535 Ira E Woods Ave 2020 W Hwy 114, Ste 340 729 W Bedford-Euless Rd, Ste Grapevine, TX 76051-3930 Grapevine, TX 76051-8650 206 (817) 481-2121 (817) 912-8380 Hurst, TX 76053 (817) 288-0084 Mulligan, Ryan Patrick, MD Weglein, Daniel G, MD Eff 20-Nov-17 Eff 01-Jan-14 Briseno, Michael R, MD North Texas Orthopedics & Sports Baylor Scott & White Orthopaedic Eff 08-Sep-20 Medicine Trauma Associates ? Grapevi North Texas Orthopedics & Sports 2535 Ira E Woods Ave 1600 W College St Ste 490 Medicine Grapevine, TX 76051-3930 Grapevine, TX 76051 4501 Heritage Trace Pkwy, #101 (817) 481-2121 (817)912-8380 Keller, TX 76244-8940 (817) 481-2121 Peters, Pat A, MD * Wenger, Scott A, MD • Languages spoken / Idioma(s) Eff 15-Feb-15 Eff 01-May-15 hablado(s): Spanish North Texas Orthopedics & Sports Texas Institute of Orthopedic Medicine Surgery and Sports Medicine, P Donegan, Kerry M, MD 2535 Ira E Woods Ave 815 Ira E Woods Ave, Ste 100 Eff 15-Feb-15 Grapevine, TX 76051-3930 Grapevine, TX 76051 North Texas Orthopedics & Sports (817) 481-2121 (817) 421-0505 Medicine 4501 Heritage Trace Pkwy #101 Peters, Theodore T, MD Williams, Nathan E, MD Keller, TX 76244-8940 Specialty Care Physicians & Other Providers/ Eff 15-Feb-15 Eff 15-Feb-15 (817) 481-2121 North Texas Orthopedics & Sports North Texas Orthopedics & Sports Medicine Medicine Drury, Benjamin T, MD Médicos de cuidado especializado y otros proveedores 2535 Ira E Woods Ave 2535 Ira E Woods Ave Eff 12-Dec-16 Grapevine, TX 76051-3930 Grapevine, TX 76051-3930 Texas Orthopedic Specialists, (817) 481-2121 (817) 481-2121 PLLC 10932 N Riverside Dr, Ste 108 Row, Elliot R, MD Kesani, Anil K, MD Keller, TX 76244 Eff 01-Oct-17 Eff 11-Apr-16 (817) 540-4477 Baylor Scott & White Orthopaedic North Central Texas Spine Trauma Associates - Dallas Institute, PA Fleager, Kristen E, MD 2020 W Hwy 114, Ste 340 729 W Bedford-Euless Rd, Ste Eff 15-Feb-15 Grapevine, TX 76051-8650 206 North Texas Orthopedics & Sports (214) 820-8350 Hurst, TX 76053 Medicine (817) 288-0084 4501 Heritage Trace Pkwy, #101 Stehly, Eric M, MD Keller, TX 76244-8940 Eff 15-Feb-15 Kjeldgaard, Larry M, DO (817) 481-2121 North Texas Orthopedics & Sports Eff 01-Jan-16 Medicine Trinity Orthopedics PLLC Kjeldgaard, Larry M, DO 2535 Ira E Woods Ave 809 W Harwood Rd, Ste 101 Eff 01-Jan-16 Grapevine, TX 76051-3930 Hurst, TX 76054 Trinity Orthopedics PLLC (817) 481-2121 (214) 651-0772 4444 Heritage Trace Pkwy, Ste • Languages spoken / Idioma(s) 408 hablado(s): Spanish Keller, TX 76244 (817) 283-5252

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 329 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Moffett, Jeffrey D, MD Williams, Nathan E, MD Dean, Thad J, DO Eff 15-Feb-15 Eff 15-Feb-15 Eff 21-Feb-19 North Texas Orthopedics & Sports North Texas Orthopedics & Sports Arlington Orthopedic Associates, Medicine Medicine PA 4501 Heritage Trace Pkwy, #101 4501 Heritage Trace Pkwy, #101 2801 E Broad St Keller, TX 76244-8940 Keller, TX 76244-8940 Mansfield, TX 76063 (817) 481-2121 (817) 481-2121 (817) 375-5200 Mulligan, Ryan Patrick, MD Aronowitz, Ray F, MD Drkulec, John A, MD Eff 20-Nov-17 Eff 15-Mar-20 Eff 01-Jan-14 North Texas Orthopedics & Sports Methodist Orthopaedic Surgical Arlington Orthopedic Associates, Medicine Associates PA 4501 Heritage Trace Pkwy, #101 2975 E Broad St Ste 200 2801 E Broad St Keller, TX 76244-8940 Mansfield, TX 76063 Mansfield, TX 76063 (817) 481-2121 (817) 453-3500 (817) 375-5200 Nguyen, Michael L, MD Atkinson, Cameron T, MD Duffy, Michael F, MD Eff 01-Dec-14 Eff 08-Dec-14 Eff 15-Apr-15 Texas Orthopedic Specialists, Arlington Orthopedic Associates, Texas Back Institute PLLC PA 2800 E Broad St, Ste 522 10932 N Riverside Dr, Ste 108 2801 E Broad St Mansfield, TX 76063 Keller, TX 76244 Mansfield, TX 76063 (682) 518-1215 (817) 540-4477 (817) 375-5200 • Languages spoken / Idioma(s) Harris, John R, MD Peters, Pat A, MD * Eff 15-Mar-20 Specialty Care Physicians & Other Providers/ hablado(s): Spanish Eff 15-Feb-15 Methodist Orthopaedic Surgical North Texas Orthopedics & Sports Bell, Clinton S, MD Associates Médicos de cuidado especializado y otros proveedores Medicine Eff 09-Apr-19 2975 E Broad St Ste 200 4501 Heritage Trace Pkwy, #101 Arlington Orthopedic Associates, Mansfield, TX 76063 Keller, TX 76244-8940 PA (817) 453-3500 (817) 481-2121 2801 E Broad St Mansfield, TX 76063 Hernandez, Miguel A, MD Peters, Theodore T, MD (817) 375-5200 Eff 15-Mar-20 Eff 15-Feb-15 Methodist Orthopaedic Surgical North Texas Orthopedics & Sports Cho, Alexander , MD Associates Medicine Eff 15-Mar-20 2975 E Broad St Ste 200 4501 Heritage Trace Pkwy, #101 Methodist Orthopaedic Surgical Mansfield, TX 76063 Keller, TX 76244-8940 Associates (817) 453-3500 (817) 481-2121 2975 E Broad St Ste 200 Mansfield, TX 76063 Hopkins, Christopher M, MD Stehly, Eric M, MD (817) 453-3500 Eff 21-Feb-19 Eff 15-Feb-15 Arlington Orthopedic Associates, North Texas Orthopedics & Sports Crawford, Adam , MD PA Medicine Eff 01-Jan-16 2801 E Broad St 4501 Heritage Trace Pkwy, #101 Arlington Orthopedic Associates, Mansfield, TX 76063 Keller, TX 76244-8940 PA (817) 375-5200 (817) 481-2121 2801 E Broad St • Languages spoken / Idioma(s) Mansfield, TX 76063 Jamison, John P, MD hablado(s): Spanish (817) 375-5200 Eff 09-Apr-19 Arlington Orthopedic Associates, PA 2801 E Broad St Mansfield, TX 76063 (817) 375-5200

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 330 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kazewych, Mark A, MD Rodriguez, Francisco J, MD Hahn, Michael K, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-16 Arlington Orthopedic Associates, Arlington Orthopedic Associates, All-Star Orthopaedics & Sports PA PA Medicine 2801 E Broad St 2801 E Broad St 910 E Southlake Blvd, Ste 155 Mansfield, TX 76063 Mansfield, TX 76063 Southlake, TX 76092 (817) 375-5200 (817) 375-5200 (817) 421-5000 Lowry, Jason K, MD Stewart, Donald S, MD Hall, Christopher S, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 25-Nov-19 Arlington Orthopedic Associates, Arlington Orthopedic Associates, Direct Orthopedic Care (DOC LLC) PA PA 2419 W Southlake Blvd Ste 100 2801 E Broad St 2801 E Broad St Southlake, TX 76092-6718 Mansfield, TX 76063 Mansfield, TX 76063 (817)809-2660 (817) 375-5200 (817) 375-5200 • Languages spoken / Idioma(s) Hassinger, Sean M, MD hablado(s): Spanish Wieser, Eric S, MD Eff 10-Jul-19 Eff 01-Jan-14 Direct Orthopedic Care (DOC LLC) Mairura, Edward M, MD Arlington Orthopedic Associates, 2419 W Southlake Blvd, Ste 100 Eff 15-Mar-20 PA Southlake, TX 76092-6718 Methodist Orthopaedic Surgical 2801 E Broad St (817) 809-2660 Associates Mansfield, TX 76063 2975 E Broad St Ste 200 (817) 375-5200 Hendawi, Tariq K, MD Mansfield, TX 76063 Eff 28-Apr-18 Kesani, Anil K, MD Precision Orthopedics & Sports (817) 453-3500 Specialty Care Physicians & Other Providers/ Eff 02-Sep-19 Medicine Nicholls, Danny W, DO SpineMD 245 West State Hwy 114 Ste 300 Eff 01-Jan-14 7500 Davis Blvd, Ste 100 Southlake, TX 76092 Médicos de cuidado especializado y otros proveedores Arlington Orthopedic Associates, North Richland, TX 76182-7402 (972)438-4636 PA (817) 893-6001 2801 E Broad St Honig, Kevin M, MD Mansfield, TX 76063 Eubanks, Aaron C, MD Eff 01-Jan-16 (817) 375-5200 Eff 01-Jun-18 All-Star Orthopaedics & Sports Aaron C Eubanks MD PA Medicine Ramsey, Michael L, MD 2813 W Southlake Blvd, Ste 100 910 E Southlake Blvd, Ste 155 Eff 21-Dec-15 Southlake, TX 76092-6832 Southlake, TX 76092 Arlington Orthopedic Associates, (817) 310-8783 (817) 421-5000 PA 2801 E Broad St Freese, Andrew P, MD Hurt, Walter G, MD Mansfield, TX 76063 Eff 05-Aug-18 Eff 01-Jan-16 (817) 375-5200 Direct Orthopedic Care (DOC LLC) All-Star Orthopaedics & Sports 2419 W Southlake Blvd Ste 100 Medicine Rey, Jesus , MD Southlake, TX 76092-6718 910 E Southlake Blvd, Ste 155 Eff 09-Apr-19 (817) 809-2660 Southlake, TX 76092 Arlington Orthopedic Associates, (817) 421-5000 PA Greenberg, Mark S, MD • Languages spoken / Idioma(s) 2801 E Broad St Eff 01-Jan-16 hablado(s): Spanish Mansfield, TX 76063 All-Star Orthopaedics & Sports (817) 375-5200 Medicine James, Kevin B, MD 910 E Southlake Blvd, Ste 155 Eff 01-Aug-15 Southlake, TX 76092 Advanced Spine Solutions (817) 421-5000 2813 W Southlake Blvd, Ste 100 Southlake, TX 76092 (817) 310-8783

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 331 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Knight, John T, MD Timon, Stephen J, MD * Otolaryngology (Ear, Nose, Eff 03-Aug-18 Eff 01-Jan-16 Throat/ENT)/ The Hand & Wrist Institute, PA All-Star Orthopaedics & Sports Otorrinolaringología (oído, nariz, 510 Southlake Blvd Ste 140 Medicine garganta / ENT) Southlake, TX 76092-6578 910 E Southlake Blvd, Ste 155 (817) 382-6789 Southlake, TX 76092 Collin County | Condado de (817) 421-5000 Kwong, Peter , MD Collin Eff 15-Mar-17 Tsay, Bing S, MD Kwong Orthopedics and Sports Eff 01-Jan-16 Booth, Cherie , MD Medicine,PLLC All-Star Orthopaedics & Sports Eff 11-Jul-16 1545 E Southlake Blvd, # 270 Medicine The Ear Nose and Throat Centers Southlake, TX 76092 910 E Southlake Blvd, Ste 155 of Texas, PLLC (817) 416-2380 Southlake, TX 76092 1111 Raintree Circle, 280 (817) 421-5000 Allen, TX 75013 McKenna, Randall W, DO • Languages spoken / Idioma(s) (972) 984-1050 Eff 01-Sep-18 hablado(s): Spanish Reclaim Physicians Medical Group Champion, Gretchen , MD Inc Villarreal, Arturo D, MD Eff 21-Oct-16 801 E Southlake Blvd Eff 27-Sep-18 The Ear Nose and Throat Centers Southlake, TX 76092-6343 Direct Orthopedic Care (DOC LLC) of Texas, PLLC (877) 899-7836 2419 W Southlake Blvd, Ste 100 1111 Raintree Circle, 280 Southlake, TX 76092-6718 Allen, TX 75013 Schott, Thomas M, MD (817) 809-2660 (972) 984-1050 Eff 01-Jan-16 Specialty Care Physicians & Other Providers/ All-Star Orthopaedics & Sports Wise County | Condado de Martino, Benjamin J, MD Medicine Eff 12-Oct-16 Médicos de cuidado especializado y otros proveedores 910 E Southlake Blvd, Ste 155 Wise The Ear Nose and Throat Centers Southlake, TX 76092 of Texas, PLLC (817) 421-5000 McKenna, Randall W, DO 1111 Raintree Circle, 280 Eff 01-Sep-18 Allen, TX 75013 Sehgal, Bantoo , MD Reclaim Physicians Medical Group (972) 984-1050 Eff 27-Sep-18 Inc • Languages spoken / Idioma(s) Southlake Orthopedics & Sports 1713 S FM 51, Ste 103 hablado(s): Spanish Medicine, PLLC Decatur, TX 76234-3644 950 E State Highway 114, Ste (940) 627-6979 Pahlavan, Shane , MD 160-123 Eff 01-May-15 Southlake, TX 76092-5240 Myles, Robert T, MD The Ear Nose and Throat Centers (214) 631-9881 Eff 01-Jan-16 of Texas, PLLC North Central Texas Spine 1105 N Central Expy, Ste 210 Setayesh, Kian , MD Institute, PA Allen, TX 75013 Eff 07-Jan-19 1101 W Eagle Dr, Ste B (972) 984-1050 Direct Orthopedic Care (DOC LLC) Decatur, TX 76234 • Languages spoken / Idioma(s) 2419 W Southlake Blvd, Ste 100 (817) 288-0084 hablado(s): Spanish Southlake, TX 76092-6718 (817) 809-2660 Patel, Nimish A, MD Eff 08-Aug-16 Straus, Brian E, MD The Ear Nose and Throat Centers Eff 01-Jan-16 of Texas, PLLC All-Star Orthopaedics & Sports 1111 Raintree Circle, 280 Medicine Allen, TX 75013 910 E Southlake Blvd, Ste 155 (972) 984-1050 Southlake, TX 76092 (817) 421-5000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 332 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Thrasher, Richard D, MD Booth, Cherie , MD Hsu, Kenneth S, MD Eff 01-May-15 Eff 11-Jul-16 Eff 13-Jul-15 The Ear Nose and Throat Centers The Ear Nose and Throat Centers The Ear Nose and Throat Centers of Texas, PLLC of Texas, PLLC of Texas, PLLC 1105 N Central Expy, Ste 210 5220 W University Dr, Ste 150 5220 W University Dr, Ste 150 Allen, TX 75013 McKinney, TX 75071 McKinney, TX 75071 (972) 984-1050 (972) 984-1050 (972) 984-1050 Ehmer, Dale R, MD Champion, Gretchen , MD James, Joshua C, MD Eff 01-Jan-14 Eff 21-Oct-16 Eff 01-May-15 Ear, Nose, and Throat Associates The Ear Nose and Throat Centers The Ear Nose and Throat Centers of Texas, PA of Texas, PLLC of Texas, PLLC 4401 Coit Rd, Ste 411 5220 W University Dr, Ste 150 5220 W University Dr, Ste 150 Frisco, TX 75035-0520 McKinney, TX 75071 McKinney, TX 75071 (972) 731-7654 (972) 984-1050 (972) 984-1050 Huang, Patti C, MD Dang, Jennifer , MD Lee, Wha-Joon , MD Eff 01-Nov-15 Eff 21-Sep-20 Eff 01-Jun-15 Patti C Huang, MD, PA The Ear Nose and Throat Centers Allergy, Ear, Nose & Throat Clinic 5520 Independence Pkwy, Ste 202 of Texas PLLC of NE Texas, PA Frisco, TX 75035 5220 W University Dr Ste 150 4521 Medical Center Dr, Ste 400 (214) 374-8264 McKinney, TX 75071 McKinney, TX 75069 (972) 984-1050 (972) 548-7555 Kapadia, Lav Steve A, MD Eff 01-Jan-14 Ehmer, Dale R, MD Martino, Benjamin J, MD Specialty Care Physicians & Other Providers/ Ear, Nose, and Throat Associates Eff 01-Jan-14 Eff 12-Oct-16 of Texas, PA Ear, Nose, and Throat Associates The Ear Nose and Throat Centers 4401 Coit Rd, Ste 411 of Texas, PA of Texas, PLLC Médicos de cuidado especializado y otros proveedores Frisco, TX 75035-0520 6717 W Eldorado Pkwy, Ste 140 5220 W University Dr, Ste 150 (972) 731-7654 McKinney, TX 75070 McKinney, TX 75071 (972) 731-7654 (972) 984-1050 McDuffie, Chad M, MD • Languages spoken / Idioma(s) Eff 01-Jan-14 Fulmer, Robert P, MD hablado(s): Spanish Ear, Nose, and Throat Associates Eff 01-Oct-15 of Texas, PA Aspire Allergy & Sinus McDuffie, Chad M, MD 4401 Coit Rd, Ste 411 7300 El Dorado Pkwy, Ste 255 Eff 01-Jan-14 Frisco, TX 75035-0520 McKinney, TX 75070-7891 Ear, Nose, and Throat Associates (972) 731-7654 (972) 716-3922 of Texas, PA • Languages spoken / Idioma(s) 6717 W Eldorado Pkwy, Ste 140 Mehendale, Neelesh H, MD hablado(s): Spanish McKinney, TX 75070 Eff 01-Jan-14 (972) 731-7654 Ear, Nose, and Throat Associates Graham, Camille A, MD of Texas, PA Eff 01-Jun-15 Mehendale, Neelesh H, MD 4401 Coit Rd, Ste 411 Allergy, Ear, Nose & Throat Clinic Eff 01-Jan-14 Frisco, TX 75035-0520 of NE Texas, PA Ear, Nose, and Throat Associates (972) 731-7654 4521 Medical Center Dr, Ste 400 of Texas, PA McKinney, TX 75069 6717 W Eldorado Pkwy, Ste 140 Peiffer, Nicholas J, MD (972) 548-7555 McKinney, TX 75070 Eff 01-Jan-14 (972) 731-7654 Ear, Nose, and Throat Associates of Texas, PA 4401 Coit Rd, Ste 411 Frisco, TX 75035-0520 (972) 731-7654

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 333 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Pahlavan, Shane , MD Wiebel, Michael J, MD Lunde, Kevin C, MD Eff 01-May-15 Eff 09-Nov-15 Eff 01-Oct-15 The Ear Nose and Throat Centers Allergy, Ear, Nose & Throat Clinic Kevin Lunde, MD, PA of Texas, PLLC of NE Texas, PA 4701 W Plano Pkwy, Ste 150 5220 W University Dr, Ste 150 4521 Medical Center Dr, Ste 400 Plano, TX 75093 McKinney, TX 75071 McKinney, TX 75069 (972) 985-3223 (972) 984-1050 (972) 548-7555 • Languages spoken / Idioma(s) Pahlavan, Shane , MD hablado(s): Spanish Booth, Cherie , MD Eff 01-May-15 Eff 11-Jul-16 The Ear Nose and Throat Centers Patel, Nimish A, MD The Ear Nose and Throat Centers of Texas, PLLC Eff 08-Aug-16 of Texas, PLLC 4001 W 15th, Ste 225 The Ear Nose and Throat Centers 4001 W 15th, Ste 225 Plano, TX 75093 of Texas, PLLC Plano, TX 75093 (972) 984-1050 5220 W University Dr, Ste 150 (972) 984-1050 • Languages spoken / Idioma(s) McKinney, TX 75071 hablado(s): Spanish (972) 984-1050 Brobst, Robert W, MD Eff 01-Aug-16 Patel, Nimish A, MD Peiffer, Nicholas J, MD Brobst Facial Plastic Surgery Eff 08-Aug-16 Eff 01-Jan-14 4800 Hedgcoxe Rd, #250 The Ear Nose and Throat Centers Ear, Nose, and Throat Associates Plano, TX 75024 of Texas, PLLC of Texas, PA (972) 618-2212 4001 W 15th, Ste 225 6717 W Eldorado Pkwy, Ste 140 Plano, TX 75093 McKinney, TX 75070 Byerly, Tracy A, MD (972) 984-1050 Eff 05-Aug-19 Specialty Care Physicians & Other Providers/ (972) 731-7654 Aspire Allergy & Sinus Pero, Colin D, MD Thompson, Christopher P, MD 3300 Dallas Pkwy, Ste 224 Eff 21-May-17 Médicos de cuidado especializado y otros proveedores Eff 18-Jan-16 Plano, TX 75093-7771 North Dallas Otolaryngology Aspire Allergy & Sinus (972) 716-3922 Consultants, PA 7300 El Dorado Pkwy, Ste 255 5425 W Springcreek Pkwy, Ste McKinney, TX 75070-7891 James, Joshua C, MD 170 (972) 716-3922 Eff 01-May-15 Plano, TX 75024 • Languages spoken / Idioma(s) The Ear Nose and Throat Centers (214) 382-5100 hablado(s): Spanish of Texas, PLLC 4001 W 15th, Ste 225 Peskind, Steven P, MD Thrasher, Richard D, MD Plano, TX 75093 Eff 01-Jun-16 Eff 01-May-15 (972) 984-1050 Steven P Peskind, MD & The Ear Nose and Throat Centers Associates, PA of Texas, PLLC Kapadia, Lav Steve A, MD 5957 Dallas Pkwy #100 5220 W University Dr, Ste 150 Eff 01-Jan-14 Plano, TX 75093 McKinney, TX 75071 Ear, Nose, and Throat Associates (972) 596-2552 (972) 984-1050 of Texas, PA • Languages spoken / Idioma(s) 4716 Alliance Pkwy, Ste 260 hablado(s): Spanish Vora, Neil M, MD Plano, TX 75093 Eff 01-Jun-15 (972) 731-7654 Saman, Masoud , MD Allergy, Ear, Nose & Throat Clinic Eff 01-Aug-16 of NE Texas, PA Littlejohn, Mark C, MD Saman Facial Plastic Surgery 4521 Medical Center Dr, Ste 400 Eff 15-Aug-17 PLLC McKinney, TX 75069 Mark C Littlejohn, MD, PLLC 2317 Coit Rd, Ste A (972) 548-7555 8080 Independence Pkwy, #255 Plano, TX 75075 Plano, TX 75025 (972) 521-8010 (972) 596-4005

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 334 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Thompson, Christopher P, MD Arviso, Lindsey C, MD Constantine, Kristin K, MD Eff 18-Jan-16 Eff 06-Jun-16 Eff 20-Jun-16 Aspire Allergy & Sinus Baylor Scott & White The Voice Baylor Scott & White The Voice 3300 Dallas Pkwy, Ste 224 Center Center Plano, TX 75093-7771 3900 Junius St, Ste 230 3600 Gaston Ave, Barnett Tower, (972) 716-3922 Dallas, TX 75246 Ste 502 • Languages spoken / Idioma(s) (469) 800-7700 Dallas, TX 75246-1814 hablado(s): Spanish (469) 800-7700 Bassichis, Benjamin , MD • Languages spoken / Idioma(s) Thrasher, Richard D, MD Eff 01-Nov-16 hablado(s): Spanish Eff 01-May-15 Advanced Facial Plastic Surgery The Ear Nose and Throat Centers Center Constantine, Kristin K, MD of Texas, PLLC 14755 Preston Rd, Ste 110 Eff 20-Jun-16 4001 W 15th, Ste 225 Dallas, TX 75254 Baylor Scott & White The Voice Plano, TX 75093 (972) 774-1777 Center (972) 984-1050 3600 Gaston Ave, Barnett Tower, Bhatki, Amol M, MD Ste 502 Verret, Daniel J, MD Eff 01-Jan-14 Dallas, TX 75246 Eff 01-Jan-16 Baylor Scott & White The Voice (469) 800-7700 Innovations Facial Plastic Surgery Center • Languages spoken / Idioma(s) 6545 Preston Rd, Ste 200 3600 Gaston Ave Barnett Twr Ste hablado(s): Spanish Plano, TX 75024 502 (972) 608-0100 Dallas, TX 75246-1814 Hahn, Yoav , MD (469) 800-7700 Eff 01-Jul-16 Wyatt, Joseph R, MD Dallas Ear Institute Specialty Care Physicians & Other Providers/ Eff 31-Aug-16 Bhatki, Amol M, MD 7777 Forest Ln, Ste A103 North Dallas Otolaryngology Eff 01-Jan-14

Dallas, TX 75230-6800 Médicos de cuidado especializado y otros proveedores Consultants, PA Baylor Scott & White The Voice (972) 566-7600 5425 W Springcreek Pkwy, Ste Center 170 3600 Gaston Ave Barnett Twr Ste Hardin, Mark , MD * Plano, TX 75024 502 Eff 01-Nov-15 (214) 382-5100 Dallas, TX 75246 Dallas Ear, Nose and Throat (469) 800-7700 Center, PA Wyll, Allison N, MD 9301 N Central Expy, Ste 560 Eff 01-Oct-15 Biavati, Michael J, MD Dallas, TX 75231 North Dallas Otolaryngology Eff 11-Oct-17 (214) 821-1809 Consultants, PA Parkhill Physician Group 5425 W Springcreek Pkwy, Ste 8325 Walnut Hill Ln, #100 Huang, Chung-En , MD 170 Dallas, TX 75231 Eff 01-Dec-15 Plano, TX 75024 (214) 696-8900 Chung-En Huang, MD & (214) 382-5100 Associates Choi, Jinhee , MD 3430 W Wheatland Rd, Ste 209 Dallas County | Condado de Eff 15-Oct-18 Dallas, TX 75237 Methodist Charlton Ears, Nose Dallas (972) 780-1496 and Throat Associates • Languages spoken / Idioma(s) 3450 W Wheatland Rd, Ste 443 hablado(s): Chinese Arviso, Lindsey C, MD Dallas, TX 75237-4430 Eff 06-Jun-16 (972) 572-3300 Jordan, Jennifer A, MD Baylor Scott & White The Voice • Languages spoken / Idioma(s) Eff 01-Jan-16 Center hablado(s): Korean White Rock ENT 3900 Junius St, Ste 230 1130 Beachview St, Ste 240 Dallas, TX 75246 Dallas, TX 75218-3630 (469) 800-7700 (214) 324-0418

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 335 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kronenberger, Michael B, MD Rodgers, Brian C, MD Theilen, Frank W, MD Eff 01-Apr-15 Eff 07-Jan-18 Eff 01-Jan-16 Ear Nose & Throat Specialty Care, Dallas Ear Institute ENT Partners of Texas PLLC 7777 Forest Ln Ste A103 400 W LBJ Fwy, Ste 360 411 N Washington Ave, Ste 6400 Dallas, TX 75230-6800 Irving, TX 75063 Dallas, TX 75246 (972) 566-7600 (972) 402-8404 (214) 826-3681 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Thompson, Christopher P, MD hablado(s): Spanish hablado(s): Spanish Eff 18-Jan-16 Aspire Allergy & Sinus Thomason, Timothy S, MD Lippert, Dylan Corey, MD 3001 Knox St, Ste 407 Eff 01-Dec-18 Eff 12-Dec-16 Dallas, TX 75205-5594 Metroplex ENT & Allergy Ear Nose & Throat Specialty Care, (972) 716-3922 6750 N MacArthur Blvd Ste 300 PLLC • Languages spoken / Idioma(s) Irving, TX 75039-2473 411 N Washington Ave, Ste 6400 hablado(s): Spanish (972) 253-4280 Dallas, TX 75246 (214) 826-3681 Venkatesan, Naren N, MD Williams, Neil P, MD Eff 17-Dec-17 Eff 01-Jan-16 Oxford, Lance E, MD White Rock ENT ENT Partners of Texas Eff 01-Apr-15 1130 Beachview St, Ste 240 400 W LBJ Fwy, Ste 360 Ear Nose & Throat Specialty Care, Dallas, TX 75218-3630 Irving, TX 75063 PLLC (214) 324-0418 (972) 402-8404 411 N Washington Ave, Ste 6400 • Languages spoken / Idioma(s) Dallas, TX 75246 Venkatesan, Naren , MD hablado(s): Spanish Eff 29-Jan-20 Specialty Care Physicians & Other Providers/ (214) 826-3681 Baylor Scott & White ENT Zhou, Constance Q, MD Pandit, Rajiv T, MD Consultants of North Texas Eff 01-Dec-18 Médicos de cuidado especializado y otros proveedores Eff 15-Oct-18 3600 Gaston Ave St 502 Metroplex ENT & Allergy Dallas ENT DBA Head & Neck Dallas, TX 75246 6750 N MacArthur Blvd Ste 300 Surgery Center (469) 800-7700 Irving, TX 75039-2473 1411 N Beckley Ave, Pavilion III, (972) 253-4280 Ste 363 Wyatt, Joseph R, MD Dallas, TX 75203-1558 Eff 31-Aug-16 Subramanian, Geetha , MD (214) 946-3687 North Dallas Otolaryngology Eff 01-Feb-15 • Languages spoken / Idioma(s) Consultants, PA Metro ENT, PA hablado(s): Spanish 11970 N Central Expy, Ste 400 5308 N Galloway Ave, Ste 201 Dallas, TX 75243 Mesquite, TX 75150 Pena, Rene M, MD (214) 382-5100 (972) 270-6368 Eff 01-Jan-16 • Languages spoken / Idioma(s) Central Park Ear, Nose, and Wyll, Allison N, MD hablado(s): Hindi Throat, LLP Eff 01-Oct-15 3131 Turtle Creek Blvd, Ste 302 North Dallas Otolaryngology Gottlieb, Morris B, MD Dallas, TX 75219 Consultants, PA Eff 01-Apr-15 (972) 884-5606 11970 N Central Expy, Ste 400 North Dallas Ear, Nose and • Languages spoken / Idioma(s) Dallas, TX 75243 Throat, PA hablado(s): Spanish (214) 382-5100 2821 E President George Bush Hwy, Ste 509 Pero, Colin D, MD Maddox, James B, MD Richardson, TX 75082 Eff 21-May-17 Eff 01-Jan-14 (972) 480-8877 North Dallas Otolaryngology James B Maddox, MD, PA Consultants, PA 530 Clara Barton Blvd, Ste 200 11970 N Central Expy, Ste 400 Garland, TX 75042 Dallas, TX 75243 (972) 272-5555 (214) 382-5100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 336 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chang, Andrew J, MD Bramhall, Thomas C, MD Wiebel, Michael J, MD Eff 01-Mar-20 Eff 01-Sep-16 Eff 09-Nov-15 Lakeside Allergy ENT LLP Private Practice- Thomas C Allergy, Ear, Nose & Throat Clinic 2300 FM 5444 Ste 200 Bramhall MD of NE Texas, PA Wylie, TX 75098-4941 324 W Main St, Ste 100 4000 Medical Pkwy (972) 771-5443 Lewisville, TX 75057 Greenville, TX 75401 • Languages spoken / Idioma(s) (972) 420-7212 (903) 454-6481 hablado(s): Spanish Evans, Michael B, MD Kaufman County | Condado de Iloabachie, Kenny E, MD Eff 01-Sep-16 Eff 01-Mar-20 Private Practice- M.Bradley Evans Kaufman Lakeside Allergy ENT LLP MD PA 2300 FM 5444 Ste 200 324 W Main, Ste 100 Chang, Andrew J, MD Wylie, TX 75098-4941 Lewisville, TX 75057 Eff 01-Mar-20 (972) 771-5443 (972) 420-7212 Lakeside Allergy ENT LLP 763 East Hwy 80 West, Jeffrey A, MD Ellis County | Condado de Ellis Forney, TX 75126-8633 Eff 01-Mar-20 (972) 771-5443 Lakeside Allergy ENT LLP Branch, Matthew P, MD • Languages spoken / Idioma(s) 2300 FM 5444 Ste 200 Eff 14-Sep-15 hablado(s): Spanish Wylie, TX 75098-4941 ENT Specialists of Waxahachie (972) 771-5443 Iloabachie, Kenny E, MD 2460 N I-35 E, Ste 270 Eff 01-Mar-20 Young, Gregory A, MD Waxahachie, TX 75165-5281 Lakeside Allergy ENT LLP Eff 01-Mar-20 (469) 800-9800 763 East Hwy 80 Specialty Care Physicians & Other Providers/ Lakeside Allergy ENT LLP Forney, TX 75126-8633 2300 FM 5444 Ste 200 Hunt County | Condado de (972) 771-5443 Wylie, TX 75098-4941 Hunt Médicos de cuidado especializado y otros proveedores (972) 771-5443 West, Jeffrey A, MD Graham, Camille A, MD Eff 01-Mar-20 Denton County | Condado de Eff 01-Jun-15 Lakeside Allergy ENT LLP 763 East Hwy 80 Denton Allergy, Ear, Nose & Throat Clinic of NE Texas, PA Forney, TX 75126-8633 (972) 771-5443 Bryan, Nicole L, MD 4000 Medical Pkwy Eff 01-Feb-15 Greenville, TX 75401 Young, Gregory A, MD Nicole Bryan, MD, PLLC (903) 454-6481 Eff 01-Mar-20 1790 King Arthur Blvd, Ste 120 Lee, Wha-Joon , MD Lakeside Allergy ENT LLP Carrollton, TX 75010 Eff 01-Jun-15 763 East Hwy 80 (972)492-4006 Allergy, Ear, Nose & Throat Clinic Forney, TX 75126-8633 (972) 771-5443 Thompson, Christopher P, MD of NE Texas, PA 4000 Medical Pkwy Eff 18-Jan-16 Rockwall County | Condado de Aspire Allergy & Sinus Greenville, TX 75401 4370 Medical Arts Dr, Ste 255 (903) 454-6481 Rockwall Flower Mound, TX 75028-1722 Vora, Neil M, MD (972) 716-3922 Chang, Andrew J, MD Eff 01-Jun-15 Eff 01-Mar-20 • Languages spoken / Idioma(s) Allergy, Ear, Nose & Throat Clinic hablado(s): Spanish Lakeside Allergy ENT LLP of NE Texas, PA 1320 Summer Lee Dr 4000 Medical Pkwy Rockwall, TX 75032-5453 Greenville, TX 75401 (972) 771-5443 (903) 454-6481 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 337 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Graham, Camille A, MD Young, Gregory A, MD Wu, Jonathan , MD Eff 01-Jun-15 Eff 01-Mar-20 Eff 19-Aug-17 Allergy, Ear, Nose & Throat Clinic Lakeside Allergy ENT LLP Cross Timbers ENT, PLLC of NE Texas, PA 1320 Summer Lee Dr 400 W Arbrook Blvd, Ste 301 3000 Horizon Rd Rockwall, TX 75032-5453 Arlington, TX 76014 Rockwall, TX 75087 (972) 771-5443 (817) 261-3000 (972) 772-4200 Tarrant County | Condado de Ashmead, Mary G, MD Iloabachie, Kenny E, MD Eff 12-Oct-16 Eff 01-Mar-20 Tarrant Texas Ear, Nose and Throat Lakeside Allergy ENT LLP Specialists, LLP 1320 Summer Lee Dr Cho, Allis H, MD 1615 Hospital Pkwy, Ste 210 Rockwall, TX 75032-5453 Eff 15-Feb-17 Bedford, TX 76022-5936 (972) 771-5443 Cross Timbers ENT, PLLC (817) 540-3121 400 W Arbrook Blvd, Ste 301 Lee, Wha-Joon , MD Arlington, TX 76014 Janicki, Peter T, MD Eff 01-Jun-15 (817) 261-3000 Eff 11-Jul-16 Allergy, Ear, Nose & Throat Clinic Texas Ear, Nose and Throat of NE Texas, PA Leffingwell, James F, MD Specialists, LLP 3000 Horizon Rd Eff 15-Feb-17 1615 Hospital Pkwy, Ste 210 Rockwall, TX 75087 Cross Timbers ENT, PLLC Bedford, TX 76022-5936 (972) 772-4200 400 W Arbrook Blvd, Ste 301 (817) 540-3121 Arlington, TX 76014 Thompson, Christopher P, MD (817) 261-3000 Lee, Yvonne T, MD Eff 18-Jan-16 Eff 08-Aug-17 Specialty Care Physicians & Other Providers/ Aspire Allergy & Sinus Pena, Rene M, MD Texas Ear, Nose and Throat 890 Rockwall Pkwy, Ste 105 Eff 01-Jan-16 Specialists, LLP Médicos de cuidado especializado y otros proveedores Rockwall, TX 75032 Central Park Ear, Nose, and 1615 Hospital Pkwy Ste 210 (855)845-7777 Throat, LLP Bedford, TX 76022-5936 • Languages spoken / Idioma(s) 409 Central Park Dr (817) 540-3121 hablado(s): Spanish Arlington, TX 76014-2069 (817) 261-9191 Ragsdale, Timothy F, MD Vora, Neil M, MD • Languages spoken / Idioma(s) Eff 13-Jun-16 Eff 01-Jun-15 hablado(s): Spanish Texas Ear, Nose and Throat Allergy, Ear, Nose & Throat Clinic Specialists, LLP of NE Texas, PA Shellenberger, David L, MD 1615 Hospital Pkwy, Ste 210 3000 Horizon Rd Eff 15-Feb-17 Bedford, TX 76022-5936 Rockwall, TX 75087 Cross Timbers ENT, PLLC (817) 540-3121 (972) 772-4200 400 W Arbrook Blvd, Ste 301 Arlington, TX 76014 Ducic, Yadranko , MD West, Jeffrey A, MD (817) 261-3000 Eff 01-Sep-20 Eff 01-Mar-20 Privia Medical Group North Texas Lakeside Allergy ENT LLP Thompson, Christopher P, MD 75 Main St, Ste 150 1320 Summer Lee Dr Eff 18-Jan-16 Colleyville, TX 76034-2970 Rockwall, TX 75032-5453 Aspire Allergy & Sinus (817) 503-2442 (972) 771-5443 1110 E Bardin Rd, Ste 100 • Languages spoken / Idioma(s) Arlington, TX 76018-1212 hablado(s): French Wiebel, Michael J, MD (972) 716-3922 Eff 09-Nov-15 • Languages spoken / Idioma(s) Allergy, Ear, Nose & Throat Clinic hablado(s): Spanish of NE Texas, PA 3000 Horizon Rd Rockwall, TX 75087 (972) 772-4200

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 338 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ducic, Yadranko , MD Byerly, Tracy A, MD Leffingwell, James F, MD Eff 01-Sep-20 Eff 05-Aug-19 Eff 15-Feb-17 Privia Medical Group North Texas Aspire Allergy & Sinus Cross Timbers ENT, PLLC 923 Pennsylvania Ave, Ste 100 1650 W Northwest Hwy, Ste 202 2500 E Broad St, Ste 200 Fort Worth, TX 76104-2254 Grapevine, TX 76051-8122 Mansfield, TX 76063 (817) 920-0484 (972) 716-3922 (817) 261-3000 • Languages spoken / Idioma(s) hablado(s): French Fulmer, Robert P, MD Shellenberger, David L, MD Eff 01-Oct-15 Eff 15-Feb-17 McIntyre, John B, MD Aspire Allergy & Sinus Cross Timbers ENT, PLLC Eff 01-Dec-14 1650 W Northwest Hwy, Ste 202 2500 E Broad St, Ste 200 Fort Worth ENT, PA Grapevine, TX 76051-8122 Mansfield, TX 76063 1250 8th Ave, Ste 135 (972) 716-3922 (817) 261-3000 Fort Worth, TX 76104 • Languages spoken / Idioma(s) (817) 332-8848 hablado(s): Spanish Ashmead, Mary G, MD Eff 12-Oct-16 Thompson, Christopher P, MD Janicki, Peter T, MD Texas Ear, Nose and Throat Eff 18-Jan-16 Eff 11-Jul-16 Specialists, LLP Aspire Allergy & Sinus Texas Ear, Nose and Throat 2813 W Southlake Blvd, Ste 150 5407 Basswood Blvd, Ste 113 Specialists, LLP Southlake, TX 76092 Fort Worth, TX 76137-4499 1600 W College St, Ste 270 (817) 540-3121 (972) 716-3922 Grapevine, TX 76051 • Languages spoken / Idioma(s) (817) 540-3121 Gonzales, James D, MD hablado(s): Spanish Eff 01-Apr-15 Ponder, John C, MD Texas Ear, Nose and Throat Specialty Care Physicians & Other Providers/ Thompson, Christopher P, MD Eff 01-Apr-15 Specialists, LLP Eff 18-Jan-16 Texas Ear, Nose and Throat 2813 W Southlake Blvd, Ste 150 Aspire Allergy & Sinus Specialists, LLP Southlake, TX 76092 Médicos de cuidado especializado y otros proveedores 851 Grainger St, Ste 107 1600 W College St, Ste 270 (817) 540-3121 Fort Worth, TX 76104-4646 Grapevine, TX 76051 • Languages spoken / Idioma(s) (972) 716-3922 (817) 540-3121 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish Thompson, Christopher P, MD Ragsdale, Timothy F, MD Eff 18-Jan-16 Eff 13-Jun-16 Trimble, Monty V, MD Aspire Allergy & Sinus Texas Ear, Nose and Throat Eff 15-Apr-17 1650 W Northwest Hwy, Ste 202 Specialists, LLP Monty V Trimble, MD, PA Grapevine, TX 76051-8122 2813 W Southlake Blvd, Ste 150 3455 Locke Ave Ste 210 (972) 716-3922 Southlake, TX 76092 Fort Worth, TX 76107-5747 • Languages spoken / Idioma(s) (817) 540-3121 (817) 529-6200 hablado(s): Spanish Trimble, Monty V, MD Watkins, Jeremy P, MD Lowrey, Jefferson , DO Eff 15-Apr-17 Eff 01-Dec-14 Eff 01-Dec-19 Monty V Trimble, MD, PA Fort Worth ENT, PA DiagnosTEX Consultants PLLC 361 W Southlake Blvd 1250 8th Ave, Ste 135 500 Grapevine Hwy Ste 106 Southlake, TX 76092 Fort Worth, TX 76104 Hurst, TX 76054-2707 (817) 529-6200 (817) 332-8848 (817) 514-6271 • Languages spoken / Idioma(s) hablado(s): Spanish Cho, Allis H, MD Eff 15-Feb-17 Cross Timbers ENT, PLLC 2500 E Broad St, Ste 200 Mansfield, TX 76063 (817) 261-3000

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 339 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Pain Management/ Manejo del Mishra, Rahul , DO Maxey, Douglas S, MD dolor Eff 15-Feb-20 Eff 10-Mar-20 Premier Interventional Pain Allay Spine and Pain Management Collin County | Condado de Management PLLC PLLC 4040 Legacy Dr Ste 204 3725 S Lake Forest Dr Ste 114 Collin Frisco, TX 75034-6748 McKinney, TX 75070-1689 (469)269-1060 (469) 545-1082 Jenkins, Eric R, MD Eff 15-Feb-19 Tariq, Mohammad J, MD Schuhmacher, Darren , MD Dallas Pain Consultants Eff 01-Aug-16 Eff 15-Oct-18 1125 Raintree Circle, Ste 100 Comprehensive Pain Management Dallas Pain Consultants Allen, TX 75013 Center 7300 Eldorado Pkwy, Ste 165 (214) 948-7700 7589 Preston Rd, Ste 500 McKinney, TX 75070 Frisco, TX 75035 (214) 948-7700 Krazit, Stephen T, MD (972) 316-3344 Eff 15-Dec-19 Tariq, Mohammad J, MD Dallas Pain Consultants Embabi, Ahmed , MD Eff 01-Aug-16 1125 Raintree Circle, Ste 100 Eff 17-Sep-19 Comprehensive Pain Management Allen, TX 75013 Mark Viktor Silver, PLLC Center (214) 948-7700 2719 Virginia Pkwy 6045 Alma Rd, Ste 230 McKinney, TX 75071-4917 McKinney, TX 75070 Schuhmacher, Darren , MD (469) 625-2500 (972) 316-3344 Eff 15-Oct-18 Dallas Pain Consultants Epstein, Jeremy M, MD Thompson, Justin Hull, MD Eff 15-Jan-20 Eff 15-Oct-18

Specialty Care Physicians & Other Providers/ 1125 Raintree Circle, Ste 100 Allen, TX 75013 Tricity Pain Associates PA Dallas Pain Consultants (214) 948-7700 5531 Virginia Pkwy Ste 100 7300 Eldorado Pkwy, Ste 165 Médicos de cuidado especializado y otros proveedores McKinney, TX 75071-5557 McKinney, TX 75070 Thompson, Justin Hull, MD (972) 939-7246 (214) 948-7700 Eff 15-Oct-18 Dallas Pain Consultants Frank, Brannon R, MD Frank, Brannon R, MD 1125 Raintree Circle, Ste 100 Eff 24-Oct-18 Eff 24-Oct-18 Allen, TX 75013 Direct Orthopedic Care (DOC LLC) Direct Orthopedic Care (DOC LLC) (214) 948-7700 4600 El Dorado Pkwy Ste 600 2805 N Dallas Pkwy, Ste 640 McKinney, TX 75070-5762 Plano, TX 75093-8724 Frank, Brannon R, MD (972) 987-0970 (214) 444-5558 Eff 24-Oct-18 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Direct Orthopedic Care (DOC LLC) hablado(s): American Sign hablado(s): American Sign 9500 Dallas Pkwy, Ste 100 Language Language Frisco, TX 75034-4120 (972) 987-0970 Jenkins, Eric R, MD Frank, Brannon R, MD • Languages spoken / Idioma(s) Eff 15-Feb-19 Eff 24-Oct-18 hablado(s): American Sign Dallas Pain Consultants Direct Orthopedic Care (DOC LLC) Language 7300 Eldorado Pkwy, Ste 165 6505 W Park Blvd Ste 100 McKinney, TX 75070 Plano, TX 75093-6371 Koning, Jonathan C, MD (214) 948-7700 (817) 810-1620 Eff 01-Aug-17 • Languages spoken / Idioma(s) ReGen Pain Management, PLLC Krazit, Stephen T, MD hablado(s): American Sign 5550 Warren Pkwy, Ste 110 Eff 15-Dec-19 Language Frisco, TX 75034 Dallas Pain Consultants (469) 252-4777 7300 Eldorado Pkwy, Ste 165 McKinney, TX 75070 (214) 948-7700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 340 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Haynsworth, Robert F, MD Racz, Tibor A, MD Thompson, Justin Hull, MD Eff 01-Jan-14 Eff 07-Jan-19 Eff 15-Oct-18 Robert F Haynsworth Jr, MD Optimal Pain & Regenerative Dallas Pain Consultants 4708 Alliance Blvd Ste 810 Medicine PLLC 4090 Mapleshade Ln, Ste 100 Plano, TX 75093-5338 6020 W Parker Rd Ste 300 Plano, TX 75075 (972) 965-9952 Plano, TX 75093-8177 (214) 948-7700 • Languages spoken / Idioma(s) (972) 776-3250 hablado(s): Spanish Thompson, Justin Hull, MD Rasheed, Haroon I, MD Eff 15-Oct-18 Jenkins, Eric R, MD Eff 08-Aug-17 Texas Anesthesia Solutions, PLLC Eff 15-Feb-19 Texas Pain Physicians 4090 Mapleshade Ln Dallas Pain Consultants 5072 W Plano Pkwy, Ste 260 Plano, TX 75075 4090 Mapleshade Ln, Ste 100 Plano, TX 75093-4475 (214) 948-7700 Plano, TX 75075- (972) 636-5727 (214)948-7700 Thompson, Justin Hull, MD Ravula, Radhika E, MD Eff 15-Oct-18 Koning, Jonathan C, MD Eff 01-Jan-14 Texas Anesthesia Solutions, PLLC Eff 01-Aug-17 Radhika Ravula, MD 6020 Parker Road Suite 300 ReGen Pain Management, PLLC 4708 Alliance Blvd, Ste 780 Plano, TX 75093 6957 W Plano Pkwy, Ste 2300 Plano, TX 75093 (214) 948-7700 Plano, TX 75093 (972) 231-1591 (469) 252-4777 Epstein, Jeremy M, MD Sandhu, Nina Kaur, DO Eff 15-Jan-20 Kraus, Trevor , MD Eff 08-Jan-19 Tricity Pain Associates PA Eff 15-Oct-18 Magnolia Pain Associates, PLLC 301 N Preston Rd Ste A Specialty Care Physicians & Other Providers/ Texas Anesthesia Solutions, PLLC 4716 Alliance Blvd Pavilion II Ste Prosper, TX 75078-8875 4090 Mapleshade Ln 600 (972) 939-7246 Plano, TX 75075 Plano, TX 75093 Médicos de cuidado especializado y otros proveedores (214) 948-7700 (214) 821-3591 Dallas County | Condado de Kraus, Trevor , MD Schuhmacher, Darren A, MD Dallas Eff 15-Oct-18 Eff 15-Oct-18 Texas Anesthesia Solutions, PLLC Texas Anesthesia Solutions, PLLC East, John W, DO 6020 Parker Road Suite 300 6020 Parker Road Suite 300 Eff 01-Sep-16 Plano, TX 75093 Plano, TX 75093 East Rehabiliation, PA (214) 948-7700 (214) 948-7700 16633 N Dallas Pkwy, Ste 150 Addison, TX 75001 Krazit, Stephen T, MD Schuhmacher, Darren , MD (972) 380-0000 Eff 15-Dec-19 Eff 15-Oct-18 Dallas Pain Consultants Dallas Pain Consultants Lee, Heidi , MD 4090 Mapleshade Ln, Ste 100 4090 Mapleshade Ln, Ste 100 Eff 29-May-19 Plano, TX 75075 Plano, TX 75075-0025 Texas Spine Consultants, LLP (214) 948-7700 (214) 948-7700 17051 N Dallas Pkwy, Ste 400 Addison, TX 75001-7101 Malik, Obaid S, MD Shin, Edward , MD (214) 370-3535 Eff 21-Jan-19 Eff 15-Aug-17 Texas Pain Physicians Private Practice Vu, Albert H, DO 5072 W Plano Pkwy, Ste 260 5804 Communications Pkwy, # Eff 23-Sep-17 Plano, TX 75093-4475 100 Cedar Hill Pain and Rehab (972) 636-5727 Plano, TX 75093 716 N Hwy 67, Ste 2 (972) 781-0300 Cedar Hill, TX 75104 (972) 291-9165

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 341 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Arvind, Vijayasree , MD Katyal, Sumit K, MD Krazit, Stephen T, MD Eff 15-May-17 Eff 01-Sep-19 Eff 15-Dec-19 Cardinal Pain Center Premier Pain Solutions PLLC Dallas Pain Consultants 221 W Colorado Blvd, Pav 2, #940 12201 Merit Dr Ste 300 1411 N Beckley Ave, Pavilion III, Dallas, TX 75208 Dallas, TX 75251-3139 Ste 152 (214) 377-1753 (972) 200-3663 Dallas, TX 75203 • Languages spoken / Idioma(s) (214) 948-7700 hablado(s): Hindi Katyal, Sumit K, MD Eff 01-Sep-19 Krazit, Stephen T, MD Clark, Robert D, DO Premier Pain Solutions PLLC Eff 15-Dec-19 Eff 25-May-17 12840 Hillcrest Plaza Dr Ste E100 Dallas Pain Consultants Capstone Pain & Spine Center Dallas, TX 75230 3430 W Wheatland Rd, POB I Ste 3920 W Wheatland Rd, # 134 (972) 200-3662 107 Dallas, TX 75237 Dallas, TX 75237 (214) 941-3192 Keelen, David M, MD (214) 948-7700 Eff 09-Oct-15 Flanagan, Brian K, MD Konen & Associates, PA Krazit, Stephen T, MD Eff 01-Jan-14 3600 Gaston Ave, Wadley Tower, Eff 15-Dec-19 Konen & Associates, PA Ste 360 Dallas Pain Consultants 3600 Gaston Ave, Wadley Tower, Dallas, TX 75246 10400 N Central Expwy Ste 360 (214) 820-7246 Dallas, TX 75231 Dallas, TX 75246 (214) 948-7700 (214) 820-7246 Khoury, Spiro A, MD Eff 23-Jun-17 Krazit, Stephen T, MD Gumbrecht, Dennis G, MD Texas Pain Physicians Eff 15-Dec-19 Specialty Care Physicians & Other Providers/ Eff 21-Jun-19 1015 N Carroll Ave, Ste 104 Dallas Pain Consultants Texas Pain Physicians Dallas, TX 75204-6607 5709 W Lovers Ln Médicos de cuidado especializado y otros proveedores 5520 LBJ Fwy, Ste 200 (972) 483-2545 Dallas, TX 75209 Dallas, TX 75240 • Languages spoken / Idioma(s) (214) 948-7700 (972) 636-5727 hablado(s): Spanish Moore, William C, MD Jenkins, Eric R, MD Konen, Andrew A, MD Eff 01-Dec-16 Eff 15-Feb-19 Eff 01-Jan-14 Capstone Pain & Spine Center Dallas Pain Consultants Konen & Associates, PA 3920 W Wheatland Rd, # 134 1411 N. Beckley Ave, Pavilion III, 3600 Gaston Ave, Wadley Tower, Dallas, TX 75237 Suite 152 Ste 360 (214) 941-3192 Dallas, TX 75206 Dallas, TX 75246 (214) 948-7700 (214) 820-7246 Rasheed, Haroon I, MD Eff 08-Aug-17 Jenkins, Eric R, MD Kraus, Trevor , MD Texas Pain Physicians Eff 15-Feb-19 Eff 15-Oct-18 5550 LBJ Fwy, Ste 150 Dallas Pain Consultants Texas Anesthesia Solutions, PLLC Dallas, TX 75240-2303 3430 W Wheatland Rd, POB 1 Ste 10400 N. Central Expressway (972) 636-5727 107 Dallas, TX 75231 Dallas, TX 75237 (214) 948-7700 Sandhu, Nina Kaur, DO (214) 948-7700 Eff 08-Jan-19 Kraus, Trevor , MD Magnolia Pain Associates, PLLC Jenkins, Eric R, MD Eff 15-Oct-18 3801 Gaston Ave, Ste 318-320 Eff 15-Feb-19 Texas Anesthesia Solutions, PLLC Dallas, TX 75246 Dallas Pain Consultants 1411 N. Beckley Ave. Pavilion III (214) 821-3591 5709 W Lovers Ln Suite 152 Dallas, TX 75209 Dallas, TX 75203 (214) 948-7700 (214) 948-7700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 342 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Schuhmacher, Darren A, MD Thompson, Justin Hull, MD Zidan, Amr M, MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 21-Aug-17 Texas Anesthesia Solutions, PLLC Dallas Pain Consultants Texas Pain Physicians 10400 N. Central Expressway 3430 W Wheatland Rd, POB 1 Ste 5520 LBJ Fwy, Ste 200 Dallas, TX 75231 107 Dallas, TX 75240 (214) 948-7700 Dallas, TX 75237 (972) 636-5727 (214) 948-7700 Schuhmacher, Darren A, MD Zulqarnain, Muhammad , MD Eff 15-Oct-18 Thompson, Justin Hull, MD Eff 14-Apr-17 Texas Anesthesia Solutions, PLLC Eff 15-Oct-18 Texas Pain Physicians 1411 N. Beckley Ave. Pavilion III Dallas Pain Consultants 5520 LBJ Fwy, Ste 200 Suite 152 10400 N. Central Expressway Dallas, TX 75240 Dallas, TX 75203 Dallas, TX 75231 (972) 636-5727 (214) 948-7700 (214) 948-7700 Jenkins, Eric R, MD Schuhmacher, Darren , MD Thompson, Justin Hull, MD Eff 15-Feb-19 Eff 15-Oct-18 Eff 15-Oct-18 Dallas Pain Consultants Dallas Pain Consultants Texas Anesthesia Solutions, PLLC 4560 Lake Ridge Pkwy, Ste 300 1411 N. Beckley Ave, Pavilion III, 10400 N. Central Expressway Grand Prairie, TX 75052- Suite 152 Dallas, TX 75231 (214)948-7700 Dallas, TX 75206 (214) 948-7700 (214) 948-7700 Koning, Jonathan C, MD Thompson, Justin Hull, MD Eff 01-Aug-17 Schuhmacher, Darren , MD Eff 15-Oct-18 ReGen Pain Management, PLLC Eff 15-Oct-18 Texas Anesthesia Solutions, PLLC 200 N Carrier Pkwy, Ste 101 Specialty Care Physicians & Other Providers/ Dallas Pain Consultants 1411 N. Beckley Ave. Pavilion III Grand Prairie, TX 75050 3430 W Wheatland Rd, POB 1 Ste Suite 152 (469) 252-4777 107 Dallas, TX 75203 Médicos de cuidado especializado y otros proveedores Dallas, TX 75237 (214) 948-7700 Krazit, Stephen T, MD (214) 948-7700 Eff 15-Dec-19 Thompson, Justin Hull, MD Dallas Pain Consultants Schuhmacher, Darren , MD Eff 15-Oct-18 4560 Lake Ridge Pkwy, Ste 300 Eff 15-Oct-18 Dallas Pain Consultants Grand Prairie, TX 75052 Dallas Pain Consultants 5709 W Lovers Ln (214) 948-7700 10400 N. Central Expressway Dallas, TX 75209 Dallas, TX 75231 (214) 948-7700 Schuhmacher, Darren , MD (214) 948-7700 Eff 15-Oct-18 Westergaard, Deborah M, MD Dallas Pain Consultants Schuhmacher, Darren , MD Eff 01-Jan-14 4560 Lake Ridge Prkwy, Ste 300 Eff 15-Oct-18 Pain Management Solutions Grand Prairie, TX 75052 Dallas Pain Consultants 9301 N Central Expy, Ste 115 (214) 948-7700 5709 W Lovers Ln Dallas, TX 75231 Dallas, TX 75209 (214) 750-6200 Thompson, Justin Hull, MD (214) 948-7700 Eff 15-Oct-18 Zhao, Tian , MD Dallas Pain Consultants Thompson, Justin Hull, MD Eff 08-Aug-17 4560 Lake Ridge Prkwy, Ste 300 Eff 15-Oct-18 Texas Pain Physicians Grand Prairie, TX 75052 Dallas Pain Consultants 5550 LBJ Fwy, Ste 150 (214) 948-7700 1411 N. Beckley Ave, Pavilion III, Dallas, TX 75240-2303 Suite 152 (972) 636-5727 Dallas, TX 75206 (214) 948-7700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 343 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Chouteau, Whitney L, DO Schuhmacher, Darren A, MD Zhao, Tian , MD Eff 01-Nov-18 Eff 15-Oct-18 Eff 08-Aug-17 Solar Health PA Texas Anesthesia Solutions, PLLC Texas Pain Physicians 7200 N St Hwy 161 #200 2021 N. MacArthur Blvd. Suite 115 910 N Galloway Ave, Ste 302 Irving, TX 75039 Irving, TX 75061 Mesquite, TX 75149-2409 (972) 559-2501 (214) 948-7700 (972) 636-5727 Frank, Brannon R, MD Schuhmacher, Darren A, MD Jenkins, Eric R, MD Eff 24-Oct-18 Eff 15-Oct-18 Eff 15-Feb-19 Direct Orthopedic Care (DOC LLC) Texas Anesthesia Solutions, PLLC Dallas Pain Consultants 3014 N O Connor Rd, Ste 110 4301 N. MacArthur Blvd. Suite 101 2821 E President George Bush Irving, TX 75062-4415 Irving, TX 75038 Hwy, Ste 410 (214) 444-5558 (214) 948-7700 Richardson, TX 75082 • Languages spoken / Idioma(s) (214) 948-7700 hablado(s): American Sign Schuhmacher, Darren , MD Language Eff 15-Oct-18 Khan, Asad H, DO Dallas Pain Consultants Eff 15-Feb-20 Jenkins, Eric R, MD 2001 N MacArthur Blvd Bldg 2 Ste Premier Interventional Pain Eff 15-Feb-19 335 Management PLLC Dallas Pain Consultants Irving, TX 75063 990 S Sherman St 2001 N MacArthur Blvd Bldg 2 Ste (214) 948-7700 Richardson, TX 75081-4845 335 (972)788-0350 Irving, TX 75063 Tella, Prabhav K, MD (214)948-7700 Eff 01-Mar-15 Kraus, Trevor , MD Interventional Pain Solutions, PA Eff 15-Oct-18 Specialty Care Physicians & Other Providers/ Katyal, Sumit K, MD 825 W Royal Ln, Ste 230 Texas Anesthesia Solutions, PLLC Eff 01-Sep-19 Irving, TX 75039 2821 E. President George Bush Médicos de cuidado especializado y otros proveedores Premier Pain Solutions PLLC (972) 956-5541 Highway Suite 410 825 W Royal Ln Ste 230 • Languages spoken / Idioma(s) Richardson, TX 75082 Irving, TX 75039 hablado(s): Telugu (214) 948-7700 (972) 200-3663 Thompson, Justin Hull, MD Krazit, Stephen T, MD Kraus, Trevor , MD Eff 15-Oct-18 Eff 15-Dec-19 Eff 15-Oct-18 Dallas Pain Consultants Dallas Pain Consultants Texas Anesthesia Solutions, PLLC 2001 N MacArthur Blvd Bldg 2 Ste 2821 E President George Bush 2021 N. MacArthur Blvd. Suite 115 335 Hwy, Ste 410 Irving, TX 75061 Irving, TX 75063 Richardson, TX 75082 (214) 948-7700 (214) 948-7700 (214) 948-7700 Kraus, Trevor , MD Thompson, Justin Hull, MD Ravula, Radhika E, MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 01-Jan-14 Texas Anesthesia Solutions, PLLC Texas Anesthesia Solutions, PLLC Radhika Ravula, MD 4301 N. MacArthur Blvd. Suite 101 4301 N. MacArthur Blvd. Suite 101 2520 N Central Expy, Ste 400 Irving, TX 75038 Irving, TX 75038 Richardson, TX 75080 (214) 948-7700 (214) 948-7700 (972) 231-1591 Krazit, Stephen T, MD Epstein, Jeremy M, MD Schuhmacher, Darren A, MD Eff 15-Dec-19 Eff 15-Jan-20 Eff 15-Oct-18 Dallas Pain Consultants Tricity Pain Associates PA Texas Anesthesia Solutions, PLLC 2001 N MacArthur Blvd Bldg 2 Ste 2600 W Pleasant Run Rd Ste 260 2821 E. President George Bush 335 Lancaster, TX 75146-1114 Highway Suite 410 Irving, TX 75063 (972) 939-7246 Richardson, TX 75082 (214) 948-7700 (214) 948-7700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 344 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Schuhmacher, Darren , MD Schuhmacher, Darren , MD Frank, Brannon R, MD Eff 15-Oct-18 Eff 15-Oct-18 Eff 24-Oct-18 Dallas Pain Consultants Dallas Pain Consultants Direct Orthopedic Care (DOC LLC) 2821 E President George Bush 7501 Lakeview Pkwy, Ste 245 3412 E Hebron Pkwy, Ste 106 Hwy, Ste 410 Rowlett, TX 75088 Carrollton, TX 75010-4451 Richardson, TX 75082 (214) 948-7700 (972) 810-1620 (214) 948-7700 • Languages spoken / Idioma(s) Thompson, Justin Hull, MD hablado(s): American Sign Thompson, Justin Hull, MD Eff 15-Oct-18 Language Eff 15-Oct-18 Dallas Pain Consultants Dallas Pain Consultants 7501 Lakeview Pkwy, Ste 245 Frank, Brannon R, MD 2821 E President George Bush Rowlett, TX 75088 Eff 24-Oct-18 Hwy, Ste 410 (214) 948-7700 Direct Orthopedic Care (DOC LLC) Richardson, TX 75082 3100 Unicorn Lake Blvd, Ste 120 (214) 948-7700 Thompson, Justin Hull, MD Denton, TX 76210-1544 Eff 15-Oct-18 (672) 984-7520 Thompson, Justin Hull, MD Texas Anesthesia Solutions, PLLC • Languages spoken / Idioma(s) Eff 15-Oct-18 7501 Lakeview Pkwy Suite 245 hablado(s): American Sign Texas Anesthesia Solutions, PLLC Rowlett, TX 75088 Language 2821 E. President George Bush (214) 948-7700 Highway Suite 410 Hayee, Abdul Ahad, MD Richardson, TX 75082 Arvind, Vijayasree , MD Eff 15-Feb-20 (214) 948-7700 Eff 15-May-17 Premier Interventional Pain Cardinal Pain Center Management PLLC Jenkins, Eric R, MD 341 Wheatfield Dr, Ste 100 2321 Olympia Dr Ste 100 Specialty Care Physicians & Other Providers/ Eff 15-Feb-19 Sunnyvale, TX 75182 Flower Mound, TX 75028-1856 Dallas Pain Consultants (214) 377-1753

(972)350-0225 Médicos de cuidado especializado y otros proveedores 7501 Lakeview Pkwy, Ste 245 • Languages spoken / Idioma(s) Rowlett, TX 75088 hablado(s): Hindi Anderson, Eric T, MD (214) 948-7700 Eff 26-Oct-17 Denton County | Condado de Advanced Pain Institute Kraus, Trevor , MD Denton 500 W Main St, Ste 230 Eff 15-Oct-18 Lewisville, TX 75067 Texas Anesthesia Solutions, PLLC (469) 680-8899 7501 Lakeview Pkwy Suite 245 Alavi, Amir , DO Rowlett, TX 75088 Eff 27-Apr-19 Broadnax, John P, MD (214) 948-7700 Konen & Associates, PA Eff 01-Oct-17 4323 N Josey Ln Ste 107 Advanced Pain Institute Krazit, Stephen T, MD Carrollton, TX 75010 500 W Main St, Ste 230 Eff 15-Dec-19 (972) 528-7990 Lewisville, TX 75067 Dallas Pain Consultants (469) 680-8899 7501 Lakeview Pkwy, Ste 245 Epstein, Jeremy M, MD Rowlett, TX 75088 Eff 15-Jan-20 Tariq, Mohammad J, MD (214) 948-7700 Tricity Pain Associates PA Eff 01-Aug-16 4325 N Josey Ln Plaza III Ste 206 Comprehensive Pain Management Schuhmacher, Darren A, MD Carrollton, TX 75010-4637 Center Eff 15-Oct-18 (972) 939-7246 1850 Lakepointe Dr, Ste 100 Texas Anesthesia Solutions, PLLC Lewisville, TX 75057 7501 Lakeview Pkwy Suite 245 (972) 316-3344 Rowlett, TX 75088 (214) 948-7700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 345 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ellis County | Condado de Ellis Hunt County | Condado de Clark, Robert D, DO Eff 25-May-17 Hunt Sheydwasser, Alan M, MD Capstone Pain & Spine Center 3517 SW Wilshire Blvd Eff 21-Jan-19 Embabi, Ahmed , MD Texas Pain Physicians Joshua, TX 76058 Eff 17-Sep-19 (817) 292-8585 110 Roundabout Dr #A Mark Viktor Silver, PLLC Midlothian, TX 76065 4101 Wesley St Ste B Garza, Mark , MD (972) 854-7151 Greenville, TX 75401 Eff 03-Aug-18 Abdelfattah, Basem , MD (903) 957-7246 Mark Garza, MD PLLC Eff 01-Aug-15 3517 SW Wilshire Blvd Texas Pain Physicians Johnson County | Condado de Joshua, TX 76058-6159 600 Ferris Ave Johnson (817) 294-0934 Waxahachie, TX 75165 Moore, William C, MD (214) 666-8079 Berlin, Scott A, MD Eff 01-Dec-16 • Languages spoken / Idioma(s) Eff 22-Oct-20 Capstone Pain & Spine Center hablado(s): Arabic Privia Medical Group North Texas 3517 SW Wilshire Blvd 829 N Nolan River Rd Khoury, Spiro A, MD Joshua, TX 76058 Cleburne, TX 76033-7085 (817) 292-8585 Eff 23-Jun-17 (817) 558-4600 Texas Pain Physicians 600 Ferris Ave Clark, Robert D, DO Navarro County | Condado de Waxahachie, TX 75165 Eff 25-May-17 Navarro (214) 666-8079 Capstone Pain & Spine Center Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) 110 W Henderson St Sandhu, Nina Kaur, DO hablado(s): Spanish Cleburne, TX 76033 Eff 08-Jan-19 Médicos de cuidado especializado y otros proveedores (817) 292-8585 Magnolia Pain Associates, PLLC Zidan, Amr M, MD 301 Hospital Dr Ste 170 Eff 21-Aug-17 Garza, Mark , MD Corsicana, TX 75110 Texas Pain Physicians Eff 03-Aug-18 (214) 821-3591 600 Ferris Ave Mark Garza, MD PLLC Waxahachie, TX 75165 131 S Westmeadow Dr, Ste 300 Parker County | Condado de (214) 666-8079 Cleburne, TX 76033-9139 (817) 294-0903 Parker Grayson County | Condado de Garza, Mark , MD Aggarwal, Ved V, MD Grayson Eff 11-Apr-19 Eff 01-May-15 Interventional Consultants of Texas Pain Institute Embabi, Ahmed , MD Texas, PLLC 1429 Clear Lake Rd Ste 100 Eff 17-Sep-19 131 S Westmeadow Dr, Ste 300 Weatherford, TX 76086 Mark Viktor Silver, PLLC Cleburne, TX 76033-9139 (817) 348-8600 600 E Taylor St., Ste 304 (817) 294-0934 • Languages spoken / Idioma(s) Sherman, TX 75090-2880 hablado(s): Hindi (888) 312-6847 Phillips, Michael S, MD Eff 22-Oct-20 Mitchell, Kent L, MD Privia Medical Group North Texas Eff 01-May-15 829 N Nolan River Rd Texas Pain Institute Cleburne, TX 76033-7085 1105 Santa Fe Ste 101 (817) 558-4600 Weatherford, TX 76086-5811 (817) 348-8600

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 346 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rockwall County | Condado de Graybill, David B, DO Schuhmacher, Darren A, MD Eff 13-Jul-15 Eff 15-Oct-18 Rockwall Arlington Orthopedic Associates, Texas Anesthesia Solutions, PLLC PA 301 Highlander Blvd Suite 101 Racz, Tibor A, MD 800 Orthopedic Way Arlington, TX 76018 Eff 07-Jan-19 Arlington, TX 76015 (214) 948-7700 Optimal Pain & Regenerative (817) 375-5200 Medicine PLLC • Languages spoken / Idioma(s) Schuhmacher, Darren A, MD 2504 Ridge Rd, Ste 201 hablado(s): Spanish Eff 15-Oct-18 Rockwall, TX 75087-2571 Texas Anesthesia Solutions, PLLC (972) 776-3250 Jenkins, Eric R, MD 808 W. IH-20 Suite 210 Eff 15-Feb-19 Arlington, TX 76018 Tarrant County | Condado de Dallas Pain Consultants (214) 948-7700 Tarrant 301 Highlander Blvd, Suite 101 Arlington, TX 76018 Schuhmacher, Darren , MD (214) 948-7700 Eff 15-Oct-18 Berlin, Scott A, MD Dallas Pain Consultants Eff 07-Jan-19 Kraus, Trevor , MD 301 Highlander Blvd, Suite 101 Optimal Pain & Regenerative Eff 15-Oct-18 Arlington, TX 76018 Medicine PLLC Texas Anesthesia Solutions, PLLC (214) 948-7700 1001 N Waldrop Dr Ste 403 301 Highlander Blvd Suite 101 Arlington, TX 76012-4703 Arlington, TX 76018 Thompson, Justin Hull, MD (817) 468-4343 (214) 948-7700 Eff 15-Oct-18 Dallas Pain Consultants Berlin, Scott A, MD Kraus, Trevor , MD 301 Highlander Blvd, Suite 101 Specialty Care Physicians & Other Providers/ Eff 22-Oct-20 Eff 15-Oct-18 Arlington, TX 76018 Privia Medical Group North Texas Texas Anesthesia Solutions, PLLC (214) 948-7700 800 W Arbrook Blvd Ste 120 808 W. IH-20 Suite 210 Médicos de cuidado especializado y otros proveedores Arlington, TX 76015-4316 Arlington, TX 76018 Thompson, Justin Hull, MD (817) 468-4343 (214) 948-7700 Eff 15-Oct-18 Texas Anesthesia Solutions, PLLC Berlin, Scott A, MD Krazit, Stephen T, MD 301 Highlander Blvd Suite 101 Eff 07-Jan-19 Eff 15-Dec-19 Arlington, TX 76018 Optimal Pain & Regenerative Dallas Pain Consultants (214) 948-7700 Medicine PLLC 301 Highlander Blvd, Ste 101 800 W Arbrook Blvd Ste 120 Arlington, TX 76018 Thompson, Justin Hull, MD Arlington, TX 76015-4316 (214) 948-7700 Eff 15-Oct-18 (817) 468-4343 Texas Anesthesia Solutions, PLLC Phillips, Michael S, MD 808 W. IH-20 Suite 210 Cottingham, Andrew J, MD Eff 22-Oct-20 Arlington, TX 76018 Eff 15-Mar-15 Privia Medical Group North Texas (214) 948-7700 US Anesthesia Partners of Texas, 800 W Arbrook Blvd Ste 120 PA Arlington, TX 76015-4316 Aggarwal, Ved V, MD 800 W Arbrook Blvd, Ste 120 (817) 468-4343 Eff 01-May-15 Arlington, TX 76015-4316 Texas Pain Institute (817) 468-4343 Phillips, Michael S, MD 1000 Lipscomb St, Ste 110 Eff 07-Jan-19 Fort Worth, TX 76104 Cottingham, Andrew J, MD Optimal Pain & Regenerative (817) 348-8600 Eff 07-Jan-19 Medicine PLLC • Languages spoken / Idioma(s) Optimal Pain & Regenerative 800 W Arbrook Blvd Ste 120 hablado(s): Hindi Medicine PLLC Arlington, TX 76015-4316 800 W Arbrook Blvd Ste 120 (817) 468-4343 Arlington, TX 76015-4316 (817) 468-4343

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 347 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Aggarwal, Ved V, MD Garza, Mark , MD Mathews, Manu , MD Eff 01-May-15 Eff 03-Aug-18 Eff 06-Oct-19 Texas Pain Institute Mark Garza, MD PLLC Invicta Healthcare, PLLC 928 Lipscomb St 1307 8th Ave, Ste 201 1001 Pennsylvania Ave Fort Worth, TX 76104-3158 Fort Worth, TX 76104-4141 Fort Worth, TX 76104-2228 (817) 741-0800 (817) 294-0934 (817) 381-9650 • Languages spoken / Idioma(s) hablado(s): Hindi Garza, Mark , MD Mitchell, Kent L, MD Eff 03-Aug-18 Eff 01-May-15 Bartis, Cristina Beatrice, MD Mark Garza, MD PLLC Texas Pain Institute Eff 08-Sep-17 209 St Louis Ave Ste 100 1000 Lipscomb St Ste 110 Texas Pain Institute Fort Worth, TX 76104-1231 Fort Worth, TX 76104 1000 Lipscomb St Ste 110 (817) 294-0934 (817) 348-8600 Fort Worth, TX 76104-3181 (817) 348-8600 Garza, Mark , MD Moore, William C, MD Eff 03-Aug-18 Eff 01-Dec-16 Berlin, Scott A, MD Mark Garza, MD PLLC Capstone Pain & Spine Center Eff 22-Oct-20 7148 Trail Lake Dr 6900 Harris Pkwy, Ste 300 Privia Medical Group North Texas Fort Worth, TX 76123-1969 Fort Worth, TX 76132 7100 Oakmont Blvd Ste 205 (817) 294-0934 (817) 292-8585 Fort Worth, TX 76132-3908 (817) 558-4600 Garza, Mark , MD Phillips, Michael S, MD Eff 11-Apr-19 Eff 07-Jan-19 Clark, Robert D, DO Interventional Consultants of Optimal Pain & Regenerative Eff 25-May-17 Texas, PLLC Medicine PLLC Specialty Care Physicians & Other Providers/ Capstone Pain & Spine Center 7148 Trail Lake Dr 7100 Oakmont Blvd Ste 202 6900 Harris Pkwy, Ste 300 Fort Worth, TX 76123-9139 Fort Worth, TX 76132-3911 Médicos de cuidado especializado y otros proveedores Fort Worth, TX 76132 (817) 294-0934 (817) 558-4600 (817) 292-8585 Greaser, Raymond D, MD Phillips, Michael S, MD Classen, Ashley M, DO Eff 04-Nov-19 Eff 22-Oct-20 Eff 01-Jun-16 Central Texas Pain Center South Privia Medical Group North Texas Trinity Pain Medicine Associates, PA 7100 Oakmont Blvd Ste 205 PA 7235 Boat Club Rd Fort Worth, TX 76132-3908 1401 Henderson St Fort Worth, TX 76179 (817) 558-4600 Fort Worth, TX 76102 (817) 677-9535 (817) 332-6334 Skulpoonkitti, Bryan , DO Herrera, Rodolfo A, MD Eff 22-Sep-18 Cottingham, Andrew J, MD Eff 01-May-15 PAINnovations Eff 07-Jan-19 Texas Pain Institute 416 S Henderson St Optimal Pain & Regenerative 1000 Lipscomb St Ste 110 Fort Worth, TX 76104 Medicine PLLC Fort Worth, TX 76104 (682) 478-8123 7100 Oakmont Blvd Ste 202 (817) 348-8600 Fort Worth, TX 76132-3911 • Languages spoken / Idioma(s) Skulpoonkitti, Bryan , DO (817) 558-4600 hablado(s): Spanish Eff 22-Sep-18 PAINnovations Fox, Nikki S, DO Lee, Bowlva M, DO 6311 Southwest Blvd Eff 30-Jul-20 Eff 01-Sep-18 Fort Worth, TX 76132 Central Texas Pain Center PAINnovations (682) 478-8123 7235 Boat Club Rd 416 S Henderson St Fort Worth, TX 76179 Fort Worth, TX 76104 (817) 667-9535 (682) 478-8123

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 348 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Malik, Obaid S, MD Herrera, Rodolfo A, MD Schuhmacher, Darren , MD Eff 21-Jan-19 Eff 01-May-15 Eff 15-Oct-18 Texas Pain Physicians Texas Pain Institute Dallas Pain Consultants 815 Ira E Woods Ave, Ste 200 651 S Main St Ste 105 2800 E Broad St, Ste 510 Grapevine, TX 76051-4009 Keller, TX 76248 Mansfield, TX 76063 (972) 301-8896 (817) 741-0800 (214) 948-7700 • Languages spoken / Idioma(s) Murphy, Melissa Z, MD hablado(s): Spanish Sheydwasser, Alan M, MD Eff 18-Oct-19 Eff 21-Jan-19 North Texas Orthopedics & Sports Murphy, Melissa Z, MD Texas Pain Physicians Medicine Eff 18-Oct-19 2800 E Broad St Ste 508 2535 Ira E Woods Ave North Texas Orthopedics & Sports Mansfield, TX 76063 Grapevine, TX 76051-3930 Medicine (682) 341-0495 (817) 481-2121 4501 Heritage Trace Pkwy, #101 Keller, TX 76244-8940 Thompson, Justin Hull, MD Shaikh, Mohammed U, MD (817) 481-2121 Eff 15-Oct-18 Eff 15-Jul-18 Dallas Pain Consultants Richard Vera, MD Hong, Thomas J, DO 252 Matlock Rd, Ste 234 1615 Lancaster Dr, Ste 150 Eff 27-Sep-18 Mansfield, TX 76063 Grapevine, TX 76051-2111 Mark A Dirnberger, DO, PA (214) 948-7700 (817) 912-8940 74 Regency Pkwy Mansfield, TX 76063-7816 Thompson, Justin Hull, MD Vera, Richard L, MD (817) 419-6111 Eff 15-Oct-18 Eff 01-Jan-14 Dallas Pain Consultants Richard Vera, MD Jenkins, Eric R, MD 2800 E Broad St, Ste 510 Specialty Care Physicians & Other Providers/ 1615 Lancaster Dr, Ste 150 Eff 15-Feb-19 Mansfield, TX 76063 Grapevine, TX 76051-2111 Dallas Pain Consultants (214) 948-7700 (817) 912-8940 252 Matlock Rd, Ste 234 Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Mansfield, TX 76063 Thompson, Justin Hull, MD hablado(s): Spanish (214) 948-7700 Eff 15-Oct-18 Texas Anesthesia Solutions, PLLC Farhat, George Antoun, MD Krazit, Stephen T, MD 2800 E. Broad Street Suite 510 Eff 16-Nov-15 Eff 15-Dec-19 Mansfield, TX 76063 Total Pain Medicine, PA Dallas Pain Consultants (214) 948-7700 729 W Bedford Euless Rd, Ste 111 252 Matlock Rd, Ste 234 Hurst, TX 76053 Mansfield, TX 76063 Zidan, Amr M, MD (817) 868-1109 (214) 948-7700 Eff 21-Aug-17 Texas Pain Physicians Aggarwal, Ved V, MD Schuhmacher, Darren A, MD 8221 Mid Cities Blvd Ste 100 Eff 01-May-15 Eff 15-Oct-18 North Richland Hills, TX 76182 Texas Pain Institute Texas Anesthesia Solutions, PLLC (214) 666-8077 651 S Main St Ste 105 2800 E. Broad Street Suite 510 Keller, TX 76248 Mansfield, TX 76063 Mathews, Manu , MD (817) 741-0800 (214) 948-7700 Eff 06-Oct-19 • Languages spoken / Idioma(s) Invicta Healthcare, PLLC hablado(s): Hindi Schuhmacher, Darren , MD 771 E Southlake Blvd Ste 101 Eff 15-Oct-18 South Lake, TX 760921483 Dallas Pain Consultants (817)361-9650 252 Matlock Rd, Ste 234 Mansfield, TX 76063 (214) 948-7700

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 349 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Aggarwal, Ved V, MD Wise County | Condado de Eapen, Reenu S, MD Eff 01-May-15 Eff 01-Jan-15 Texas Pain Institute Wise Fetal Care Consultants, LLC 2813 W Southlake Blve Ste 120 3801 Gaston Ave, Ste 250 Southlake, TX 76092 Aggarwal, Ved V, MD Dallas, TX 75246-1541 (817) 310-8286 Eff 01-May-15 (214) 824-9600 • Languages spoken / Idioma(s) Texas Pain Institute • Languages spoken / Idioma(s) hablado(s): Hindi 1101 W Eagle Dr Ste B hablado(s): Spanish Decatur, TX 76234-3721 Frank, Brannon R, MD (817) 348-8600 Eapen, Reenu S, MD Eff 24-Oct-18 • Languages spoken / Idioma(s) Eff 01-Jan-15 Direct Orthopedic Care (DOC LLC) hablado(s): Hindi Fetal Care Consultants, LLC 2419 W Southlake Blvd, Ste 100 411 N Washington Ave, Ste 3300 Southlake, TX 76092-6718 Aggarwal, Ved V, MD Dallas, TX 75246-1707 (817) 809-2660 Eff 01-May-15 (214) 824-9600 • Languages spoken / Idioma(s) Texas Pain Institute • Languages spoken / Idioma(s) hablado(s): American Sign 1218 N Bonnie Brae St Ste 102 hablado(s): Spanish Language Decatur, TX 73201-5475 (817) 348-8600 Moye, Danielle M, MD Hayee, Abdul Ahad, MD • Languages spoken / Idioma(s) Eff 12-Sep-18 Eff 15-Feb-20 hablado(s): Hindi Fetal Care Consultants, LLC Premier Interventional Pain 7777 Forest Lane Bldg C, Ste 742 Management PLLC Pediatric Allergy & Immunology/ Dallas, TX 75230-2571 300 S Nolan Dr Ste 140 Alergia e inmunología pediátrica (972) 566-5600

Specialty Care Physicians & Other Providers/ Southlake, TX 76092-8053 (817)488-0410 Dallas County | Condado de Rockwall County | Condado de Médicos de cuidado especializado y otros proveedores Herrera, Rodolfo A, MD Dallas Rockwall Eff 01-May-15 Texas Pain Institute Jiang, Chuling , MD Eapen, Reenu S, MD 2813 W Southlake Blve Ste 120 Eff 01-Aug-16 Eff 01-Jan-15 Southlake, TX 76092 Private Practice Fetal Care Consultants, LLC (817) 310-8286 375 Municipal Dr, Ste 244 1207 Arista Rd, Ste 101 • Languages spoken / Idioma(s) Richardson, TX 75080 Rockwall, TX 75032-6617 hablado(s): Spanish (972) 907-8554 (214) 824-9600 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Mathews, Manu , MD hablado(s): Chinese hablado(s): Spanish Eff 06-Oct-19 Invicta Healthcare, PLLC Pediatric Cardiology/ Cardiología Pediatric Gastroenterology/ 2815 W Southlake Blvd pediátrica Gastroenterología pediátrica Southlake, TX 76092-1497 (817) 381-9650 Dallas County | Condado de Collin County | Condado de Dallas Collin

Al-Kubaisi, Maytham A, MD Russo, Michael A, MD Eff 11-Sep-18 Eff 15-Mar-18 Fetal Care Consultants, LLC Digestive Health Associates of 7777 Forest Lane Bldg C, Ste 742 Texas PA Dallas, TX 75230-2571 14660 State Hwy 121 Ste 200 (972) 566-5600 Frisco, TX 75035 (972) 306-3767

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 350 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Russo, Michael A, MD Saghier, Sadaf , MD Pediatric Neurology/ Neurología Eff 15-Mar-18 Eff 12-Apr-19 pediátrica Digestive Health Associates of Digestive Health Associates of Texas PA Texas PA Grayson County | Condado de 7000 W Plano Pkwy Ste 110 309 Regency Pkwy, Ste 201 Plano, TX 75093 Mansfield, TX 76063 Grayson (972) 306-3763 (214) 630-4320 Al-Rifai, Mohamad S, MD Dallas County | Condado de Saghier, Sadaf , MD Eff 01-May-15 Eff 12-Apr-19 Texoma Neurology Associates Dallas Digestive Health Associates of 321 N Highland Ave, Ste 200 Texas PA Sherman, TX 75092 Russo, Michael A, MD 7835 Blvd 26 (903) 893-5141 Eff 15-Mar-18 North Richland Hills, TX 76180 Digestive Health Associates of (214) 630-4320 Pediatric Ophthalmology/ Texas PA Oftalmología pediátrica 7777 Forest Ln Ste B304 Pediatric Hematology and Dallas, TX 75230-6818 Oncology/ Hematología y Dallas County | Condado de (972) 306-3767 oncología pediátrica Dallas Rockwall County | Condado de Dallas County | Condado de Kumar, Kartik , MD Rockwall Dallas Eff 01-Aug-17 Ophthalmology Consultants PA Chan, Lillienne Y, MD

Ghisoli, Maurizio Lorenzo, MD 3200 N MacArthur, Ste 200 Specialty Care Physicians & Other Providers/ Eff 05-May-17 Eff 01-Jan-14 Irving, TX 75062-4404 Digestive Health Associates of Texas Oncology, PA (972) 258-7979 Médicos de cuidado especializado y otros proveedores Texas PA 7777 Forest Ln, Ste D400 • Languages spoken / Idioma(s) 3144 Horizon Rd Ste 230 Dallas, TX 75230 hablado(s): Hindi Rockwall, TX 75032 (972) 566-7790 (469) 757-6099 • Languages spoken / Idioma(s) Denton County | Condado de hablado(s): Italian Tarrant County | Condado de Denton Tarrant Goldman, Stanton , MD Eff 01-Jan-14 Kumar, Kartik , MD Eff 01-Aug-17 Saghier, Sadaf , MD Texas Oncology, PA 7777 Forest Ln, Ste D400 Ophthalmology Consultants PA Eff 12-Apr-19 2210 San Jacinto Blvd Digestive Health Associates of Dallas, TX 75230 (972) 566-7790 Corinth, TX 76205 Texas PA (888) 511-2026 3150 Matlock Rd Ste 409 Weinthal, Joel Adam, MD • Languages spoken / Idioma(s) Arlington, TX 76015 Eff 01-Jan-14 hablado(s): Hindi (214) 630-4320 Texas Oncology, PA Kolluri, Suvarna , MD 7777 Forest Ln, Ste D400 Eff 05-Apr-18 Dallas, TX 75230 Texas Digestive Disease (972) 566-7790 Consultants 9509 N Beach St, Ste 101 Keller, TX 76244 (817) 741-4347

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 351 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tarrant County | Condado de Pediatrics/ Pediatría Kay, Joan P, MD Eff 01-Jul-18 Tarrant Collin County | Condado de Baylor Scott & White Medical & Surgical Clinic - Irving Kumar, Kartik , MD Collin 2021 N MacArthur Blvd Ste 250 Eff 01-Aug-17 Irving, TX 75061 Ophthalmology Consultants PA Lemeshev, Jodi G, MD (972) 253-4300 3050 C Center St, Ste 110 Eff 20-Sep-19 Arlington, TX 76014 BestNest Pediatrics Kurian, Darlene A, MD (888) 511-2026 4040 Legacy Dr Ste 201 Eff 01-Jul-18 • Languages spoken / Idioma(s) Frisco, TX 75034 Baylor Scott & White Medical & hablado(s): Hindi (972) 668-6705 Surgical Clinic - Irving 6750 N MacArthur Blvd Ste 206 Roberts, Dwayne L, MD Dallas County | Condado de Irving, TX 75061 Eff 07-Jan-14 (972) 253-4345 Ophthalmology Associates Dallas 5801 Oakbend Trl, Ste 100 Shannon, Natalya , MD Fort Worth, TX 76132 Al-Kubaisi, Maytham A, MD Eff 01-Jul-18 (817) 346-2969 Eff 11-Sep-18 Baylor Scott & White Medical & • Languages spoken / Idioma(s) Fetal Care Consultants, LLC Surgical Clinic - Irving hablado(s): Spanish 7777 Forest Lane Bldg C, Ste 742 2021 N MacArthur Blvd Ste 250 Dallas, TX 75230-2571 Irving, TX 75061 Roberts, Dwayne L, MD (972) 566-5600 (972) 253-4300 Eff 07-Jan-14 Ophthalmology Associates Moye, Danielle M, MD Williams, Tammi M, MD Specialty Care Physicians & Other Providers/ 1201 Summit Ave Eff 12-Sep-18 Eff 01-Jul-18 Fort Worth, TX 76102 Fetal Care Consultants, LLC Baylor Scott & White Medical & Médicos de cuidado especializado y otros proveedores (817) 332-2020 7777 Forest Lane Bldg C, Ste 742 Surgical Clinic - Irving • Languages spoken / Idioma(s) Dallas, TX 75230-2571 6750 N MacArthur Blvd Ste 206 hablado(s): Spanish (972) 566-5600 Irving, TX 75061 (972) 253-4345 Roberts, Dwayne L, MD Reyes, Cynthia , MD Eff 11-Mar-20 Eff 07-Jan-14 Tarrant County | Condado de Ophthalmology Associates Open Arms Healthcare of Texas 809 W Harwood, Ste 304 Inc Tarrant Hurst, TX 76054 2223 Singleton Blvd Ste 212 (817) 788-9303 Dallas, TX 75212 Patel, Henna , DO • Languages spoken / Idioma(s) (214) 678-9200 Eff 03-Jan-18 hablado(s): Spanish Silat and Patel PLLC Heller, Susan Holland, MD 1115 E Arkansas Ln Pediatric Orthopaedics/ Eff 01-Jul-18 Arlington, TX 76010-6415 Ortopedia pediátrica Baylor Scott & White Medical & (817) 385-9799 Surgical Clinic - Irving 2021 N MacArthur Blvd Ste 250 Becker, Elizabeth A, MD Tarrant County | Condado de Irving, TX 75061 Eff 30-Apr-20 Tarrant (972) 253-4300 Texas Digestive Disease Consultants Ott, Christine A, DO Holland, Karen D, MD 9509 N Beach Street Ste 102 Eff 14-Mar-19 Eff 01-Jul-18 Fort Worth, TX 76244-6399 Varsity Orthopedics, PA Baylor Scott & White Medical & (817) 617-8600 9545 N Beach St Ste 133 Surgical Clinic - Irving Keller, TX 76244 2021 N MacArthur Blvd Ste 250 (817) 431-1017 Irving, TX 75061 (972) 253-4300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 352 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Physical Medicine & Sterling, James C, MD Ray, Eric , MD Rehabilitation/ Medicina física y Eff 01-Jan-18 Eff 15-Sep-18 rehabilitación Baylor Scott & White Physical Legacy Physiatry Group LLC Medicine and Rehabilitation Ph 850 Central Pkwy E, Ste 275 Collin County | Condado de 3800 Gaylord Parkway, Ste 910 Plano, TX 75074-5542 Frisco, TX 75034 (972) 881-4688 Collin (469) 800-5600 Schmidt, Rebecca , MD Doppalapudi, Hima , MD Sterling, James C, MD Eff 15-Sep-18 Eff 14-Apr-19 Eff 01-Jan-18 Legacy Physiatry Group LLC Hima Doppalapudi, MD PA Baylor Scott & White Sports 850 Central Pkwy E, Ste 275 1001 Raintree Crl Concussion Program - At The Star Plano, TX 75074-5542 Allen, TX 75013 3800 Gaylord Parkway Suite 830 (972) 881-4688 (972) 200-0919 Frisco, TX 75034 (469) 800-5750 Dallas County | Condado de Kirkland, Arrash D, MD Eff 08-Dec-19 Chalunkal, Brite J, DO Dallas NTOS PLLC Eff 07-Apr-14 940 W Stacy Rd Ste 110 Baylor Scott & White Orthopedic East, John W, DO Allen, TX 75013 Associates of Dallas Eff 01-Sep-16 (972) 954-1466 5236 W University Dr Ste 2000 East Rehabiliation, PA McKinney, TX 75071 16633 N Dallas Pkwy, Ste 150 Chalunkal, Brite J, DO (469)800-5215 Addison, TX 75001 Eff 07-Apr-14 (972) 380-0000 Belvin, Brent , MD

Baylor Scott & White Orthopedic Specialty Care Physicians & Other Providers/ Associates of Dallas Eff 15-Sep-18 Chou, Henry C, DO 3800 Gaylord Parkway Suite 910 Legacy Physiatry Group LLC Eff 18-Jul-19 Frisco, TX 75034 850 Central Pkwy E, Ste 275 Family Orthopedic and Médicos de cuidado especializado y otros proveedores (469) 800-5215 Plano, TX 75074-5542 Rehabilitation, LLP (972) 881-4688 716 North Highway 67, Suite 2 Petrasic, Jason R, MD • Languages spoken / Idioma(s) Cedar Hill, TX 75104-2117 Eff 27-Oct-20 hablado(s): Spanish (817) 676-9046 Star Orthopedics and Sports Medicine PLLC Bhuva, Sheena , MD Dagley, Benjamin C, DO 149 SH 121 Ste 115 Eff 22-Sep-18 Eff 01-Jun-16 Frisco, TX 75019-0101 Texas Back Institute Cedar Hill Pain and Rehab (469) 850-0680 6020 W Parker Rd, Ste 200 716 N Hwy 67, Ste 2 Plano, TX 75093-8172 Cedar Hill, TX 75104 Petrasic, Jason R, MD (972) 608-5000 (972) 291-9165 Eff 27-Oct-20 Star Orthopedics and Sports Dauber, Kenneth S, MD Spicer, Robert J, MD Medicine PLLC Eff 01-Dec-14 Eff 01-Jun-16 5550 Warren Pkwy Ste 200 Plano Orthopedic Sports Medicine Cedar Hill Pain and Rehab Frisco, TX 75034-7399 & Spine Center, PA 716 N Hwy 67, Ste 2 (469) 850-0680 5228 W Plano Pkwy Cedar Hill, TX 75104 Plano, TX 75093 (972) 291-9165 Robertson, Dwain K, MD (972) 250-5700 Eff 04-Oct-19 Khan, Mohammed I, MD Baylor Scott & White Physical Rao, Ali K, MD Eff 22-Jun-20 Medicine and Rehabilitation Eff 15-Feb-19 Apex Interventional Pain & Spine Physicians Premier Pain Center PA 149 SH 121 Ste 105 3800 Gaylord Pkwy Ste 810 4040 McDermott Rd, Ste 100 Coppell, TX 75019-2912 Frisco, TX 75034 Plano, TX 75024-7735 (972) 833-7246 (469) 800-7540 (469) 562-4188

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 353 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Adams, Meredith M, DO Igbinigie, Sherry N, MD Mukkamala, Sridevi , MD Eff 01-Jan-14 Eff 13-Nov-20 Eff 01-Jan-14 Baylor Scott & White Physical Baylor Scott & White Orthopedic Baylor Scott & White Physical Medicine and Rehabilitation Ph Associates of Dallas Medicine and Rehabilitation Ph 3504 Swiss Ave 3900 Junius St Ste 500 411 N Washington Ave, Ste 5000 Dallas, TX 75204 Dallas, TX 75246 Dallas, TX 75246 (214) 820-9849 (469) 800-7200 (214) 820-8557 Chung, Daun , DO Khan, Moeid , MD Mukkamala, Sridevi , MD Eff 09-Jul-14 Eff 04-Oct-19 Eff 01-Jan-14 Baylor Scott & White Physical Baylor Scott & White Physical Baylor Scott & White Physical Medicine and Rehabilitation Ph Medicine and Rehabilitation Medicine and Rehabilitation Ph 909 N Washington Physicians 909 N Washington Dallas, TX 75246 411 N Washington Ave, Ste 4000 Dallas, TX 75246 (214) 820-9593 Dallas, TX 75246 (214) 820-9593 (214) 820-8557 Desai, Sima Y, MD Patel, Helen Z, MD Eff 17-Nov-16 Lewis, James J, MD Eff 01-Jan-14 Baylor Scott & White Physical Eff 07-Apr-14 Baylor Scott & White Physical Medicine and Rehabilitation Ph Baylor Scott & White Physical Medicine and Rehabilitation Ph 909 N Washington Medicine and Rehabilitation Ph 909 N Washington Dallas, TX 75246 9101 N Central Expy, Ste 300 Dallas, TX 75246 (214) 820-9593 Dallas, TX 75231 (214) 820-9593 (469) 888-2200 • Languages spoken / Idioma(s) Doppalapudi, Hima , MD Specialty Care Physicians & Other Providers/ hablado(s): French Eff 14-Apr-19 Miller Phillips, Mary E, MD Hima Doppalapudi, MD PA Eff 18-Jul-16 Porter, Leslie D, MD Médicos de cuidado especializado y otros proveedores 3020 W Wheatland Rd Baylor Scott & White Physical Eff 01-Jan-14 Dallas, TX 75237 Medicine and Rehabilitation Ph Baylor Scott & White Physical (214) 699-9221 909 N Washington Medicine and Rehabilitation Ph Dallas, TX 75246 909 N Washington Dubiel, Rosemary A, DO (214) 820-9593 Dallas, TX 75246 Eff 01-Jan-14 (214) 820-9593 Baylor Scott & White Physical Mookerjee, Subhra J, MD Medicine and Rehabilitation Ph Eff 01-Jan-14 Rappa, Peter , MD 909 N Washington Baylor Scott & White Physical Eff 15-Oct-18 Dallas, TX 75246 Medicine and Rehabilitation Ph Peter Rappa MD, PA (214) 820-9593 411 N Washington Ave, Ste 7300 3020 W Wheatland Rd Dallas, TX 75246 Dallas, TX 75237 Hamilton, Rita G, DO (214) 820-7140 (214) 699-9221 Eff 01-Jan-14 Baylor Scott & White Physical Mookerjee, Subhra J, MD Shah, Rinoo V, MD Medicine and Rehabilitation Ph Eff 01-Jan-14 Eff 13-Nov-20 411 N Washington Ave, Ste 4000 Baylor Scott & White Physical Baylor Scott & White Physical Dallas, TX 75246 Medicine and Rehabilitation Ph Medicine and Rehabilitation (214) 820-8557 909 N Washington Physicians Dallas, TX 75246 411 N Washington Ave Ste 7300 Hamilton, Rita G, DO (214) 820-9593 Dallas, TX 75246 Eff 01-Jan-14 (214) 820-7140 Baylor Scott & White Physical Medicine and Rehabilitation Ph 909 N Washington Dallas, TX 75246 (214) 820-9593

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 354 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Sikka, Seema R, MD Dubiel, Rosemary A, DO Sheikh, Naureen J, MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 22-Jun-20 Baylor Scott & White Physical Baylor Scott & White Physical Specialty Care Clinic Medicine and Rehabilitation Ph Medicine and Rehabilitation Ph 2700 W Pleasant Run Rd Ste 340 909 N Washington 800 N Shiloh Rd Lancaster, TX 75146-1074 Dallas, TX 75246 Garland, TX 75042 (972) 865-4454 (214) 820-9593 (972) 487-5574 Pizarro-Padilla, Ana , MD Sterling, James C, MD Sheikh, Naureen , MD Eff 01-Aug-18 Eff 01-Jan-18 Eff 03-May-20 Post Acute Physicians of Texas Baylor Scott & White Physical Texas Wellness and Pain Center PLLC Medicine and Rehabilitation Ph PLLC 1111 W Shore Dr 9101 N Central Expy, Ste 450 2507 Medical Row Ste 102 Richardson, TX 75080 Dallas, TX 75231-6031 Grand Prairie, TX 75051-1070 (972) 783-8000 (469) 800-7540 (817) 784-7500 Rao, Ali K, MD Thomason, Stephen W, DO Foster, Troy , DO Eff 15-Feb-19 Eff 01-Jan-14 Eff 10-Aug-15 Premier Pain Center PA Baylor Scott & White Physical Arlington Orthopedic Associates, 403 W Campbell Rd, Ste 305 Medicine and Rehabilitation Ph PA Richardson, TX 75080-3468 909 N Washington 2005 W Park Dr, Ste 100 (469) 562-4188 Dallas, TX 75246 Irving, TX 75061 (214) 820-9593 (817) 375-5200 Denton County | Condado de Vu, Albert H, DO Lo, David C, MD Denton Specialty Care Physicians & Other Providers/ Eff 27-Apr-18 Eff 01-Jan-14 Functional Recovery Associates, Baylor Scott & White Physical Pizarro-Padilla, Ana , MD PLLC Medicine and Rehabilitation Ph Eff 01-Aug-18 Médicos de cuidado especializado y otros proveedores 5701 Maple Ave Ste 100 2001 N MacArthur Blvd Ste 335 Post Acute Physicians of Texas Dallas, TX 75235-6596 Irving, TX 75061 PLLC (214) 351-6600 (972) 254-6022 2329 W Parker Rd • Languages spoken / Idioma(s) Carrollton, TX 75010-4713 Wilson, Amy J, MD hablado(s): Cantonese (469) 892-1400 Eff 01-Jan-14 Baylor Scott & White Physical Pak, Yong T, MD Lankford, Craig B, MD Medicine and Rehabilitation Ph Eff 01-Jan-15 Eff 15-Apr-15 411 N Washington Ave, Ste 5000 Precision Orthopedics & Sports Texas Back Institute Dallas, TX 75246 Medicine 2800 State Hwy 114, Ste 220 (214) 820-8557 2120 N MacArthur Blvd, Ste 100 Trophy Club, TX 76262 Irving, TX 75061 (817) 430-3900 Wilson, Amy J, MD (972) 438-4636 Eff 01-Jan-14 • Languages spoken / Idioma(s) Ellis County | Condado de Ellis Baylor Scott & White Physical hablado(s): Korean Medicine and Rehabilitation Ph Foster, Troy , DO 909 N Washington Patel, Helen Z, MD Eff 10-Aug-15 Dallas, TX 75246 Eff 01-Jan-14 Arlington Orthopedic Associates, (214) 820-9593 Baylor Scott & White Physical PA Medicine and Rehabilitation Ph 1441 S Midlothian Pkwy, Ste 130 2001 N MacArthur Blvd, Ste 430 Midlothian, TX 76065 Irving, TX 75061 (817) 375-5200 (972) 254-6022 • Languages spoken / Idioma(s) hablado(s): French

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 355 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Wang, Wenbao , MD Rockwall County | Condado de Huynh, Christine H, MD Eff 15-Dec-16 Eff 01-Jan-14 Baylor Scott & White Physical Rockwall Family Orthopedic and Medicine and Rehabilitation Ph Rehabilitation, LLP 2460 N IH-35 E, Ste 265 Lankford, Craig B, MD 609 Matlock Centre Cir Waxahachie, TX 75165-5279 Eff 15-Apr-15 Arlington, TX 76015-2535 (469) 800-9740 Texas Back Institute (817) 676-9046 3164 Horizon Rd, Ste 100 • Languages spoken / Idioma(s) Grayson County | Condado de Rockwall, TX 75032 hablado(s): Spanish (972) 772-8767 Grayson Kay, Joseph H, MD Pizarro-Padilla, Ana , MD Eff 01-Jan-14 Vattam, Sreenadha R, MD Eff 01-Aug-18 Arlington Orthopedic Associates, Eff 01-Apr-15 Post Acute Physicians of Texas PA North Texas Comprehensive PLLC 800 Orthopedic Way Spine and Pain 6700 Heritage Pkwy Arlington, TX 76015 1001 Sara Swamy Dr, Ste 220 Rockwall, TX 75087-8748 (817) 375-5200 Sherman, TX 75090 (972) 412-4000 (903) 892-1999 Schmidt, Rebecca Smith, MD • Languages spoken / Idioma(s) Tarrant County | Condado de Eff 01-May-16 hablado(s): Spanish Tarrant Rebecca S Schmidt, MD PA 3200 Matlock Rd Arlington, TX 76015 Hood County | Condado de Chou, Henry C, DO (817) 980-8350 Hood Eff 18-Jul-19 Specialty Care Physicians & Other Providers/ Family Orthopedic and Balch, Cayli N, DO Balch, Cayli N, DO Rehabilitation, LLP Eff 22-Jul-19 Médicos de cuidado especializado y otros proveedores Eff 22-Jul-19 609 Matlock Centre Cir Balch Interventional Pain and Balch Interventional Pain and Arlington, TX 76015-2535 Wellness Center Wellness Center (817) 676-9046 4319 Camp Bowie Blvd 1200 Crawford Ave, Ste A Fort Worth, TX 76107 Daniels, Michael T, MD Granbury, TX 76048 (817) 984-6210 (817) 984-6210 Eff 01-Jan-14 Arlington Orthopedic Associates, Balch, Robert J, DO Johnson County | Condado de PA Eff 02-Sep-19 800 Orthopedic Way Johnson Balch Interventional Pain and Arlington, TX 76015 Wellness Center (817) 375-5200 4319 Camp Bowie Blvd Clarke, Khalilah Q, MD Fort Worth, TX 76107 Eff 05-Aug-19 Foster, Troy , DO (817) 984-6210 KQ Clarke MD Eff 10-Aug-15 3012 S Hwy 174, Ste C Arlington Orthopedic Associates, Bixler, Glenn , MD Cleburne, TX 76033-6985 PA Eff 15-Jan-18 (817) 662-7044 800 Orthopedic Way Private Practice Arlington, TX 76015 1325 Pennsylvania Ave, Ste 200 (817) 375-5200 Fort Worth, TX 76104 (817) 507-0535 Clarke, Khalilah Q, MD Eff 05-Aug-19 KQ Clarke MD 3600 West 7th St Ste A Fort Worth, TX 76107-2569 (817) 662-7044

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 356 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Fox, Nikki S, DO Sims, Patrick D, MD Adams, Meredith M, DO Eff 12-Sep-16 Eff 06-Sep-19 Eff 01-Jan-14 Fort Worth Brain & Spine Institute, Baylor Scott & White Physical Baylor Scott & White Physical LLP Medicine and Rehabilitation Ph Medicine and Rehabilitation Ph 1900 Mistletoe Blvd, Ste 200 5701 Bryant Irvin Road Suite 304 1643 Lancaster Dr, Ste 101A Fort Worth, TX 76104 Fort Worth, TX 76132 Grapevine, TX 76051 (817) 878-5333 (469) 800-2200 (817) 329-2524 Kondziela, Sherry , MD Sims, Patrick D, MD Llanos, Raul M, DO Eff 15-Jan-17 Eff 06-Sep-19 Eff 15-Feb-15 Private Practice Baylor Scott & White Physical North Texas Orthopedics & Sports 1307 8th Ave, Ste 100 Medicine and Rehabilitation Medicine Fort Worth, TX 76104 Physicians 2535 Ira E Woods Ave (817) 921-4400 6601 Harris Pkwy Grapevine, TX 76051-3930 Fort Worth, TX 76132 (817) 481-2121 Le, Lan T, DO (817) 433-9952 • Languages spoken / Idioma(s) Eff 07-Apr-14 hablado(s): Spanish Lan T Le, DO Sims, Patrick D, MD 5632 Edwards Ranch Rd Ste 100 Eff 06-Sep-19 Pizarro-Padilla, Ana , MD Fort Worth, TX 76109 Baylor Scott & White Physical Eff 01-Aug-18 (817) 336-7188 Medicine and Rehabilitation Post Acute Physicians of Texas • Languages spoken / Idioma(s) Physicians PLLC hablado(s): Vietnamese 900 W Magnolia Boulevard Suite 1500 Autumn Dr 201 Grapevine, TX 76051-3103 Light, Asher R, MD Fort Worth, TX 76104 (817) 488-8585 Specialty Care Physicians & Other Providers/ Eff 10-Aug-15 (469) 800-2200 Baylor Scott & White Physical Tucker, Christopher J, DO Medicine and Rehabilitation Ph Stoll, Scott T, DO Eff 15-Feb-15 Médicos de cuidado especializado y otros proveedores 6601 Harris Pkwy Eff 01-Jan-14 North Texas Orthopedics & Sports Fort Worth, TX 76132 Stoll Neurodiagnostics Medicine (817) 433-9953 5717 Edwards Ranch Rd 2535 Ira E Woods Ave Fort Worth, TX 76109 Grapevine, TX 76051-3930 Rao, Ali K, MD (817) 294-3195 (817) 481-2121 Eff 15-Feb-19 Premier Pain Center PA Voss, Kurt W, DO Llanos, Raul M, DO 3600 W 7th St Eff 01-Jan-14 Eff 15-Feb-15 Fort Worth, TX 76107-2569 Kurt W Voss, DO North Texas Orthopedics & Sports (469) 562-4188 1400 Eighth Ave, CRFC Medicine Fort Worth, TX 76104 4501 Heritage Trace Pkwy, #101 Selod, Omar Farooq, DO (817) 922-1821 Keller, TX 76244-8940 Eff 15-Nov-14 (817) 481-2121 Omar F Selod, DO, PA Williams, Benecia T, DO • Languages spoken / Idioma(s) 5632 Edwards Ranch Rd Ste 100 Eff 05-Aug-18 hablado(s): Spanish Fort Worth, TX 76109 Benecia Williams, DO PA (817) 336-7188 5632 Edwards Ranch Rd Ste 100 Tucker, Christopher J, DO • Languages spoken / Idioma(s) Fort Worth, TX 76109 Eff 15-Feb-15 hablado(s): Urdu (817) 336-7188 North Texas Orthopedics & Sports Medicine Shah, Neha Surekh, DO 4501 Heritage Trace Pkwy, #101 Eff 25-Jan-16 Keller, TX 76244-8940 Neha S Shah, DO, PA (817) 481-2121 5632 Edwards Ranch Rd Ste 100 Fort Worth, TX 76109 (817) 336-7188

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 357 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Daniels, Michael T, MD Dixon, Curtis M, PT Denton County | Condado de Eff 01-Jan-14 Eff 19-Jul-20 Arlington Orthopedic Associates, Direct Orthopedic Care Denton PA 4600 El Dorado Pkwy, Ste 600 2801 E Broad St McKinney, TX 75070-5762 Dixon, Curtis M, PT Mansfield, TX 76063 (972) 987-0970 Eff 19-Jul-20 (817) 375-5200 Direct Orthopedic Care Mudireddy, Chaitanya , PT 3412 Hebron Pkwy, Ste 106 Foster, Troy , DO Eff 27-Aug-20 Carrollton, TX 75010-4451 Eff 10-Aug-15 Theramax Rehab Service, Inc (972) 810-1620 Arlington Orthopedic Associates, 3128 Hudson Crossing, Unit G4 PA McKinney, TX 750706556 Tarrant County | Condado de 2801 E Broad St (972) 983-3840 Tarrant Mansfield, TX 76063 (817) 375-5200 Dixon, Curtis M, PT Eff 19-Jul-20 Dixon, Curtis M, PT Kay, Joseph H, MD Direct Orthopedic Care Eff 19-Jul-20 Eff 01-Jan-14 6505 W Park Blvd, Ste 100 Direct Orthopedic Care Arlington Orthopedic Associates, Plano, TX 75093-6371 2419 W Southlake Blvd, Ste 100 PA (972) 810-1620 Southlake, TX 76092-6718 2801 E Broad St (817) 809-2660 Mansfield, TX 76063 Fang, Hesper L, PT Plastic Surgery/ Cirugía plástica (817) 375-5200 Eff 13-Apr-18 Apex Physical Medicine, PA Rao, Ali K, MD 2800 N Dallas Pkwy, Ste 150 Specialty Care Physicians & Other Providers/ Collin County | Condado de Eff 15-Feb-19 Plano, TX 75093-4940 Collin Premier Pain Center PA (972) 378-0383 Médicos de cuidado especializado y otros proveedores 7904 NE Loop Ste C • Languages spoken / Idioma(s) North Richland, TX 76180-7395 hablado(s): Chinese Solomon, Matthias , MD (469) 562-4188 Eff 01-Jul-20 Dermatology and Skin Cancer Dallas County | Condado de Physical Therapy/ Fisioterapia Surgery Center Dallas 780 N Watters Rd Ste 180 Allen, TX 75013-5085 Collin County | Condado de Dixon, Curtis M, PT (972) 390-9002 Collin Eff 19-Jul-20 Direct Orthopedic Care Stiles, Christine A, MD Correia, Kyle , PT 3014 N O'Connor Rd, Ste 110 Eff 01-Aug-15 Eff 15-Jul-20 Irving, TX 75062-4415 The Center for Breast & Body ApexNetwork Physical Therapy (214) 444-5558 Contouring, PA 3248 S Preston Rd Ste 110 5575 Warren Pkwy, Ste 304 Celina, TX 75009-3875 Gray, Dawn M, PT Frisco, TX 75034 (214) 851-4500 Eff 07-Jan-19 (214) 618-4000 PK & K Therapies Dixon, Curtis M, PT 3801 Lakeview Pkwy Ste 500 Setty, Naveen C, MD Eff 19-Jul-20 Rowlett, TX 75088-4163 Eff 15-Oct-18 Direct Orthopedic Care (469) 814-8126 Setty Plastic Surgery 9500 N Dallas Pkwy, Ste 100 175 Ridge Rd, Ste 200 Frisco, TX 75034-4120 McKinney, TX 75070-5104 (972) 987-0970 (214) 842-6960

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 358 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Solomon, Matthias , MD Dallas County | Condado de Mauskar, Neil A, MD Eff 01-Jul-20 Eff 01-Nov-18 Dermatology and Skin Cancer Dallas Baylor Scott & White Plastic & Surgery Center Reconstructive Surgery Dallas 1790 N Stonebridge Dr Bassichis, Benjamin , MD 3600 Gaston Ave, Ste 1055 McKinney, TX 75071-7437 Eff 01-Nov-16 Dallas, TX 75246 (972) 390-9002 Advanced Facial Plastic Surgery (972) 817-6170 Center Gulati, Salil , MD 14755 Preston Rd, Ste 110 McKane, Brice W, MD Eff 15-Dec-18 Dallas, TX 75254 Eff 01-Dec-14 BBG Cosmetic and Plastic Surgery (972) 774-1777 Texas Plastic Surgery Associates, 4712 Dexter Dr, Ste 100 PA Plano, TX 75093-7767 Beale, Evan W, MD 7777 Forest Ln, C504 (214) 343-9831 Eff 01-Apr-16 Dallas, TX 75230 Evan W Beale, MD, PA (972) 566-3939 Ha, Richard Y, MD 7777 Forest Ln, B-116 Eff 01-Dec-16 Dallas, TX 75230 Meade, Ricardo , MD Richard HA MD PA (972) 566-3001 Eff 15-Aug-16 5425 W Spring Creek Pwy, Ste • Languages spoken / Idioma(s) Private Practice 120 hablado(s): Spanish 9101 N Central Expy # 600 Plano, TX 75024 Dallas, TX 75231 (214) 818-0935 Duffy, Frederick J, MD (214) 823-1691 • Languages spoken / Idioma(s) Eff 01-Dec-14 hablado(s): Korean Texas Plastic Surgery Associates, Morales, David , MD PA Eff 01-Sep-17 Specialty Care Physicians & Other Providers/ Stiles, Christine A, MD 7777 Forest Ln, C504 Private Practice Eff 01-Aug-15 Dallas, TX 75230 3409 Worth St, Ste 630 The Center for Breast & Body (972) 566-3939 Dallas, TX 75246 Médicos de cuidado especializado y otros proveedores Contouring, PA (214) 827-8407 7000 W Plano Pkwy, Ste 225 Genecov, David , MD • Languages spoken / Idioma(s) Plano, TX 75093 Eff 11-Oct-16 hablado(s): Spanish (214) 618-4000 Genecov Plastic Surgery Group, PA Nguyen, Alexander , MD Cooke County | Condado de 11970 N Central Expy, Ste 270 Eff 15-Feb-18 Dallas, TX 75243-3770 Reconstructive Microsurgery and Cooke (972) 331-1900 Lymphedema Asociates, PLLC 7777 Forest Ln, Ste B-216 Solomon, Matthias , MD Ha, Richard Y, MD Dallas, TX 75230-6810 Eff 01-Jul-20 Eff 01-Dec-16 (214) 613-1589 Dermatology and Skin Cancer Richard HA MD PA Surgery Center 9101 N Central Expy, Ste 600 Pierce, Paul M, MD 214 E California St Dallas, TX 75231-5956 Eff 01-Nov-19 Gainesville, TX 76240-4004 (214) 818-0935 Paul Pierce MD PA (940) 665-1551 • Languages spoken / Idioma(s) 9101 N Central Texas Expwy, Ste hablado(s): Korean 590 Dallas, TX 75231-5960 Law, Huay-Zong , MD (214) 941-1500 Eff 24-Oct-18 Genecov Plastic Surgery Group, Pin, Paul G, MD PA Eff 01-Jan-16 11970 N Central Expy, Ste 270 Paul G Pin, MD Dallas, TX 75243-3770 3600 Gaston Ave, Ste 410 (972) 331-1900 Dallas, TX 75246 (214) 827-2530

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 359 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Potter, Jason , MD Derrick, Chase D, MD Rockwall County | Condado de Eff 01-Aug-16 Eff 03-Aug-18 Jason K Potter MD DDS PA Regional Plastic Surgery Rockwall 9101 N Central Expy, Ste 600 Associates Dallas, TX 75231-5956 3201 E George Bush Fwy Ste 101 Byrne, Bruce A, MD (214) 540-1420 Richardson, TX 75082-3565 Eff 01-Dec-15 (972) 470-5000 Regional Plastic Surgery Teotia, Stephanie K, MD Associates Eff 08-Feb-16 Lemmon, Joshua A, MD 1407 Ridge Rd Ste 101 Stephanie K Teotia, MD, PA Eff 03-Oct-16 Rockwall, TX 75087 4231 Cedar Springs Road Regional Plastic Surgery (972) 470-1000 Dallas, TX 75219 Associates • Languages spoken / Idioma(s) (214) 823-9652 3201 E George Bush Fwy, Ste 101 hablado(s): Spanish Richardson, TX 75082-3565 Trovato, Matthew J, MD (972) 470-5000 Tarrant County | Condado de Eff 01-Apr-15 Dallas Plastic Surgery Institute Watumull, Denton , MD Tarrant 9101 N Central Expy, Ste 600 Eff 01-Dec-15 Dallas, TX 75231 Regional Plastic Surgery Mohan, Raja , MD (214) 827-2873 Associates Eff 01-Jun-20 3201 E George Bush Fwy, Ste 101 Raja Mohan MD PA Wallace, Charles A, MD Richardson, TX 75082 515 W Mayfield Rd Ste 240 Eff 01-Dec-14 (972) 470-5000 Arlington, TX 76014-2083 A New Reflection Cosmetic (469) 301-1725 Surgery Center Specialty Care Physicians & Other Providers/ Grayson County | Condado de 17110 Dallas Pkwy, Ste 100 Tran, 'Anthony' Thanh B, MD Dallas, TX 75248 Grayson Eff 01-Jan-14 Médicos de cuidado especializado y otros proveedores (972) 380-7090 Arlington Plastic Surgery • Languages spoken / Idioma(s) Derrick, Chase D, MD 3300 Matlock Rd hablado(s): Spanish Eff 03-Aug-18 Arlington, TX 76015 Regional Plastic Surgery (817) 467-5081 White, Cheryl A, MD Associates • Languages spoken / Idioma(s) Eff 01-Jan-16 1111 Sara Swamy Drive hablado(s): Spanish Cheryl Ann White, MD, PhD, PA Sherman, TX 75090-1779 400 W Lyndon B Johnson Fwy, (903) 893-6311 Anderson, Robert G, MD Ste 350 Eff 15-Oct-14 Irving, TX 75063 Parker County | Condado de Texas Plastic Surgery Associates, PA (972) 251-2000 Parker • Languages spoken / Idioma(s) 800 12th Ave, Ste 100 hablado(s): Spanish Fort Worth, TX 76104 Anderson, Robert G, MD (817) 810-0770 Byrne, Bruce A, MD Eff 15-Oct-14 Eff 01-Dec-15 Texas Plastic Surgery Associates, Chen, Patrick , MD Regional Plastic Surgery PA Eff 01-Aug-15 Associates 912 Foster Ln Private Practice 3201 E George Bush Fwy, Ste 101 Weatherford, TX 76086 1325 Pennsylvania Ave, Ste 290 Richardson, TX 75082 (817) 810-0770 Fort Worth, TX 76104 (972) 470-5000 (817) 878-5125 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 360 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Daniels, Mark A, MD Knapp, Horst P, DPM Swails, Richard W, DPM Eff 05-Oct-18 Eff 01-Dec-14 Eff 01-Aug-15 Anderson Plastic Surgery Foot & Ankle Center of Frisco & McKinney Foot Care 800 12th Ave, Ste 100 Plano 5337 W University Dr, Ste 100 Fort Worth, TX 76104-2519 5375 Coit Rd, Ste 100 McKinney, TX 75071 (817) 810-0770 Frisco, TX 75035-0526 (972) 542-3668 (972) 712-7773 Heistein, Jonathan B, MD Brook, Joel W, DPM Eff 01-Jan-16 Mashigian, Gary C, DPM Eff 01-Sep-16 Jonathan Heistein, MD, PA Eff 01-Jan-14 Dallas Podiatry Works, PA 800 8th Ave, Ste 240 Footcare, PA 4708 Alliance Blvd, Ste 475 Fort Worth, TX 76104 5575 Warren Pkwy, Ste 204 Plano, TX 75093 (817) 820-0000 Frisco, TX 75034 (972) 943-3323 (214) 618-3370 Kunkel, Kelly R, MD Freeland, Katherine W, DPM Eff 01-Jan-14 Tavakoli, Mojgan , DPM Eff 01-Oct-17 Kelly Kunkel, MD, PA Eff 01-Dec-14 Premier Foot & Ankle PLLC 1830 8th Ave Foot & Ankle Center of Frisco & 6309 Preston Rd, # 1200 Fort Worth, TX 76110 Plano Plano, TX 75024 (817) 335-5200 5375 Coit Rd, Ste 100 (972) 424-8999 • Languages spoken / Idioma(s) Frisco, TX 75035-0526 hablado(s): Spanish (972) 712-7773 Gold, Sandra L, DPM • Languages spoken / Idioma(s) Eff 01-Jan-14 Kurkjian, Theodorus , MD hablado(s): Farsi Footcare, PA Eff 01-Feb-17 5940 W Parker Rd, Ste 202 Specialty Care Physicians & Other Providers/ Jon Kurkjian MD, PA Khan, Faiza , DPM Plano, TX 75093 800 8th Ave, Ste 336 Eff 16-Jan-20 (972) 781-1970 Fort Worth, TX 76104 Kinex Podiatry, PLLC Médicos de cuidado especializado y otros proveedores (817) 870-5080 1740 W Virginia St Hunter, Roderick C, DPM • Languages spoken / Idioma(s) McKinney, TX 75069-7864 Eff 01-Apr-20 hablado(s): Armenian (972) 709-7556 Hunter Foot & Ankle Associates PLLC Mohan, Raja , MD Mohiuddin, Syed H, DPM 1600 Coit Rd Ste 210 Eff 01-Jun-20 Eff 27-Sep-18 Plano, TX 75075-6172 Raja Mohan MD PA Kinex Podiatry, PLLC (972)877-3939 2020 W State Hwy 114 Ste 340 1740 W Virginia St Grapevine, TX 76051-8650 McKinney, TX 75069-7864 Mashigian, Gary C, DPM (469) 301-1725 (972) 709-7556 Eff 01-Jan-14 Footcare, PA Podiatry/ Podología Salcher, Christina M, DPM 5940 W Parker Rd, Ste 202 Eff 01-Jan-16 Plano, TX 75093 Collin County | Condado de Stonebridge Foot & Ankle, PLLC (972) 781-1970 175 Ridge Rd, Ste 800 Collin McKinney, TX 75070 Northcutt, David R, DPM (972) 540-0006 Eff 01-Sep-16 Brown, Harold S, DPM Dallas Podiatry Works, PA Eff 01-Sep-17 Silvers, Eric M, DPM 4708 Alliance Blvd, Ste 475 Celina Total Foot Care PLLC Eff 01-Jan-15 Plano, TX 75093 1050 S Preston Rd, Ste 119 Advanced Foot & Ankle Center (972) 943-3323 Celina, TX 75009 5531 W Virginia Pkwy, Ste 100 (972) 382-8922 McKinney, TX 75071 (972) 542-2155 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 361 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Silvers, Eric M, DPM Hausenfluke, Matthew , DPM Nathanson, Jon E, DPM Eff 01-Jan-15 Eff 15-Sep-17 Eff 15-Mar-20 Advanced Foot & Ankle Center North Texas Foot & Ankle Methodist Orthopaedic Surgical 301 N Preston Rd, Ste A 9401 LBJ Frwy, Ste 320 Associates Prosper, TX 75078 Dallas, TX 75243 3450 W Wheatland Rd POB II Ste (972) 542-2155 (214) 369-3969 340 • Languages spoken / Idioma(s) Dallas, TX 75237 hablado(s): Spanish Jones, Dan , DPM (214) 941-4243 Eff 14-Sep-19 Dallas County | Condado de Comfort Podiatry Group Nathanson, Jon E, DPM 3430 W Wheatland Rd, Ste 104 Eff 15-Mar-20 Dallas Dallas, TX 75237 Methodist Orthopaedic Surgical (972) 298-7500 Associates Eisenberg, David H, DPM 810 N Zang Blvd Eff 01-Dec-14 Kinberg, Paul , DPM Dallas, TX 75208 Private Practice Eff 01-Nov-14 (214) 941-4243 2572 Tarpley Rd, Ste 100 Texas Foot and Ankle Center Carrollton, TX 75006 1151 N Buckner Blvd Ste 201 Bldg Northcutt, David R, DPM (972) 418-0788 1 Eff 01-Sep-16 Dallas, TX 75218-3405 Dallas Podiatry Works, PA Babich, Matthew S, DPM (214) 660-0777 7777 Forest Ln, Ste A-212 Eff 08-Nov-16 Dallas, TX 75230 Texas Foot and Ankle Center Kletz, Jonathan M, DPM (972) 566-7474 1151 N Buckner Blvd Ste 201 Bldg Eff 29-Jul-18 1 Jonathan M Kletz DPM PA Patel, Parul K, DPM Specialty Care Physicians & Other Providers/ Dallas, TX 75218-3405 6760 Abrams Rd, Ste 203 Eff 01-Sep-15 (214) 660-0777 Dallas, TX 75231-0246 Infinity Foot & Ankle Médicos de cuidado especializado y otros proveedores (214) 340-8885 2501 Oaklawn Ave, Ste 201 Blum, Donald R, DPM • Languages spoken / Idioma(s) Dallas, TX 75219 Eff 14-Mar-16 hablado(s): Spanish (972) 274-5708 Southwest Podiatry LLP • Languages spoken / Idioma(s) 7777 Forest Ln Ste C 435 Legel, Kennedy , DPM hablado(s): Gujrati Dallas, TX 75230 Eff 07-Nov-16 (972) 566-3808 Advanced Foot & Ankle Care Smith, Scott E, DPM Specialists Eff 01-Jan-14 Brook, Joel W, DPM 4228 North Central Expwy Suite Metroplex Foot and Ankle, LLP Eff 01-Sep-16 210 3600 Gaston Ave-Wadley Tower, Dallas Podiatry Works, PA Dallas, TX 75206 Ste 1056 7777 Forest Ln, Ste A-212 (214) 366-4600 Dallas, TX 75246 Dallas, TX 75230 • Languages spoken / Idioma(s) (214) 827-8864 (972) 566-7474 hablado(s): Greek Tiwari, Rachna , DPM De Yoe, Brian E, DPM Nathanson, Jon E, DPM Eff 08-Nov-16 Eff 01-Jan-14 Eff 15-Mar-20 Metroplex Foot and Ankle, LLP Metroplex Foot and Ankle, LLP Methodist Orthopaedic Surgical 3600 Gaston Ave-Wadley Tower, 3600 Gaston Ave-Wadley Tower, Associates Ste 1056 Ste 1056 12230 Coit Rd Ste 130 Dallas, TX 75246 Dallas, TX 75246 Dallas, TX 75251 (214) 827-8864 (214) 827-8864 (972) 566-2663

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 362 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Wood, Peter B, DPM Smith, Scott E, DPM Nava, Samuel , DPM Eff 01-Mar-15 Eff 01-Jan-14 Eff 01-Jan-14 Dallas Foot and Ankle Specialists, Metroplex Foot and Ankle, LLP Southwest Podiatry, LLP PA 6330 Broadway Blvd, Ste D-2 2001 N MacArthur Blvd, Ste 300 3600 Gaston Ave, Ste 402, Barnett Garland, TX 75043 Irving, TX 75061 Tower (972) 226-0774 (972) 254-0680 Dallas, TX 75246 • Languages spoken / Idioma(s) (214) 824-7100 Tiwari, Rachna , DPM hablado(s): Spanish Eff 08-Nov-16 Yeargain, Joseph L, DPM Metroplex Foot and Ankle, LLP Sandhu, Jaytinder S, DPM Eff 15-Nov-16 6330 Broadway Blvd, Ste D-2 Eff 09-Feb-15 Joesph l Yeargain, DPM Garland, TX 75043 Precision Orthopedics & Sports 3801 Gaston Ave, Ste 330 (972) 226-0774 Medicine Dallas, TX 75246 2120 N MacArthur Blvd, Ste 100 (214) 824-3851 Blum, Donald R, DPM Irving, TX 75061 Eff 14-Mar-16 (972) 438-4636 Patel, Parul K, DPM Southwest Podiatry LLP Eff 01-Sep-15 701 Tuscan Dr 220 Abigail, Timothy C, DPM Infinity Foot & Ankle Irving, TX 75039-2256 Eff 01-Jan-14 2611 Bolton Boone (972) 432-9191 Metroplex Foot and Ankle, LLP Desoto, TX 75115-2011 3201 E Pres George Bush Hwy, (972) 274-5708 Eisenberg, David H, DPM Ste 106 • Languages spoken / Idioma(s) Eff 01-Dec-14 Richardson, TX 75082 hablado(s): Gujrati Private Practice (214) 217-3668 1110 Cottonwood Ln, Ste 100 Specialty Care Physicians & Other Providers/ Doyle, Robert J, DPM Irving, TX 75038 De Yoe, Brian E, DPM Eff 01-Jan-14 (972) 717-3668 Eff 01-Jan-14 North Star Foot and Ankle Metroplex Foot and Ankle, LLP Médicos de cuidado especializado y otros proveedores Associates, PA Garcia, Alex W, DPM 3201 E Pres George Bush Hwy, 6550 Naaman Forest Blvd, Ste Eff 01-Jul-18 Ste 106 200 Baylor Scott & White Medical & Richardson, TX 75082 Garland, TX 75044-5691 Surgical Clinic - Irving (214) 217-3668 (972) 480-0072 2021 N MacArthur Blvd Ste 300 • Languages spoken / Idioma(s) Irving, TX 75061 Casteel, Catherine , DPM hablado(s): Spanish (972) 253-2530 Eff 07-Dec-15 Casteel Foot & Ankle Center Huynh, Hung A, DPM Holcombe, Ronica N, DPM 7501 Lakeview Pkwy, Ste 135 Eff 01-Jul-19 Eff 01-Dec-14 Rowlett, TX 75088 North Star Foot and Ankle North Texas Foot & Ankle (972) 412-4449 Associates, PA 1145 Kinwest Pkwy, Ste 100 6550 Naaman Forest Blvd, Ste Irving, TX 75063 Patel, Parul K, DPM 200 (214) 574-9255 Eff 01-Sep-15 Garland, TX 75044-5691 Infinity Foot & Ankle Miller, Michael J, DPM (972) 480-0072 341 Weatfield Dr, Ste 100 Eff 26-Apr-20 Sunnyvale, TX 75182 Nelson, Scott J, DPM Baylor Scott & White Medical & (972) 274-5708 Eff 01-Mar-15 Surgical Clinic - Irving • Languages spoken / Idioma(s) Scott Nelson, DPM, PA 2021 N. MacArthur Blvd hablado(s): Gujrati 3930 Naaman School Rd, Ste C Irving, TX 75061 Garland, TX 75040 (972) 817-1270 (972) 414-9800

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 363 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Britt, Matthew T, DPM Amelung, Gregory J, DPM Marciano, Paul T, DPM Eff 06-Dec-19 Eff 01-Sep-17 Eff 01-Sep-17 Orthopaedic Specialists of Dallas Academy Foot & Ankle Specialists Academy Foot & Ankle Specialists 2300 FM 544 Ste 120 5810 Long Prairie Rd 7226 Crawford Rd Wylie, TX 75098-4937 Flower Mound, TX 75028-2588 Roanoke, TX 76262-2674 (972)771-8111 (817) 424-3668 (817) 424-3668

Denton County | Condado de Jimenez, Dorian L, DPM Ellis County | Condado de Ellis Eff 19-Sep-19 Denton Academy Foot & Ankle Specialists Cruz, Fernando M, DPM 5810 Long Prarie Rd Ste 400 Amelung, Gregory J, DPM Eff 17-Aug-18 Flower Mound, TX 75028 Family Foot & Ankle Centers Eff 01-Sep-17 (817) 424-3668 Academy Foot & Ankle Specialists 601 S Clay St Ste 105 7226 Crawford Rd Marciano, Paul T, DPM Ennis, TX 75119-5771 Argyle, TX 76262-2674 Eff 01-Sep-17 (903) 875-3368 (817) 424-3668 Academy Foot & Ankle Specialists Petty, Jeffrey S, DPM 5810 Long Prairie Rd, Ste 400 Parr, Philip , DPM Eff 09-Feb-16 Flower Mound, TX 75028 Family Foot & Ankle Centers Eff 01-Mar-16 (817) 424-3668 Academy Foot & Ankle Specialists 601 S Clay St Ste 105 7226 Crawford Rd Mashigian, Gary C, DPM Ennis, TX 75119-5771 Argyle, TX 76262-2674 Eff 01-Jan-14 (903) 875-3368 (817) 424-3668 Footcare, PA • Languages spoken / Idioma(s) 3101 Churchill Dr, Ste220 hablado(s): Spanish Specialty Care Physicians & Other Providers/ Gold, Sandra L, DPM Flower Mound, TX 75028 Silpa, Joy , DPM Eff 01-Jan-14 (972) 691-3232 Médicos de cuidado especializado y otros proveedores Footcare, PA Eff 25-Oct-19 4333 N Josey Ln, Ste 206 Parr, Philip , DPM Family Foot & Ankle Centers Carrollton, TX 75010 Eff 01-Mar-16 601 S Clay St Ste 105 (972) 939-1757 Academy Foot & Ankle Specialists Ennis, TX 75119-5771 5810 Long Prairie Rd (903) 872-9910 Mashigian, Gary C, DPM Flower Mound, TX 75028-2588 • Languages spoken / Idioma(s) Eff 01-Jan-14 (817) 424-3668 hablado(s): Malay Footcare, PA 4333 N Josey Ln, Ste 206 Freeland, Katherine W, DPM Schmitt, Christopher Donald, DPM Carrollton, TX 75010 Eff 01-Oct-17 Eff 01-Dec-14 (972) 939-1757 Premier Foot & Ankle PLLC Southern Star Foot and Ankle 9359 Legacy Dr, # 300 1441 S Midlothian Pkwy, Ste 120 Nava, Samuel , DPM Frisco, TX 75033 Midlothian, TX 76065 Eff 01-Jan-14 (214) 619-2240 (972) 755-4620 Southwest Podiatry, LLP 4333 N Josey Ln, Ste 102 Jimenez, Dorian L, DPM Cruz, Fernando M, DPM Carrollton, TX 75010 Eff 19-Sep-19 Eff 17-Aug-18 (972) 394-0825 Academy Foot & Ankle Specialists Family Foot & Ankle Centers • Languages spoken / Idioma(s) 7226 Crawford Rd 600 Ferris Ave Ste A hablado(s): Spanish Roanoke, TX 76262 Waxahachie, TX 75165-3030 (817) 424-3668 (972) 597-4132 Weinstein, Howard , DPM Eff 01-Jun-16 Private Practice 3730 N Josey Ln, Ste 120 Carrollton, TX 75007-2439 (972) 492-4660

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 364 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Petty, Jeffrey S, DPM Johnson County | Condado de Silpa, Joy , DPM Eff 09-Feb-16 Eff 25-Oct-19 Family Foot & Ankle Centers Johnson Family Foot & Ankle Centers 600 Ferris Ave Ste A 3229 W 7th Ave Waxahachie, TX 75165-3030 Chandler, Gary W, DPM Corsicana, TX 75110-4817 (903)872-9910 Eff 15-Feb-18 (903) 872-9910 • Languages spoken / Idioma(s) Private Practice • Languages spoken / Idioma(s) hablado(s): Spanish 809 SW Alsbury, Ste 4 hablado(s): Malay Burleson, TX 76028-9201 Silpa, Joy , DPM (817) 295-2799 Rockwall County | Condado de Eff 25-Oct-19 • Languages spoken / Idioma(s) Family Foot & Ankle Centers hablado(s): Spanish Rockwall 600 Ferris Ave Ste A Waxahachie, TX 75165-3030 Lew, Randy M, DPM Britt, Matthew T, DPM (903) 871-9910 Eff 01-Jan-14 Eff 06-Dec-19 • Languages spoken / Idioma(s) Randy M Lew, DPM Orthopaedic Specialists of Dallas hablado(s): Malay 11807 S Fwy, Ste 361 1301 Summer Lee Dr Burleson, TX 76028 Rockwall, TX 75032-5452 Hill County | Condado de Hill (817) 615-8110 (972)771-8111 • Languages spoken / Idioma(s) hablado(s): Chinese Hussain, Kamran R, DPM Jenkins, Suzanne , DPM Eff 01-Sep-16 Eff 01-Jan-15 Kaufman County | Condado de Advanced Foot Specialists, PLLC Hill County Foot & Ankle Specialist 201 E Interstate 30 904 Corsicana Hwy Kaufman Rockwall, TX 75087-5402 Specialty Care Physicians & Other Providers/ Hillsboro, TX 76645 (214) 771-3668 (254) 582-9300 Britt, Matthew T, DPM Eff 06-Dec-19 Shah, Nisha N, DPM Médicos de cuidado especializado y otros proveedores Hood County | Condado de Orthopaedic Specialists of Dallas Eff 18-Nov-18 Hood 200 N Virginia St Advanced Foot Specialists, PLLC Terrell, TX 75160-2732 201 E Interstate 30 Cornwell, Jayme R, DPM (972)771-8111 Rockwall, TX 75087-5402 Eff 01-Jan-18 (214) 771-3668 Lonestar Foot & Ankle, PA Navarro County | Condado de 1200 Crawford Ave, Ste C Navarro Tarrant County | Condado de Granbury, TX 76048 Tarrant (817) 573-3338 Cruz, Fernando M, DPM Eff 17-Aug-18 Bhakta, Dharmesh , DPM Mueller, Shannon Ray, DPM Family Foot & Ankle Centers Eff 01-Jan-14 Eff 01-Jan-14 3229 W 7th Ave Accent Podiatry Associates Brazos Foot and Ankle Clinic Corsicana, TX 75110-4817 3050 S Center St, Ste 140 1201 Medical Plz Ct (903) 872-9910 Arlington, TX 76014-2155 Granbury, TX 76048 (817) 557-1006 (817) 578-8555 Petty, Jeffrey S, DPM • Languages spoken / Idioma(s) Eff 09-Feb-16 hablado(s): Hindi Family Foot & Ankle Centers 3229 W 7th Ave Bhatt, Rahul , DPM Corsicana, TX 75110-4817 Eff 06-Nov-17 (903) 872-9910 Apple Podiatry Group PA • Languages spoken / Idioma(s) 3600 Matlock Rd, Ste 104 hablado(s): Spanish Arlington, TX 76015-3679 (817) 460-1300

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 365 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ganz, Keyvan , DPM Rabjohn, Linnie V, DPM Banks, Brent S, DPM Eff 15-Jul-16 Eff 01-Feb-17 Eff 15-Aug-19 Accent Podiatry Associates Arlington Mansfield Foot and Ankle Fort Worth Foot and Ankle PLLC 3050 S Center St, Ste 140 Centers, PA 800 8th Ave Ste 440 Arlington, TX 76014-2155 400 W Arbrook, Ste 201 Fort Worth, TX 76104-2603 (817) 557-1006 Arlington, TX 76014-3176 (817) 776-5533 • Languages spoken / Idioma(s) (817) 467-1990 hablado(s): Farsi • Languages spoken / Idioma(s) Beede, Glen A, DPM hablado(s): Spanish Eff 03-Dec-18 Jasper, Jacob B, DPM Trinity Foot and Ankle Specialists Eff 22-Oct-20 Rathod-Bhatt, Jarna , DPM PLLC Accent Podiatry Associates Eff 01-Nov-17 5801 Oakbend Tr, Ste 140 3050 S Center St Ste 140 Apple Podiatry Group PA Fort Worth, TX 76132-3936 Arlington, TX 76014 3600 Matlock Rd, Ste 104 (817) 377-3668 (817) 557-1006 Arlington, TX 76015-3679 (817) 460-1300 Coseimno, Michael J, DPM Landry, John R, DPM • Languages spoken / Idioma(s) Eff 03-Jul-20 Eff 01-Feb-17 hablado(s): Gujrati HealthDrive Podiatry Group Arlington Mansfield Foot and Ankle 2413 E Loop 820 N Centers, PA Southerland, Joe T, DPM Fort Worth, TX 76118-6933 400 W Arbrook, Ste 201 Eff 01-Feb-17 (888) 964-6681 Arlington, TX 76014-3176 Arlington Mansfield Foot and Ankle (817) 467-1990 Centers, PA Cosimeno, Michael J, DPM • Languages spoken / Idioma(s) 400 W Arbrook, Ste 201 Eff 01-Jun-19 HealthDrive Podiatry Group Specialty Care Physicians & Other Providers/ hablado(s): Spanish Arlington, TX 76014-3176 (817) 467-1990 2413 East Loop 820 North Lawrence, Ryan N, DPM Fort Worth, TX 76118-6933 Médicos de cuidado especializado y otros proveedores Eff 01-Feb-17 Warren, Robert D, DPM (888) 964-6681 Arlington Mansfield Foot and Ankle Eff 01-Feb-17 Centers, PA Arlington Mansfield Foot and Ankle Ettinger, Alan I, DPM 400 W Arbrook, Ste 201 Centers, PA Eff 01-Jan-14 Arlington, TX 76014-3176 400 W Arbrook, Ste 201 Private Practice (817) 467-1990 Arlington, TX 76014-3176 1001 12th Ave, Ste 104 • Languages spoken / Idioma(s) (817) 467-1990 Fort Worth, TX 76104 hablado(s): Spanish • Languages spoken / Idioma(s) (817) 738-1931 hablado(s): Spanish Mehta, Jinal J, DPM Fein, Jordan , DPM Eff 15-Oct-17 McCabe, Matthew G, DPM Eff 01-Jun-19 Accent Podiatry Associates Eff 22-Oct-20 HealthDrive Podiatry Group 3050 S Center St, Ste 140 Texas Orthopedic Specialists 2413 East Loop 820 North Arlington, TX 76014-2155 PLLC Fort Worth, TX 76118-6933 (817) 557-1006 2425 Highway 121 (888) 964-6681 • Languages spoken / Idioma(s) Bedford, TX 76021 Hoffman, Steven , DPM hablado(s): Farsi (817) 540-4477 Eff 01-Jun-19 Paschal, Shae B, DPM Suttle, Sara E, DPM HealthDrive Podiatry Group Eff 15-Jul-16 Eff 12-Dec-16 2413 East Loop 820 North Accent Podiatry Associates Texas Orthopedic Specialists, Fort Worth, TX 76118-6933 3050 S Center St, Ste 140 PLLC (888) 964-6681 Arlington, TX 76014-2155 2425 Hwy 121 (817) 557-1006 Bedford, TX 76021 (817) 540-4477

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 366 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Jaryga, Gregory A, DPM Mitchell, Analiza , DPM Stevens, Kelli O, DPM Eff 03-Dec-18 Eff 01-Jun-19 Eff 01-Jun-19 Trinity Foot and Ankle Specialists HealthDrive Podiatry Group HealthDrive Podiatry Group PLLC 2413 East Loop 820 North 2413 East Loop 820 North 5801 Oakbend Tr, Ste 140 Fort Worth, TX 76118-6933 Fort Worth, TX 76118-6933 Fort Worth, TX 76132-3936 (888) 964-6681 (888) 964-6681 (817) 377-3668 Patel, Jalpa , DPM Weldy, Brenda J, DPM Kyle, Yermesha , DPM Eff 28-Jul-19 Eff 03-Jul-20 Eff 01-Jun-19 HealthDrive Podiatry Group HealthDrive Podiatry Group HealthDrive Podiatry Group 2413 East Loop 820 North 2413 E Loop 820 N 2413 East Loop 820 North Fort Worth, TX 76118-6933 Fort Worth, TX 76118-6933 Fort Worth, TX 76118-6933 (888) 964-6681 (888) 964-6681 (888) 964-6681 Ritter, John R, DPM Weldy, Brenda J, DPM Lam, Michael H, DPM Eff 03-Jul-20 Eff 01-Jun-19 Eff 05-Aug-19 HealthDrive Podiatry Group HealthDrive Podiatry Group Reliant Foot & Ankle Specialist 2413 E Loop 820 N 2413 East Loop 820 North PLLC Fort Worth, TX 76118-6933 Fort Worth, TX 76118-6933 1650 W Rosedale St, Ste 204 (888) 964-6681 (888) 964-6681 Fort Worth, TX 76104 (817) 887-9884 Ritter, John R, DPM Arya, Shylaja N, DPM Eff 01-Jun-19 Eff 01-Dec-18 Lam, Michael H, DPM HealthDrive Podiatry Group Foot and Ankle Associates of Eff 02-Apr-19 2413 East Loop 820 North North Texas LLP Specialty Care Physicians & Other Providers/ PPG Health, PA Fort Worth, TX 76118-6933 2421 Ira E Woods Ave, Ste 100 909 9th Avenue, Ste 202 (888) 964-6681 Grapevine, TX 76051-3906 Fort Worth, TX 76104-3916 (817) 416-6155 Médicos de cuidado especializado y otros proveedores (817) 855-7888 Robbins, Alan E, DPM Eff 01-Oct-14 Bliss, Clifford M, DPM McCreary, Jon P, DPM Alan E Robbins, DPM Eff 01-Dec-18 Eff 07-Jan-19 1001 12th Ave, Ste 104 Foot and Ankle Associates of Jon P McCreary DPM PLLC Fort Worth, TX 76104 North Texas LLP 3221 Hulen St Ste A (817) 336-6600 2421 Ira E Woods Ave, Ste 100 Fort Worth, TX 76107-6186 Grapevine, TX 76051-3906 (817) 731-4279 Smith, Michael , DPM (817) 416-6155 Eff 15-Jan-20 Mirmiran, Neda , DPM HealthDrive Podiatry Group Crane, Mary E, DPM Eff 03-Jul-20 2413 E Lp 820 N Eff 01-Dec-18 HealthDrive Podiatry Group Fort Worth, TX 76118-6933 Foot and Ankle Associates of 2413 E Loop 820 N (888) 964-6681 North Texas LLP Fort Worth, TX 76118-6933 2421 Ira E Woods Ave, Ste 100 (888) 964-6681 Sorokolit, Michael , DPM Grapevine, TX 76051-3906 Eff 01-Apr-18 (817) 416-6155 Mirmiran, Neda , DPM Sorokolit Podiatry, PLLC Eff 01-Jun-19 1712 Pennsylvania Ave Karpati, Adriana , DPM HealthDrive Podiatry Group Fort Worth, TX 76104-2036 Eff 01-Dec-18 2413 East Loop 820 North (817) 877-5781 Foot and Ankle Associates of Fort Worth, TX 76118-6933 North Texas LLP (888) 964-6681 2421 Ira E Woods Ave, Ste 100 Grapevine, TX 76051-3906 (817) 416-6155

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 367 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nichols, Richard A, DPM Parr, Philip , DPM Landry, John R, DPM Eff 01-Jan-14 Eff 01-Mar-16 Eff 01-Feb-17 Alliance Foot & Ankle Specialists Academy Foot & Ankle Specialists Arlington Mansfield Foot and Ankle 1600 Lancaster Dr, Ste 102 4444 Heritage Trace Pkwy, Ste Centers, PA Grapevine, TX 76051 400 2800 E Broad St, Ste 312 (817) 481-4000 Keller, TX 76244-8944 Mansfield, TX 76063-6412 (817) 424-3668 (817) 842-9100 Steinke, Paul A, DPM • Languages spoken / Idioma(s) Eff 01-Dec-18 Parr, Philip , DPM hablado(s): Spanish Foot and Ankle Associates of Eff 16-Aug-19 North Texas LLP Academy Foot & Ankle Specialists Lawrence, Ryan N, DPM 2421 Ira E Woods Ave, Ste 100 4444 Heritage Trace Pkwy Ste 400 Eff 01-Feb-17 Grapevine, TX 76051-3906 Keller, TX 76244 Arlington Mansfield Foot and Ankle (817) 416-6155 (817) 424-3668 Centers, PA 2800 E Broad St, Ste 312 Stickney, Nathan D, DPM Suttle, Sara E, DPM Mansfield, TX 76063-6412 Eff 01-Dec-18 Eff 12-Dec-16 (817) 842-9100 Foot and Ankle Associates of Texas Orthopedic Specialists, • Languages spoken / Idioma(s) North Texas LLP PLLC hablado(s): Spanish 2421 Ira E Woods Ave, Ste 100 10932 N Riverside Dr, Ste 108 Grapevine, TX 76051-3906 Keller, TX 76244 Mehta, Jinal J, DPM (817) 416-6155 (817) 540-4477 Eff 15-Oct-17 Accent Podiatry Associates Amelung, Gregory J, DPM Bhakta, Dharmesh , DPM 221 Regency Pkwy, Ste 117 Eff 01-Sep-17 Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ Mansfield, TX 76063-5379 Academy Foot & Ankle Specialists Accent Podiatry Associates (817) 477-3611 4444 Heritage Trace Pkwy 221 Regency Pkwy, Ste 117

Médicos de cuidado especializado y otros proveedores • Languages spoken / Idioma(s) Keller, TX 76244-8944 Mansfield, TX 76063-5379 hablado(s): Farsi (817) 424-3668 (817) 477-3611 • Languages spoken / Idioma(s) Molen, Bryan H, DPM Jimenez, Dorian L, DPM hablado(s): Hindi Eff 15-Nov-18 Eff 19-Sep-19 Pryme Foot & Ankle Center PLLC Academy Foot & Ankle Specialists Ganz, Keyvan , DPM 1759 Broad Park Circle S #205 4444 Heritage Trace Pkwy, Ste Eff 15-Jul-16 Mansfield, TX 76063-7834 400 Accent Podiatry Associates (682) 223-2400 Keller, TX 76244-8944 221 Regency Pkwy, Ste 117 (817) 424-3668 Mansfield, TX 76063-5379 Paschal, Shae B, DPM (817) 477-3611 Eff 15-Jul-16 Marciano, Paul T, DPM • Languages spoken / Idioma(s) Accent Podiatry Associates Eff 01-Sep-17 hablado(s): Farsi 221 Regency Pkwy, Ste 117 Academy Foot & Ankle Specialists Mansfield, TX 76063-5379 4444 Heritage Trace Pkwy, Ste Jasper, Jacob B, DPM (817) 477-3611 400 Eff 22-Oct-20 Keller, TX 76244 Accent Podiatry Associates Southerland, Joe T, DPM (817) 424-3668 221 Regency Pkwy Ste 117 Eff 01-Feb-17 Mansfield, TX 76063 Arlington Mansfield Foot and Ankle Nichols, Richard A, DPM (817) 477-3611 Centers, PA Eff 01-Jan-14 2800 E Broad St, Ste 312 Alliance Foot & Ankle Specialists Mansfield, TX 76063-6412 1141 Keller Pkwy, Ste C (817) 842-9100 Keller, TX 76248 (817) 741-4800

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 368 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Warren, Robert D, DPM Jimenez, Dorian L, DPM Psychiatry - Child and Eff 01-Feb-17 Eff 19-Sep-19 Adolescent/ Psiquiatría – infantil Arlington Mansfield Foot and Ankle Academy Foot & Ankle Specialists y adolescente Centers, PA 1940 E State Hwy 114, Ste 150 2800 E Broad St, Ste 312 Southlake, TX 76092-6526 Collin County | Condado de Mansfield, TX 76063-6412 (817) 424-3668 (817) 842-9100 Collin • Languages spoken / Idioma(s) Jimenez, Dorian L, DPM hablado(s): Spanish Eff 18-Jun-20 Puri, Muhammad , MD Academy Foot & Ankle Specialists Eff 01-Jan-19 Jimenez, Dorian L, DPM 1940 E State Hwy 114 Ste 150 Healthy Mind World Eff 19-Sep-19 Southlake, TX 76092 825 Watters Creek Blvd, Ste 250 Academy Foot & Ankle Specialists (817) 424-3668 Allen, TX 75013-3770 6501 Precinct Line Rd Ste 100 (256) 665-6437 North Richland, TX 76182-4313 Marciano, Paul T, DPM (817) 424-3668 Eff 02-Aug-19 Jacobson, Harold N, MD Academy Foot & Ankle Specialists Eff 15-Apr-17 Amelung, Gregory J, DPM 1940 E State Hwy 114 Ste 150 Private Practice Eff 01-Sep-17 Southlake, TX 76092 17440 Dallas Pkwy, Ste 208 Academy Foot & Ankle Specialists (817) 424-3668 Dallas, TX 75287 6501 Precinct Line Rd Ste 100 (972) 248-1717 North Richland Hills, TX 76182- Cairns, Shannon , DPM 4313 Eff 01-Dec-16 Adebogun, Oladele A, MD (817) 424-3668 Toe-Tal Foot & Ankle Care, PA Eff 01-Dec-14 6900 Denton Hwy, Ste 111

Mind Matters Psychiatry Specialty Care Physicians & Other Providers/ Amelung, Gregory J, DPM Watauga, TX 76148-1918 3140 Legacy Dr Eff 16-Nov-19 (817) 656-0303 Frisco, TX 75034-7917 Academy Foot & Ankle Specialists (972) 221-7900 Médicos de cuidado especializado y otros proveedores 6501 Precint Line Rd Ste 150 Wise County | Condado de Khan, Mohammad A, MD North Richland Hills, TX 76182 Wise (817) 424-3668 Eff 01-Mar-14 Adult Child Adolescent Psychiatric Jimenez, Dorian L, DPM Childers, Ricky , DPM Services PA Eff 18-Jun-20 Eff 01-Sep-18 1740 W Virginia St Ste 100 Academy Foot & Ankle Specialists Reclaim Physicians Medical Group McKinney, TX 75070-8175 6501 Precinct Line Rd Ste 100 Inc (972) 709-7556 North Richland Hills, TX 76182 1713 S FM 51, Ste 103 (817) 424-3668 Decatur, TX 76234-3644 Khan, Mohammad A, MD (940) 627-6979 Eff 01-Mar-14 Marciano, Paul T, DPM • Languages spoken / Idioma(s) Adult Child Adolescent Psychiatric Eff 01-Sep-17 hablado(s): Spanish Services PA Academy Foot & Ankle Specialists 5501 Independence Pkwy Ste 302 6501 Precinct Line Rd, Ste 100 Plano, TX 75023 North Richland Hills, TX 76182 (469) 747-1010 (817) 424-3668 Parr, Philip , DPM Eff 01-Mar-16 Academy Foot & Ankle Specialists 6501 Precinct Line Rd North Richland Hills, TX 76182 (817) 424-3668

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 369 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Tarrant County | Condado de Raza, Ahmed , MD Eff 01-Jan-14 Dallas Tarrant Dallas Diagnostic Association - McKinney Allawala, Shahzad S, MD Allawala, Shahzad S, MD 5236 W University Dr, Ste 2000 Eff 01-Feb-14 Eff 01-Feb-14 McKinney, TX 75071 Blue Sky Health, INC Blue Sky Health, INC (469) 800-2000 2000 N Old Hickory Trl, Ste 300 1011 N Cooper St Desoto, TX 75115 Arlington, TX 76011 Venkataraman, Mythili T, MD (972) 709-7556 (972) 709-7556 Eff 07-Jan-19 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Premier Pulmonary CC & Sleep hablado(s): Hindi hablado(s): Hindi Medicine, PA 5236 W University Dr, Ste 2900 Allawala, Shahzad S, MD Pulmonology/ Neumología McKinney, TX 75071-8117 Eff 01-Feb-14 (903) 465-5012 Blue Sky Health, INC Collin County | Condado de 407 N Cedar Ridge, Ste 230 Adachi, Mari , MD Duncanville, TX 75116 Collin Eff 13-Jul-15 (972) 709-7556 Dallas Diagnostic Association- • Languages spoken / Idioma(s) Khan, Gul M, MD Plano hablado(s): Hindi Eff 01-Jun-18 4716 Alliance Blvd, Ste 700 DOW Pulmonary Critical Care and Plano, TX 75093 Denton County | Condado de Sleep PA (469) 800-6000 935 W Exchange Pkwy, Ste 100 Denton Adachi, Mari , MD

Specialty Care Physicians & Other Providers/ Allen, TX 75013-7076 (214) 383-0938 Eff 13-Jul-15 Adebogun, Oladele A, MD Baylor Scott & White Dallas Médicos de cuidado especializado y otros proveedores Eff 01-Dec-14 Shafiq, Rashid , MD Diagnostic Association - Plano Mind Matters Psychiatry Eff 01-Jun-18 4716 Alliance Blvd, Ste 700 2620 Long Prairie Rd, Ste 100 DOW Pulmonary Critical Care and Plano, TX 75093- Flower Mound, TX 75022-4953 Sleep PA (469)800-6000 (972) 221-7900 935 W Exchange Pkwy, Ste 100 Allen, TX 75013-7076 Awad, Omar , MD Grayson County | Condado de (214) 383-0938 Eff 01-Jan-14 Grayson Baylor Scott & White Dallas Ayass, Mohamad-Ammar , MD Diagnostic Association - Plano Eff 15-Aug-17 4716 Alliance Blvd Ste 700 Puri, Muhammad , MD Ayass Lung Clinic, PLLC Plano, TX 75093 Eff 01-Jan-19 8501 Wade Blvd, Ste 750 (469) 800-6000 Healthy Mind World Frisco, TX 75034 2601 N Cornerstone Dr (972) 668-6005 Awad, Omar , MD Sherman, TX 75092-2551 Eff 01-Jan-14 (256) 665-6437 Kable, Sanober , MD Baylor Scott & White Dallas Eff 01-Dec-16 Diagnostic Association - Plano Premier Pulmonary CC & Sleep 4716 Alliance Blvd Ste 700 Medicine, PA Plano, TX 75093 5236 W University Dr Ste 2900 (469) 800-6000 McKinney, TX 75071-8117 (903) 465-5012

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 370 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Blough, Britton A, MD Harness-Brumley, Cayce L, MD Eff 20-Dec-19 Eff 11-May-15 Dallas North Texas Critical Care Pulmonary and Critical Care 2710 Swiss Ave Consultants of North Texas Adejorin, Oluwaseyi D, MD Dallas, TX 75204 3600 Gaston Ave Ste 962 Wadley Eff 22-May-19 (214) 821-1599 Twr Questcare Intensivists, PLLC Dallas, TX 75246 13737 Noel Rd, Ste 1600 Brancaccio, Frank A, MD (214) 820-8380 Dallas, TX 75240 Eff 08-Jun-15 (214) 919-0757 Texas Lung Center Kopita, Jeffrey M, MD 3600 Gaston Ave, Ste 806 Eff 01-Jan-14 Ausloos, Kenneth A, MD Dallas, TX 75246-1818 Pulmonary and Critical Care Eff 01-Feb-16 (214) 824-8521 Associates of Garland Baylor Scott & White Texas Lung 3417 Gaston Ave, Ste 950 Center Brancaccio, Frank A, MD Dallas, TX 75246 3410 Worth St, Ste 250 Eff 26-Apr-20 (469) 800-8070 Dallas, TX 75246 Baylor Scott & White Pulmonary & (214) 820-6856 Critical Care Specialists - Dallas Krishnamurthy, Raghavendra , MD 3600 Gaston Ave Eff 01-Nov-15 Badireddi, Sridhar , MD Dallas, TX 75246 White Rock Pulmonary Eff 20-Sep-19 (469) 800-7686 Associates, PA Questcare Intensivists, PLLC 9330 Poppy Dr, Ste 407 13737 Noel Rd, Ste 1600 Co, Mark Allen, MD Dallas, TX 75218 Dallas, TX 75240 Eff 13-Sep-16 (214) 328-5487 (214) 919-0757 Southwest Cardiology Specialty Care Physicians & Other Providers/ 9 Medical Pkwy, Ste 207 Krishnamurthy, Raghu , MD Basora, Jose F, MD Dallas, TX 75234 Eff 14-Jul-19 Eff 15-Oct-18 (214) 321-1231 Dallas Pulmonary & Critical Care, Médicos de cuidado especializado y otros proveedores Dallas Pulmonary & Critical Care, PA PA Ferris, Mark C, MD 221 W Colorado Blvd,Pavilion II, 221 W Colorado Blvd,Pavilion II, Eff 28-Jul-16 Ste 525 Ste 525 White Rock Pulmonary Dallas, TX 75208 Dallas, TX 75208 Associates, PA (214) 960-5681 (214) 960-5681 9330 Poppy Dr, Ste 407 Dallas, TX 75218 Luterman, David L, MD Bayat, Andrew C, MD (214) 328-5487 Eff 01-Jan-14 Eff 14-Nov-19 Texas Lung Center Dallas Pulmonary & Critical Care, Gamble, Lisa L, MD 3600 Gaston Ave, Ste 806 PA Eff 13-Feb-17 Dallas, TX 75246-1818 221 W Colorado Blvd,Pavilion II, Southwest Pulmonary Associates (214) 824-8521 Ste 525 10100 N Central Expy, Ste 560 Dallas, TX 75208 Dallas, TX 75231 Mageto, Yolanda N, MD (214) 960-5681 (469) 916-0087 Eff 17-Nov-16 Baylor Scott & White Texas Lung Blough, Britton A, MD Harness-Brumley, Cayce L, MD Center Eff 21-Jun-19 Eff 11-May-15 3410 Worth St, Ste 250 Urgent Surgery Associates, PA Pulmonary and Critical Care Dallas, TX 75246 2710 Swiss Ave Consultants of North Texas (214) 820-6856 Dallas, TX 75204-5900 3600 Gaston Ave Ste 962 Wadley (214) 821-1599 Twr Dallas, TX 75246 (214) 820-8380

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 371 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Mahmood, Syed M, MD Mogri, Idrees , MD Patel, Harsh N, MD Eff 08-Feb-20 Eff 05-Oct-15 Eff 14-Jul-19 Questcare Intensivists PLLC Pulmonary and Critical Care Dallas Pulmonary & Critical Care, 13737 Noel Rd Ste 1600 Associates of Garland PA Dallas, TX 75240 3417 Gaston Ave, Ste 950 221 W Colorado Blvd,Pavilion II, (615) 922-6118 Dallas, TX 75246 Ste 525 (469) 800-8070 Dallas, TX 75208 Makary, Michael M, MD (214) 960-5681 Eff 08-Jun-15 Mogri, Idrees , MD Texas Lung Center Eff 05-Oct-15 Pellecchia, Crescens M, DO 3600 Gaston Ave, Ste 806 Pulmonary and Critical Care Eff 22-Sep-18 Dallas, TX 75246-1818 Specialists of Dallas Questcare Intensivists, PLLC (214) 824-8521 3600 Gaston Ave, Ste 960, 11970 N Central Expy Wadley Tower Dallas, TX 75243 Makary, Michael M, MD Dallas, TX 75246 (972) 940-8000 Eff 13-Jul-15 (214) 820-5630 Pulmonary and Critical Care Pellecchia, Crescens M, DO Specialists of Dallas Mueller, Stephen E, MD Eff 22-Sep-18 3600 Gaston Ave, Ste 960, Eff 15-Oct-18 Questcare Intensivists, PLLC Wadley Tower Methodist Lung Consultants 13737 Noel Rd Ste 1600 Dallas, TX 75246 3450 W. Wheatland Rd, POB II, Dallas, TX 75240 (214) 820-5630 Ste 440 (214) 919-0757 Dallas, TX 75237 Mann, Amit , MD (972) 296-8888 Penukonda, Anirudh V, MD Eff 15-Oct-18 Eff 08-Feb-20 Specialty Care Physicians & Other Providers/ Dallas Pulmonary & Critical Care, Naik, Chetan , MD Questcare Intensivists PLLC PA Eff 01-Jun-18 13737 Noel Rd Ste 1600 Médicos de cuidado especializado y otros proveedores 221 W Colorado Blvd Pavilion II Baylor Scott & White Texas Lung Dallas, TX 75240 Ste 525 Center (615) 922-6118 Dallas, TX 75208 3410 Worth St, Ste 250 (214) 960-5681 Dallas, TX 75246 Raper, Thomas B, MD (214) 820-6856 Eff 23-Sep-17 Millard, Mark W, MD Southwest Pulmonary Associates Eff 30-Jun-19 Padala, Kiran K, MD 10100 N Central Expy, Ste 560 Baylor Scott & White Texas Lung Eff 14-Jul-19 Dallas, TX 75231 Center Dallas Pulmonary & Critical Care, (469) 916-0087 3410 Worth St, Ste 250 PA Dallas, TX 75246 221 W Colorado Blvd,Pavilion II, Rosenblatt, Randall L, MD (214) 820-6856 Ste 525 Eff 01-Jan-14 Dallas, TX 75208 Randall L Rosenblatt, MD, PA Millard, Mark W, MD (214) 960-5681 3410 Worth St, Ste 250 Eff 01-Jan-14 Dallas, TX 75246 Texas Lung Center Pan, Thoris H, MD (214) 820-6856 4004 Worth St, Ste 300 Eff 06-Sep-19 Dallas, TX 75246 Baylor Scott & White Pulmonary & Rosenblatt, Randall L, MD (214) 820-3500 Critical Care Specialists - Dallas Eff 01-Jan-14 3600 Gaston Ave, Ste 960, Randall L Rosenblatt, MD, PA Mintz, Howard M, MD Wadley Tower 3600 Gaston Ave Barnett, #1109 Eff 01-Sep-16 Dallas, TX 75246 Dallas, TX 75246 Private Practice- Howard M Mintz (469) 800-7686 (214) 820-8300 MD 10501 N Central Expy, Ste 101 Dallas, TX 75231 (214) 363-8447

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 372 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Shotwell, Joyce M, MD Vaquera, Key A, MD * Shibli, Adeel B, MD Eff 27-Apr-19 Eff 01-Jan-14 Eff 13-Sep-16 Texas Lung Center Pulmonary and Critical Care Southwest Cardiology 3600 Gaston Ave, Ste 806 Consultants of North Texas 2704 N Galloway Ave, Ste 100 Dallas, TX 75246-1818 3600 Gaston Ave, Ste 962, Mesquite, TX 75150 (214) 824-8521 Wadley Tower (214) 660-2500 Dallas, TX 75246 • Languages spoken / Idioma(s) Shotwell, Joyce M, MD (214) 820-8380 hablado(s): Urdu Eff 13-Jul-15 Pulmonary and Critical Care Raza, Ahmed , MD Boyer, Anthony F, MD Specialists of Dallas Eff 01-Jan-14 Eff 14-Aug-19 3600 Gaston Ave, Ste 960, Dallas Diagnostic Association- Pulmonary Medicine Consultants, Wadley Tower Garland PA Dallas, TX 75246 7217 Telecom Parkway, Ste 300 2821 E. President George Bush (214) 820-5630 Garland, TX 75044 Hwy, Ste 407 (469) 800-2000 Richardson, TX 75082 Thomas, Shibu , MD (972) 680-0668 Eff 15-Oct-18 Heidbrink, Peter J, MD Dallas Pulmonary & Critical Care, Eff 01-Feb-17 Foster, Gregory H, MD PA Southwest Pulmonary Associates Eff 14-Aug-19 221 W Colorado Blvd,Pavilion II, 2001 N MacArthur Blvd, Ste 450 Pulmonary Medicine Consultants, Ste 525 Irving, TX 75061-2294 PA Dallas, TX 75208 (972) 259-3221 2821 E. President George Bush (214) 960-5681 • Languages spoken / Idioma(s) Hwy, Ste 407

• Languages spoken / Idioma(s) hablado(s): Spanish Richardson, TX 75082 Specialty Care Physicians & Other Providers/ hablado(s): Spanish (972) 680-0668 Patel, Harsh N, MD Tran, Tung D, MD Eff 27-Mar-18 Foster, Michael L, MD Médicos de cuidado especializado y otros proveedores Eff 15-Oct-18 Southwest Pulmonary Associates Eff 14-Aug-19 Dallas Pulmonary & Critical Care, 2001 N MacArthur Blvd, Ste 450 Pulmonary Medicine Consultants, PA Irving, TX 75061-2294 PA 221 W Colorado Blvd,Pavilion II, (972) 259-3221 2821 E. President George Bush Ste 525 Hwy, Ste 407 Dallas, TX 75208 Raper, Thomas B, MD Richardson, TX 75082 (214) 960-5681 Eff 23-Sep-17 (972) 680-0668 • Languages spoken / Idioma(s) Southwest Pulmonary Associates hablado(s): Spanish 2001N MacArthur Blvd, Ste 425 Gammon, Robert B, MD Irving, TX 75061-2222 Eff 14-Aug-19 Vandervest, Katherine M, MD (972) 259-3221 Pulmonary Medicine Consultants, Eff 17-May-20 PA Baylor Scott & White Advanced Awili, Mustafa H, MD 2821 E. President George Bush Lung Disease Specialists Eff 13-Sep-16 Hwy, Ste 407 3410 Worth St Southwest Cardiology Richardson, TX 75082 Dallas, TX 75246 2704 N Galloway Ave, Ste 100 (972) 680-0668 (214) 820-6856 Mesquite, TX 75150 (214) 660-2500 Otu, Dara U, MD Vaquera, Key A, MD * Eff 14-Aug-19 Eff 01-Jan-14 Pulmonary Medicine Consultants, Pulmonary and Critical Care PA Consultants of North Texas 2821 E. President George Bush 3600 Gaston Ave, Ste 962, Hwy, Ste 407 Wadley Tower Richardson, TX 75082 Dallas, TX 75246 (972) 680-0668 (214) 820-8380

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 373 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Quinn, Marcum O, MD Denton County | Condado de Kugasia, Irfanali R, MD Eff 14-Aug-19 Eff 15-Nov-18 Pulmonary Medicine Consultants, Denton Pulmonics Plus, PLLC PA 141 RVG Parkway, Ste 101 2821 E. President George Bush Loftin, James P, MD Waxahachie, TX 75165 Hwy, Ste 407 Eff 01-Dec-14 (972) 923-8923 Richardson, TX 75082 Pulmonary Care Specialists (972) 680-0668 4333 N Josey Ln, Ste 207 Grayson County | Condado de Carrollton, TX 75010 Rahman, Rashid , MD (972) 394-2971 Grayson Eff 14-Aug-19 Pulmonary Medicine Consultants, Surdacki, Joseph V, MD Kable, Sanober , MD PA Eff 01-Sep-16 Eff 01-Dec-16 2821 E. President George Bush Pulmonary Associates of North Premier Pulmonary CC & Sleep Hwy, Ste 407 Dallas, PA Medicine, PA Richardson, TX 75082 3032 E Hebron Pkwy, Ste 101 5012 S US Hwy 75 Ste 200 (972) 680-0668 Carrollton, TX 75010 Denison, TX 75020 (972) 865-2880 (903) 465-5012 Carvalho, Alexandre B, MD Eff 10-Aug-15 Tompkins, Melissa L, MD Kable, Sanober , MD Baylor Scott & White Pulmonary Eff 01-Dec-14 Eff 01-Dec-16 Care Consultants Sunnyvale Pulmonary Care Specialists Premier Pulmonary CC & Sleep 6701 Heritage Pkwy Ste 150 4333 N Josey Ln, Ste 207 Medicine, PA Rowlett, TX 75088 Carrollton, TX 75010 5012 S US Hwy 75 Ste 290 (972) 394-2971 Denison, TX 75020-4587 Specialty Care Physicians & Other Providers/ (972) 285-5675 (903) 465-5012 Carvalho, Alexandre B, MD Ellis County | Condado de Ellis Médicos de cuidado especializado y otros proveedores Eff 10-Aug-15 Venkataraman, Mythili T, MD Baylor Scott & White Pulmonary Ijaz, Mohsin , MD Eff 07-Jan-19 Care Consultants Sunnyvale Eff 12-Jul-16 Premier Pulmonary CC & Sleep 7600 Lakeview Pkwy Ste 100 Pulmonics Plus, PLLC Medicine, PA Rowlett, TX 75088 141 RVG Parkway, Ste 101 5012 S US Hwy 75 Ste 290 (972) 285-5675 Waxahachie, TX 75165 Denison, TX 75020-4587 (972) 923-8923 (903) 465-5012 Carvalho, Alexandre B, MD • Languages spoken / Idioma(s) Moizuddin, Mohammed , MD Eff 10-Aug-15 hablado(s): Hindi Baylor Scott & White Pulmonary Eff 10-Jul-19 Care Consultants Sunnyvale Jalil, Bilal A, MD Pelican Medical Specialists, PLLC 341 Wheatfield Dr Ste 290 Eff 23-Jul-19 321 N Highland Ave, Ste 105 Sunnyvale, TX 75182 Pulmonics Plus, PLLC Sherman, TX 75092-7371 (469) 800-3980 141 RVG Parkway, Ste 101 (903) 815-5568 Waxahachie, TX 75165 Moizuddin, Mohammed , MD (972) 923-8923 Johnson County | Condado de Eff 10-Jul-19 Johnson Pelican Medical Specialists, PLLC Khan, Amir Maqbul, MD 615 S Hwy 78 Ste 100 Eff 08-Jun-15 Ayo, Dereje , MD Wylie, TX 75098-4099 Pulmonics Plus, PLLC Eff 01-Aug-16 (972) 674-9910 141 RVG Pkwy, Ste 101 Fort Worth Lung Clinic PA Waxahachie, TX 75165-5289 11803 South Fwy, 311 (972) 923-8923 Burleson, TX 76028 • Languages spoken / Idioma(s) (817) 908-8411 hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 374 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Gagadam, Dayaker Rao, MD Mims, Edward W, MD Connelly, Kevin G, MD Eff 15-Oct-14 Eff 26-Sep-17 Eff 21-Nov-16 Dayaker Gagadam, MD PA Texas Pulmonary & Critical Care Texas Pulmonary & Critical Care 11803 S Fwy, Ste 215 Consultants, PA Consultants, PA Burleson, TX 76028 911C Medical Centre Dr 6100 Harris Pkwy, Ste 285 (817) 293-3000 Arlington, TX 76012-4758 Fort Worth, TX 76132 • Languages spoken / Idioma(s) (817) 461-0201 (817) 263-5864 hablado(s): Hindi Nguyen, Phan T, MD Duong, Huy X, DO Seiden, Jason Andrew, MD Eff 21-Nov-16 Eff 21-Nov-16 Eff 01-Dec-15 Texas Pulmonary & Critical Care Texas Pulmonary & Critical Care Jason Andrew Seiden, MD, PA Consultants, PA Consultants, PA 11803 S Fwy, Ste 104 601 Omega Dr, Ste 206 6100 Harris Pkwy, Ste 285 Burleson, TX 76028 Arlington, TX 76014-2075 Fort Worth, TX 76132 (817) 293-1200 (817) 465-5881 (817) 263-5864

Rockwall County | Condado de Washington, Donald L, MD Fahoum, Samer H, MD Eff 21-Nov-16 Eff 21-Nov-16 Rockwall Texas Pulmonary & Critical Care Texas Pulmonary & Critical Care Consultants, PA Consultants, PA Fabro, Delano , DO 1604 Hospital Pkwy, Ste 403 1521 Cooper St Eff 10-Aug-15 Bedford, TX 76022 Fort Worth, TX 76104 Lake Pointe Medical Partners (817) 354-9545 (817) 336-5864 Lung & Sleep Consultants 6701 Heritage Pkwy Ste 130 Ausloos, Kenneth A, MD Gagadam, Dayaker Rao, MD Specialty Care Physicians & Other Providers/ Rockwall, TX 75087 Eff 01-Feb-16 Eff 15-Oct-14 (972) 463-9500 Baylor Scott & White Texas Lung Dayaker Gagadam, MD PA Center 1001 12th Ave, Ste 134 Médicos de cuidado especializado y otros proveedores Tarrant County | Condado de 1400 Eighth Ave, Bldg D, Ste 101 Fort Worth, TX 76104 Tarrant Fort Worth, TX 76104 (817) 293-3000 (214) 820-6856 • Languages spoken / Idioma(s) hablado(s): Hindi Austin Jr, Joseph , MD Ayo, Dereje , MD Eff 21-Nov-16 Eff 01-Aug-16 Gleason, Raleigh R, MD Texas Pulmonary & Critical Care Fort Worth Lung Clinic PA Eff 01-May-14 Consultants, PA 800 8th Ave #412 Texas Pulmonary & Critical Care 911 C Medical Centre Dr Fort Worth, TX 76162 Consultants, PA Arlington, TX 76012 (817) 336-8773 1201 Fairmount (817) 622-0007 Fort Worth, TX 76104 Brahmbhatt, Naishadh , MD (817) 335-5288 Gilbey, Jack G, MD Eff 01-Dec-20 Eff 21-Nov-16 The Lung Consultants LLC Hollingsworth II, John W, MD Texas Pulmonary & Critical Care 1325 Pennsylvania Ave Ste 370 Eff 09-Nov-15 Consultants, PA Fort Worth, TX 76104-2110 Texas Pulmonary & Critical Care 911 C Medical Centre Dr (817) 778-0777 Consultants, PA Arlington, TX 76012 1201 Fairmount (817) 622-0007 Burk, John R, MD Fort Worth, TX 76104 Eff 01-May-14 (817) 335-5288 Texas Pulmonary & Critical Care Consultants, PA 1521 Cooper St Fort Worth, TX 76104 (817) 336-5864

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 375 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kim, Steven Y, MD Osafo-Mensah, Kwaku A, MD Cash Jr, Robert L, MD Eff 10-Feb-17 Eff 01-Dec-16 Eff 21-Nov-16 Texas Pulmonary & Critical Care Private Practice Texas Pulmonary & Critical Care Consultants, PA 2550 River Pk Dr, Ste 100 Consultants, PA 1521 Cooper St Fort Worth, TX 76116 4375 Booth Calloway Rd, Ste 402 Fort Worth, TX 76104 (817) 348-9015 North Richland Hills, TX 76180 (817) 336-5864 • Languages spoken / Idioma(s) (817) 284-4343 hablado(s): Spanish Kim, Steven Y, MD Kim, Steven Y, MD Eff 06-Apr-20 Pender, John T, MD Eff 06-Apr-20 The Lung and Sleep Center of Eff 01-May-14 The Lung and Sleep Center of North Texas Texas Pulmonary & Critical Care North Texas 3025 N Tarrant Pkwy Ste 170 Consultants, PA 7505 Glenview Dr Ste G Fort Worth, TX 76177-8632 1201 Fairmount North Richland Hills, TX 76180- (817) 284-9225 Fort Worth, TX 76104 8335 (817) 335-5288 (817) 284-9225 Kim, Steven Y, MD Eff 06-Apr-20 Razack, Kerim , MD Radiation Oncology/ Radiación The Lung and Sleep Center of Eff 01-May-14 oncológica North Texas Texas Pulmonary & Critical Care 915 S Main St Ste A Consultants, PA Collin County | Condado de Fort Worth, TX 76104-3408 1521 Cooper St (817) 284-9225 Fort Worth, TX 76104 Collin (817) 336-5864 Maldonado, David , MD

Specialty Care Physicians & Other Providers/ Heffernan, Jill Prince, MD Eff 25-Nov-17 Suri, Harpreet S, MD Eff 01-Jan-14 David Maldonado III MD PA Eff 01-Dec-20 Texas Oncology, PA Médicos de cuidado especializado y otros proveedores 6551 Harris Pkwy, Ste 250 The Lung Consultants LLC 5236 W University Dr, Ste 1000 Fort Worth, TX 76132-6115 1325 Pennsylvania Ave Ste 370 McKinney, TX 75071 (817) 263-6116 Fort Worth, TX 76104-2110 (972) 542-8609 (817) 778-0777 McDonald, Stuart D, MD Greenberg, Jeffrey Evan, MD Eff 01-May-14 Brahmbhatt, Naishadh , MD Eff 01-Jan-14 Texas Pulmonary & Critical Care Eff 07-Aug-17 Texas Oncology, PA Consultants, PA Southwest Pulmonary Associates 3705 W 15th St 1521 Cooper St 1600 W College St, Ste 640 Plano, TX 75075-7753 Fort Worth, TX 76104 Grapevine, TX 76051-3581 (972) 867-3577 (817) 336-5864 (817) 865-6390 Lubbe, Wilhelm , MD Miller, Andrew L, MD Gamble, Lisa L, MD Eff 01-Nov-17 Eff 19-Mar-20 Eff 13-Feb-17 Wilhelm J Lubbe, MD, PhD, PLLC Texas Pulmonary & Critical Care Southwest Pulmonary Associates 6957 W Plano Pkwy, Ste 1300 Consultants PA 1600 W College St, Ste 640 Plano, TX 75093-1621 1201 Fairmount Ave Grapevine, TX 76051-3581 (972) 820-1400 Fort Worth, TX 76104 (817) 865-6390 (817) 335-5288 Nichols, Timothy D, MD Tiu, John L, MD Eff 15-Feb-18 Okoye, Obinna I, MD Eff 21-Nov-16 Timothy D Nichols, MD, PA Eff 21-Nov-16 Texas Pulmonary & Critical Care 6957 W Plano Pkwy, Ste 1300 Texas Pulmonary & Critical Care Consultants, PA Plano, TX 75093-1621 Consultants, PA 2800 E Broad St, Ste 408 (972) 820-1400 1201 Fairmont Ave Mansfield, TX 76063 Fort Worth, TX 76104 (817) 617-4225 (817) 335-5288

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 376 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Lubbe, Wilhelm , MD Wilcox, Barry N, MD Eff 01-Nov-17 Eff 01-Jan-14 Dallas Wilhelm J Lubbe, MD, PhD, PLLC Texas Oncology, PA 12606 Greenville Ave, Ste 160 3410 Worth St, Ste 100 Boyd, Jessamy Anne, MD Dallas, TX 75243-1915 Dallas, TX 75246 Eff 01-Jan-14 (469) 364-7880 (214) 370-1400 Texas Oncology, PA 7777 Forest Ln, Ste D110 Nichols, Timothy D, MD Slomowitz, Alan , MD Dallas, TX 75230-2567 Eff 15-Feb-18 Eff 06-Oct-14 (972) 566-7031 Timothy D Nichols, MD, PA Baylor Scott & White Oncology 12606 Greenville Ave, Ste 160 310 E Hwy 67 Cheek, Brennen Scott, MD Dallas, TX 75243-1915 Duncanville, TX 75137-4159 Eff 01-Jan-14 (469) 364-7880 (469) 800-9300 Texas Oncology, PA 3410 Worth St, Ste 100 O'Conner, John K, MD Slomowitz, Alan , MD Dallas, TX 75246-2092 Eff 13-Apr-15 Eff 06-Oct-14 (214) 370-1400 Texas Oncology, PA Baylor Scott & White Oncology 7777 Forest Ln, Ste D110 310 E Hwy 67 Gillette, Arve Ward, MD Dallas, TX 75230-2567 Duncanville, TX 75137 Eff 01-Jan-14 (972) 566-7031 (469) 800-9300 Texas Oncology, PA 1441 N Beckley Ave, Ste 101 Schwarz, Donald E, MD Cavey, Matthew L, MD Dallas, TX 75203-1201 Eff 12-Feb-18 Eff 01-Jan-14 (214) 943-9911 Texas Oncology, PA The Center for Cancer and Blood 8196-B Walnut Hill Ln Disorders Specialty Care Physicians & Other Providers/ Gillette, Arve Ward, MD Dallas, TX 75231-4316 7415 Las Colinas Blvd Eff 01-Jan-14 (214) 345-7394 Irving, TX 75063 Texas Oncology, PA (817) 596-0637 Médicos de cuidado especializado y otros proveedores 3555 W Wheatland Rd Scruggs, Granger R, MD • Languages spoken / Idioma(s) Dallas, TX 75237-3461 Eff 01-Jan-14 hablado(s): Spanish (972) 709-2580 Texas Oncology, PA 3410 Worth St, Ste 100 Dasari, Neeraja , MD Harris-Henderson, Kesha Richelle, Dallas, TX 75246 Eff 01-Jan-14 MD (214) 370-1400 Gregory A Echt, MD, PA Eff 01-Jan-14 7415 Las Colinas Blvd, Ste 100 Texas Oncology, PA Verma, Jonathan A, MD Irving, TX 75063 3555 W Wheatland Rd Eff 04-Jul-19 (214) 379-2700 Dallas, TX 75237-3461 Texas Oncology, PA • Languages spoken / Idioma(s) (972) 709-2580 1441 N Beckley Ave, Ste 101 hablado(s): Hindi Dallas, TX 75203 Hernandez, Wilson L, MD (214) 943-9911 Echt, Gregory A, MD Eff 01-Jan-14 • Languages spoken / Idioma(s) Eff 01-Jan-14 Urology Clinics of North Texas, PA hablado(s): Spanish Gregory A Echt, MD, PA 12606 Greenville Ave Ste 160 7415 Las Colinas Blvd, Ste 100 Dallas, TX 75243-1915 Verma, Jonathan A, MD Irving, TX 75063 (214) 691-9377 Eff 04-Jul-19 (214) 379-2700 • Languages spoken / Idioma(s) Texas Oncology, PA • Languages spoken / Idioma(s) hablado(s): Spanish 3555 W Wheatland Rd hablado(s): Chinese Dallas, TX 75237-3461 (972) 709-2580 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 377 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lee, Andrew K, MD Locke, Jacob , MD Bednarz, Nancy , MD Eff 08-Feb-16 Eff 01-Jun-18 Eff 08-Sep-14 Texas Oncology, PA Baylor Scott & White Oncology Baylor Scott & White Medical 1501 W Royal Ln 7501 Lakeview Pkwy, Ste 120 Center - Waxahachie Irving, TX 75063 Rowlett, TX 75088 2400 N IH 35 E (469) 513-5500 (972) 526-7555 Waxahachie, TX 75165-5240 (469) 843-4000 Mangona, Victor S, MD Locke, Jacob , MD Eff 11-Jul-16 Eff 01-Jun-18 Jhavar, Sameer , MD Texas Oncology, PA Baylor Scott & White Oncology Eff 15-Aug-16 1501 W Royal Ln 6800 Scenic Drive Ste 1071 Baylor Scott & White Medical Irving, TX 75063 Rowlett, TX 75088 Center - Waxahachie (469) 513-5500 (972) 535-2946 2400 N IH 35 E Waxahachie, TX 75165-5240 Sturgeon, Jared D, MD Denton County | Condado de (469) 843-4000 Eff 12-Oct-16 Texas Oncology, PA Denton Nguyen, Dominic , MD 1501 W Royal Ln Eff 01-Jan-14 Irving, TX 75063 Lee, Charles P, MD Baylor Scott & White Medical (469) 513-5500 Eff 11-Apr-16 Center - Waxahachie Texas Oncology, PA 2400 N IH 35 E Boyd, Jessamy Anne, MD 4352 N Josey Ln Waxahachie, TX 75165-5240 Eff 01-Jan-14 Carrollton, TX 75010 (469) 843-4000 Texas Oncology, PA (972) 394-4368 4700 N Galloway Ave Wolski, Michal , MD Specialty Care Physicians & Other Providers/ Mesquite, TX 75150 Morton, Jeffrey Douglas, MD Eff 05-Jun-17 (972) 686-6411 Eff 01-Jan-14 Baylor Scott & White Charles A. Médicos de cuidado especializado y otros proveedores Texas Oncology, PA Sammons Cancer Center - Caruso, Michela , MD 3720 S I-35 E Waxahachie Eff 01-Jan-14 Denton, TX 76210 2380 N I-35 E Texas Oncology, PA (940) 382-1022 Waxahachie, TX 75165 4700 N Galloway Ave (469) 843-6000 Mesquite, TX 75150 Lee, Charles P, MD (972) 686-6411 Eff 11-Apr-16 Wolski, Michal , MD Texas Oncology, PA Eff 05-Jun-17 DeRose, Paul M, MD 4370 Medical Arts Dr, Ste 100 Baylor Scott & White Medical Eff 15-Oct-18 Flower Mound, TX 75028 Center - Waxahachie Methodist Richardson Radiation (972) 537-4100 2400 N IH 35 E Oncology Associates Waxahachie, TX 75165-5240 2805 E. President George Bush Ellis County | Condado de Ellis (469) 843-4000 HWY Richardson, TX 75082-3561 Bednarz, Nancy , MD Grayson County | Condado de (469) 726-6100 Eff 08-Sep-14 Grayson Baylor Scott & White Cancer Locke, Jacob , MD Institute - Waxahachie Eff 01-Jun-18 2380 N I-35 E Heffernan, Jill Prince, MD Baylor Scott & White Oncology Waxahachie, TX 75165 Eff 01-Jan-14 7501 Lakeview Pkwy, Ste 120 (469) 843-6000 Texas Oncology, PA Rowlett, TX 75088-9322 2800 Hwy 75 N (972) 526-7555 Sherman, TX 75090 (903) 892-9455

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 378 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Johnson County | Condado de Laine, Aaron M, MD Cavey, Matthew L, MD Eff 26-Oct-20 Eff 01-Jan-14 Johnson The Center for Cancer and Blood The Center for Cancer and Blood Disorders Disorders Laine, Aaron M, MD 920 Santa Fe Dr 800 W Magnolia Ave Eff 23-Oct-20 Weatherford, TX 76086-5864 Fort Worth, TX 76104 Pro Physicians Clinic PA (817) 759-7000 (817) 759-7000 11805 South Freeway Ste 201 • Languages spoken / Idioma(s) Burleson, TX 76028-7220 Nguyen, Thanh Xuan, MD hablado(s): Spanish (817) 551-5312 Eff 01-Jan-14 Texas Oncology, PA Freeman, Harold Paul, MD Laine, Aaron M, MD 911 Foster Ln Eff 01-Jan-14 Eff 26-Oct-20 Weatherford, TX 76086 Texas Oncology, PA The Center for Cancer and Blood (817) 597-7900 6500 Harris Pkwy Disorders Fort Worth, TX 76132 11805 South Fwy Ste 201 Waheed, Nabila L, DO (817) 263-2600 Burleson, TX 76028-7220 Eff 31-Jul-20 (817) 759-7000 Pro Physicians Clinic PA Laine, Aaron M, MD 920 Santa Fe Dr Eff 26-Oct-20 Waheed, Nabila L, DO Weatherford, TX 76086-5864 The Center for Cancer and Blood Eff 15-Dec-18 (817) 886-8730 Disorders The Center for Cancer and Blood 800 W Magnolia Ave Disorders Tarrant County | Condado de Fort Worth, TX 76104-4611 11805 S I-35W, Ste 201 (817) 759-7000 Burleson, TX 76028-7220 Tarrant Specialty Care Physicians & Other Providers/ (817) 551-5312 Park, Clinton S, MD Dubey, Ajay K, MD Eff 01-Jan-14 Waheed, Nabila L, DO Eff 01-Jan-14 Texas Oncology, PA Médicos de cuidado especializado y otros proveedores Eff 31-Jul-20 Texas Oncology, PA 1450 8th Ave Pro Physicians Clinic PA 1609 Hospital Pkwy Fort Worth, TX 76104 11805 South Fwy Ste 201 Bedford, TX 76022 (817) 923-4423 Burleson, TX 76028-7220 (817) 359-9000 • Languages spoken / Idioma(s) (817) 551-5312 hablado(s): Spanish Tomberlin, Janice Kelly, MD Parker County | Condado de Eff 01-Jan-14 Shide, Kathleen L, MD Texas Oncology, PA Parker Eff 01-Jan-14 1612 Hospital Pkwy, Texas Texas Oncology, PA Cancer Center 1450 8th Ave Cavey, Matthew L, MD Bedford, TX 76022 Fort Worth, TX 76104 Eff 01-Jan-14 (817) 685-4700 (817) 923-4423 The Center for Cancer and Blood • Languages spoken / Idioma(s) Disorders Akhtari, Mani , MD hablado(s): Spanish 920 Santa Fe Dr Eff 01-Jun-18 Weatherford, TX 76086 Texas Oncology, PA Waheed, Nabila L, DO (817) 596-0637 1450 8th Ave Eff 15-Dec-18 • Languages spoken / Idioma(s) Fort Worth, TX 76104 The Center for Cancer and Blood hablado(s): Spanish (817) 923-4423 Disorders 800 W Magnolia Ave Laine, Aaron M, MD Fort Worth, TX 76104-4611 Eff 23-Oct-20 (817) 759-7000 Pro Physicians Clinic PA 920 Santa Fe Dr Weatherford, TX 76086-5864 (817) 886-8730

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 379 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dubey, Ajay K, MD Pinto, Anil Bosco Manuel, MD * Pinto, Anil Bosco Manuel, MD * Eff 01-Jan-14 Eff 01-Jul-15 Eff 01-Jul-15 Texas Oncology, PA ReproMed Fertility Center ReproMed Fertility Center 1631 Lancaster Dr, Ste 150 6850 TPC Dr, Ste 105, Unit B 3800 San Jacinto St Grapevine, TX 76051-3586 McKinney, TX 75070 Dallas, TX 75204-5225 (817) 251-9080 (214) 483-3131 (214) 827-8777 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Tomberlin, Janice Kelly, MD hablado(s): Hindi hablado(s): Hindi Eff 01-Jan-14 Texas Oncology, PA Barnett, Brian D, MD Pinto, Anil Bosco Manuel, MD * 1631 Lancaster Dr, Ste 150 Eff 01-Jan-16 Eff 01-Jul-15 Grapevine, TX 76051-3586 Plano Fertility Center Anil Pinto, MD PA (817) 251-9080 3000 Communications Pkwy 3800 San Jacinto St Plano, TX 75093 Dallas, TX 75204 Reproductive Endocrinology and (469) 429-2640 (214) 827-8777 Infertility/ Endocrinología e • Languages spoken / Idioma(s) infertilidad reproductiva Mucowski, Sara J, MD hablado(s): Hindi Eff 01-Jan-16 Collin County | Condado de Plano Fertility Center Putman, John Michael, MD 3000 Communications Pkwy Eff 15-Nov-14 Collin Plano, TX 75093 J Michael Putman, MD PA (469) 429-2640 3900 Junius St, Ste 610 Barnett, Brian D, MD Dallas, TX 75246 Eff 01-Jan-16 Dallas County | Condado de (214) 823-2692

Specialty Care Physicians & Other Providers/ Frisco Fertility Center Dallas • Languages spoken / Idioma(s) 2840 Legacy Dr, Ste 100 hablado(s): Chinese Frisco, TX 75034 Médicos de cuidado especializado y otros proveedores (214) 297-0020 Elkins, Linda C, MD Eff 15-Jun-17 Rockwall County | Condado de Ku, Lowell T, MD Aspire Fertility Institute Rockwall Eff 01-Jan-16 16415 Addison Rd, Ste 900 Frisco Fertility Center Addison, TX 75001 Pinto, Anil Bosco Manuel, MD * 2840 Legacy Dr, Ste 100 (214) 414-3806 Eff 01-Jul-15 Frisco, TX 75034 • Languages spoken / Idioma(s) ReproMed Fertility Center (214) 297-0020 hablado(s): Spanish 935 W Ralph Hall Pkwy, Ste 103 • Languages spoken / Idioma(s) Rockwall, TX 75032 hablado(s): Chinese Goulet, Emily J, MD (214) 771-0135 Eff 20-Aug-19 • Languages spoken / Idioma(s) Goulet, Emily J, MD Dallas IVF hablado(s): Hindi Eff 20-Aug-19 3600 Gaston Ave Barnett Tower Dallas IVF Ste 1001 Tarrant County | Condado de 5301 W University Dr Dallas, TX 75246-1810 McKinney, TX 75071-7824 (214)423-4032 Tarrant (469) 210-8210 Jones, Tiffany L, MD Doody, Kathleen , MD Jones, Tiffany L, MD Eff 03-Sep-19 Eff 09-May-16 Eff 03-Sep-19 Dallas IVF Center for Assisted Reproduction, Dallas IVF 3600 Gaston Ave Barnett Tower, PA 5301 W University Dr Ste 1001 1701 Park Place Ave McKinney, TX 75071-7824 Dallas, TX 75246-1810 Bedford, TX 76022 (469)210-8210 (214) 423-4032 (817) 540-1157

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 380 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Thomas, Robin L, MD Rao, Varuni , DO Rudraraju, Smitha , MD Eff 09-May-16 Eff 20-Jun-16 Eff 14-Dec-15 Center for Assisted Reproduction, Baylor Scott & White Family Baylor Scott & White Dallas PA Medicine Frisco Diagnostic Association - Plano 1701 Park Place Ave 2840 Legacy Dr, Ste 400 4716 Alliance Blvd, Ste 700 Bedford, TX 76022 Frisco, TX 75034 Plano, TX 75093 (817) 540-1157 (469) 800-5600 (469) 800-6000 Doody, Kathleen , MD Makhdumi, Sana , MD Tumyan, Armine , MD Eff 09-May-16 Eff 13-Nov-20 Eff 01-Jan-14 Center for Assisted Reproduction, Baylor Scott & White Dallas Diagnostic Association- PA Rheumatology - McKinney Plano 1250 8th Ave, Ste 365 5236 W University Dr Ste 2000 4716 Alliance Blvd Ste 700 Fort Worth, TX 76104 McKinney, TX 75071 Plano, TX 75093 (817) 924-1572 (469) 800-5450 (469) 800-6000 Thomas, Robin L, MD Patel-Banker, Megha , MD Tumyan, Armine , MD Eff 09-May-16 Eff 15-Sep-19 Eff 01-Jan-14 Center for Assisted Reproduction, Arthritis and Rheumatology Baylor Scott & White Dallas PA Institute Diagnostic Association - Plano 1250 8th Ave, Ste 365 5930 W Parker Rd Ste 600 4716 Alliance Blvd Ste 700 Fort Worth, TX 76104 Plano, TX 75093-6420 Plano, TX 75093 (817) 924-1572 (972) 798-8553 (469) 800-6000 Pinto, Anil Bosco Manuel, MD * Rao, Varuni , DO Dallas County | Condado de Specialty Care Physicians & Other Providers/ Eff 01-Jul-15 Eff 20-Jun-16 ReproMed Fertility Center Dallas Diagnostic Association- Dallas 823 Ira E Woods Ave Plano Médicos de cuidado especializado y otros proveedores Grapevine, TX 76051 4716 Alliance Blvd, Ste 700 Amari, Wassila , MD (817) 310-6686 Plano, TX 75093 Eff 01-Jan-14 • Languages spoken / Idioma(s) (469) 800-6000 Baylor Scott & White Dallas hablado(s): Hindi Diagnostic Association - Park Ci Rao, Varuni , DO 9101 N Central Expy, Ste 300 Rheumatology/ Reumatología Eff 20-Jun-16 Dallas, TX 75231 Baylor Scott & White Dallas (469) 800-7100 Collin County | Condado de Diagnostic Association - Plano 4716 Alliance Blvd, Ste 700 Chowdhry, Iftikhar A, MD Collin Plano, TX 75093 Eff 01-Jan-16 (469) 800-6000 Arthritis Centers of Texas, PA Basavaraju, Renuka V, MD 712 N Washington, Ste 300 Eff 01-May-19 Rudraraju, Smitha , MD Dallas, TX 75246 Allergy Rheumatology Immunology Eff 14-Dec-15 (214) 823-6503 Associates of North Texas - Dallas Diagnostic Association- • Languages spoken / Idioma(s) 5350 Independence Pkwy Ste 100 Plano hablado(s): Spanish Frisco, TX 75035 4716 Alliance Blvd, Ste 700 (972) 253-4370 Plano, TX 75093 Genta, Marcia S, MD • Languages spoken / Idioma(s) (469) 800-6000 Eff 15-Oct-18 hablado(s): Hindi Dallas Arthritis Center, PA 221 W Colorado Blvd, Pavilion II, Suite 740 Dallas, TX 75208-2357 (214) 941-0198 • Languages spoken / Idioma(s) hablado(s): French

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 381 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kothandaraman, Srilatha , MD Willis, John J, MD Nair, Priya K, MD Eff 12-Sep-16 Eff 01-Jan-16 Eff 01-Jan-16 Arthritis Centers of Texas, PA Arthritis Centers of Texas, PA Arthritis Centers of Texas, PA 712 N Washington, Ste 300 712 N Washington, Ste 300 2929 N Central Expy, Ste 225 Dallas, TX 75246 Dallas, TX 75246 Richardson, TX 75080 (214) 823-6503 (214) 823-6503 (214) 823-6503 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) Lomibao, Frances J, MD hablado(s): Chinese hablado(s): Chinese Eff 20-Nov-17 Arthritis Centers of Texas, PA Inaganti, Kasturi , MD Petrone, Dianne L, MD 712 N Washington, Ste 300 Eff 01-Jan-14 Eff 01-Jan-16 Dallas, TX 75246 Dallas Diagnostic Association- Arthritis Centers of Texas, PA (214) 823-6503 Garland 2929 N Central Expy, Ste 225 • Languages spoken / Idioma(s) 7217 Telecom Parkway, Ste 300 Richardson, TX 75080 hablado(s): Spanish Garland, TX 75044 (214) 823-6503 (469) 800-2000 • Languages spoken / Idioma(s) Nair, Priya K, MD hablado(s): Chinese Eff 01-Jan-16 Rao, Varuni , DO Arthritis Centers of Texas, PA Eff 20-Jun-16 Sackler, Marian E, MD 712 N Washington, Ste 300 Dallas Diagnostic Association- Eff 01-Jan-16 Dallas, TX 75246 Garland Arthritis Centers of Texas, PA (214) 823-6503 601 Clara Barton Blvd, Ste 300 2929 N Central Expy, Ste 225 • Languages spoken / Idioma(s) Garland, TX 75042-5755 Richardson, TX 75080 hablado(s): Chinese (469) 800-2000 (214) 823-6503

Specialty Care Physicians & Other Providers/ • Languages spoken / Idioma(s) Petrone, Dianne L, MD Rao, Varuni , DO hablado(s): Chinese Eff 01-Jan-16 Eff 20-Jun-16 Médicos de cuidado especializado y otros proveedores Arthritis Centers of Texas, PA Dallas Diagnostic Association- Willis, John J, MD 712 N Washington, Ste 300 Garland Eff 01-Jan-16 Dallas, TX 75246 7217 Telecom Parkway, Ste 300 Arthritis Centers of Texas, PA (214) 823-6503 Garland, TX 75044 2929 N Central Expy, Ste 225 • Languages spoken / Idioma(s) (469) 800-2000 Richardson, TX 75080 hablado(s): Chinese (214) 823-6503 Basavaraju, Renuka V, MD • Languages spoken / Idioma(s) Rosenstock, David , MD Eff 01-May-19 hablado(s): Chinese Eff 15-Dec-18 Allergy Rheumatology Immunology David Rosenstock, MD Associates of North Texas - Denton County | Condado de 3443 W Wheatland Rd 2021 N MacArthur Blvd, Ste 225 Dallas, TX 75237-3459 Irving, TX 75061 Denton (972) 709-8500 (972) 253-4370 • Languages spoken / Idioma(s) Penmetcha, Mohan , MD Sackler, Marian E, MD hablado(s): Hindi Eff 15-Sep-16 Eff 01-Jan-16 Private Practice Arthritis Centers of Texas, PA Chowdhry, Iftikhar A, MD 4217 Marsh Ridge Rd, Ste 110 712 N Washington, Ste 300 Eff 01-Jan-16 Carrollton, TX 75010 Dallas, TX 75246 Arthritis Centers of Texas, PA (972) 307-3456 (214) 823-6503 2929 N Central Expy, Ste 225 • Languages spoken / Idioma(s) Richardson, TX 75080 hablado(s): Chinese (214) 823-6503 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 382 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ellis County | Condado de Ellis Syeda, Uzma A, MD Grimes, Tate A, MD Eff 01-Jan-14 Eff 01-Sep-17 Penmetsa, Santhi , MD Grapevine Rheumatology Clinic Wellness in Sleep PA Eff 01-Jan-19 210 N Park Blvd, Ste 107 7500 Preston Rd, Ste 100 SP Rheumatology PLLC Grapevine, TX 76051 Plano, TX 75024 423 E Main St, Ste 1 (817) 416-7695 (817) 820-0427 Midlothian, TX 76065-3345 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) (972) 972-4443 hablado(s): Hindi hablado(s): Spanish Patel, Sunny B, MD Jalandhara, Priyanka , MD Jamieson, Andrew O, MD Eff 01-Apr-19 Eff 10-Mar-20 Eff 01-Mar-15 DFW Rheumatology, PLLC Tarrant Arthritis Center Sleep Medicine Associates of 106 Plaza Dr 4375 Booth Calloway Rd Ste 208 Texas, PA Red Oak, TX 75154-3981 North Richland, TX 76180-8362 400 Maplelawn Dr, Ste 106 (469) 552-6630 (817) 865-3939 Plano, TX 75093-5744 (972) 312-8832 Sleep Medicine/ Medicina para el Hunt County | Condado de sueño Jamieson, Andrew O, MD Hunt Eff 01-Mar-15 Collin County | Condado de Sleep Medicine Associates of Rao, Varuni , DO Texas, PA Eff 20-Jun-16 Collin 4708 Alliance Blvd, Ste 725, Dallas Diagnostic Association- Pavilion I Garland Jamieson, Andrew O, MD Plano, TX 75093

4400 I-30 W, Ste 300 Eff 01-Mar-15 (972) 312-8832 Specialty Care Physicians & Other Providers/ Greenville, TX 75402 Sleep Medicine Associates of Texas, PA Jamieson, Andrew O, MD (903) 450-4788 Médicos de cuidado especializado y otros proveedores 1105 N Central Expy, Ste 2310 Eff 01-Mar-15 Sleep Medicine Associates of Tarrant County | Condado de Allen, TX 75013 (972) 312-8832 Texas, PA Tarrant 4712 Dexter Drive, Ste 200 Khan, Gul M, MD Plano, TX 75093-5290 Acharya, Sampada , MD Eff 01-Jun-18 (972) 312-8832 Eff 13-Nov-20 DOW Pulmonary Critical Care and Baylor Scott & White Sleep PA Joseph, Rajiv , MD Rheumatology - Fort Worth 935 W Exchange Pkwy, Ste 100 Eff 15-Aug-16 1101 6th Ave Ste 110 Allen, TX 75013-7076 Rajiv Joseph MD PA Fort Worth, TX 76104 (214) 383-0938 7920 Preston Rd Ste 100 (817) 912-9550 Plano, TX 75024 Rosenthal, Leon D, MD (972) 712-4141 Jalandhara, Priyanka , MD Eff 01-Mar-15 Eff 10-Mar-20 Sleep Medicine Associates of Rosenthal, Leon D, MD Tarrant Arthritis Center Texas, PA Eff 01-Mar-15 3025 N Tarrant Pkwy Ste 100 1105 N Central Expy, Ste 2310 Sleep Medicine Associates of Fort Worth, TX 76177-8625 Allen, TX 75013 Texas, PA (817) 865-3939 (972) 312-8832 400 Maplelawn Dr, Ste 106 Plano, TX 75093-5744 Jain, Vikas , MD (972) 312-8832 Eff 01-Jun-20 JIG International PLLC 5899 Preston Rd Ste 701 Frisco, TX 75034-9592 (214) 308-1525

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 383 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rosenthal, Leon D, MD Luterman, David L, MD Grimes, Tate A, MD Eff 01-Mar-15 Eff 01-Jan-14 Eff 01-Sep-17 Sleep Medicine Associates of Texas Lung Center Wellness in Sleep PA Texas, PA 3600 Gaston Ave, Ste 806 431 Omega Dr, Ste. 102 4708 Alliance Blvd, Ste 725, Dallas, TX 75246-1818 Arlington, TX 76014 Pavilion I (214) 824-8521 (817) 820-0427 Plano, TX 75093 • Languages spoken / Idioma(s) (972) 312-8832 Pierce, Aaron M, MD hablado(s): Spanish Eff 17-Dec-17 Rosenthal, Leon D, MD Texas Lung Center Grimes, Tate A, MD Eff 01-Mar-15 3600 Gaston Ave, Ste 806 Eff 01-Sep-17 Sleep Medicine Associates of Dallas, TX 75246-1818 Wellness in Sleep PA Texas, PA (214) 824-8521 2125 Martin Dr, Ste.200 4712 Dexter Drive, Ste 200 Bedford, TX 76021 Plano, TX 75093-5290 Rosenthal, Leon D, MD (817) 820-0427 (972) 312-8832 Eff 01-Mar-15 • Languages spoken / Idioma(s) Sleep Medicine Associates of hablado(s): Spanish Stevenson, Brent E, DO Texas, PA Eff 12-Aug-19 5477 Glen Lakes Dr, Ste 100 Maldonado, David , MD Sleep Medicine Associates of Dallas, TX 75231 Eff 24-Feb-20 Texas, PA (214) 750-7776 D & J Grace Team Group LLC 4712 Dexter Drive, Ste 200 921 FM 1187 E Ste A Plano, TX 75093-5290 Stevenson, Brent E, DO Crowley, TX 76036-4364 (972) 312-8832 Eff 12-Aug-19 (817) 945-1682 Sleep Medicine Associates of Specialty Care Physicians & Other Providers/ Dallas County | Condado de Texas, PA Bhambhvani, Dinesh , MD 5477 Glen Lakes Dr, Ste 100 Eff 01-Aug-16 Médicos de cuidado especializado y otros proveedores Dallas Dallas, TX 75231 Private Practice (214) 750-7776 1325 Pennsylvania Ave, Ste 610 Farah, Nabeel W, MD Fort Worth, TX 76104 Eff 01-Feb-16 Charnock, Edwin H, MD (817) 962-2340 Sleep Medicine Consultants of Eff 15-Oct-18 North Texas, PLLC Medical Sleep Solutions, PLLC Grimes, Tate A, MD 8230 Walnut Hill Ln, #711 1001 Robbie Mince Way Eff 01-Sep-17 Dallas, TX 75231 Desoto, TX 75115 Wellness in Sleep PA (214) 739-1200 (972) 709-7190 908 W Terrell Ave N Fort Worth, TX 76104 Grimes, Tate A, MD Tarrant County | Condado de (817) 820-0427 Eff 01-Sep-17 Tarrant • Languages spoken / Idioma(s) Wellness in Sleep PA hablado(s): Spanish 1341 W Mockingbird Ln, Ste 200 W Dennis, Wesley , MD Maldonado, David , MD Dallas, TX 75247 Eff 15-Aug-16 Eff 24-Feb-20 (817) 820-0427 The Arlington Sleep Disorder D & J Grace Team Group LLC • Languages spoken / Idioma(s) Center, PA 6251 Oakmont Blvd hablado(s): Spanish 6518 S Cooper St Fort Worth, TX 76132-3119 Arlington, TX 76001-5620 (682) 250-5700 Jamieson, Andrew O, MD (817) 962-0381 Eff 01-Mar-15 Sleep Medicine Associates of Texas, PA 5477 Glen Lakes Dr, Ste 100 Dallas, TX 75231 (214) 750-7776

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 384 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nair, Ranjit R, MD Wise County | Condado de Sports Medicine/ Medicina Eff 02-Jul-17 deportiva The Lung and Sleep Center of Wise North Texas PC Dallas County | Condado de 915 S Main St, Ste A Naeem, Muhammad , MD Fort Worth, TX 76104 Eff 01-Jun-15 Dallas (817) 284-9225 North Central Texas Advanced Neurology, PA Potter, Brittany R, MD Ostransky, David , DO 2351 S FM 51 Ste 100 Eff 01-Jun-16 Eff 15-Sep-14 Decatur, TX 76234-3778 Cedar Hill Pain and Rehab North Texas Lung & Sleep Clinic, (940) 626-8634 716 N Hwy 67, Ste 2 PA • Languages spoken / Idioma(s) Cedar Hill, TX 75104 2801 S Hulen St, Ste 600 hablado(s): Urdu (972) 291-9165 Fort Worth, TX 76109 (817) 731-0230 Social Worker/ Trabajador social Denton County | Condado de Denton Ewaida, Nader , MD Dallas County | Condado de Eff 06-Mar-18 The Hope Internal Medicine & Dallas Butler, Jason R, MD Sleep Medicine Eff 10-Jul-19 8217 Mid-Cities Blvd, Ste 300 Ryan, Julie A, LCSW Impact Medical and Chiropractic, North Richland Hills, TX 76182 Eff 26-Apr-20 PLLC (817) 770-0933 Baylor Scott & White CitySquare 112 W 4th St, Ste B 2835 Al Lipscomb Way Justin, TX 76247-5014 Naeem, Muhammad , MD

Dallas, TX 75215 (940) 648-1700 Specialty Care Physicians & Other Providers/ Eff 01-Jun-15 (972) 817-6000 North Central Texas Advanced Grayson County | Condado de Neurology, PA Morales, Nubia K, LCSW Médicos de cuidado especializado y otros proveedores Grayson 630 E Hwy 114 Eff 26-Apr-20 Southlake, TX 76092 Baylor Scott & White Community (817) 329-8910 Care Irving Sandoval, Stephen D, MD • Languages spoken / Idioma(s) 1302 Lane St Eff 15-Sep-16 hablado(s): Urdu Irving, TX 75061 Orthopedic & Sports Medicine (469) 800-1012 Association, LLP Ostransky, David , DO 321 N Highland Ave, Ste 120 Eff 15-Sep-14 Speech Pathology/ Patología del Sherman, TX 75092 North Texas Lung & Sleep Clinic, habla (903) 870-7936 PA 3071 W Southlake Blvd, Ste 100 Collin County | Condado de Hood County | Condado de Southlake, TX 76092-1504 Hood (817) 731-0230 Collin Levens Vogler, Melinda , SLP Waterford, Alana L, MD Eff 15-Oct-20 Eff 24-Aug-20 Say La Vie Speech Therapy LLC Cross Timbers Orthopaedics PA 800 Tree Hill Ct 2800 Village Rd McKinney, TX 75072-5228 Granbury, TX 76049-4194 (972) 474-6387 (817) 573-0444

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 385 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Johnson County | Condado de Dritsas, Eric , MD Gaona, Carlos J, MD Eff 25-Oct-17 Eff 01-Oct-17 Johnson Vein Clinics of America Surgical Institute 1101 Raintree, Ste 140 4401 Coit Rd Ste 405 Menzies, Robert D, MD Allen, TX 75013-4968 Frisco, TX 75035-0517 Eff 15-Aug-16 (972) 679-6807 (972) 464-2509 Southwest Sports and Spine Center Duffy, Steve L, MD Hansen, Meghan , MD 131 S Westmeadow Dr, Ste 300 Eff 01-Apr-18 Eff 21-Mar-17 Cleburne, TX 76033 SAB Medical, PLLC Texas Oncology, PA (817) 294-0934 977 Raintree Circle Ste 200 4461 Coit Rd, Ste 100 Allen, TX 75013 Frisco, TX 75035 Tarrant County | Condado de (972) 439-3753 (972) 987-1975 Tarrant • Languages spoken / Idioma(s) hablado(s): Spanish Le, Lam D, MD Eff 01-Jan-14 Boothby, Michael Hayden, MD Fradkin, Kevin , MD Surgical Institute Eff 27-Oct-14 Eff 29-Aug-17 3800 Gaylord Pkwy Ste 910 The Orthopedic & Sports Medicine Vein Clinics of America Frisco, TX 75034 Institute 1101 Raintree, Ste 140 (469) 800-5240 2901 Acme Brick Plaza Allen, TX 75013-4968 • Languages spoken / Idioma(s) Fort Worth, TX 76109-4124 (972) 679-6807 hablado(s): Spanish (817) 529-1900 Burkart, Ryan D, MD Littrell, John N, MD Boothby, Michael Hayden, MD Eff 01-Jan-14 Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ Eff 01-Feb-16 Surgical Institute Surgical Institute Orthopedics Today 3800 Gaylord Parkway, Suite 910 3800 Gaylord Parkway, Suite 910 Médicos de cuidado especializado y otros proveedores 2901 Acme Brick Plaza Frisco, TX 75034 Frisco, TX 75034 Fort Worth, TX 76109 (469) 800-5240 (469) 800-5240 (817) 529-1900 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Menzies, Robert D, MD Eff 15-Aug-16 Carrasco, Jeremy S, MD London, Alan A, MD Southwest Sports and Spine Eff 01-Jul-15 Eff 10-Jun-17 Center Surgical Specialty Physicians, PA Surgical Associates of Collin 7148 Trail Lake Dr 8380 Warren Pkwy Ste 201 County, PLLC Fort Worth, TX 76123 Frisco, TX 75034 5520 Independence Pkwy, Ste 202 (817) 294-0934 (972) 608-3356 Frisco, TX 75035 • Languages spoken / Idioma(s) (972) 596-5225 Surgery/ Cirugía hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish Collin County | Condado de Derrick, Howard C, MD Eff 01-Jan-14 McQuaid, Mark A, MD Collin Surgical Institute Eff 01-Jun-16 3800 Gaylord Parkway, Suite 910 McQuaid Vein Specialists Cottrell, Christopher J, MD Frisco, TX 75034 1518 Legacy Dr, Ste 120 Eff 19-Mar-19 (469) 800-5240 Frisco, TX 75034 SAB Medical LLC (972) 378-5347 977 Raintree Circle, Ste 200 Frei, Elisabeth , MD Allen, TX 75013-5022 Eff 23-Jul-17 (972) 439-3753 Dallas Associated Dermatology 5899 Preston Rd Ste 1202 Frisco, TX 75034-7425 (817) 421-3376

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 386 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Morton, Randy L, MD Birdwell, Russ D, MD Cottrell, Christopher J, MD Eff 23-Oct-20 Eff 01-Dec-14 Eff 19-Mar-19 North Texas Vascular and North Dallas Surgical Specialists, SAB Medical LLC Varicose Veins PA PA 7668 Eldorado Prkwy, Ste 200 1518 Legacy Dr Ste 120 5236 West University Dr, Ste 3600 McKinney, TX 75070-5753 Frisco, TX 75034-6039 McKinney, TX 75071 (972) 439-3753 (972) 378-5347 (972) 487-6400 Duffy, Steve L, MD Papaila, Elizabeth M, MD Burkart, Ryan D, MD Eff 01-Apr-18 Eff 01-Jan-14 Eff 01-Jan-14 SAB Medical, PLLC Surgical Institute Surgical Institute 7668 Eldorado Pkwy, Ste 200 3800 Gaylord Parkway, Suite 910 5220 W University Dr, Ste 100 McKinney, TX 75070-5753 Frisco, TX 75034 McKinney, TX 75071-7402 (972) 439-3753 (469) 800-5240 (469) 800-1220 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Patel, Sheetal M, MD hablado(s): Spanish Eff 01-Mar-16 Gafford, Philip S, MD Surgical Associates of Collin Burkart, Ryan D, MD Eff 30-Oct-19 County, PLLC Eff 01-Jan-14 Baylor Scott & White Trauma 4401 Coit Rd, Ste 305 Baylor Scott & White Surgical Associates at McKinney Frisco, TX 75035 Institute - McKinney 5236 W Unversity Dr, Ste 2000 (972) 596-5225 5236 W University Dr, Ste 2000 McKinney, TX 75071 • Languages spoken / Idioma(s) McKinney, TX 75071 (469) 800-5460 hablado(s): Hindi (469) 800-5036 Gaona, Carlos J, MD • Languages spoken / Idioma(s) Specialty Care Physicians & Other Providers/ Santaella, Robert O, MD hablado(s): Spanish Eff 01-Oct-17 Eff 01-Dec-14 Surgical Institute Santaella Surgical Services, PA Carroll, James P, MD 5220 W University Dr Ste 100 Médicos de cuidado especializado y otros proveedores 6898 Lebanon Rd, Ste 103 Eff 13-Jul-15 McKinney, TX 75071-7402 Frisco, TX 75034 Surgical Institute (469) 800-5036 (972) 335-7874 5220 W University Dr, Ste 100 McKinney, TX 75071-7402 Gaona, Carlos J, MD Schatz, Steven M, MD (469) 800-5036 Eff 01-Oct-17 Eff 13-Jul-15 Baylor Scott & White Surgical Baylor Scott & White Surgical Carroll, James P, MD Institute - McKinney Institute Eff 13-Jul-15 5236 W University Dr Ste 2000 4401 Coit Road Suite 405 Baylor Scott & White Surgical McKinney, TX 75071 Frisco, TX 75035 Institute - McKinney (469) 800-5036 (469) 800-4115 5236 W University Dr, Ste 2000 • Languages spoken / Idioma(s) McKinney, TX 75071 Hansen, Meghan , MD hablado(s): Spanish (469) 800-5036 Eff 21-Mar-17 Texas Oncology, PA Bailey, Mark L, MD Cole, Timothy B, MD 5236 W University Dr, Ste 1700 Eff 01-Dec-14 Eff 15-Aug-16 McKinney, TX 75071-8109 North Dallas Surgical Specialists, Surgical Specialists of North (972) 562-5999 PA Texas, PA 5236 West University Dr, Ste 3600 7300 Eldorado Pkwy, Ste 260 Johnston, Walter S, MD McKinney, TX 75071 McKinney, TX 75070 Eff 01-Dec-14 (972) 487-6400 (972) 747-0440 North Dallas Surgical Specialists, PA 5236 West University Dr, Ste 3600 McKinney, TX 75071 (972) 487-6400

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 387 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Le, Lam D, MD Schatz, Steven M, MD Carrasco, Jeremy S, MD Eff 01-Jan-14 Eff 13-Jul-15 Eff 01-Jul-15 Surgical Institute Baylor Scott & White Surgical Surgical Specialty Physicians, PA 5220 W University Dr Ste 100 Institute - McKinney 6124 W Parker Rd, Ste 436 McKinney, TX 75071-7402 5236 W University Dr, Ste 2000 Plano, TX 75093 (469) 800-1220 McKinney, TX 75071 (972) 608-3356 • Languages spoken / Idioma(s) (469) 800-5036 • Languages spoken / Idioma(s) hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Le, Lam D, MD Cione, Dean A, MD Eff 01-Jan-14 Sheng, Jean L, MD Eff 01-Apr-20 Baylor Scott & White Surgical Eff 31-Mar-19 Dean A Cione MD PA Institute - McKinney Baylor Scott & White Surgical 6124 W Parker Rd Ste 436 5236 W University Dr Ste 2000 Institute - McKinney Plano, TX 75093-8125 McKinney, TX 75071 5236 W University Dr, Ste 2000 (972) 608-3356 (469) 800-5036 McKinney, TX 75071 • Languages spoken / Idioma(s) (469) 800-5036 Derrick, Howard C, MD hablado(s): Spanish Eff 01-Jan-14 Smith, David L, MD Surgical Institute LeVoyer, Thomas Eugene, MD Eff 15-Oct-14 4708 Alliance Blvd, Ste 270 Eff 15-Oct-14 North Texas Surgical Oncology Plano, TX 75093 North Texas Surgical Oncology Associates (469) 800-5240 Associates 4510 Medical Center Dr, STE 302 5236 W University Dr, Ste 2900 McKinney, TX 75069 Derrick, Howard C, MD Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ McKinney, TX 75071 (972) 696-0030 (972) 335-7874 Baylor Scott & White Surgical Travis, Allison B, MD Institute - Plano Médicos de cuidado especializado y otros proveedores McNamara, William F, MD Eff 14-May-17 4708 Alliance Boulevard, Suite Eff 14-Sep-15 Surgical Specialists of North 270 Texas Oncology, PA Texas, PA Plano, TX 75093 5236 W University Dr Ste 1000 7300 Eldorado Pkwy, Ste 260 (469) 800-5240 McKinney, Tx 75071 McKinney, TX 75070 (972)542-8609 (972) 747-0440 Dritsas, Eric , MD Eff 25-Oct-17 Santaella, Robert O, MD Wang, Thomas T, MD Vein Clinics of America Eff 01-Dec-14 Eff 12-Oct-16 6149 Windhaven Pkwy, Ste 130 Santaella Surgical Services, PA North Dallas Surgical Specialists, Plano, TX 75093-8298 5236 W University Dr, Ste 2900 PA (972) 881-1320 McKinney, TX 75071 5236 West University Dr, Ste 3600 (972) 335-7874 McKinney, TX 75071 Fradkin, Kevin , MD (972) 487-6400 Eff 29-Aug-17 Schatz, Steven M, MD Vein Clinics of America Eff 13-Jul-15 Canavan, Lynn D, MD 6149 Windhaven Pkwy, Ste 130 Surgical Institute Eff 01-Jan-14 Plano, TX 75093-8298 5220 W University Dr, Ste 100 Texas Oncology, PA (972) 881-1320 McKinney, TX 75071-7402 4716 Alliance Blvd, Ste 180 (469) 800-1220 Plano, TX 75093 Frei, Elisabeth , MD • Languages spoken / Idioma(s) (469) 342-2300 Eff 23-Jul-17 hablado(s): Spanish Dallas Associated Dermatology 7000 Preston Rd Ste 500 Plano, TX 75024-2573 (214) 987-3376

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 388 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hamn, Stephen V, MD London, Alan A, MD Smith, David L, MD Eff 04-Nov-19 Eff 10-Jun-17 Eff 15-Oct-14 Stephen V Hamn MD PA Surgical Associates of Collin North Texas Surgical Oncology 3108 Midway Rd, Ste 204 County, PLLC Associates Plano, TX 75093-1615 4001 W 15th St, Ste 335 4001 W 15th Street, Ste 425 (972) 845-4567 Plano, TX 75093 Plano, TX 75093 (972) 596-5225 (972) 696-0030 Hansen, Meghan , MD • Languages spoken / Idioma(s) Eff 21-Mar-17 hablado(s): Spanish Stone, Ramsey A, MD Texas Oncology, PA Eff 01-Oct-15 4716 Alliance Blvd, Ste 180 Oswalt, Barry F, MD Stone Surgical Management Plano, TX 75093 Eff 06-Dec-17 6124 W Parker Rd, Ste 436 (469) 342-2300 Vein Clinics of America Plano, TX 75093 6149 Windhaven Pkwy, Ste 130 (972) 608-3356 Kennedy, Colleen Irene, MD Plano, TX 75093-8298 Eff 01-May-15 (972) 881-1320 Hart, Bradley J, MD Colleen I Kennedy, MD, PA • Languages spoken / Idioma(s) Eff 19-Jul-20 4708 Alliance Blvd, Ste 830, hablado(s): Spanish Vitality Vein Care PLLC Pavilion 1 301 N Preston Rd Ste D Plano, TX 75093 Papaila, Elizabeth M, MD Prosper, TX 75078-8878 (214) 775-1356 Eff 01-Jan-14 (469) 750-2277 • Languages spoken / Idioma(s) Surgical Institute hablado(s): Spanish 4708 Alliance Blvd, Ste 270 Rizzo, Daniel J, DO Plano, TX 75093 Eff 19-Jul-20 LeVoyer, Thomas Eugene, MD Vitality Vein Care PLLC (469) 800-5240 Specialty Care Physicians & Other Providers/ Eff 15-Oct-14 301 N Preston Rd Ste D North Texas Surgical Oncology Papaila, Elizabeth M, MD Prosper, TX 75078-8878 Associates Eff 01-Jan-14 (469) 750-2277 Médicos de cuidado especializado y otros proveedores 3801 W 15th St, Ste 150B Baylor Scott & White Surgical Plano, TX 75075 Institute - Plano Roberts, Aaron M, DO (972) 578-8877 4708 Alliance Boulevard, Suite Eff 19-Jul-20 270 Vitality Vein Care PLLC Littrell, John N, MD Plano, TX 75093 301 N Preston Rd Ste D Eff 01-Jan-14 (469) 800-5240 Prosper, TX 75078-8878 Surgical Institute (469) 750-2277 4708 Alliance Blvd, Ste 270 Patel, Sheetal M, MD Plano, TX 75093 Eff 01-Mar-16 Dallas County | Condado de (469) 800-5240 Surgical Associates of Collin Dallas • Languages spoken / Idioma(s) County, PLLC hablado(s): Spanish 4001 W 15th St, Ste 335 Parcells, Jeremy , MD Plano, TX 75093 Eff 14-Jul-19 Littrell, John N, MD (972) 596-5225 Surgical Associates of Mansfield Eff 01-Jan-14 • Languages spoken / Idioma(s) 950 E Beltline Rd Ste 100 Baylor Scott & White Surgical hablado(s): Hindi Institute - Plano Cedar Hill, TX 75104 4708 Alliance Boulevard, Suite Ramzy, Peter I, MD (682)518-8619 270 Eff 16-Jan-20 Amos, Joseph D, MD Plano, TX 75093 NTOS PLLC Eff 15-Oct-18 (469) 800-5240 4090 Mapleshade Ln Ste 100 Associates in Surgical Acute Care • Languages spoken / Idioma(s) Plano, TX 75093-0025 221 W Colorado Blvd, Pavillion II, hablado(s): Spanish (214) 592-9955 Ste 425 Dallas, TX 75208-2312 (214) 947-3231

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 389 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Arnold, David T, MD Celinski, Scott A, MD DiPasquale, Allison , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 11-Jul-16 Drs. Vanderpool & Arnold Baylor Scott & White Surgical Texas Oncology, PA 3808 Swiss Ave Oncology Specialists - Dallas 3555 W Wheatland Rd Dallas, TX 75204 3410 Worth St, Ste 235 Dallas, TX 75237-3461 (214) 823-2650 Dallas, TX 75246 (972) 709-2580 (214) 820-0434 Barron, Alison U, MD Emmett, Katrina , MD Eff 22-May-19 Celinski, Scott A, MD Eff 08-Aug-16 Texas Oncology, PA Eff 01-Jan-14 Texas Oncology, PA 3410 Worth St, Ste 160 Baylor Scott & White Surgical 221 W Colorado Blvd, PAV II, Ste Dallas, TX 75246 Oncology Specialists - Dallas 532 (214) 826-9797 3410 Worth Street, Ste 235 Dallas, TX 75208 Dallas, TX 75246 (214) 943-8605 Bedros, Nicole M, MD (214) 820-2302 Eff 18-Oct-19 Frei, Elisabeth , MD North Texas Critical Care Dao, Tuoc N, MD Eff 23-Jul-17 2710 Swiss Ave Eff 01-Jan-14 Dallas Associated Dermatology Dallas, TX 75204 Texas Oncology, PA 3900 Junius St Ste 710 (214) 821-1599 3410 Worth St, Ste 160 Dallas, TX 75246-1627 Dallas, TX 75246 (214) 987-3376 Beitsch, Peter D, MD (214) 826-9797 Eff 01-Dec-15 Frei, Elisabeth , MD Dallas Surgical Group Davis, Daniel G, DO Eff 23-Jul-17 8140 Walnut Hill Ln, Ste 800 Eff 09-Feb-15 Dallas Associated Dermatology Specialty Care Physicians & Other Providers/ Dallas, TX 75231 Center for Metabolic and Weight 5924 Royal Ln Ste 104 (214) 350-6672 Loss Surgery of Dallas Dallas, TX 75230-7891 Médicos de cuidado especializado y otros proveedores 9101 N Central Expwy Ste 370 (214) 987-3376 Burkart, Ryan D, MD Dallas, TX 75231 Eff 01-Jan-14 (214) 820-9138 Gogel, Brian Matthew, MD Surgical Institute Eff 01-Jan-14 3409 Worth St, Ste 605 Derrick, Howard C, MD Texas Oncology, PA Dallas, TX 75246 Eff 01-Jan-14 7777 Forest Ln, Bldg C, Ste 585 (469) 800-7560 Surgical Institute Dallas, TX 75230 • Languages spoken / Idioma(s) 3417 Gaston Ave, Ste 910 (972) 566-4880 hablado(s): Spanish Dallas, TX 75246 (469) 800-7564 Grant, Michael Daniel, MD Burris, Jennifer M, MD Eff 15-Sep-14 Eff 15-Oct-18 Derrick, Howard C, MD Michael Grant, MD, PA Associates in Surgical Acute Care Eff 01-Jan-14 3900 Junius Ave, Ste 220 221 W Colorado Blvd, Pavillion II, Surgical Institute Dallas, TX 75246 Ste 425 3900 Junius St, Ste 605 (214) 826-7300 Dallas, TX 75208-2312 Dallas, TX 75246 (214) 947-3231 (469) 800-7560 Grays, Peter E, MD Eff 01-Jan-14 Castro-Arreola, Manuel E, MD Dickerman, Richard M, MD Peter E Grays, MD Surgical Eff 15-Mar-19 Eff 15-Oct-18 Center, PA Methodist Charlton Bariatrics Methodist Transplant Specialists 9 Medical Pkwy, Plz 4, Ste 308 3430 W. Wheatland Rd, POB I, 1411 N Beckley Ave, Pavilion 3, Dallas, TX 75234 Ste 119 Ste 268 (817) 571-4620 Dallas, TX 75237 Dallas, TX 75203-1260 • Languages spoken / Idioma(s) (972) 709-7110 (214) 947-4450 hablado(s): Spanish • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 390 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Hambright, Susannah M, MD Kohn, James S, MD Le, Lam D, MD Eff 15-Oct-18 Eff 09-Nov-15 Eff 01-Jan-14 Associates of HPB Surgical Care James S Kohn MD PA Surgical Institute 221 W Colorado Blvd, Pavilion II, 9330 Poppy Dr, Ste 406 3417 Gaston Ave Ste 910 Suite 644 Dallas, TX 75218 Dallas, TX 75246 Dallas, TX 75208 (214) 321-1662 (469) 800-7564 (214) 943-1171 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): French hablado(s): Spanish Hambright, Susannah M, MD Eff 15-Oct-18 Koonsman, Martin L, MD Le, Lam D, MD Associates of HPB Surgical Care Eff 22-Sep-18 Eff 01-Jan-14 3450 W Wheatland Rd, Ste 340 Texas Oncology, PA Baylor Scott & White Surgical Dallas, TX 75237 221 W Colorado Blvd, PAV II, Ste Institute - Dallas (214) 943-1171 532 3417 Gaston Ave Ste 910 Dallas, TX 75208 Dallas, TX 75246 Henke, Jeffrey W, MD (214) 943-8605 (469) 800-7560 Eff 01-Jan-15 • Languages spoken / Idioma(s) WLS Surgical Associates of North Kukreja, Sachin S, MD hablado(s): Spanish Texas, PLLC Eff 15-Oct-18 7777 Forest Ln, Ste A331 Minimally Invasive Surgical Leeds, Steven G, MD Dallas, TX 75230-2538 Associates Eff 01-Jan-14 (214) 823-5000 1411 N Beckley Ave, Pavilion III, Baylor Scott & White Center for Ste 454 Advanced Surgery-Dallas Jefferson, Henry C, MD Dallas, TX 75203 3417 Gaston Ave, Ste 1000 Eff 15-Oct-18 (469)620-0222 Dallas, TX 75246-2037 Specialty Care Physicians & Other Providers/ Associates in Surgical Acute Care (214) 820-0434 221 W Colorado Blvd, Pavillion II, Lamont, Jeffrey Paul, MD Ste 425 Eff 01-Jan-14 Littrell, John N, MD Médicos de cuidado especializado y otros proveedores Dallas, TX 75208-2312 Texas Oncology, PA Eff 01-Jan-14 (214) 947-3231 3410 Worth St, Ste 160 Surgical Institute • Languages spoken / Idioma(s) Dallas, TX 75246 3409 Worth St, Ste 640 hablado(s): Spanish (214) 826-9797 Dallas, TX 75246 (214) 826-6276 Kennedy, Colleen Irene, MD Landry, Christine S, MD • Languages spoken / Idioma(s) Eff 01-May-15 Eff 01-Jan-14 hablado(s): Spanish Colleen I Kennedy, MD, PA Baylor Scott & White Surgical 4310 Gaston Ave Oncology Specialists - Dallas Littrell, John N, MD Dallas, TX 75264-1312 3410 Worth St, Ste 235 Eff 01-Jan-14 (214) 775-1356 Dallas, TX 75246 Surgical Institute • Languages spoken / Idioma(s) (214) 820-0434 3900 Junius St, Ste 605 hablado(s): Spanish Dallas, TX 75246 Landry, Christine S, MD (469) 800-7560 Kimbrough, Charles W, MD Eff 01-Jan-14 • Languages spoken / Idioma(s) Eff 24-Nov-19 Baylor Scott & White Surgical hablado(s): Spanish Baylor Scott & White Oncology Specialists - Dallas Neuroendocrine Tumor Specialists 3410 Worth Street, Ste 235 Lorenzo, Manuel , MD 3410 Worth St Ste 235 Dallas, TX 75246 Eff 15-Oct-18 Dallas, TX 75246 (214) 820-2302 Associates in Surgical Acute Care (214) 820-2302 221 W Colorado Blvd, Pavillion II, Ste 425 Dallas, TX 75208-2312 (214) 947-3231 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 391 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Lovitt, Matthew A, MD Monday, Kara A, MD Shifflette, Vanessa K, MD Eff 15-Aug-17 Eff 18-Oct-19 Eff 15-Oct-18 Urgent Surgery Associates, PA North Texas Critical Care Associates in Surgical Acute Care 2710 Swiss Ave 2710 Swiss Ave 221 W Colorado Blvd, Pavillion II, Dallas, TX 75204-5900 Dallas, TX 75204 Ste 425 (214) 821-1599 (214) 821-1599 Dallas, TX 75208-2312 (214) 947-3231 Lovitt, Matthew A, MD Naftalis, Elizabeth Z, MD Eff 18-Oct-19 Eff 01-Jan-14 Sladek, Phillip L, MD North Texas Critical Care Baylor Scott & White Community Eff 15-Oct-18 2710 Swiss Ave Care Worth Street Associates in Surgical Acute Care Dallas, TX 75204 4001 Worth St 221 W Colorado Blvd, Pavillion II, (214) 821-1599 Dallas, TX 75246 Ste 425 (972) 817-7070 Dallas, TX 75208-2312 Malladi, Preeti , MD (214) 947-3231 Eff 15-Mar-20 Papaila, Elizabeth M, MD Preeti Malladi, MD, PA Eff 01-Jan-14 Sladek, Phillip L, MD 221 West Colorado Pav II Ste 829 Surgical Institute Eff 15-Oct-18 Dallas, TX 75208 3409 Worth St, Ste 640 Physician Associates of Southwest (214) 242-9737 Dallas, TX 75246 Dallas (214) 826-6276 122 W Colorado Blvd McNamara, William F, MD Dallas, TX 75208-2382 Eff 14-Sep-15 Papaila, Elizabeth M, MD (214) 947-6701 Texas Oncology, PA Eff 01-Jan-14 7777 Forest Ln, Bldg C, Ste 585 Surgical Institute Smith, Bruce A, MD Specialty Care Physicians & Other Providers/ Dallas, TX 75230 3900 Junius St, Ste 605 Eff 01-Jan-14 (972) 566-4880 Dallas, TX 75246 Bruce A Smith, MD Médicos de cuidado especializado y otros proveedores (469) 800-7560 3600 Gaston Ave, Ste 710 Mejia, Alejandro , MD Dallas, TX 75246 Eff 15-Oct-18 Preskitt, John T, MD (214) 827-5820 Methodist Transplant Specialists Eff 01-Jan-14 1411 N Beckley Ave, Pavilion 3, Baylor Scott & White Surgical Stephenson, Jill S, MD Ste 268 Oncology Specialists - Dallas Eff 01-Jan-14 Dallas, TX 75203-1260 3410 Worth St, Ste 235 Baylor Scott & White Surgical (214) 947-4450 Dallas, TX 75246 Institute - Dallas • Languages spoken / Idioma(s) (214) 820-0434 3417 Gaston Ave Ste 910 hablado(s): Spanish Dallas, TX 75246 Preskitt, John T, MD (469) 800-7560 Minshall, Christian T, MD Eff 01-Jan-14 • Languages spoken / Idioma(s) Eff 20-Sep-19 Baylor Scott & White Surgical hablado(s): Spanish Urgent Surgery Associates, PA Oncology Specialists - Dallas 2710 Swiss Ave 3410 Worth Street, Ste 235 Stephenson, Jill S, MD Dallas, TX 75204-5900 Dallas, TX 75246 Eff 01-Jan-14 (214) 821-1599 (214) 820-2302 Surgical Institute 9101 N Central Expy Ste 300B Monday, Kara A, MD Puri, Vichin C, MD Dallas, TX 75231 Eff 28-Apr-18 Eff 14-Apr-19 (469) 800-7560 Urgent Surgery Associates, PA Methodist Transplant Specialists • Languages spoken / Idioma(s) 2710 Swiss Ave 1411 N Beckley Ave, Pavilion 3, hablado(s): Spanish Dallas, TX 75204-5900 Ste 268 (214) 821-1599 Dallas, TX 75203-1260 (214) 947-4450

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 392 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Truitt, Michael S, MD Williams, Derek , MD Littrell, John N, MD Eff 14-Apr-19 Eff 22-Oct-18 Eff 01-Jan-14 Physician Associates of Southwest Methodist Heart and Lung Baylor Scott & White Surgical Dallas 3430 W Wheatland Rd POB I Ste Institute - Plano 122 W Colorado Blvd 202 7217 Telecom Parkway, Ste 100 Dallas, TX 75208-2382 Dallas, TX 75237- Garland, TX 75044 (214) 947-6701 (214) 943-2200 (469) 800-5240 • Languages spoken / Idioma(s) Uceda, Pablo V, MD Wootan, Richard C, MD hablado(s): Spanish Eff 15-Oct-18 Eff 01-Sep-16 DFW Vascular Group, LLP Richard C Wootan MD, PA Oswalt, Barry F, MD 221 W Colorado Blvd, Pavilion II, 10611 Garland Rd, Ste 220 Eff 06-Dec-17 Ste 625 Dallas, TX 75218-4803 Vein Clinics of America Dallas, TX 75208 (214) 324-2824 4170 Lavon Dr, Ste 146 (214) 946-5165 Garland, TX 75040 Niblett, Kevin W, MD (972) 495-2224 Vaughan, Nathan A, MD Eff 15-Oct-18 • Languages spoken / Idioma(s) Eff 20-Nov-17 Surgical Resolutions, PLLC hablado(s): Spanish Urgent Surgery Associates, PA 921 York Drive 2710 Swiss Ave Desoto, TX 75115 Papaila, Elizabeth M, MD Dallas, TX 75204-5900 (972) 283-2244 Eff 01-Jan-14 (214) 821-1599 Baylor Scott & White Surgical Uceda, Pablo V, MD Institute - Plano Vaughan, Nathan A, MD Eff 15-Oct-18 7217 Telecom Parkway, Ste 100 Eff 18-Oct-19 DFW Vascular Group, LLP Garland, TX 75044 Specialty Care Physicians & Other Providers/ North Texas Critical Care 2801 Bolton Boone Dr, Ste 105 (469) 800-5240 2710 Swiss Ave Desoto, TX 75115 Dallas, TX 75204 (972) 296-2122 Parcells, Jeremy , MD Médicos de cuidado especializado y otros proveedores (214) 821-1599 Eff 14-Jul-19 Tibrewal, Anil K, MD Surgical Associates of Mansfield Wallace, Lucy B, MD Eff 15-Oct-18 4560 Lake Ridge Pkwy Ste 300 Eff 27-Apr-19 Texas Minimally Invasive Surgery Grand Prairie, TX 75052 Baylor Scott & White Surgical Center, PA (682)518-8619 Oncology Specialists - Dallas 1010 E Wheatland Rd 3410 Worth Street, Ste 235 Duncanville, TX 75116 Alibhai, Mustafa H, MD Dallas, TX 75246 (972) 298-4622 Eff 15-Aug-20 (214) 820-2302 Nova Bariatrics And Minimally Dritsas, Eric , MD Invasive Surgery Wang, Yi Zarn , MD Eff 25-Oct-17 6750 N MacArthur Blvd Ste 209 Eff 01-Jan-18 Vein Clinics of America Irving, TX 75039-2473 Baylor Scott & White 4170 Lavon Dr, Ste 146 (469) 639-0953 Neuroendocrine Tumor Specialists Garland, TX 75040 3409 Worth Street Suite 600 (972) 495-2224 Brewer, Bryan D, MD Dallas, TX 75246 Eff 23-Jul-17 (972) 817-6080 Fradkin, Kevin , MD New You Bariatric Center, PA Eff 29-Aug-17 7200 Hwy 161, Ste 120 Ward, Marc A, MD Vein Clinics of America Irving, TX 75039 Eff 01-Feb-18 4170 Lavon Dr, Ste 146 (214) 838-7171 Baylor Scott & White Center for Garland, TX 75040 Advanced Surgery-Dallas (972) 495-2224 3417 Gaston Ave Ste 1000 Dallas, TX 75246-2037 (214) 820-0434

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 393 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Burkart, Ryan D, MD Russell, Scott A, MD Hariz, George M, MD Eff 01-Jan-14 Eff 23-Oct-20 Eff 10-Oct-16 Surgical Institute Vohra Post Acute Care Physicians Dallas Medical Physician Group 5236 W University Dr, Ste 2200 of Texas PLLC 929 N Galloway Ave Ste 221 Irving, TX 75017 545 E John Carpenter Fwy Ste Mesquite, TX 75149-2491 (469) 800-5036 300 (972) 270-7500 • Languages spoken / Idioma(s) Irving, TX 75062-3964 • Languages spoken / Idioma(s) hablado(s): Spanish (954) 399-4631 hablado(s): Arabic Dritsas, Eric , MD Smith, David L, MD Lebron Valdez, Ricardo A, MD Eff 25-Oct-17 Eff 15-Oct-14 Eff 15-Jul-17 Vein Clinics of America North Texas Surgical Oncology Apex Surgical Care, PA 7200 Highway 161, Ste 110 Associates 929 N Galloway Ave, Ste 301 Irving, TX 75039-3800 6750 N MacArthur Blvd Ste 257 Mesquite, TX 75149 (469) 420-9229 Irving, TX 75039 (972) 285-4844 (972)401-0867 • Languages spoken / Idioma(s) Fradkin, Kevin , MD hablado(s): Spanish Eff 29-Aug-17 Soledad, Tracy , MD Vein Clinics of America Eff 13-Nov-20 Bailey, Mark L, MD 7200 Highway 161, Ste 110 Baylor Scott & White Surgical Eff 01-Dec-14 Irving, TX 75039-3800 Institute - Irving North Dallas Surgical Specialists, (469) 420-9229 2001 N MacArthur Blvd Ste 655 PA Irving, TX 75061 3600 Shire Blvd, Ste 104 Hodges, Charlotte A, MD (469) 800-1300 Richardson, TX 75082 Eff 08-Feb-16 Specialty Care Physicians & Other Providers/ (972) 487-6400 New You Bariatric Center, PA Swanson, Philip H, MD 7200 Hwy 161, Ste 120 Eff 01-Jan-14 Birdwell, Russ D, MD Médicos de cuidado especializado y otros proveedores Irving, TX 75039 Philip H Swanson, MD, PA Eff 01-Dec-14 (214) 838-7171 1110 Cottonwood Ln, Ste 200 North Dallas Surgical Specialists, Irving, TX 75038 PA LeVoyer, Thomas Eugene, MD (972) 402-0090 3600 Shire Blvd, Ste 104 Eff 15-Oct-14 • Languages spoken / Idioma(s) Richardson, TX 75082 North Texas Surgical Oncology hablado(s): Spanish (972) 487-6400 Associates 6750 N MacArthur Blvd, Ste 257 Thorns, Jantzen , MD Cho, Edward E, MD Irving, TX 75039 Eff 21-May-20 Eff 15-Oct-18 (972) 401-0867 Vohra Post Acute Care Physicians TSC Surgical Group of Texas PLLC 2805 E. President George Bush Oswalt, Barry F, MD 545 E John Carpenter Fwy Ste Hwy Eff 06-Dec-17 300 Richardson, TX 75082 Vein Clinics of America Irving, TX 75062-3964 (972) 619-3500 7200 Highway 161, Ste 110 (954) 399-4631 Irving, TX 75039-3800 Hughes, Jenevieve H, MD (469) 420-9229 Biggers, Jeffrey B, MD Eff 15-Oct-18 • Languages spoken / Idioma(s) Eff 01-Nov-15 Methodist Richardson Breast hablado(s): Spanish J Blair Biggers, MD Surgeons 1050 N Beltline Rd, Ste 104 2805 E President George Bush Mesquite, TX 75149 HWY (972) 285-8981 Richardson, TX 75082 • Languages spoken / Idioma(s) (469) 204-6230 hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 394 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Jeyarajah, Dhiresh R, MD Egan, Ashley , MD Treece, Chad E, MD Eff 15-Sep-17 Eff 01-Apr-18 Eff 01-Jan-14 TSC Surgical Group Rockwall Surgical Specialists Chad E Treece, MD PA 2805 E President George Bush 7501 Lakeview Pkwy, Ste 270 4323 N Josey Ln Plaza 1 Ste 204 Hwy Rowlett, TX 75088-4329 Carrollton, TX 75010 Richardson, TX 75082 (972) 412-7700 (972) 219-6800 (972) 619-3500 • Languages spoken / Idioma(s) hablado(s): Spanish Veninga, Francis D, MD Johnston, Walter S, MD Eff 01-Jan-14 Eff 01-Dec-14 Stephens, Jeffrey S, MD North Texas Bariatric and General North Dallas Surgical Specialists, Eff 01-May-15 Surgery PA Lakeside Surgery, PA 4333 N Josey Ln, Ste 203 3600 Shire Blvd, Ste 104 9500 Lakeview Pkwy Ste 300 Carrollton, TX 75010 Richardson, TX 75082 Rowlett, TX 75088 (972) 939-8218 (972) 487-6400 (972) 722-3290 • Languages spoken / Idioma(s) hablado(s): Spanish Osman, Houssam , MD Denton County | Condado de Eff 15-Sep-17 Dritsas, Eric , MD TSC Surgical Group Denton Eff 25-Oct-17 2805 E President George Bush Vein Clinics of America Hwy Barron, Alison U, MD 4001 Long Prairie Rd, Ste 105 Richardson, TX 75082 Eff 22-May-19 Flower Mound, TX 75028-1565 (972) 619-3500 Texas Oncology, PA (972) 874-3900 4352 N Josey Ln Stone, Ramsey A, MD Carrollton, TX 75010 Fradkin, Kevin , MD Specialty Care Physicians & Other Providers/ Eff 01-Oct-15 (972) 394-4368 Eff 29-Aug-17 Stone Surgical Management Vein Clinics of America 2821 E President George Bush Celinski, Scott A, MD 4001 Long Prairie Rd, Ste 105 Médicos de cuidado especializado y otros proveedores Pkwy, Ste 206 Eff 01-Jan-14 Flower Mound, TX 75028-1565 Richardson, TX 75082 Baylor Scott & White Surgical (972) 874-3900 (972) 644-2797 Oncology Specialists - Dallas 4333 N Josey Ln, Ste 100, Plaza II Oswalt, Barry F, MD Wang, Thomas T, MD Carrollton, TX 75010 Eff 06-Dec-17 Eff 12-Oct-16 (214) 820-2302 Vein Clinics of America North Dallas Surgical Specialists, 4001 Long Prairie Rd, Ste 105 PA Landry, Christine S, MD Flower Mound, TX 75028-1565 3600 Shire Blvd, Ste 104 Eff 01-Jan-14 (972) 874-3900 Richardson, TX 75082 Baylor Scott & White Surgical • Languages spoken / Idioma(s) (972) 487-6400 Oncology Specialists - Dallas hablado(s): Spanish 4333 N Josey Ln, Ste 100, Plaza II Williams, Derek , MD Carrollton, TX 75010 Treece, Chad E, MD Eff 22-Oct-18 (214) 820-2302 Eff 01-Jan-14 Methodist Heart and Lung Chad E Treece, MD PA 2821 E President George Bush Preskitt, John T, MD 4370 Medical Arts Dr Ste 200 Tpke Ste 404 Eff 01-Jan-14 Flower Mound, TX 75028 Richardson, TX 75082- Baylor Scott & White Surgical (972) 219-6800 (214) 943-2200 Oncology Specialists - Dallas 4333 N Josey Ln, Ste 100, Plaza II Buxie, Caraleigh N, MD Carrollton, TX 75010 Eff 01-May-15 (214) 820-2302 Lakeside Surgery, PA 9500 Lakeview Pkwy, Ste 300 Rowlett, TX 75088 (972) 722-3290

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 395 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kinney, Melissa H, MD Gorman, Valerie J, MD Hayes, Clint A, MD Eff 15-Oct-17 Eff 01-Jan-14 Eff 15-Sep-17 Texas Oncology, PA Baylor Scott & White Texas Clint A Hayes, MD PA 500 W Main St, Ste 330 Surgical Specialists 1701 N US Hwy 75, Ste 100 Lewisville, TX 75057-3640 2460 N I-35 E, Ste 215 Sherman, TX 75090 (214) 501-5427 Waxahachie, TX 75165 (903) 893-0123 • Languages spoken / Idioma(s) (469) 800-9830 hablado(s): French Starnes, Christopher , MD Iskandar, Mazen , MD Eff 01-Aug-19 Lukose, Biju , MD Eff 27-Apr-19 WNJ Wellcare Medical Group Eff 01-Feb-19 Baylor Scott & White Texas 300 N Highland Ave, Ste 415 Dr Biju Mathew Lukose MD FACS, Surgical Specialists Sherman, TX 75092-7390 PLLC 2460 N I-35 E, Ste 215 (903) 957-0700 2705 Damsel Bella Blvd Waxahachie, TX 75165 Lewisville, TX 75056-6169 (469) 800-9830 Kaufman County | Condado de (469) 546-5304 Kaufman • Languages spoken / Idioma(s) Ludwig, Nathan A, MD hablado(s): Hindi Eff 06-Sep-19 Baylor Scott & White Texas Buxie, Caraleigh N, MD Smith, David L, MD Surgical Specialists Eff 01-May-15 Eff 15-Oct-14 2460 N I-35 E Ste 215 Lakeside Surgery, PA North Texas Surgical Oncology Waxahachie, TX 75165 874 W Hwy 243, Ste 110 Associates (469) 800-9830 Kaufman, TX 75142 328 W Main St, Ste 200 (972) 722-3290 Roye, Watson P, MD Specialty Care Physicians & Other Providers/ Lewisville, TX 75057 Makohon, Katherine R, MD (972) 578-8877 Eff 01-Jan-14 Texas Surgical Specialists Eff 01-May-15 Médicos de cuidado especializado y otros proveedores Lakeside Surgery, PA Ellis County | Condado de Ellis 2460 N I-35 E, Ste 215 Waxahachie, TX 75165 874 W Hwy 243, Ste 110 (469) 800-4900 Kaufman, TX 75142 Calcatera, Natalie A, MD (972) 722-3290 Eff 01-Sep-17 Roye, Watson P, MD Baylor Scott & White Texas Eff 01-Jan-14 Stephens, Jeffrey S, MD Surgical Specialists Baylor Scott & White Texas Eff 01-May-15 2460 N I-35 E Ste 215 Surgical Specialists Lakeside Surgery, PA Waxahachie, TX 75165 2460 N I-35 E, Ste 215 874 W Hwy 243 Ste 110 (469) 800-9830 Waxahachie, TX 75165 Kaufman, TX 75142 (972) 722-3290 Calcatera, Natalie A, MD (469) 800-9830 Eff 01-Sep-17 Parker County | Condado de Texas Surgical Specialists Grayson County | Condado de 2460 N I-35E Ste 265 Grayson Parker Waxahachie, TX 75165 (469) 800-9830 Cernero, Aaron L, DO Patel, Denish S, DO Eff 01-Oct-18 Eff 05-Aug-18 Gorman, Valerie J, MD Aaron L. Cernero D.O., P.A. North Texas Surgical Specialist, Eff 01-Jan-14 5012 S US Hwy 75, Ste 205 PLLC Texas Surgical Specialists Denison, TX 75020 920 Sante Fe Dr 2460 N I-35 E, Ste 215 (903) 462-4247 Weatherford, TX 76086-5864 Waxahachie, TX 75165 (682) 224-3748 (469) 800-4900

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 396 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rockwall County | Condado de Makohon, Katherine R, MD Oswalt, Barry F, MD Eff 01-May-15 Eff 06-Dec-17 Rockwall Lakeside Surgery, PA Vein Clinics of America 4450 Tubbs Rd 4000 Five Points Blvd, Ste 133 Buxie, Caraleigh N, MD Rockwall, TX 75032 Arlington, TX 76018 Eff 01-May-15 (972) 722-3290 (817) 522-7070 Lakeside Surgery, PA • Languages spoken / Idioma(s) 4450 Tubbs Rd Ritter, David W, MD hablado(s): Spanish Rockwall, TX 75032 Eff 01-Jan-14 (972) 722-3290 Rockwall Surgical Specialists Brian, Mary B, MD 1005 W Ralph Hall Pkwy, Ste 211 Eff 08-Aug-16 Eastman, Amy B, MD Rockwall, TX 75032-6662 Texas Oncology, PA Eff 01-Jan-14 (972) 412-7700 1609 Hospital Pkwy Texas Oncology, PA Bedford, TX 76022 3144 Horizon Rd, Ste 110 Stephens, Jeffrey S, MD (817) 359-9000 Rockwall, TX 75032 Eff 01-May-15 • Languages spoken / Idioma(s) (972) 771-3322 Lakeside Surgery, PA hablado(s): Spanish 4450 Tubbs Rd Egan, Ashley , MD Rockwall, TX 75032 Grays, Peter E, MD Eff 01-Apr-18 (972) 722-3290 Eff 01-Jan-14 Rockwall Surgical Specialists Peter E Grays, MD Surgical 1005 W Ralph Hall Pkwy, Ste 211 Tarrant County | Condado de Center, PA Rockwall, TX 75032-6662 Tarrant 1909 Central Dr, Ste 202 (972) 412-7700 Bedford, TX 76021 • Languages spoken / Idioma(s) (817) 571-4620 Specialty Care Physicians & Other Providers/ Dritsas, Eric , MD hablado(s): Spanish • Languages spoken / Idioma(s) Eff 25-Oct-17

hablado(s): Spanish Médicos de cuidado especializado y otros proveedores Harris, Jon , MD Vein Clinics of America Eff 21-Jun-19 4000 Five Points Blvd, Ste 133 Castaneda, Antonio A, MD Rockwall Surgical Specialists Arlington, TX 76018 Eff 11-Nov-17 1005 W Ralph Hall Pkwy, Ste 211 (817) 522-7070 Antonio A Castaneda, MD, PA Rockwall, TX 75032-6662 1125 S Henderson St Fradkin, Kevin , MD (972) 412-7700 Fort Worth, TX 76104-4464 Eff 29-Aug-17 (817) 698-9700 Kennedy, Colleen Irene, MD Vein Clinics of America Eff 01-May-15 4000 Five Points Blvd, Ste 133 Crudup, Travis W, MD Colleen I Kennedy, MD, PA Arlington, TX 76018 Eff 01-Sep-20 3142 Horizon Rd, Ste 202 (817) 522-7070 Privia Medical Group North Texas Rockwall, TX 75032 1821 8th Ave Harrison, Jason M, MD (214) 775-1356 Fort Worth, TX 76110 Eff 01-Sep-18 • Languages spoken / Idioma(s) (817) 927-2329 hablado(s): Spanish Highlander Surgical Associates, PLLC Cueto, Cristina V, MD Lenington, Robert M, MD 301 Highlander Blvd, Ste 101 Eff 08-Nov-16 Eff 01-Feb-15 Arlington, TX 76018 Surgical Associates of the Mid- Lone Star Surgery, PLLC (817) 419-9200 Cities 810 Ralph Hall Pkwy, Ste 140 9509 N Beach St, Ste 102 Nguyen, Long , MD Rockwall, TX 75032 Fort Worth, TX 76244 Eff 10-Jul-19 (972) 961-4300 (817) 267-2678 North Texas Surgical Specialist, • Languages spoken / Idioma(s) PLLC hablado(s): Spanish 515 W Mayfield Rd, Ste 240 Arlington, TX 76014-2084 (682) 224-3748

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 397 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Do, Tai , MD McKenzie, James R, MD Nguyen, Trung D, MD Eff 05-Aug-18 Eff 09-Oct-15 Eff 01-Jul-15 North Texas Surgical Specialist, Surgical Associates of the Mid- Trung D Nguyen, MD, PA PLLC Cities 900 W Magnolia St, Ste 201 800 Eighth Ave, Ste 306 9509 N Beach St, Ste 102 Fort Worth, TX 76104 Fort Worth, TX 76104-2602 Fort Worth, TX 76244 (817) 921-5997 (682) 224-3748 (817) 267-2678 • Languages spoken / Idioma(s) hablado(s): Vietnamese Elbert, Annette M, MD Mejia, Alejandro , MD Eff 01-Sep-20 Eff 15-Oct-18 Novack, Richard C, MD Privia Medical Group North Texas Methodist Transplant Specialists Eff 24-Aug-18 1000 9th Ave 914 Lipscomb St, Ste A Fort Worth Lap Band Fort Worth, TX 76104 Fort Worth, TX 76104 2501 Parkview Dr, Ste 560 (817) 336-7173 (214) 947-4400 Fort Worth, TX 76102 • Languages spoken / Idioma(s) (817) 850-1100 Elieson, Melvin J, MD hablado(s): Spanish Eff 01-Jan-14 Patel, Denish S, DO Surgical Associates of the Mid- Mekala, Ashley , DO Eff 05-Aug-18 Cities Eff 06-Mar-18 North Texas Surgical Specialist, 9509 N Beach St, Ste 102 North Texas Surgical Specialist, PLLC Fort Worth, TX 76244 PLLC 3025 N Tarrant Pkwy, Ste 100 (817) 267-2678 3025 N Tarrant Pkwy, Ste 100 Fort Worth, TX 76177-8625 • Languages spoken / Idioma(s) Fort Worth, TX 76177-8625 (682) 224-3748 hablado(s): Spanish (682) 224-3748 Patel, Denish S, DO Specialty Care Physicians & Other Providers/ Gonzalez-Davila, Adolfo , DO Mekala, Ashley , DO Eff 05-Aug-18 Eff 01-Jan-14 Eff 06-Mar-18 North Texas Surgical Specialist, Médicos de cuidado especializado y otros proveedores Private Practice North Texas Surgical Specialist, PLLC 800 8th Ave, #116 PLLC 800 Eighth Ave, Ste 306 Fort Worth, TX 76104 800 Eighth Ave, Ste 306 Fort Worth, TX 76104-2602 (817) 419-0448 Fort Worth, TX 76104-2602 (682) 224-3748 • Languages spoken / Idioma(s) (682) 224-3748 hablado(s): Spanish Patel, Jay A, DO Mekala, Ashley , DO Eff 10-Jul-19 Hecht, Jennifer A, DO Eff 06-Mar-18 North Texas Surgical Specialist, Eff 12-Dec-16 North Texas Surgical Specialist, PLLC Texas Oncology, PA PLLC 800 Eighth Ave, Ste 306 6500 Harris Pkwy 10840 Texas Health Trl Ste 200 Fort Worth, TX 76104-2602 Fort Worth, TX 76132 Fort Worth, TX 76177-8625 (682) 224-3748 (817) 263-2600 (682) 224-3748 • Languages spoken / Idioma(s) hablado(s): Spanish Kent, Vaishali T, MD Nguyen, Long , MD Eff 01-Jan-14 Eff 10-Jul-19 Purgett, Thomas J, MD Breast Care Specialists of Texas North Texas Surgical Specialist, Eff 01-Jan-14 1250 8th Ave, Ste 545 PLLC Surgical Associates of the Mid- Fort Worth, TX 76104 800 Eighth Ave, Ste 306 Cities (817) 912-8080 Fort Worth, TX 76104-2602 9509 N Beach St, Ste 102 (682) 224-3748 Fort Worth, TX 76244 (817) 267-2678

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 398 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Puri, Vichin C, MD Stone, David A, DO Emerson, Nathan L, MD Eff 14-Apr-19 Eff 01-Jan-14 Eff 13-Apr-15 Methodist Transplant Specialists David A Stone DO PA Surgical Group of North Texas, 914 Lipscomb St, Ste A 3600 Hulen St Ste C1 LLP Fort Worth, TX 76104 Fort Worth, TX 76107-6869 1056 Texan Trl (214) 947-4400 (817) 877-1911 Grapevine, TX 76051-3703 • Languages spoken / Idioma(s) (972) 254-9399 Reddell, Leslie D, DO hablado(s): Spanish • Languages spoken / Idioma(s) Eff 13-Jul-18 hablado(s): Spanish North Texas Surgical Specialist, Carrasco, Jeremy S, MD PLLC Eff 01-Jul-15 Matin, Sina , MD 3025 N Tarrant Pkwy, Ste 100 Surgical Specialty Physicians, PA Eff 01-Jan-14 Fort Worth, TX 76177-8625 2020 W State Hwy 114 Ste 120 Surgical Group of North Texas, (682) 224-3748 Grapevine, TX 76051 LLP (972) 608-3356 1056 Texan Trl Reddell, Leslie D, DO • Languages spoken / Idioma(s) Grapevine, TX 76051-3703 Eff 08-May-19 hablado(s): Spanish (972) 254-9399 Leslie Reddell, DO 800 8th Ave, #116 Clifford, Edward J, MD McKenzie, James R, MD Fort Worth, TX 76104 Eff 01-Jan-14 Eff 09-Oct-15 (817) 632-1900 Surgical Group of North Texas, Surgical Associates of the Mid- LLP Cities Reddell, Leslie D, DO 1056 Texan Trl 2050 Hall Johnson Rd, Ste 200 Eff 13-Jul-18 Grapevine, TX 76051-3703 Grapevine, TX 76051 North Texas Surgical Specialist, (972) 254-9399 (817) 267-2678 Specialty Care Physicians & Other Providers/ PLLC 800 Eighth Ave, Ste 306 Cueto, Cristina V, MD Purgett, Thomas J, MD Fort Worth, TX 76104-2602 Eff 08-Nov-16 Eff 01-Jan-14 Médicos de cuidado especializado y otros proveedores (682) 224-3748 Surgical Associates of the Mid- Surgical Associates of the Mid- Cities Cities Roberts, Jay W, DO 2050 Hall Johnson Rd, Ste 200 2050 Hall Johnson Rd, Ste 200 Eff 08-Feb-16 Grapevine, TX 76051 Grapevine, TX 76051 Fort Worth Lap Band (817) 267-2678 (817) 267-2678 2501 Parkview Dr, Ste 560 • Languages spoken / Idioma(s) Fort Worth, TX 76102 hablado(s): Spanish Rivera, Julio R, MD (817) 850-1100 Eff 01-Jan-14 Elieson, Melvin J, MD Surgical Group of North Texas, Smith, Adam B, DO Eff 01-Jan-14 LLP Eff 15-Oct-14 Surgical Associates of the Mid- 1056 Texan Trl Fort Worth Lap Band Cities Grapevine, TX 76051-3703 2501 Parkview Dr, Ste 560 2050 Hall Johnson Rd, Ste 200 (972) 254-9399 Fort Worth, TX 76102 Grapevine, TX 76051 • Languages spoken / Idioma(s) (817) 850-1100 (817) 267-2678 hablado(s): Spanish • Languages spoken / Idioma(s) Snow, Robert G, DO hablado(s): Spanish Brancel, Dale H, DO Eff 19-Mar-20 Eff 01-Aug-16 Fort Worth Lap Band Elliott, Robert L, MD Dale H Brancel, DO, PA 2501 Parkview Dr Ste 560 Eff 15-Sep-14 809 W Harwood Rd, Ste 201 Fort Worth, TX 76102-5825 Robert L Elliott, MD Hurst, TX 76054 (817) 850-1100 1600 Lancaster, Ste 103 (817) 545-0022 Grapevine, TX 76051 (817) 481-9480

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 399 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Do, Tai , MD Trussell, Joshua K, MD Dritsas, Eric , MD Eff 05-Aug-18 Eff 15-Oct-18 Eff 25-Oct-17 North Texas Surgical Specialist, Surgical Associates of Mansfield Vein Clinics of America PLLC 2975 E Broad St, Ste 200 2777 E Southlake Blvd, Ste 140 10840 Texas Health Trl Ste 200 Mansfield, TX 76063 Southlake, TX 76092-8017 Keller, TX 76244-6848 (682) 518-8619 (817) 488-7511 (682) 224-3748 Williams, Derek , MD Fradkin, Kevin , MD Patel, Denish S, DO Eff 22-Oct-18 Eff 29-Aug-17 Eff 05-Aug-18 Methodist Heart and Lung Vein Clinics of America North Texas Surgical Specialist, 252 Matlock Rd Ste 130 2777 E Southlake Blvd, Ste 140 PLLC Mansfield, TX 76063- Southlake, TX 76092-8017 10840 Texas Health Trl Ste 200 (214) 943-2200 (817) 488-7511 Keller, TX 76244-6848 (682) 224-3748 Nguyen, Long , MD McQuaid, Mark A, MD Eff 10-Jul-19 Eff 01-Jun-16 Reddell, Leslie D, DO North Texas Surgical Specialist, McQuaid Vein Specialists Eff 13-Jul-18 PLLC 620 N Kimball Ave Ste 100 North Texas Surgical Specialist, 6901 Davis Blvd, Ste 100 Southlake, TX 76092 PLLC North Richland Hills, TX 76182 (972) 378-5347 10840 Texas Health Trl Ste 200 (682) 224-3748 Keller, TX 76244-6848 Morton, Randy L, MD (682) 224-3748 Nguyen, Long , MD Eff 23-Oct-20 Eff 10-Jul-19 North Texas Vascular and Parcells, Jeremy , MD North Texas Surgical Specialist, Varicose Veins PA Specialty Care Physicians & Other Providers/ Eff 14-Jul-19 PLLC 620 N Kimball Ave Ste 100 Surgical Associates of Mansfield 10840 Texas Health Trl Ste 200 Southlake, TX 76092-6856 Médicos de cuidado especializado y otros proveedores 2975 E Broad St Ste 200 North Richland Hills, TX 76244- (972) 378-5347 Mansfield, TX 76063 6848 (682)518-8619 (682) 224-3748 Swanson, Philip H, MD Eff 01-Jan-14 Siddiqui, Ashfaq , MD Patel, Jay A, DO Philip H Swanson, MD, PA Eff 01-Apr-19 Eff 10-Jul-19 200 E Southlake Blvd, Ste 10 Private Practice North Texas Surgical Specialist, Southlake, TX 76092 309 Regency Parkway, Ste 207 PLLC (817) 424-2606 Mansfield, TX 76063-7305 6901 Davis Blvd, Ste 100 • Languages spoken / Idioma(s) (817) 225-2717 North Richland Hills, TX 76182 hablado(s): Spanish (682) 224-3748 Standerwick, Andrew B, MD • Languages spoken / Idioma(s) Surgery of the Hand/ Cirugía de Eff 15-Oct-18 hablado(s): Spanish manos Surgical Associates of Mansfield 2975 E Broad St, Ste 200 Reddell, Leslie D, DO Collin County | Condado de Mansfield, TX 76063 Eff 13-Jul-18 (682) 518-8619 North Texas Surgical Specialist, Collin PLLC Thornton, Michael L, DO 6901 Davis Blvd, Ste 100 Allen, Timothy G, MD Eff 01-Jun-16 North Richland Hills, TX 76182 Eff 01-Jan-16 Mansfield Surgical Associates (682) 224-3748 Frisco Hand Center, PLLC 550 N Walnut Creek Dr, Ste 120 3880 Parkwood Blvd, Ste 501 Mansfield, TX 76063 Frisco, TX 75034 (817) 477-9000 (214) 618-5719

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 400 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Kwon, Robert K, MD Mehta, Chirag V, MD Surgical Oncology/ Oncología Eff 01-Jun-16 Eff 07-Aug-18 quirúrgica Southwest Hand & Microsurgery, Regional Plastic Surgery PA Associates Collin County | Condado de 3108 Midway Rd, Ste 103 3201 E George Bush Fwy, Ste 101 Plano, TX 75093 Richardson, TX 75082-3565 Collin (214) 919-5001 (972) 470-5000 • Languages spoken / Idioma(s) Gaitonde, Shrawan G, MD hablado(s): Spanish Denton County | Condado de Eff 16-May-18 Texas Oncology, PA Denton Dallas County | Condado de 5236 W University Dr, Ste 1700 McKinney, TX 75071-8109 Dallas Hilliard, Stuart M, MD (972) 562-5999 Eff 01-Jan-16 Boulas, H. Jay , MD North Texas Hand Center Gaitonde, Shrawan G, MD Eff 15-Oct-18 3201 Colorado Blvd, Ste 103 Eff 16-May-18 H. Jay Boulas, MD PA Denton, TX 76210 Texas Oncology, PA 8220 Walnut Hill Lane Suite 514 (940) 442-6760 4716 Alliance Blvd, Ste 180 Dallas, TX 75231 Plano, TX 75093 (214) 345-4595 Grayson County | Condado de (469) 342-2300 Grayson Nevitt, Matthew F, MD Dallas County | Condado de Eff 01-Jan-14 Baylor Scott & White Orthopedic Mehta, Chirag V, MD Dallas Associates of Dallas Eff 07-Aug-18 Specialty Care Physicians & Other Providers/ 3900 Junius St Ste 500 Regional Plastic Surgery Celinski, Scott A, MD Dallas, TX 75246-1621 Associates Eff 28-Sep-20 (469) 800-7200 1111 Sara Swamy Drive Texas Oncology Surgical Médicos de cuidado especializado y otros proveedores Sherman, TX 75090-1779 Specialists Nevitt, Matthew F, MD (903) 893-6311 3410 Worth Street, Suite 160 Eff 01-Jan-14 Dallas, TX 75246 Baylor Scott & White Orthopedic Tarrant County | Condado de (214) 826-9797 Associates of Dallas Tarrant 7777 Forest Ln Ste C106 Thomas, Carolyn L, MD Dallas, TX 75230-6831 Eff 19-Jul-18 Brentlinger, Anthony B, MD (214) 823-7090 Texas Oncology, PA Eff 01-Jan-14 8160 Walnut Hill Ln Ste 113 Ogunro, E. Olayinka , MD Arlington Orthopedic Associates, Dallas, TX 75231-4387 Eff 15-Oct-18 PA (214) 345-7374 Ogunro Hand to Shoulder Center, 800 Orthopedic Way PA Arlington, TX 76015 Tarrant County | Condado de 3670 W Wheatland Rd (817) 375-5200 Tarrant Dallas, TX 75237 Ogunro, E. Olayinka , MD (972) 296-3875 Eff 15-Oct-18 Ojo, Adewuni S, MD Lee, Byung J, MD Ogunro Hand to Shoulder Center, Eff 08-Aug-17 Eff 01-Jan-15 PA The Center for Cancer and Blood Precision Orthopedics & Sports 515 W Mayfield Rd, Ste 240 Disorders Medicine Arlington, TX 76014 515 W Mayfield Rd, Ste 102 2120 N MacArthur Blvd, Ste 100 (817) 793-5701 Arlington, TX 76014-2084 Irving, TX 75061 (817) 759-7000 (972) 438-4636

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 401 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Ojo, Adewuni S, MD DiMaio, John M, MD Mack, Michael J, MD Eff 08-Aug-17 Eff 11-Jan-16 Eff 01-Jan-14 The Center for Cancer and Blood Baylor Scott & White Cardiac & Baylor Scott & White Cardiac & Disorders Thoracic Surgery Thoracic Surgery 800 W Magnolia Ave 4708 Alliance Blvd, Ste 540 4708 Alliance Blvd, Ste 540 Fort Worth, TX 76104-4611 Plano, TX 75093 Plano, TX 75093 (817) 759-7000 (469) 800-6200 (469) 800-6200 • Languages spoken / Idioma(s) Thoracic Surgery/ Cirugía hablado(s): Spanish Moore, David O, MD torácica Eff 01-Jan-14 George, Timothy J, MD Baylor Scott & White Cardiac & Collin County | Condado de Eff 18-Jul-16 Thoracic Surgery Baylor Scott & White Cardiac & 4708 Alliance Blvd, Ste 540 Collin Thoracic Surgery Plano, TX 75093 4708 Alliance Blvd, Ste 540 (469) 800-6200 Savcenko, Michal , MD Plano, TX 75093 Eff 25-Oct-17 (469) 800-6200 Ryan, William H, MD Vein Clinics of America Eff 01-Jan-14 1101 Raintree, Ste 140 Harrington, Katherine B, MD Baylor Scott & White Cardiac & Allen, TX 75013-4968 Eff 01-Jan-14 Thoracic Surgery (972) 679-6807 Baylor Scott & White Cardiac & 4708 Alliance Blvd, Ste 540 Thoracic Surgery Plano, TX 75093 Jett, Gary Kimble, MD 4708 Alliance Blvd, Ste 540 (469) 800-6200 Eff 06-Oct-14 Plano, TX 75093 Savcenko, Michal , MD Specialty Care Physicians & Other Providers/ Baylor Scott & White Cardiac & (469) 800-6200 Thoracic Surgery Eff 25-Oct-17 3800 Gaylord Parkway Ste 910 Hutcheson, Kelley A, MD Vein Clinics of America Médicos de cuidado especializado y otros proveedores Frisco, TX 75034 Eff 01-Jan-14 6149 Windhaven Pkwy, Ste 130 (469) 800-6200 Baylor Scott & White Cardiac & Plano, TX 75093-8298 Thoracic Surgery (972) 881-1320 Waters, John K, MD 4708 Alliance Blvd, Ste 540 Eff 01-Nov-18 Plano, TX 75093 Schaffer, Justin M, MD Baylor Scott & White Cardiac & (469) 800-6200 Eff 22-Aug-16 Thoracic Surgery Baylor Scott & White Cardiac & 3800 Gaylord Parkway, Ste 910 Jett, Gary Kimble, MD Thoracic Surgery Frisco, TX 75034 Eff 06-Oct-14 4708 Alliance Blvd, Ste 540 (469) 800-6200 Baylor Scott & White Cardiac & Plano, TX 75093 Thoracic Surgery (469) 800-6200 Bowman, Richard Thomson, MD 4708 Alliance Blvd Ste 540 Eff 01-Nov-14 Plano, TX 75093 Smith, Robert L, MD Richard T Bowman, MD, PA (469) 800-6200 Eff 01-Jan-14 4001 W 15th St, Ste 180 Baylor Scott & White Cardiac & Plano, TX 75093 Lytle, Bruce , MD Thoracic Surgery (972) 867-5300 Eff 30-Oct-15 4708 Alliance Blvd, Ste 540 • Languages spoken / Idioma(s) Baylor Scott & White Cardiac & Plano, TX 75093 hablado(s): Vietnamese Thoracic Surgery (469) 800-6200 4708 Alliance Blvd, Ste 540 Brinkman, William T, MD Plano, TX 75093 Waters, John K, MD Eff 01-Jan-14 (469) 800-6200 Eff 01-Nov-18 Baylor Scott & White Cardiac & Baylor Scott & White Cardiac & Thoracic Surgery Thoracic Surgery 4708 Alliance Blvd, Ste 540 4708 Alliance Blvd, Ste 540 Plano, TX 75093 Plano, TX 75093 (469) 800-6200 (469) 800-6200

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 402 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Dallas County | Condado de Henry, Albert C, MD Rafael Yarihuaman, Aldo E, MD Eff 01-Jun-16 Eff 01-Jan-14 Dallas A Carl Henry, MD, PA Baylor Scott & White Cardiac & 3409 Worth St, Ste 720 Thoracic Surgery Bradford, Darien W, MD Dallas, TX 75246-2043 621 N Hall St, Ste 120 Eff 15-Dec-19 (214) 821-3603 Dallas, TX 75226 Methodist Heart and Lung (469) 800-7760 3430 W Wheatland Rd, POB I, Ste Jay, John L, MD 202 Eff 15-Oct-18 Roberts, Charles S, MD Dallas, TX 75237 Texas Cardiothoracic Surgery Eff 01-May-18 (214) 943-2200 Associates, PA Baylor Scott & White Cardiac & 221 W Colorado Blvd, Pavillion II, Thoracic Surgery Capehart, John E, MD Ste 825 621 N Hall St Ste 120 Eff 15-Dec-15 Dallas, TX 75208 Dallas, TX 75226 John E Capehart, MD (214) 942-5222 (469) 800-7760 3600 Gaston Ave, Ste 404 Barnett Tower Mason, David P, MD Schwartz, Gary , MD Dallas, TX 75246 Eff 11-Aug-14 Eff 29-Jul-15 (214) 824-6718 Baylor Scott & White Center for Baylor Scott & White Center for Thoracic Surgery Thoracic Surgery Enter, Daniel H, MD 3410 Worth St Ste 760 3410 Worth St Ste 760 Eff 06-Sep-19 Dallas, TX 75246-2071 Dallas, TX 75246 Baylor Scott & White Cardiac & (469) 800-7370 (469) 800-7370 Thoracic Surgery 621 N Hall St, Ste 120 Meyer, Dan M, MD Sivadasan, Mini , MD Specialty Care Physicians & Other Providers/ Dallas, TX 75226 Eff 01-Dec-17 Eff 14-Jul-19 (469) 800-7760 Baylor Scott & White Cardiac & Methodist Heart and Lung Thoracic Surgery 3430 W Wheatland Rd, POB I, Ste Médicos de cuidado especializado y otros proveedores Gonzalez-Stawinski, Gonzalo V, 621 N Hall St, Ste 120 202 MD Dallas, TX 75226 Dallas, TX 75237 Eff 01-Jan-14 (469) 800-7760 (214) 943-2200 Baylor Scott & White Cardiac & Thoracic Surgery Peper, William A, MD Tapias Vargas, Leonidas , MD 3900 Junius St Ste 415 Eff 15-Oct-18 Eff 23-Feb-19 Dallas, TX 75246 DFW Vascular Group, LLP Baylor Scott & White Center for (214) 820-7100 221 W Colorado Blvd, Pavilion II, Thoracic Surgery Ste 625 3410 Worth St Ste 235 Hamman, Baron L, MD Dallas, TX 75208 Dallas, TX 75246-2071 Eff 01-Jan-14 (214) 946-5165 (469) 800-7370 HeartPlace, PA 3409 Worth St Ste 500 Podgaetz Gliksberg, Eitan , MD Peper, William A, MD Dallas, TX 75246 Eff 15-Dec-16 Eff 15-Oct-18 (214) 841-2000 Baylor Scott & White Center for DFW Vascular Group, LLP Thoracic Surgery 2801 Bolton Boone Dr, Ste 105 Hebeler, Robert F, MD 3410 Worth St Ste 760 Desoto, TX 75115 Eff 01-Aug-14 Dallas, TX 75246-2071 (972) 296-2122 Private Practice (469) 800-7370 3409 Worth St, Ste 720 Cook, Allan O, MD Dallas, TX 75246 Eff 01-Jan-14 (214) 821-3601 Allan Cook, MD PA 777 Walter Reed Blvd, Plaza II, Ste B10 Garland, TX 75042 (972) 487-7057

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 403 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Savcenko, Michal , MD Jay, John L, MD Rockwall County | Condado de Eff 25-Oct-17 Eff 15-Oct-18 Vein Clinics of America Texas Cardiothoracic Surgery Rockwall 4170 Lavon Dr, Ste 146 Associates, PA Garland, TX 75040 341 Wheatfield Rd, Ste 100 Podgaetz Gliksberg, Eitan , MD (972) 495-2224 Sunnyvale, TX 75182 Eff 15-Dec-16 (214) 942-5222 Baylor Scott & White Center for Gonzalez-Stawinski, Gonzalo V, Thoracic Surgery MD Denton County | Condado de 2504 Ridge Road, Ste 202 Eff 01-Jan-14 Rockwall, TX 75087 Baylor Scott & White Cardiac & Denton (469) 800-7370 Thoracic Surgery 1600 W College St Ste 490 Cai, Tung H, MD Tarrant County | Condado de Eff 13-Jul-15 Grand Prairie, TX 75051-2106 Tarrant (214) 820-7100 Baylor Scott & White Cardiac & Thoracic Surgery Rafael Yarihuaman, Aldo E, MD 3341 Unicorn Lake Blvd Hamman, Baron L, MD Eff 01-Jan-14 Denton, TX 76210 Eff 01-Jan-14 Baylor Scott & White Cardiac & (940) 381-2003 HeartPlace, PA Thoracic Surgery 902 West Randol Mill Rd, Ste 200 1600 W College St, Ste 490 Tran, Minh P, MD Arlington, TX 76012 Grand Prairie, TX 75051-2106 Eff 21-Jul-14 (817) 461-3003 (214) 820-7100 Baylor Scott & White Cardiac & Thoracic Surgery Norcross, James F, MD Krueger, Anita R, MD 3341 Unicorn Lake Blvd Eff 01-Jul-14 Specialty Care Physicians & Other Providers/ Eff 25-May-19 Denton, TX 76210 HeartPlace, PA Baylor Scott & White Cardiac & (940) 381-2003 902 W Randol Mill Rd, Ste 200 Médicos de cuidado especializado y otros proveedores Thoracic Surgery Arlington, TX 76012 1110 Cottonwood Ln Ste 110 Savcenko, Michal , MD (817) 461-3003 Irving, TX 75038- Eff 25-Oct-17 Savcenko, Michal , MD (817)912-8240 Vein Clinics of America 4001 Long Prairie Rd, Ste 105 Eff 25-Oct-17 Savcenko, Michal , MD Flower Mound, TX 75028-1565 Vein Clinics of America Eff 25-Oct-17 (972) 874-3900 4000 Five Points Blvd, Ste 133 Vein Clinics of America Arlington, TX 76018 7200 Highway 161, Ste 110 Ellis County | Condado de Ellis (817) 522-7070 Irving, TX 75039-3800 Gonzalez-Stawinski, Gonzalo V, (469) 420-9229 Mason, David P, MD MD Eff 11-Aug-14 Eff 01-Jan-14 Bradford, Darien W, MD Baylor Scott & White Center for Eff 15-Dec-19 Baylor Scott & White Cardiac & Thoracic Surgery Thoracic Surgery Methodist Heart and Lung 2460 N I-35 E Ste 215 2821 E President George Bush 1250 8th Ave Ste 200 Waxahachie, TX 75165-5271 Fort Worth, TX 76104 TPKE, Ste 404 (469) 800-7370 Richardson, TX 75082 (817) 912-8240 (214) 943-2200 Mason, David P, MD Krueger, Anita R, MD Eff 11-Aug-14 Eff 25-May-19 Sivadasan, Mini , MD Baylor Scott & White Center for Eff 14-Jul-19 Baylor Scott & White Cardiac & Thoracic Surgery Thoracic Surgery Methodist Heart and Lung 2480 N I-35 E 2821 E President George Bush 1250 8th Ave, Ste 200 Waxahachie, TX 75165 Fort Worth, TX 76104-4158 TPKE, Ste 404 (469) 800-7370 Richardson, TX 75082 (817) 912-8240 (214) 943-2200

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 404 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Martinez, Daniel , MD Transcranial Magnetic Dallas County | Condado de Eff 31-Mar-19 Stimulation (TMS)/ Baylor Scott & White Cardiac & Dallas Thoracic Surgery Collin County | Condado de 1250 8th Ave, Ste 200 Hawkins, Germaine , DO Fort Worth, TX 76104-4158 Collin Eff 15-Jan-17 (817) 912-8240 Hawkins Psychiatry PC Ali, Shahla , MD 800 Kirnwood Dr Meyer, Dan M, MD Eff 01-Jun-20 Desoto, TX 75115-2000 Eff 01-Dec-17 Allen Psychiatry (817) 460-7080 Baylor Scott & White Cardiac & 1774 W McDermott Dr Suite 150 Thoracic Surgery Allen, TX 75013 Mohammed, Nazimuddin T, MD 1250 8th Ave, Ste 200 (469) 340-2777 Eff 15-Feb-19 Fort Worth, TX 76104-4158 • Languages spoken / Idioma(s) Compassionate Psychiatric (817) 912-8240 hablado(s): Hindi Services 2300 Marie Curie Blvd 5th Floor Wu, Jeffrey J, MD Mech, Arnold , MD Garland, TX 75042-5706 Eff 04-Jun-17 Eff 15-Nov-16 (972) 487-5309 Baylor Scott & White Cardiac & Arnold Mech MD Thoracic Surgery 4645 Wyndham Ln Ste 290 Denton County | Condado de 1250 8th Ave, Ste 200 Frisco, TX 75034 Denton Fort Worth, TX 76104-4158 (972) 208-9500 (817) 912-8240 Mohammed, Nazimuddin T, MD Hawkins, Germaine , DO Bradford, Darien W, MD Eff 15-Jan-17

Eff 15-Feb-19 Specialty Care Physicians & Other Providers/ Eff 15-Dec-19 Compassionate Psychiatric Hawkins Psychiatry PC Methodist Heart and Lung Services 2026 W. University Dr. 252 Matlock Rd, Ste 130 11500 State Hwy 121 Bldg 500 Denton, TX 76201 Médicos de cuidado especializado y otros proveedores Mansfield, TX 76063 Ste #510 (940) 320-8100 (214) 943-2200 Frisco, TX 75035 Airuehia, Efosa , MD (469) 200-4093 Bradford, Darien W, MD Eff 23-Jul-17 Eff 15-Dec-19 Mohammed, Nazimuddin T, MD Prime Psychiatry PA Methodist Heart and Lung Eff 15-Feb-19 11330 Legacy Dr, Ste 103 2800 E Broad St, Ste 514 Compassionate Psychiatric Frisco, TX 75033-1210 Mansfield, TX 76063 Services (469) 777-4691 (817) 465-5311 4817 Medical Cntr Dr Unit 3A McKinney, TX 75069-1886 Hunt County | Condado de Savcenko, Michal , MD (469) 740-1477 Hunt Eff 25-Oct-17 Vein Clinics of America Khalid, Humaira , MD Khalid, Humaira , MD 2777 E Southlake Blvd, Ste 140 Eff 01-Aug-16 Eff 01-Aug-16 Southlake, TX 76092-8017 Psymed Solutions Psymed Solutions (817) 488-7511 7170 Preston Rd, Ste 200 4501 Joe Ramsey Blvd, Ste 260 Plano, TX 75024-3281 Greenville, TX 75401 (972) 232-7474 (972) 232-7474

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 405 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Tarrant County | Condado de Hawkins, Germaine , DO Gottlieb, Robert L, MD Eff 15-Jan-17 Eff 09-Nov-15 Tarrant Hawkins Psychiatry PC Baylor Scott & White McKinney 2800 E Broad St, Ste 400 Heart Associates Hawkins, Germaine , DO Mansfield, TX 76063 4716 Alliance Blvd, Ste 340, Eff 15-Jan-17 (817)460-7080 Pavilion II Hawkins Psychiatry PC Plano, TX 75093 2233 Ave J, Ste 100 Hawkins, Germaine , DO (469) 800-6100 Arlington, TX 76006 Eff 15-Jan-17 (817) 460-7080 Hawkins Psychiatry PC Dallas County | Condado de 1802 hwy 157 North Hawkins, Germaine , DO Mansfield, TX 76063 Dallas Eff 15-Jan-17 (817) 473-6101 Hawkins Psychiatry PC Asrani, Sumeet K, MD 1000 N. Cooper St. Transplant Hepatology/ Eff 01-Jan-14 Arlington, TX 76011 Transplant Hepatology Baylor Scott & White Liver (817) 548-3400 Consultants of Texas Tarrant County | Condado de 3410 Worth St, Ste 860 Khalid, Humaira , MD Dallas, TX 75246 Eff 01-Aug-16 Tarrant (214) 820-8500 Psymed Solutions 7273 Hawkins View Dr Kourkoumpetis, Themistoklis , MD Bahirwani, Ranjeeta R, MD Fort Worth, TX 76132 Eff 13-Nov-20 Eff 06-Jun-16 (972) 232-7474 Baylor Scott & White Liver Baylor Scott & White Liver Consultants of Texas

Specialty Care Physicians & Other Providers/ Consultants of Texas - Fort Worth Ebrahim, Ayesha , MD 1250 8Th Ave Ste 515 3410 Worth St, Ste 860 Eff 01-Dec-18 Fort Worth, TX 76104 Dallas, TX 75246-2064 Médicos de cuidado especializado y otros proveedores MD Trucare PA (817) 922-9968 (214) 820-8500 210 North Park Blvd, Ste 105 Grapevine, TX 76051 Transplant Surgery/ Cirugía de Bayer, Johanna , MD (817) 722-6078 trasplante Eff 01-Sep-17 Baylor Scott & White Transplant Ebrahim, Ayesha , MD Services Collin County | Condado de Eff 01-Dec-18 3410 Worth St, Ste 950 MD Trucare PA Collin Dallas, TX 75246 823 Ira E Woods Ave, Ste 200 (214) 820-2050 Grapevine, TX 76051 Bahirwani, Ranjeeta R, MD (817) 722-6078 Eff 06-Jun-16 Beecherl, Ernest E, MD North Texas Surgical Oncology Eff 14-Dec-15 Khawaja, Imran , MD Associates Baylor Scott & White Transplant Eff 01-Dec-18 5236 W University Dr, Ste 2900 Services MD Trucare PA McKinney, TX 75071 3410 Worth St, Ste 950 210 North Park Blvd, Ste 105 (972) 335-7874 Dallas, TX 75246 Grapevine, TX 76051 (214) 820-2050 (817) 722-6078 Bindra, Amarinder S, MD Eff 08-Sep-14 Bindra, Amarinder S, MD Khawaja, Imran , MD Baylor Family Medicine at Eff 08-Sep-14 Eff 01-Dec-18 McKinney Heart Care Center of Dallas MD Trucare PA 5220 W University Dr Ste 100 3410 Worth St Ste 250 823 Ira E Woods Ave, Ste 200 McKinney, TX 75071-7402 Dallas, TX 75246 Grapevine, TX 76051 (469) 800-5100 (214) 820-6856 (817) 722-6078 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Hindi hablado(s): Hindi

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 406 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Elwir, Saleh , MD Hall, Shelley A, MD Sherwood, Melody J, MD Eff 18-Jul-16 Eff 01-Jan-14 Eff 22-Aug-16 Baylor Scott & White Liver HeartPlace, PA Advanced Heart Failure Clinic Consultants of Texas 621 N Hall St, Ste 500 3410 Worth St, Ste 250 3410 Worth St, Ste 860 Dallas, TX 75226 Dallas, TX 75246 Dallas, TX 75246-2064 (214) 841-2000 (214) 820-6856 (214) 820-8500 Joseph, Susan M, MD Testa, Giuliano , MD Fasola, Carlos G, MD Eff 05-Oct-15 Eff 01-Jan-14 Eff 15-Oct-18 Advanced Heart Failure Clinic Baylor Scott & White Transplant Methodist Transplant Specialists 3410 Worth St, Ste 250 Services 1411 N Beckley Ave, Pavilion 3, Dallas, TX 75246 3410 Worth St, Ste 950 Ste 268 (214) 820-6856 Dallas, TX 75246 Dallas, TX 75203-1260 (214) 820-2050 (214) 947-4450 Kale, Parag P, MD Eff 21-Jul-14 Wall, Anji E, MD Fernandez, Hoylan , MD Parag P Kale, MD, PA Eff 01-Nov-18 Eff 08-Aug-16 3410 Worth St, Ste 250 Baylor Scott & White Transplant Baylor Scott & White Transplant Dallas, TX 75246 Services Services (214) 820-6856 3410 Worth St, Ste 950 3410 Worth St, Ste 950 Dallas, TX 75246 Dallas, TX 75246 Mahgoub, Amar , MD (214) 820-2050 (214) 820-2050 Eff 23-Feb-19 Baylor Scott & White Liver Tarrant County | Condado de Goldstein, Robert M, MD Consultants of Texas Specialty Care Physicians & Other Providers/ Eff 01-Jan-14 3410 Worth St, Ste 860 Tarrant Baylor Scott & White Transplant Dallas, TX 75246-2064 Services (214) 820-8500 Ashfaq, Mohammad , MD Médicos de cuidado especializado y otros proveedores 3410 Worth St, Ste 950 Eff 05-May-14 Dallas, TX 75246 Martinez, Eric J, MD Baylor Scott & White Liver (214) 820-2050 Eff 15-Oct-18 Consultants of Texas Baylor Scott & White Transplant 1250 8th Ave, Ste 515 Gottlieb, Robert L, MD Services Fort Worth, TX 76104-4130 Eff 09-Nov-15 3410 Worth St, Ste 950 (817) 922-9968 Advanced Heart Failure Clinic Dallas, TX 75246 3410 Worth St, Ste 250 (214) 820-2050 Bayer, Johanna , MD Dallas, TX 75246 Eff 01-Sep-17 (214) 820-6856 McKenna, Gregory J, MD Baylor Scott & White Transplant Eff 01-Jan-14 Services Guerrero-Miranda, Cesar Y, MD Baylor Scott & White Transplant 1400 Eighth Ave (Transplant) Eff 15-Sep-16 Services Fort Worth, TX 76104 Advanced Heart Failure Clinic 3410 Worth St, Ste 950 (817) 922-4650 3410 Worth St, Ste 250 Dallas, TX 75246 Dallas, TX 75246 (214) 820-2050 Fernandez, Hoylan , MD (214) 820-6856 Eff 08-Aug-16 Ruiz, Richard M, MD Baylor Scott & White Transplant Gupta, Amar , MD Eff 01-Jan-14 Services Eff 15-Oct-18 Baylor Scott & White Transplant 1400 Eighth Ave (Transplant) Baylor Scott & White Transplant Services Fort Worth, TX 76104 Services 3410 Worth St Ste 950 (817) 922-4650 3410 Worth St, Ste 950 Dallas, TX 75246 Dallas, TX 75246 (214) 820-2050 (214) 820-2050

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 407 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Gautam, Manjushree , MD Ruiz, Richard M, MD Raza, Maryam , MD Eff 01-Jan-14 Eff 01-Jan-14 Eff 15-Mar-20 Baylor Scott & White Liver Baylor Scott & White Transplant Maryam Raza MD, PA Consultants of Texas Services 1441 N Beckley Ave. 1250 8th Ave, Ste 515 1400 Eighth Ave Bldg D Ste 101 Dallas, TX 75203 Fort Worth, TX 76104-4130 Fort Worth, TX 76104 (214) 947-5000 (817) 922-9968 (817) 922-4650 Coffman, Donna , MD Goldstein, Robert M, MD Testa, Giuliano , MD Eff 23-Nov-19 Eff 01-Jan-14 Eff 01-Jan-14 North Texas Professional Wound Baylor Scott & White Transplant Baylor Scott & White Transplant Care Associates Services Services 400 W I-635 Plz I Ste 130 1400 Eighth Ave, Bldg D, Ste 101 1400 Eighth Ave, Bldg D, Ste 101 Irving, TX 75063-3700 Fort Worth, TX 76104 Fort Worth, TX 76104 (972) 579-5222 (817) 922-4650 (817) 922-4650 Urgent Care/ Cuidado urgente Gupta, Amar , MD Wall, Anji E, MD Eff 15-Oct-18 Eff 01-Nov-18 Collin County | Condado de Baylor Scott & White Transplant Baylor Scott & White Transplant Services Services Collin 1400 Eighth Ave (Transplant) 1400 Eighth Ave, Bldg D, Ste 101 Fort Worth, TX 76104 Fort Worth, TX 76104 Taiwo, Joseph B, MD (817) 922-4650 (817) 922-4650 Eff 01-Jan-14 1st Class Urgent Care Center, Martinez, Eric J, MD Undersea & Hyperbaric

Specialty Care Physicians & Other Providers/ PLLC Eff 15-Oct-18 Medicine/ Medicina hiperbárica y 1811 E Bethany Dr Baylor Scott & White Transplant subacuática Allen, TX 75002-1882 Médicos de cuidado especializado y otros proveedores Services (214) 383-1700 1400 Eighth Ave (Transplant) Dallas County | Condado de • Languages spoken / Idioma(s) Fort Worth, TX 76104 hablado(s): Spanish (817) 922-4650 Dallas Urology/ Urología Modi, Apurva A, MD Hulen, Han P, MD Eff 01-Jan-14 Eff 15-Oct-19 Collin County | Condado de Baylor Scott & White Liver Wound Integrity Consultants of Texas 17051 N Dallas Pkwy, Ste 250 Collin 1250 8th Ave Ste 515 Addison, TX 75001-7121 Fort Worth, TX 76104-4130 (972) 685-7330 Graham, Chester F, MD (817) 922-9968 Eff 01-Jan-14 Ali, Basit B, DO Urology Clinics of North Texas, PA Onaca, Nicholas , MD Eff 15-Oct-18 1105 Central Expy N Allen POB, Eff 01-Jan-14 Wound & Hyperbaric Medicine Ste 360 Baylor Scott & White Transplant 3500 W. Wheatland Road Allen, TX 75013 Services Dallas, TX 75237 (214) 691-1902 1400 Eighth Ave Bldg D Ste 101 (214) 947-0752 Fort Worth, TX 76104 Landau, Jeffery H, MD (817) 922-4650 Hulen, Han P, MD Eff 01-Jan-16 Eff 15-Oct-19 Jeffery H Landau, MD, PA Wound Integrity 1105 N Central Expy, Ste 350 7777 Forest Ln, Ste C239 Allen, TX 75013 Dallas, TX 75230 (972) 747-4200 (972) 566-4868

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 408 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Danawala, Zeeshan A, MD Stringer, Jared D, MD Hegde, Huong T, MD Eff 18-Oct-19 Eff 01-Mar-15 Eff 07-Dec-16 North Dallas Urology Associates, North Dallas Urology Associates, Texas Oncology, PA PA PA 5425 W Spring Crk, Ste 150 5575 Warren Pkwy, Ste 116 4501 Medical Center Dr, Ste 100 Plano, TX 75024-4331 Frisco, TX 75034 McKinney, TX 75069 (972) 403-5425 (972) 612-8037 (972) 548-8195 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Vietnamese Landau, Jeffery H, MD hablado(s): Spanish Eff 01-Jan-16 Hegde, Huong T, MD Jeffery H Landau, MD, PA Wierschem, Michael G, MD Eff 07-Dec-16 4525 Ohio Dr Eff 07-Dec-16 Texas Oncology, PA Frisco, TX 75035 Texas Oncology, PA 4708 Alliance Blvd Ste 650 (972) 747-4200 5236 W University Dr, Ste 4500 Plano, TX 75093 McKinney, TX 75071 (972) 403-5425 Lieman, Stephen J, MD (972) 596-6733 • Languages spoken / Idioma(s) Eff 01-Mar-15 • Languages spoken / Idioma(s) hablado(s): Vietnamese North Dallas Urology Associates, hablado(s): Spanish PA Kadesky, Keith T, MD 5575 Warren Pkwy, Ste 116 Allen, Mark L, MD Eff 01-Jan-14 Frisco, TX 75034 Eff 01-Mar-15 Urology Clinics of North Texas, PA (972) 612-8037 North Dallas Urology Associates, 6124 West Parker Rd Ste 434 PA Plano, TX 75093-8124 Cefalu, Christopher A, MD 5300 W Plano Pkwy, Ste 200 (214) 691-1902 Eff 19-Mar-19 Plano, TX 75093 Specialty Care Physicians & Other Providers/ Urology Clinics of North Texas, PA (972) 612-8037 Lieman, Stephen J, MD 5220 West University Dr Ste 210 Eff 01-Mar-15 McKinney, TX 75071 Benaim, Elie , MD North Dallas Urology Associates, Médicos de cuidado especializado y otros proveedores (214) 691-1902 Eff 01-Jan-14 PA Urology Clinics of North Texas, PA 5300 W Plano Pkwy, Ste 200 Hegde, Huong T, MD 4708 Alliance Blvd Ste 685 Plano, TX 75093 Eff 07-Dec-16 Plano, TX 75093 (972) 612-8037 Texas Oncology, PA (469) 467-1188 5236 W University Dr, Ste 4500 • Languages spoken / Idioma(s) Lightfoot, Meredith L, MD McKinney, TX 75071 hablado(s): Spanish Eff 01-Jan-14 (972) 596-6733 Urology Clinics of North Texas, PA • Languages spoken / Idioma(s) Gross, Michael B, MD 6124 West Parker Rd Ste 434 hablado(s): Vietnamese Eff 01-Jan-14 Plano, TX 75093-8124 Urology Clinics of North Texas, PA (214) 691-1902 Mitchell, William C, MD 6124 West Parker Rd Ste 434 Eff 01-Mar-15 Plano, TX 75093-8124 Moskowitz, Mitchell O, MD North Dallas Urology Associates, (214) 691-1902 Eff 12-Feb-18 PA • Languages spoken / Idioma(s) Texas Oncology, PA 4501 Medical Center Dr, Ste 100 hablado(s): Spanish 4708 Alliance Blvd, Ste 150 McKinney, TX 75069 Plano, TX 75093-5339 (972) 548-8195 Hassell, Jeffrey S, MD (972) 596-7801 • Languages spoken / Idioma(s) Eff 01-Mar-15 hablado(s): Spanish North Dallas Urology Associates, Porter, Homa J, MD PA Eff 01-Jan-14 5300 W Plano Pkwy, Ste 200 Urology Clinics of North Texas, PA Plano, TX 75093 6124 West Parker Rd Ste 434 (972) 612-8037 Plano, TX 75093-8124 (214) 691-1902

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 409 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Rogenes, Vince J, MD Benaim, Elie , MD Gross, Michael B, MD Eff 01-Mar-15 Eff 01-Jan-14 Eff 01-Jan-14 North Dallas Urology Associates, Urology Clinics of North Texas, PA Urology Clinics of North Texas, PA PA 7777 Forest Ln Ste A230 8230 Walnut Hill Ln, Ste 700 5300 W Plano Pkwy, Ste 200 Dallas, TX 75230 Dallas, TX 75231 Plano, TX 75093 (972) 566-7765 (214) 691-1902 (972) 612-8037 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Scales, Joseph A, MD Eff 21-Feb-19 Cochran, James S, MD Holden, A Mason , MD Urology Clinics of North Texas, PA Eff 01-Jan-14 Eff 01-Jan-14 6124 West Parker Rd Ste 434 Urology Clinics of North Texas, PA Urology Clinics of North Texas, PA Plano, TX 75093-8124 8230 Walnut Hill Ln, Ste 700 9330 Poppy Dr Ste 400 (214) 691-1902 Dallas, TX 75231 Dallas, TX 75218 (214) 691-1902 (214) 328-3221 Tran, Anh-Hong H, MD Eff 01-Jan-14 Fine, Joshua K, MD Isom-Batz, Ginger , MD Urology Clinics of North Texas, PA Eff 01-Jan-14 Eff 08-Aug-16 4708 Alliance Blvd Ste 685 Urology Clinics of North Texas, PA Urology Clinics of North Texas, PA Plano, TX 75093 3417 Gaston Ave, Ste 830 10501 N Central Expy Ste 200 (817) 784-8268 Dallas, TX 75246 Dallas, TX 75231 • Languages spoken / Idioma(s) (214) 826-6021 (214) 360-1535 hablado(s): Spanish • Languages spoken / Idioma(s) French, Dan B, MD hablado(s): Spanish Wierschem, Michael G, MD Eff 08-Aug-16 Specialty Care Physicians & Other Providers/ Eff 07-Dec-16 Urology Clinics of North Texas, PA Jain, Siddharth G, MD Texas Oncology, PA 10501 N Central Expy, Ste 200 Eff 19-Jul-18 Médicos de cuidado especializado y otros proveedores 5425 W Spring Crk, Ste 150 Dallas, TX 75231 Texas Oncology, PA Plano, TX 75024-4331 (214) 360-1535 1411 N Beckley Ave, Pavillion III, (972) 403-5425 • Languages spoken / Idioma(s) Ste 464 • Languages spoken / Idioma(s) hablado(s): Spanish Dallas, TX 75203-1268 hablado(s): Spanish (214) 948-3101 Frost, Steve M, MD Wierschem, Michael G, MD Eff 01-Jan-14 Kadesky, Keith T, MD Eff 07-Dec-16 Urology Clinics of North Texas, PA Eff 01-Jan-14 Texas Oncology, PA 3417 Gaston Ave, Ste 830 Urology Clinics of North Texas, PA 4708 Alliance Blvd Ste 650 Dallas, TX 75246 8230 Walnut Hill Ln Ste 700 Plano, TX 75093 (214) 826-6021 Dallas, TX 75231 (972) 403-5425 (214) 691-1902 • Languages spoken / Idioma(s) Fulgham, Pat F, MD hablado(s): Spanish Eff 01-Jan-14 Lightfoot, Meredith L, MD Urology Clinics of North Texas, PA Eff 01-Jan-14 Dallas County | Condado de 8230 Walnut Hill Ln, Ste 700 Urology Clinics of North Texas, PA Dallas, TX 75231 8230 Walnut Hill Ln Ste 700 Dallas (214) 691-1902 Dallas, TX 75231 (214) 691-1902 Acharya, Sujeet S, MD Green, Rufus , MD Eff 19-Jul-18 Eff 13-Feb-17 Moskowitz, Mitchell O, MD Texas Oncology, PA Southwest Cardiac Associates Eff 12-Feb-18 1411 N Beckley Ave, Pavillion III, 9 Medical Pkwy, Plaza 4, Ste 306 Texas Oncology, PA Ste 464 Dallas, TX 75234 7777 Forest Ln, C-724 Dallas, TX 75203-1268 (972) 888-4063 Dallas, TX 75235-7506 (214) 948-3101 • Languages spoken / Idioma(s) (972) 566-5400 hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 410 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Nwafor, Francis O, MD Thoreson, Gregory R, MD Jain, Siddharth G, MD Eff 01-Aug-15 Eff 14-Sep-15 Eff 19-Jul-18 Star Urology of Texas, PA Urology Clinics of North Texas, PA Texas Oncology, PA 8067 W Virginia Dr, Ste 100 3417 Gaston Ave Ste 830 2705 Prince George Ave Dallas, TX 75237 Dallas, TX 75246 Desoto, TX 75115-2045 (903) 874-9008 (214) 826-6021 (972) 780-0480 • Languages spoken / Idioma(s) hablado(s): Nigerian Toubin, Jeffrey Charles, MD Sun, Andrew Y, MD Eff 11-Aug-18 Eff 22-Oct-20 Porter, Homa J, MD Texas Oncology, PA Texas Oncology PA Eff 01-Jan-14 1411 N Beckley Ave, Pavillion III, 2705 Prince George Avenue Urology Clinics of North Texas, PA Ste 464 Desoto, TX 75115 8230 Walnut Hill Ln Ste 700 Dallas, TX 75203-1268 (972) 780-0480 Dallas, TX 75231 (214) 948-3101 (214) 691-1902 Toubin, Jeffrey Charles, MD Tran, Anh-Hong H, MD Eff 11-Aug-18 Schoenvogel, Robert C, MD Eff 01-Jan-14 Texas Oncology, PA Eff 01-Jan-14 Urology Clinics of North Texas, PA 2705 Prince George Ave Urology Clinics of North Texas, PA 7777 Forest Ln Ste A230 Desoto, TX 75115-2045 3417 Gaston Ave Ste 830 Dallas, TX 75230 (972) 780-0480 Dallas, TX 75246 (972) 566-7765 (214) 826-6021 • Languages spoken / Idioma(s) Van Horn, Allan Chad, MD hablado(s): Spanish Eff 19-Jul-18 Shuford, Matthew D, MD Texas Oncology, PA Eff 01-Jan-14 Van Horn, Allan Chad, MD 2705 Prince George Ave Specialty Care Physicians & Other Providers/ Urology Clinics of North Texas, PA Eff 19-Jul-18 Desoto, TX 75115-2045 3417 Gaston Ave Ste 830 Texas Oncology, PA (972) 780-0480 Dallas, TX 75246 1411 N Beckley Ave, Pavillion III, Médicos de cuidado especializado y otros proveedores (214) 826-6021 Ste 464 Carr, Aimee L, MD Dallas, TX 75203-1268 Eff 01-Jan-14 Smith, Eric B, MD (214) 948-3101 Urology Clinics of North Texas, PA Eff 01-Jan-14 6460 Naaman Forest Blvd Urology Clinics of North Texas, PA Webster, Winston S, MD Garland, TX 75044 3417 Gaston Ave Ste 830 Eff 01-Jan-14 (972) 494-6764 Dallas, TX 75246 Urology Clinics of North Texas, PA (214) 826-6021 3417 Gaston Ave Ste 830 Ghobriel, Aldo A, MD Dallas, TX 75246 Eff 01-Jan-14 Sun, Andrew Y, MD (214) 826-6021 Urology Clinics of North Texas, PA Eff 22-Oct-20 6460 Naaman Forest Blvd Texas Oncology PA Wilner, Matthew L, MD Garland, TX 75044 1411 N. Beckley Avenue, Pavillion Eff 01-Jan-14 (972) 494-6764 II, Ste 464 Urology Clinics of North Texas, PA Dallas, TX 75203 8230 Walnut Hill Ln Ste 700 Lieser, Gregory C, MD (214) 948-3101 Dallas, TX 75231 Eff 14-Sep-15 (214) 691-1902 Urology Clinics of North Texas, PA Syed, Nabeel H, MD 6460 Naaman Forest Blvd Eff 11-Apr-16 Acharya, Sujeet S, MD Garland, TX 75044 Urology Clinics of North Texas, PA Eff 19-Jul-18 (972) 494-6764 7777 Forest Ln Ste A230 Texas Oncology, PA Dallas, TX 75230 2705 Prince George Ave (972) 566-7765 Desoto, TX 75115-2045 (972) 780-0480

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 411 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Newman, Keith D, MD Syed, Nabeel H, MD Tchetgen, Marie-Blanche N, MD Eff 01-Jan-14 Eff 11-Apr-16 Eff 22-Sep-18 Urology Clinics of North Texas, PA Urology Clinics of North Texas, PA Urology Clinics of North Texas, PA 6460 Naaman Forest Blvd 920 Hwy 352 Ste 100 4370 Medical Arts Dr Ste 105 Garland, TX 75044 Mesquite, TX 75149-6892 Flower Mound, TX 75028 (972) 494-6764 (972) 270-8859 (972) 394-4500 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): German Mootha, Ravi K, MD hablado(s): French Eff 01-Aug-15 Pickens, Glynn J, MD North Texas Urology Ellis County | Condado de Ellis Eff 01-Jan-14 2821 E President George Bush Urology Clinics of North Texas, PA Hwy, Ste 305 Nwafor, Francis O, MD 6460 Naaman Forest Blvd Richardson, TX 75082 Eff 01-Aug-15 Garland, TX 75044 (972) 235-3248 Star Urology of Texas, PA (972) 494-6764 • Languages spoken / Idioma(s) 802 W Lampasas hablado(s): Spanish Bloom, Keith D, MD Ennis, TX 75119 (903) 874-9008 Eff 01-Jan-20 Denton County | Condado de Urology Partners of North Texas • Languages spoken / Idioma(s) PLLC Denton hablado(s): Nigerian 2021 N MacArthur Blvd Ste 450 Irving, TX 75061-2219 Fairbanks, John L, MD Grayson County | Condado de (866) 367-8768 Eff 11-Jan-16 Grayson Urology Clinics of North Texas, PA Lievano, Gonzalo , MD 4325 N Josey Ln, Ste 203 Specialty Care Physicians & Other Providers/ Hilz, Michael , MD Eff 01-Jan-14 Carrollton, TX 75010 Eff 01-Aug-19 Baylor Specialty Associates of Fort (972) 394-4500 Médicos de cuidado especializado y otros proveedores WNJ Wellcare Medical Group Worth 300 N Highland Ave, Ste 330 2021 N MacArthur Ste 515 Shirvani, Ali R, MD Eff 11-Oct-17 Sherman, TX 75092-7389 Irving, TX 75061 (903) 893-6166 (972) 247-0016 Urology Clinics of North Texas, PA 4325 N Josey Ln Plaza III Ste 301 Waguespack, Keith A, MD Carrollton, TX 75010-4638 Hood County | Condado de Eff 01-Jan-20 (214) 915-8515 Hood Urology Partners of North Texas • Languages spoken / Idioma(s) PLLC hablado(s): Farsi Deshmukh, Avi T, MD 2021 N MacArthur Blvd Ste 450 Eff 01-Nov-14 Irving, TX 75061-2219 Singh, Sameer K, MD North Central Texas Urology (866)367-8768 Eff 15-Oct-17 Associates, PLLC Urology Clinics of North Texas, PA 805 Hill Blvd, Ste 106-107 Xavier, Keith R, MD 4325 N Josey Ln Plaza III Ste 301 Granbury, TX 76048 Eff 01-Jan-20 Carrollton, TX 75010-4638 (817) 599-3690 Urology Partners of North Texas (214) 915-8515 PLLC Rittenhouse, David Randall, DO 2021 N MacArthur Blvd Ste 450 Fairbanks, John L, MD Eff 30-Aug-14 Irving, TX 75061 Eff 11-Jan-16 Texas Center for Urology, LLP (866) 367-8768 Urology Clinics of North Texas, PA 2006 Fall Creek Hwy 4370 Medical Arts Dr, Ste 270 Granbury, TX 76049 Johnston, Margarita R, MD Flower Mound, TX 75028-1712 (817) 871-9069 Eff 13-Jun-16 (972) 394-4500 Urology Clinics of North Texas, PA 920 Hwy 352 Ste 100 Mesquite, TX 75149-6892 (972) 270-8859

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 412 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Waters, Michael , DO Parker County | Condado de Young, Todd , DO Eff 12-Oct-19 Eff 30-Aug-14 Texas Center for Urology, LLP Parker Texas Center for Urology, LLP 2006 Fall Creek Hwy 2107 Ft Worth Hwy, Ste 500 Granbury, TX 76049-7913 Deshmukh, Avi T, MD Weatherford, TX 76086 (817) 871-9069 Eff 01-Nov-14 (817) 871-9069 North Central Texas Urology Young, Todd , DO Associates, PLLC Rockwall County | Condado de Eff 30-Aug-14 1212 Clear Lake Rd, Ste 200 Texas Center for Urology, LLP Weatherford, TX 76086 Rockwall 2006 Fall Creek Hwy (817) 599-3690 Granbury, TX 76049 Carr, Aimee L, MD (817) 871-9069 Leng, Wendy W, MD Eff 01-Jan-14 Eff 01-Jan-20 Urology Clinics of North Texas, PA Johnson County | Condado de Urology Partners of North Texas 890 Rockwall Pkwy, Ste 110 PLLC Rockwall, TX 75032 Johnson 945 Hilltop Dr Ste 100 (972) 961-9482 Weatherford, TX 76086 Rittenhouse, David Randall, DO (866) 367-8768 Lieser, Gregory C, MD Eff 30-Aug-14 Eff 14-Sep-15 Texas Center for Urology, LLP Lievano, Gonzalo , MD Urology Clinics of North Texas, PA 11797 South FWY, Ste 330 Eff 01-Jan-14 890 Rockwall Pkwy, Ste 110 Burleson, TX 76028 Baylor Scott & White Family Rockwall, TX 75032 (817) 769-3370 Medicine Weatherford (972) 961-9482 2035 Ft Worth Hwy Ste 100 Specialty Care Physicians & Other Providers/ Waters, Michael , DO Weatherford, TX 76086 Newman, Keith D, MD Eff 12-Oct-19 (817) 912-9050 Eff 01-Jan-14 Texas Center for Urology, LLP Urology Clinics of North Texas, PA Médicos de cuidado especializado y otros proveedores 11797 S Frwy, Ste 330 Poteet, Jason R, MD 890 Rockwall Pkwy Ste 110 Burleson, TX 76028-7035 Eff 21-May-20 Rockwall, TX 75032 (817) 769-3370 Urology Partners of North Texas, (972) 961-9482 PLLC • Languages spoken / Idioma(s) Navarro County | Condado de 945 Hilltop Dr Ste 100 hablado(s): German Navarro Weatherford, TX 76086 (866) 367-8768 Pickens, Glynn J, MD Eff 01-Jan-14 Nwafor, Francis O, MD Rittenhouse, David Randall, DO Urology Clinics of North Texas, PA Eff 01-Aug-15 Eff 30-Aug-14 890 Rockwall Pkwy, Ste 110 Star Urology of Texas, PA Texas Center for Urology, LLP Rockwall, TX 75032 3112 W Hwy 22 2107 Ft Worth Hwy, Ste 500 (972) 961-9482 Corsicana, TX 75110 Weatherford, TX 76086 (903) 874-9008 (817) 871-9069 Tarrant County | Condado de • Languages spoken / Idioma(s) hablado(s): Nigerian Waters, Michael , DO Tarrant Eff 12-Oct-19 Texas Center for Urology, LLP Applewhite, Jeffrey C, MD 2107 Ft Worth Hwy, Ste 500 Eff 01-Jan-20 Weatherford, TX 76086-4813 Urology Partners of North Texas (817) 871-6069 PLLC 5005 S Cooper St Ste 250 Arlington, TX 76017 (866) 367-8768

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 413 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bevan-Thomas, Richard H, MD Mammen, Tony , MD Ortiz, Dennis L, DO Eff 01-Jan-20 Eff 01-Jan-20 Eff 01-Jan-15 Urology Partners of North Texas Urology Partners of North Texas North Central Urology, PA PLLC PLLC 4218 Gateway Dr, Ste 100 5005 S Cooper St Ste 250 5005 S Cooper St Ste 250 Colleyville, TX 76034 Arlington, TX 76017-5993 Arlington, TX 76017-5993 (817) 283-1860 (866) 367-8768 (866) 367-8768 • Languages spoken / Idioma(s) hablado(s): Spanish Cannon-Smith, Tracy L, MD Nuss, Geoffrey R, MD Eff 01-Jan-20 Eff 01-Jan-20 Applewhite, Jeffrey C, MD Urology Partners of North Texas Urology Partners of North Texas Eff 01-Jan-20 PLLC PLLC Urology Partners of North Texas 5005 S Cooper St Ste 250 5005 S Cooper St Ste 250 PLLC Arlington, TX 76017-5993 Arlington, TX 76017-5993 5801 Oakbend Trl Ste 180 (866) 367-8768 (866) 367-8768 Fort Worth, TX 76132-3915 (866) 367-8768 Chan, Paul C, MD Pace, Christopher M, MD Eff 01-Jan-20 Eff 01-Jan-20 Bailey, George C, MD Urology Partners of North Texas Urology Partners of North Texas Eff 11-Jul-18 PLLC PLLC Urology Clinics of North Texas, PA 5005 S Cooper St Ste 250 5005 S Cooper St Ste 250 4312 Heritage Trace Pkwy Ste 700 Arlington, TX 76017-5993 Arlington, TX 76017 Fort Worth, TX 76244 (866) 367-8768 (866) 367-8768 (214) 915-8506 Chuang, Weber W, MD Vestal, James C, MD Chowdhury, Mashrin , DO Specialty Care Physicians & Other Providers/ Eff 01-Jan-20 Eff 01-Jan-20 Eff 06-Apr-20 Urology Partners of North Texas Urology Partners of North Texas Urology Partners of North Texas Médicos de cuidado especializado y otros proveedores PLLC PLLC PLLC 5005 S Cooper St Ste 250 5005 S Cooper St Ste 250 7250 Hawkins View Dr Ste 411 Arlington, TX 76017-5993 Arlington, TX 76017-5993 Fort Worth, TX 76132 (866) 367-8768 (866) 367-8768 (866) 367-8768 Collini, Michael P, MD West, Diane C, MD Collini, Michael P, MD Eff 01-Jan-20 Eff 01-Jan-20 Eff 01-Jan-20 Urology Partners of North Texas Urology Partners of North Texas Urology Partners of North Texas PLLC PLLC PLLC 5005 S Cooper St Ste 250 5005 S Cooper St Ste 250 5801 Oakbend Trl Ste 180 Arlington, TX 76017 Arlington, TX 76017-5993 Fort Worth, TX 76132-3915 (866) 367-8768 (866) 367-8768 (866) 367-8768 Compton, Zachary R, MD Xavier, Keith R, MD Davidson, Scott D, MD Eff 01-Jan-20 Eff 01-Jan-20 Eff 01-Jan-14 Urology Partners of North Texas Urology Partners of North Texas Urology Clinics of North Texas, PA PLLC PLLC 4312 Heritage Trace Pkwy, Ste 2021 N MacArthur Blvd Ste 450 5005 S Cooper St Ste 250 700 Arlington, TX 76017-5993 Arlington, TX 76017-5993 Fort Worth, TX 76244 (866) 367-8768 (866) 367-8768 (214) 915-8506

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 414 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Gould, David L, MD Nuss, Geoffrey R, MD Thurman, Scott A, MD Eff 17-Feb-16 Eff 01-Jan-20 Eff 01-Jan-20 Metroplex Urology and Transplant Urology Partners of North Texas Urology Partners of North Texas Surgery PLLC PLLC 900 Jerome, Ste 304 7250 Hawkins View Dr Ste 411 5801 Oakbend Trl Ste 180 Fort Worth, TX 76104 Fort Worth, TX 76132-3931 Fort Worth, TX 76132-3915 (817) 348-8399 (866) 367-8768 (866) 367-8768 • Languages spoken / Idioma(s) hablado(s): Spanish Poteet, Jason R, MD Thurman, Scott A, MD Eff 21-May-20 Eff 01-Jan-20 Leng, Wendy W, MD Urology Partners of North Texas, Urology Partners of North Texas Eff 01-Jan-20 PLLC PLLC Urology Partners of North Texas 5801 Oakbend Trl Ste 180 7100 Oakmont Blvd Ste 101 PLLC Fort Worth, TX 76132 Fort Worth, TX 76132 7250 Hawkins View Dr Ste 411 (866) 367-8768 (866) 367-8768 Fort Worth, TX 76132-3931 (866) 367-8768 Poteet, Jason R, MD Waters, Michael , DO Eff 21-May-20 Eff 12-Oct-19 Lievano, Gonzalo , MD Urology Partners of North Texas, Texas Center for Urology, LLP Eff 01-Jan-14 PLLC 2900 Acme Brick Plaza Baylor Specialty Associates of Fort 7100 Oakmont Blvd Ste 101 Fort Worth, TX 76109-4123 Worth Fort Worth, TX 76132 (817) 871-9069 1307 8th Ave Ste 406 (866) 367-8768 Fort Worth, TX 76104 Young, Todd , DO Rittenhouse, David Randall, DO Eff 30-Aug-14 (817) 912-8040 Specialty Care Physicians & Other Providers/ Eff 30-Aug-14 Texas Center for Urology, LLP Lucas, Jacob W, DO Texas Center for Urology, LLP 117971 S Fwy, Ste 226 Eff 13-Nov-20 2900 Acme Brick Plaza Fort Worth, TX 76109 Médicos de cuidado especializado y otros proveedores Baylor Scott & White Center for Fort Worth, TX 76109 (817) 769-3370 Reconstructive Urology (817) 871-9069 1101 6Th Ave Ste 110 Young, Todd , DO Fort Worth, TX 76104 Secrest, Charles L, MD Eff 30-Aug-14 (817) 912-8570 Eff 25-May-19 Texas Center for Urology, LLP Baylor Scott & White Center for 2900 Acme Brick Plaza Moore, Frank H, MD Reconstructive Urology Fort Worth, TX 76109 Eff 01-Jan-20 1101 6th Ave Ste 110 (817) 871-9069 Urology Partners of North Texas Fort Worth, TX 76104 PLLC (817) 912-8570 Abrahams, Harrison M, MD 5801 Oakbend Trl Ste 180 Eff 01-Jan-20 Fort Worth, TX 76132-3915 Smith, William A, MD Urology Partners of North Texas (866) 367-8768 Eff 19-Mar-19 PLLC Urology Clinics of North Texas, PA 3600 William D Tate Ste #200 Moore, Frank H, MD 4312 Heritage Trace Pkwy Ste 700 Grapevine, TX 76051-8722 Eff 01-Jan-20 Fort Worth, TX 76244 (866) 367-8768 Urology Partners of North Texas (214) 915-8506 PLLC Ash, Steven , MD 7100 Oakmont Ste 101 Stroud, Robert G, DO Eff 01-Jan-14 Fort Worth, TX 76132-3908 Eff 01-Jan-14 North DFW Urology (866) 367-8768 Lone Star Urology 1601 Lancaster Dr, Ste 170 1107 University Dr Grapevine, TX 76051 Fort Worth, TX 76107 (817) 481-7727 (817) 335-0199 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 415 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Bruner, Bryan C, MD Nuss, Geoffrey R, MD Stephanian, Edic , MD Eff 01-Jan-14 Eff 01-Jan-20 Eff 01-Apr-15 Urology Clinics of North Texas, PA Urology Partners of North Texas Vascular Care of Texas, PLLC 1631 Lancaster Dr Ste 350 PLLC 5236 W University Dr Ste 3600 Grapevine, TX 76051 309 Regency Parkway Ste 103 McKinney, TX 75071 (214) 915-8502 Mansfield, TX 76063 (972) 426-9900 (866) 367-8768 Davidson, Scott D, MD Grimsley, Bradley Ray, MD Eff 01-Jan-14 Wise County | Condado de Eff 01-Jan-14 Urology Clinics of North Texas, PA Texas Vascular Associates 1631 Lancaster Dr Ste 350 Wise 4708 Alliance Blvd, Ste 240 Grapevine, TX 76051 Plano, TX 75093 (214) 915-8502 Ortiz, Dennis L, DO (972) 665-9100 Eff 01-Jan-15 • Languages spoken / Idioma(s) Frey, Patrick R, MD North Central Urology, PA hablado(s): Spanish Eff 24-Aug-18 1903 Doctor's Hospital Dr, Ste 33 Urology Clinics of North Texas, PA Bridgeport, TX 76426 Hohmann, Stephen E, MD 1631 Lancaster Dr Ste 350 (817) 283-1860 Eff 01-Jan-14 Grapevine, TX 76051 • Languages spoken / Idioma(s) Texas Vascular Associates (214) 915-8502 hablado(s): Spanish 4708 Alliance Blvd, Ste 240 Plano, TX 75093 Graves, Nathan L, MD Vascular Surgery/ Cirugía (972) 665-9100 Eff 01-Jan-14 vascular North DFW Urology Hohmann, Stephen E, MD 1601 Lancaster Dr, Ste 170 Eff 01-Jan-14 Specialty Care Physicians & Other Providers/ Collin County | Condado de Grapevine, TX 76051 Texas Vascular Associates (817) 481-7727 Collin 4716 Alliance Blvd, Ste 200 Médicos de cuidado especializado y otros proveedores Plano, TX 75093 Pace, Christopher M, MD Sun, Lucy , MD (972) 665-9100 Eff 01-Jan-20 Eff 24-Nov-17 Urology Partners of North Texas Vein Clinics of America Kakish, Humam B, MD PLLC 1101 Raintree, Ste 140 Eff 01-Mar-16 3600 William D Tate Ste 200 Allen, TX 75013-4968 Advanced Vein and Vascular Grapevine, TX 76051-8722 (972) 679-6807 Associates (866) 367-8768 4708 Alliance Blvd, Ste 835 Lorenzo, Ana C, MD Plano, TX 75093 Chowdhury, Mashrin , DO Eff 01-Aug-17 (469) 547-1142 Eff 06-Apr-20 Ana Cecliia Lorenzo MD, PA • Languages spoken / Idioma(s) Urology Partners of North Texas 4401 Coit Rd, Ste 401 hablado(s): Arabic PLLC Frisco, TX 75035 9718 N Beach St Ste 204 (214) 387-4202 Kedora, John C, MD Keller, TX 76244 • Languages spoken / Idioma(s) Eff 01-Jan-14 (866) 367-8768 hablado(s): Spanish Texas Vascular Associates 4708 Alliance Blvd, Ste 240 Collini, Michael P, MD Hayhurst, James C, MD Plano, TX 75093 Eff 01-Jan-20 Eff 01-Apr-15 (972) 665-9100 Urology Partners of North Texas Vascular Care of Texas, PLLC PLLC 5236 W University Dr Ste 3600 Pearl, Gregory J, MD 309 Regency Parkway Ste 103 McKinney, TX 75071 Eff 01-Jan-14 Mansfield, TX 76063 (972) 426-9900 Texas Vascular Associates (866) 367-8768 • Languages spoken / Idioma(s) 4708 Alliance Blvd, Ste 240 hablado(s): Spanish Plano, TX 75093 (972) 665-9100

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 416 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Shirvani, Arash M, MD Chu, Tuan-Hung B, MD Hohmann, Stephen E, MD Eff 16-Nov-19 Eff 01-Jan-14 Eff 01-Jan-14 Texas Vascular Associates Texas Vascular Associates Texas Vascular Associates 4716 Alliance Blvd, Ste 200 621 N Hall, Ste 100 621 N Hall, Ste 100 Plano, TX 75093 Dallas, TX 75226-1305 Dallas, TX 75226-1305 (972) 665-9100 (214) 821-9600 (214) 821-9600 • Languages spoken / Idioma(s) Shutze, William P, MD hablado(s): Spanish Kakish, Humam B, MD Eff 01-Jan-14 Eff 01-Mar-16 Texas Vascular Associates Corn, Robert S, MD Advanced Vein and Vascular 4700 Alliance Blvd, Ste 240 Eff 18-Oct-19 Associates Plano, TX 75093 Texas Vascular Associates 8210 Walnut Hill Ln, Ste 408 (972) 665-9100 621 N Hall St Ste 100 Dallas, TX 75231 • Languages spoken / Idioma(s) Dallas, TX 75226-1305 (469) 547-1142 hablado(s): Spanish (214) 821-9600 • Languages spoken / Idioma(s) hablado(s): Arabic Smith, Bertram L, MD Eidt, John F, MD Eff 01-Jan-14 Eff 09-Oct-15 Laux, Anne T, MD Texas Vascular Associates Texas Vascular Associates Eff 20-Nov-17 4700 Alliance Blvd, Ste 240 621 N Hall, Ste 100 Texas Vascular Associates Plano, TX 75093 Dallas, TX 75226-1305 621 N Hall, Ste 100 (972) 665-9100 (214) 821-9600 Dallas, TX 75226-1305 (214) 821-9600 Sun, Lucy , MD Feldtman, Robert , MD Eff 24-Nov-17 Eff 15-Oct-18 Pearl, Gregory J, MD Specialty Care Physicians & Other Providers/ Vein Clinics of America DFW Vascular Group, LLP Eff 01-Jan-14 6149 Windhaven Pkwy, Ste 130 221 W Colorado Blvd, Pavilion II, Texas Vascular Associates Plano, TX 75093-8298 Ste 625 621 N Hall, Ste 100 Médicos de cuidado especializado y otros proveedores (972) 881-1320 Dallas, TX 75208 Dallas, TX 75226-1305 (214) 946-5165 (214) 821-9600 Dallas County | Condado de Ferrara, Craig A, DO Shutze, William P, MD Dallas Eff 15-Oct-18 Eff 01-Jan-14 DFW Vascular Group, LLP Texas Vascular Associates Ahn, Samuel , MD 221 W Colorado Blvd, Pavilion II, 621 N Hall, Ste 100 Eff 15-Oct-18 Ste 625 Dallas, TX 75226-1305 DFW Vascular Group, LLP Dallas, TX 75208 (214) 821-9600 221 W Colorado Blvd, Pavilion II, (214) 946-5165 • Languages spoken / Idioma(s) Ste 625 hablado(s): Spanish Dallas, TX 75208 Gable, Dennis R, MD (214) 946-5165 Eff 01-Jan-14 Smith, Bertram L, MD • Languages spoken / Idioma(s) Texas Vascular Associates Eff 01-Jan-14 hablado(s): Korean 621 N Hall, Ste 100 Texas Vascular Associates Dallas, TX 75226-1305 621 N Hall, Ste 100 Caruso, Joseph , MD (214) 821-9600 Dallas, TX 75226-1305 Eff 15-Oct-18 (214) 821-9600 DFW Vascular Group, LLP Grimsley, Bradley Ray, MD 221 W Colorado Blvd, Pavilion II, Eff 01-Jan-14 Ste 625 Texas Vascular Associates Dallas, TX 75208 621 N Hall, Ste 100 (214) 946-5165 Dallas, TX 75226-1305 (214) 821-9600 • Languages spoken / Idioma(s) hablado(s): Spanish

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 417 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Vasquez, Javier , MD Hayhurst, James C, MD Gable, Dennis R, MD Eff 01-Jan-14 Eff 01-Apr-15 Eff 01-Jan-14 Texas Vascular Associates Vascular Care of Texas, PLLC Texas Vascular Associates 621 N Hall, Ste 100 618 Clara Barton Ste 1 399 W Campbell Rd, Ste 300 Dallas, TX 75226-1305 Garland, TX 75042 Richardson, TX 75080 (214) 821-9600 (972) 426-9900 (214) 821-9600 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish hablado(s): Spanish Kedora, John C, MD Eff 01-Jan-14 Feldtman, Robert , MD Stephanian, Edic , MD Texas Vascular Associates Eff 15-Oct-18 Eff 01-Apr-15 5236 W University Dr, Ste 4450 DFW Vascular Group, LLP Vascular Care of Texas, PLLC Richardson, TX 75080 2801 Bolton Boone Dr, Ste 105 601 Clara Barton Blvd Ste 350 (972) 655-9100 Desoto, TX 75115 Garland, TX 75042 (972) 296-2122 (972) 426-9900 An, Ruosu , MD Eff 01-Jun-18 Ferrara, Craig A, DO Stephanian, Edic , MD Vanguard Vascular & Vein, PLLC Eff 15-Oct-18 Eff 29-Aug-17 7700 Lakeview Pkwy, Ste C DFW Vascular Group, LLP Dallas Vein Center, PA Rowlett, TX 75088 2801 Bolton Boone Dr, Ste 105 618 Clara Barton (972) 487-1818 Desoto, TX 75115 Garland, TX 75042 (972) 296-2122 (972) 475-6683 Yau, Franklin See-lai, MD Eff 15-Oct-14 Banegas, Shonda , DO Stephanian, Edic , MD Vanguard Vascular & Vein, PLLC Eff 02-Nov-18 Eff 01-Apr-15 7700 Lakeview Pkwy, Ste C Specialty Care Physicians & Other Providers/ Vascular Care of Texas PLLC Vascular Care of Texas, PLLC Rowlett, TX 75088 601 Clara Barton Blvd Ste 350 618 Clara Barton Ste 1 (972) 487-1818 Médicos de cuidado especializado y otros proveedores Garland, TX 75042 Garland, TX 75042 • Languages spoken / Idioma(s) (972) 426-9900 (972) 426-9900 hablado(s): Chinese

Baqai, Atif , MD Sun, Lucy , MD Denton County | Condado de Eff 29-Aug-17 Eff 24-Nov-17 Dallas Vein Center, PA Vein Clinics of America Denton 618 Clara Barton 4170 Lavon Dr, Ste 146 Garland, TX 75042 Garland, TX 75040 Sun, Lucy , MD (972) 475-6683 (972) 495-2224 Eff 24-Nov-17 Vein Clinics of America Hayhurst, James C, MD Ali, Ahsan T, MD 4001 Long Prairie Rd, Ste 105 Eff 01-Apr-15 Eff 01-Oct-17 Flower Mound, TX 75028-1565 Vascular Care of Texas, PLLC Vascular Surgical Specialists (972) 874-3900 601 Clara Barton Blvd Ste 350 Irving Garland, TX 75042 2001 N MacArthur Blvd Ste 655 Ellis County | Condado de Ellis (972) 426-9900 Irving, TX 75061-2244 • Languages spoken / Idioma(s) (469) 800-1380 Shutze, William P, MD hablado(s): Spanish Eff 01-Jan-14 Sun, Lucy , MD Texas Vascular Associates Hayhurst, James C, MD Eff 24-Nov-17 1305 W Jefferson, Ste 100 Eff 01-Aug-17 Vein Clinics of America Waxahachie, TX 75165 Dallas Vein Center, PA 7200 Highway 161, Ste 110 (214) 821-9600 618 Clara Barton Irving, TX 75039-3800 • Languages spoken / Idioma(s) Garland, TX 75042 (469) 420-9229 hablado(s): Spanish (972) 475-6683

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 418 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Parker County | Condado de Foster, Travis A, MD Sun, Lucy , MD Eff 15-Apr-17 Eff 24-Nov-17 Parker North Texas Vein Partners Vein Clinics of America 2737 S Hulen St 2777 E Southlake Blvd, Ste 140 Halbouni, Saadi M, MD Fort Worth, TX 76109 Southlake, TX 76092-8017 Eff 02-Sep-19 (817) 927-5627 (817) 488-7511 North Texas Surgical Specialist, PLLC Halbouni, Saadi M, MD Wound Care/ Clínica para 920 Sante Fe Dr Eff 02-Sep-19 atención de heridas Weatherford, TX 76086-5864 North Texas Surgical Specialist, (682) 224-3748 PLLC Dallas County | Condado de 3025 N Tarrant Pkwy, Ste 100 Rockwall County | Condado de Fort Worth, TX 76177-8625 Dallas (682) 224-3748 Rockwall Kaur, Amandeep , MD Halbouni, Saadi M, MD Eff 01-May-19 Grimsley, Bradley Ray, MD Eff 02-Sep-19 Amandeep Kaur, MD PA Eff 01-Jan-14 North Texas Surgical Specialist, 400 W I-635 Ste 130 Texas Vascular Associates PLLC Irving, TX 75063-3700 1005 W Ralph Hall Pkwy, Ste 125 800 Eighth Ave, Ste 306 (972) 579-5222 Rockwall, TX 75032 Fort Worth, TX 76104-2602 (972) 475-1277 (682) 224-3748 Kaur, Amandeep , MD • Languages spoken / Idioma(s) Eff 11-Jun-20 hablado(s): Spanish Pollard, Robert S, MD North Texas Professional Wound Eff 01-Jan-14

Care Associates Specialty Care Physicians & Other Providers/ Hohmann, Stephen E, MD Surgical Associates of the Mid- 400 W I-635 Ste 130 Eff 01-Jan-14 Cities Irving, TX 75063-3700 Texas Vascular Associates 9509 N Beach St, Ste 102 (972) 579-5222 Médicos de cuidado especializado y otros proveedores 1005 W Ralph Hall Pkwy, Ste 125 Fort Worth, TX 76244 Rockwall, TX 75032 (817) 267-2678 Theriot, Maxine A, MD (972) 475-1277 Eff 23-Jul-17 Vigness, Richard M, MD North Texas Professional Wound Tarrant County | Condado de Eff 01-Jan-14 Care Associates Tarrant Richard M Vigness, MD 400 W I-635 Plz I Ste 130 1307 8th Ave, Ste 601 Irving, TX 75063 Fort Worth, TX 76104 Sun, Lucy , MD (972) 579-5222 (817) 926-3320 Eff 24-Nov-17 Denton County | Condado de Vein Clinics of America Ali, Ahsan T, MD 4000 Five Points Blvd, Ste 133 Eff 01-Oct-17 Denton Arlington, TX 76018 Vascular Surgical Specialists (817) 522-7070 Irving Kaur, Amandeep , MD 2020 W State Hwy 114 Ste 200 Eff 01-May-19 Ali, Mujtaba M, MD Grapevine, TX 76051-8648 Amandeep Kaur, MD PA Eff 28-Jul-19 (469) 800-1380 4343 N Josey Ln Baylor Scott & White Cardiac & Carrollton, TX 75010-4603 Thoracic Surgery Pollard, Robert S, MD (972) 394-2336 1250 8th Ave, Ste 200 Eff 01-Jan-14 Fort Worth, TX 76104-4158 Surgical Associates of the Mid- Lindsay, Rodney , MD (817) 912-8240 Cities Eff 01-Oct-16 2050 Hall Johnson Rd, Ste 200 Private Practice Grapevine, TX 76051 4343 N Josey Lane (817) 267-2678 Carrollton, TX 75010 (972) 394-2336

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 419 December 1, 2020/ Specialty Care Physicians & Other Providers/ 1 de diciembre, 2020 Médicos de cuidado especializado y otros proveedores

Aten, Laurie Anne, MD Eff 15-Apr-18 Aten Wound Care and Healing Center 2817 S Mayhill Rd, Ste 230 Denton, TX 76208-5970 (469) 814-4160 Specialty Care Physicians & Other Providers/ Médicos de cuidado especializado y otros proveedores

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 420 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Hospitals/ 1 de diciembre, 2020 Hospitales

Hospital/ Hospital Baylor Scott and White Emergency Methodist Charlton Medical Center Hospital Murphy Eff 01-Jan-17 Collin County | Condado de Eff 22-Jul-14 3500 Wheatland Rd 511 FM 544, Ste 100 Dallas, TX 75237 Collin Plano, TX 75094-4581 (214) 947-7777 (214) 294-6150 Baylor Scott & White Medical Methodist Dallas Medical Center Center - Centennial Dallas County | Condado de Eff 01-Jan-17 Eff 01-Nov-15 1441 N Beckley Ave 12505 Lebanon Rd Dallas Dallas, TX 75203 Frisco, TX 75035-8298 (214) 947-8181 (972) 963-3333 Methodist Hospital for Surgery Eff 01-Jan-17 North Central Surgical Center Baylor Scott & White Medical 17101 Dallas Pkwy Eff 01-Jan-14 Center at Frisco Addison, TX 75001 9301 N Central Expy, Ste 100 Eff 01-Jan-14 (469) 248-3000 Dallas, TX 75231-0802 5601 Warren Pkwy (214) 265-2810 Frisco, TX 75034-4069 Baylor Medical Center at Uptown (214) 407-5000 Eff 01-Jan-14 Baylor Scott & White Emergency 2727 E Lemmon Ave Hospital Grand Prairie Baylor Scott & White Heart and Dallas, TX 75204-2833 Eff 16-Oct-18 Vascular Hospital- McKinney (214) 443-3000 3095 Kingswood Blvd, Ste 100 Eff 01-Jan-14 Grand Prairie, TX 75052-4506 5268 W University Dr Baylor Research Institute (972) 854-0009 McKinney, TX 75071-7822 Eff 01-Jan-14 (469)814-3278 3310 Live Oak St Ste 501 Baylor Scott & White Medical Dallas, TX 75204 Center - Irving Baylor Scott & White Medical (214) 820-2687 Eff 01-Jan-14 Center - McKinney 1901 N MacArthur Blvd Eff 01-Jan-14 Baylor Scott and White Heart and Irving, TX 75061 Hospitals/ Hospitales 5252 W University Dr Vascular Hospital - Dallas (972) 579-8100 McKinney, TX 75071 Eff 01-Jan-14 (469) 764-1000 621 Hall St Baylor Surgical Hospital at Las Dallas, TX 75246 Colinas Methodist McKinney Hospital (214) 820-0600 Eff 01-Jan-14 Eff 01-Jan-17 400 W I-635, Ste 101 8000 W Eldorado Pkwy Baylor T Boone Pickens Cancer Irving, TX 75063-3842 McKinney, TX 75070 Hospital (972) 868-4000 (972) 569-2700 Eff 01-Jan-14 3410 Worth St Crescent Medical Center Baylor Scott & White Medical Dallas, TX 75246 Lancaster Center - Plano (214) 820-3535 Eff 01-Jun-16 Eff 01-Jan-14 2600 W Pleasant Run 4700 Alliance Blvd Baylor University Medical Center Lancaster, TX 75146-1114 Plano, TX 75093-5323 Eff 01-Jan-14 (972) 668-9713 (469) 814-4850 3500 Gaston Ave Dallas, TX 75246 Methodist Richardson Medical Baylor Scott & White The Heart (214) 820-0111 Center Hospital - Plano Eff 01-Jan-17 Eff 01-Jan-14 City Hospital at White Rock 2831 E President George Bush 1100 Allied Dr Eff 01-Jul-18 Hwy Plano, TX 75093 9440 Poppy Dr Richardson, TX 75082 (469) 814-3278 Dallas, TX 75218-3652 (469) 204-1000 (214) 324-6100

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 421 December 1, 2020/ Hospitals/ 1 de diciembre, 2020 Hospitales

Baylor Scott & White Medical Grayson County | Condado de Tarrant County | Condado de Center - Lake Pointe Eff 01-Nov-15 Grayson Tarrant 6800 Scenic Dr Rowlett, TX 75088 Baylor Scott & White Surgical Baylor Orthopedic & Spine (972) 412-3380 Hospital at Sherman Hospital at Arlington Eff 01-Oct-15 Eff 01-Jan-14 Baylor Scott & White Medical 3601 N Calais St 707 Highlander Blvd Center - Sunnyvale Sherman, TX 75090 Arlington, TX 76015-4319 Eff 01-Nov-15 (903) 870-0999 (817) 583-7100 231 S Collins Rd Sunnyvale, TX 75182-4624 Wilson N Jones Regional Medical Baylor Scott and White Emergency (972) 892-3000 Center Hospital Colleyville Eff 01-May-19 Eff 11-Aug-14 Denton County | Condado de 500 N Highland Ave 5500 Colleyville Blvd Sherman, TX 75092-7354 Colleyville, TX 76034-5835 Denton (903) 891-7020 (214) 294-6350

Baylor Scott & White Emergency Hill County | Condado de Hill Baylor Scott & White All Saints Hospital Medical Center - Fort Worth Eff 01-Jan-14 Hill Regional Hospital Eff 01-Jan-14 26791 Hwy 380 E Eff 01-May-20 1400 8th Ave Aubrey, TX 76227-7654 101 Circle Dr Fort Worth, TX 76104 (972) 347-2525 Hillsboro, TX 76645 (817) 926-2544 Baylor Scott & White The Heart (254) 580-8500 Baylor Scott & White Heart and Hospital - Denton Vascular Hospital-Fort Worth Eff 05-Feb-14 Johnson County | Condado de Eff 01-Jan-14 2801 S Mayhill Rd Johnson 1400 Eighth Ave Hospitals/ Hospitales Denton, TX 76208 Fort Worth, TX 76104-4110 (940) 220-0600 Baylor Scott & White Emergency (817) 926-2544 Hospital Burleson Baylor Scott & White Medical Eff 01-Jan-14 Baylor Surgical Hospital at Fort Center - Trophy Club 12500 S Fwy, Ste 100 Worth Eff 01-Jan-14 Burleson, TX 76028-7128 Eff 01-Jan-14 2850 E State Hwy 114 (214) 294-6250 1800 Park Pl Ave Trophy Club, TX 76262 Fort Worth, TX 76110-1302 (817) 837-4600 (682) 703-5600 Rockwall County | Condado de Ellis County | Condado de Ellis Rockwall Baylor Scott & White Medical Center - Grapevine Baylor Scott & White Medical Baylor Scott & White Emergency Eff 01-Jan-14 Center at Waxahachie Hospital Rockwall 1650 W College Eff 01-Jan-14 Eff 08-Mar-19 Grapevine, TX 76051 2400 N I-35E 1975 Alpha Dr, Ste 100 (817) 488-7546 Waxahachie, TX 75165 Rockwall, TX 75087-4951 (214) 294-6200 Baylor Scott & White Emergency (469) 843-4000 Hospital Keller Eff 22-Jul-14 620 S Main St, Ste 100 Keller, TX 76248-4960 (214) 294-6100 • Languages spoken / Idioma(s) hablado(s): Spanish

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 422 December 1, 2020/ Hospitals/ 1 de diciembre, 2020 Hospitales

Baylor Scott & White Emergency Hospital Mansfield Eff 21-Jul-14 1776 N US 287, Ste 100 Mansfield, TX 76063-7628 (214) 294-6300 Methodist Mansfield Medical Center Eff 01-Jan-17 2700 E Broad St Mansfield, TX 76063 (682) 622-2000 Methodist Southlake Hospital Eff 15-Aug-16 421 E State Hwy 114 Southlake, TX 76092 (817) 865-4400 Hospitals/ Hospitales

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 423 December 1, 2020/ Skilled Nursing Facilities/ 1 de diciembre, 2020 Centros de enfermería especializada

Skilled Nursing Facility/ Centro Accel at Willow Bend Carrollton Health & Rehabilitation de enfermería especializada Eff 01-Jan-19 Center 2520 Communications Pl Eff 01-Aug-17 Collin County | Condado de Plano, TX 75093-8800 1618 Kirby Rd (214) 501-4672 Carrollton, TX 75006-7453 Collin (972) 245-1573 Collinwood Care Center The Belmont at Twin Creeks Eff 01-Jan-14 Heritage Gardens Rehabilitation Eff 01-Jun-20 3100 S Rigsbee Rd and Healthcare 999 Raintree Circle Plano, TX 75074 Eff 01-Aug-17 Allen, TX 75013-4947 (972) 423-6217 2135 N Denton Dr (972) 390-8088 Carrollton, TX 75006-3103 Landmark of Plano Rehabilitation (972) 242-0666 Continuing Care at Highland and Nursing Center Springs Eff 01-Nov-20 The Madison on Marsh Eff 01-Aug-17 1621 Coit Road Eff 01-Aug-17 7910 Frankford Rd Plano, TX 75075-6141 2245 Marsh Ln Dallas, TX 75252-6834 (972) 596-7930 Carrollton, TX 75006-2612 (972) 656-3500 (972) 416-1764 Prestonwood Rehabilitation & The Hillcrest of North Dallas Nursing Center Inc Sandy Lake Rehabilitation & Care Eff 01-Sep-17 Eff 01-Jan-14 Center 18648 Hillcrest Rd 2460 Marsh Ln Eff 01-Dec-18 Dallas, TX 75252-2752 Plano, TX 75093-1612 1410 E Sandy Lake Rd (972) 517-7771 (214) 731-5955 Coppell, TX 75019-3119 (972) 304-4444 Stonemere Rehabilitation Center The Healthcare Resort of Plano Eff 30-Jun-14 Eff 01-Aug-17 Autumn Leaves 11855 Lebanon Rd 3325 W Plano Pkwy Eff 01-Aug-15 Frisco, TX 75035-8298 Plano, TX 75075-8010 1010 Emerald Isle (469) 269-1000 (972) 379-0000 Dallas, TX 75218 (214) 328-4161 McKinney Healthcare and The Legacy at Willow Bend Rehabilitation Center Eff 01-Sep-15 Brentwood Place Four Eff 01-Jan-19 6101 Ohio Dr, Bldg C, Ste 500 Eff 01-May-20 253 Enterprise Drive Plano, TX 75024 3505 S Buckner Blvd Bldg 5 McKinney, TX 75069-7343 (972) 468-6300 Dallas, TX 75227-5534 (972) 542-2695 (214) 237-3250

Skilled Nursing Facilities/ Centros de enfermería especializada The Park in Plano North Park Health and Eff 15-May-17 CC Young Memorial Home Rehabilitation 3208 Thunderbird Ln Eff 01-Jan-19 Eff 30-Jun-14 Plano, TX 75075-2321 4829 W Lawther Drive 1720 N McDonald St (972) 442-2214 Dallas, TX 75214-1853 McKinney, TX 75069-8229 (214) 827-8080 (972) 562-7969 Dallas County | Condado de Crystal Creek at Preston Hollow Park Manor of McKinney Dallas Eff 15-Aug-16 Eff 01-Jul-19 11409 N Central Expy 1801 Pearson Ave Balch Springs Nursing Home Dallas, TX 75243 McKinney, TX 75069-3464 Eff 01-Jan-19 (214) 363-5100 (972)562-8880 4200 Shepherd Lane Balch Springs, TX 75180-3499 (972) 286-0335

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 424 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Skilled Nursing Facilities/ 1 de diciembre, 2020 Centros de enfermería especializada

Golden Acres Living & Garland Nursing & Rehabilitation Windsor Gardens Rehabilitation Center LP Eff 01-Aug-17 Eff 01-Aug-17 Eff 01-Jan-19 2535 W Pleasant Run 2525 Centerville Rd 321 North Shiloh Road Lancaster, TX 75146-1111 Dallas, TX 75228-2634 Garland, TX 75042-6610 (972) 228-8029 (214) 327-4503 (972) 276-9571 Edgewood Rehabilitation and Care Presbyterian Village North Legend Oaks Healthcare & Center Eff 01-Apr-16 Rehab-Garland Eff 01-Aug-17 8600 Skyline Dr Eff 01-Oct-20 1101 Windbell Dr Dallas, TX 75243 2625 Belt Line Road Mesquite, TX 75149-2177 (214) 355-9000 Garland, TX 75044-7003 (972) 288-8800 (972) 543-7700 Signature Pointe Palomino Place Eff 01-Sep-15 Pleasant Valley Healthcare and Eff 01-Aug-20 14655 Preston Rd Rehab Center 3160 Gus Thomasson Road Dallas, TX 75254-7805 Eff 01-Jan-19 Mesquite, TX 75150-4048 (972) 726-7575 1525 Pleasant Valley Road 469-329-4002 Garland, TX 75040-4327 The Renaissance at Kessler Park (972) 496-8800 Willowbend Nursing and Eff 01-Jan-19 Rehabilitation Center 2428 Bahama Dr Avante Rehabilitation Center Eff 31-Jan-15 Dallas, TX 75211-- Eff 01-Jan-14 2231 Hwy 80 E (214) 948-3811 225 N Sowers Rd Mesquite, TX 75150-5510 Irving, TX 75061 (972) 279-3601 Traymore Nursing Center (972) 253-4173 Eff 01-Jan-19 Cottonwood Creek Healthcare 4315 Hopkins Ave Northgate Plaza Community Dallas, TX 75209-3006 Eff 01-Apr-20 Eff 15-May-17 (214) 358-3131 2101 Northgate Drive 1111 W Shore Dr Irving, TX 75062-2637 Richardson, TX 75080-4046 Duncanville Healthcare and (972) 255-4460 (972) 783-8000 Rehabilitation Center Eff 01-Jan-19 The Villages on MacArthur Dallas County Hospital District 419 S Cockrell Hill Road Eff 01-Jan-19 Eff 01-Apr-20 Duncanville, TX 75116-4939 3443 N The Macarthur 3550 Shiloh Rd (972) 708-8800 Irving, TX 75062-4411 Richardson, TX 75082-2464 (469) 586-4424 (972) 231-4810

Laurenwood Nursing & Skilled Nursing Facilities/ Centros de enfermería especializada Rehabilitation Millbrook Healthcare and Lindan Park Care Center Eff 01-Jan-14 Rehabilitation Center Eff 01-Jan-14 330 W Camp Wisdom Rd Eff 01-Jan-19 1510 N Plano Rd Duncanville, TX 75116 1850 W Pleasant Run Rd Richardson, TX 75081 (972) 298-3398 Lancaster, TX 75146-1220 (972) 234-4786 (972) 275-1900 Advanced Health & Rehab of PowerBack Rehabilitation Garland Westridge Nursing and Richardson Eff 01-Jan-19 Rehabilitation LP Eff 08-Sep-15 505 W Centerville Rd Eff 01-Jan-19 1350 E Lookout Dr Garland, TX 75041-5445 1241 Westridge Ave Richardson, TX 75082 (972) 278-3566 Lancaster, TX 75146-- (972) 220-2000 (972) 227-5110

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 425 December 1, 2020/ Skilled Nursing Facilities/ 1 de diciembre, 2020 Centros de enfermería especializada

Founders Plaza Nursing and Lake Village Nursing and Hill County | Condado de Hill Rehab Rehabilitation Center Eff 01-Jan-14 Eff 30-Apr-15 Town Hall Estates Hillsboro 721 S Hwy 78 169 Lake Park Rd Eff 01-Jan-14 Wylie, TX 75098 Lewisville, TX 75057-2303 300 Happy Ln (972) 303-8100 (972) 436-7571 Hillsboro, TX 76645-2624 (254) 582-8482 Denton County | Condado de Ellis County | Condado de Ellis Denton Hood County | Condado de Legend Oaks Healthcare & Hood Brookhaven Nursing & Rehab-Ennis Rehabilitation Center Eff 15-May-17 1400 Medical Center Dr Trinity Nursing and Rehabilitation Eff 01-Jan-14 of Granbury, LP 1855 Cheyenne Dr Ennis, TX 75119-1587 (972) 875-4800 Eff 01-Jan-19 Carrollton, TX 75010 600 Reunion St (972) 394-7141 Trinity Nursing and Rehabilitation Granbury, TX 76048-1610 Remarkable Healthcare of of Italy LP (817) 573-3773 Carrollton Eff 01-Jan-19 220 Davenport St Granbury Care Center Eff 31-May-15 Eff 01-Jan-14 4501 Plano Pkwy Italy, TX 76651-3592 (972) 483-6369 301 S Park Carrollton, TX 75010-4971 Granbury, TX 76048-1800 (972) 701-5300 Red Oak Health and Rehab Ctr (817) 573-3726 Corinth Rehabilitation Suites on Eff 01-May-16 101 Reese St Granbury Rehab & Nursing the Parkway Eff 01-Jan-19 Eff 01-Aug-17 Red Oak, TX 75154-2376 (469) 552-0500 2124 Paluxy Hwy 3511 Corinth Pkwy Granbury, TX 76048-5530 Corinth, TX 76208-5384 Legend Oaks Healthcare & Rehab (817) 279-7600 (940) 270-3400 - Waxahachie Cottonwood Nursing & Eff 01-Dec-19 Hunt County | Condado de Rehabilitation LP 151 Country Meadows Blvd Hunt Eff 01-Jan-19 Waxahachie, TX 75165-7811 (972) 937-1650 2224 N Carroll Blvd Oak Manor Nursing and Denton, TX 76201-- Rehabilitation LP (940) 387-6656 Grayson County | Condado de Eff 01-Jan-19

Skilled Nursing Facilities/ Centros de enfermería especializada Grayson 2901 Sterling Hart Dr Cross Timbers Rehabilitation and Commerce, TX 75428-3911 Healthcare Center Denison Nursing and (903) 556-2510 Eff 01-Jan-19 Rehabilitation LP 3315 Cross Timbers Road Eff 01-Jan-19 Johnson County | Condado de Flower Mound, TX 75028-2904 601 E Hwy 69 Johnson (972) 724-0996 Denison, TX 75021-4137 (903) 465-2438 Hollymead Alvarado LTC Partners Inc Eff 01-Jun-20 Eff 31-Jul-14 4101 Long Prairie Rd 101 N Pkwy Flower Mound, TX 75028-1567 Alvarado, TX 76009-3724 (214) 285-3200 (817) 790-3304

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 426 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Skilled Nursing Facilities/ 1 de diciembre, 2020 Centros de enfermería especializada

Trinity Nursing and Rehabilitation Tarrant County | Condado de Green Valley Healthcare and of Burleson, LP Rehabilitation Center Eff 01-Jan-19 Tarrant Eff 01-Jan-19 600 Maple St 6850 Rufe Snow Drive Burleson, TX 76028-5810 Arlington Villas Rehabilitation and Fort Worth, TX 76148-2355 (817) 295-8118 Eff 01-Jun-19 (817) 514-4940 2601 W Randol Mill Rd Heritage Trails Nursing & Arlington, TX 76012-4289 Immanuel's Healthcare Rehabilitation Center (817) 274-6671 Eff 01-Jan-20 Eff 31-Aug-15 4515 Village Creek Rd 301 Lincoln Park Dr Matlock Place Health & Fort Worth, TX 76119 Cleburne, TX 76033 Rehabilitatio (817) 451-8704 (817) 558-8999 Eff 01-Oct-17 7100 Matlock Rd Lake Worth Nursing Home Kaufman County | Condado de Arlington, TX 76002-3402 Eff 01-Jan-14 (817) 466-2511 4220 Wells Dr Kaufman Fort Worth, TX 76135 Bedford Wellness & Rehabilitation (817) 237-7184 Ridgecrest Healthcare and Eff 01-May-20 Rehabilitation Center 2001 Forest Ridge Dr Marine Creek Nursing & Eff 01-Jan-19 Bedford, TX 76021-5712 Rehabilitation 561 E Ridgecrest Rd (817) 571-6804 Eff 01-Jan-19 Forney, TX 75126-0146 3600 Angle Ave (972) 552-2420 Allegiant Wellness and Rehab Fort Worth, TX 76106-3559 Eff 01-Oct-19 (817) 624-6164 Country View Nursing and 724 W Rendon Crowley Rd Rehabilitation, LP Crowley, TX 76036-5330 Mira Vista Court Eff 01-Jan-19 (817) 297-4141 Eff 01-Aug-17 1900 N Frances St 7021 Bryant Irvin Rd Terrell, TX 75160-1215 Westpark Rehabilitation and Living Fort Worth, TX 76132-3834 (972) 524-2503 Eff 15-May-17 (817) 361-1400 900 Westpark Way Parker County | Condado de Euless, TX 76040-3977 Richland Hills Rehabilitation & (817) 545-4071 Healthcare Center Parker Eff 01-Feb-15 Remarkable Healthcare of Fort 3109 Kings Ct Keeneland Nursing and Worth, LP Fort Worth, TX 76118-6366 Rehabilitation LP Eff 01-Jan-14 (817) 589-2431

Eff 01-Jan-19 6649 N Riverside Dr Skilled Nursing Facilities/ Centros de enfermería especializada 700 S Bowie Dr Fort Worth, TX 76137 Wedgewood Nursing Home Weatherford, TX 76086-5140 (817) 847-1860 Eff 01-Jan-19 (817) 594-2715 6621 Dan Danciger Road Downtown Health and Fort Worth, TX 76133 Santa Fe Health & Rehabilitation Rehabilitation Center (817) 292-6330 Center Eff 30-Jun-14 Eff 01-Jan-19 424 S Adams St Wellington Oaks Nursing and 1205 Santa Fe Drive Fort Worth, TX 76104-1003 Rehabilitation LP Weatherford, TX 76086-5819 (817) 335-5781 Eff 01-Jan-19 (817) 594-2786 701 Saint Louis Ave Ft Worth Wellness & Rehabilitation Fort Worth, TX 76104-3324 Eff 01-May-20 (817) 332-9962 2129 Skyline Dr Fort Worth, TX 76114-1924 (817) 626-1956

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 427 December 1, 2020/ Skilled Nursing Facilities/ 1 de diciembre, 2020 Centros de enfermería especializada

West Side Campus of Care North Pointe Nursing & Eff 01-May-20 Rehabilitation 1950 S Las Vegas Trail Eff 01-Jan-19 Fort Worth, TX 76108-3350 7804 Virgil R Anthony Blvd (817) 246-4995 Watauga, TX 76148-4137 (817) 498-7220 Eastland Memorial Hospital dba Keller Oaks Healthcare Center Wise County | Condado de Eff 01-Dec-20 8703 Davis Blvd Wise Keller, TX 76248-0309 817-577-9999 Heritage Place of Decatur LP Eff 01-Jan-19 Heritage House of Keller Health & 605 W Mulberry Rehab Center Decatur, TX 76234-1263 Eff 01-Jan-19 (940) 627-5444 1150 Whitley Rd Keller, TX 76248-3038 (817) 431-2518 The Harrison at Heritage Eff 01-Jun-20 4600 Heritage Trace Pky Keller, TX 76244-8900 (817) 741-9360 The Pavilion at Creekwood Eff 01-Aug-17 2100 Cannon Dr Mansfield, TX 76063-3476 (817) 779-6500 Glenview Wellness & Rehabilitation Eff 01-May-20 7625 Glenview Dr North Richland, TX 76180-8331 (817) 284-1427 Skilled Nursing Facilities/ Centros de enfermería especializada Discovery Village at Southlake Eff 01-Jun-20 201 Watermere Dr Southlake, TX 76092-8137 (844) 453-3013 The Carlyle at Stonebridge Park Eff 01-Jun-20 170 Stonebridge Ln Southlake, TX 76092-0306 (817) 431-5778

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 428 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Mental Health Mental Dallas County | Condado de Millwood Hospital/The Excel Retardation/ Salud mental – Center Retraso mental Dallas Eff 01-Jan-14 190 Civic Cr, Ste 170 Dallas Behavioral Healthcare Collin County | Condado de Lewisville, TX 75067 Hospital (972) 906-5522 Collin Eff 01-Oct-15 800 Kirnwood Dr Hunt County | Condado de LifePath Systems Desoto, TX 75115-2000 Eff 01-Oct-17 (972) 982-0897 Hunt 1515 Heritage Dr, Ste 105 McKinney, TX 75069 Hickory Trail Hospital Glen Oaks Hospital (972) 562-0190 Eff 01-Jan-14 Eff 01-Jul-20 2000 Old Hickory Trl 301 E Division St Psychiatric Hospital/ Hospital Desoto, TX 75115 Greenville, TX 75401-4101 psiquiátrico (972) 298-7323 (903) 454-6000

Garland Behavioral Hospital Parker County | Condado de Collin County | Condado de Eff 15-Dec-16 Collin 2300 Marie Curie Blvd, 5th Floor Parker Garland, TX 75042-5706 Carrollton Springs, LLC (469) 609-5800 Millwood Hospital/The Excel Eff 01-Apr-15 Center 6870 Lebanon Rd Methodist Hospital For Continuing Eff 01-Jan-14 Frisco, TX 75034-8169 Care 136 El Chico Trail, Suites 104 - (469) 850-2040 Eff 01-Jul-17 105 401 W Campbell Rd Willow Park, TX 76087 Haven Behavioral Hospital of Richardson, TX 75080-3416 (817) 599-6307 Frisco (972) 498-4000 Eff 15-Jan-19 Tarrant County | Condado de 5680 Frisco Square Blvd, Ste 3000 Denton County | Condado de Tarrant Frisco, TX 75034-3300 Denton (469) 535-8000 Innovations/Changes Arlington Changes McKinney Carrollton Springs, LLC Eff 01-Feb-15 Eff 01-Sep-20 Eff 01-Apr-15 4935 S Collins St, Ste 101 1820 Lake Forest Dr 2225 Parker Rd Arlington, TX 76018 McKinney, TX 75071-7651 Carrollton, TX 75010-4711 (682) 320-2800 (972) 242-4114 469-634-1270 Millwood Hospital/The Excel Carrollton Springs, LLC Mayhill Hospital Center Eff 01-Apr-15 Eff 01-May-15 Eff 01-Jan-14 5920 K Ave 2809 Mayhill Rd 1011 N Cooper St Plano, TX 75074-3036 Denton, TX 76208-5910 Arlington, TX 76011 (972) 212-5487 (940) 239-3000 (817) 261-3121

WellBridge Healthcare of Plano University Behavioral Health of Millwood Hospital/The Excel Outpatient Mental Health/ Salud mental para pacientes ambulatorios Eff 01-Jun-19 Denton Center 4301 Mapleshade Ln Eff 01-Jan-14 Eff 01-Jan-14 Plano, TX 75093 2026 W University 1111 N Cooper St (972) 596-5445 Denton, TX 76201-0644 Arlington, TX 76011 (940) 320-8100 (817) 404-2223

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 429 December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Mesa Springs, LLC Psychiatry/ Psiquiatría Elliston, Walter R, MD Eff 01-Feb-15 Eff 28-Jul-19 5560 Mesa Springs Dr Collin County | Condado de Baylor Scott & White Sports Fort Worth, TX 76123-2120 Concussion Program - At The Star (817) 292-4600 Collin 3800 Gaylord Parkway, Ste 830 Frisco, TX 75034-9416 Changes Fort Worth Ali, Shahla , MD (469) 800-5750 Eff 01-Feb-15 Eff 01-Jun-20 3202 Main Dr Allen Psychiatry Haqqani, Muhammad A, MD Fort Worth, TX 76109 1774 W McDermott Dr Suite 150 Eff 01-Nov-14 (817) 292-4600 Allen, TX 75013 DFW Psychiatry Associates, PA (469) 340-2777 4500 Hillcrest Rd, Ste 115 Innovations - Mesa Springs • Languages spoken / Idioma(s) Frisco, TX 75035-5403 Eff 01-Feb-15 hablado(s): Hindi (469) 213-6400 6421 Camp Bowie Blvd Fort Worth, TX 76116 Riaz, Jawad , MD Mech, Arnold , MD (817) 841-8002 Eff 15-Apr-17 Eff 15-Nov-16 Premier Psychiatric & Sleep Arnold Mech MD Millwood Hospital/The Excel Medicine Associates 4645 Wyndham Ln Ste 290 Center 935 W Exchange Pkwy, Ste 110 Frisco, TX 75034 Eff 01-Jan-14 Allen, TX 75013 (972) 208-9500 1220 W Presido (972) 985-7499 Fort Worth, TX 76102 Mohammed, Nazimuddin T, MD (817) 335-6429 Jacobson, Harold N, MD Eff 15-Feb-19 Eff 15-Apr-17 Compassionate Psychiatric WellBridge Healthcare of Fort Private Practice Services Worth 17440 Dallas Pkwy, Ste 208 11500 State Hwy 121 Bldg 500 Eff 01-Jun-19 Dallas, TX 75287 Ste #510 4750 Bryant Irvin Rd, Ste 901th (972) 248-1717 Frisco, TX 75035 Fort Worth, TX 76132 (469) 200-4093 (817) 361-1991 Aina, Oluyemi , MD Eff 15-Aug-17 Shakil, Rubina , MD WellBridge Healthcare of Fort Tri-Med Behavorial & Sleep Eff 15-Jun-17 Worth Medicine Psychiatric Associates of North Eff 01-Jun-19 3140 Legacy Dr, Ste 710 Texas 6200 Overton Rideg Blvd Frisco, TX 75034 6351 Preson Rd, Ste 205 Fort Worth, TX 76132 (214) 494-2131 Frisco, TX 75034 (817) 361-1991 (214) 618-2225 Chowdhary, Humera A, MD Innovations Northwest Eff 01-Dec-17 Siddiki, Lubna , MD Eff 01-Feb-15 North Texas Psychiatric Eff 01-Oct-16 12412 Timberland Blvd Ste 300 Associates Perfect Balance Psychiatric Keller, TX 76244 8501 Wade Blvd, #110 Services PLLC (682) 593-6001 Frisco, TX 75034-6262 9300 John Hickman Pkwy #101 (972) 668-3109 Frisco, TX 75035 (972) 781-0100 Outpatient Mental Health/ Salud mental para pacientes ambulatorios Ellendula, Swati , MD Eff 01-Aug-17 Ahmed, Bashir , MD Chandratara, PA Eff 15-Dec-18 4500 Hillcrest Rd, Ste 115 Bashir Ahmed, MD PA Frisco, TX 75035 4201 Medical Ctr Dr, Ste 200 (469) 213-6400 McKinney, TX 75069-1766 (469) 631-0935

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 430 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Bellah, Lloyd , MD Kumar, Pradeep , MD Brennan, J Michael , MD Eff 01-Jul-15 Eff 23-Sep-17 Eff 01-Mar-16 Lloyd Bellah, MD Child and Family Guidance J Michael Brennan, MD, PA 1650 W Virginia St, Ste 202 Centers 7859 Walnut Hill Ln, Ste 350 McKinney, TX 75069-7703 4031 W Plano Pkwy, Ste 121 Dallas, TX 75230 (972) 542-5980 Plano, TX 75093 (214) 824-2273 (214) 351-3490 Bhargava, Deepika , MD Elliston, Walter R, MD Eff 01-Nov-16 Mathew, Renjan , PHD Eff 01-Mar-16 Exult Healthcare Solutions, LLC Eff 20-Aug-19 The Holiner Psychiatric Group 4801 Medical Center Dr Psychiatry Associates of Texas, 7777 Forest Ln, Ste C833 McKinney, TX 75069 PA Dallas, TX 75230 (800) 867-1239 5501 Independence Pkwy, Ste 302 (972) 566-4591 • Languages spoken / Idioma(s) Plano, TX 75023-5470 hablado(s): Hindi (469) 661-1300 Freele, Robert B, MD Eff 01-Mar-16 Mohammed, Nazimuddin T, MD Mehta, Sejal S, MD The Holiner Psychiatric Group Eff 15-Feb-19 Eff 01-Apr-18 7777 Forest Ln, Ste C833 Compassionate Psychiatric Psychiatric Medical Associates, Dallas, TX 75230 Services PA (972) 566-4591 4817 Medical Cntr Dr Unit 3A 6404 International Pkwy, Ste 1010 McKinney, TX 75069-1886 Plano, TX 75093-8346 Griffin, Somsri , MD (469) 740-1477 (972) 267-1988 Eff 23-Sep-17 • Languages spoken / Idioma(s) Child and Family Guidance Sharma, Aditya , MD hablado(s): Gujrati Centers Eff 01-Feb-20 210 W 10th St Innova Psychiatric Group Narayan, Satish D, MD Dallas, TX 75208 4510 Medical Center Dr Ste 208 Eff 01-Aug-16 (214) 351-3490 McKinney, TX 75069-1602 Psymed Solutions (469) 742-0199 7170 Preston Rd, Ste 200 Griffin, Somsri , MD Plano, TX 75024-3281 Eff 23-Sep-17 Afrina, Mevesh , MD (972) 232-7474 Child and Family Guidance Eff 01-Sep-18 Centers Dallas Child Psychiatry, PA Tukdi, Shakil A, MD 8915 Harry Hines Blvd 3028 Communications Pkwy, Ste Eff 11-Jul-16 Dallas, TX 75235 300 Psychiatry Associates of Texas, (214) 351-3490 Plano, TX 75093-8914 PA (972) 473-7444 5501 Independence Pkwy, Ste 302 Holiner, Joel A, MD Plano, TX 75023-5470 Eff 01-Mar-16 Griffin, Somsri , MD (469) 661-1300 The Holiner Psychiatric Group Eff 23-Sep-17 7777 Forest Ln, Ste C833 Child and Family Guidance Dallas County | Condado de Dallas, TX 75230 Centers (972) 566-4591 4031 W Plano Pkwy, Ste 121 Dallas Plano, TX 75093 Kleiman, Laurie , MD (214) 351-3490 Bhatti, Nadeem , MD Eff 23-Sep-17 Eff 01-Apr-19 Child and Family Guidance Outpatient Mental Health/ Salud mental para pacientes ambulatorios Khalid, Humaira , MD Mental Health Services, PLLC Centers Eff 01-Aug-16 8951 Cypress Water Blvd, Ste 160 8915 Harry Hines Blvd Psymed Solutions Coppell, TX 75019-4784 Dallas, TX 75235 7170 Preston Rd, Ste 200 (214) 476-0429 (214) 351-3490 Plano, TX 75024-3281 (972) 232-7474

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 431 December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Marshall, Cindy D, MD Hawkins, Germaine , DO Borrell, Leo , MD Eff 01-Dec-14 Eff 15-Jan-17 Eff 15-May-19 Neuropsychiatry Associates, PA Hawkins Psychiatry PC Senior Psychcare of Dallas I, 9101 N Central Expy, Ste 190 800 Kirnwood Dr PLLC Dallas, TX 75231 Desoto, TX 75115-2000 2300 Valley View Ln, Ste 330 (214) 818-5765 (817) 460-7080 Irving, TX 75062-1736 (713) 850-0049 Marshall, Cindy D, MD Shiwach, Rajinder S, MD Eff 28-Jul-19 Eff 01-Oct-15 Johnson, David , MD Cognitive and Behavioral Rajnder S Shiwach, MD, PA Eff 26-Jun-20 Neurology Associates 941 York Dr, Ste 205 Senior Psychcare of Dallas I PLLC 9101 N Central Expy, Ste 230 Desoto, TX 75115 2300 Valley View Ln Ste 330 Dallas, TX 75231 (972) 283-6286 Irving, TX 75062 (214) 818-5765 (713) 850-0049 Hussain, Shadid , MD Polatin, Peter B, MD Eff 01-Jun-19 Griffin, Somsri , MD Eff 09-Jan-19 Summit Psychiatric Associates, Eff 23-Sep-17 Functional Recovery Associates, PLLC Child and Family Guidance PLLC 333 North Shiloh Rd, # 102 Centers 5701 Maple Ave Ste 100 Garland, TX 75042-6613 120 W Main St, Ste 220 Dallas, TX 75235-6596 (469) 917-9201 Mesquite, TX 75149 (214) 351-6600 (214) 351-3490 Hussain, Shadid , MD Stoica, Mihaela V, MD Eff 01-Jun-19 Hussain, Shadid , MD Eff 01-Dec-16 Summit Psychiatric Associates, Eff 01-Jun-19 Mihaela V Stoica, MD, PA PLLC Summit Psychiatric Associates, 3500 Oak Lawn Ave, Ste 300 2696 W Walnut St PLLC Dallas, TX 75219-4349 Garland, TX 75042 2427 Baker Dr, # D (972) 709-1961 (469) 380-2650 Mesquite, TX 75150-5190 • Languages spoken / Idioma(s) (469) 917-9201 hablado(s): Spanish Mohammed, Nazimuddin T, MD Eff 15-Feb-19 Ashraf, Husnain , MD Trulson, Tamella J, MD Compassionate Psychiatric Eff 01-Mar-19 Eff 31-Jul-20 Services North Star Psychiatry, PLLC Child and Family Guidance 2300 Marie Curie Blvd 5th Floor 1750 N Collins Blvd Centers Garland, TX 75042-5706 Richardson, TX 75080 8915 Harry Hines Blvd (972) 487-5309 (469) 384-2989 Dallas, TX 75235-1717 (214) 351-3490 Ahmad, Uzma , MD Aziz, Bushra , MD Eff 15-May-19 Eff 15-Mar-17 Abraham, Ayodele A, MD Senior Psychcare of Dallas I, SBN Professional Psychiatry Corp Eff 01-Jul-17 PLLC 2007 N Collins Blvd, Ste 509A Ayodele Abraham, MD PLLC 2300 Valley View Ln, Ste 330 Richardson, TX 75080 800 Kirnwood Dr Irving, TX 75062-1736 (972) 947-4112 Desoto, TX 75115 (713) 850-0049 (972) 982-0897 Hussain, Shadid , MD Outpatient Mental Health/ Salud mental para pacientes ambulatorios Asikaiwe, Chima , MD Eff 01-Jun-19 Haqqani, Muhammad A, MD Eff 15-May-19 Summit Psychiatric Associates, Eff 01-Nov-14 Senior Psychcare of Dallas I, PLLC DFW Psychiatry Associates, PA PLLC 3400 FM 544, Ste 650 800 Kirnwood 2300 Valley View Ln, Ste 330 Wylie, TX 75098-9418 Desoto, TX 75115 Irving, TX 75062-1736 (469) 380-2650 (817) 505-7081 (713) 850-0049

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 432 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Denton County | Condado de Islam, Asad Ul, MD Schack, Ricardo C, MD Eff 01-Feb-20 Eff 01-Apr-16 Denton North Pointe Psychiatry PA Private Practice 4212 N Interstate 35 175 Sagebrush Ln Kambhampati, Radha K, MD Denton, TX 76207-3441 Waxahachie, TX 75165-1524 Eff 16-Mar-20 (469) 444-2244 (972) 923-0281 Summit Behavioral Health, PLLC • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) 4100 Fairway Dr, Bldg #200 hablado(s): Hindi hablado(s): Spanish Carrollton, TX 75010 (972) 221-1741 Siddiqui, Kiran , MD Grayson County | Condado de • Languages spoken / Idioma(s) Eff 15-Feb-17 hablado(s): Hindi Braindocs PLLC Grayson 1029 Long Prairie Rd, Ste D Boudjenah, Djillali , MD Flower Mound, TX 75022 Aina, Oluyemi , MD Eff 15-Mar-18 (817) 240-0012 Eff 15-Aug-17 Psych MD PLLC • Languages spoken / Idioma(s) Tri-Med Behavorial & Sleep 8800 US Hwy 380, Ste 600 hablado(s): Spanish Medicine Crossroads, TX 76227-2516 1601 N Travis St (940) 365-5711 Airuehia, Efosa , MD Sherman, TX 75092-3761 Eff 23-Jul-17 (903) 328-6556 Latif, Umar , MD Prime Psychiatry PA Eff 15-Aug-16 11330 Legacy Dr, Ste 103 Bhargava, Deepika , MD Umar Latif, MD, PA Frisco, TX 75033-1210 Eff 01-Jan-17 8800 US Hwy 380, Ste 600 (469) 777-4691 Deepika Bhargava MD, PA Crossroads, TX 76227 600 E Taylor St, Ste 4001 (940) 365-5711 Rizvi, Furqan , MD Sherman, TX 75090 • Languages spoken / Idioma(s) Eff 15-Jul-20 (903) 892-0751 hablado(s): Urdu Frisco Mental Health Services 255 W Lebanon Rd Ste 224 Riaz, Jawad , MD Alvi, Mona , MD Frisco, TX 75036-3404 Eff 15-Apr-17 Eff 15-Aug-17 (214) 551-7407 Premier Psychiatric & Sleep Private Practice Medicine Associates 2026 W University Dr Islam, Asad Ul, MD 121 W Lamberth Rd, Ste A Denton, TX 76201 Eff 01-Feb-20 Sherman, TX 75092 (940) 320-8100 North Pointe Psychiatry PA (972) 985-7499 860 Hebron Pkwy Unit 1101 Hawkins, Germaine , DO Lewisville, TX 75057 Hunt County | Condado de Eff 15-Jan-17 (469) 444-2244 Hunt Hawkins Psychiatry PC • Languages spoken / Idioma(s) 2026 W. University Dr. hablado(s): Hindi Denton, TX 76201 Burgos, Dante , MD (940) 320-8100 Eff 15-Mar-18 Ellis County | Condado de Ellis Private Practice Islam, Asad Ul, MD 301 E Division St Eff 01-Feb-20 Barksdale, Stephen W, MD Greenville, TX 75401-4101 North Pointe Psychiatry PA Eff 28-Sep-19 (903) 454-6000 2809 S Mayhill Rd Child and Family Guidance • Languages spoken / Idioma(s) Outpatient Mental Health/ Salud mental para pacientes ambulatorios Denton, TX 76208 Centers hablado(s): Spanish (469) 444-2244 1505 W Jefferson St Ste 120 • Languages spoken / Idioma(s) Waxahachie, TX 75165-2200 hablado(s): Hindi (214) 351-3490

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 433 December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Burgos, Dante , MD Rockwall County | Condado de Hussain, Shadid , MD Eff 15-Mar-18 Eff 01-Jun-19 Private Practice Rockwall Summit Psychiatric Associates, 4215 Joe Ramsey Blvd PLLC Greenville, TX 75401-7852 Sheika, Sabri H, MD 1615 W Abram St, # 106 (903) 408-1500 Eff 01-Apr-16 Arlington, TX 76013-1788 • Languages spoken / Idioma(s) Sabri Sheika, MD, PhD, PA (469) 917-9201 hablado(s): Spanish 601 White Hills Dr Rockwall, TX 75087 Nekkalapu, Sreenath , MD Burgos, Dante , MD (972) 772-3630 Eff 01-Mar-18 Eff 15-Mar-18 • Languages spoken / Idioma(s) SVS Psychiatry PLLC Private Practice hablado(s): Arabic 7000 US 287 Frontage Rd 4511 Stonewall St Arlington, TX 76001-2805 Greenville, TX 75401-5951 Tarrant County | Condado de (817) 583-8080 (903) 454-7200 Tarrant • Languages spoken / Idioma(s) Tukdi, Shakil A, MD hablado(s): Spanish Eff 11-Jul-16 Abraham, Ayodele A, MD Psychiatry Associates of Texas, Khalid, Humaira , MD Eff 01-Jan-20 PA Eff 01-Aug-16 Elite Psychiatry 1215 W Randol Mill Rd Psymed Solutions 3901 Arlington Highlands Blvd Ste Arlington, TX 76012 4501 Joe Ramsey Blvd, Ste 260 200 (469) 661-1300 Greenville, TX 75401 Arlington, TX 76018-6050 (972) 232-7474 (817) 695-5035 Zaidi, Uzma , MD Eff 15-Nov-17 Narayan, Satish D, MD Gautam, Micky K, DO TriCity Psychiatric Services PA Eff 01-Aug-16 Eff 15-May-17 800 West Arbrook Blvd, Ste 100 Psymed Solutions Private Practice Arlington, TX 76015-4316 4501 Joe Ramsey Blvd, Ste 260 7000 US Hwy 287 (817) 200-6680 Greenville, TX 75401 Arlington, TX 76001 (972) 232-7474 (903) 783-0846 Zaidi, Wasiq , MD Eff 01-Sep-17 Haque, Seema , MD Johnson County | Condado de TriCity Psychiatric Services PA Eff 15-Jun-17 800 West Arbrook Blvd, Ste 100 Johnson Private Practice Arlington, TX 76015-4316 902 W Randol Mill Rd, Ste 220 (817) 200-6680 Chichane, Hanane , MD Arlington, TX 76012 Eff 01-Jun-16 (817) 719-3769 Burgos, Dante , MD Hanane Chichane MD, PA Eff 15-Mar-18 115 NW Newton Dr Ste C Hawkins, Germaine , DO Private Practice Burleson, TX 76028 Eff 15-Jan-17 5560 Mesa Springs Dr (817) 426-3323 Hawkins Psychiatry PC Fort Worth, TX 76123-2120 2233 Ave J, Ste 100 (817) 769-2104 Tukdi, Shakil A, MD Arlington, TX 76006 • Languages spoken / Idioma(s) Eff 11-Jul-16 (817) 460-7080 hablado(s): Spanish Psychiatry Associates of Texas, Outpatient Mental Health/ Salud mental para pacientes ambulatorios PA Hawkins, Germaine , DO Johnson, Ashley M, DO 2915 S Burleson Blvd Eff 15-Jan-17 Eff 24-Nov-19 Burleson, TX 76028 Hawkins Psychiatry PC Baylor Scott & White Psychiatry (469) 661-1300 1000 N. Cooper St. Fort Worth Arlington, TX 76011 1400 8th Ave Ste 461 (817) 548-3400 Fort Worth, TX 76104 (817) 922-1992

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 434 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Khalid, Humaira , MD Malone, Gary L, MD Jacob, Rhema S, DO * Eff 01-Aug-16 Eff 01-Feb-14 Eff 05-Aug-19 Psymed Solutions Gary L Malone, MD, PA Rhema Jacob, DO, PLLC 7273 Hawkins View Dr 1450 Hughes Rd, #108 1340 N White Chapel Blvd, Ste Fort Worth, TX 76132 Grapevine, TX 76051 130 (972) 232-7474 (817) 481-2767 Southlake, TX 76092-4327 (817) 527-1554 Narayan, Satish D, MD Onanuga, Omotayo , MD Eff 01-Aug-16 Eff 01-Jun-15 Molina, Rodolfo , MD Psymed Solutions Amicable Psychiatry, MD, PA Eff 15-Oct-19 5560 Mesa Springs Dr 1643 Lancaster Dr, Ste 305 Molina Psychiatric Associates PA Fort Worth, TX 76123-2120 Grapevine, TX 76051 1100 E Southlake Blvd, Ste 300 (817) 292-4600 (817) 778-0191 Southlake, TX 76092-6350 (817)873-0595 Narayan, Satish D, MD Indukuri, P Raju , MD Eff 01-Aug-16 Eff 01-Feb-17 Psychology/ Psicología Psymed Solutions P Raju Indukuri, MD 7273 Hawkins View Dr 669 Airport Fwy Ste 309 Collin County | Condado de Fort Worth, TX 76132 Hurst, TX 76053-3984 (972) 232-7474 (817) 222-9907 Collin Nekkalapu, Sreenath , MD Tukdi, Shakil A, MD Glover, Amanda G, PsyD Eff 01-Mar-18 Eff 11-Jul-16 Eff 15-Jul-19 SVS Psychiatry PLLC Psychiatry Associates of Texas, Monterey Psychological Services, 5560 Mesa Springs Dr PA PLLC Fort Worth, TX 76123-2120 4232 Heritage Trace Pkwy 550 S Watters Rd, Ste 266 (817) 292-4600 Keller, TX 76244 Allen, TX 75013-5231 (469) 661-1300 (469) 291-9009 Kazi, Seema , MD Eff 01-Jun-16 Hawkins, Germaine , DO Head, Kelleigh , PsyD Seema Kazi MD PA DBA Mid Eff 15-Jan-17 Eff 15-Jun-17 Cities Psychiatry Hawkins Psychiatry PC Private Practice 3801 William D Tate Ave, Ste 2800 E Broad St, Ste 400 6401 Eldorado Pkwy, # 327 800A Mansfield, TX 76063 McKinney, TX 75070 Grapevine, TX 76051-8755 (817)460-7080 (972) 836-9544 (817) 488-8998 Hawkins, Germaine , DO Morris, Philip , PsyD Khawaja, Imran , MD Eff 15-Jan-17 Eff 15-Aug-16 Eff 01-Dec-18 Hawkins Psychiatry PC Private Practice MD Trucare PA 1802 hwy 157 North 7300 W Eldorado Pkwy, Ste 265 210 North Park Blvd, Ste 105 Mansfield, TX 76063 McKinney, TX 75070 Grapevine, TX 76051 (817) 473-6101 (469) 714-0100 (817) 722-6078 Guirguis, Medhat , MD Center for Medical Psychology at Khawaja, Imran , MD Eff 01-Jan-19 Baylor Plano Eff 01-Dec-18 Mercy Psychiatry Inc Eff 01-Jan-14 MD Trucare PA 8217 Mid Cities Blvd, Ste 300 4708 Alliance Blvd, Ste 800, Outpatient Mental Health/ Salud mental para pacientes ambulatorios 823 Ira E Woods Ave, Ste 200 North Richland Hills, TX 76182- Pavilion I Grapevine, TX 76051 4712 Plano, TX 75093 (817) 722-6078 (817) 770-0933 (469) 814-4850

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 435 December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Anthony, Mara Lysa , PsyD Mitchell, Angela D, PhD De Jesus-Perez, Marisol , PhD Eff 15-Feb-20 Eff 15-Feb-20 Eff 18-Jun-20 Center for Psychological Services Center for Psychological Services The Center for Integrative 3700 W 15th St Ste 100D 3700 W 15th St Ste 100D Counseling & Psychology Plano, TX 75075-4736 Plano, TX 75075-4736 4525 Lemmon Ave Ste 200 (972) 332-3805 (972) 332-3805 Dallas, TX 75219-2145 (214) 526-4526 Ashmore, Jamile A, PHD Quinn, James , PHD Eff 24-Jul-17 Eff 01-Aug-16 Golden, Lori , PHD Baylor Scott & White Medical Private Practice Eff 15-Sep-16 Center - Plano 500 N Central Expy, Ste 260 Lori Golden, PhD LLC 4708 Alliance Blvd, Pavilion I, Ste Plano, TX 75074-6885 10300 North Central Expy, Ste 324 400 (972) 516-1166 Dallas, TX 75231-8611 Plano, TX 75093-5340 (214) 228-0796 (469) 814-4850 Richardson, Carol L, PhD Eff 15-Feb-20 Gregg, Robert , PHD Belloni, Kristen C, PhD Center for Psychological Services Eff 15-Jul-16 Eff 15-Feb-20 3700 W 15th St Ste 100D Private Practice Center for Psychological Services Plano, TX 75075-4736 7859 Walnut Hill Ln, Ste 350 3700 W 15th St Ste 100D (972) 332-3805 Dallas, TX 75230 Plano, TX 75075-4736 (214) 824-2273 (972) 332-3805 Taylor, Desire , PHD Eff 08-Aug-17 Jasso, Gabriel A, PsyD Booker, Kimberly W, PhD Baylor Scott & White Medical Eff 24-Nov-17 Eff 15-Feb-20 Center - Plano Erwin Cruz MD, PA Center for Psychological Services 4708 Alliance Blvd, Pavilion I, Ste 12800 Preston Rd, Ste 101 3700 W 15th St Ste 100D 400 Dallas, TX 75230 Plano, TX 75075-4736 Plano, TX 75093-5340 (972) 503-2780 (972) 332-3805 (469) 814-4850 Keehn, Nicole , PsyD Charway, Kalima J, PHD Dallas County | Condado de Eff 15-Apr-17 Eff 15-Feb-20 Lokahi Life Center LLCP Center for Psychological Services Dallas 12830 Hillcrest Rd, Ste D235 3700 W 15th St Ste 100D Dallas, TX 75230 Plano, TX 75075-4736 Gibson, Lillian , PHD (972) 975-2007 (972) 332-3805 Eff 01-Jun-18 Private Practice Kluge, Charles , PHD Hayes, DeMarquis M, PhD 413 West Bethel Rd, Ste 100 Eff 01-Apr-18 Eff 15-Feb-20 Coppell, TX 75019 Private Practice Center for Psychological Services (972) 393-1596 7777 Forest Ln, Ste C865 3700 W 15th St Ste 100D Dallas, TX 75230-2515 Plano, TX 75075-4736 Sanders, Laura R, PHD (972) 566-7969 (972) 332-3805 Eff 01-Apr-16 DFW Assessment PLLC LaValle, Michael , PHD Janecek, Samantha L, PhD 202 W Sandy Lake Rd Eff 15-Oct-16 Eff 15-Feb-20 Coppell, TX 75019 Private Practice Outpatient Mental Health/ Salud mental para pacientes ambulatorios Center for Psychological Services (214) 702-1318 8330 Meadow Rd, Ste 202 3700 W 15th St Ste 100D Dallas, TX 75231 Plano, TX 75075-4736 (214) 750-1086 (972) 332-3805

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 436 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Lee, Angela , PSY Wakim, Jean-Claude , PhD Reimers, Faye , PHD Eff 15-Sep-20 Eff 21-May-20 Eff 15-May-19 Lakewood Wellness Partners Baylor University Medical Center Senior Psychological Care Dallas 6301 Gaston Ave Ste 610 3600 Gaston Avenue Ste 360 I, LLC Dallas, TX 75214 Wadley Tower 2300 Valley View Ln, Ste 330 (214) 531-7624 Dallas, TX 75246 Irving, TX 75062-1736 (214) 820-7368 (713) 850-0049 Litwins, Nola , PHD Eff 15-Sep-16 Warren, Ann M, PHD Stephenson, Alan , PHD Lori Golden, PhD LLC Eff 10-Nov-14 Eff 01-Sep-19 10300 North Central Expy, Ste 324 Baylor Medical Psychology Clinic Senior Psychological Care Dallas Dallas, TX 75231-8611 3600 Gaston Ave, Ste 404 I, LLC (214) 228-0796 Dallas, TX 75246 2300 Valley View Ln, Ste 330 (214) 820-5516 Irving, TX 75062-1736 McMinn, Kenleigh R, PhD (713) 850-0049 Eff 05-Jan-20 White, Bradford J, PHD Baylor Medical Psychology Clinic Eff 01-Jun-18 Torres-Quevedo, Rocio , PHD 3600 Gaston Ave Ste 404 Bradford White, PhD, PLLC Eff 15-May-19 Dallas, TX 75246 6370 LBJ Fwy, Ste 273 Senior Psychological Care Dallas (214) 820-5516 Dallas, TX 75240-6459 I, LLC (424) 242-2723 2300 Valley View Ln, Ste 330 Pang, Katherine L, PHD Irving, TX 75062-1736 Eff 15-Sep-20 Williams, Mark J, PHD (713) 850-0049 Lakewood Wellness Partners Eff 23-Feb-18 6301 Gaston Ave Ste 610 Howard M Cohen MD PA Hanks, David , PHD Dallas, TX 75214-6289 4004 Worth St, Ste 300 Eff 15-Oct-16 (214) 531-7624 Dallas, TX 75246-1607 Private Practice (214) 826-8000 670 W Arapaho Rd, Ste 9 Poppito, Shannon R, PhD Richardson, TX 75080-4213 Eff 19-Mar-20 Greer, NaStassia , PHD (972) 596-5960 Baylor University Medical Center Eff 15-May-19 3410 Worth St Ste 200 Senior Psychological Care Dallas Head, Kelleigh , PsyD Dallas, TX 75246 I, LLC Eff 15-Jun-17 (214) 820-2669 2300 Valley View Ln, Ste 330 Private Practice Irving, TX 75062-1736 1221 Abrams Rd, # 325 Shadduck, James , PHD (713) 850-0049 Richardson, TX 75081 Eff 15-May-17 (972) 836-9544 James A Shadduck, PhD Henry, Gary , PHD 7859 Walnut Hill Ln, Ste 350 Eff 15-May-19 Denton County | Condado de Dallas, TX 75230-5618 Senior Psychological Care Dallas (214) 824-2273 I, LLC Denton 2300 Valley View Ln, Ste 330 Stanley, Amanda , PHD Irving, TX 75062-1736 Randazzo, Amanpreet , PsyD Eff 15-Mar-19 (713) 850-0049 Eff 01-Dec-16 Private Practice AR Psychological Services 7859 Walnut Hill Ln Ste 350 Mynard, Elizabeth , PsyD 2220 San Jacinto Blve, 104 Dallas, TX 75230-5618 Eff 15-May-19 Denton, TX 76205 Outpatient Mental Health/ Salud mental para pacientes ambulatorios (214) 824-2273 Senior Psychological Care Dallas (908) 720-3118 I, LLC • Languages spoken / Idioma(s) 2300 Valley View Ln, Ste 330 hablado(s): Hindi Irving, TX 75062-1736 (713) 850-0049

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 437 December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Gabriel, Adami , PsyD Tarrant County | Condado de Mitchell, Angela D, PhD Eff 01-Sep-17 Eff 15-Feb-20 The Answer Psychological Tarrant Center for Psychological Services Services 6043 W I 20 2250 Morriss Rd, Ste 205 Anthony, Mara Lysa , PsyD Arlington, TX 76017-1042 Flower Mound, TX 75028 Eff 15-Feb-20 (817) 533-0825 (920) 412-7793 Center for Psychological Services 6043 W I 20 Puckett, Stevie L, PhD Grahovec, Morgan , PHD Arlington, TX 76017-1042 Eff 15-Feb-20 Eff 01-May-18 (817) 533-0825 Center for Psychological Services Blossoming Brains, LLC 3700 W 15th St Ste 100D 5110 Eldorado Parkway #460 Belloni, Kristen C, PhD Arlington, TX 76017-1042 Frisco, TX 75033 Eff 15-Feb-20 (972) 332-3805 (214)385-8001 Center for Psychological Services 6043 W I 20 Puckett, Stevie L, PhD Ellis County | Condado de Ellis Arlington, TX 76017-1042 Eff 15-Feb-20 (817) 533-0825 Center for Psychological Services 6043 W I 20 Keehn, Nicole , PsyD Booker, Kimberly W, PhD Eff 15-Apr-17 Arlington, TX 76017-1042 Eff 15-Feb-20 (817) 533-0825 Donald Wellness Center Center for Psychological Services 508 Grace St 6043 W I 20 Richardson, Carol L, PhD Waxahachie, TX 75165 Arlington, TX 76017-1042 Eff 15-Feb-20 (972) 923-0730 (817) 533-0825 Center for Psychological Services 6043 W I 20 Skinner, John R, PHD * Charway, Kalima J, PHD Eff 15-Mar-17 Arlington, TX 76017-1042 Eff 15-Feb-20 (817) 533-0825 Private Practice Center for Psychological Services 508 Grace St 6043 W I 20 Bean, Anthony M, PHD Waxahachie, TX 75165 Arlington, TX 76017-1042 Eff 01-May-19 (972) 923-0730 (817) 533-0825 The Telos Project 1650 W Rosedale St Hunt County | Condado de Hayes, DeMarquis M, PhD Fort Worth, TX 76104-7400 Hunt Eff 15-Feb-20 (682) 841-1475 Center for Psychological Services Weatherly, Kevin S, PhD 6043 W I 20 Bean, Carol H, PsyD Eff 01-Feb-20 Arlington, TX 76017-1042 Eff 01-May-19 Kevin S Weatherly, PhD (817) 533-0825 The Telos Project 1650 W Rosedale St 5604 Wesley St 101 Janecek, Samantha L, PhD Greenville, TX 75402-6326 Fort Worth, TX 76104-7400 Eff 15-Feb-20 (682) 841-1475 (903) 883-7792 Center for Psychological Services 6043 W I 20 Campinha-Bacote, Darius D, PHD Parker County | Condado de Arlington, TX 76017-1042 Eff 01-Apr-17 Parker (817) 533-0825 Private Practice 5601 Bridge St, Ste 300 Outpatient Mental Health/ Salud mental para pacientes ambulatorios Wood, Russell , PHD Manuel, James W, PsyD Fort Worth, TX 76112 Eff 01-Dec-17 Eff 01-Feb-20 (214) 945-4295 Private Practice Agape Psych Services PLLC 4971 East I-20 Srvs Rd North 1006 N Bowen Rd Ste 200 E-H Willow Park, TX 76087-3220 Arlington, TX 76012-2826 (817) 694-8916 (817)460-1019

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / 438 Para verificar la información del proveedor, por favor llame al Plan de Salud. December 1, 2020/ Outpatient Mental Health/ 1 de diciembre, 2020 Salud mental para pacientes ambulatorios

Hopewell, Clifford Alan, PHD Stanley, Amanda , PHD Substance Use Disorder/ Eff 15-Jan-20 Eff 15-Mar-19 Trastorno por uso de sustancias Clifford A Hopewell, PhD Private Practice 1015 Pennsylvania Ave, Ste 2 602 Strada Circle Ste 101 Collin County | Condado de Fort Worth, TX 76104-2259 Mansfield, TX 76063 (682) 312-9820 (817) 592-0750 Collin Klinefelter III, Harry , PHD Lockart, Esther , PHD Life Management Resources Eff 15-Nov-18 Eff 01-Mar-19 Eff 01-May-16 Private Practice Clarity Neuropsychology, LLC 1575 Redbud Blvd Ste 201 3509 Hulen St, Bldg 2, Ste 250 5583 Davis Blvd, Ste 200 McKinney, TX 75069 Fort Worth, TX 76107-6867 North Richland Hills, TX 76180- (469) 742-8910 (817) 735-8245 6493 (888) 476-0226 Life Management Resources Marks, Alexandra L, PsyD Eff 01-May-16 Eff 01-May-19 Randazzo, Amanpreet , PsyD 5068 W Plano Pkwy, Ste 134 The Telos Project Eff 01-Dec-16 Plano, TX 75093 1650 W Rosedale St AR Psychological Services (972) 985-7565 Fort Worth, TX 76104-7400 560 N Kimball Ave Ste 130 (682) 841-1475 Southlake, TX 76092-6879 Dallas County | Condado de (817) 488-0502 Dallas McKelvy, Tara N, PHD • Languages spoken / Idioma(s) Eff 01-May-19 hablado(s): Hindi The Telos Project Life Management Resources 1650 W Rosedale St Substance Abuse Facility/ Centro Eff 01-May-16 Fort Worth, TX 76104-7400 para abuso de sustancias 303 S Jackson Ave Ste 100 (682) 841-1475 Wylie, TX 75098 (972) 941-8757 Leavell, Kari , PHD * Denton County | Condado de Eff 01-Nov-16 Denton Private Practice 1135 S Main St Mayhill Hospital Grapevine, TX 76051-7533 Eff 01-May-15 (817) 329-5041 2809 Mayhill Rd Denton, TX 76208-5910 Torbert, Domonique M, PSY (940) 239-3000 Eff 08-Feb-20 Baylor University Medical Center Grace Counseling Center 1615 Lancaster Dr Ste 150 Eff 15-Feb-18 Grapevine, TX 76051 105 Kathryn Dr Bldg 3 Ste D (817) 912-8940 Lewisville, TX 75067-4200 (800) 972-0643 Eitel, Betty , PHD Eff 01-Feb-17 Tarrant County | Condado de DFW Psychological & Counsulting Services, Inc Tarrant 700 NE Loop 820, Ste 200A Outpatient Mental Health/ Salud mental para pacientes ambulatorios Hurst, TX 76053 Grace Counseling Center (817) 905-1277 Eff 15-Feb-18 7535 Oakmont Blvd, Ste 101 Fort Worth, TX 76132-4237 (800) 972-0643

* Not Accepting New Patients / No aceptando pacientes nuevos To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 439 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Ambulance/ Ambulancia Hunt County | Condado de Heritage Surgery Center, LLC Eff 01-May-15 Hunt Dallas County | Condado de 1501 Redbud Blvd McKinney, TX 75069-3226 Dallas Air Evac Lifeteam (972) 548-0771 Eff 01-Mar-18 • Languages spoken / Idioma(s) Texas Star Ambulance 88 Majors Rd hablado(s): Spanish Eff 01-Oct-16 Greenville, TX 75402-3117 11865 Forestgate Dr (903) 454-4747 Methodist Craig Ranch Surgery Dallas, TX 75243 Center, LLC (214) 570-1781 Wise County | Condado de Eff 15-Oct-19 Wise 6045 Alma Rd, Ste 100 CareFlite McKinney, TX 75070-2190 Eff 01-Aug-16 (469) 907-1650 3110 S Great Southwest Pkwy Air Evac Lifeteam Grand Prairie, TX 75052 Eff 01-Mar-18 Baylor Ambulatory Endoscopy (972) 339-4219 609 Medical Center Dr, Ste 500 Center Decatur, TX 76234-3836 Eff 01-Jan-14 Ellis County | Condado de Ellis (940) 627-2045 4708 Alliance Blvd, Ste 210 Plano, TX 75093-5337 Ambulatory Surgery Center/ (469) 800-6021 Air Evac Lifeteam Centro de cirugía ambulatoria Eff 12-Mar-19 Baylor Surgicare at Baylor Plano 104A Industrial Dr Eff 01-Mar-19 Waxahachie, TX 75165-6106 Collin County | Condado de 4825 Alliance Blvd, Ste 300 (972) 923-0077 Collin Plano, TX 75093 (469) 367-0700 Grayson County | Condado de Methodist Allen Surgery Center Grayson Eff 15-Feb-18 Baylor Surgicare at Plano 1125 RainTree Circle, Ste 200 Eff 01-Jan-14 Air Evac Lifeteam Allen, TX 75013 1701 Ohio Dr Eff 01-Mar-18 (972) 569-4500 Plano, TX 75093-5208 (214) 291-3000 5016 S US Hwy 75, Ste 101 Baylor Scott & White Medical Denison, TX 75020-4584 Center - Centennial Baylor Surgicare at Plano Parkway (903) 771-4558 Eff 01-Nov-15 Eff 01-Jan-14 12505 Lebanon Rd 4031 W Plano Pkwy, Ste 100 Hill County | Condado de Hill Frisco, TX 75035-8298 Plano, TX 75093 (972) 963-3333 (469) 326-0202 Air Evac Lifeteam Eff 01-Mar-18 Baylor Scott & White Sports Dallas Nephrology Associates 115 HCR 4282 Surgery Center at The Star Vascular Center Hillsboro, TX 76645-4115 Eff 07-Mar-19 Eff 15-Jun-20 (254) 580-9023 3800 Gaylor Pkwy, Ste 410 4401 Tradition Trl Frisco, TX 75034-9419 Plano, TX 75093-5633 Hood County | Condado de (972) 668-5911 (214) 358-2300 Hood Baylor Scott & White Surgicare at Preston Crossing Endoscopy Centennial Center Air Evac Lifeteam Eff 01-Nov-15 Eff 01-Nov-15 Ancillary/ Servicios complementarios Eff 01-Mar-18 4401 Coit Rd, #100 3500 Preston Rd, Ste 200 1308 Paluxy Rd, Ste C Frisco, TX 75035-0501 Plano, TX 75093 Granbury, TX 76048-5689 (214) 619-0120 (972) 985-2300 (817) 579-2031

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 440 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Texas Endoscopy Dallas Endoscopy Center Baylor Surgicare at Garland Eff 01-Oct-14 Eff 01-Jun-14 Eff 01-Jan-14 6405 W Parker Rd, Ste 370 5327 N Central Expy, Ste 200 530 Clara Barton Blvd, Ste 100 Plano, TX 75093 Dallas, TX 75205 Garland, TX 75042-5759 (972) 473-9900 (214) 520-8235 (972) 494-2400 • Languages spoken / Idioma(s) Texas Endoscopy at hablado(s): Spanish Baylor Surgicare at North Garland Independence Medical Village Eff 01-Jan-14 Eff 01-Oct-14 Dallas Nephrology Associates 7150 N George Bush Hwy, Ste 8080 Independence Pkwy, Ste 160 Vascular Center Dallas 101 Plano, TX 75025 Eff 01-Jul-20 Garland, TX 75044-2209 (972) 908-3000 3604 Live Oak St Ste 300 (214) 703-1800 Dallas, TX 75204-6114 Dallas County | Condado de (214) 358-2300 Tuscan Surgery Center at Las Colinas Dallas Endoscopy Center at Redbird Eff 01-Jan-14 Square 701 Tuscan Dr, Ste 100 Texas Center for Interventional Eff 01-Nov-15 Irving, TX 75039-3836 Surgery, LLC 3107 W Camp Wisdom Rd, Ste (214) 442-1900 Eff 01-Mar-19 189 4450 Sojourn Dr, Ste 200 Dallas, TX 75237 North Dallas Surgicare Addison, TX 75001 (214) 331-2922 Eff 15-Dec-17 (972) 733-0014 375 Municipal Dr, Ste 200 & 214 Key-Whitman Surgery Center Richardson, TX 75080 Eye Surgery Center of North Eff 01-Mar-16 (972) 918-9400 Dallas 11442 N Central Expy Eff 15-Sep-18 Dallas, TX 75243 Beltline Surgery Center, LLC 3100 E Trinity Mills Rd (214) 754-0000 Eff 01-May-20 Carrollton, TX 75006-2322 2858 N Beltine Rd Ste 100 (972) 380-2020 North Texas Surgery Center Sunnyvale, TX 75182-9382 Eff 01-Jan-14 (972) 203-8787 Coppell Surgery Center, LLC 7992 W Virginia Dr Eff 15-Oct-19 Dallas, TX 75237-3764 Park Cities Surgery Center 731 Plaza Blvd (972) 283-2400 Eff 01-Jan-14 Coppell, TX 75019-6685 6901 Snider Plaza, Ste 300 (469) 451-5700 Old Town Endoscopy Center University Park, TX 75205 Eff 01-Nov-15 (214) 706-6901 Baylor Scott & White Surgicare 5500 Greenville Ave, Ste 1100 Eff 01-Jan-14 Dallas, TX 75206 Denton County | Condado de 3920 Worth St (214) 739-9544 Dallas, TX 75246-1605 Denton (214) 820-2581 Physicians Daysurgery Center Eff 01-Jan-14 Baylor Surgicare at Carrollton Baylor Surgicare at North Dallas 3930 Crutcher St Eff 01-Jan-14 Eff 01-Jan-14 Dallas, TX 75246-1701 4780 N Josey Ln 12230 Coit Rd, Ste 200 (214) 827-0760 Carrollton, TX 75010-4615 Dallas, TX 75251-2324 (972) 395-0440 (972) 490-4333 Advanced Surgical Center Eff 01-Apr-19 Baylor Surgicare at Denton 1018 E Wheatland Rd Eff 01-Jan-14 Duncanville, TX 75116-4914 350 S I35 E Ancillary/ Servicios complementarios (469) 904-8888 Denton, TX 76205 (940) 323-1393

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 441 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Lone Star Endoscopy Flower Rockwall County | Condado de LoneStar Ambulatory Surgery Mound Center, LLC Eff 11-Nov-14 Rockwall Eff 01-Sep-20 1001 Surrey Ln 2201 Westgate Plz Flower Mound, TX 75022 Baylor Scott & White Surgicare Grapevine, TX 76051 (214) 513-6300 Rockwall (817) 416-7988 Eff 01-Jan-14 Grayson County | Condado de 825 W Yellowjacket Ln Baylor Scott & White Surgicare Rockwall, TX 75087-4818 Grapevine Grayson (972) 772-6166 Eff 01-Jan-14 • Languages spoken / Idioma(s) 2040 W State Hwy 114 Baylor Scott & White Surgical hablado(s): Spanish Grapevine, TX 76051-8602 Hospital at Sherman (817) 410-4300 Eff 01-Oct-15 Tarrant County | Condado de 1325 N Travis St Lone Star Endoscopy Sherman, TX 75090 Tarrant Eff 01-Jan-14 (903) 870-0999 180 Bear Creek Pkwy Central Park Surgery Center, LP Keller, TX 76248-2500 Baylor Scott & White Surgical Eff 01-Dec-16 (817) 337-3671 Hospital at Sherman 411 Central Park Dr Eff 01-Oct-15 Arlington, TX 76014-2069 Baylor Surgicare at Mansfield 3603 N Calais St (817) 261-9191 Eff 01-Jan-14 Sherman, TX 75090 280 Regency Pkwy (903) 870-0999 Paragon Laser and Eye Surgery Mansfield, TX 76063-7823 Center (817) 453-2744 Hood County | Condado de Eff 15-Mar-18 902 W Randol Mill Rd, Ste 230 North Richland Hills Endoscopy Hood Arlington, TX 76012-2581 Center (817) 462-8240 Eff 01-Nov-15 Baylor Scott & White Surgicare - 7640 NE Lp 820, Ste 96 Granbury Endoscopy Center at Central Park North Richland Hills, TX 76180- Eff 01-Jan-14 Eff 01-Nov-15 8369 1717 Paluxy Rd 1600 Central Dr, Ste 300 (469) 713-5052 Granbury, TX 76048 Bedford, TX 76022 (817) 579-8863 (817) 318-0235 Lone Star Endoscopy Southlake Eff 22-Jan-18 Johnson County | Condado de Baylor Scott & White Surgicare 515 S Nolen Dr Fort Worth Johnson Southlake, TX 76092-9999 Eff 01-Jan-14 (817) 912-1999 750 12th Ave Cleburne Endoscopy Center LLC Fort Worth, TX 76104-2531 Eff 15-May-18 (817) 570-0200 1701 Walter Holliday Dr, Ste 100 Cleburne, TX 76033-1188 Baylor Scott & White Surgicare (817) 895-0095 Oakmont Eff 01-Jan-14 7200 Oakmont Blvd Fort Worth, TX 76132-3902 (817) 732-3300 Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 442 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Cancer Treatment Center/ Dallas County | Condado de Diagnostic Radiology/ Centro de tratamiento para el Radiodiagnóstico cáncer Dallas Lake Pointe Cardiac and Collin County | Condado de Dallas County | Condado de Pulmonary Rehab Collin Dallas Eff 01-Nov-15 7801 Lakeview Pkwy, Ste 110 Blue Star Imaging at The Star Baylor Charles A Sammons Rowlett, TX 75088 Eff 06-Sep-18 Cancer Center (972) 463-0241 3800 Gaylord Pkwy, Ste 150 Eff 01-Jan-14 Frisco, TX 75034-1995 3410 Worth St, Ste 770 Denton County | Condado de (972) 497-4100 Dallas, TX 75246-2003 Denton (214) 820-2300 Solis Mammography Eff 15-Mar-16 • Languages spoken / Idioma(s) Baylor Scott & White The Heart hablado(s): Spanish 5575 Warren Pkwy, Bldg 1, Ste Hospital - Denton 220 Baylor Scott & White Medical Eff 05-Feb-14 Frisco, TX 75034 Center - Irving 2801 S Mayhill Rd (214) 872-1020 Eff 01-Jan-14 Denton, TX 76208 1901 N MacArthur Blvd (940) 220-0600 Solis Mammography Irving, TX 75061 Eff 15-Mar-16 (972) 579-8100 Tarrant County | Condado de 4201 Medical Center Dr Ste 100A Tarrant McKinney, TX 75069-1766 Lake Pointe Cancer Center (214) 620-2346 Eff 01-Nov-15 Baylor Scott & White Heart and 7501 Lakeveiw Pkwy, Ste 120 Solis Mammography Vascular Hospital-Fort Worth Eff 15-Mar-16 Rowlett, TX 75088-9323 Eff 01-Jan-14 (972) 412-3380 7900 Henneman Way Ste 100 1400 Eighth Ave McKinney, TX 75070-2906 Cardiac Rehabilitation/ Fort Worth, TX 76104-4110 (214) 544-6600 Rehabilitación cardiaca (817) 926-2544 Solis Mammography Community Health Eff 15-Mar-16 Collin County | Condado de Center/FQHC/ Centro de salud 5920 W Parker Rd, Ste 200 Collin comunitaria/FQHC Plano, TX 75093 (866) 717-2551 Baylor Scott & White Heart and Collin County | Condado de Solis Mammography Vascular Hospital- McKinney Collin Eff 01-Jan-14 Eff 15-Mar-16 1000 N Preston Rd Ste 30 5268 W University Dr Health Services of North Texas, McKinney, TX 75071-7822 Prosper, TX 75078-8892 Inc (469) 481-5010 (469)814-3278 Eff 27-Aug-19 Baylor Scott & White The Heart 2540 K Ave, Ste 500 Johnson County | Condado de Plano, TX 75074-5360 Hospital - Plano Johnson Eff 01-Jan-14 (972) 424-1480 1100 Allied Dr Solis Mammography Plano, TX 75093 Eff 15-Mar-16

(469) 814-3278 12500 S Fwy, Ste 202 Ancillary/ Servicios complementarios Burleson, TX 76028 (866) 717-2551

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 443 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Parker County | Condado de Fresenius Medical Care Frisco Fresenius Medical Care Cockrell Eff 04-Jul-19 Hill Parker 10150 Legacy Dr Eff 01-Jan-14 Frisco, TX 75033-6728 4810 W Illinois Ave Touchstone Imaging Weatherford (469) 365-0766 Dallas, TX 75211-6501 Eff 29-Sep-20 (214) 467-3788 250 Santa Fe Dr Fresenius Medical Care Dialysis Weatherford, TX 76086 Services McKinney Fresenius Medical Care Dialysis (682) 803-0010 Eff 01-Jan-14 Services Southwestern 1831 Harroun Ave Eff 01-Jan-14 Tarrant County | Condado de McKinney, TX 75069-5003 8700 N Stemmons Fwy, Ste 135 Tarrant (972) 548-1511 Dallas, TX 75247-3723 (214) 951-7714 Fresenius Kidney Care Willow Solis Mammography Bend Dialysis Center Fresenius Medical Care Forest Eff 15-Mar-16 Eff 16-Aug-19 Park 1615 Hospital Pkwy, Ste 108 6823 Communications Pkwy, Bldg Eff 01-Jan-14 Bedford, TX 76022 A 6010 Forest Park Rd, Ste 100 (866) 717-2551 Plano, TX 75024-5991 Dallas, TX 75235-6408 (214) 474-0025 (214) 351-2833 Solis Mammography Eff 15-Mar-16 Fresenius Medical Care of West Fresenius Medical Care Kiest 1250 8th Ave, Ste 130 Plano Station Fort Worth, TX 76104 Eff 01-Jan-14 Eff 01-Jan-14 (866) 717-2551 4405 Tradition Trl 5148 S Lancaster, Ste B Plano, TX 75093 Dallas, TX 75241 Solis Mammography (972) 943-7656 (214) 371-2618 Eff 15-Mar-16 851 Grainger St, Ste 101 Fresenius-Collin County Dialysis Fresenius Medical Care PD Fort Worth, TX 76104 Center Services of Dallas (866) 717-2551 Eff 01-Jan-14 Eff 01-Jan-14 3420 K Ave, Ste 150 8700 N Stemmons Fwy, Ste 133 Solis Mammography Plano, TX 75074-2330 Dallas, TX 75247-3723 Eff 15-Mar-16 (972) 423-1447 (214) 905-8075 1545 E Southlake Blvd, Ste 200 Southlake, TX 76092 Dallas County | Condado de Fresenius-BMA Dallas Central (866) 717-2551 Eff 01-Jan-14 Dallas 7610 Military Pkwy Dialysis Center/ Centro de Dallas, TX 75227-3915 diálisis Fresenius Kidney Care Balch (214) 381-9494 Springs Collin County | Condado de Eff 27-Aug-19 Fresenius-BMA Dallas South 2429 Hickory Tree Rd Eff 01-Jan-14 Collin Balch Springs, TX 75180-1334 1150 N Bishop, #200 (972) 329-8271 Dallas, TX 75208-4168 Fresenius Medical Care Allen (214) 942-2900 Eff 01-Jan-14 Fresenius Kidney Care Cedar Hill 925 W Exchange Pkwy Eff 27-Aug-19 Fresenius-BMA South Dallas Allen, TX 75013 120 W Belt Line Rd County (972) 908-2769 Cedar Hill, TX 75104-2011 Eff 01-Jan-14 Ancillary/ Servicios complementarios (972) 293-8178 1111 W Ledbetter St, Ste 800 Dallas, TX 75224-4966 (214) 371-2485

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 444 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Fresenius-North Buckner Dialysis Fresenius Medical Care North Fresenius Medical Care Rowlett Center Garland Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 3801 Lakeview Pkwy, Ste 100 3650 N Buckner Blvd, Ste 108 530 Clara Barton Dr, Ste 105 Rowlett, TX 75088-4079 Dallas, TX 75228-5661 Garland, TX 75042 (214) 703-6951 (214) 367-8880 (214) 703-0564 Ellis County | Condado de Ellis Fresenius-Redbird Dialysis Center Fresenius-Towngate Dialysis Eff 01-Jan-14 Center Fresenius Medical Care Ennis 4111 Camp Wisdom Rd Eff 01-Jan-14 Eff 01-Jan-14 Dallas, TX 75237-2422 1901 NW Hwy, Ste 210 711 S Clay St, Ste B (972) 709-0212 Garland, TX 75041-4850 Ennis, TX 75119 (972) 278-2014 Fresenius-South Oak Cliff Dialysis (972) 875-8460 Center Fresenius Medical Care Grand Fresenius Medical Care Dialysis Eff 01-Jan-14 Prairie Services Waxahachie 615 W Illinois Ave Eff 01-Jan-14 Eff 01-Jan-14 Dallas, TX 75224 825 Dalworth Ave 1300 S Rogers St (214) 943-7065 Grand Prairie, TX 75050 Waxahachie, TX 75165 (972) 266-3891 Fresenius-Swiss Avenue Dialysis (972) 938-2212 Center Fresenius-Renal Care Group Eff 01-Jan-14 Irving Hill County | Condado de Hill 2613 Swiss Ave Eff 01-Jan-14 Dallas, TX 75204-5859 1625 N Story Rd, Ste 140 Fresenius Medical Care Hillsboro (214) 827-9854 Irving, TX 75061-1954 Kidney Center (972) 871-8282 Eff 01-Jan-14 Fresenius-Village II Dialysis 1507 Hillview Dr Center Liberty Dialysis - Irving Hillsboro, TX 76645-2746 Eff 01-Jan-14 Eff 27-Nov-20 (254) 582-5577 6300 Samuell Blvd, Ste 125 1111 W Airport Fwy Ste 101 Dallas, TX 75228-7100 Irving, TX 75062-6204 Hood County | Condado de (214) 388-8690 (972) 746-4747 Hood Fresenius-Walnut Hill Dialysis Fresenius-Metro East Dialysis Center Center Fresenius Medical Care Granbury Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Nov-17 9840 N Central Expy, Ste 340 909 Gross Rd, Ste 200 1030 E US Hwy 377, Ste 128 Dallas, TX 75231-0952 Mesquite, TX 75149-1585 Granbury, TX 76048-1457 (469) 232-5333 (972) 288-1060 (682) 205-7001

Fresenius Medical Care Pleasant Fresenius Kidney Care Renner Johnson County | Condado de Run Road Johnson Eff 01-Jan-14 Eff 29-Apr-19 900 Polk St, Ste 146 3517 Spectrum Blvd Desoto, TX 75115-4017 Richardson, TX 75082 Fresenius-Cleburne Dialysis (972) 228-8780 (972) 234-4326 Center Eff 01-Jan-14 Fresenius-Farmers Branch Renner Road Home Dialysis Clinic 160 Jack Burton Rd Dialysis Center Eff 29-Apr-19 Cleburne, TX 76031 Eff 01-Jan-14 3317 Essex Dr, Ste 150 (817) 558-1593 Ancillary/ Servicios complementarios 2280 Springlake Rd, Ste 110 Richardson, TX 75082-9714 Farmers Branch, TX 75234 (972) 234-4667 (972) 488-1191

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 445 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Kaufman County | Condado de Fresenius Kidney Care Southeast Fresenius-Northeast Dialysis Fort Worth Center Kaufman Eff 27-Aug-19 Eff 01-Jan-14 3708 E Rosedale St 4121 Denton Hwy Fresenius Medical Care Kaufman Fort Worth, TX 76105-1701 Haltom City, TX 76117-2012 Eff 01-Jan-14 (817) 413-0070 (817) 581-1515 2213 Old Kemp Hwy Kaufman, TX 75142-3658 Fresenius Medical Care Burleson Fresenius Medical Care Dialysis (972) 932-4846 Eff 01-Jan-14 Services Grapevine 200 McPherson Rd Eff 01-Jan-14 Fresenius Medical Care Dialysis Fort Worth, TX 76140-5451 1601 Hart Cir Services Terrell (817) 551-6623 Southlake, TX 76092-9707 Eff 01-Jan-14 (817) 329-1866 351 S Virginia Ave, Ste 300 Fresenius Medical Care Ft Worth Terrell, TX 75160-3717 Parkway Durable Medical Equipment/ (972) 524-9990 Eff 01-Jan-14 Equipo médico duradero 6551 Harris Pkwy, Ste 115A Navarro County | Condado de Fort Worth, TX 76132-6106 Collin County | Condado de (817) 292-5512 Navarro Collin Fresenius Medical Care of Fresenius-BMA Corsicana Northside Beltone Hearing Center Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Apr-14 1321 W 2nd Ave 2532 Jacksboro Hwy 3401 Custer Rd, Ste 101 Corsicana, TX 75110-3798 Fort Worth, TX 76114-2206 Plano, TX 75023 (903) 872-7245 (817) 378-0043 (972) 985-5023 Parker County | Condado de Fresenius Medical Care Southwest Strobel & Associates Prosthetics Parker Ft Worth and Orthotics Eff 01-Jan-14 Eff 01-Jul-16 4804 Bryant Irvin Ct Fresenius Medical Care 221 W Parker Rd, Ste 510 Fort Worth, TX 76107-7640 Weatherford Plano, TX 75023-6914 (817) 738-8703 Eff 01-Apr-14 (972) 516-9538 2025 Ft Worth Pkwy Fresenius-Tarrant County Campus Women's Health Boutique Weatherford, TX 76086 Dialysis Eff 01-Oct-15 (817) 599-6783 Eff 01-Jan-14 3115 W Parker Rd, Ste 270 5000 Campus Dr Plano, TX 75023-8129 Tarrant County | Condado de Fort Worth, TX 76119-5921 (972) 985-4477 Tarrant (817) 413-0330 Dallas County | Condado de Fresenius-Trinity Dialysis Center Fresenius Kidney Care East Fort Eff 01-Jan-14 Dallas Worth 1210 Alston Ave Eff 29-Apr-19 Fort Worth, TX 76104-4506 Home Care Delivered 1032 Sandy Ln (817) 338-1302 Eff 01-May-17 Fort Worth, TX 76120-3314 15851 Dallas Pkwy, Ste 600 (817) 429-1944 RRC West Fort Worth Addison, TX 75001 Eff 05-Sep-18 Fresenius Kidney Care Keller (800) 565-6167 5601 Locke Ave, Ste 101

Ancillary/ Servicios complementarios Eff 03-Jan-20 Fort Worth, TX 76107-5127 3700 N Tarrant Pkwy (817) 886-3200 Fort Worth, TX 76177 (817)479-8232

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 446 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Prism Medical Products, LLC Cranial Technologies Women's Health Boutique Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Oct-15 1421 Champion Dr, Ste 100 8131 LBJ Fwy, Ste 100 1322 N Beckley Ave Carrollton, TX 75006-6871 Dallas, TX 75251 Dallas, TX 75203-1254 (888) 244-6421 (866) 362-2263 (214) 948-3999 • Languages spoken / Idioma(s) hablado(s): Spanish Good Night Medical Lincare Inc Eff 01-Mar-16 Eff 01-Dec-18 Pacific Pulmonary Services 10920 Switzer Ave, Ste 106 3884 S Shiloh Rd, Ste 120 Eff 01-Aug-15 Dallas, TX 75238-5303 Garland, TX 75041 2440 Lacy Ln, Ste 100 (214) 353-9090 (972) 840-4949 Carrollton, TX 75006-6522 (972) 484-1009 Majors Medical Service Medicos Eff 01-Oct-16 Eff 01-Jul-15 ABB Healthcare Services, LLC 2601 W Mockingbird Ln, Ste 101 1910 Silver St Eff 15-Oct-17 Dallas, TX 75235 Garland, TX 75042-6645 6102 Skillman St, Ste 110 (214) 951-9710 (972) 494-3334 Dallas, TX 75231 (214) 340-4444 NuMotion Allumed, Inc Eff 01-Aug-16 Eff 01-Jan-14 Close To You, Inc 1221 Profit Dr 2001 108th St, Ste 104 Eff 01-Apr-15 Dallas, TX 75247-3919 Grand Prairie, TX 75050-1459 11661 Preston Rd, Ste 154 (972) 323-9393 (214) 677-0186 Dallas, TX 75230 (214) 692-8893 One Source Medical Solutions MetroCare Home Medical Eff 01-Oct-17 Equipment, Inc Pulmonary Prevention Plus, LLC 1555 W Mockingbird Ln, Ste 210 Eff 15-May-17 Eff 15-Nov-16 Dallas, TX 75235-5018 1340 Post & Paddock St, Ste 100 3030 LBJ Fwy Ste 940 (214) 421-7000 Grand Prairie, TX 75050 Dallas, TX 75234 (972) 647-0111 (469) 371-4910 Rhema Medical Eff 13-Aug-20 Medical Plus Supplies Ten20 Medical Distribution, LLC 2550 Beckleymeade Ave Ste 105 Eff 15-Nov-17 Eff 01-Jun-15 Dallas, TX 75237 201 E Main St 4300 Sigma Rd, Ste 120 (972) 283-8380 Grand Prairie, TX 75050-5724 Dallas, TX 75244 (800) 298-3948 (214) 483-9933 Travis Medical Sales Corporation • Languages spoken / Idioma(s) Eff 27-Mar-20 hablado(s): Spanish Texas Home Medical, Inc 1850 Crown Dr Ste 1114 Eff 15-Aug-17 Dallas, TX 75234-9436 Apria Healthcare, Inc 11836 Judd Court, Ste 320 (469) 904-8850 Eff 01-Jan-14 Dallas, TX 75243 8300 Esters Blvd, Ste 920 (214) 824-3688 Women's Health Boutique Irving, TX 75063-2233 Eff 01-Oct-15 (972) 621-2005 AeroCare 8196 Walnut Hill Ln, Ste 140 Eff 11-Mar-14 Dallas, TX 75231-7008 Strive Medical, LLC 11130 Petal St, Ste 200 (214) 360-7750 Eff 01-Sep-15 Dallas, TX 75238-2447 5800 Campus Circle Dr E, Ste (214) 267-9000 Women's Health Boutique 100B Eff 01-Oct-15 Irving, TX 75063-2739 8499 Greenville Ave, Ste 99 (888) 771-9229 Ancillary/ Servicios complementarios Dallas, TX 75231-2400 (214) 373-1045

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 447 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Rhema Medical Denton County | Condado de Luv Med Group, LLC Eff 01-Jan-14 Eff 01-Jan-14 8415 Sterling St Denton 162 S Main Dr Irving, TX 75063 Van Alstyne, TX 75495-9700 (972) 256-2030 Healthline Medical Equipment, Inc (903) 482-0044 Eff 01-Jan-14 Universalmed Supply 2925 Country Club Rd Ste 103 Hill County | Condado de Hill Eff 01-Aug-16 Denton, TX 76210-8710 1329 W Walnut Hill Ln, Ste 100 (940) 220-2590 Rhema Medical Irving, TX 75038-3027 Eff 01-Jan-14 (972) 228-1820 Rhema Medical Eff 19-Aug-20 1511 Pruitt Ln MedGlobal Home Healthcare, INC 1108 Dallas Dr Ste 333 Hillsboro, TX 76645 Eff 01-Aug-16 Denton, TX 76205 (254) 580-2999 18601 LBJ Fwy, Ste 330 (940) 243-9009 Mesquite, TX 75150 Hood County | Condado de (972) 222-3870 Orthofix Inc Hood Eff 01-Apr-14 Healthline Medical Equipment, Inc 3451 Plano Parkway AeroCare Home Medical Eff 01-Jan-14 Lewisville, TX 75056-9453 Equipment, Inc 1901 N Glenville Dr Ste 501 (800) 535-4491 Eff 01-Jun-18 Richardson, TX 75081-1957 • Languages spoken / Idioma(s) 209 M and M Ranch Rd, Ste 110 (972) 480-0990 hablado(s): Spanish Granbury, TX 76049-7055 Karma Medical Supply, Inc Specialty Medical Sales (817) 578-8970 Eff 01-Sep-15 Eff 15-Aug-17 Sports & Wellness, LLC 500 E Arapaho Rd, Ste 606 1702 S State Hwy 121, Ste 608 Eff 01-Feb-16 Richardson, TX 75081-2766 Lewisville, TX 75067-8947 1205 Medical Plaza Ct (972) 235-4200 (972) 434-2073 Granbury, TX 76048 ABC Home Medical Supply INC AeroCare Home Medical (817) 900-2250 Eff 01-Aug-16 Equipment, Inc Texstar Medical Equipment 1720 N Greenville Ave Eff 01-Jun-18 Eff 01-Jan-14 Richardson, TX 75081-1808 304 Acker St, Ste 101 314 S Morgan (866) 897-8588 Sanger, TX 76266-9609 Granbury, TX 76048 (940) 458-3744 SPC Home Medical Equipment (817) 573-5539 Eff 15-Aug-17 Grayson County | Condado de 880 Dorothy Dr Hunt County | Condado de Richardson, TX 75081-2772 Grayson Hunt (972) 699-7500 Healthline Medical Equipment, Inc Beltone Hearing Center American HomePatient Eff 01-Jan-14 Eff 01-Apr-14 Eff 01-Dec-19 1414 W Houston 2112 Stonewall St 2611 N Belt Line Rd, Ste 138 Sherman, TX 75092-7410 Greenville, TX 75401 Sunnyvale, TX 75182-9357 (903) 870-0701 (903) 455-5424 (972) 780-0101 Lincare Inc Tribute Medical Supply Eff 01-Dec-18 Eff 01-Aug-16 2001 Skyline Dr, Ste B-220 1118 Interstate Hyw 30 Ancillary/ Servicios complementarios Sherman, TX 75092 Greenville, TX 75402 (903) 463-4880 (903) 454-0100

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 448 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Navarro County | Condado de Xmed Oxygen & Medical Edgepark Medical Supplies Equipment Eff 10-Nov-15 Navarro Eff 15-Sep-14 5400 Sandshell Blvd, Ste 160 203 S Ector Dr, Ste A Fort Worth, TX 76137 Lincare Inc Euless, TX 76040-4449 (800) 321-0591 Eff 01-Dec-18 (817) 267-0500 809 N Main St Lincare Inc Corsicana, TX 75110-3048 AeroCare Home Medical Eff 01-Dec-18 (903) 872-6020 Equipment, Inc 5813 Westcreek Dr Eff 11-Mar-14 Fort Worth, TX 76133-3335 Parker County | Condado de 2816 SE Loop 820 (817) 292-6241 Parker Fort Worth, TX 76140-1012 (817) 446-8499 NuMotion Eff 01-Aug-16 Healthline Medical Equipment, Inc Medigy, LLC 8916 Oak Grove Rd Eff 01-Jan-14 Eff 15-May-17 Fort Worth, TX 76140-5124 815 Sante Fe Ste 300 1822 N Sylvania Ave (817) 921-3100 Weatherford, TX 76086-6522 Fort Worth, TX 76111 (817) 341-7551 (817) 379-6334 Rhema Medical Eff 13-Aug-20 Rockwall County | Condado de Monarch Medical & Rehab Supply, 9665 Camp Bowie West Blvd Rockwall Inc Fort Worth, TX 76116 Eff 01-Jul-14 (817) 244-7052 5650 Kroger Dr, Ste 100 dMedicus LLC Fort Worth, TX 76244-5682 Best Medical Solutions Eff 01-Sep-16 (817) 753-6337 Eff 15-Oct-19 1101 Ridge Rd, Ste 201 • Languages spoken / Idioma(s) 6400 Bradley Ave,Ste J Rockwall, TX 75087 hablado(s): Spanish Haltom City, TX 76117-4817 (469) 698-0250 (817) 585-1772 Apria Healthcare LLC Tarrant County | Condado de Eff 30-Oct-20 IMS Experts Tarrant 8910 Oak Grove Rd Eff 01-Jan-14 Fort Worth, TX 76140-5124 1696 Country Club Mansfield, TX 76063-2625 Healthline Medical Equipment, Inc (817) 945-3755 (817) 453-9787 Eff 01-Jan-14 C & R Medical 2887 W Pioneer Pkwy Ste B Eff 01-May-15 Breg, Inc Arlington, TX 76013-5963 2908 SE Loop 820 Eff 01-Nov-15 (817) 801-0400 Fort Worth, TX 76140-1019 2380 Dean Wy, Ste 140 Southlake, TX 76092-1379 KCI USA, Inc (817) 590-8166 (817) 416-7400 Eff 01-Jan-18 • Languages spoken / Idioma(s) hablado(s): Spanish 2412 E Randol Mill Rd Southlake Medical Supplies, Inc Arlington, TX 76011-6335 Cranial Technologies Eff 01-Jan-14 (800) 275-4524 Eff 01-Feb-16 508 Silicon Dr, Ste 100 Southlake, TX 76092-9183 Bridge Orthopedics Solutions 800 8th Ave, Ste 124 (817) 481-9002 Eff 01-Mar-17 Fort Worth, TX 76104 • Languages spoken / Idioma(s) 2304 Park Rowe, #5 (817) 810-9233 hablado(s): Spanish Arlington, TX 76013-3347 DME Scooters & More

(918) 756-2343 Ancillary/ Servicios complementarios Eff 01-Oct-17 100 W Rosedale Fort Worth, TX 76104-4852 (888) 776-0556

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 449 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Byram Healthcare Centers Livingston Hearing Aid Center, Inc Livingston Hearing Aid Center, Inc Eff 01-Jan-14 Eff 01-Jan-18 Eff 01-Jan-18 1080 S Kimball, Ste 140 3000 Custer Rd, #355 11661 Preston Rd, #131 Southlake, TX 76092-9007 Plano, TX 75075-4422 Dallas, TX 75230-6191 (214) 638-1056 (806) 799-8950 (806) 799-8950 Innovative Prosthetics Advanced Hearing & Balance Livingston Hearing Aid Center, Inc Eff 01-May-17 Center Eff 01-Jan-18 935 S Kimball Ave, Ste 170 Eff 01-Dec-19 6465 E Mockingbird, #314 Southlake, TX 76092-9040 5052 Tennyson Pkwy, Ste 100 Dallas, TX 75214-2470 (817) 251-2220 Plano, TX 75024-3089 (806) 799-8950 (888) 536-5593 Geriatric Medicine/ Medicina Connect Hearing Inc geriátrica Connect Hearing Inc Eff 01-Nov-18 Eff 01-Nov-18 14902 Preston Rd, Ste 604 Dallas County | Condado de 1820 Coit Rd 120 Dallas, TX 75254-6841 Plano, TX 75075-5036 (800) 675-5485 Dallas (800) 675-5485 Connect Hearing Inc Baylor Geriatrics Center at Dallas Miracle-Ear Eff 01-Nov-18 Eff 01-Jan-14 Eff 01-Jul-20 6809 W Northwest Hwy 4004 Worth St Ste 100 700 Alma Dr, Ste 139 Dallas, TX 75225-4202 Dallas, TX 75246 Plano, TX 75075-8835 (800) 675-5485 (214) 820-6060 (972) 578-2222 Miracle-Ear Hearing Aids/ audífonos Cooke County | Condado de Eff 01-Jul-20 8222 Douglas Ave, Ste 815 Cooke Dallas, TX 75225 Collin County | Condado de (214) 360-9331 Collin Livingston Hearing Aid Center, Inc Eff 01-Jan-18 Hearing Solutions Inc Livingston Hearing Aid Center, Inc 1041 Grand Ave, #A Eff 01-May-18 Eff 01-Jan-18 Gainesville, TX 76240-3576 2715 Bolton Boone, Ste C 5404 Preston Rd, #104 (806) 799-8950 Desoto, TX 75115-2079 Frisco, TX 75034-7471 (972) 572-5582 (806) 799-8950 Dallas County | Condado de Livingston Hearing Aid Center, Inc Dallas Livingston Hearing Aid Center, Inc Eff 01-Jan-18 Eff 01-Jan-18 985 W Centerville Rd 1717 W University Dr, #408 Livingston Hearing Aid Center, Inc Garland, TX 75041-5824 McKinney, TX 75069-3220 Eff 01-Jan-18 (806) 799-8950 (806) 799-8950 130 W Beltline Rd, #2 Cedar Hill, TX 75104-2090 Miracle-Ear Livingston Hearing Aid Center, Inc (806) 799-8950 Eff 24-Aug-20 Eff 01-Jan-18 1250 Northwest Hwy Ste G 2107 W Eldorado, #107 Miracle-Ear Garland, TX 75041 McKinney, TX 75070-7530 Eff 01-Jul-20 (972) 698-0615 (806) 799-8950 818 N Hwy 67, Ste 100B Cedar Hill, TX 75104-2102 Livingston Hearing Aid Center, Inc Miracle-Ear (972) 291-3052 Eff 01-Jan-18 Ancillary/ Servicios complementarios Eff 01-Jul-20 2301 N O'Conner Rd, #1 1933 N Central Expy, Ste 514 Irving, TX 75062-7090 McKinney, TX 75070-3685 (806) 799-8950 (214) 491-6147

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 450 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Connect Hearing Inc Miracle-Ear Connect Hearing Inc Eff 01-Nov-18 Eff 01-Jul-20 Eff 01-Nov-18 2700 N O'Connor, Ste 102B 2200 W University Dr Ste 170 509 W Pearl Irving, TX 75062-5698 Denton, TX 76201 Granbury, TX 76048-2043 (800) 675-5485 (940) 387-9200 (800) 675-5485

Miracle-Ear Livingston Hearing Aid Center, Inc Hunt County | Condado de Eff 01-Jul-20 Eff 01-Jan-18 4020 N MacArthur Blvd Ste 134 1288 W Main St, #220 Hunt Irving, TX 75038 Lewisville, TX 75067-3467 (972) 258-5880 (806) 799-8950 Livingston Hearing Aid Center, Inc Eff 01-Jan-18 Connect Hearing Inc Miracle-Ear 6103 Wesley St, Ste H Eff 01-Nov-18 Eff 01-Jul-20 Greenville, TX 75402-8980 3220 Gus Thompson 356 420 E FM 3040, Ste 113 (806) 799-8950 Mesquite, TX 75150-4051 Lewisville, TX 75067-8386 (800) 675-5485 (972) 459-2320 Johnson County | Condado de Johnson Miracle-Ear Ellis County | Condado de Ellis Eff 01-Jul-20 1220 N Town E Blvd, Ste 214 SoundWorks Hearing Centers, Inc Livingston Hearing Aid Center, Inc Eff 01-Jan-18 Mesquite, TX 75150-4682 Eff 01-Jan-18 (972) 270-2202 650 SW Wilshire Blvd 507 US Hwy 77, #602 Burleson, TX 76028-5851 Livingston Hearing Aid Center, Inc Waxahachie, TX 75165-1889 (817) 882-6204 Eff 01-Jan-18 (806) 799-8950 891 W Arapaho, #A Connect Hearing Inc Miracle-Ear Eff 01-Nov-18 Richardson, TX 75080-4061 Eff 01-Jul-20 (806) 799-8950 921 SW Johnson Ste A 102 Professional Place, Ste 102 Burleson, TX 76028-5384 Waxahachie, TX 75165-1432 (800) 675-5485 Denton County | Condado de (972) 351-9136 Denton Miracle-Ear Grayson County | Condado de Eff 24-Aug-20 Livingston Hearing Aid Center, Inc Grayson 811 NE Alsbury Blvd Ste 900 Eff 01-Jan-18 Burleson, TX 76028 3044 Old Denton Rd, #121 Livingston Hearing Aid Center, Inc (807) 426-4318 Carrollton, TX 75007-5099 Eff 01-Jan-18 (806) 799-8950 Livingston Hearing Aid Center, Inc 2907 Overland Trail, #300 Eff 01-Jan-18 Livingston Hearing Aid Center, Inc Sherman, TX 75092-4496 405 N Ridgeway, #C Eff 01-Jan-18 (806) 799-8950 Cleburne, TX 76033-5130 528 W University Dr (806) 799-8950 Denton, TX 76201-1844 Hood County | Condado de (806) 799-8950 Hood Connect Hearing Inc Eff 01-Nov-18 Connect Hearing Inc SoundWorks Hearing Centers, Inc 211 N Anglin Eff 01-Nov-18 Eff 01-Jan-18 Cleburne, TX 76031-4134 1719 S Loop 288, Ste 165 2441 E Hwy 377, Ste 108 (800) 675-5485 Denton, TX 76205-4815 Granbury, TX 76049-6117 (800) 675-5485 (682) 936-4006 Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 451 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Kaufman County | Condado de Tarrant County | Condado de Miracle-Ear Eff 01-Jul-20 Kaufman Tarrant 6353 Camp Bowie Blvd, Ste 113 Fort Worth, TX 76116-5461 Livingston Hearing Aid Center, Inc SoundWorks Hearing Centers, Inc (817) 731-4327 Eff 01-Jan-18 Eff 01-Jan-18 808 W Moore Ave, #A 1000 W Randol Mill Rd Miracle-Ear Terrell, TX 75160-3088 Arlington, TX 76012-2512 Eff 01-Jul-20 (806) 799-8950 (817) 795-6000 4618 SW Lp 820 Fort Worth, TX 76109 Navarro County | Condado de Connect Hearing Inc (817) 763-9993 Eff 01-Nov-18 Navarro 1730 W Randol Mill, Ste 190 Livingston Hearing Aid Center, Inc Arlington, TX 76012-3057 Eff 01-Jan-18 SoundWorks Hearing Centers, Inc (800) 675-5485 314 S Park Blvd Eff 01-Jan-18 Grapevine, TX 76051-7835 602 W 7th Ave Miracle-Ear (806) 799-8950 Corsicana, TX 75110-6316 Eff 01-Jul-20 (903) 875-0534 3810 S Cooper St, Ste 144 Advanced Hearing & Balance Arlington, TX 76015-4100 Center Connect Hearing Inc (817) 466-4327 Eff 01-Dec-19 Eff 01-Nov-18 1340 S Main St Ste 190 200 N 15th St, Ste 11 Connect Hearing Inc Grapevine, TX 76051-5547 Corsicana, TX 75110-4500 Eff 01-Nov-18 (972) 733-3344 (800) 675-5485 316 Harwood Bedford, TX 76021-4148 Livingston Hearing Aid Center, Inc Parker County | Condado de (800) 675-5485 Eff 01-Jan-18 Parker 125 W Harwood Miracle-Ear Hurst, TX 76054-3058 Eff 24-Aug-20 (806) 799-8950 SoundWorks Hearing Centers, Inc 2248 Central Dr Ste 113 Eff 01-Jan-18 Bedford, TX 76021 Miracle-Ear 1016 Palo Pinto St (817) 354-4350 Eff 01-Jul-20 Weatherford, TX 76086-4016 725 Airport Fwy, Ste F (817) 757-7707 SoundWorks Hearing Centers, Inc Hurst, TX 76053-3965 Eff 01-Jan-18 (817) 285-1710 Connect Hearing Inc 6228 Camp Bowie Blvd Eff 01-Nov-18 Fort Worth, TX 76116-5525 SoundWorks Hearing Centers, Inc 300 S Main St, Ste 201 (817) 735-8737 Eff 01-Jan-18 Weatherford, TX 76086-4366 6560 Lake Worth Blvd (800) 675-5485 Connect Hearing Inc Lake Worth, TX 76135-3003 Eff 01-Nov-18 (817) 238-1070 Rockwall County | Condado de 400 S Henderson Rockwall Fort Worth, TX 76104-1017 Connect Hearing Inc (800) 675-5485 Eff 01-Nov-18 3937 Boat Club Rd Livingston Hearing Aid Center, Inc Connect Hearing Inc Lake Worth, TX 76135-3202 Eff 01-Jan-18 Eff 01-Nov-18 (800) 675-5485 2006 S Goliad St, #228 5512-K Bellaire Dr S Rockwall, TX 75087-4800 Fort Worth, TX 76109-5800 Livingston Hearing Aid Center, Inc

Ancillary/ Servicios complementarios (806) 799-8950 (800) 675-5485 Eff 01-Jan-18 121 W Debbie Ln, #101 Mansfield, TX 76063-8942 (806) 799-8950

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 452 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Miracle-Ear Cardinal MedHealth Services, Inc Solid Care Home Health Agency, Eff 24-Aug-20 Eff 15-Jan-18 Inc 2055 W Southlake Blvd 4500 Legacy Dr Ste 100 Eff 15-Dec-17 Southlake, TX 76092 Plano, TX 75024-2180 1500 E Beltline Rd, Ste 200 (817) 421-5409 (214) 442-9091 Carrollton, TX 75006 (972) 243-7017 Home Health/ Salud en el hogar Healthcare Corporation of America, Inc Apex Home Care Collin County | Condado de Eff 15-Dec-16 Eff 01-Aug-16 4404 Brinker Ct 2840 Keller Springs Rd Ste 901 Collin Plano, TX 75024-3876 Carrollton, TX 75006 (972) 758-1000 (972) 416-0078 Encompass Home Health of Northeast Texas Legacy at Home ABB Healthcare Services, LLC Eff 01-Jun-17 Eff 15-Dec-16 Eff 15-Oct-17 780 N Watters Rd, Ste 160 8080 Independence Pkwy, Ste 245 6102 Skillman St, Ste 110 Allen, TX 75013-5085 Plano, TX 75025-4026 Dallas, TX 75231 (214) 383-9880 (972) 244-7700 (214) 340-4444 Reliant Home Health Omnicure Home Health Beyond Faith Homecare & Rehab, Eff 01-Jun-16 Eff 01-Oct-16 LLC 1101 Raintree Cr, Ste 180 3814 Timberlake Dr Eff 01-May-15 Allen, TX 75013-4923 Plano, TX 75023 7616 LBJ Fwy, Ste 530 (214) 477-4039 (972) 741-3193 Dallas, TX 75251-1123 (972) 980-9397 Excel Plus Home Health, Inc Paradigm Homecare • Languages spoken / Idioma(s) Eff 01-May-16 Eff 01-Aug-15 hablado(s): Spanish 17822 Davenport Rd D 2000 N Central Expy Ste 209 Dallas, TX 75252 Plano, TX 75074-5484 Direct Home Health Services, Inc (469) 547-5311 (972) 422-0033 Eff 15-Aug-17 9862 Plano Rd, Ste 101-102 NYS Home Health, LLC Senior Solutions Home Health Dallas, TX 75238 Eff 01-May-16 Eff 01-Jun-18 (877) 551-6668 17754 Preston Rd, Ste 200 6404 International Pkwy, #1600 Dallas, TX 75252 Plano, TX 75093-8256 Haven Home Health, LLC (972) 934-7060 (214) 446-1450 Eff 01-Apr-14 12160 N Abrams Rd, Ste 100 Texas Home Health Group, LLC Veritas Home Health Dallas, TX 75243 Eff 01-Nov-17 Eff 01-Feb-17 (972) 644-3000 6800 Wieskopf Ave, Ste 110 2825 Regal Rd, Ste 105 McKinney, TX 75070-5337 Plano, TX 75075 Metrostar Healthcare Services, (972) 569-8157 (972) 519-0308 LLC Eff 15-Dec-17 Grace Compassion Home Health Dallas County | Condado de 12300 Ford Rd, Ste 455 Agency Dallas Dallas, TX 75234-8136 Eff 01-Jul-15 (972) 331-3133 1230 Crestwick Dr Murphy, TX 75094 KidsCare Therapy New Life Home Healthcare, Inc (972) 516-1069 Eff 01-Oct-15 Eff 15-Dec-17 15820 Addison Rd 9550 Skillman St, Ste. 300 Addison, TX 75001-3549 Dallas, TX 75243-9298 Ancillary/ Servicios complementarios (214) 575-2999 (972) 248-7848 • Languages spoken / Idioma(s) hablado(s): Spanish

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 453 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Altruist Home Healthcare Inc Home Care Providers of Texas US Universal Health Care Eff 01-Sep-15 Eff 15-Oct-17 Services, LLC 6301 Gaston Ave, Ste 610 5339 Alpha Rd, Ste 200 Eff 01-Oct-16 Dallas, TX 75214 Dallas, TX 75240 214 S Main St, Ste 212 (214) 328-8600 (972) 735-0801 Duncanville, TX 75116 (972) 780-5226 Amity Health Care Services Kindred at Home Eff 15-Dec-17 Eff 01-Jun-15 Encompass Home Health of DFW 17311 N Dallas Pkwy 4849 Greenville Ave, Ste 1400 Eff 01-Jun-17 Dallas, TX 75248-1149 Dallas, TX 75206 150 E Hwy 67, Ste 248 (972) 931-5400 (214) 378-9913 Duncanville, TX 75137-4491 (972) 298-3400 Care Options for Kids Passion 05 Home Health Services Eff 01-Jan-14 Eff 01-May-15 Encompass Home Health of DFW 12770 Coit Rd Ste 870 1140 Empire Central Dr, Ste 630 Eff 01-Jun-17 Dallas, TX 75251-1455 Dallas, TX 75247 150 E. Highway 67, Suite 250 (972) 756-0500 (214) 253-2654 Duncanville, TX 75137-4482 • Languages spoken / Idioma(s) (972) 298-3400 CC Young - Home Health hablado(s): Spanish Eff 15-Mar-19 First Choice Home Health Care 4829 W Lawther Dr Therapy 2000 Eff 01-Jun-18 Dallas, TX 75214-1858 Eff 01-Nov-16 106 E Fain St (214) 841-2825 8111 LBJ Fwy, Ste 650 Duncanville, TX 75116-3527 Dallas, TX 75251 (972) 780-1117 Divine Home Health Care (877) 688-2520 Eff 01-Apr-17 Heritage HomeCare 4230 LBJ Fwy, Ste 128 Therapy 2000 Eff 01-Mar-15 Dallas, TX 75244 Eff 01-Nov-16 402 W Wheatland Rd, Ste 170 (972) 242-6930 2535 Lone Star Dr Duncanville, TX 75116-4600 Dallas, TX 75212 (972) 283-8124 Encompass Home Health of (214) 467-9787 Greater Dallas Abounding Home Health Care, Inc Eff 01-Jun-17 TORO Home Health Services Inc Eff 01-Apr-15 10300 N Central Expwy, Ste 355 Eff 01-Oct-16 310 E 1 30, Ste B108 Dallas, TX 75231-2283 5920 Naravista Dr Garland, TX 75043-6506 (214) 503-7700 Dallas, TX 75249 (214) 327-3783 (972) 298-2222 Four Seasons Home Health Praise Home Health Agency Services Inc Home Care Network East, Inc Eff 01-Apr-14 Eff 15-Feb-18 Eff 01-Sep-15 310 Parker Dr 9304 Forest Ln, Ste S201 1701 N Hampton Rd, Ste E Garland, TX 75040 Dallas, TX 75243-6238 Desoto, TX 75115 (214) 694-6940 (972) 925-0735 (972) 270-2000 • Languages spoken / Idioma(s) Vision Home Health Care hablado(s): Spanish Texas Home Health Skilled Eff 01-Dec-18 Services 409 E Centerville Rd, Ste #A Healthwatch Professionals Eff 01-Jun-14 Garland, TX 75041 Eff 01-Apr-16 911 York Dr, Ste 203 (214) 703-0767 11520 N Central Expy Ste 220 Desoto, TX 75115 Dallas, TX 75243 (214) 307-7300 Ancillary/ Servicios complementarios (972) 792-7770

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 454 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Safeway Healthcare Services, Inc Good Samaritan Home Health Ally Home Health Eff 01-Apr-15 Agency Eff 01-May-16 2321 S Beltline Rd, Ste 110 Eff 15-Dec-19 899 Presidential Dr, Ste 117 Grand Prairie, TX 75051-4181 2510 Texas Dr Ste 100 Richardson, TX 75081-2963 (972) 262-7662 Irving, TX 75062-7054 (214) 363-2559 • Languages spoken / Idioma(s) (972) 594-0646 hablado(s): Spanish Amcare Pro Home Health Platinum Healthcare Corp Eff 01-Mar-16 Family Connections Home Health Eff 15-Dec-17 1222 E Arapaho Rd Ste 305 Care 1431 Greenway Dr, Ste 834 Richardson, TX 75081 Eff 01-Dec-17 Irving, TX 75038-2448 (214) 987-2100 2321 S Beltline Rd, Ste 101 (972) 378-9700 Grand Prairie, TX 75051-4100 Guardian Angels At Home Care (214) 941-9522 We Care Home Health Services, Inc Inc Eff 01-Jun-17 Good Shepherd Health Care Eff 01-Jul-15 100 N Central Expwy, Ste 190 Services, INC 417 N Bryan Beltline Rd, Ste A Richardson, TX 75080-5302 Eff 01-Jan-17 Mesquite, TX 75149-4353 (972) 247-8203 415 E Airport Fwy, Ste 230 (972) 289-5800 Irving, TX 75062 Medsource Health Care System (469) 620-9028 Agape Home Healthcare Eff 15-Jan-18 Eff 01-Oct-15 1701 Analog Dr Kingly Home Health Care, Inc 18770 LBJ Fwy, Ste 200 Richardson, TX 75081 Eff 15-Sep-16 Mesquite, TX 75150 (972) 572-9783 1219 Stewart Dr (972) 681-2247 Irving, TX 75061 • Languages spoken / Idioma(s) Shalom Home Health Services (469) 586-4560 hablado(s): Hindi Eff 15-Apr-19 811 S Central Expy, Ste 550 Advanced Home Health Services Angel Home Health Richardson, TX 75080-7430 Eff 12-Nov-20 Eff 01-Dec-16 (972) 925-0283 1212 Corporate Dr Ste 125 208 W Kearney St, Ste 101 Irving, TX 75038 Mesquite, TX 75149-3454 Timely Care Home Health (972) 455-9117 (972) 346-6502 Eff 01-Jul-15 1701 N Greenville Ave, Ste 1105 American Pilgrims Health Services At Home Healthcare Richardson, TX 75081 Eff 15-Nov-19 Eff 01-Jan-14 (972) 699-7200 2500 Texas Dr Ste 101 2736 Towne Centre Dr, Ste A Irving, TX 75062-7022 Mesquite, TX 75150-4183 Health Quest Home Health Inc (972) 255-2600 (214) 484-3332 Eff 15-Mar-19 9410 Chimneywood Carter Healthcare Physician's Choice Homecare Rowlett, TX 75089 Eff 01-Sep-15 Eff 01-Nov-16 (972) 412-1540 4425 W Airport Freeway, Ste 100 200 E Main St Irving, TX 75062 Mesquite, TX 75149-4318 Lydia Home Health Care LLC (972) 255-3840 (972) 686-7602 Eff 01-Feb-15 2805 Chaha Rd DeltaCare Home Health Services Signature Health Care Inc Rowlett, TX 75088-5595 Eff 01-Jul-14 Eff 15-Oct-17 (972) 412-2379 2608 Texas Dr 3213 I-30, Ste 203 Irving, TX 75062 Mesquite, TX 75150 (972) 255-6171 (214) 299-9920 Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 455 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

American Family Health Services, Physician's Choice Homecare Hill County | Condado de Hill Inc Eff 15-Dec-17 Eff 15-Feb-19 802 W Ennis Ave Lee HealthCare, Inc 707 Business Wy Ennis, TX 75119 Eff 01-Jan-14 Wylie, TX 75098-3961 (972) 412-9916 127 E Elm Hillsboro (972) 429-3902 Approved Home Health Care Hillsboro, TX 76645 (254) 582-2702 Denton County | Condado de Eff 01-May-14 3480 Mt Zion Rd Denton Bridgeway Health Services Midlothian, TX 76065-6361 Eff 01-Oct-15 (972) 723-2933 Texas Home Health Group, LLC 215 NW I-35 Eff 13-Nov-19 Angels Care Home Health Hillsboro, TX 76645 2800 Shoreline Dr, Ste 204 Eff 01-Sep-15 (254) 582-5735 Denton, TX 76210-0140 1011 N US Hwy 77, Ste 107 Encompass Home Health of North (940) 891-1161 Waxahachie, TX 75165 Central Texas (972) 923-1853 Encompass Home Health of DFW Eff 01-Jun-17 • Languages spoken / Idioma(s) 305 Coke Avenue, Suite 150 Eff 01-Jun-17 hablado(s): Spanish 1809 Hinkle Dr, Ste 150 Hillsboro, TX 76645-2685 Denton, TX 76201-1768 Bridgeway Health Services (254) 580-1616 (940) 382-2840 Eff 01-Oct-15 Family Home Healthcare, LLC 1314 W Hwy 287 Bypass, Ste 200 Trio Home Care Eff 15-Feb-18 Waxahachie, TX 75165 108 S Colorado St, Ste B Eff 01-Mar-18 (972) 938-1000 2214 Emery St Ste 410 Whitney, TX 76692-2623 Denton, TX 76201 Guardian Healthcare (254) 694-1447 (940) 381-2288 Eff 18-Aug-15 114 Park Place Blvd, #204 Hood County | Condado de Baylor Institute for Rehabilitation- Waxahachie, TX 75165-1297 Hood Home Health Services (972) 937-1560 Eff 02-Sep-14 Encompass Home Health of North 1241 Cross Timbers Rd Grayson County | Condado de Central Texas Flower Mound, TX 75028 Grayson Eff 01-Jun-17 (972) 691-3131 401 Temple Hall Hwy, Ste 5 Goshen Healthcare Services, LLC Encompass Home Health of North Granbury, TX 76049-8104 Eff 01-Nov-18 Central Texas (817) 279-1689 1181 Valley Ridge Blvd Eff 01-Jun-17 Lewisville, TX 75077 2913 Overland Trail, Ste 100 Hunt County | Condado de (972) 956-9771 Sherman, TX 75092-4515 Hunt (903) 813-3238 Ellis County | Condado de Ellis Encompass Home Health of Guardian Healthcare Northeast Texas Haven Home Health, LLC Eff 01-Oct-15 Eff 01-Jun-17 Eff 01-Apr-14 100 W Lanberth Rd, Ste A 8317 Wesley St 1905 W Ennis Ave, Ste 502 Sherman, TX 75092 Greenville, TX 75402-3819 Ennis, TX 75119 (903) 870-2347 (903) 886-8996 (972) 878-0303 Sunrise Home Health Services Healing Touch Homecare LLC Ancillary/ Servicios complementarios Eff 01-Apr-14 Eff 15-Dec-17 2135 Loy Lk Rd 2304 Joe Ramsey Blvd E Sherman, TX 75090 Greenville, TX 75401 (903) 893-1296 (903) 455-8191

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 456 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Physician's Choice Homecare Navarro County | Condado de Rockwall County | Condado de Eff 01-Sep-16 4315 Ridgecrest Rd Navarro Rockwall Greenville, TX 75402 (903) 455-2619 Angels Care Home Health Heart of Texas Home Healthcare Eff 01-Sep-15 Services Johnson County | Condado de 202 N Beaton St Eff 01-Jun-18 Corsicana, TX 75110 1101 Ridge Rd, Ste 100 Johnson (903) 872-9400 Rockwall, TX 75087-4237 • Languages spoken / Idioma(s) (866) 735-6100 Aveanna Healthcare hablado(s): Spanish • Languages spoken / Idioma(s) Eff 12-May-15 hablado(s): Spanish 1316 NW John Jones Dr Guardian Healthcare Burleson, TX 76028-8040 Eff 01-Oct-15 Sunrise Home Health Services (817) 840-1344 104 W 3rd Ave Eff 01-Apr-14 Corsicana, TX 75110-4601 1221 Arista Dr Encompass Home Health of DFW (903) 874-4777 Rockwall, TX 75032 Eff 01-Jun-17 (972) 278-1414 111 NW Newton, Ste B Kindred at Home Burleson, TX 76028-4744 Eff 01-Jun-15 Tarrant County | Condado de (817) 426-3165 800 N Main St, Ste Q Corsicana, TX 75110-3053 Tarrant Angels Care Home Health (903) 874-9147 Eff 01-Sep-15 All Care Professional Home 206 S Caddo Parker County | Condado de Health, Inc Cleburne, TX 76031 Eff 01-Sep-15 (817) 202-9494 Parker 4275 Little Rd, Ste 106 • Languages spoken / Idioma(s) Arlington, TX 76016-5617 hablado(s): Spanish Angels Care Home Health (817) 457-2688 Eff 01-Sep-15 Encompass Home Health of North 1510 Santa Fe, Ste 600 Texas Home Health Group, LLC Central Texas Weatherford, TX 76086 Eff 02-Dec-20 Eff 01-Jun-17 (817) 594-7186 700 Highlander Blvd Ste 205 605 N Nolan River Dr, Ste 605D • Languages spoken / Idioma(s) Arlington, TX 76015-4325 Cleburne, TX 76033-7033 hablado(s): Spanish (817) 796-7160 (817) 558-4312 Encompass Home Health of North Applesoft Homecare SVC LLC Kaufman County | Condado de Central Texas Eff 01-Apr-16 Eff 01-Jun-17 1201 N Watson Rd Ste 200 Kaufman 1925 Martin Dr, Ste 100 Arlington, TX 76006 Weatherford, TX 76086-6702 (817) 695-5893 Serenity Services Home (817) 341-4350 Healthcare, LLC Classic Home Care Eff 15-Nov-18 Eff 01-Jun-14 1440 Arabella Ave 4025 Woodland Park Blvd, Ste Forney, TX 75126-0000 130 (469) 602-5955 Arlington, TX 76013-4301 (817) 792-2030 • Languages spoken / Idioma(s) hablado(s): Spanish Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 457 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Encompass Health Home Health Aviator Home Health, LLC Therapy 2000 2000 E Lamar Blvd, Ste 155 Eff 01-May-16 Eff 01-Nov-16 Arlington, TX 76006-7337 9500 Ray White Rd Ste 200 6850 Manhattan Blvd (817) 542-0127 Fort Worth, TX 76244-9105 Fort Worth, TX 76120 (972) 548-2163 (817) 507-1500 Encompass Home Health of DFW Eff 01-Jun-17 Cardiovascular Home Care, Inc Encompass Home Health of DFW 2000 E Lamar Blvd, Ste 155 Eff 01-Mar-14 Eff 01-Jun-17 Arlington, TX 76006-7337 7261 Hawkins View Dr 1501 Hughes Rd Ste 100 (817) 542-0217 Fort Worth, TX 76132-3921 Grapevine, TX 76051-7307 (817) 847-8888 (817) 329-2155 Excellent Healthcare Services • Languages spoken / Idioma(s) Eff 01-Jun-16 hablado(s): Spanish US Home Health Care INC 1144 W Pioneer Pkwy, Ste H Eff 01-Mar-17 Arlington, TX 76013 Haven Home Health, LLC 117 W Bedford Euless Rd (817) 962-0290 Eff 01-Apr-14 Hurst, TX 76053 6815 Manhattan Blvd, Ste 112 (817) 268-0041 Healthcare Resources Fort Worth, TX 76120 Eff 01-Jul-14 (817) 507-2200 Hope Home Care Inc 2225 E Randol Mill Rd, Ste 400 Eff 01-Apr-20 Arlington, TX 76011-6324 Access Home Healthcare Services 703 Briar Meadow Ct (817) 633-2273 Eff 15-Nov-17 Keller, TX 76248-3232 • Languages spoken / Idioma(s) 6112 McCart Ave, #207 (817) 498-3403 hablado(s): Spanish Fort Worth, TX 76133 (817) 230-3847 Rhinestone Healthcare Rosa's 1st Quality Home Health Eff 01-Nov-16 Care At Home Healthcare 4204 Stonebriar Trail Eff 01-Sep-15 Eff 01-Jan-14 Mansfield, TX 76063-5875 306 E Randol Mill Rd, Ste 100 6530 Hawks Creek Ct, #107 (817) 592-3021 Arlington, TX 76011 Fort Worth, TX 76114 (817) 461-0154 (817) 864-1730 A Sensitive Touch Home Healthcare, LLC Community Care Health Agency Bridgeway Health Services Eff 01-Sep-16 Inc Eff 01-Oct-15 7264 Glenview Dr Ste B Eff 01-Oct-19 3509 Hulen St, Ste 201 North Richland Hills, TX 76180 200 E Main St Ste J Fort Worth, TX 76107 (817) 868-7100 Crowley, TX 76036-2679 (817) 332-0400 (972)266-8511 United Plus Home Health LLC Encompass Home Health of North Eff 01-Nov-16 Splendor Care Health Services, Central Texas 505 Clariden Ranch Rd Inc Eff 01-Jun-17 Southlake, TX 76092 Eff 15-Sep-17 901 W Rosedale St, Ste 250 (817) 382-4931 1001 W Euless Blvd, Ste 405 Fort Worth, TX 76104-4358 Euless, TX 76040-5034 (817) 737-4300 Wise County | Condado de (817) 675-8088 Guardian Healthcare Wise Angels at Hand Health Care Eff 18-Aug-15 Eff 15-May-17 1320 S University Dr Ste 200 Home Health Care of North 805 Chrissy Creek Ln Fort Worth, TX 76107-5743 Central Texas Euless, TX 76040-5824 (817) 882-8200 Eff 01-Mar-16 Ancillary/ Servicios complementarios (214) 462-7233 401 Center Court Dr Bridgeport, TX 76426 (940) 683-3300

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 458 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Home Infusion/ Infusión en el Denton County | Condado de Texas Home Health Hospice, LP hogar Eff 15-Jul-20 Denton 6800 Weiskopf Ave Ste 105 Dallas County | Condado de McKinney, TX 75070 Pharmacy Specialists (214) 307-7048 Dallas Eff 01-Feb-15 2140 Justin Rd Ste 100 Cooke County | Condado de Kabafusion TX Highland Village, TX 75077 Eff 01-Jul-14 (972) 426-7006 Cooke 4950 Westgrove Dr, Ste 100 • Languages spoken / Idioma(s) Dallas, TX 75248-1948 hablado(s): Russian Home Hospice of Grayson County (800) 333-0660 Eff 01-Nov-18 Tarrant County | Condado de 316 S Chestnut Paragon Hemophilia Solutions Gainesville, TX 76240 Eff 01-Nov-16 Tarrant (940) 665-9891 17111 Preston Rd, Ste 100 Dallas, TX 75248-1229 Angels at Hand Health Care Dallas County | Condado de (972) 380-0495 Eff 15-May-17 805 Chrissy Creek Ln Dallas Amber Pharmacy Euless, TX 76040-5824 Eff 15-May-19 (214) 462-7233 Community Hospice of Texas 10 Medical Pkwy Plaza 3, Ste 107 Eff 01-Nov-18 Farmers Branch, TX 75234-7840 American Outcomes Management, 1341 W Mockingbird Ln, Ste 210E (972) 243-2372 LP Dallas, TX 75247-6611 Eff 15-Jun-17 (214) 920-8450 Amerita - Irving 6310 Southwest, #204 Eff 01-Apr-17 Fort Worth, TX 76109 Encompass Hospice of DFW 8080 Tristar Dr, #120 (800) 556-4246 Eff 01-Jan-19 Irving, TX 75063-2823 10300 N Central Epwy, Ste 284 (975) 815-0460 Soleo Health Inc Dallas, TX 75231-8610 Eff 01-Dec-20 (214) 503-7700 Fast Specialty Pharmacy 2912 W 6th St Ste 150 Eff 01-Oct-20 Fort Worth, TX 76107-3385 Faith Presbyterian Hospice 8101 Ridgepoint Dr Ste 100 (817) 916-1206 Eff 09-Jun-15 Irving, TX 75063-3165 12477 Merit Dr (877) 327-8881 Hospice/ Hospicio Dallas, TX 75251-2344 (972) 239-5300 Kroger Specialty Infusion TX, LLC Collin County | Condado de Eff 01-Jul-14 Kindred Hospice 1748 N Greenville Ave Collin Eff 01-Jan-18 Richardson, TX 75081-1808 7557 Rambler Rd, Ste 510 (855) 742-7690 Encompass Hospice of DFW Dallas, TX 75231-2303 Eff 01-Jan-19 (214) 231-3914 BioScrip Infusion Services 450 Century Pkwy, Ste 140 Eff 01-Jan-14 Allen, TX 75013-8135 United Plus Hospice Inc 661 N Plano Rd, Ste 300 (214) 383-7443 Eff 01-Feb-20 Richardson, TX 75081-2960 10925 Estate Ln Ste 140 (972) 480-9322 Encompass Hospice of DFW Dallas, TX 75238-2382 Eff 01-Jan-19 (214) 473-4790 780 N Watters Rd, Ste 160B

Allen, TX 75013-5085 Ancillary/ Servicios complementarios (214) 383-7443

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 459 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Ellis County | Condado de Ellis Tarrant County | Condado de Imaging Center/ Centro de imágenes Tarrant Kindred Hospice Eff 01-Jan-18 Community Hospice of Texas Collin County | Condado de 105 W Franklin St, Ste B Eff 01-Nov-18 Collin Waxahachie, TX 75165-3719 1111 Summit Ave (972) 232-1890 Fort Worth, TX 76102-3425 North Star Diagnostic Imaging (817) 870-9995 Eff 01-Jul-16 Grayson County | Condado de 997 Raintree Cr, Ste 110 Grayson Community Hospice of Texas Allen, TX 75013 Eff 01-Nov-18 (972) 954-8001 Home Hospice of Grayson County 6100 Western Place suite 105 Eff 01-Nov-18 Fort Worth, TX 76107-4667 Preferred Imaging of Frisco, LLC 505 West Center St (817) 870-2795 Eff 03-Jul-17 4525 Ohio Dr, Ste 200 Sherman, TX 75090-7827 Kindred Hospice (903) 868-9315 Frisco, TX 75035 Eff 01-Jan-18 (469) 300-2025 2630 W Fwy, Ste 102 B Hill County | Condado de Hill Fort Worth, TX 76102-7117 North Star Diagnostic Imaging (817) 338-1512 Eff 01-Jul-16 Community Hospice of Texas 8501 Wade Blvd, Ste 220 Eff 01-Nov-18 Kindred Hospice Frisco, TX 75034 210 N Bosque St Eff 01-Jan-18 (214) 618-3420 Whitney, TX 76692-2416 2630 W Fwy, Ste 102 (254) 694-6009 Fort Worth, TX 76102-7117 Preferred Imaging of McKinney, (817) 338-1512 LLC Hunt County | Condado de Eff 03-Jul-17 Kindred Hospice Hunt 1717 W University Dr, Ste 450 Eff 01-Jan-18 McKinney, TX 75069-3218 6940 River Park Cir (214) 544-1118 Kindred Hospice Fort Worth, TX 76116-0525 Eff 01-Jan-18 (817) 989-2223 Baylor Scott & White Imaging 2824 Terrell Rd, Ste 500 Center - McKinney Greenville, TX 75402-5568 Season Hospice & Palliative Care Eff 01-Jan-14 (903) 454-1107 of Texas, Inc 5236 W University Dr, Ste 2500 Eff 01-Feb-15 McKinney, TX 75071 Johnson County | Condado de 1643 Lancaster Dr (469) 764-7000 Grapevine, TX 76051 Johnson (847) 692-1168 Center for Diagnostic Imaging Eff 01-Jan-17 Community Hospice of Texas Hospice and Palliative Medicine/ 7300 Eldorado Pkwy, Ste 170 Eff 01-Nov-18 Hospicio y medicina paliativa McKinney, TX 75070-7895 301 Medpark Cir (972) 920-0150 Burleson, TX 76028-7019 Tarrant County | Condado de (817) 615-2150 Touchstone Imaging McKinney Tarrant Eff 30-Jan-14 Community Hospice of Texas 5321 W University Dr Eff 01-Nov-18 Asana Hospice and Palliative Care McKinney, TX 75071-7824 501 N Ridgeway Eff 15-Mar-18 (214) 250-5090

Ancillary/ Servicios complementarios Cleburne, TX 76033-5111 6300 Ridglea Pl, Ste 1107 • Languages spoken / Idioma(s) (817) 556-3100 Fort Worth, TX 76116 hablado(s): Spanish (855) 815-4227

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 460 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Preferred Imaging of Plano, LP Dallas County | Condado de Baylor Diagnostic Imaging Center Eff 05-May-17 at Junius 2205 Central Expwy, #185 Dallas Eff 30-Jan-14 Plano, TX 75075 3900 Junius St, Ste 100 (972) 312-0799 Reliance Imaging LLC Dallas, TX 75246-1617 Eff 15-May-20 (214) 820-6900 Preferred Imaging on Plano 4337 Lindbergh Dr • Languages spoken / Idioma(s) Parkway, LLC Addison, TX 75001-4539 hablado(s): Spanish Eff 05-May-17 (972) 224-1329 5072 W Plano Pkwy, #170 Baylor Scott and White Heart and Plano, TX 75093 Preferred Imaging at the Medical Vascular Hospital - Dallas (972) 248-1924 Center, Ltd Eff 01-Jan-14 Eff 03-Jul-17 621 Hall St Baylor Scott & White Plano 5920 Forest Park Rd, #560 Dallas, TX 75246 Women’s Imaging Center Dallas, TX 75235 (214) 820-0600 Eff 01-Jan-14 (214) 350-0708 4716 Alliance Blvd Ste 100 Dallas Diagnostic Imaging Medical Pavilion II Preferred Imaging of Corinth, LLC Services Plano, TX 75093 Eff 05-May-17 Eff 01-Jul-15 (469) 814-5500 4851 S I-35E, #C-105 2701 S Hampon Rd, Ste 140 Dallas, TX 75267 Dallas, TX 75224 Center for Diagnostic Imaging (940) 270-5110 (214) 337-6513 Eff 01-Jan-17 5025 W Park Blvd, Bldg A, Ste 500 Advanced Imaging Center Darlene G Cass Women’s Imaging Plano, TX 75093-2584 Eff 07-Aug-14 Center at North Dallas (972) 596-1934 411 N Washington Ave, Ste 1000 Eff 01-Jan-14 Dallas, TX 75246-1774 9101 N Central Expy Ste 200 Center for Diagnostic Imaging (214) 820-8770 Dallas, TX 75231 Eff 01-Jan-17 • Languages spoken / Idioma(s) (214) 820-2430 5425 W Spring Creek Pkwy, Ste hablado(s): Spanish 110 Darlene G Cass Women's Imaging Plano, TX 75024-4244 American Health Imaging of Dallas Center (214) 778-0100 LLC Eff 01-Jan-14 Eff 01-Apr-16 3900 Junius St Ste 200 Center for Diagnostic Imaging 712 N Washington St Ste102 Dallas, TX 75246 Eff 01-Jan-17 Dallas, TX 75246 (214) 820-2430 8080 Independence Pkwy, Ste 105 (214) 515-0016 Plano, TX 75025-4000 North Star Diagnostic Imaging (972) 208-1858 Baylor Charles A Sammons Eff 01-Jul-16 Cancer Center 12230 Coit Rd, Ste 100 Sandra O'Neal Institute Eff 01-Jan-14 Dallas, TX 75251-2306 Eff 17-Nov-17 3410 Worth St, Ste 770 (214) 252-7020 5072 W Plano Pkwy Ste 190 Dallas, TX 75246-2003 Plano, TX 75093-4469 (214) 820-2300 North Star Diagnostic Imaging (972) 733-3531 • Languages spoken / Idioma(s) Eff 01-Jul-16 hablado(s): Spanish 3900 Junis St, Ste 705 Touchstone Imaging Plano Dallas, TX 75246-1627 Eff 21-Apr-14 (214) 820-9520 3304 Communications Pkwy, Ste 201 Preferred Imaging at Medical City Plano, TX 75093-8141 Eff 05-May-17 Ancillary/ Servicios complementarios (972) 378-6858 7777 Forest Ln, #C-112 Dallas, TX 75230 (972) 566-2900

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 461 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Prime Diagnostic Imaging Baylor Scott & White Women's Touchstone Imaging Richardson Eff 01-Feb-15 Imaging Center - Irving Eff 21-Apr-14 12840 Hillcrest Plaza Dr, Ste E100 Eff 01-Jan-14 1910 N Collins Blvd Dallas, TX 75230-1528 2001 N MacArthur Blvd Ste 250 Richardson, TX 75080-3525 (214) 341-8770 Irving, TX 75061 (972) 744-0882 (972) 579-4270 Touchstone Imaging Forest Lane Preferred Open MRI, LTD Eff 08-Sep-15 Touchstone Imaging Irving Eff 15-Sep-16 11617 N Central Expy, Ste 132 Eff 01-Apr-19 8405 Lakeview Pkwy 220 Dallas, TX 75243-3800 2005 W Park Dr, Ste 110 Rowlett, TX 75088 (214) 369-3795 Irving, TX 75061-2034 (972) 412-0211 (469) 299-8549 Touchstone Imaging North Dallas Baylor Scott & White Medical Eff 21-Apr-14 Preferred Imaging of Mesquite, Center - Lake Pointe 9101 N Central Expy, Ste 100 LLC Eff 01-Nov-15 Dallas, TX 75231-5946 Eff 17-Dec-17 6800 Scenic Dr (214) 820-1606 2540 N Galloway Ave, Ste 202 Rowlett, TX 75088 Mesquite, TX 75150-4813 (972) 412-3380 Center for Diagnostic Imaging (972) 681-6340 Eff 01-Jan-17 North Star Diagnostic Imaging 1750 N Hampton Rd Galaxy Imaging Eff 01-Jul-16 Desoto, TX 75115-2306 Eff 01-Nov-16 222 S Collins Rd, Ste 101 (214) 420-5400 1110 N Galloway Ave Sunnyvale, TX 75182 Mesquite, TX 75149-2436 (214) 256-3778 Prime Diagnostic Imaging (972) 331-4481 Eff 01-Feb-15 Denton County | Condado de 1034 E Hwy 67 Touchstone Imaging Mesquite Duncanville, TX 75137 Eff 01-Jan-14 Denton (214) 341-8770 1425 Gross Rd, Ste 130 Mesquite, TX 75149-1362 Baylor Scott & White Emergency Prime Diagnostic Imaging (972) 289-5558 Hospital Eff 01-Feb-15 • Languages spoken / Idioma(s) Eff 01-Jan-14 2210 Paddock Way hablado(s): Spanish 26791 Hwy 380 E Grand Prairie, TX 75050 Aubrey, TX 76227-7654 (214) 341-8770 BSW Elizabeth Jekot, MD Breast (972) 347-2525 Imaging Center Touchstone Imaging Grand Prairie Eff 01-Jan-14 Preferred Imaging of Denton, LLC Eff 07-Aug-14 3301 Renner Rd, Ste 100 Eff 05-May-17 2740 N State Hwy 360, Ste 200 Richardson, TX 75082 1614 Scripture St, #2 Grand Prairie, TX 75050-6405 (214) 442-7050 Denton, TX 76201 (972) 579-4480 (940) 387-6159 Center for Diagnostic Imaging Baylor Scott & White Medical Eff 01-Jan-17 Touchstone Imaging Oaktree Center - Irving 4140 E Renner Rd, Ste 100 Eff 01-Jan-14 Eff 01-Jan-14 Richardson, TX 75082-2807 1435 S Loop 288, Ste 101 1901 N MacArthur Blvd (972) 920-0115 Denton, TX 76205-4701 Irving, TX 75061 (940) 320-6901 (972) 579-8100 Preferred Imaging of Garland • Languages spoken / Idioma(s) Eff 03-Jul-17 hablado(s): Spanish 1778 N Plano Rd, #300 Ancillary/ Servicios complementarios Richardson, TX 75081 (972) 234-0004

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 462 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

North Star Diagnostic Imaging Johnson County | Condado de Preferred Imaging of Ft Worth, Eff 01-Jul-16 LLC 4951 Long Prairie Rd, Ste 105 Johnson Eff 05-May-17 Flower Mound, TX 75028 851 Grainger St, #101 (972) 899-5901 Baylor Scott & White Emergency Fort Worth, TX 76104-4646 Hospital Burleson (817) 659-2870 Touchstone Imaging Flower Eff 01-Jan-14 Mound 12500 S Fwy, Ste 100 Touchstone Imaging Downtown Eff 01-Jan-14 Burleson, TX 76028-7128 Fort Worth PET 3000 Corporate Ct, Ste 400 (214) 294-6250 Eff 04-May-15 Flower Mound, TX 75028 1263 W Rosedale, Ste 105 (972) 724-0100 Touchstone Imaging Burleson Fort Worth, TX 76104-2837 Eff 21-Apr-14 (817) 335-9729 Touchstone Imaging Lewisville 665 NE Alsbury Blvd Eff 01-Jan-14 Burleson, TX 76028-2660 Touchstone Imaging Downtown 190 Civic Cir, Ste 110 (817) 447-3443 Fort Worth Rosedale Lewisville, TX 75067-3635 Eff 21-Apr-14 (972) 434-6737 Rockwall County | Condado de 1701 W Rosedale Rockwall Fort Worth, TX 76104-7425 Ellis County | Condado de Ellis (817) 922-7780 Baylor Scott & White Imaging Prime Diagnostic Imaging Touchstone Imaging Fort Worth Center - Rockwall Eff 01-Jan-14 Eff 01-Feb-15 Eff 01-Nov-15 1905 W Ennis Ave, Ste 500 6900 Harris Pkwy, Ste 100 1005 W Ralph Hall Pkwy, Ste 121 Fort Worth, TX 76132-4259 Ennis, TX 75119 Rockwall, TX 75032-6663 (214) 341-8770 (817) 294-1131 (469) 698-8555 • Languages spoken / Idioma(s) Touchstone Imaging at Red Oak hablado(s): Spanish Eff 07-Aug-14 Tarrant County | Condado de 305 E Ovilla Rd Tarrant Touchstone Imaging Fossil Creek Red Oak, TX 75154-3833 Eff 07-Aug-14 5455 Basswood Blvd, Ste 550 (972) 617-7731 Touchstone Imaging Arlington Fort Worth, TX 76137-4478 • Languages spoken / Idioma(s) Eff 01-Jul-14 (817) 428-5002 hablado(s): Spanish 601 W Arbrook Blvd • Languages spoken / Idioma(s) Arlington, TX 76014-3701 hablado(s): Spanish Grayson County | Condado de (817) 472-0801 Grayson • Languages spoken / Idioma(s) Preferred Imaging of hablado(s): Spanish Grapevine/Colleyville, LP Eff 03-Jul-17 Baylor Scott & White Surgical Touchstone Imaging Arlington 1600 W Northwest Hwy 1000 Hospital at Sherman Breast Center Grapevine, TX 76051 Eff 01-Oct-15 Eff 08-Mar-19 (817) 416-7545 1103 Sara Swamy 4501 Matlock Rd Ste 101 Sherman, TX 75090 Arlington, TX 76018-1004 (903) 870-0999 Preferred Imaging of HEB, LP (817) 467-6099 Eff 05-May-17 809 W Harwood, Ste 100 Baylor Scott and White Emergency Hurst, TX 76054 Hospital Colleyville (817) 788-5502 Eff 11-Aug-14

5500 Colleyville Blvd Ancillary/ Servicios complementarios Colleyville, TX 76034-5835 (214) 294-6350

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 463 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Touchstone Imaging Hurst Dallas County | Condado de Laboratory/ Laboratorio Eff 30-Jan-14 Dallas 1717 Precinct Line Rd, Ste 103 Collin County | Condado de Hurst, TX 76054-3169 (817) 498-6575 Paragon Infusion Care Inc Collin • Languages spoken / Idioma(s) Eff 01-Oct-16 hablado(s): Spanish 17111 Preston Rd, Ste 160B Clinical Pathology Laboratories, Dallas, TX 75248-1229 Inc (CPL) Touchstone Imaging Keller (972) 588-1000 Eff 01-Jan-14 Eff 01-Jan-14 1105 Central Expy N, Ste 300 601 S Main St, Ste 100 Paragon Infusion Centers Allen, TX 75013 Keller, TX 76248-7027 Eff 01-Jul-17 (214) 509-0669 (817) 482-2000 9301 N Central Expy, Tower 1, Ste • Languages spoken / Idioma(s) 345 Quest Diagnostics Clinical hablado(s): Spanish Dallas, TX 75231-5009 Laboratories Inc (972) 408-2777 Eff 01-Jan-14 Center for Diagnostic Imaging 1101 Raintree Cir Eff 01-Jan-17 Tarrant County | Condado de Allen, TX 75013 2975 E Broad St, Ste 101 Tarrant (972) 727-6551 Mansfield, TX 76063-9147 (214) 420-5445 Clinical Pathology Laboratories, Paragon Infusion Centers Inc (CPL) Touchstone Imaging Mansfield Eff 01-Jul-17 Eff 01-Jan-14 Eff 08-Mar-19 200 N Mesquite St, Ste 115 5757 Warren Bkwy, POB 11, Ste 1750 Broad Park Cir S, Ste 300 Arlington, TX 76011-7525 100 Mansfield, TX 76063-7835 (817) 200-2530 Frisco, TX 75034 (682) 518-1234 Soleo Health (214) 618-0600 Touchstone Imaging Southlake Eff 01-Aug-16 Advanced Ultrasound Studio Eff 21-Apr-14 2912 W 6th St Ste 150 Eff 01-Nov-20 925 E Southlake Blvd, Ste 220 Fort Worth, TX 76107 4645 Wyndham Ln Ste 250B Southlake, TX 76092 (817) 916-1206 Frisco, TX 75033-0027 (817) 424-4800 Virtis Health LLC (469) 473-4120 Infusion Center/ Centro de Eff 01-May-20 Quest Diagnostics Clinical infusión 2912 W 6th St Ste 120 Laboratories Inc Fort Worth, TX 76107-3349 Eff 01-Jan-14 (817) 717-2854 Collin County | Condado de 5575 Warren Pkwy Frisco, TX 75034 Collin ISRX Corporation Eff 01-May-19 (214) 618-6470 Paragon Infusion Centers 1724 E Broad St, #136 ProPath Services, LLC Eff 01-Jul-17 Mansfield, TX 76063 Eff 01-Sep-15 5504 Democracy Dr, Ste 230 (817) 453-5022 4500 Medical Cntr Dr Plano, TX 75024 Paragon Infusion Centers McKinney, TX 75069 (469) 974-0565 Eff 01-Jul-17 (214) 638-2000 7560 Glenview Dr, Ste 110 Quest Diagnostics Clinical Richland Hills, TX 76180-8374 Laboratories Inc (817) 284-2700 Eff 01-Jan-14 Ancillary/ Servicios complementarios 4510 Medical Center Dr McKinney, TX 75069 (972) 547-0159

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Clinical Pathology Laboratories, Cooke County | Condado de Clinical Pathology Laboratories, Inc (CPL) Inc (CPL) Eff 01-Jan-14 Cooke Eff 01-Jan-14 1600 Coit Rd, Ste 110 3600 Gaston Ave, Ste 1051 Plano, TX 75075 Clinical Pathology Laboratories, Dallas, TX 75246 (972) 612-8016 Inc (CPL) (214) 823-6184 Eff 01-Jan-14 Clinical Pathology Laboratories, 406 N Grande Ave, Ste 110 Clinical Pathology Laboratories, Inc (CPL) Gainesville, TX 76240 Inc (CPL) Eff 01-Jan-14 (940) 665-9004 Eff 01-Jan-14 5425 W Spring Creek Pkwy, Ste 5959 Harry Hines Blvd, Bldg 1, Ste 240 Dallas County | Condado de 101 Plano, TX 75024 Dallas Dallas, TX 75253 (972) 378-3904 (214) 645-6824 Clinical Pathology Laboratories, Coastal Pathology, Inc Clinical Pathology Laboratories, Inc (CPL) Eff 15-Apr-17 Inc (CPL) Eff 01-Jan-14 3418 Midcourt Rd, 118 Eff 01-Jan-14 6200 W Parker Rd, Bldg 1, Ste Carrollton, TX 75006-5073 8160 Walnut Hill Ln, Ste 111 205 (214) 420-8200 Dallas, TX 75231 Plano, TX 75093 (214) 750-8050 Southwest Dermatopathology (972) 981-3105 Eff 01-Apr-18 Clinical Pathology Laboratories, Clinical Pathology Laboratories, 2840 Keller Springs Rd, Ste 1104 Inc (CPL) Inc (CPL) Carrollton, TX 75006-4876 Eff 01-Jan-14 Eff 01-Jan-14 (214) 483-2100 8230 Walnut Hill Ln, Ste 518 8080 Independence Pkwy, Ste 225 Dallas, TX 75231 Clinical Pathology Laboratories, Plano, TX 75025 (214) 692-9519 Inc (CPL) (972) 981-3105 Eff 01-Jan-14 Clinical Pathology Laboratories, Medi-Lynx Cardiac Monitoring, 950 E Beltline Rd, Ste 120 Inc (CPL) LLC Cedar Hill, TX 75104 Eff 01-Jan-14 Eff 01-Jul-17 (972) 293-2916 9323 Garland Rd, Ste 105 6700 Pinecrest Dr, Ste 200 Dallas, TX 75218 Quest Diagnostics Clinical Plano, TX 75024-4265 (214) 327-5795 Laboratories Inc (855) 847-0780 Eff 01-Jan-14 Cockerell Dermatopathology, PA Quest Diagnostics Clinical 546 E Sandy Lake Road Eff 01-Apr-14 Laboratories Inc Coppell, TX 75019 2110 Research Row, Ste 100 Eff 01-Jan-14 (972) 304-3089 Dallas, TX 75235-2520 3600 Communications Pkwy (214) 530-5200 Clinical Pathology Laboratories, Plano, TX 75093 Inc (CPL) (972) 378-3208 Magnolia Diagnostics, LLC Eff 01-Jan-14 Eff 15-Oct-17 Quest Diagnostics Clinical 12200 Park Central Dr, Ste 150 1519 Hi Line Dr, Ste U Laboratories Inc Dallas, TX 75251 Dallas, TX 75207-3429 Eff 01-Jan-14 (972) 789-1682 (205) 356-6790 3801 W 15th St Ste 100 Clinical Pathology Laboratories, Plano, TX 75075 ProPath Services, LLC Inc (CPL) (972) 612-1887 Eff 01-Sep-15 Eff 01-Jan-14 1355 River Bend Dr Ancillary/ Servicios complementarios 2301 S Hampton Rd, Ste 400 Dallas, TX 75247-4915 Dallas, TX 75224 (214) 638-2000 (214) 337-6398

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ProPath Services, LLC Quest Diagnostics Clinical Quest Diagnostics Clinical Eff 01-Sep-15 Laboratories Inc Laboratories Inc 7502 Greenville Ave Eff 01-Jan-14 Eff 01-Jan-14 Dallas, TX 75231 1411 N Beckley Ave 8230 Walnut Hill Ln Bldg III (214) 638-2000 Dallas, TX 75203 Dallas, TX 75231 (214) 943-5529 (214) 345-5194 AmeriHealth Laboratory LLC Eff 15-Feb-18 Quest Diagnostics Clinical Clinical Pathology Laboratories, 4225 Office Pkwy, Ste 110 Laboratories Inc Inc (CPL) Dallas, TX 75204-3628 Eff 01-Jan-14 Eff 01-Jan-14 (281) 620-4880 3128 Forest Ln 2801 Bolton Boone, Ste 104 Dallas, TX 75234 Desoto, TX 75115 Ameripath (972) 247-2636 (972) 283-1115 Eff 01-May-15 4350 Alpha Rd Quest Diagnostics Clinical Quest Diagnostics Clinical Dallas, TX 75244-4300 Laboratories Inc Laboratories Inc (972) 934-4300 Eff 01-Jan-14 Eff 01-Jan-14 3430 W Wheatland Rd 2727 Bolton Boone Dr Laboratory Corporation of America Dallas, TX 75237 Desoto, TX 75115 Eff 01-Aug-16 (972) 298-0799 (972) 709-5363 7777 Forest Ln, Ste C350 Dallas, TX 75230 Quest Diagnostics Clinical Clinical Pathology Laboratories, (972) 598-6000 Laboratories Inc Inc (CPL) Eff 01-Jan-14 Eff 01-Jan-14 Laboratory Corporation of America 3600 Gaston Ave 7 Medical Pkwy Eff 01-Aug-16 Dallas, TX 75246 Farmers Branch, TX 75234 7777 Forest Ln, Ste C350 (214) 826-7669 (972) 888-7261 Dallas, TX 75230 (972) 598-6000 Quest Diagnostics Clinical Quest Diagnostics Clinical Laboratories Inc Laboratories Inc Quest Diagnostics Clinical Eff 01-Jan-14 Eff 01-Jan-14 Laboratories Inc 3900 Junius St 777 Walter Reed Blvd Eff 01-Jan-14 Dallas, TX 75246 Garland, TX 75042 9301 N Central Expy, Ste 151 (214) 827-7473 (972) 276-7526 Dallas, TX 75231-0806 (214) 265-1194 Quest Diagnostics Clinical Touchstone Imaging North Laboratories Inc Garland Quest Diagnostics Clinical Eff 01-Jan-14 Eff 28-Jan-19 Laboratories Inc 8160 Walnut Hill Lane 7217 Telecom Pkwy, Ste 150 Eff 01-Jan-14 Dallas, TX 75231 Garland, TX 75044-2204 1151 N Buckner Blvd (214) 345-5779 (972) 495-7756 Dallas, TX 75218 (214) 321-1577 Quest Diagnostics Clinical Quest Diagnostics Clinical Laboratories Inc Laboratories Inc Quest Diagnostics Clinical Eff 01-Jan-14 Eff 01-Jan-14 Laboratories Inc 8210 Walnut Hill Lane 5224 S State Highway 360 Eff 01-Jan-14 Dallas, TX 75231 Grand Prairie, TX 75052 11613 N Central Expwy (214) 363-4411 (972) 601-4617 Dallas, TX 75243 (214) 750-9477 Ancillary/ Servicios complementarios

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Clinical Pathology Laboratories, Clinical Pathology Laboratories, Quest Diagnostics Clinical Inc (CPL) Inc (CPL) Laboratories Inc Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 701 Tuscan Dr, Ste 165 2540 N Galloway, Ste 304 9824 Lakeview Pkwy Irving, TX 75039 Mesquite, TX 75150 Rowlett, TX 75088 (972) 830-2053 (972) 682-7849 (972) 412-9212

Frontera Strategies, LP Quest Diagnostics Clinical Denton County | Condado de Eff 01-Mar-17 Laboratories Inc 400 E Las Colinas Blvd, Ste 100 Eff 01-Jan-14 Denton Irving, TX 75039 1621 N Belt Line Rd (972) 387-5800 Mesquite, TX 75149 Clinical Pathology Laboratories, • Languages spoken / Idioma(s) (972) 288-9559 Inc (CPL) hablado(s): Spanish Eff 01-Jan-14 Quest Diagnostics Clinical 3730 Josey Lane, Ste 108 Inform Diagnostics, Inc Laboratories Inc Carrollton, TX 75007 Eff 01-Aug-14 Eff 01-Jan-14 (214) 483-3627 6655 N MacArthur Blvd 3230 I30 East Irving, TX 75039 Mesquite, TX 75150 Quest Diagnostics Clinical (800) 979-8292 (972) 686-4602 Laboratories Inc Eff 01-Jan-14 ProPath Services, LLC Clinical Pathology Laboratories, 4333 North Josey Lane Plaza II Eff 01-Sep-15 Inc (CPL) Carrollton, TX 75010 6800 N MacArthur Blvd Eff 01-Jan-14 (972) 939-8001 Irving, TX 75039 375 Municipal Dr, Ste 117 (214) 638-2000 Richardson, TX 75080 Clinical Pathology Laboratories, (972) 644-3492 Inc (CPL) Ameripath Eff 01-Jan-14 Eff 01-May-15 Labs2Run 3303 Colorado Blvd, Ste 110 4770 Regent Blvd Eff 15-Jun-18 Denton, TX 76210 Irving, TX 75063-2445 2050 N Collins Blvd, Ste 104 (940) 566-0010 (972) 934-4300 Richardson, TX 75080-2655 (972) 677-7100 Clinical Pathology Laboratories, Quest Diagnostics Clinical Inc (CPL) Laboratories Inc Quest Diagnostics Clinical Eff 01-Jan-14 Eff 01-Jan-14 Laboratories Inc 3537 South I35 E, Ste 212 3501 N Macarthur Blvd Eff 01-Jan-14 Denton, TX 76210 Irving, TX 75062 400 N Coit Rd (940) 382-1700 (972) 258-0601 Richardson, TX 75080 (973) 669-8139 Clinical Pathology Laboratories, Quest Diagnostics Clinical Inc (CPL) Laboratories Inc RSC Diagnostic Services Eff 01-Jan-14 Eff 01-Jan-14 Eff 15-Jul-20 319 N Bonnie Brae 4770 Regent Boulevard 331 Melrose Dr Ste 145 Denton, TX 76201 Irving, TX 75063-2445 Richardson, TX 75080-4405 (940) 383-5200 (800) 222-0446 (877) 333-2575 AIT Laboratories Touchstone Imaging Las Colinas North Texas Pathology Eff 01-Dec-17 Eff 30-Jun-16 Laboratories LLC 1500 I-35 W 440 W LBJ Fwy, Ste 110, Plaza II Eff 01-Oct-19 Denton, TX 76207-5716 Irving, TX 75063-3718 7501 Lakeview Pkwy Ste 160 (940) 383-2223 Ancillary/ Servicios complementarios (214) 647-6161 Rowlett, TX 75088-9327 (972)526-0320

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Anatomical Medical Laboratories ProPath Services, LLC Hood County | Condado de Inc Eff 01-Sep-15 Eff 15-Jan-20 500 W Main Hood 1600 Scripture St Lewisville, TX 75057 Denton, TX 76201-3809 (214) 638-2000 Laboratory Corporation of America (940) 384-6000 Eff 01-Aug-16 PBM Pathology Services PLLC 1205 Medical Plaza Ct Quest Diagnostics Clinical Eff 15-Apr-20 Granbury, TX 76048 Laboratories Inc 2501 S State Highway 121 (817) 573-4123 Eff 01-Jan-14 Business Ste 1210 2817 S Mayhill Rd Lewisville, TX 75067-4394 Quest Diagnostics Clinical Denton, TX 76208 (214)818-9100 Laboratories Inc (940) 384-1807 Eff 01-Jan-14 Quest Diagnostics Clinical 805 Hill Blvd Clinical Pathology Laboratories, Laboratories Inc Granbury, TX 76048 Inc (CPL) Eff 01-Jan-14 (817) 279-6116 Eff 01-Jan-14 500 N Valley Pkwy 1001 Cross Timbers Rd, Ste 1070 Lewisville, TX 75067 Hunt County | Condado de Flower Mound, TX 75028 (972) 221-8117 Hunt (972) 691-9199 Ellis County | Condado de Ellis Quest Diagnostics Clinical Clinical Pathology Laboratories, Inc (CPL) Laboratories Inc Clinical Pathology Laboratories, Eff 01-Jan-14 Eff 01-Jan-14 Inc (CPL) 4000 Wesley St, Ste A 4001 Long Prairie Road Eff 01-Jan-14 Flower Mound, TX 75028 Greenville, TX 75401 2201 W Lampases St, 1st Floor (903) 455-0967 (972) 355-4059 Ennis, TX 75119 Integris Neuro LLC (469) 256-2440 Quest Diagnostics Clinical Eff 15-Jan-20 Laboratories Inc 2012 Justin Rd Ste 200H Grayson County | Condado de Eff 01-Jan-14 Highland Village, TX 75077-7193 Grayson 4101 Wesley St (972) 998-1548 Greenville, TX 75401 Clinical Pathology Laboratories, (903) 454-4491 Clinical Pathology Laboratories, Inc (CPL) Inc (CPL) Eff 01-Jan-14 Johnson County | Condado de Eff 01-Jan-14 242 E Evergreen Johnson 328 West Main, Ste 203 Sherman, TX 75090 Lewisville, TX 75057 (903) 891-8797 Laboratory Corporation of America (972) 221-4527 Eff 23-Feb-18 ProPath Services, LLC 11805 S Fwy Ste 201 DTR Labs, LLC Eff 01-Sep-15 Eff 15-Sep-20 Burleson, TX 76028-7220 500 N Highland Ave (817) 551-7341 2150 Justin Rd Ste 300 Sherman, TX 75092 Lewisville, TX 75077-7130 (214) 638-2000 Quest Diagnostics Clinical (866) 387-5227 Laboratories Inc Quest Diagnostics Clinical Med Fusion, LLC Eff 01-Jan-14 Laboratories Inc 1505 W Wilshire Blvd Eff 01-Jul-14 Eff 01-Jan-14 2501 S State Hwy 121, Ste 1100 Burleson, TX 76028

Ancillary/ Servicios complementarios 1010 La Salle Dr (817) 529-1777 Lewisville, TX 75067-8188 Sherman, TX 75090 (972) 966-7000 (903) 813-5625

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Laboratory Corporation of America Rockwall County | Condado de Quest Diagnostics Clinical Eff 01-Aug-16 Laboratories Inc 203 Walls Dr, Ste 102 Rockwall Eff 01-Jan-14 Cleburne, TX 76033 902 W Randol Mill (817) 556-9122 Clinical Pathology Laboratories, Arlington, TX 76012 Inc (CPL) (817) 792-2054 Quest Diagnostics Clinical Eff 01-Jan-14 Laboratories Inc 1005 W Ralph M Hall Pkwy, Ste Quest Diagnostics Clinical Eff 01-Jan-14 231 Laboratories Inc 505 N. Ridgeway Drive, Suite 172 Rockwall, TX 75032 Eff 01-Jan-14 Cleburne, TX 76031 (972) 722-0966 124 Industrial Ave (817) 202-8434 Azle, TX 76020 Quest Diagnostics Clinical (817) 444-5001 Quest Diagnostics Clinical Laboratories Inc Laboratories Inc Eff 01-Jan-14 ProPath Services, LLC Eff 01-Jan-14 1201 Arista Dr Eff 01-Sep-15 505 N Ridgeway Dr Rockwall, TX 75032 1600 Hospital Pkwy Cleburne, TX 76033 (972) 722-6200 Bedford, TX 76022 (817) 202-8434 (214) 638-2000 Tarrant County | Condado de Navarro County | Condado de Quest Diagnostics Clinical Tarrant Laboratories Inc Navarro Eff 01-Jan-14 Clinical Pathology Laboratories, 1615 Hospital Pkwy Clinical Pathology Laboratories, Inc (CPL) Bedford, TX 76022 Inc (CPL) Eff 01-Jan-14 (817) 684-5243 Eff 01-Jan-14 3150 Matlock Rd, Ste 411 301 Hospital Drive Arlington, TX 76015 Clinical Pathology Laboratories, Corsicana, TX 75110 (817) 784-9420 Inc (CPL) (903) 641-3141 Eff 01-Jan-14 Ameripath 350 Westpark Way, Ste 110 Parker County | Condado de Eff 01-May-15 Euless, TX 76040 800 W Randol Mill Rd, 3rd Fl Lab (817) 835-0416 Parker Arlington, TX 76012-2504 (817) 960-6225 Quest Diagnostics Clinical ProPath Services, LLC Laboratories Inc Eff 01-Sep-15 Laboratory Corporation of America Eff 01-Jan-14 713 E Anderson Eff 27-Nov-17 315 Westpark Way Weatherford, TX 76086 515 W Mayfield Rd Ste 102 Euless, TX 76040 (214) 638-2000 Arlington, TX 76014-2084 (817) 684-9989 (817) 375-5139 Laboratory Corporation of America Clinical Pathology Laboratories, Eff 23-Feb-18 Quest Diagnostics Clinical Inc (CPL) 920 Santa Fe Dr, Ste 102 Laboratories Inc Eff 01-Jan-14 Weatherford, TX 76086-5865 Eff 01-Jan-14 1250 8th Ave, Ste 325 (817) 341-5427 1001 W Arbrook Blvd Fort Worth, TX 76104 Arlington, TX 76015 (817) 927-5450 Quest Diagnostics Clinical (817) 794-5905 Laboratories Inc Clinical Pathology Laboratories, Eff 01-Jan-14 Inc (CPL) 1105 Sante Fe Eff 01-Jan-14 Ancillary/ Servicios complementarios Weatherford, TX 76086 5450 Stratum Dr, Ste 110 (817) 594-7319 Fort Worth, TX 76137 (817) 927-0566

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Clinical Pathology Laboratories, Quest Diagnostics Clinical Clinical Pathology Laboratories, Inc (CPL) Laboratories Inc Inc (CPL) Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 5801 Oak Bend Trail, Ste 265 7630 N Beach St 1751 Broad Park Circle South, Ste Fort Worth, TX 76132 Fort Worth, TX 76137 205 (817) 423-8259 (817) 656-5997 Mansfield, TX 76063 (817) 473-3506 Frontera Strategies, LP Quest Diagnostics Clinical Eff 01-Mar-17 Laboratories Inc Laboratory Corporation of America 2501 Parkview Dr, Ste 560 Eff 01-Jan-14 Eff 01-Aug-16 Fort Worth, TX 76102 7801 Oakmont Blvd 1670 E Broad St, Ste 104 (972) 387-5800 Fort Worth, TX 76132 Mansfield, TX 76063 • Languages spoken / Idioma(s) (817) 346-0598 (817) 473-9574 hablado(s): Spanish Quest Diagnostics Clinical Laboratory Corporation of America ProPath Services, LLC Laboratories Inc Eff 01-Aug-16 Eff 01-Sep-15 Eff 01-Jan-14 2800 E Broad St, Ste 424 6100 Harris Pkwy 855 Montgomery St Mansfield, TX 76063 Fort Worth, TX 76135 Fort Worth, TX 76107 (817) 453-4907 (214) 638-2000 (817) 731-0518 Quest Diagnostics Clinical Ameripath Quest Diagnostics Clinical Laboratories Inc Eff 01-May-15 Laboratories Inc Eff 01-Jan-14 1301 Pennsylvania Ave Eff 01-Jan-14 990 Highway 287 N Fort Worth, TX 76104-2122 1600 W College St Mansfield, TX 76063 (817) 250-5600 Grapevine, TX 76051 (817) 477-1647 (817) 329-3913 Laboratory Corporation of America Clinical Pathology Laboratories, Eff 27-Nov-17 Quest Diagnostics Clinical Inc (CPL) 800 W Magnolia, Ste 210 Laboratories Inc Eff 01-Jan-14 Fort Worth, TX 76104-4611 Eff 01-Jan-14 4109 Cagle Dr, Ste E (817) 870-9949 260 N Rufe Snow Dr North Richland Hills, TX 76180 Keller, TX 76248 (817) 595-2305 Quest Diagnostics Clinical (817) 431-4301 Laboratories Inc Clinical Pathology Laboratories, Eff 01-Jan-14 Quest Diagnostics Clinical Inc (CPL) 1250 8th Ave Laboratories Inc Eff 01-Jan-14 Fort Worth, TX 76104 Eff 01-Jan-14 551 Silicon Dr, Ste 100 (817) 920-9069 3529 Heritage Trace Parkway Southlake, TX 76092 Keller, TX 76244 (817) 329-6900 Quest Diagnostics Clinical (817) 741-8200 Laboratories Inc Long Term Acute Care Hospital/ Eff 01-Jan-14 Quest Diagnostics Clinical Hospital de cuidados intensivos 2128 Mall Circle Laboratories Inc a largo plazo Fort Worth, TX 76116 Eff 01-Jan-14 (817) 377-3735 4625 Boat Club Rd Collin County | Condado de Lake Worth, TX 76135 Quest Diagnostics Clinical (817) 238-9607 Collin Laboratories Inc Eff 01-Jan-14 LifeCare Hospitals of Plano Ancillary/ Servicios complementarios 7555 Oakmont Blvd Eff 01-Apr-16 Fort Worth, TX 76132 6800 Preston Rd (817) 294-1105 Plano, TX 75024 (214) 473-8822

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Dallas County | Condado de Select Specialty Hospital - Dallas Mammography Center/ Centro Inc de la mamografía Dallas Eff 01-May-16 2329 W Parker Rd Collin County | Condado de Kindred Hospital Dallas Central Carrollton, TX 75010 Eff 01-Apr-19 (469) 892-1233 Collin 8050 Meadow Rd Dallas, TX 75231 Tarrant County | Condado de Baylor Scott & White Medical (469) 232-6500 Center - Centennial Tarrant Eff 01-Nov-15 LifeCare Hospitals of Dallas 12505 Lebanon Rd Eff 01-Apr-16 Kindred Hospital - Tarrant County - Frisco, TX 75035-8298 1950 Record Crossing Rd Arlington (972) 963-3333 Dallas, TX 75235 Eff 01-Apr-19 (214) 640-9600 1000 N Cooper St Solis Mammography Arlington, TX 76011 Eff 15-Mar-16 Select Specialty Hospital - Dallas (817) 548-3400 5575 Warren Pkwy, Bldg 1, Ste Inc 220 Eff 01-May-16 JPS Health Network Frisco, TX 75034 3500 Gaston Ave, Floors 3 & 4 Eff 15-Oct-20 (214) 872-1020 Jonsson Hospital 1500 S Main St Dallas, TX 75246 Fort Worth, TX 76104-4917 Baylor Scott & White Imaging (469) 801-4600 (817) 702-1100 Center - McKinney Eff 01-Jan-14 Vibra Specialty Hospital of Desoto Kindred Hospital-Tarrant County 5236 W University Dr, Ste 2500 Eff 15-Dec-17 (Fort Worth Southwest) McKinney, TX 75071 2700 Walker Way Eff 01-Apr-19 (469) 764-7000 Desoto, TX 75115-2088 7800 Oakmont Blvd (972) 298-1100 Fort Worth, TX 76132 Solis Mammography (817) 346-0094 Eff 15-Mar-16 Vibra Specialty Hospital - 4201 Medical Center Dr Ste 100A Richardson LifeCare Hospitals of Ft Worth McKinney, TX 75069-1766 Eff 15-Dec-17 Eff 01-Apr-16 (214) 620-2346 401 W Campbell Rd, #300 6201 Overton Ridge Blvd Richardson, TX 75080-3416 Fort Worth, TX 76132 Solis Mammography (469) 329-7300 (817) 370-6078 Eff 15-Mar-16 7900 Henneman Way Ste 100 Denton County | Condado de Kindred Hospital - Mansfield McKinney, TX 75070-2906 Eff 01-Apr-19 (214) 544-6600 Denton 1802 Hwy 157 North Mansfield, TX 76063-3923 Touchstone Imaging McKinney Carrollton Regional Medical (817) 473-6101 Eff 30-Jan-14 Center 5321 W University Dr Eff 01-Mar-20 McKinney, TX 75071-7824 4343 N Josey Ln (214) 250-5090 Carrollton, TX 75010 • Languages spoken / Idioma(s) (972) 394-2489 hablado(s): Spanish Carrollton Regional Medical Center

Eff 01-Mar-20 Ancillary/ Servicios complementarios 4545 N Josey Ln Carrollton, TX 75010 (972) 394-3657

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Baylor Scott & White Plano Solis Mammography Ellis County | Condado de Ellis Women’s Imaging Center Eff 15-Mar-16 Eff 01-Jan-14 6805 W Northwest Hwy Touchstone Imaging at Red Oak 4716 Alliance Blvd Ste 100 Dallas, TX 75225 Eff 07-Aug-14 Medical Pavilion II (866) 717-2551 305 E Ovilla Rd Plano, TX 75093 Red Oak, TX 75154-3833 (469) 814-5500 Solis Mammography Eff 15-Mar-16 (972) 617-7731 Solis Mammography 7777 Forest Ln Ste C-236 • Languages spoken / Idioma(s) Eff 15-Mar-16 Dallas, TX 75230 hablado(s): Spanish 5920 W Parker Rd, Ste 200 (866) 717-2551 Plano, TX 75093 Johnson County | Condado de (866) 717-2551 Solis Mammography Johnson Eff 15-Mar-16 Touchstone Imaging Plano 4430 Lavon Dr Ste 326 Solis Mammography Eff 21-Apr-14 Garland, TX 75040 Eff 15-Mar-16 3304 Communications Pkwy, Ste (866) 717-2551 12500 S Fwy, Ste 202 201 Baylor Scott & White Women's Burleson, TX 76028 Plano, TX 75093-8141 (866) 717-2551 (972) 378-6858 Imaging Center - Irving Eff 01-Jan-14 Touchstone Imaging Burleson Solis Mammography 2001 N MacArthur Blvd Ste 250 Eff 21-Apr-14 Eff 15-Mar-16 Irving, TX 75061 665 NE Alsbury Blvd 1000 N Preston Rd Ste 30 (972) 579-4270 Burleson, TX 76028-2660 Prosper, TX 75078-8892 (817) 447-3443 (469) 481-5010 Solis Mammography Eff 15-Mar-16 Tarrant County | Condado de Dallas County | Condado de 6750 N MacArthur Blvd Ste 153 Irving, TX 75039 Tarrant Dallas (866) 717-2551 Touchstone Imaging Arlington Solis Mammography Touchstone Imaging Mesquite Eff 01-Jul-14 Eff 15-Mar-16 Eff 01-Jan-14 601 W Arbrook Blvd 617 Uptown Blvd Ste 103 1425 Gross Rd, Ste 130 Arlington, TX 76014-3701 Cedar Hill, TX 75104 Mesquite, TX 75149-1362 (817) 472-0801 (866) 717-2551 (972) 289-5558 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Darlene G Cass Women’s Imaging hablado(s): Spanish Center at North Dallas Solis Mammography Eff 01-Jan-14 BSW Elizabeth Jekot, MD Breast Eff 15-Mar-16 9101 N Central Expy Ste 200 Imaging Center 1615 Hospital Pkwy, Ste 108 Dallas, TX 75231 Eff 01-Jan-14 Bedford, TX 76022 (214) 820-2430 3301 Renner Rd, Ste 100 (866) 717-2551 Richardson, TX 75082 Darlene G Cass Women's Imaging (214) 442-7050 Solis Mammography Center Eff 15-Mar-16 Eff 01-Jan-14 1250 8th Ave, Ste 130 3900 Junius St Ste 200 Fort Worth, TX 76104 Dallas, TX 75246 (866) 717-2551 (214) 820-2430 Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 472 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Solis Mammography Medical Transport - Air/ Touchstone Imaging McKinney Eff 15-Mar-16 Ambulancia, transporte aéreo Eff 30-Jan-14 851 Grainger St, Ste 101 5321 W University Dr Fort Worth, TX 76104 Collin County | Condado de McKinney, TX 75071-7824 (866) 717-2551 (214) 250-5090 Collin • Languages spoken / Idioma(s) Touchstone Imaging Downtown hablado(s): Spanish Fort Worth Rosedale PHI Air Medical Eff 21-Apr-14 Eff 01-Jul-17 North Star Diagnostic Imaging 1701 W Rosedale 1500 Industrial Blvd Eff 01-Jul-16 Fort Worth, TX 76104-7425 McKinney, TX 75069-7516 3700 W 15th St, Bldg D, Ste 200 (817) 922-7780 (800) 421-6111 Plano, TX 75075 (972) 758-9000 Touchstone Imaging Fossil Creek Mental Health Mental Eff 07-Aug-14 Retardation/ Salud mental – Touchstone Imaging Plano 5455 Basswood Blvd, Ste 550 Retraso mental Eff 21-Apr-14 Fort Worth, TX 76137-4478 3304 Communications Pkwy, Ste (817) 428-5002 201 Collin County | Condado de • Languages spoken / Idioma(s) Plano, TX 75093-8141 hablado(s): Spanish Collin (972) 378-6858

Touchstone Imaging Hurst LifePath Systems Dallas County | Condado de Eff 30-Jan-14 Eff 01-Oct-17 Dallas 1717 Precinct Line Rd, Ste 103 1515 Heritage Dr, Ste 105 Hurst, TX 76054-3169 McKinney, TX 75069 (817) 498-6575 (972) 562-0190 Advanced Imaging Center • Languages spoken / Idioma(s) Eff 07-Aug-14 hablado(s): Spanish Mobile Radiology/ Radiología 411 N Washington Ave, Ste 1000 móvil Dallas, TX 75246-1774 Touchstone Imaging Keller (214) 820-8770 Eff 01-Jan-14 • Languages spoken / Idioma(s) 601 S Main St, Ste 100 Dallas County | Condado de hablado(s): Spanish Keller, TX 76248-7027 Dallas (817) 482-2000 Baylor Diagnostic Imaging Center • Languages spoken / Idioma(s) Lost Pines Mobile Imaging LLC at Junius hablado(s): Spanish Eff 15-Nov-18 Eff 30-Jan-14 4337 Lindbergh Dr 3900 Junius St, Ste 100 Solis Mammography Addison, TX 75001-4539 Dallas, TX 75246-1617 Eff 15-Mar-16 (972) 228-1582 (214) 820-6900 1545 E Southlake Blvd, Ste 200 • Languages spoken / Idioma(s) Southlake, TX 76092 MRI Center/ Centro de MRI hablado(s): Spanish (866) 717-2551 Touchstone Imaging North Dallas Touchstone Imaging Southlake Collin County | Condado de Eff 21-Apr-14 Eff 21-Apr-14 Collin 9101 N Central Expy, Ste 100 925 E Southlake Blvd, Ste 220 Dallas, TX 75231-5946 Southlake, TX 76092 Baylor Scott & White Imaging (214) 820-1606 (817) 424-4800 Center - McKinney Eff 01-Jan-14 Touchstone Imaging Grand Prairie 5236 W University Dr, Ste 2500 Eff 07-Aug-14 Ancillary/ Servicios complementarios McKinney, TX 75071 2740 N State Hwy 360, Ste 200 (469) 764-7000 Grand Prairie, TX 75050-6405 (972) 579-4480

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Touchstone Imaging Mesquite Touchstone Imaging Lewisville Touchstone Imaging Fossil Creek Eff 01-Jan-14 Eff 01-Jan-14 Eff 07-Aug-14 1425 Gross Rd, Ste 130 190 Civic Cir, Ste 110 5455 Basswood Blvd, Ste 550 Mesquite, TX 75149-1362 Lewisville, TX 75067-3635 Fort Worth, TX 76137-4478 (972) 289-5558 (972) 434-6737 (817) 428-5002 • Languages spoken / Idioma(s) • Languages spoken / Idioma(s) hablado(s): Spanish Johnson County | Condado de hablado(s): Spanish BSW Elizabeth Jekot, MD Breast Johnson American Dynamic Imaging LTD Imaging Center Eff 01-May-17 Eff 01-Jan-14 Touchstone Imaging Burleson 797 Lonesome Dove Trail 3301 Renner Rd, Ste 100 Eff 21-Apr-14 Hurst, TX 76054-6018 Richardson, TX 75082 665 NE Alsbury Blvd (817) 577-7500 (214) 442-7050 Burleson, TX 76028-2660 (817) 447-3443 Touchstone Imaging Hurst Touchstone Imaging Richardson Eff 30-Jan-14 Eff 21-Apr-14 Tarrant County | Condado de 1717 Precinct Line Rd, Ste 103 1910 N Collins Blvd Tarrant Hurst, TX 76054-3169 Richardson, TX 75080-3525 (817) 498-6575 (972) 744-0882 • Languages spoken / Idioma(s) Touchstone Imaging Arlington hablado(s): Spanish Preferred Open MRI, LTD Eff 01-Jul-14 Eff 15-Sep-16 601 W Arbrook Blvd Touchstone Imaging Keller 8405 Lakeview Pkwy 220 Arlington, TX 76014-3701 Eff 01-Jan-14 Rowlett, TX 75088 (817) 472-0801 601 S Main St, Ste 100 (972) 412-0211 • Languages spoken / Idioma(s) Keller, TX 76248-7027 hablado(s): Spanish (817) 482-2000 • Languages spoken / Idioma(s) Denton County | Condado de Ramic Fort Worth LLC hablado(s): Spanish Denton Eff 15-Dec-16 6500 W Frwy, Ste 104 Touchstone Imaging Southlake North Star Diagnostic Imaging Fort Worth, TX 76116 Eff 21-Apr-14 Eff 01-Jul-16 (817) 763-5900 925 E Southlake Blvd, Ste 220 4780 N Josey Ln Southlake, TX 76092 Touchstone Imaging Downtown Carrollton, TX 75010-4615 (817) 424-4800 (972) 649-6460 Fort Worth Rosedale Eff 21-Apr-14 Occupational Therapy/ Terapia Touchstone Imaging Oaktree 1701 W Rosedale ocupacional Eff 01-Jan-14 Fort Worth, TX 76104-7425 1435 S Loop 288, Ste 101 (817) 922-7780 Denton, TX 76205-4701 Collin County | Condado de (940) 320-6901 Touchstone Imaging Fort Worth Collin • Languages spoken / Idioma(s) Eff 01-Jan-14 hablado(s): Spanish 6900 Harris Pkwy, Ste 100 ATI Physical Therapy Fort Worth, TX 76132-4259 Eff 01-Dec-17 Touchstone Imaging Flower (817) 294-1131 1267 W Exchange Pkwy Ste 400 Mound • Languages spoken / Idioma(s) Allen, TX 75013-7097 Eff 01-Jan-14 hablado(s): Spanish (469) 342-0641 3000 Corporate Ct, Ste 400 Flower Mound, TX 75028 Ancillary/ Servicios complementarios (972) 724-0100

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 474 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Outpatient Services Outpatient Services Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 400 N Allen Dr, Ste 104 8204 Stonebrook Pkwy 2960 Eldorado Pkwy Ste 75 Allen, TX 75002 Frisco, TX 75034 McKinney, TX 75070 (972) 727-1931 (972) 335-1407 (972) 562-0713 Legacy Healthcare Services Inc Baylor Scott & White Medical Legacy Healthcare Services Inc Eff 01-Jan-20 Center - Centennial Eff 01-Jan-20 1451 S Greenville Ave Eff 01-Nov-15 2851 Orchid Dr Allen, TX 75002 12505 Lebanon Rd McKinney, TX 75070 (214)785-7213 Frisco, TX 75035-8298 (469)678-5074 (972) 963-3333 Legacy Healthcare Services Inc Legacy Healthcare Services Inc Eff 01-Jan-20 Texas Hand Rehabilitation Eff 01-Jan-20 480 Bray Central Dr Eff 01-Dec-17 3300 S Stonebridge Dr Allen, TX 75013 3880 Parkwood Blvd, Ste 501 McKinney, TX 75070 (972)649-7979 Frisco, TX 75034-1928 (855)239-3467 (972) 613-3440 Legacy Healthcare Services Inc Legacy Healthcare Services Inc Eff 01-Jan-20 ATI Physical Therapy Eff 01-Jan-20 680 N Watters Rd Eff 01-Dec-17 5701 Virginia Pkwy Allen, TX 75013 491 S Angel Pkwy McKinney, TX 75071 (469)656-9015 Lucas, TX 75002 (214)592-0212 (975) 979-6577 ATI Physical Therapy Legacy Healthcare Services Inc Eff 01-Dec-17 ATI Physical Therapy Eff 01-Jan-20 5665 Dallas Pkwy Ste 110 Eff 01-Dec-17 7210 Linkside Point Dr Frisco, TX 75034-7337 3241 S Custer Rd McKinney, TX 75071 (972) 979-6577 McKinney, TX 75070-6218 (214)592-0228 (469) 606-5003 ATI Physical Therapy LifePath Systems Eff 01-Dec-17 ATI Physical Therapy Eff 01-Oct-17 8845 Gary Burns Dr Ste 100 Eff 01-Dec-17 1515 Heritage Dr, Ste 105 Frisco, TX 75034-2503 3520 W University Dr Ste 201 McKinney, TX 75069 (972) 979-6577 McKinney, TX 75071-2930 (972) 562-0190 (469) 307-5674 Baylor Institute for Rehabilitation ATI Physical Therapy Outpatient Services Baylor Institute for Rehabilitation Eff 01-Dec-17 Eff 01-Jan-14 Outpatient Services 410 W FM 544 Ste 105 5858 W Main St, Ste 160 Eff 01-Jan-14 Murphy, TX 75094-3709 Frisco, TX 75034 5236 W University Dr, Ste 3500 (469) 606-5003 (972) 712-2669 McKinney, TX 75071 (469) 952-5082 Covenant Hand Therapy, PC Baylor Institute for Rehabilitation Eff 01-Jul-17 Outpatient Services Baylor Institute for Rehabilitation 1101 Ohio Dr, Ste 105 Eff 01-Jan-14 Outpatient Services Plano, TX 75093-5331 2990 Legacy Dr Eff 01-Jan-14 (972) 599-9594 Frisco, TX 75034-6066 1705 W University Dr #119 (469) 888-5172 McKinney, TX 75069 ATI Physical Therapy (972) 569-8860 Eff 01-Dec-17 Ancillary/ Servicios complementarios 4001 W 15th St Bldg 1 Ste 490 Plano, TX 75093-5854 (469) 573-6068

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 475 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

ATI Physical Therapy Baylor Institute for Rehabilitation ATI Physical Therapy Eff 01-Dec-17 Outpatient Services Eff 01-Dec-17 4709 W Parker Rd Ste 460 Eff 01-Jan-14 12222 Coit Rd Ste 200 Plano, TX 75093-3369 4135 Belt Line Rd, Ste 122 Dallas, TX 75251-2302 (469) 440-5420 Addison, TX 75001 (469) 906-1075 (972) 789-9527 Baylor Institute for Rehabilitation ATI Physical Therapy Outpatient Services ATI Physical Therapy Eff 01-Dec-17 Eff 01-Jan-14 Eff 01-Dec-17 12747 Midway Rd Ste 150 3700 W 15th St, Bldg B, Ste 200 379 E FM 1382 Ste 100 Dallas, TX 75244-6333 Plano, TX 75075 Cedar Hill, TX 75104-6040 (469) 440-5420 (972) 867-7675 (972) 460-4490 ATI Physical Therapy Baylor Institute for Rehabilitation ATI Physical Therapy Eff 01-Dec-17 Outpatient Services Eff 01-Dec-17 4015 Lemmon Ave Eff 01-Jan-14 106 N Denton Tap Rd Ste 220 Dallas, TX 75219-3737 4700 Alliance Blvd, Ste 4000 Coppell, TX 75019-2139 (469) 872-7461 Plano, TX 75093 (469) 528-6437 (469) 814-2550 ATI Physical Therapy Baylor Institute for Rehabilitation Eff 01-Dec-17 Baylor Institute for Rehabilitation Outpatient Services 6029 Forest Ln Outpatient Services Eff 01-Jan-14 Dallas, TX 75230-2703 Eff 01-Jan-14 651 N Denton Tap Rd, Ste 120 (469) 872-7548 4701 W Parker Rd Ste 625 Coppell, TX 75019 Plano, TX 75093 (972) 899-5180 ATI Physical Therapy (972) 398-2555 Eff 01-Dec-17 Therapy Partners of North Texas 6333 E Mockingbird Ln Ste 139 Legacy Healthcare Services Inc Eff 15-Jun-17 Dallas, TX 75214-2376 Eff 01-Jan-20 413 W Bethel Rd, #400 (469) 872-7473 3670 Mapleshade Ln Coppell, TX 75019 Plano, TX 75075-5867 (972) 304-9100 ATI Physical Therapy (469)626-0057 Eff 01-Dec-17 Legacy Healthcare Services, Inc 9291 Garland Rd Ste 110 Legacy Healthcare Services Inc Eff 01-Jan-20 Dallas, TX 75218 Eff 01-Jan-20 3362 Forest Ln Ste 304 (972) 892-4541 6401 Ohio Dr Dallas, TX 75234 Plano, TX 75024 (972)488-1300 Baylor Center for Pain (469)626-1045 Management at Dallas Lone Star Physical Therapy, PC Eff 01-Jan-14 Legacy Healthcare Services Inc Eff 01-Oct-17 3600 Gaston Ave, #360 Eff 01-Jan-20 10830 N Central Expy Ste 225 Dallas, TX 75246 7001 W Plano Pkwy Dallas, TX 75231 (214) 820-7246 Plano, TX 75093 (214) 884-9695 (972)810-0131 Baylor Institute for Rehabilitation Lone Star Physical Therapy, PC Outpatient Services Dallas County | Condado de Eff 01-Oct-17 Eff 01-Jan-14 4041 W Wheatland Rd Ste 108 1015 Carroll Ave, Ste 104 Dallas Dallas, TX 75237 Dallas, TX 75204 (214) 884-9695 (214) 887-6580 ATI Physical Therapy

Ancillary/ Servicios complementarios Eff 01-Dec-17 17051 N Dallas Pkwy Ste 450 Addison, TX 75001-7118 (214) 272-8561

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 476 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation Texas Hand Rehabilitation ATI Physical Therapy Outpatient Services Eff 01-Dec-17 Eff 01-Dec-17 Eff 01-Jan-14 11551 Forest Central Dr, Ste 103 2360 W Camp Wisdom Rd Ste 11617 N Central Expy, Ste 140 Dallas, TX 75243-3960 140 Dallas, TX 75243 (972) 613-3440 Grand Prairie, TX 75052 (214) 369-4123 (468) 460-6683 Texas Hand Rehabilitation Baylor Institute for Rehabilitation Eff 01-Dec-17 Baylor Institute for Rehabilitation Outpatient Services 2727 Bolton Boone Dr, Ste 107 Outpatient Services Eff 01-Jan-14 Desoto, TX 75115-2019 Eff 01-Jan-14 3107 W Camp Wisdom Rd, #131 (972) 613-3440 2950 W Camp Wisdom Rd, Ste Dallas, TX 75237 200 (214) 339-4533 ATI Physical Therapy Grand Prairie, TX 75052 Eff 01-Dec-17 (972) 602-9238 Baylor Institute for Rehabilitation 607 S Cedar Ridge Dr Unit 102 Outpatient Services Duncanville, TX 75116-3189 ATI Physical Therapy Eff 01-Jan-14 (214) 742-8560 Eff 01-Dec-17 411 N Washington Ave, Ste 4000 701 Tuscan Dr Ste 240 Dallas, TX 75246 Baylor Institute for Rehabilitation Irving, TX 75039-4125 (214) 820-7457 Outpatient Services (214) 272-8820 Eff 01-Jan-14 Baylor Institute for Rehabilitation 333 N Shiloh Rd, Ste 108 Baylor Institute for Rehabilitation Outpatient Services Garland, TX 75042 Outpatient Services Eff 01-Jan-14 (972) 276-0566 Eff 01-Jan-14 4347 W Northwest Hwy, Ste 180 1215 Kinwest Pkwy, Ste 110 Dallas, TX 75220 Baylor Institute for Rehabilitation Irving, TX 75063 (214) 654-0947 Outpatient Services (972) 506-0931 Eff 01-Jan-14 Baylor Institute for Rehabilitation 4280 Lavon Dr, Ste 340 Baylor Institute for Rehabilitation Outpatient Services Garland, TX 75040 Outpatient Services Eff 01-Jan-14 (972) 495-5416 Eff 01-Jan-14 6243 Retail Rd, Ste 600 2001 N MacArthur Blvd, Ste 550 Dallas, TX 75231 Baylor Institute for Rehabilitation Irving, TX 75061 (214) 890-9853 Outpatient Services (972) 579-8155 Eff 01-Jan-14 Baylor Institute for Rehabilitation 705 Walter Reed Dr, Ste 100 Baylor Institute for Rehabilitation Outpatient Services Garland, TX 75042 Outpatient Services Eff 01-Jan-14 (972) 487-5570 Eff 01-Jan-14 222 E Colorado Blvd 7701 Las Colinas Ridge, Ste 110 Dallas, TX 75203 Legacy Healthcare Services Inc Irving, TX 75063 (214) 946-3055 Eff 01-Jan-20 (214) 574-7848 3450 Wagon Wheel Rd Baylor Institute for Rehabilitation Garland, TX 75044 Baylor Institute for Rehabilitation Outpatient Services (214)778-4873 Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 909 N Washington Ave ATI Physical Therapy 1901 N MacArthur Blvd Dallas, TX 75246 Eff 01-Dec-17 Irving, TX 75061 (214) 802-9300 1215 W Pioneer Pkwy Ste 200 (972) 579-8155 Grand Prairie, TX 75051 Legacy Healthcare Services Inc (469) 460-6683 Legacy Healthcare Services Inc Eff 01-Jan-20 Eff 01-Jan-20 Ancillary/ Servicios complementarios 2522 Fort Worth Ave 2425 Texas Dr Dallas, TX 75211 Irving, TX 75062 (214)944-5355 (469)524-3623

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 477 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Outpatient Services Eff 01-Jan-20 Outpatient Services Eff 01-Jan-14 714 W Arapaho Rd Eff 01-Jan-14 1265 N Town East Blvd, Ste 100 Richardson, TX 75080 1933 E Frankford Rd Ste 110 Mesquite, TX 75150 (469)248-3757 Carrollton, TX 75007 (972) 270-0094 (972) 394-7170 ATI Physical Therapy Baylor Institute for Rehabilitation Eff 01-Dec-17 Legacy Healthcare Services Inc Outpatient Services 3005 Lakeview Pkwy Ste 400 Eff 01-Jan-20 Eff 01-Jan-14 Rowlett, TX 75088-3320 1919 Brinker Rd 1313 N Belt Line Rd, Ste 102 (469) 905-0646 Denton, TX 76208-6215 Mesquite, TX 75149 (940)252-2556 (972) 289-0691 Baylor Institute for Rehabilitation Outpatient Services ATI Physical Therapy Baylor Institute for Rehabilitation Eff 01-Jan-14 Eff 01-Dec-17 Outpatient Services 8120 Lakeview Pkwy, Ste 400 1050 Flower Mound Rd Ste 140 Eff 01-Jan-14 Rowlett, TX 75088 Flower Mound, TX 75028-3403 1650 Republic Pkwy, Ste 103 (972) 412-4926 (469) 702-5947 Mesquite, TX 75150 (972) 698-1140 Lake Pointe Outpatient Baylor Institute for Rehabilitation Rehabilitation Outpatient Services Texas Hand Rehabilitation Eff 01-Nov-15 Eff 01-Jan-14 Eff 01-Dec-17 9400 Lakeview Pkwy, Ste 124 1901 Long Prairie Rd, Ste 130 2540 N Galloway Ave, Ste 301-A Rowlett, TX 75088 Flower Mound, TX 75022 Mesquite, TX 75150-4814 (972) 412-3380 (972) 539-1241 (972) 613-3440 Baylor Institute for Rehabilitation ATI Physical Therapy ATI Physical Therapy Outpatient Services Eff 01-Dec-17 Eff 01-Dec-17 Eff 01-Jan-14 1555 US Hwy 380 # 900 210 W Campbell Rd 600 Cooper Dr, Ste 130 Frisco, TX 75033-0171 Richardson, TX 75080-3512 Wylie, TX 75098 (972) 346-5634 (972) 807-9168 (972) 442-6525 Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Denton County | Condado de Eff 01-Jan-20 Outpatient Services 2500 Winhaven Pkwy Eff 01-Jan-14 Denton Lewisville, TX 75056 1740 N Collins Blvd, Ste 100 (972)810-0938 Richardson, TX 75080 ATI Physical Therapy (972) 235-9035 Eff 01-Dec-17 Legacy Healthcare Services Inc 3000 FM 407 Ste 500 Eff 01-Jan-20 Baylor Institute for Rehabilitation Bartonville, TX 76226-9467 800 College Pkwy Ste 336 Outpatient Services (940) 448-2007 Lewisville, TX 75077-3505 Eff 01-Jan-14 (972)420-8543 510 N Coit Rd, Ste 2035 ATI Physical Therapy Richardson, TX 75080 Eff 01-Dec-17 ATI Physical Therapy (972) 437-2048 4100 Fairway Ct Ste 400 Eff 01-Dec-17 Carrollton, TX 75010-6538 2180 FM 423 Ste 300 Baylor Institute for Rehabilitation (972) 394-3325 Little Elm, TX 75068-6696 Outpatient Services (469) 403-2242 Eff 01-Jan-14 Ancillary/ Servicios complementarios 3413 Spectrum Blvd Ste 200 Richardson, TX 75082 (972) 234-4745

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 478 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Legacy Healthcare Services Inc Outpatient Services Outpatient Services Eff 01-Jan-20 Eff 01-Jan-14 Eff 01-Jan-14 963 W Yellow Jacket Ln # 219 2700 E Eldorado Pkwy, Ste 409 819 E Moore Ave, Ste C Rockwall, TX 75087 Little Elm, TX 75068 Terrell, TX 75160 (972)722-7925 (972) 987-4023 (972) 551-2500 Tarrant County | Condado de Ellis County | Condado de Ellis Navarro County | Condado de Tarrant Navarro Believe Therapies, LLC ATI Physical Therapy Eff 01-Jan-14 BCM Innovative Therapies, Inc Eff 01-Dec-17 110 Roundabout Dr, Ste A Eff 01-Oct-17 5335 W Sublett Rd # 151 Midlothian, TX 76065 3728 S Hwy 287 Arlington, TX 76017-1185 (469) 336-5010 Corsicana, TX 75109 (817) 839-9150 (903) 874-6315 Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Outpatient Services Parker County | Condado de Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 1441 S Midlothian Pkwy, Ste 170 Parker 5201 S Cooper St, Ste 103 Midlothian, TX 76065 Arlington, TX 76015 (972) 723-0380 Baylor Institute for Rehabilitation at (817) 419-6044 Fort Worth Fannin County | Condado de Eff 01-Jan-14 Baylor Institute for Rehabilitation Fannin 2035 Fort Worth Hwy, Ste 300 Outpatient Services Weatherford, TX 76086 Eff 01-Jan-14 Select Physical Therapy Holdings, (817) 599-9271 80 West Arbrook Blvd, Ste 200 Inc Arlington, TX 76015 Countryside Therapy Group Inc (817) 472-2200 Eff 01-Oct-15 Eff 15-Jan-20 503 Lipscomb Blvd 925 Santa Fe Dr Ste 110 Baylor Institute for Rehabilitation Bonham, TX 75418 Weatherford, TX 76086-5867 Outpatient Services (903) 583-7433 (254) 965-3611 Eff 01-Jan-14 800 W Arbrook Blvd Ste 200 Hood County | Condado de Rockwall County | Condado de Arlington, TX 76015 Hood Rockwall (817) 472-2200 Texas Hand Rehabilitation Baylor Institute for Rehabilitation at ATI Physical Therapy Fort Worth Eff 01-Dec-17 Eff 01-Dec-17 3602 Matlock Rd, Ste 212 Eff 01-Jan-14 2268 N Lakeshore Dr Ste 106 805 Hill Blvd, Ste 109 Arlington, TX 76015-3616 Rockwall, TX 75087-0280 (972) 613-3440 Granbury, TX 76048 (214) 771-7960 (817) 279-7336 Core Rehabilitation Group Baylor Institute for Rehabilitation Eff 01-Sep-15 Kaufman County | Condado de Outpatient Services 2700 Tibbets Dr, Ste 103 Kaufman Eff 01-Jan-14 Bedford, TX 76022 810 E Ralph Hall Pkwy, Ste 170 (817) 868-7575 Lake Pointe Outpatient Rockwall, TX 75032 Rehabilitation (972) 722-0555 ATI Physical Therapy Eff 01-Nov-15 Eff 01-Dec-17 Ancillary/ Servicios complementarios 450 FM 548, Ste 100 4843 Colleyville Blvd Ste 221 Forney, TX 75126 Colleyville, TX 76034-3986 (469) 689-0957 (917) 576-7520

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 479 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

ATI Physical Therapy Baylor Institute for Rehabilitation Core Rehabilitation Group Eff 01-Dec-17 Outpatient Services Eff 01-Sep-15 1060 N Main St Ste 101 Eff 01-Jan-14 11751 Alta Vista Rd, Ste 301 Euless, TX 76039 5411 Basswood Blvd, Ste 225 Keller, TX 76244 (469)498-2855 Fort Worth, TX 76137 (817) 337-3400 (817) 498-0700 Legacy Healthcare Services, Inc Legacy Healthcare Services Inc Eff 01-Jan-20 Baylor Institute for Rehabilitation Eff 01-Jan-20 5417 Altamesa Blvd Outpatient Services 200 Country Brook Dr Fort Worth, TX 76123 Eff 01-Jan-14 Keller, TX 76248 (817)370-6222 8651 John T White Rd, Ste 121 (817)337-3082 Fort Worth, TX 76120 Baylor Institute for Rehabilitation at (817) 542-0714 ATI Physical Therapy Fort Worth Eff 01-Dec-17 Eff 01-Jan-14 Baylor Institute for Rehabilitation 3141 E Broad St Ste 111 4901 Bryant Irvin Rd N, Ste 200 Outpatient Services Mansfield, TX 76063 Fort Worth, TX 76107 Eff 01-Jan-14 (469) 460-6683 (817) 738-9866 1 Lockheed Blvd Fort Worth, TX 76108 Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation at (817) 777-2288 Outpatient Services Fort Worth Eff 01-Jan-14 Eff 01-Jan-14 Baylor Institute for Rehabilitation 1748 E Broad St, Ste 120 5932 Quebec St, Ste 180 Outpatient Services Mansfield, TX 76063 Fort Worth, TX 76105 Eff 01-Jan-14 (817) 477-4567 (817) 237-5193 1400 Eighth Ave Fort Worth, TX 76104 Destination Life Therapy & Baylor Institute for Rehabilitation at (817) 922-7105 Wellness Fort Worth Eff 01-Apr-19 Eff 01-Jan-14 Legacy Healthcare Services Inc 1759 Broad Park Cir S #113 929 Lipscomb St, Ste 101 Eff 01-Jan-20 Mansfield, TX 76063 Fort Worth, TX 76104 6251 Overton Ridge Blvd (817) 473-1312 (817) 334-0488 Fort Worth, TX 76132 (817)945-1586 Baylor Institute for Rehabilitation at Baylor Institute for Rehabilitation at Fort Worth Fort Worth ATI Physical Therapy Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Dec-17 6501 Precinct Line Rd., Ste 200 3621 Camp Bowie Blvd 1401 William D Tate Ave Ste 300 North Richland, TX 76182 Fort Worth, TX 76107 Grapevine, TX 76051 (817) 428-4073 (817) 570-7073 (817) 527-3377 ATI Physical Therapy Baylor Institute for Rehabilitation at Baylor Institute for Rehabilitation Eff 01-Dec-17 Fort Worth Outpatient Services 245 W St Hwy 114 Ste 320 Eff 01-Jan-14 Eff 01-Jan-14 Southlake, TX 76092 6601 Harris Pkwy 1643 Lancaster Dr, Ste 100 (817) 873-5311 Fort Worth, TX 76132-6108 Grapevine, TX 76051 (817) 433-9600 (817) 329-2524 Baylor Institute for Rehabilitation Outpatient Services Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Eff 01-Jan-14 Outpatient Services Outpatient Services 3101 E State Hwy 114, Ste B Eff 01-Jan-14 Eff 01-Jan-14 Southlake, TX 76092 Ancillary/ Servicios complementarios 4120 State Hwy 360, Ste 105 460 Keller Pkwy, Ste A (817) 251-6351 Fort Worth, TX 76155 Keller, TX 76248 (817) 283-3049 (817) 562-1474

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 480 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Pain Management/ Manejo del Grayson County | Condado de Physical Therapy/ Fisioterapia dolor Grayson Collin County | Condado de Dallas County | Condado de Angels of Care Pediatric Home Collin Dallas Health Eff 01-Jan-14 Achieve Physical Therapy & Baylor Center for Pain 8001 S US Hwy 75 Performance, LP Management at Dallas Sherman, TX 75090 Eff 01-Apr-16 Eff 01-Jan-14 (903) 532-1400 1206 E Main St Ste 102 3600 Gaston Ave, #360 • Languages spoken / Idioma(s) Allen, TX 75002-3978 Dallas, TX 75246 hablado(s): Spanish (972) 325-1390 (214) 820-7246 Tarrant County | Condado de ATI Physical Therapy Comprehensive Wound Care Eff 01-Dec-17 Center at Dallas Tarrant 1267 W Exchange Pkwy Ste 400 Eff 01-Jan-14 Allen, TX 75013-7097 3600 Gaston Ave Ste 210 Angels of Care Pediatric Home (469) 342-0641 Dallas, TX 75246 Health (214) 820-4400 Eff 01-Jan-14 Baylor Institute for Rehabilitation 1314 Lake St, Ste 202 Outpatient Services Pediatric Home Health/ Cuidados Fort Worth, TX 76102 Eff 01-Jan-14 médicos pediátricos en el hogar (817) 810-0660 400 N Allen Dr, Ste 104 • Languages spoken / Idioma(s) Allen, TX 75002 hablado(s): Spanish Dallas County | Condado de (972) 727-1931 Dallas At Home Healthcare Legacy Healthcare Services Inc Eff 01-Jan-18 Eff 01-Jan-20 Angels of Care Pediatric Home 6530 Hawks Creek Ct, Ste 107 1451 S Greenville Ave Health Fort Worth, TX 76114-1163 Allen, TX 75002 Eff 01-Jan-14 (817) 810-0411 (214)785-7213 13601 Preston Rd, Ste 210W Dallas, TX 75240 Pharmacy - Medical/ Legacy Healthcare Services Inc (972) 702-0300 Eff 01-Jan-20 • Languages spoken / Idioma(s) Dallas County | Condado de 480 Bray Central Dr hablado(s): Spanish Allen, TX 75013 Dallas (972)649-7979 At Home Healthcare Eff 01-Jan-18 Accredo Health Group, Inc Legacy Healthcare Services Inc 2736 Towne Center Dr, Ste A Eff 01-May-17 Eff 01-Jan-20 Mesquite, TX 75150-4183 4343 W Royal Ln, Ste 124 680 N Watters Rd (214) 484-4236 Irving, TX 75063 Allen, TX 75013 (972) 929-6800 (469)656-9015 Maximum Impact Physical Therapy Services Eff 15-Dec-16 18800 Preston Rd Ste 110 Dallas, TX 75252-2449 (214) 265-9704 Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 481 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Rehab Management Frisco Physical Therapy Limited Baylor Institute for Rehabilitation Eff 01-Jun-16 Partnership Outpatient Services 1022 State Hwy 78 N Eff 03-Jul-17 Eff 01-Jan-14 Farmersville, TX 75442 7548 Preston Rd, Ste 145 1705 W University Dr #119 (972) 784-6533 Frisco, TX 75034-5684 McKinney, TX 75069 (972) 712-9693 (972) 569-8860 Peak Physical Therapy, LLC Eff 18-Oct-17 Gateway Physical Therapy Baylor Institute for Rehabilitation 7777 Warren Pkwy, Ste 380 Eff 01-Oct-15 Outpatient Services Frisco, TX 75034-6549 8501 Wade Blvd, Ste 850 Eff 01-Jan-14 (972) 377-4111 Frisco, TX 75034 2960 Eldorado Pkwy Ste 75 (972) 668-7111 McKinney, TX 75070 ATI Physical Therapy (972) 562-0713 Eff 01-Dec-17 ATI Physical Therapy 5665 Dallas Pkwy Ste 110 Eff 01-Dec-17 Legacy Healthcare Services Inc Frisco, TX 75034-7337 491 S Angel Pkwy Eff 01-Jan-20 (972) 979-6577 Lucas, TX 75002 2851 Orchid Dr (975) 979-6577 McKinney, TX 75070 ATI Physical Therapy (469)678-5074 Eff 01-Dec-17 Peak Physical Therapy, LLC 8845 Gary Burns Dr Ste 100 Eff 18-Oct-17 Legacy Healthcare Services Inc Frisco, TX 75034-2503 7951 Collin McKinney Pkwy, Ste Eff 01-Jan-20 (972) 979-6577 700 3300 S Stonebridge Dr McKinney, TX 75070-7852 McKinney, TX 75070 Baylor Institute for Rehabilitation (214) 495-0763 (855)239-3467 Outpatient Services Eff 01-Jan-14 Active Life Physical Therapy Legacy Healthcare Services Inc 5858 W Main St, Ste 160 Eff 01-Jul-17 Eff 01-Jan-20 Frisco, TX 75034 2600 Eldorado Pkwy, Ste 130 5701 Virginia Pkwy (972) 712-2669 McKinney, TX 75070 McKinney, TX 75071 (972) 984-7670 (214)592-0212 Baylor Institute for Rehabilitation Outpatient Services ATI Physical Therapy Legacy Healthcare Services Inc Eff 01-Jan-14 Eff 01-Dec-17 Eff 01-Jan-20 2990 Legacy Dr 3241 S Custer Rd 7210 Linkside Point Dr Frisco, TX 75034-6066 McKinney, TX 75070-6218 McKinney, TX 75071 (469) 888-5172 (469) 606-5003 (214)592-0228 Baylor Institute for Rehabilitation ATI Physical Therapy LifePath Systems Outpatient Services Eff 01-Dec-17 Eff 01-Oct-17 Eff 01-Jan-14 3520 W University Dr Ste 201 1515 Heritage Dr, Ste 105 8204 Stonebrook Pkwy McKinney, TX 75071-2930 McKinney, TX 75069 Frisco, TX 75034 (469) 307-5674 (972) 562-0190 (972) 335-1407 Baylor Institute for Rehabilitation Achieve Physical Therapy & Baylor Scott & White Medical Outpatient Services Performance, LP Center - Centennial Eff 01-Jan-14 Eff 01-Apr-16 Eff 01-Nov-15 5236 W University Dr, Ste 3500 631 W FM 544 Ste 200 12505 Lebanon Rd McKinney, TX 75071 Murphy, TX 75094 Frisco, TX 75035-8298 (469) 952-5082 (972) 325-1390 Ancillary/ Servicios complementarios (972) 963-3333

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 482 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

ATI Physical Therapy Baylor Institute for Rehabilitation Maximum Impact Physical Eff 01-Dec-17 Outpatient Services Therapy Services 410 W FM 544 Ste 105 Eff 01-Jan-14 Eff 15-Dec-16 Murphy, TX 75094-3709 4700 Alliance Blvd, Ste 4000 2450 E Prosper Trail Ste 10 (469) 606-5003 Plano, TX 75093 Prosper, TX 75078-9172 (469) 814-2550 (972)347-9735 Achieve Physical Therapy & Performance, LP Baylor Institute for Rehabilitation Cooke County | Condado de Eff 01-Apr-16 Outpatient Services 2200 Los Rios Ste 132 Eff 01-Jan-14 Cooke Plano, TX 75074 4701 W Parker Rd Ste 625 (972) 509-5070 Plano, TX 75093 Peak Physical Therapy, LLC (972) 398-2555 Eff 18-Oct-17 Covenant Hand Therapy, PC 905 E Hwy 82, Ste 130 Eff 01-Jul-17 Clair Physical Therapy Gainesville, TX 76240-2267 1101 Ohio Dr, Ste 105 Eff 01-Nov-16 (940) 612-1821 Plano, TX 75093-5331 4621 W Park Blvd, Ste 102 (972) 599-9594 Plano, TX 75093-2318 Dallas County | Condado de (972) 985-1776 Kinetic Physical Therapy, Inc Dallas Eff 15-Feb-18 Legacy Healthcare Services Inc 7713 San Jacinto Pl, Ste 200 Eff 01-Jan-20 ATI Physical Therapy Plano, TX 75024-3378 3670 Mapleshade Ln Eff 01-Dec-17 (972) 618-9900 Plano, TX 75075-5867 17051 N Dallas Pkwy Ste 450 (469)626-0057 Addison, TX 75001-7118 Orthopedic Manual Physical (214) 272-8561 Therapy Institute of Dallas, Inc Legacy Healthcare Services Inc Eff 01-Nov-16 Eff 01-Jan-20 Baylor Institute for Rehabilitation 3012 Communications Pkwy Blvd, 6401 Ohio Dr Outpatient Services Bldg V, Ste 100 Plano, TX 75024 Eff 01-Jan-14 Plano, TX 75093 (469)626-1045 4135 Belt Line Rd, Ste 122 (469) 467-6868 Addison, TX 75001 Legacy Healthcare Services Inc (972) 789-9527 ATI Physical Therapy Eff 01-Jan-20 Eff 01-Dec-17 7001 W Plano Pkwy ATI Physical Therapy 4001 W 15th St Bldg 1 Ste 490 Plano, TX 75093 Eff 01-Dec-17 Plano, TX 75093-5854 (972)810-0131 379 E FM 1382 Ste 100 (469) 573-6068 Cedar Hill, TX 75104-6040 Texas Physical Therapy (972) 460-4490 ATI Physical Therapy Specialists Eff 01-Dec-17 Eff 01-Jan-18 Green Oaks Physical Therapy 4709 W Parker Rd Ste 460 6505 W Park Blvd Ste 100 Limited Partnership Plano, TX 75093-3369 Plano, TX 75093 Eff 01-Sep-16 (469) 440-5420 (469) 606-1160 458 N Hwy 67, Ste 100 Cedar Hill, TX 75104 Baylor Institute for Rehabilitation Peak Physical Therapy, LLC (469) 272-3129 Outpatient Services Eff 18-Oct-17 Eff 01-Jan-14 1000 N Preston Rd, Ste 50 ATI Physical Therapy 3700 W 15th St, Bldg B, Ste 200 Prosper, TX 75078-8889 Eff 01-Dec-17 Plano, TX 75075 (972) 347-9756 106 N Denton Tap Rd Ste 220 (972) 867-7675 Coppell, TX 75019-2139 Ancillary/ Servicios complementarios (469) 528-6437

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 483 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation ATI Physical Therapy Baylor Institute for Rehabilitation Outpatient Services Eff 01-Dec-17 Outpatient Services Eff 01-Jan-14 6029 Forest Ln Eff 01-Jan-14 651 N Denton Tap Rd, Ste 120 Dallas, TX 75230-2703 4347 W Northwest Hwy, Ste 180 Coppell, TX 75019 (469) 872-7548 Dallas, TX 75220 (972) 899-5180 (214) 654-0947 ATI Physical Therapy Legacy Healthcare Services, Inc Eff 01-Dec-17 Baylor Institute for Rehabilitation Eff 01-Jan-20 6333 E Mockingbird Ln Ste 139 Outpatient Services 3362 Forest Ln Ste 304 Dallas, TX 75214-2376 Eff 01-Jan-14 Dallas, TX 75234 (469) 872-7473 6243 Retail Rd, Ste 600 (972)488-1300 Dallas, TX 75231 ATI Physical Therapy (214) 890-9853 Lone Star Physical Therapy, PC Eff 01-Dec-17 Eff 01-Oct-17 9291 Garland Rd Ste 110 Baylor Institute for Rehabilitation 10830 N Central Expy Ste 225 Dallas, TX 75218 Outpatient Services Dallas, TX 75231 (972) 892-4541 Eff 01-Jan-14 (214) 884-9695 222 E Colorado Blvd Baylor Center for Pain Dallas, TX 75203 Lone Star Physical Therapy, PC Management at Dallas (214) 946-3055 Eff 01-Oct-17 Eff 01-Jan-14 4041 W Wheatland Rd Ste 108 3600 Gaston Ave, #360 Baylor Institute for Rehabilitation Dallas, TX 75237 Dallas, TX 75246 Outpatient Services (214) 884-9695 (214) 820-7246 Eff 01-Jan-14 909 N Washington Ave Orthopedic Manual Physical Baylor Institute for Rehabilitation Dallas, TX 75246 Therapy Institute of Dallas, Inc Outpatient Services (214) 802-9300 Eff 01-Nov-16 Eff 01-Jan-14 8144 Walnut Hall Ln, Ste 100 1015 Carroll Ave, Ste 104 Comprehensive Wound Care Dallas, TX 75231 Dallas, TX 75204 Center at Dallas (214) 346-0677 (214) 887-6580 Eff 01-Jan-14 3600 Gaston Ave Ste 210 ATI Physical Therapy Baylor Institute for Rehabilitation Dallas, TX 75246 Eff 01-Dec-17 Outpatient Services (214) 820-4400 12222 Coit Rd Ste 200 Eff 01-Jan-14 Dallas, TX 75251-2302 11617 N Central Expy, Ste 140 Dallas Midtown Physical Therapy (469) 906-1075 Dallas, TX 75243 & Rehabilitation (214) 369-4123 Eff 15-Jun-17 ATI Physical Therapy 4101 McEwen Dr, Ste 100 Eff 01-Dec-17 Baylor Institute for Rehabilitation Dallas, TX 75244 12747 Midway Rd Ste 150 Outpatient Services (972) 701-0366 Dallas, TX 75244-6333 Eff 01-Jan-14 (469) 440-5420 3107 W Camp Wisdom Rd, #131 Green Oaks Physical Therapy Dallas, TX 75237 Eff 15-Jun-17 ATI Physical Therapy (214) 339-4533 3690 W Wheatland Road suite 100 Eff 01-Dec-17 Dallas, TX 75237 4015 Lemmon Ave Baylor Institute for Rehabilitation (972) 296-6645 Dallas, TX 75219-3737 Outpatient Services (469) 872-7461 Eff 01-Jan-14 Green Oaks Physical Therapy 411 N Washington Ave, Ste 4000 Limited Partnership Ancillary/ Servicios complementarios Dallas, TX 75246 Eff 01-Sep-16 (214) 820-7457 718 N Buckner Blvd, Ste 118 Dallas, TX 75218 (214) 324-5851

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 484 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Eff 01-Jan-20 Outpatient Services Outpatient Services 2522 Fort Worth Ave Eff 01-Jan-14 Eff 01-Jan-14 Dallas, TX 75211 705 Walter Reed Dr, Ste 100 1215 Kinwest Pkwy, Ste 110 (214)944-5355 Garland, TX 75042 Irving, TX 75063 (972) 487-5570 (972) 506-0931 Maximum Impact Physical Therapy Services Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Eff 15-Dec-16 Eff 01-Jan-20 Outpatient Services 5510 Abrams RD, Ste 115 3450 Wagon Wheel Rd Eff 01-Jan-14 Dallas, TX 75214-2099 Garland, TX 75044 2001 N MacArthur Blvd, Ste 550 (214) 265-9704 (214)778-4873 Irving, TX 75061 (972) 579-8155 Texas Physical Therapy Rehab Management Specialists Eff 01-Jun-16 Baylor Institute for Rehabilitation Eff 01-Jan-18 2241 Peggy Ln, Ste C Outpatient Services 11909 Preston Rd Ste 1482 Garland, TX 75042 Eff 01-Jan-14 Dallas, TX 75230 (972) 272-9643 7701 Las Colinas Ridge, Ste 110 (214) 446-1601 Irving, TX 75063 ATI Physical Therapy (214) 574-7848 ATI Physical Therapy Eff 01-Dec-17 Eff 01-Dec-17 1215 W Pioneer Pkwy Ste 200 Baylor Institute for Rehabilitation 607 S Cedar Ridge Dr Unit 102 Grand Prairie, TX 75051 Outpatient Services Duncanville, TX 75116-3189 (469) 460-6683 Eff 01-Jan-14 (214) 742-8560 1901 N MacArthur Blvd ATI Physical Therapy Irving, TX 75061 Achieve Physical Therapy & Eff 01-Dec-17 (972) 579-8155 Performance, LP 2360 W Camp Wisdom Rd Ste Eff 01-Apr-16 140 Baylor Scott & White Medical 5255 N George Bush Turnpike Ste Grand Prairie, TX 75052 Center - Irving 100 (468) 460-6683 Eff 01-Jan-14 Garland, TX 75040-2798 1901 N MacArthur Blvd (972) 881-8887 Baylor Institute for Rehabilitation Irving, TX 75061 Outpatient Services (972) 579-8100 Achieve Physical Therapy & Eff 01-Jan-14 Performance, LP 2950 W Camp Wisdom Rd, Ste Legacy Healthcare Services Inc Eff 01-Apr-16 200 Eff 01-Jan-20 7150 N George Bush Hwy Ste 103 Grand Prairie, TX 75052 2425 Texas Dr Garland, TX 75044-2208 (972) 602-9238 Irving, TX 75062 (972) 497-2819 (469)524-3623 A1 Physical Therapy Baylor Institute for Rehabilitation Eff 01-Jun-16 Maximum Impact Physical Outpatient Services 1300 W Walnut Hill Ln, Ste 240 Therapy Services Eff 01-Jan-14 Irving, TX 75038 Eff 15-Dec-16 333 N Shiloh Rd, Ste 108 (972) 756-9500 125 N MacArthur Blvd Garland, TX 75042 Irving, TX 75061-7413 (972) 276-0566 ATI Physical Therapy (972)887-3318 Eff 01-Dec-17 Baylor Institute for Rehabilitation 701 Tuscan Dr Ste 240 Baylor Institute for Rehabilitation Outpatient Services Irving, TX 75039-4125 Outpatient Services Eff 01-Jan-14 (214) 272-8820 Eff 01-Jan-14 Ancillary/ Servicios complementarios 4280 Lavon Dr, Ste 340 1265 N Town East Blvd, Ste 100 Garland, TX 75040 Mesquite, TX 75150 (972) 495-5416 (972) 270-0094

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 485 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation ATI Physical Therapy Denton County | Condado de Outpatient Services Eff 01-Dec-17 Eff 01-Jan-14 3005 Lakeview Pkwy Ste 400 Denton 1313 N Belt Line Rd, Ste 102 Rowlett, TX 75088-3320 Mesquite, TX 75149 (469) 905-0646 Therapy Partners of North Texas (972) 289-0691 Eff 10-Dec-19 Baylor Institute for Rehabilitation 26772 US Hwy 380 E, Ste A1 Baylor Institute for Rehabilitation Outpatient Services Aubrey, TX 76227-8601 Outpatient Services Eff 01-Jan-14 (940) 202-2752 Eff 01-Jan-14 8120 Lakeview Pkwy, Ste 400 1650 Republic Pkwy, Ste 103 Rowlett, TX 75088 ATI Physical Therapy Mesquite, TX 75150 (972) 412-4926 Eff 01-Dec-17 (972) 698-1140 3000 FM 407 Ste 500 Lake Pointe Outpatient Bartonville, TX 76226-9467 Rehab Management Rehabilitation (940) 448-2007 Eff 01-Jun-16 Eff 01-Nov-15 1010 N Beltline, Ste 102 9400 Lakeview Pkwy, Ste 124 ATI Physical Therapy Mesquite, TX 75149 Rowlett, TX 75088 Eff 01-Dec-17 (972) 288-2400 (972) 412-3380 4100 Fairway Ct Ste 400 Carrollton, TX 75010-6538 ATI Physical Therapy Rehab Management (972) 394-3325 Eff 01-Dec-17 Eff 01-Jun-16 210 W Campbell Rd 5501 Gordon Smith Rd Baylor Institute for Rehabilitation Richardson, TX 75080-3512 Rowlett, TX 75088 Outpatient Services (972) 807-9168 (972) 475-5122 Eff 01-Jan-14 1933 E Frankford Rd Ste 110 Baylor Institute for Rehabilitation Baylor Scott & White Physical Carrollton, TX 75007 Outpatient Services Therapy - Sunnyvale (972) 394-7170 Eff 01-Jan-14 Eff 20-Nov-17 1740 N Collins Blvd, Ste 100 222 S Collins Rd, Ste 102 Therapy Partners of North Texas Richardson, TX 75080 Sunnyvale, TX 75182-4645 Eff 15-Jun-17 (972) 235-9035 (972) 892-6711 3001 FM 2181, #150 Corinth, TX 76210-0109 Baylor Institute for Rehabilitation Peak Physical Therapy, LLC (940) 498-4004 Outpatient Services Eff 18-Oct-17 Eff 01-Jan-14 611 W Brown St, Ste 101 Denton Orthopedic Therapy 510 N Coit Rd, Ste 2035 Wylie, TX 75098-5816 Center Richardson, TX 75080 (972) 442-5287 Eff 01-Aug-18 (972) 437-2048 4210 Mesa Dr, Ste 110 Baylor Institute for Rehabilitation Denton, TX 76207-3458 Baylor Institute for Rehabilitation Outpatient Services (940) 320-6219 Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 600 Cooper Dr, Ste 130 Legacy Healthcare Services Inc 3413 Spectrum Blvd Ste 200 Wylie, TX 75098 Eff 01-Jan-20 Richardson, TX 75082 (972) 442-6525 1919 Brinker Rd (972) 234-4745 Denton, TX 76208-6215 Wylie Physical Therapy (940)252-2556 Legacy Healthcare Services Inc Eff 01-Feb-16 Eff 01-Jan-20 2901 W FM 544, Ste 140 LoneStar Rehabilitation 714 W Arapaho Rd Wylie, TX 75098 Eff 15-Sep-17 Ancillary/ Servicios complementarios Richardson, TX 75080 (972) 442-1177 723 S I-35E, Ste 100 (469)248-3757 Denton, TX 76205-4101 (940) 595-0566

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 486 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Therapy Partners of North Texas Baylor Institute for Rehabilitation North Texas Fitness & Therapy Eff 28-Jun-17 Outpatient Services Center, PLLC 2445 W Oak St, #200 Eff 01-Jan-14 Eff 01-Sep-15 Denton, TX 76201-4326 2700 E Eldorado Pkwy, Ste 409 206 S State Hwy 342, Suite F (940) 320-0024 Little Elm, TX 75068 Red Oak, TX 75154 (972) 987-4023 (469) 373-2967 ATI Physical Therapy Eff 01-Dec-17 LoneStar Rehabilitation Green Oaks Physical Therapy 1050 Flower Mound Rd Ste 140 Eff 15-Sep-17 Limited Partnership Flower Mound, TX 75028-3403 509 E Byron Nelson Blvd, Ste B Eff 01-Sep-16 (469) 702-5947 Roanoke, TX 76262-6183 1540 N Hwy 77, Ste 8 (940) 595-0566 Waxahachie, TX 75165 Baylor Institute for Rehabilitation (469) 773-2000 Outpatient Services Therapy Partners of North Texas Eff 01-Jan-14 Eff 28-Jun-17 Fannin County | Condado de 1901 Long Prairie Rd, Ste 130 2800 State Hwy 114 E, #120 Flower Mound, TX 75022 Roanoke, TX 76262-5305 Fannin (972) 539-1241 (817) 491-3403 Select Physical Therapy Holdings, Therapy Partners of North Texas Riata Therapy Specialists Inc Eff 15-Jun-17 Eff 01-Oct-16 Eff 01-Oct-15 4401 Long Prairie Rd, #300 2550 Bobcat Blvd Ste 109 503 Lipscomb Blvd Flower Mound, TX 75028-2008 Trophy Club, TX 76262-5135 Bonham, TX 75418 (972) 691-1331 (682) 237-8276 (903) 583-7433

ATI Physical Therapy Ellis County | Condado de Ellis Grayson County | Condado de Eff 01-Dec-17 Grayson 1555 US Hwy 380 # 900 Victory Physical Therapy Limited Frisco, TX 75033-0171 Partnership (972) 346-5634 Peak Physical Therapy, LLC Eff 01-Mar-17 Eff 18-Oct-17 Therapy Partners of North Texas 1101 S Clay Street 3515 W FM 120, Ste 103 Eff 28-Jun-17 Ennis, TX 75119 Denison, TX 75020-1556 5000 Eldorado Pkwy, #430 (972) 878-0503 (903) 337-1362 Frisco, TX 75033-8608 Believe Therapies, LLC (214) 436-4606 Peak Physical Therapy, LLC Eff 01-Jan-14 Eff 18-Oct-17 Legacy Healthcare Services Inc 110 Roundabout Dr, Ste A 2021 N Hwy 1417 Eff 01-Jan-20 Midlothian, TX 76065 Sherman, TX 75092-3106 2500 Winhaven Pkwy (469) 336-5010 (903) 892-4800 Lewisville, TX 75056 Therapeutic Partners of Texas, (972)810-0938 Peak Physical Therapy, LLC PLLC Eff 18-Oct-17 Legacy Healthcare Services Inc Eff 01-Oct-15 176 N Main St Eff 01-Jan-20 1000 E Main St, Ste 205 Van Alstyne, TX 75495-9700 800 College Pkwy Ste 336 Midlothian, TX 76065 (903) 482-9741 Lewisville, TX 75077-3505 (972) 723-5005 (972)420-8543 Baylor Institute for Rehabilitation ATI Physical Therapy Outpatient Services

Eff 01-Dec-17 Eff 01-Jan-14 Ancillary/ Servicios complementarios 2180 FM 423 Ste 300 1441 S Midlothian Pkwy, Ste 170 Little Elm, TX 75068-6696 Midlothian, TX 76065 (469) 403-2242 (972) 723-0380

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 487 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Hill County | Condado de Hill Kaufman County | Condado de Parker County | Condado de Kaufman Parker Lake Whitney Physical Therapy, PC Peak Physical Therapy, LLC Baylor Institute for Rehabilitation at Eff 01-Jan-14 Eff 01-Oct-17 Fort Worth 204 E Jefferson Ave 104 E US Hwy 80, Ste 180 Eff 01-Jan-14 Whitney, TX 76692 Forney, TX 75126-8615 2035 Fort Worth Hwy, Ste 300 (254) 694-6831 (972) 564-3390 Weatherford, TX 76086 (817) 599-9271 Hood County | Condado de Lake Pointe Outpatient Hood Rehabilitation Countryside Therapy Group Inc Eff 01-Nov-15 Eff 15-Jan-20 Baylor Institute for Rehabilitation at 450 FM 548, Ste 100 925 Santa Fe Dr Ste 110 Fort Worth Forney, TX 75126 Weatherford, TX 76086-5867 Eff 01-Jan-14 (469) 689-0957 (254) 965-3611 805 Hill Blvd, Ste 109 Rehab Management Rockwall County | Condado de Granbury, TX 76048 Eff 01-Jun-16 (817) 279-7336 1012 E US Hwy 80, Ste E Rockwall Forney, TX 75126 Hunt County | Condado de (972) 564-2227 ATI Physical Therapy Hunt Eff 01-Dec-17 Baylor Institute for Rehabilitation 2268 N Lakeshore Dr Ste 106 Rehab Management Outpatient Services Rockwall, TX 75087-0280 Eff 01-Jun-16 Eff 01-Jan-14 (214) 771-7960 819 E Moore Ave, Ste C 8885 Hwy 34 S Baylor Institute for Rehabilitation Quinlan, TX 75474 Terrell, TX 75160 (972) 551-2500 Outpatient Services (903) 356-4100 Eff 01-Jan-14 Rehab Management 810 E Ralph Hall Pkwy, Ste 170 Johnson County | Condado de Eff 01-Jun-16 Rockwall, TX 75032 Johnson 301B S Virginia (972) 722-0555 Terrell, TX 75160 Green Oaks Physical Therapy (972) 524-9100 Legacy Healthcare Services Inc Eff 25-Jul-17 Eff 01-Jan-20 12770 South Fwy, Ste 144 Navarro County | Condado de 963 W Yellow Jacket Ln # 219 Rockwall, TX 75087 Burleson, TX 76028-8448 Navarro (817) 426-4401 (972)722-7925 Green Oaks Physical Therapy BCM Innovative Therapies, Inc Rehab Management Eff 15-Jun-17 Eff 01-Oct-17 Eff 01-Jun-16 12770 South Fwy Ste 144 3728 S Hwy 287 930 W Ralph Hall Pkwy, Ste 120 Burleson, TX 76028-8448 Corsicana, TX 75109 Rockwall, TX 75032 (817) 426-4401 (903) 874-6315 (972) 771-1090 Therapy Excellence Rockwall Physical Therapy Eff 01-Jun-16 Eff 15-Dec-17 384 SW Johnson Ave, Ste A-1 2308 Ridge Rd, Ste C Burleson, TX 76028-5360 Rockwall, TX 75087 Ancillary/ Servicios complementarios (817) 483-1746 (972) 772-3767

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 488 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Team Concept Rehabilitation Green Oaks Physical Therapy Therapy Partners of North Texas Eff 15-Jan-17 Limited Partnership Eff 15-Jun-17 1123 Ridge Rd Eff 01-Sep-16 3001 Hwy 121, #292 Rockwall, TX 75087-4217 5833 W I 20 Euless, TX 76039 (972) 772-8766 Arlington, TX 76017 (817) 684-0397 (817) 516-1115 Tarrant County | Condado de Legacy Healthcare Services, Inc Therapy Excellence Eff 01-Jan-20 Tarrant Eff 01-Jun-16 5417 Altamesa Blvd 6033 W I-20 Fort Worth, TX 76123 Summit Peak Physical Therapy, Arlington, TX 76017-1042 (817)370-6222 PC (817) 483-1746 Eff 01-Jul-17 Baylor Institute for Rehabilitation at 613 Matlock Centre Cir Core Rehabilitation Group Fort Worth Arlington, TX 76015 Eff 01-Sep-15 Eff 01-Jan-14 (817) 299-8080 2700 Tibbets Dr, Ste 103 4901 Bryant Irvin Rd N, Ste 200 Bedford, TX 76022 Fort Worth, TX 76107 ATI Physical Therapy (817) 868-7575 (817) 738-9866 Eff 01-Dec-17 5335 W Sublett Rd # 151 Green Oaks Physical Therapy Baylor Institute for Rehabilitation at Arlington, TX 76017-1185 Limited Partnership Fort Worth (817) 839-9150 Eff 01-Sep-16 Eff 01-Jan-14 1424 U Airport Frwy 5932 Quebec St, Ste 180 Baylor Institute for Rehabilitation Bedford, TX 76022 Fort Worth, TX 76105 Outpatient Services (817) 858-0390 (817) 237-5193 Eff 01-Jan-14 5201 S Cooper St, Ste 103 Riata Therapy Specialists Baylor Institute for Rehabilitation at Arlington, TX 76015 Eff 01-Oct-16 Fort Worth (817) 419-6044 4153 Bedford Rd Ste 200 Eff 01-Jan-14 Bedford, TX 76021 929 Lipscomb St, Ste 101 Baylor Institute for Rehabilitation (817) 288-0121 Fort Worth, TX 76104 Outpatient Services (817) 334-0488 Eff 01-Jan-14 Cooper & Bush Physical Therapy 80 West Arbrook Blvd, Ste 200 Eff 01-Jun-15 Baylor Institute for Rehabilitation at Arlington, TX 76015 6080 Southwest Blvd Fort Worth (817) 472-2200 Benbrook, TX 76109-3912 Eff 01-Jan-14 (817) 731-9331 3621 Camp Bowie Blvd Baylor Institute for Rehabilitation Fort Worth, TX 76107 Outpatient Services ATI Physical Therapy (817) 570-7073 Eff 01-Jan-14 Eff 01-Dec-17 800 W Arbrook Blvd Ste 200 4843 Colleyville Blvd Ste 221 Baylor Institute for Rehabilitation at Arlington, TX 76015 Colleyville, TX 76034-3986 Fort Worth (817) 472-2200 (917) 576-7520 Eff 01-Jan-14 6601 Harris Pkwy Green Oaks Physical Therapy ATI Physical Therapy Fort Worth, TX 76132-6108 Limited Partnership Eff 01-Dec-17 (817) 433-9600 Eff 01-Sep-16 1060 N Main St Ste 101 520 Fielder N Plaza Euless, TX 76039 Baylor Institute for Rehabilitation Arlington, TX 76012-2309 (469)498-2855 Outpatient Services (817) 461-4257 Eff 01-Jan-14 4120 State Hwy 360, Ste 105 Ancillary/ Servicios complementarios Fort Worth, TX 76155 (817) 283-3049

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 489 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation Fort Worth Physical Therapy Riata Therapy Specialists Outpatient Services Eff 01-Jun-16 Eff 01-Oct-16 Eff 01-Jan-14 6407 Southwest Blvd 607 W Dallas Rd Ste 1000A 5411 Basswood Blvd, Ste 225 Fort Worth, TX 76132 Grapevine, TX 76051 Fort Worth, TX 76137 (817) 423-5611 (817) 203-8555 (817) 498-0700 Fort Worth Physical Therapy Riata Therapy Specialists Baylor Institute for Rehabilitation Eff 01-Jun-16 Eff 01-Oct-16 Outpatient Services 6913 Camp Bowie Blvd 2412 Avondale Haslet Rd Eff 01-Jan-14 Fort Worth, TX 76116 Haslet, TX 76052 8651 John T White Rd, Ste 121 (817) 423-5611 (817) 717-9111 Fort Worth, TX 76120 (817) 542-0714 Green Oaks Physical Therapy - Therapy Partners of North Texas Fort Worth Eff 27-Mar-20 Baylor Institute for Rehabilitation Eff 04-Jul-17 12520 Willow Springs Rd Bldg 3 Outpatient Services 160 W Magnolia Ave Ste 2 Ste 104 Eff 01-Jan-14 Fort Worth, TX 76104 Haslet, TX 76052 1 Lockheed Blvd (817) 335-7946 (817) 210-6196 Fort Worth, TX 76108 (817) 777-2288 Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Eff 01-Jan-20 Outpatient Services Baylor Institute for Rehabilitation 6251 Overton Ridge Blvd Eff 01-Jan-14 Outpatient Services Fort Worth, TX 76132 460 Keller Pkwy, Ste A Eff 01-Jan-14 (817)945-1586 Keller, TX 76248 1400 Eighth Ave (817) 562-1474 Fort Worth, TX 76104 Therapy Partners of North Texas (817) 922-7105 Eff 28-Jun-17 Bentz Physical Therapy 4364 Heritage Trace Pkwy, #108 Eff 01-Oct-15 Bentz Physical Therapy Ft Worth, TX 76244 110 Pate Orr Rd S Eff 01-Oct-15 (817) 379-1400 Keller, TX 76248 1100 N Blue Mound Rd, Ste 130 (817) 337-0162 Fort Worth, TX 76131 ATI Physical Therapy (817) 232-3553 Eff 01-Dec-17 Core Rehabilitation Group 1401 William D Tate Ave Ste 300 Eff 01-Sep-15 Bentz Physical Therapy Grapevine, TX 76051 11751 Alta Vista Rd, Ste 301 Eff 01-Oct-15 (817) 527-3377 Keller, TX 76244 1109 8th Ave (817) 337-3400 Fort Worth, TX 76104 Baylor Institute for Rehabilitation (817) 338-4220 Outpatient Services Gateway Physical Therapy Eff 01-Jan-14 Eff 01-Oct-15 Bonnette Elite Physical Therapy 1643 Lancaster Dr, Ste 100 8857 Davis Blvd, Ste 100 and Wellness Grapevine, TX 76051 Keller, TX 76248 Eff 01-Nov-17 (817) 329-2524 (817) 431-8700 9628 Bartlett Cir, Ste 300 Fort Worth, TX 76108 Restoration Physical Therapy Legacy Healthcare Services Inc (817) 862-9665 Eff 01-May-16 Eff 01-Jan-20 2421 Ira E Woods, Ste 101 200 Country Brook Dr Curnyn Physical Therapy Grapevine, TX 76051 Keller, TX 76248 Eff 01-Oct-16 (817) 410-7773 (817)337-3082 4750 Bryant Irvin Rd N Ancillary/ Servicios complementarios Fort Worth, TX 76107-7641 (817) 923-9000

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 490 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Riata Therapy Specialists ATI Physical Therapy Survivor Gals Specialty Products & Eff 01-Oct-16 Eff 01-Dec-17 Salon, LLC 651 S Main St Ste 100 245 W St Hwy 114 Ste 320 Eff 01-Jan-16 Keller, TX 76248 Southlake, TX 76092 3000 Custer Rd, Ste 190 (817) 898-7090 (817) 873-5311 Plano, TX 75075 (972) 599-7677 ATI Physical Therapy Baylor Institute for Rehabilitation Eff 01-Dec-17 Outpatient Services Women's Health Boutique 3141 E Broad St Ste 111 Eff 01-Jan-14 Eff 01-Oct-15 Mansfield, TX 76063 3101 E State Hwy 114, Ste B 3115 W Parker Rd, Ste 270 (469) 460-6683 Southlake, TX 76092 Plano, TX 75023-8129 (817) 251-6351 (972) 985-4477 Baylor Institute for Rehabilitation Outpatient Services LoneStar Rehabilitation Cooke County | Condado de Eff 01-Jan-14 Eff 15-Sep-17 1748 E Broad St, Ste 120 630 N Kimball Ave, Ste 100 Cooke Mansfield, TX 76063 Southlake, TX 76092-6886 (817) 477-4567 (940) 595-0566 Alliance Orthotics and Prosthetics Eff 01-Oct-16 Green Oaks Physical Therapy Riata Therapy Specialists 800 E California St, Ste 1 Limited Partnership Eff 01-Oct-16 Gainesville, TX 76240 Eff 01-Sep-16 2813 W Southlake Blvd Ste 110 (940) 668-1118 2851 Matlock Rd, Ste 600 Southlake, TX 76092 Mansfield, TX 76063 (817) 310-8780 Dallas County | Condado de (817) 473-6246 Therapy Partners of North Texas Dallas SMD Physical Therapy PLLC Eff 28-Jun-17 Eff 01-May-17 731 E Southlake Blvd, #150 Hanger Prosthetics & Orthotics 2771 E Broad St, Ste 211 Southlake, TX 76092-6380 West, Inc Mansfield, TX 76063-9157 (817) 442-8600 Eff 01-Jan-14 (682) 518-6263 3910 Gaston Ave, Ste 150 Prosthetics and Orthotics/ Dallas, TX 75246-1511 Therapy Excellence Prótesis y Ortopedia (214) 827-2021 Eff 01-Jun-16 Women's Health Boutique 801 E Debbie Ln, Ste 105 Collin County | Condado de Mansfield, TX 76063 Eff 01-Oct-15 (817) 483-1746 Collin 8196 Walnut Hill Ln, Ste 140 Dallas, TX 75231-7008 Baylor Institute for Rehabilitation at Grace Rehab, Inc (214) 360-7750 Fort Worth Eff 01-Jun-15 Eff 01-Jan-14 901 N McDonald St, Ste 906 Women's Health Boutique 6501 Precinct Line Rd., Ste 200 McKinney, TX 75069-2114 Eff 01-Oct-15 North Richland, TX 76182 (972) 984-1851 8499 Greenville Ave, Ste 99 (817) 428-4073 Dallas, TX 75231-2400 Hanger Prosthetics & Orthotics (214) 373-1045 Therapy Partners of North Texas West, Inc Eff 15-Jun-17 Eff 01-Jan-14 Women's Health Boutique 8700 N Tarrant Pkwy #113 3801 W 15th St, Ste 155 Eff 01-Oct-15 North Richland, TX 76182-8464 Plano, TX 75075-7752 1322 N Beckley Ave (817) 498-8344 (972) 596-7909 Dallas, TX 75203-1254 (214) 948-3999 Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 491 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Hanger Clinic Hood County | Condado de Baker Orthotics & Prosthetics Eff 01-Jan-14 Eff 01-Jan-14 510 W I-30, Ste 213 Hood 810 Lipscomb St Garland, TX 75043-5728 Fort Worth, TX 76104 (972) 226-6496 Sports & Wellness, LLC (817) 332-7313 Eff 01-Feb-16 D & D Orthotics and Prosthetics 1205 Medical Plaza Ct Prostheticare Fort Worth LP Eff 15-Apr-19 Granbury, TX 76048 Eff 01-Jan-14 1638 W Irving Blvd (817) 900-2250 6116 Oakbend Trl, Ste 100 Irving, TX 75061 Fort Worth, TX 76132 (972) 254-9292 Hunt County | Condado de (817) 336-8293 Hunt Denton County | Condado de Breg, Inc Eff 01-Nov-15 Denton Hanger Clinic 2380 Dean Wy, Ste 140 Eff 01-Jan-14 Southlake, TX 76092-1379 Sola Prosthetics, Inc 3900 Joe Ramsey Blvd, Ste A- (817) 416-7400 Eff 15-Nov-20 West 4541 N Josey Ste 240 Greenville, TX 75402-7767 Psychiatric Hospital/ Hospital Carrollton, TX 75010-4614 (903) 454-2872 psiquiátrico (972)492-7652 Tarrant County | Condado de Hanger Clinic Collin County | Condado de Eff 01-Jul-17 Tarrant Collin 560 W Main St, Ste 101 Lewisville, TX 75057-3629 Hanger Clinic Carrollton Springs, LLC (940) 297-1562 Eff 01-Jan-14 Eff 01-Apr-15 3030 Matlock Rd, Ste 108 6870 Lebanon Rd Ellis County | Condado de Ellis Arlington, TX 76015-2934 Frisco, TX 75034-8169 (817) 467-9977 (469) 850-2040 North Texas Regional Orthotics & The Brace Center, LLC Prosthetics, LLC Haven Behavioral Hospital of Eff 15-Dec-17 Frisco Eff 01-Jun-15 1600 Central Dr, Ste 157 105 S Grand Ave Eff 15-Jan-19 Bedford, TX 76022 5680 Frisco Square Blvd, Ste 3000 Waxahachie, TX 75165-2221 (817) 267-0909 (972) 923-2285 Frisco, TX 75034-3300 Hanger Prosthetics & Orthotics, (469) 535-8000 Grayson County | Condado de Inc Changes McKinney Grayson Eff 01-Jan-14 Eff 01-Sep-20 1401 W Magnolia Ave 1820 Lake Forest Dr Hanger Clinic Fort Worth, TX 76104-4250 McKinney, TX 75071-7651 Eff 01-Jan-14 (817) 923-2101 469-634-1270 3737 Loy Lake Rd Survivor Gals Specialty Products & Carrollton Springs, LLC Sherman, TX 75090-2529 Salon, LLC (903) 893-5696 Eff 01-Apr-15 Eff 01-Jan-16 5920 K Ave 1400 8th Ave, Ste 100-A Plano, TX 75074-3036 Fort Worth, TX 76104 (972) 212-5487 (817) 924-8800 Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 492 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

WellBridge Healthcare of Plano University Behavioral Health of Millwood Hospital/The Excel Eff 01-Jun-19 Denton Center 4301 Mapleshade Ln Eff 01-Jan-14 Eff 01-Jan-14 Plano, TX 75093 2026 W University 1111 N Cooper St (972) 596-5445 Denton, TX 76201-0644 Arlington, TX 76011 (940) 320-8100 (817) 404-2223 Dallas County | Condado de Millwood Hospital/The Excel Mesa Springs, LLC Dallas Center Eff 01-Feb-15 Eff 01-Jan-14 5560 Mesa Springs Dr Dallas Behavioral Healthcare 190 Civic Cr, Ste 170 Fort Worth, TX 76123-2120 Hospital Lewisville, TX 75067 (817) 292-4600 Eff 01-Oct-15 (972) 906-5522 800 Kirnwood Dr Changes Fort Worth Desoto, TX 75115-2000 Hunt County | Condado de Eff 01-Feb-15 (972) 982-0897 3202 Main Dr Hunt Fort Worth, TX 76109 Hickory Trail Hospital (817) 292-4600 Eff 01-Jan-14 Glen Oaks Hospital 2000 Old Hickory Trl Eff 01-Jul-20 Innovations - Mesa Springs Desoto, TX 75115 301 E Division St Eff 01-Feb-15 (972) 298-7323 Greenville, TX 75401-4101 6421 Camp Bowie Blvd (903) 454-6000 Fort Worth, TX 76116 Garland Behavioral Hospital (817) 841-8002 Eff 15-Dec-16 Parker County | Condado de 2300 Marie Curie Blvd, 5th Floor Millwood Hospital/The Excel Garland, TX 75042-5706 Parker Center (469) 609-5800 Eff 01-Jan-14 Millwood Hospital/The Excel 1220 W Presido Methodist Hospital For Continuing Center Fort Worth, TX 76102 Care Eff 01-Jan-14 (817) 335-6429 Eff 01-Jul-17 136 El Chico Trail, Suites 104 - 401 W Campbell Rd 105 WellBridge Healthcare of Fort Richardson, TX 75080-3416 Willow Park, TX 76087 Worth (972) 498-4000 (817) 599-6307 Eff 01-Jun-19 4750 Bryant Irvin Rd, Ste 901th Denton County | Condado de Tarrant County | Condado de Fort Worth, TX 76132 Denton Tarrant (817) 361-1991 WellBridge Healthcare of Fort Carrollton Springs, LLC Innovations/Changes Arlington Worth Eff 01-Apr-15 Eff 01-Feb-15 Eff 01-Jun-19 2225 Parker Rd 4935 S Collins St, Ste 101 6200 Overton Rideg Blvd Carrollton, TX 75010-4711 Arlington, TX 76018 Fort Worth, TX 76132 (972) 242-4114 (682) 320-2800 (817) 361-1991 Mayhill Hospital Millwood Hospital/The Excel Innovations Northwest Eff 01-May-15 Center Eff 01-Feb-15 2809 Mayhill Rd Eff 01-Jan-14 12412 Timberland Blvd Ste 300 Denton, TX 76208-5910 1011 N Cooper St Keller, TX 76244 (940) 239-3000 Arlington, TX 76011 (682) 593-6001 Ancillary/ Servicios complementarios (817) 261-3121

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 493 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Rehabilitation Facility/ Centro de Baylor Scott & White Medical Baylor Institute for Rehabilitation at rehabilitación Center - Irving Fort Worth Eff 01-Jan-14 Eff 01-Jan-14 Collin County | Condado de 1901 N MacArthur Blvd 6601 Harris Pkwy Irving, TX 75061 Fort Worth, TX 76132-6108 Collin (972) 579-8100 (817) 433-9600 Baylor Institute for Rehabilitation at Baylor Scott & White Medical Baylor Scott & White All Saints Frisco Center - Irving Medical Center - Fort Worth Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 2990 Legacy Dr 1901 N MacArthur Blvd 1400 8th Ave Frisco, TX 75034-6066 Irving, TX 75061 Fort Worth, TX 76104 (469) 888-5100 (972) 579-8100 (817) 926-2544 Encompass Health Rehabilitation HealthSouth Rehabilitation Encompass Health Rehabilitation Hospital of Plano Hospital of Richardson LLC Hospital Of City View Eff 01-Dec-19 Eff 01-Dec-19 Eff 01-Dec-19 2800 W 15th St 3351 Waterview Pkwy 6701 Oakmont Blvd Plano, TX 75075-7526 Richardson, TX 75080 Fort Worth, TX 761322957 (972) 612-9000 (972)398-5700 (817) 370-4700

Dallas County | Condado de Lake Pointe Cardiac and Baylor Scott & White Medical Pulmonary Rehab Center - Grapevine Dallas Eff 01-Nov-15 Eff 01-Jan-14 7801 Lakeview Pkwy, Ste 110 1650 W College Baylor Institute for Rehabilitation at Rowlett, TX 75088 Grapevine, TX 76051-3565 Dallas (972) 463-0241 (817) 488-7546 Eff 01-Jan-14 909 N Washington Avenue Tarrant County | Condado de Rehabilitation, Comprehensive Dallas, TX 75246 OP Rehab / Rehabilitación, (214) 820-9300 Tarrant centro integral de rehabilitación para pacientes externos (CORF) Baylor Scott & White Institute for Texas Rehabilitation Hospital of Rehabilitation - Neuro Tr Arlington Eff 16-Dec-19 Eff 01-Apr-19 Dallas County | Condado de 3601 Swiss Ave 900 W Arbrook Blvd Dallas Dallas, TX 75204-6225 Arlington, TX 76015 (469) 862-8301 (682) 304-6000 Wellness Care Center of Dallas Eff 01-Aug-14 Encompass Health Rehabilitation Healthsouth Rehabiitation Hospital 11882 Greenville Ave, Ste B125 Hospital of Dallas of the Mid Cities Dallas, TX 75243-0586 Eff 01-Dec-19 Eff 01-Dec-19 (972) 763-0899 7930 Northaven Rd 2304 Highway 121 Dallas, TX 75230-3331 Bedford, TX 760215985 Wellness Care Center of Rowlett (214) 706-8200 (817) 684-2000 Eff 01-Aug-14 880 E I 30 Methodist Rehabilitation Hospital Texas Rehabilitation Hospital of Garland, TX 75043-4120 Eff 01-Jan-17 Fort Worth, LLC (214) 607-4000 3020 W Wheatland Rd Eff 15-Jul-20 Dallas, TX 75237 425 Alabama Ave Wellness Care Center of Irving Ancillary/ Servicios complementarios (972) 708-8600 Fort Worth, TX 76104 Eff 15-Apr-20 (817) 820-3400 111 Ferguson Ct Irving, TX 75062-7014 (972) 353-5437

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 494 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Denton County | Condado de Sleep Study Center/ Centro de Speech Therapy/ Terapia del estudio del sueño habla Denton

Wellness Care Center of Denton Dallas County | Condado de Collin County | Condado de Eff 01-Nov-14 Dallas Collin 3200 Colorado Blvd, Ste 103 Denton, TX 76210-6875 Baylor University Medical Center Baylor Institute for Rehabilitation (940) 243-9500 Eff 01-Jan-14 Outpatient Services 3500 Gaston Ave Eff 01-Jan-14 Hood County | Condado de Dallas, TX 75246 400 N Allen Dr, Ste 104 Hood (214) 820-0111 Allen, TX 75002 (972) 727-1931 Lake Pointe Sleep Center Pediatric Rehab Eff 01-Nov-15 Legacy Healthcare Services Inc Eff 01-May-16 7501 Lakeview Pkwy Ste 140 Eff 01-Jan-20 300 S Morgan St Rowlett, TX 75088 1451 S Greenville Ave Granbury, TX 76048 (972) 520-9850 Allen, TX 75002 (682) 205-3340 (214)785-7213 Ellis County | Condado de Ellis Parker County | Condado de Legacy Healthcare Services Inc Parker Sleep Centers of Texas, Inc Eff 01-Jan-20 Eff 15-Nov-18 480 Bray Central Dr Pediatric Rehab 601 S Clay St, Ste 107 Allen, TX 75013 Eff 01-May-16 Ennis, TX 75119 (972)649-7979 1836 Santa Fe Dr (972) 878-7378 Legacy Healthcare Services Inc Weatherford, TX 76086 Eff 01-Jan-20 (817) 341-7611 Tarrant County | Condado de 680 N Watters Rd Tarrant Allen, TX 75013 Tarrant County | Condado de (469)656-9015 Tarrant Texas Medical Diagnostic, Inc Eff 01-Nov-14 Summit Speech Therapy, PLLC Pediatric Rehab 908 W Terrell N Eff 01-Dec-17 Eff 01-May-16 Fort Worth, TX 76104 4500 Hillcrest Rd, Ste 140 3550 Hulen St Ste D (817) 820-0427 Frisco, TX 75035-5419 Fort Worth, TX 76107 • Languages spoken / Idioma(s) (469) 331-9933 (817) 377-2535 hablado(s): Spanish Baylor Institute for Rehabilitation Rural Health Clinic/ Clínica de Speech Pathology/ Patología del Outpatient Services salud rural habla Eff 01-Jan-14 5858 W Main St, Ste 160 Frisco, TX 75034 Hill County | Condado de Hill Collin County | Condado de (972) 712-2669 Collin Goodall-Witcher Clinic in Whitney Baylor Institute for Rehabilitation Outpatient Services Eff 15-Nov-20 Champion Rehabilitation and Eff 01-Jan-14 202 E Jefferson Ave Support Services, PLLC 2990 Legacy Dr Whitney, TX 76692 Eff 15-Jun-17 (254) 694-2221 Frisco, TX 75034-6066 1400 Preston Road Ste 300 Ancillary/ Servicios complementarios (469) 888-5172 Plano, TX 75093 (972) 755-9765

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 495 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation Legacy Healthcare Services Inc Dallas County | Condado de Outpatient Services Eff 01-Jan-20 Eff 01-Jan-14 7210 Linkside Point Dr Dallas 8204 Stonebrook Pkwy McKinney, TX 75071 Frisco, TX 75034 (214)592-0228 Baylor Institute for Rehabilitation (972) 335-1407 Outpatient Services LifePath Systems Eff 01-Jan-14 Baylor Scott & White Medical Eff 01-Oct-17 4135 Belt Line Rd, Ste 122 Center - Centennial 1515 Heritage Dr, Ste 105 Addison, TX 75001 Eff 01-Nov-15 McKinney, TX 75069 (972) 789-9527 12505 Lebanon Rd (972) 562-0190 Frisco, TX 75035-8298 Baylor Institute for Rehabilitation (972) 963-3333 Baylor Institute for Rehabilitation Outpatient Services Outpatient Services Eff 01-Jan-14 Baylor Institute for Rehabilitation Eff 01-Jan-14 651 N Denton Tap Rd, Ste 120 Outpatient Services 3700 W 15th St, Bldg B, Ste 200 Coppell, TX 75019 Eff 01-Jan-14 Plano, TX 75075 (972) 899-5180 5236 W University Dr, Ste 3500 (972) 867-7675 McKinney, TX 75071 Legacy Healthcare Services, Inc (469) 952-5082 Baylor Institute for Rehabilitation Eff 01-Jan-20 Outpatient Services 3362 Forest Ln Ste 304 Baylor Institute for Rehabilitation Eff 01-Jan-14 Dallas, TX 75234 Outpatient Services 4700 Alliance Blvd, Ste 4000 (972)488-1300 Eff 01-Jan-14 Plano, TX 75093 1705 W University Dr #119 (469) 814-2550 Baylor Institute for Rehabilitation McKinney, TX 75069 Outpatient Services (972) 569-8860 Baylor Institute for Rehabilitation Eff 01-Jan-14 Outpatient Services 1015 Carroll Ave, Ste 104 Baylor Institute for Rehabilitation Eff 01-Jan-14 Dallas, TX 75204 Outpatient Services 4701 W Parker Rd Ste 625 (214) 887-6580 Eff 01-Jan-14 Plano, TX 75093 2960 Eldorado Pkwy Ste 75 (972) 398-2555 Baylor Institute for Rehabilitation McKinney, TX 75070 Outpatient Services (972) 562-0713 Legacy Healthcare Services Inc Eff 01-Jan-14 Eff 01-Jan-20 11617 N Central Expy, Ste 140 Legacy Healthcare Services Inc 3670 Mapleshade Ln Dallas, TX 75243 Eff 01-Jan-20 Plano, TX 75075-5867 (214) 369-4123 2851 Orchid Dr (469)626-0057 McKinney, TX 75070 Baylor Institute for Rehabilitation (469)678-5074 Legacy Healthcare Services Inc Outpatient Services Eff 01-Jan-20 Eff 01-Jan-14 Legacy Healthcare Services Inc 6401 Ohio Dr 3107 W Camp Wisdom Rd, #131 Eff 01-Jan-20 Plano, TX 75024 Dallas, TX 75237 3300 S Stonebridge Dr (469)626-1045 (214) 339-4533 McKinney, TX 75070 (855)239-3467 Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Eff 01-Jan-20 Outpatient Services Legacy Healthcare Services Inc 7001 W Plano Pkwy Eff 01-Jan-14 Eff 01-Jan-20 Plano, TX 75093 411 N Washington Ave, Ste 4000 5701 Virginia Pkwy (972)810-0131 Dallas, TX 75246 Ancillary/ Servicios complementarios McKinney, TX 75071 (214) 820-7457 (214)592-0212

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 496 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Outpatient Services Eff 01-Jan-20 Outpatient Services Eff 01-Jan-14 3450 Wagon Wheel Rd Eff 01-Jan-14 4347 W Northwest Hwy, Ste 180 Garland, TX 75044 1313 N Belt Line Rd, Ste 102 Dallas, TX 75220 (214)778-4873 Mesquite, TX 75149 (214) 654-0947 (972) 289-0691 Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Outpatient Services Baylor Institute for Rehabilitation Outpatient Services Eff 01-Jan-14 Outpatient Services Eff 01-Jan-14 2950 W Camp Wisdom Rd, Ste Eff 01-Jan-14 6243 Retail Rd, Ste 600 200 1650 Republic Pkwy, Ste 103 Dallas, TX 75231 Grand Prairie, TX 75052 Mesquite, TX 75150 (214) 890-9853 (972) 602-9238 (972) 698-1140 Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Mathis Therapy-A Therapy Outpatient Services Outpatient Services Connection, LLC Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Sep-17 222 E Colorado Blvd 1215 Kinwest Pkwy, Ste 110 1601 N Collins Blvd Dallas, TX 75203 Irving, TX 75063 Richardson, TX 75080-3520 (214) 946-3055 (972) 506-0931 (972) 470-8384 Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Outpatient Services Outpatient Services Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 909 N Washington Ave 2001 N MacArthur Blvd, Ste 550 1740 N Collins Blvd, Ste 100 Dallas, TX 75246 Irving, TX 75061 Richardson, TX 75080 (214) 802-9300 (972) 579-8155 (972) 235-9035 Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Eff 01-Jan-20 Outpatient Services Outpatient Services 2522 Fort Worth Ave Eff 01-Jan-14 Eff 01-Jan-14 Dallas, TX 75211 7701 Las Colinas Ridge, Ste 110 510 N Coit Rd, Ste 2035 (214)944-5355 Irving, TX 75063 Richardson, TX 75080 (214) 574-7848 (972) 437-2048 Baylor Institute for Rehabilitation Outpatient Services Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Eff 01-Jan-14 Outpatient Services Outpatient Services 333 N Shiloh Rd, Ste 108 Eff 01-Jan-14 Eff 01-Jan-14 Garland, TX 75042 1901 N MacArthur Blvd 3413 Spectrum Blvd Ste 200 (972) 276-0566 Irving, TX 75061 Richardson, TX 75082 (972) 579-8155 (972) 234-4745 Baylor Institute for Rehabilitation Outpatient Services Legacy Healthcare Services Inc Legacy Healthcare Services Inc Eff 01-Jan-14 Eff 01-Jan-20 Eff 01-Jan-20 4280 Lavon Dr, Ste 340 2425 Texas Dr 714 W Arapaho Rd Garland, TX 75040 Irving, TX 75062 Richardson, TX 75080 (972) 495-5416 (469)524-3623 (469)248-3757 Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Outpatient Services Outpatient Services Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 Ancillary/ Servicios complementarios 705 Walter Reed Dr, Ste 100 1265 N Town East Blvd, Ste 100 8120 Lakeview Pkwy, Ste 400 Garland, TX 75042 Mesquite, TX 75150 Rowlett, TX 75088 (972) 487-5570 (972) 270-0094 (972) 412-4926

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 497 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Lake Pointe Outpatient Legacy Healthcare Services Inc Baylor Institute for Rehabilitation Rehabilitation Eff 01-Jan-20 Outpatient Services Eff 01-Nov-15 800 College Pkwy Ste 336 Eff 01-Jan-14 9400 Lakeview Pkwy, Ste 124 Lewisville, TX 75077-3505 819 E Moore Ave, Ste C Rowlett, TX 75088 (972)420-8543 Terrell, TX 75160 (972) 412-3380 (972) 551-2500 Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Outpatient Services Parker County | Condado de Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 2700 E Eldorado Pkwy, Ste 409 Parker 600 Cooper Dr, Ste 130 Little Elm, TX 75068 Wylie, TX 75098 (972) 987-4023 Baylor Institute for Rehabilitation at (972) 442-6525 Fort Worth Ellis County | Condado de Ellis Eff 01-Jan-14 Denton County | Condado de 2035 Fort Worth Hwy, Ste 300 Weatherford, TX 76086 Denton Baylor Institute for Rehabilitation Outpatient Services (817) 599-9271 Baylor Institute for Rehabilitation Eff 01-Jan-14 Countryside Therapy Group Inc Outpatient Services 1441 S Midlothian Pkwy, Ste 170 Eff 15-Jan-20 Eff 01-Jan-14 Midlothian, TX 76065 925 Santa Fe Dr Ste 110 1933 E Frankford Rd Ste 110 (972) 723-0380 Weatherford, TX 76086-5867 Carrollton, TX 75007 (254) 965-3611 (972) 394-7170 Fannin County | Condado de Fannin Rockwall County | Condado de Legacy Healthcare Services Inc Rockwall Eff 01-Jan-20 Select Physical Therapy Holdings, 1919 Brinker Rd Inc Baylor Institute for Rehabilitation Denton, TX 76208-6215 Eff 01-Oct-15 (940)252-2556 Outpatient Services 503 Lipscomb Blvd Eff 01-Jan-14 Baylor Institute for Rehabilitation Bonham, TX 75418 810 E Ralph Hall Pkwy, Ste 170 Outpatient Services (903) 583-7433 Rockwall, TX 75032 Eff 01-Jan-14 (972) 722-0555 1901 Long Prairie Rd, Ste 130 Hood County | Condado de Flower Mound, TX 75022 Hood Legacy Healthcare Services Inc (972) 539-1241 Eff 01-Jan-20 Baylor Institute for Rehabilitation at 963 W Yellow Jacket Ln # 219 Frisco Speech & Language Fort Worth Rockwall, TX 75087 Therapy, LLC Eff 01-Jan-14 (972)722-7925 Eff 15-Dec-17 805 Hill Blvd, Ste 109 4645 Avon Ln, Ste 120A Granbury, TX 76048 Tarrant County | Condado de Frisco, TX 75033 (817) 279-7336 Tarrant (469) 850-3122 Legacy Healthcare Services Inc Kaufman County | Condado de Baylor Institute for Rehabilitation Eff 01-Jan-20 Kaufman Outpatient Services 2500 Winhaven Pkwy Eff 01-Jan-14 Lewisville, TX 75056 Lake Pointe Outpatient 5201 S Cooper St, Ste 103 (972)810-0938 Rehabilitation Arlington, TX 76015 Ancillary/ Servicios complementarios Eff 01-Nov-15 (817) 419-6044 450 FM 548, Ste 100 Forney, TX 75126 (469) 689-0957

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 498 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Legacy Healthcare Services Inc Outpatient Services Outpatient Services Eff 01-Jan-20 Eff 01-Jan-14 Eff 01-Jan-14 200 Country Brook Dr 80 West Arbrook Blvd, Ste 200 4120 State Hwy 360, Ste 105 Keller, TX 76248 Arlington, TX 76015 Fort Worth, TX 76155 (817)337-3082 (817) 472-2200 (817) 283-3049 Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Baylor Institute for Rehabilitation Outpatient Services Outpatient Services Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 Eff 01-Jan-14 1748 E Broad St, Ste 120 800 W Arbrook Blvd Ste 200 5411 Basswood Blvd, Ste 225 Mansfield, TX 76063 Arlington, TX 76015 Fort Worth, TX 76137 (817) 477-4567 (817) 472-2200 (817) 498-0700 Baylor Institute for Rehabilitation at Legacy Healthcare Services, Inc Baylor Institute for Rehabilitation Fort Worth Eff 01-Jan-20 Outpatient Services Eff 01-Jan-14 5417 Altamesa Blvd Eff 01-Jan-14 6501 Precinct Line Rd., Ste 200 Fort Worth, TX 76123 8651 John T White Rd, Ste 121 North Richland, TX 76182 (817)370-6222 Fort Worth, TX 76120 (817) 428-4073 (817) 542-0714 Baylor Institute for Rehabilitation at Baylor Institute for Rehabilitation Fort Worth Baylor Institute for Rehabilitation Outpatient Services Eff 01-Jan-14 Outpatient Services Eff 01-Jan-14 4901 Bryant Irvin Rd N, Ste 200 Eff 01-Jan-14 3101 E State Hwy 114, Ste B Fort Worth, TX 76107 1 Lockheed Blvd Southlake, TX 76092 (817) 738-9866 Fort Worth, TX 76108 (817) 251-6351 (817) 777-2288 Baylor Institute for Rehabilitation at Substance Abuse Facility/ Centro Fort Worth Baylor Institute for Rehabilitation para abuso de sustancias Eff 01-Jan-14 Outpatient Services 5932 Quebec St, Ste 180 Eff 01-Jan-14 Denton County | Condado de Fort Worth, TX 76105 1400 Eighth Ave (817) 237-5193 Fort Worth, TX 76104 Denton (817) 922-7105 Baylor Institute for Rehabilitation at Mayhill Hospital Fort Worth Legacy Healthcare Services Inc Eff 01-May-15 Eff 01-Jan-14 Eff 01-Jan-20 2809 Mayhill Rd 929 Lipscomb St, Ste 101 6251 Overton Ridge Blvd Denton, TX 76208-5910 Fort Worth, TX 76104 Fort Worth, TX 76132 (940) 239-3000 (817) 334-0488 (817)945-1586 Grace Counseling Center Baylor Institute for Rehabilitation at Baylor Institute for Rehabilitation Eff 15-Feb-18 Fort Worth Outpatient Services 105 Kathryn Dr Bldg 3 Ste D Eff 01-Jan-14 Eff 01-Jan-14 Lewisville, TX 75067-4200 3621 Camp Bowie Blvd 1643 Lancaster Dr, Ste 100 (800) 972-0643 Fort Worth, TX 76107 Grapevine, TX 76051 (817) 570-7073 (817) 329-2524 Baylor Institute for Rehabilitation at Baylor Institute for Rehabilitation Fort Worth Outpatient Services Eff 01-Jan-14 Eff 01-Jan-14 Ancillary/ Servicios complementarios 6601 Harris Pkwy 460 Keller Pkwy, Ste A Fort Worth, TX 76132-6108 Keller, TX 76248 (817) 433-9600 (817) 562-1474

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 499 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Tarrant County | Condado de CommunityMed Urgent Care Tarrant County | Condado de Eff 15-Feb-18 Tarrant 670W Princeton Dr, Ste 400A Tarrant Princeton, TX 75407 Grace Counseling Center (972) 699-5250 CommunityMed Urgent Care Eff 15-Feb-18 Eff 15-Feb-18 7535 Oakmont Blvd, Ste 101 Dallas County | Condado de 6320 US Hwy 287, Ste 112A Fort Worth, TX 76132-4237 Arlington, TX 76001-2686 (800) 972-0643 Dallas (817) 778-9883 Substance Use Disorder/ Integra Urgent Care CommunityMed Urgent Care Trastorno por uso de sustancias Eff 15-Jul-17 Eff 15-Feb-18 3950 S Carrier Pkwy Ste 110 295 S State Hwy 156, Ste 300A Collin County | Condado de Grand Prairie, TX 75050-6671 Haslet, TX 76052-3013 (469) 340-1710 (817) 779-4382 Collin Integra Urgent Care Urgent Care Center/ Centro de Life Management Resources Eff 15-Jul-17 atención de urgencia Eff 01-May-16 7447 N McArthur Blvd, Ste 190 1575 Redbud Blvd Ste 201 Irving, TX 75063-7546 Collin County | Condado de McKinney, TX 75069 (972) 861-5200 (469) 742-8910 Collin Integra Urgent Care Life Management Resources Eff 15-Jul-17 Concentra Urgent Care Eff 01-May-16 3701 Lakeview Pkwy Ste 100-B Eff 01-Oct-15 5068 W Plano Pkwy, Ste 134 Rowlett, TX 75088-4030 8756 Teel Pkwy, Ste 350 Plano, TX 75093 (972) 535-6791 Frisco, TX 75034-4416 (972) 985-7565 (972) 712-5454 Denton County | Condado de Dallas County | Condado de MedPost Urgent Care - McKinney Denton Eff 01-Nov-15 Dallas 6700 Virginia Parkway, Ste 300 CommunityMed Urgent Care McKinney, TX 75071 Life Management Resources Eff 15-Feb-18 (214) 592-0013 Eff 01-May-16 703 US Hwy 377, Ste A 303 S Jackson Ave Ste 100 Aubrey, TX 76227-5534 MedSpring Urgent Care - Wylie, TX 75098 (940) 228-0721 McKinney (972) 941-8757 Eff 15-Nov-18 Parker County | Condado de 5131 S Custer Rd, #111 Urgent Care/ Cuidado urgente Parker McKinney, TX 75070-1274 (469) 421-0368 Collin County | Condado de Integra Urgent Care MedStar Urgent Care PLLC Collin Eff 15-Jul-17 Eff 01-Mar-17 116 E IH 20 601 E FM 544, Ste 400 CommunityMed Urgent Care Weatherford, TX 76087-7955 Murphy, TX 75094 Eff 15-Feb-18 (817) 596-4313 (972) 442-4700 3591 McKinney St, Ste 400A Melissa, TX 75454-9571 Concentra Urgent Care (972) 464-1611 Eff 01-Oct-15

Ancillary/ Servicios complementarios 1300 N Central Expy Plano, TX 75074-1009 (972) 578-2212

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 500 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Dallas County | Condado de Concentra Urgent Care MedSpring Urgent Care - Oak Eff 01-Oct-15 Lawn Dallas 5520 Westmoreland, Ste 200 Eff 15-Nov-18 Dallas, TX 75237-1818 4501 Lemmon Ave Concentra Urgent Care (214) 467-8210 Dallas, TX 75219-2145 Eff 01-Oct-15 (469) 672-4238 15810 Midway Rd Concentra Urgent Care Addison, TX 75001-4259 Eff 01-Oct-15 MedSpring Urgent Care - Uptown (972) 458-8111 2920 N Stemmons Fwy Eff 15-Nov-18 Dallas, TX 75247-6103 2404 McKinney Ave FastMed Urgent Care (214) 630-2331 Dallas, TX 75201-1936 Eff 01-Jan-14 (214) 721-0630 12127 Lake June Road, Suite B Concentra Urgent Care Balch Springs, TX 75180-1631 Eff 01-Oct-15 Methodist Urgent Care (469) 872-5393 5601 Greenville Ave Eff 15-Mar-18 Dallas, TX 75206-2912 5709 W Lovers Ln Concentra Urgent Care (214) 821-6007 Dallas, TX 75209-5115 Eff 01-Oct-15 (469) 913-8940 1345 Valwood Pkwy, Ste 306 MedPost Urgent Care - Dallas Carrollton, TX 75006-6864 Garland Road PrimaCare Medical Centers (972) 484-6435 Eff 01-Nov-15 Eff 01-Sep-16 9540 Garland Road Ste C408 11888 Marsh Ln Ste 104 PrimaCare Medical Centers Dallas, TX 75218 Dallas, TX 75234-8083 Eff 01-Sep-16 (214) 321-0015 (972) 488-9222 642 Uptown Blvd Ste 100 Cedar Hill, TX 75104-3520 MedSpring Urgent Care - PrimaCare Medical Centers (972) 637-5100 Greenville Eff 01-Sep-16 Eff 15-Nov-18 6350 E Mockingbird Ln City Doc UC, PLLC: CityDoc 4844 Greenville Ave Dallas, TX 75214-2622 Urgent Care - Uptown Dallas, TX 75206-4120 (214) 828-0448 Eff 01-Nov-16 (214) 295-9410 2909 McKinney Ave, Ste B PrimaCare Medical Centers Dallas, TX 75214-7413 MedSpring Urgent Care - Knox Eff 01-Sep-16 (214) 871-7000 Henderson 7910 Belt Line Rd Eff 15-Nov-18 Dallas, TX 75254-6753 City Doc UC 2: CityDoc Urgent 4617 N. Central Expressway (972) 980-6753 Care - Inwood Village Dallas, TX 75205-4022 Eff 01-Apr-17 (469) 804-9280 PrimaCare Medical Centers 5301 W Lovers Ln, 109 Eff 01-Sep-16 Dallas, TX 75209-4244 MedSpring Urgent Care - North 9901 Royal Ln Ste 106 (214) 352-7800 Dallas Dallas, TX 75231-1830 Eff 15-Nov-18 (214) 902-0000 City Doc UC 3: CityDoc Urgent 3410 President George Bush Care - Preston & Royal Turnpike PrimaCare Medical Centers Eff 01-Apr-17 Dallas, TX 75219-6629 Eff 01-Sep-16 10759 Preston Rd, Ste 200-2 (469) 232-2950 1001 N I-35 E Ste 430C Dallas, TX 75230-3806 Desoto, TX 75115-4286 (972) 480-3400 MedSpring Urgent Care - North (469) 765-1600 Frisco Concentra Urgent Care Eff 15-Nov-18 Concentra Urgent Care Eff 01-Oct-15 12005 Dallas Pkwy, Ste 100 Eff 01-Oct-15 Ancillary/ Servicios complementarios 1450 Empire Central, Ste 100 Dallas, TX 75219-2145 1621 S Jupiter, Ste 101 Dallas, TX 75247 (469) 672-4238 Garland, TX 75042-7792 (214) 509-5000 (214) 340-7555

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 501 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

FastMed Urgent Care PrimaCare Medical Centers Concentra Urgent Care Eff 01-Jan-14 Eff 01-Sep-16 Eff 01-Oct-15 1015 W. Centerville Road 1810 N Plano Rd 2403 S Stemmons Fwy, Ste 103 Garland, TX 75041-5914 Richardson, TX 75081-1916 Lewisville, TX 75067-8976 (469) 872-5392 (972) 664-9888 (972) 829-2999 Methodist Urgent Care MedPost Urgent Care - Rowlett Heal 360 Urgent Care PLLC Eff 15-Mar-18 Eff 01-Nov-15 Eff 01-Jun-16 4560 Lake Ridge Parkway, Suite 2101 Lakeview Pkwy, Ste 300 1175 Diane Circle 100 Rowlett, TX 75088 Lewisville, TX 75067 Grand Prairie, TX 75052 (972) 412-1712 (972) 436-7531 (972) 522-7778 MedPost Urgent Care - Sachse Swift Med Urgent Care Concentra Urgent Care Eff 05-Jan-18 Eff 01-Dec-17 Eff 01-Oct-15 7760 Hwy 78 2587 FM 423, Ste 130 5910 N MacArthur Blvd, Ste 133 Sachse, TX 75048-2600 Little Elm, TX 75068-6670 Irving, TX 75039-3806 (972) 429-3866 (972) 200-4780 (972) 554-8494 MedPrem Urgent Care Center INC Ellis County | Condado de Ellis MedSpring Urgent Care - Las Eff 15-Nov-18 Colinas 3705 N Belt Line Rd, Ste 150 Urgent Plus Care, LLC Eff 15-Nov-18 Sunnyvale, TX 75182-9211 Eff 01-Jul-15 7400 N MacArthur Blvd (972) 203-9000 1200 Dolfie Ln Ste 101 Irving, TX 75063-7508 Ennis, TX 75119-1639 (469) 804-9295 Heal 360 Urgent Care PLLC Eff 01-Jun-16 (972) 875-4500 Concentra Urgent Care 3400 W FM 544, Ste 650 Eff 01-Oct-15 Wylie, TX 75098-9418 Hill County | Condado de Hill 4928 Samuell Blvd (972) 226-8900 Mesquite, TX 75149-1027 Whitney Medical (214) 328-1400 Denton County | Condado de Eff 01-Sep-19 200 N San Jacinto St PrimaCare Medical Centers Denton Whitney, TX 76692-2388 Eff 01-Sep-16 (254)332-0123 1280 N Town East Blvd MedSpring Urgent Care - Lantana Mesquite, TX 75150-4606 Eff 15-Nov-18 Johnson County | Condado de (972) 686-1880 3600 N FM 407, Ste 220 Bartonville, TX 76226-9722 Johnson Fastercare (469) 802-8288 Eff 15-Nov-16 Integrity Urgent Care 4011 E Renner Rd, 110 Concentra Urgent Care Eff 15-Aug-17 Richardson, TX 75082 Eff 01-Oct-15 808 N Nolan River Rd (972) 234-3299 1837 W Frankford Rd, Ste 116 Cleburne, TX 76033-7012 Carrollton, TX 75007 (817) 526-5509 MedSpring Urgent Care - (972) 236-1941 Richardson Parker County | Condado de Eff 15-Nov-18 Rapid Med Parker 377 W Campbell Rd, Ste 100 Eff 01-Mar-16 Richardson, TX 75080-3693 8501 FM 407 (469) 232-2945 Double Oak, TX 75077 Tri Cities Urgent Care

Ancillary/ Servicios complementarios (972) 966-1980 Eff 01-Jul-19 123 S Ranch House Rd Willow Park, TX 76008-2649 (817) 984-7120

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 502 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Rockwall County | Condado de Concentra Urgent Care Vision Wear/ Lentes y anteojos Eff 01-Oct-15 Rockwall 2500 W Fwy (I-30), Ste 100 Collin County | Condado de Fort Worth, TX 76102-5850 MedPost Urgent Care - Rockwall (817) 882-8700 Collin Goliad Eff 01-Nov-15 Concentra Urgent Care Texas Eye Doctors, PA 3090 N Goliad St, Ste 110 Eff 01-Oct-15 Eff 01-Nov-20 Rockwall, TX 75087 4060 Sandshell Dr 4501 Medical Center Dr Ste 300 (972) 722-0011 Fort Worth, TX 76137-2422 McKinney, TX 75069-6802 (817) 306-9777 (469) 373 MedPost Urgent Care - Rockwall Ridge Road MedSpring Urgent Care - Presidio Walk-In Clinic/ Clínica sin cita Eff 01-Nov-15 Vista 2951 Ridge Rd, Ste 107 Eff 15-Nov-18 Collin County | Condado de Rockwall, TX 75032-6611 8901 North Fwy #111 (972) 722-4001 Fort Worth, TX 76177-7613 Collin (469) 778-5228 Rockwall Urgent Care MinuteClinic (The medical clinic in Eff 15-Sep-17 PrimaCare Medical Centers CVS/pharmacy) 810 E Ralph Hall Pkwy, Ste 100 Eff 01-Sep-16 Eff 01-Jun-15 Rockwall, TX 75032-6879 2205 N Tarrant Pkwy 150 E Stacy Rd (469) 402-3400 Fort Worth, TX 76177-2204 Allen, TX 75002-8756 (817) 328-3320 (866) 389-2727 Tarrant County | Condado de MD First Watch Healthare PLLC MinuteClinic (The medical clinic in Tarrant Eff 01-Apr-19 CVS/pharmacy) 310 Keller Pkwy Eff 01-Jun-15 Concentra Urgent Care Keller, TX 76248-2260 1540 E Main St Eff 01-Oct-15 (817) 562-4210 Allen, TX 75002-4486 2160 E Lamar Blvd (866) 389-2727 Arlington, TX 76006-7408 MedSpring Urgent Care - Keller (972) 988-0441 Eff 15-Nov-18 MinuteClinic (The medical clinic in 104 S Main St CVS/pharmacy) Concentra Urgent Care Keller, TX 76248-4950 Eff 01-Jun-15 Eff 01-Oct-15 (214) 295-9385 3201 Preston Rd 511 E I-20 Frisco, TX 75034-9446 Arlington, TX 76018-1126 Methodist Urgent Care (866) 389-2727 (817) 261-5166 Eff 15-Mar-18 1718 N Hwy 287, Ste 200 MinuteClinic (The medical clinic in Urgentology Urgent Care Mansfield, TX 76063 CVS/pharmacy) Eff 15-Mar-19 (682) 400-8112 Eff 01-Jun-15 4130 N Collins St 4885 Eldorado Pkwy Arlington, TX 76005 Better Faster, LLC Frisco, TX 75033-8662 (817) 809-8760 Eff 01-Oct-16 (866) 389-2727 630 N Kimball Ave, Ste 100 City Doc UC 5: City Doc Urgent Southlake, TX 76092 MinuteClinic (The medical clinic in Care - Fort Worth (817) 421-8777 CVS/pharmacy) Eff 01-Apr-17 Eff 01-Jun-15 3020 W 7th St, Ste 210 5401 Lebanon Rd Fort Worth, TX 76107-9202 Frisco, TX 75034-5150 Ancillary/ Servicios complementarios (817) 984-8687 (866) 389-2727

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 503 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

MinuteClinic (The medical clinic in Dallas County | Condado de Walmart Care Clinic 103224 CVS/pharmacy) Eff 15-May-18 Eff 01-Jun-15 Dallas 555 W Interstate Hwy 30 2100 W El Dorado Pkwy Garland, TX 75043-5702 McKinney, TX 75070-4356 MinuteClinic (The medical clinic in (972) 535-1562 (866) 389-2727 CVS/pharmacy) Eff 01-Jun-15 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in 385 E Belt Line Rd CVS/pharmacy) CVS/pharmacy) Cedar Hill, TX 75104-2206 Eff 01-Jun-15 Eff 01-Jun-15 (866) 389-2727 4203 S Carrier Pkwy 8995 Stacey Rd Grand Prairie, TX 75052-3203 McKinney, TX 75070-2167 MinuteClinic (The medical clinic in (866) 389-2727 (866) 389-2727 CVS/pharmacy) Eff 01-Jun-15 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in 11661 Preston Rd Ste 218 CVS/pharmacy) CVS/pharmacy) Dallas, TX 75230-6173 Eff 01-Jun-15 Eff 01-Jun-15 (866) 389-2727 5500 N MacArthur Blvd 2101 W Spring Creek Pkwy Irving, TX 75038-2603 Plano, TX 75023-4103 MinuteClinic (The medical clinic in (866) 389-2727 (866) 389-2727 CVS/pharmacy) Eff 01-Jun-15 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in 1411 Main St CVS/pharmacy) CVS/pharmacy) Dallas, TX 75202-4052 Eff 01-Jun-15 Eff 01-Jun-15 (866) 389-2727 1413 Oates Dr 2200 Dallas Pkwy Mesquite, TX 75150-1345 Plano, TX 75093-4300 MinuteClinic (The medical clinic in (866) 389-2727 (866) 389-2727 CVS/pharmacy) Eff 01-Jun-15 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in 3133 E Lemon Ave CVS/pharmacy) CVS/pharmacy) Dallas, TX 75204-1411 Eff 01-Jun-15 Eff 01-Jun-15 (866) 389-2727 605 W Campbell Rd 8940 Coit Rd Richardson, TX 75080-3302 Plano, TX 75025-3804 MinuteClinic (The medical clinic in (866) 389-2727 (866) 389-2727 CVS/pharmacy) Eff 01-Jun-15 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in 6120 E Mockingbird Ln CVS/pharmacy) CVS/pharmacy) Dallas, TX 75214-2601 Eff 01-Jun-15 Eff 01-Jun-15 (866) 389-2727 3430 Lakeview Pkwy 311 E Princeton Dr Rowlett, TX 75088-3367 Princeton, TX 75407-9008 MinuteClinic (The medical clinic in (866) 389-2727 (866) 389-2727 CVS/pharmacy) Eff 01-Jun-15 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in 8335 Westchester Dr Ste 140 CVS/pharmacy) CVS/pharmacy) Dallas, TX 75225-5717 Eff 01-Jun-15 Eff 01-Jun-15 (866) 389-2727 750 W FM 544 201 S Preston Rd Wylie, TX 75098-3913 Prosper, TX 75078-8685 MinuteClinic (The medical clinic in (866) 389-2727 (866) 389-2727 CVS/pharmacy) Eff 01-Jun-15 5702 Lavon Dr Ancillary/ Servicios complementarios Garland, TX 75040-3126 (866) 389-2727

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 504 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

Denton County | Condado de MinuteClinic (The medical clinic in Walmart Care Clinic 105987 CVS/pharmacy) Eff 15-May-18 Denton Eff 01-Jun-15 494 W Interstate Hwy 30 7000 Justin Rd Royse City, TX 75189 MinuteClinic (The medical clinic in Lantana, TX 76226-8412 (972) 635-2186 CVS/pharmacy) (866) 389-2727 Eff 01-Jun-15 Tarrant County | Condado de 4100 State Hwy 121 MinuteClinic (The medical clinic in Carrollton, TX 75010 CVS/pharmacy) Tarrant (866) 389-2727 Eff 01-Jun-15 2591 FM 423 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in Little Elm, TX 75068 CVS/pharmacy) CVS/pharmacy) (866) 389-2727 Eff 01-Jun-15 Eff 01-Jun-15 5900 W Pleasant Ridge Rd 11101 US Hwy 380 MinuteClinic (The medical clinic in Arlington, TX 76016-4427 Crossroads, TX 76227-8203 CVS/pharmacy) (866) 389-2727 (866) 389-2727 Eff 01-Jun-15 1305 N Hwy 377 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in Roanoke, TX 76262 CVS/pharmacy) CVS/pharmacy) (866) 389-2727 Eff 01-Jun-15 Eff 01-Jun-15 460 Northwest Pkwy 1801 S Loop 288 Ellis County | Condado de Ellis Azle, TX 76020-3136 Denton, TX 76205-4801 (866) 389-2727 (866) 389-2727 MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in CVS/pharmacy) CVS/pharmacy) CVS/pharmacy) Eff 01-Jun-15 Eff 01-Jun-15 Eff 01-Jun-15 105 Harris Ave 601 N Industrial Blvd 3200 Teasley Ln Red Oak, TX 75154-4216 Bedford, TX 76021-5234 Denton, TX 76210 (866) 389-2727 (866) 389-2727 (866) 289-2727 Kaufman County | Condado de MinuteClinic (The medical clinic in Rapid Med Kaufman CVS/pharmacy) Eff 01-Mar-16 Eff 01-Jun-15 8501 FM 407 MinuteClinic (The medical clinic in 825 S Crowley Rd Double Oak, TX 75077 CVS/pharmacy) Crowley, TX 76036-3663 (972) 966-1980 Eff 01-Jun-15 (866) 389-2727 MinuteClinic (The medical clinic in 775 E US Hwy 80 MinuteClinic (The medical clinic in CVS/pharmacy) Forney, TX 75126-8622 CVS/pharmacy) Eff 01-Jun-15 (866) 389-2727 Eff 01-Jun-15 1100 Flower Mound Rd 3614 Camp Bowie Blvd Flower Mound, TX 75028-3503 Rockwall County | Condado de Fort Worth, TX 76107-3352 (866) 389-2727 Rockwall (866) 389-2727

MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in MinuteClinic (The medical clinic in CVS/pharmacy) CVS/pharmacy) CVS/pharmacy) Eff 01-Jun-15 Eff 01-Jun-15 Eff 01-Jun-15 5959 Long Prairie Rd 2004 N Goliad St 6000 Bryant Irvin Rd Flower Mound, TX 75028-2224 Fort Worth, TX 76132-4116

Rockwall, TX 75087-7317 Ancillary/ Servicios complementarios (866) 389-2727 (866) 389-2727 (866) 389-2727

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 505 December 1, 2020/ Ancillary/ 1 de diciembre, 2020 Servicios complementarios

MinuteClinic (The medical clinic in Wound Care/ Clínica para CVS/pharmacy) atención de heridas Eff 01-Jun-15 3701 Ira E Woods Ave Dallas County | Condado de Grapevine, TX 76051-3213 (866) 389-2727 Dallas MinuteClinic (The medical clinic in Comprehensive Wound Care CVS/pharmacy) Center at Dallas Eff 01-Jun-15 Eff 01-Jan-14 1400 Precinct Line Rd 3600 Gaston Ave Ste 210 Hurst, TX 76053-3828 Dallas, TX 75246 (866) 389-2727 (214) 820-4400 MinuteClinic (The medical clinic in Lake Pointe Wound Care Center CVS/pharmacy) Eff 01-Nov-15 Eff 01-Jun-15 7501 Lakeveiw Pkwy Ste 240 801 N Tarrant Pkwy Rowlett, TX 75088-9323 Keller, TX 76248-6860 (972) 520-9880 (866) 389-2727 MinuteClinic (The medical clinic in CVS/pharmacy) Eff 01-Jun-15 2200 Matlock Rd Mansfield, TX 76063-3855 (866) 389-2727 MinuteClinic (The medical clinic in CVS/pharmacy) Eff 01-Jun-15 6401 Precinct Line Rd North Richland Hills, TX 76182- 4815 (866) 389-2727 MinuteClinic (The medical clinic in CVS/pharmacy) Eff 01-Jun-15 1301 N Saginaw Blvd Saginaw, TX 76179-5095 (866) 389-2727 MinuteClinic (The medical clinic in CVS/pharmacy) Eff 01-Jun-15 8000 Denton Hwy Watauga, TX 76148-2464 (866) 389-2727 Ancillary/ Servicios complementarios

To verify provider information, please call the Health Plan. / Para verificar la información del proveedor, por favor llame al Plan de Salud. 506 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético A Achtman, Daniel S, MD 130 Ahmad, Shahbaz , MD 190 A Sensitive Touch Home Acree, Joshua S, DO 308 Ahmad, Syed , MD 272, 284 Healthcare, LLC 458 Active Life Physical Therapy 482 Ahmad, Tanvir , MD 52, 64 A1 Physical Therapy 485 Adachi, Mari , MD 370 Ahmad, Uzma , MD 432 ABB Healthcare Services, Adamo, Michael P, DO * 68 Ahmed, Abrar , MD 164 LLC 447, 453 Adams, Brook A, MD 327 Ahmed, Bashir , MD 430 Abbas, Dennis R, MD 252 Adams, Cedric Cordell, MD 275 Ahmed, Saman , MD 125 Abbaschian, Cyrus E, MD 314 Adams, Meredith M, DO 354, 357 Ahmed, Sana M, MD 216 Abbasi, Jamil , MD 125 Adcock, Jeffry F, MD 41 Ahmed, Shahbaz , MD 216 Abbey, Ashkan M, MD 275, 285 Addington, Stefanie L, MD 152 Ahmed, Shakil , MD 63 Abbott, Lisa A, MD 48 Adebogun, Oladele A, MD 369, Ahmed, Vaqar , MD 216 ABC Home Medical Supply 370 INC 448 Ahn, Samuel , MD 417 Adejorin, Oluwaseyi D, MD 371 Abdelfattah, Basem , MD 346 Aina, Oluyemi , MD 430, 433 Adetola, Esther O, DCM 121 Abdelwahab-Elhamahmi, Dina , Air Evac Lifeteam 440 MD 216 Adle, MinhTu H, MD 41 Airuehia, Efosa , MD 405, 433 Abdul-Karim, Raghad M, MD 197 Adrian, Janet L, DCM 117 AIT Laboratories 467 Abdul-Rahim, Aziz S, MD 287 Advanced Health & Rehab of Aitelli, Cristi Lynn, DO 269 Garland 425 Abebe, Eyoel T, MD 196 Akbar, Muhammad , MD 191, 192 Advanced Hearing & Balance Akerman, Stuart , MD 161 Abel, Shawn M, MD 72 Center 450, 452 Akhavi, Mahmood S, MD 244 Abigail, Timothy C, DPM 363 Advanced Home Health Abiodun, Olufemi J, MD 173, 176 Services 455 Akhtari, Mani , MD 379 Abo-Auda, Wael , MD 91 Advanced Imaging Center 461, Akinfolarin, Akinwande A, MD 216 Abounding Home Health Care, 473 Akram, Javed , MD 193 Inc 454 Advanced Surgical Center 441 Akwar, Fergus T, MD 44 Abraham, Ayodele A, MD 432, 434 Advanced Ultrasound Studio 464 Al Masri, Rahaf , MD 191 Abraham, Cherian , MD 176 Adya, Shweta , MD 62 Al Rifai, Anas , MD 225, 237 Abraham, Jane , DO 34, 43 AeroCare 447 Alam, Amit , MD 77 Abraham, Kevin T, MD 21 AeroCare Home Medical Alapati, Sridevi , MD 74 Abraham, Koshy O, MD 231, 233, Equipment, Inc 448, 449 Alavi, Ali H, DO198, 200, 201, 202 237 Afolabi, Oladapo , MD 231, 233, Alavi, Amir , DO 345 Abraham, Manoj , OD 305, 306 234, 237 Al-Azizi, Karim M, MD 107, 109 Abraham, Sam S, MD 63 Afridi, Imran , MD 97 Albert Jr, Thomas J, MD 202, 251 Abraham, Sindhu , MD 161 Afrina, Mevesh , MD 431 Albracht, Nick G, DCM 119 Abraham, Suma , MD 62 Aftergut, Kent S, MD130, 132, 133 Al-Dahhan, Lina N, MD 73 Abrahams, Harrison M, MD 415 Agadi, Satish , MD 242 Aldrich, Daniel , MD 325 Abramovits, William , MD 133 Agape Home Healthcare 455 Alexander, Jamie K, MD 275, 287 Abrantes, Anthony , MD 258 Agarwal, Anagha , MD 51 Alexander, Preston C, MD 248, Abrinica, Mark N, DCM 115 Agarwal, Ashwani K, MD 183, 262 252 Abrol, Rajjit , MD 86, 87, 88 Aggarwal, Manik N, MD 55 Alford, Brent T, MD 240, 241 Abushagur, Noor S, OD 297 Aggarwal, Paul A, MD 94 Al-Hafidh, A-Salam , MD * 70 Accel at Willow Bend 424 Aggarwal, Raymond K, MD 55 Alhalabi, Hassan , MD 224 Access Home Healthcare Aggarwal, Ved V, MD 346, 347, Ali, Ahsan T, MD 418, 419 Services 458 348, 349, 350 Ali, Basit B, DO 408 Accredo Health Group, Inc 481 Agha, Irfan A, MD216, 225, 228, Ali, Deeba N, MD 214

Acharya, Nikhil B, MD 199 229, 231 Ali, Farhan , MD 103, 104 Índice alfabético Acharya, Sampada , MD 383 Agrawal, Kanti L, MD 97 Ali, Ferhina S, MD272, 275, 287, Alphabetical Index / Acharya, Sujeet S, MD 410, 411 Aguirre, Eduardo , DO 16, 20 289 Ahmad, Asim , MD 185, 186, 267, Ali, Ishaq , MD 245 268, 269

507 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Ali, Shahla , MD 405, 430 American Dynamic Imaging Anitube, Maximus N, MD 242 Ali, Syed M, MD 216 LTD 474 Annunziato, Tom , OD 301, 303 Ali, Zahra K, MD 284, 289 American Family Health Services, Ansari, Ramin , MD 242 Alibhai, Mustafa H, MD 393 Inc 456 Ansari, Sharique , MD 246, 247 Aligeti, Venkata , MD 91 American Health Imaging of Ansari, Sofia T, MD 191 Dallas LLC 461 Al-Kubaisi, Maytham A, MD 350, Anthony, Mara Lysa , PsyD 436, 352 American HomePatient 448 438 All Care Professional Home American Outcomes Antin, Vinay , DO 176 Management, LP 459 Health, Inc 457 Anumudu, Uchechi B, MD 252 Allada, Naveena , MD 184, 265 American Pilgrims Health Services 455 Anusionwu, Obiora F, MD 109 Alladi, Uma , MD 226 AmeriHealth Laboratory LLC 466 Anwar, Muhammad A, MD 194 Al-Laham, Ammar , MD 231, 234 Ameripath 466, 467, 469, 470 Apex Home Care 453 Allam, Sridhar R, MD 234 Amerita - Irving 459 Applesoft Homecare SVC LLC 457 Allawala, Shahzad S, MD 370 Amin, Aamir A, MD 201 Appleton, John S, MD 314 Allegiant Wellness and Rehab 427 Amin, Sanober , MD 139, 142 Applewhite, Jeffrey C, MD 413, Allen, Jennifer E, MD 248 414 Amity Health Care Services 454 Allen, Marcus L, MD 275, 280, Approved Home Health Care 456 282, 285 Ammar, Richard F, MD 90, 91, 106, 107 Apria Healthcare LLC 449 Allen, Mark L, MD 409 Amon, Thomas D, DCM 118 Apria Healthcare, Inc 447 Allen, Mark R, DO 55 Amos, Joseph D, MD 389 Aragon, Evelia , DCM 115 Allen, Rory , DO 21 Ampelas, Michael C, DO * 44 Aragon, Michael A, MD * 229, 233, Allen, Timothy G, MD 400 234 An, Ruosu , MD 418 Alliance Orthotics and Araiza, Edgar T, MD 314, 315 Anagnostis, George , MD 41 Prosthetics 491 Arakal, Rajesh G, MD 311, 312 Allison, Robert B, MD * 55 Anand, Rajiv , MD272, 275, 282, 285 Aranda, Alissa , DCM 115 Alloju, Murali M, MD 159 Anani, Constance E, MD 153 Arauz-Pacheco, Carlos , MD 150, Alloju, Shashi M, MD 272 152, 198, 201 Anatomical Medical Laboratories Allumed, Inc 447 Inc 468 Arce, Cristina M, MD 216, 225, 229, 231, 237 Ally Home Health 455 Anders, Brittney N, MD 252 Ardis, Jason Lane, DCM 120 Alobaidi, Fahad , MD 198, 199, Andersen, Robert L, MD 18 201 Arias, Gabriela A, MD 21 Anderson, Antony D, MD 35 Alomar, Anas , MD 113 Arias, Juan W, MD 213 Anderson, Beth D, OD 293, 298 Alonso, David , OD 297 Arif, Hassan , MD 246 Anderson, Eric T, MD 345 Al-Rifai, Mohamad S, MD 351 Arjunan, Ananth K, MD 183, 262 Anderson, James M, MD 28, 47 Alsahhar, Jamil S, MD 164 Arkusinski, John B, DO 35 Anderson, Lawrence L, MD 140 Altig, William , OD 303 Arlington Villas Rehabilitation Anderson, Monte , DCM 120 Altruist Home Healthcare Inc 454 and 427 Anderson, Paul K, MD 161, 164 Alukal, Paul , MD 62 Armstrong, Lucille , LCSW 203 Anderson, Robert D, MD 164 Alvarado LTC Partners Inc 426 Arnold, David T, MD 390 Anderson, Robert G, MD 360 Alvarado, Sasha A, DO 81 Aronowitz, Ray F, MD 315, 330 Andino Velez, Julio , MD 198, 242 Alvares, Michael L, MD 77, 78, 79, Arora, Neeraj , MD 94, 104, 105, 80 Andrews, Cheri L, DO 41 107, 111, 112 Alvarez, Lisa , MD 164, 170 Angadicheril, Tracey , DO 44 Arslanlar, Sami , MD 164, 170 Alvi, Mona , MD 433 Angel Home Health 455 Arvind, Vijayasree , MD 342, 345 Amari, Wassila , MD 381 Angels at Hand Health Care458, Arviso, Lindsey C, MD 335

Índice alfabético 459 Amber Pharmacy 459 Arya, Shylaja N, DPM 367 Alphabetical Index / Angels Care Home Health 456, Aryan, Saeid E, DO 240, 241 Amberker, Deepa , MD 216 457 Aryangat, Ajikumar V, MD 150 Amcare Pro Home Health 455 Angels of Care Pediatric Home Health 481 Arzac, Jorge A, MD 252, 253

508 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Asgaonkar, Anil V, MD215, 216, B Bansal, Shikha , MD 40 228 Babaian, Naira S, MD 18 Banta, Charles J, MD 315 Asghar, Syed-Ali , MD 214, 228 Babich, Matthew S, DPM 362 Bapat, Vijay , MD 161 Ash, Steven , MD 415 Badireddi, Sridhar , MD 371 Baqai, Atif , MD 418 Ashfaq, Mohammad , MD189, 407 Badr, Adnan S, MD 161 Barbaro, Daniel , MD 194 Ashmead, Mary G, MD182, 338, Baek, Daniel J, DCM 114 Barber, F Allen, MD 312 339 Baek, Joshua S, DCM 114 Barber, Shelle S, DO 41 Ashmore, Jamile A, PHD 436 Baghdassarian, David , MD 251 Barke, Ronald M, MD 271, 272, Ashraf, Ali , MD 315, 325 Bagri, Amola S, MD 217 275, 285 Ashraf, Asma , MD 21, 44, 47 Bah, Elizabeth L, DO * 47 Barksdale, Stephen W, MD 433 Ashraf, Husnain , MD 432 Bahirwani, Ranjeeta R, MD 188, Barnard, Harold A, DO 41 Ashrafian, Afshin S, MD 34, 48 406 Barnes, Maisha N, MD 188, 189 Asikaiwe, Chima , MD 432 Baidwan, Christine W, MD 250 Barnes, Tyson H, MD 40 Aslam, Samar , MD 34 Baig, Mirza S, MD 214 Barnett, Brian C, MD 102 Asrani, Sumeet K, MD 188, 406 Bailey, George C, MD 414 Barnett, Brian D, MD 380 Assar, Manish D, MD 87 Bailey, Jennifer L, MD 249 Barnett, David W, MD 238, 239 At Home Healthcare 455, 458, 481 Bailey, Lauren , OD 293 Barnett, Valerie A, OD 291, 292 Ata, Ahmad S, MD 242, 245, 247 Bailey, Mark L, MD 387, 394 Barrera, David N, DO 186, 269 Aten, Laurie Anne, MD 420 Bailey, Melissa K, MD * 249 Barrington, John W, MD 312 Athar, M A Ahad, MD 182, 261 Bailey, Michael L, DO 44 Barron, Alison U, MD 390, 395 ATI Physical Therapy 474, 475, Bailey, Susan Rudd, MD 82 Barrows, Matthew D, MD127, 129, 476, 477, 478, 479, 480, 481, Baird, Robert W, MD 125 132 482, 483, 484, 485, 486, 487, Bajaj, Chris P, DO 152 Barry, James M, MD 246, 247 488, 489, 490, 491 Bajpai, Anita P, DO 52, 62 Barsik, Tamara , MD 51, 198, 201 Atkinson, Cameron T, MD 319, 323, 330 Bajwa, Navjot , MD 33, 47 Bartel, Chad D, DO 41 Attai, Sherwin F, MD 101, 102 Baker Orthotics & Prosthetics 492 Barthel, Eniko K, MD 69 Au, Brigham K, MD 326 Baker, Bruce H, MD 228 Bartis, Cristina Beatrice, MD 348 Aubry, Alvin , MD 80 Baker, Jason A, AUD 83, 84 Bartlett, Richard , OD 298 Aurora, Vikas , MD 186, 270 Baker, John A, MD 308 Bartlett, Richard K, DCM 121 Ausloos, Kenneth A, MD 371, 375 Baker, Karen K, MD 21 Bartos, Heather R, MD 258 Austin Jr, Joseph , MD 375 Bakhtari, Ladan , MD 51, 52 Bartosh, Nicole S, DO 268, 269 Austin, Jeffrey S, MD 62 Bakshi, Pratima R, MD 55 Bartz, Reed L, MD 321 Auten, Kristopher N, DCM 119 Bakshi, Sahil , DO 91, 97 Barve, Minal A, MD 262 Autrey, Lance , DCM 118 Balamuthusamy, Saravanan , Basani, Samata , MD 151 MD 234 Autumn Leaves 424 Basavaraju, Renuka V, MD 381, Balarbar, Melinda B, MD * 33 382 Avante Rehabilitation Center 425 Balch Springs Nursing Home 424 Bashyam, Mani , MD 152 Aveanna Healthcare 457 Balch, Cayli N, DO 356 Basora, Jose F, MD 371 Aviator Home Health, LLC 458 Balch, Robert J, DO 356 Bass, David , MD 176 Avramis, Ioannis A, MD 308, 312, 327 Ballenger, James , LCSW 203 Bass, Heather A, MD * 17 Awad, Omar , MD 370 Baloch, Saira L, MD 15 Bassel, Katrina M, MD 161, 164, 168 Awan, Sam , MD 129, 130 Bamgbelu, Olukayode A, MD 202 Bassel, Paul S, MD 73 Awili, Mustafa H, MD 373 Bander, Steven G, DO 32 Bassichis, Benjamin , MD335, 359 Ayad, Ramy F, MD 94, 101 Banegas, Shonda , DO 418 Basu, Niladri , MD * 315 Ayass, Mohamad-Ammar , Bang, Jennifer K, MD 21 Índice alfabético MD 196, 370 Bang, Linda S, MD 196 Bate, Joy , OD 304 Alphabetical Index / Ayo, Dereje , MD 374, 375 Banister, William M, MD 238 Bauer, Marc G, DO 19 Azam, Muhammad O, MD 216 Banker, Suvin V, DO 159, 171 Bauerschlag, Jason , MD 38

509 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Bayer, Johanna , MD 406, 407 Baylor Scott & White Imaging Baylor Scott & White The Heart Bayless, Robert E, MD 320 Center - McKinney460, 471, 473 Hospital - Plano 421, 443 Baylor Ambulatory Endoscopy Baylor Scott & White Imaging Baylor Scott & White Women's Center 440 Center - Rockwall 463 Imaging Center - Irving 462, 472 Baylor Center for Pain Baylor Scott & White Institute for Baylor Scott and White Management at Dallas 476, 481, Rehabilitation - Neuro Tr 494 Emergency Hospital 484 Baylor Scott & White Medical Colleyville 422, 463 Baylor Charles A Sammons Center - Centennial 421, 440, Baylor Scott and White Cancer Center 443, 461 471, 475, 482, 496 Emergency Hospital Murphy 421 Baylor Diagnostic Imaging Center Baylor Scott & White Medical Baylor Scott and White Heart and at Junius 461, 473 Center - Grapevine 422, 494 Vascular Hospital - Dallas421, Baylor Geriatrics Center at Baylor Scott & White Medical 461 Dallas 450 Center - Irving 421, 443, 462, Baylor Surgical Hospital at Fort Baylor Institute for Rehabilitation 485, 494 Worth 422 at Dallas 494 Baylor Scott & White Medical Baylor Surgical Hospital at Las Baylor Institute for Rehabilitation Center - Lake Pointe 422, 462 Colinas 421 at Fort Worth 479, 480, 488, Baylor Scott & White Medical Baylor Surgicare at Baylor 489, 491, 494, 498, 499 Center - McKinney 421 Plano 440 Baylor Institute for Rehabilitation Baylor Scott & White Medical Baylor Surgicare at Carrollton 441 at Frisco 494 Center - Plano 421 Baylor Surgicare at Denton 441 Baylor Institute for Rehabilitation Baylor Scott & White Medical Baylor Surgicare at Garland 441 Outpatient Services 475, 476, Center - Sunnyvale 422 Baylor Surgicare at Mansfield 442 477, 478, 479, 480, 481, 482, Baylor Scott & White Medical Baylor Surgicare at North 483, 484, 485, 486, 487, 488, Center - Trophy Club 422 Dallas 441 489, 490, 491, 495, 496, 497, Baylor Scott & White Medical 498, 499 Baylor Surgicare at North Center at Frisco 421 Garland 441 Baylor Institute for Rehabilitation- Baylor Scott & White Medical Baylor Surgicare at Plano 440 Home Health Services 456 Center at Waxahachie 422 Baylor Medical Center at Baylor Surgicare at Plano Baylor Scott & White Physical Parkway 440 Uptown 421 Therapy - Sunnyvale 486 Baylor Orthopedic & Spine Baylor T Boone Pickens Cancer Baylor Scott & White Plano Hospital 421 Hospital at Arlington 422 Women’s Imaging Center 461, Baylor Research Institute 421 472 Baylor University Medical Center 421, 495 Baylor Scott & White All Saints Baylor Scott & White Sports Medical Center - Fort Worth 422, Surgery Center at The Star 440 Bayssa, Eyerusalem E, MD 213, 214, 225 494 Baylor Scott & White Surgical Baylor Scott & White Emergency Hospital at Sherman 422, 442, Bayya, Swathi R, MD 197 Hospital 422, 462 463 Bazaldua, Carlos , MD 70 Baylor Scott & White Emergency Baylor Scott & White BCM Innovative Therapies, Hospital Burleson 422, 463 Surgicare 441 Inc 479, 488 Baylor Scott & White Emergency Baylor Scott & White Surgicare - Beadle, Eric J, MD 27 Hospital Grand Prairie 421 Granbury 442 Beale, Evan W, MD 359 Baylor Scott & White Emergency Baylor Scott & White Surgicare at Bealka, Neil M, MD 283 Hospital Keller 422 Centennial 440 Bealka, Peter J, MD 283 Baylor Scott & White Emergency Baylor Scott & White Surgicare Bean, Anthony M, PHD 438 Hospital Mansfield 423 Fort Worth 442 Bean, Carol H, PsyD 438 Baylor Scott & White Emergency Baylor Scott & White Surgicare Bean, Richelle , OD 304 Hospital Rockwall 422 Grapevine 442 Beathard, Steven D, MD 214

Índice alfabético Baylor Scott & White Heart and Baylor Scott & White Surgicare

Alphabetical Index / Vascular Hospital- Oakmont 442 Beaty, Andrew D, MD 82 McKinney 421, 443 Baylor Scott & White Surgicare Beauchamp, Cynthia , MD 275, Rockwall 442 289 Beavers, Bret B, MD 327

510 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Becker, Elizabeth A, MD 352 Beste, Timothy , MD 34 Black, Douglas N, OD 298 Beckham, Melissia E, LCSW 208 Bettacchi, Christopher J, MD 192 Black, John , LCSW 209, 210, 213 Beckman, Venessa M, MD 159 Better Faster, LLC 503 Black, Robert D, MD 55 Beckstrom, Perry K, DO 21, 34, Bevan-Thomas, Richard H, Black, Sheena R, MD 309, 311 153 MD 414 Blackburn-Woolfolk, Daneeque , Bedford Wellness & Beveridge, Thomas P, MD 86, 88, MD 133 Rehabilitation 427 89 Blaik, Ziad A, MD 242 Bednarz, Nancy , MD 378 Beyond Faith Homecare & Rehab, Blair, Christopher E, DO 321 Bedros, Nicole M, MD 390 LLC 453 Blair, Donald L, MD 253 Beebe, Walter E, MD 272, 275 Bhaga, Sheetal , OD 291 Blair, Michael A, MD 285, 290 Beecherl, Ernest E, MD 406 Bhagat, Neena , MD 234 Blaising, Diane , AUD 85 Beede, Glen A, DPM 366 Bhakta Nunez, Bhavisha , DO 261 Blalock, Ryan E, MD 308 Beiser, Ned E, DO 154 Bhakta, Dharmesh , DPM365, 368 Blanco, Gabriela , MD 141 Beitsch, Peter D, MD 390 Bhakta, Jay P, DCM 121 Blank, Kristie L, MD 168, 173 Belanger, Melissa S, MD 71 Bhakta, Prakash , DCM 121 Blansett, Deborah K, OD 298 Believe Therapies, LLC 479, 487 Bhambhvani, Dinesh , MD 246, Bleakney, Dana C, MD 21 384 Bell, Clinton S, MD 315, 323, 330 Bliss, Clifford M, DPM 367 Bhambri, Avani , MD 128, 140 Bell, Dennis M, DO * 43 Block, Nicolle G, MD 17, 21, 25, Bellah, Lloyd , MD 431 Bhambri, Sanjay , DO 128, 141 29, 35, 44, 49 Bellomo, Joseph F, MD 101, 103 Bhargava, Deepika , MD 431, 433 Blomquist, Mary D, MD 77, 78, 81 Belloni, Kristen C, PhD 436, 438 Bhargava, Sanjay , MD 112 Bloom, Christopher A, MD 55 Beltline Surgery Center, LLC 441 Bhat, Shubha P, MD * 30 Bloom, Keith D, MD 412 Beltone Hearing Center 446, 448 Bhatia, Monika Anil , MD 71 Bloomquist, Luke R, MD 139 Beltran, Frans , MD 256 Bhatki, Amol M, MD 335 Blough, Britton A, MD 371 Belvin, Brent , MD 353 Bhatt, Anand D, MD 72, 73 Blue Star Imaging at The Star 443 Benaim, Elie , MD 409, 410 Bhatt, Rahul , DPM 365 Blum, Donald R, DPM 362, 363 Benjamin, Bijas , MD 196 Bhatti, Nadeem , MD 431 Blum, Joanne Lorraine, MD 263 Benjamin, Shruti , MD 253 Bhogaraju, Anil Kumar Venkat, Boah, Akwasi O, MD 240 MD 184, 266 Bentley, James A, MD 275, 284 Bobbitt, Kalan Nicole, DO 49 Bhushan, Vikas , MD 262 Bentow, Jason J, MD 137, 138, Boehrer, James D, MD 94 Bhuva, Sheena , MD 353 139 Bogus, Houston , MD 164, 168 Biard, Maria , MD 29, 47 Bentz Physical Therapy 490 Bolin, Andrew C, MD 159, 161 Biavati, Michael J, MD 335 Benzick, Arthur E, MD 76 Bolin, Jerry B, MD 16 Bibawi, Samer E, MD 184 Berg, Joshua B, MD 194 Bommisetty, Deepak , MD 198 Bidiwala, Shaad B, MD 238, 239 Berggren, Andrew T, MD 99, 103, Bonfiglio, Ella M, RD 147 Biedermann, Scott A, MD 214 104 Bonitatibus, Dori , DCM 118 Biggers, Jeffrey B, MD 394 Bergman, Barry , MD 72 Bonnette Elite Physical Therapy Bergman, Karin K, MD 18 Bigham, Gene O, MD 197 and Wellness 490 Berhe, Mezgebe , MD 191 Biltz, John M, MD 139, 140 Bonsell, Shawn C, MD 315 Berlin, Scott A, MD 346, 347, 348 Binder, Andrew J, MD 91, 97 Booher, Grant A, MD 241 Berman, Joseph M, MD 326 Bindra, Amarinder S, MD 91, 94, Booker, Kimberly W, PhD436, 438 406 Bernstein, Basil , MD 44 Boone, Benjamin D, MD 324 Bindra, Amby J, MD * 31 Berry, Nathan E, MD 284 Boone, Lora P, DO 48 BioScrip Infusion Services 459 Berryman, Robert B, MD 262 Boostrom, Sarah Y, MD 121, 122 Berzinskas, Egle E, MD * 256, 260 Birdwell, Russ D, MD 387, 394 Booth, Cherie , MD 332, 333, 334 Índice alfabético Bireddy, Suman K, MD 228, 237 Beshires, Eric D, MD 16 Boothby, Michael Hayden, MD 386 Alphabetical Index / Bishop, Beverly B, MD 275, 280 Bessent, Katie L, AUD 85, 181 Boothe, Patrick L, DO 18, 31 Best Medical Solutions 449 Bismar, Mike , MD 172 Bista, Bipin R, MD 234

511 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Bornstein, Laurie K, AUD 83, 180 Bridgeway Health Services 456, Buchmann, Craig E, DDS * 306, Borrell, Leo , MD 432 458 307 Bosita, Renato V, MD 312, 325 Brinkman, William T, MD 402 Buckley, Gloria L, AUD 83 Boswank, Stephen E, MD266, 268 Briseno, Michael R, MD 328, 329 Bui, John D, DO 44 Botone, Zachary Q, MD * 27 Britt, Matthew T, DPM 364, 365 Bui, Thoai , OD 293 Boudjenah, Djillali , MD 433 Broadnax, John P, MD 345 Bui, Thoai P, OD 298 Boulas, H. Jay , MD 401 Broadway, Christopher M, MD 37 Bullard, Heath L, OD 299, 301 Bourque, Lori M, OD 295 Brobst, Robert W, MD 334 Bulloch, Gerald F, MD 95 Bousquet, John A, MD 65 Brochner, Michelle L, MD 273 Burak, Joshua M, MD 99 Bowden, David C, DCM 114 Brodsky, Greta V, MD 55 Burch, Micah Matthew, MD 263 Bowers, Angela G, MD 143 Brodsky, James W, MD 308 Burchard, Jeffrey L, MD 15 Bowman, Charles (Brad) , MD273, Bronowitz, Philip F, MD 198 Burdex, Ashley K, DO 21 276, 287 Brook, Joel W, DPM 361, 362 Burdick, James S, MD 169 Bowman, Richard Thomson, Brookhaven Nursing & Burg, Richard , MD 309, 311 MD 402 Rehabilitation Center 426 Burgos, Dante , MD 433, 434 Boyd, Jessamy Anne, MD 377, Brooks, Barry Don, MD 263 Burgos, Victor M, DO 47 378 Brooks, Carey B, OD 292 Burjonroppa, Sukesh C, MD 112 Boyd, Katherine K, DO 253 Brooks, Elayna M, MD 257 Burk, John R, MD 375 Boyer, Anthony F, MD 373 Brooks, Jennifer C, MD 180 Burk, Linda , MD 276 Brackenridge, Sandra , LCSW 203 Brooks, John C, MD 55 Burkart, Ryan D, MD 386, 387, Braddock, Eryn M, DCM 121 Brooks, Ralph A, MD 141 390, 394 Bradford, Darien W, MD 403, 404, Brown, Ariel , LCSW 211 Burke, Andrew B, DO 21 405 Brown, Ashley F, AUD 85 Burkhead, Wayne Z, MD 315 Bradford, Katrina M, MD * 31 Brown, Brandon R, DDS * 306, Burleson Jr, Dale D, MD 122 Bradford, Laura A, MD 259 307 Burnett, James W, MD 326 Bradley, Camille M, MD 21 Brown, Christine D, MD 133 Burney, Mohammad U, MD 321, Bradley, Laura M, MD 251 Brown, Corwin , OD 300 324, 325 Brady, Yolanda C, MD 65 Brown, David L, MD 91 Burris, Jennifer M, MD 390 Brahmbhatt, Naishadh , MD375, Brown, De'Andre A, MD 66 Burton, Michael , OD 295 376 Brown, Elizabeth A, MD 18 Bush, Amelia E, MD 129, 141 Bramhall, Thomas C, MD 337 Brown, Grace E, MD 138 Bush, Tyronne A, DO * 17, 21, 25, Brancaccio, Frank A, MD 371 Brown, Harold S, DPM 361 29, 35, 43, 44 Brancel, Dale H, DO 399 Brown, Janet , LCSW 211 Butler, Jason R, MD 385 Branch, Matthew P, MD 337 Brown, Jason P, MD 258 Butler, Michelle R, MD 273, 276, Brancheau, Michael R, MD 55 Brown, Jeremy D, DO 16 287 Brannan, John , DCM 118 Brown, Kenneth , MD 161 Butler, Naikai , AUD 83 Branning, George B, MD 249 Brown, Marvin W, OD 299, 301 Butler, Randy , DCM 118 Brantley, Todd , OD 291, 293 Browning, Adrianne C, MD 253 Butt, Salman , MD 214 Braun, Heather , LCSW 210, 213 Bruce, Heather A, DO 260 Buxie, Caraleigh N, MD 395, 396, 397 Breg, Inc 449, 492 Bruck, William A, MD 315 Byarlay, Mark M, MD 34, 47 Brennan, Gregory T, MD 176 Bruhl, Daniel E, MD 287 Byerly, Tracy A, MD 334, 339 Brennan, J Michael , MD 431 Bruner, Bryan C, MD 416 Byram Healthcare Centers 450 Brenner, Claire E, MD 192 Brunk, Darcy E, DCM 117 Byrd, Kathryn S, DO * 43 Brentlinger, Anthony B, MD 401 Bryan, Michael W, MD 125 Brentwood Place Four 424 Byrne, Bruce A, MD 360

Índice alfabético Bryan, Nicole L, MD 337 C Alphabetical Index / Bret, John R, MD 97 Bryant, Michael , DCM 115 C & R Medical 449 Breuder, Christopher C, MD 34, 35 Bsiso, Adam , DO 67 Brewer, Bryan D, MD 393 Cai, Tung H, MD 404 Brian, Mary B, MD 397 Cairns, Shannon , DPM 369

512 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Calderon, Paulo , MD 31, 155 Carrasco, Jeremy S, MD 386, 388, Chakilam, Srujana , MD 103, 104 Caldwell, Sandra K, MD 153, 154, 399 Chalkley, Robin A, MD95, 99, 101, 156, 158 Carroll, Bryan , MD 141 102 Calhoun, Tisha W, LCSW 203 Carroll, James P, MD 387 Chalmers, Stephen J, MD232, 233 Calixto-Montanez, Sergio , MD 21 Carrollton Health & Rehabilitation Chalunkal, Brite J, DO 353 Callanan, David , MD 286, 287, Center 424 Chambers, Andrew W, MD 315 289 Carrollton Regional Medical Champion Rehabilitation and Callejas-Weintz, Arminda , MD249 Center 471 Support Services, PLLC 495 Callewart, Craig C, MD 314, 315 Carrollton Springs, LLC 429, 492, Champion, Gretchen , MD 332, Calvert, Charles W, DO 29 493 333 Campbell, James R, OD 292 Carry, Melissa M, MD 95 Chan, Lillienne Y, MD 351 Campbell, Leah , LCSW 204 Carson, Robin , AUD 85, 182 Chan, Paul C, MD 414 Campinha-Bacote, Darius D, Carter Healthcare 455 Chan, Renee L, MD 250 PHD 438 Carter, Harvey L, MD 276 Chan, Samuel C, DO 198 Canavan, Lynn D, MD 388 Carter, Jeffrey D, DO 326 Chan, Vincent , MD 162, 168 Cane, Michael T, MD 259 Caruso, Joseph , MD 417 Chan, Winston M, MD 122, 124 Canham, Russell M, MD 95 Caruso, Michela , MD 378 Chandi, Cherry , MD 64 Cannici, James , PHD 248 Carvalho, Alexandre B, MD 374 Chandler, Becky L, MD * 25 Cannon-Smith, Tracy L, MD 414 Casanova, Mark A, MD 190 Chandler, Gary W, DPM 365 Cano, Joseph , MD 171 Casey, Brenda , LCSW 204 Chandra, Archara , MD 34 Cano-Penaloza, Jose , MD 154, Cash Jr, Robert L, MD 376 Chandra, Balu , MD 173, 176 156 Cassidy, Kathryn , AUD 85 Chandrakantan, Arun , MD 217 Cantrell, Jeffery S, MD 322, 323 Castaneda, Antonio A, MD 397 Chandraprakasam, Satish , Cao, James , OD 297 Casteel, Catherine , DPM 363 MD 104 Cao, Peter D, MD 30 Castillo, Roman A, MD 200 Chandrasekhara, Ravi , MD 97 Capehart, John E, MD 403 Castillo-Lugo, Jose A, MD 217 Chandupatla, Samatha , MD 231, Capehart, Shelley , MD 124, 125 Castleberry, Kim , OD 293 233, 234, 237 Capili, Sophia , MD 47 Castro-Arreola, Manuel E, MD 390 Chang, Andrew J, MD 337 Cappel, Joseph W, MD * 44 Cates, Casey A, MD 315, 319 Chang, Sarah A, MD 56, 70 Capurso, Denise , LCSW 204 Cather, Jennifer C, MD 133 Chang, William Y, DCM 114 Caram, Bianca M, MD 253 Catuncan, Jennifer R, OD 302 Changes Fort Worth 430, 493 Cardinal MedHealth Services, Caudill, Travis M, MD * 25, 32 Changes McKinney 429, 492 Inc 453 Caudle, Chris D, AUD 85, 181 Chapel, Ashley K, MD 198 Cardiovascular Home Care, Cavey, Matthew L, MD 377, 379 Chapman, James B, MD * 52 Inc 458 CC Young - Home Health 454 Chappell, Jeaneen A, MD 137, Care Options for Kids 454 CC Young Memorial Home 424 138, 139 CareFlite 440 Cefalu, Christopher A, MD 409 Chappell, Tenesha R, MD 52 Cargo, Jonathan P, OD 297 Celico, Brian , OD 295 Charnock, Edwin H, MD 384 Carino, Enrique , MD 217 Celinski, Scott A, MD 390, 395, Charway, Kalima J, PHD 436, 438 Carletti, Michael D, DO 140, 141 401 Chaudhari, Alok M, MD 241 Carley, Michael E, MD 250, 251, Center for Diagnostic Imaging 460, Chaudhry, Muhammad K, MD 217, 253, 256, 258, 260 461, 462, 464 226 Carll, Kendall E, MD 309, 311, 312 Center for Medical Psychology at Chaudhry, Priyanka , MD 243, 244 Carlock, Jenifer L, AUD 84 Baylor Plano 435 Chavala, Sai H, MD 273, 276, 283, Carlson, David W, MD 25 Central Park Surgery Center, 286, 290

Carmichael, Kristen R, MD 256 LP 442 Chavda, Chaitanya , MD 74, 75 Índice alfabético Carmody, Cameron N, MD 314 Cernero, Aaron L, DO 396 Chebrolu, Srivasa B, MD 214, 215 Alphabetical Index / Carollo, Angela A, MD 164 Cespedes, Paul L, MD 217, 226, Chee-Awai, Randall J, MD 253 Carr, Aimee L, MD 411, 413 229 Cheek, Amie L, LCSW 209

513 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Chemmalakuzhy, Asha J, MD 225 Chu, Jennifer Y, MD 309, 316 Cloud, Robert R, MD 124 Chen, Alice , DO 197 Chu, Tuan-Hung B, MD 417 Cloven, Noelle Gillette, MD 179 Chen, Harvey Robert, MD 89 Chuang, Weber W, MD 414 Co, Mark Allen, MD 371 Chen, Jun , MD 214, 215 Chukhman, Zinovy , DCM 117 Coastal Pathology, Inc 465 Chen, Patrick , MD 360 Chun, Jacob , MD 324, 326 Coates, Louis P, DO 25 Chen, Richard C, MD * 52 Chunduri, Krishnababu , MD 246 Cobb, Sandra G, LCSW 210 Chen, Tiffany , OD 293, 299 Chung, Andrew D, MD 56 Cobbs, David , PHD 248 Chen, Tina H, MD 287 Chung, Daun , DO 354 Cobian-Silver, Ana Christina, Cheng, Michael M, MD 21 Chung, Nancy , MD 132, 138, 139, DCM 117 Chennu, Yamini P, MD 246 143 Cochran, Carolyn C, RD 144, 145, Chhabra, Sumeet K, MD 86, 88 Chung, Paul C, MD * 56 146, 147, 148, 149 Chichane, Hanane , MD 434 Cianci, Christopher B, DO 94, 100 Cochran, James S, MD 410 Chico, Bethany , FNP 71 Ciminelli, Lisa , LCSW 204 Cockerell Dermatopathology, PA 465 Childers, Ricky , DPM 369 Cione, Dean A, MD 388 Cockerell, Clay J, MD 133 Chimata, Yugandhar P, MD 217 Cirilo, Ginaida , MD 64 Coffman, Donna , MD 408 Chin, Lincoln F, MD 246 City Doc UC 2: CityDoc Urgent Cohen, Phillip E, DO 68 Chinn, Elena N, MD 75 Care - Inwood Village 501 Coimbra, Caetano P, MD 239 Chintapalli, Uma , MD 51 City Doc UC 3: CityDoc Urgent Care - Preston & Royal 501 Colbert, Gates B, MD 217 Chiranand, Vinita , OD 304, 305 City Doc UC 5: City Doc Urgent Cole, Steven L, DO 80 Chitrapu, Prathyusha V, MD 150 Care - Fort Worth 503 Cole, Timothy B, MD 387 Chittajallu, Ravi S, MD 158, 160 City Doc UC, PLLC: CityDoc Coleman, Chad E, MD 21, 35 Chittoor, Sreenivas R, MD 184, Urgent Care - Uptown 501 Coleman, William G, MD 327 266 City Hospital at White Rock 421 Cho, Alexander , MD 315, 330 Collazo-Maldonado, Roberto L, Clair Physical Therapy 483 MD 217 Cho, Allis H, MD 181, 182, 338, Clark, Charles L, MD 283, 285, 339 Collings, Mary , DCM 116 287 Collini, Michael P, MD 414, 416 Cho, Edward E, MD 394 Clark, Chris A, MD 25 Choi, Christie E, MD 159, 162 Collins, Clyde A, MD 159, 160 Clark, Edward D, MD 260 Collins, Linden R, MD 253 Choi, Henry , MD 272, 273, 280, Clark, Jackie L, AUD 84 281 Collinwood Care Center 424 Clark, Kari A, OD 292 Choi, James W, MD 108 Colton, Bruce A, OD 293 Clark, Robert D, DO 342, 346, 348 Choi, Jinhee , MD 335 Community Care Health Agency Clark, Susan L, LCSW * 206, 211 Choi, Rene , MD 276, 287 Inc 458 Clark, Timothy S, PhD 248 Choi, Sharon , MD 101 Community Hospice of Texas 459, Clark, Veurmer L, OD 295 460 Choksi, Viren S, OD 305 Clarke, Aimee S, LCSW 205 CommunityMed Urgent Care 500 Chong, Deborah Y, MD 276, 282, 285 Clarke, Erin E, MD 81 Comprehensive Wound Care Center at Dallas 481, 484, 506 Chong, Paul Y, MD 326 Clarke, Khalilah Q, MD 356 Compton, Zachary R, MD 414 Chou, Henry C, DO 353, 356 Classen, Ashley M, DO 348 Conboy, Thomas , DCM 117 Choudhry, Amir I, MD 90, 91 Classic Home Care 457 Clavenna, Andrew L, MD 316 Concentra Urgent Care500, 501, Chouteau, Whitney L, DO 344 502, 503 Chowdhary, Humera A, MD 430 Cleburne Endoscopy Center LLC 442 Conlin, Jennifer N, AUD 85 Chowdhry, Iftikhar A, MD 381, 382 Clifford, Edward J, MD 399 Conn, Jason R, DO 62 Chowdhury, Mashrin , DO 414, Connect Hearing Inc450, 451, 452 416 Clifford, Jenny T, MD 72 Índice alfabético Clinical Pathology Laboratories, Connelly, Kevin G, MD 375

Alphabetical Index / Chowdhury, Renuka , MD 217 Inc (CPL) 464, 465, 466, 467, Connor, Charles Keith, MD 262 Chrisman-Fewell, Indira , 468, 469, 470 LCSW 204 Conselman, Nicole S, MD 41 Close To You, Inc 447 Christensen, William T, MD * 56 Constable, Joseph M, OD291, 292

514 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Conte, Michael D, OD 305 Courtney, Stephen P, MD 312 Cynar, Robert G, MD * 30 Continuing Care at Highland Covenant Hand Therapy, PC 475, D Springs 424 483 D & D Orthotics and Conway, Alisha , MD 48 Cowan, Shane , DCM 114 Prosthetics 492 Cook, Allan O, MD 403 Cowen, Alan E, MD 260 da Silva Stephen, Jacqueline , MD Cook, Deborah T, MD 75 Cowey, Charles Lance, MD 183, * 18 Cook, Paul A, MD 253 263 Dacso, Mara M, MD130, 133, 136, 138 Cook, Phil , DC 117 Cox, Clifton , MD 125 Dacus, Clint , DCM 121 Cook, Yuri E, MD 71 Cox, Jerimy , DCM 118 Dagley, Benjamin C, DO 353 Cooley, Brian K, MD 162 Cox, Ralph F, MD 21, 44 Dahdah, Marie , PHD 248 Cooley, Kent , DCM 121 Cox, Stephanie C, AUD 84 Daheshpour, Sepehr , MD 217 Cooper & Bush Physical Coyle, Yvonne M, MD 183, 263 Therapy 489 Craft, Nancy , LCSW 207 Dallas Behavioral Healthcare Hospital 429, 493 Cooper, Barry , MD 183, 263 Craig, Grant , MD 38 Dallas County Hospital District 425 Cooper, Daniel E, MD 316 Crane, Mary E, DPM 367 Dallas Diagnostic Imaging Cooper, Laquita , LCSW 204 Cranial Technologies 447, 449 Services 461 Coors, Lori E, MD 273, 276, 283 Cravens, George F, MD 241 Dallas Endoscopy Center 441 Copley, Jill E, AUD 84, 181 Crawford, Adam , MD 320, 326, Dallas Midtown Physical Therapy Coppell Surgery Center, LLC 441 330 & Rehabilitation 484 Corbin, Tabitha K, LCSW 206 Crawford, Chris W, MD128, 130, Dallas Nephrology Associates Core Rehabilitation Group 479, 133 Vascular Center 440 480, 489, 490 Crawford, Courtney , MD 283, 285 Dallas Nephrology Associates Corinth Rehabilitation Suites on Crescent Medical Center Vascular Center Dallas 441 the Parkway 426 Lancaster 421 Daly, Patrick W, MD 56 Corn, Robert S, MD 417 Crim, Randall W, MD 124 Danawala, Zeeshan A, MD 409 Cornelius, Brandon C, MD 253 Crisp, Howard C, MD 78, 79 Danda, Ratna S, MD 217, 225, Cornelius, Kathryn C, MD 21 Cristol, Louis S, MD 103 229, 232 Cornwell, Jayme R, DPM 365 Croll, Gary A, MD 56 Danford, Brandon C, MD 129, 130, Corona, Jorge , MD 271, 276 Cross Timbers Rehabilitation and 133, 134, 136 Coronado, Elizabeth Neugart, Healthcare Center 426 Dang, Jennifer , MD 333 MD 251 Cross, Donald S, MD 102 Dang, Quyen N, MD 251 Corpier, Cindy L, MD 217 Crudup, Travis W, MD 397 Dang, Van , MD 200 Correia, Kyle , PT 358 Cruz, Erwin A, MD 243 Daniels, Joseph , DO 327 Cortez, Amanda R, LCSW 208 Cruz, Fernando M, DPM 364, 365 Daniels, Mark A, MD 361 Coseimno, Michael J, DPM 366 Cruz, Manuel W, MD 91 Daniels, Michael T, MD 356, 358 Cosimeno, Michael J, DPM 366 Crystal Creek at Preston Dao, Lori , MD 273, 276 Costa, Dennis James, MD 266 Hollow 424 Dao, Timothy , MD 107 Costello, Cory N, MD 18 Cueto, Cristina V, MD 397, 399 Dao, Tuoc N, MD 390 Cothern, William F, DO 141 Cullison, Samuel W, MD 22 Daramola, John B, MD 67 Cottingham, Andrew J, MD 347, Cung, Trang , DO 19 Darden, Adeola B, MD 22 348 Cunningham, Kelly E, MD 49 Darlene G Cass Women’s Cottonwood Creek Healthcare Cunningham, Mara L, DO * 27 Imaging Center at North Community 425 Cupak, Michael , DO 190 Dallas 461, 472 Cottonwood Nursing & Curanovic, John , MD 64 Darlene G Cass Women's Rehabilitation LP 426 Curnyn Physical Therapy 490 Imaging Center 461, 472

Cottrell, Christopher J, MD 386, Curry, Eugene E, MD 316 Dasari, Neeraja , MD 377 Índice alfabético 387 Curry, Matthew W, MD 125 Dassopoulos, Themistocles , Alphabetical Index / Couch, Christopher M, MD 125 Curtis, Barry J, OD 292 MD 164 Country View Nursing and Curtis, Wiley F, OD 302 Dattatreya, Rajiv , MD 151 Rehabilitation, LP 427

515 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Daulat, Sonak B, MD 79, 80 Dennis, Wesley , MD 246, 384 DiPasquale, Allison , MD 390 Davalos, Fernando , MD 32 Denson, Michael , LCSW 207 Direct Home Health Services, Dave, Pramesh , MD 67 Denton Orthopedic Therapy Inc 453 Dave, Virat R, MD 174 Center 486 Dirnberger, Mark A, DO 247 Davidson, Nettie N, MD * 68 Denton, Lindsay E, OD 298 Discovery Village at Southlake 428 Davidson, Scott D, MD 414, 416 Derman, Peter B, MD 312 Disraeli, Phillip H, MD 34 Davis, Cynthia Nicole , MD 258 DeRose, Paul M, MD 378 Divine Home Health Care 454 Davis, Daniel G, DO 390 Derrick, Chase D, MD 360 Divine, Laura M, MD 178 Davis, Jason A, MD 309, 311 Derrick, Heather S, MD 250 Dixon, Curtis M, PT 358 Davis, Nancy , OD 299 Derrick, Howard C, MD386, 388, Dizdarevic, Sanio , DC 113, 119 Davis, Nicole E, OD 295 390 DME Scooters & More 449 Davis, Pamela A, LCSW 205, 206, Desai, Devak G, MD 195 dMedicus LLC 449 207, 208, 211 Desai, Manish D, MD 17, 18 Do, Linda , MD 257, 259 Davis, Randall Thomas, MD186, Desai, Seemal R, MD 130, 136 Do, Long T, OD 297 269, 270 Desai, Shuchi G, MD 251 Do, Son T, MD 162 Davis, Timothy , DCM 118, 120 Desai, Sima Y, MD 354 Do, Tai , MD 398, 400 Davis, Tricia , LCSW 207 Deshmukh, Avi T, MD 412, 413 Do, Thang H, OD 293 Davis, Vicki B, MD 51 Destination Life Therapy & Doan, Dianne , OD 297 Davis, William C, DCM 118 Wellness 480 Dobariya, Manojkumar A, MD 20 Day, Andrew K, MD 102 Devidoss, Sharmila , MD 238 Dobi, Brittany C, MD 249 Day, April M, MD * 25 Deville, James B, MD 86, 88, 89 Dohadwala, Mustafa , MD 86, 87, Day, Robert , OD 297 Dewar, Thomas N, MD 174 88 De Grasse, Jane , OD 303 Dhaliwal, Hardeep , MD 64 Dolan, Elizabeth , MD 134 De Jesus-Perez, Marisol , PhD436 Dharamsi, Jennifer W, MD 128 Dold, Andrew P, MD 309 De La Pena, Octavio A, MD 159 Dharma, Chrisette , MD 22 Dollahite, Henry , MD 44 de la Torre, Francisco J, MD * 48 Dharma, Shashi K, MD 280, 281 Dominguez, Edward A, MD 192 De Los Santos, Billy , MD 63 Dhavaleshwar, Deepti , MD 158, Donegan, Kerry M, MD 328, 329 De Soyza, Devinda , MD 225 159, 160 Donsky, Alan S, MD 87, 89 De Yoe, Brian E, DPM 362, 363 Dhawan, Jasbir , MD 149 Doody, Kathleen , MD 380, 381 Dean, Asad , MD 269 Dhelaria, Ranjit K, MD 225, 231, Doppalapudi, Hima , MD 353, 354 234 Dean, F. Thomas , MD 256 Dorfman, Lathmany P, MD 25 Dhesi, Sukhdeep S, DO 125 Dean, Heather , AUD 85 Dossett, Andrew B, MD 316 Diaz, Paola , OD 291, 293 Dean, Jessica A, DO 31 Dott, Kenneth W, DO 29 Dib, Chadi , MD 107, 109 Dean, Thad J, DO 323, 327, 330 Dotti, Michael W, MD * 49 Dick, Karla R, DO 48 Deems, David A, MD 29, 47 Doughty, Kyle E, MD 239, 240 Dickerman, Richard M, MD 390 Deheshi, Benjamin , MD 327 Doughty, Rhea , DCM 117 Dickerman, Rob D, DO 238 Dehn, Kara L, OD 303 Douglas, Janet , LCSW * 209 Dickson, Devin L, MD 200 Dela Cruz, Roberto B, MD * 31 Douthit, Bruce E, MD 309 Diehl, Troy Chester, DO 309 DelasAlas, Harold C, MD 79 Downey, Charles R, MD 253, 257 Dieu, Ngoc B, DO 44 Delaughter, Michael C, MD 90 Downs, John M, MD 122 Diggikar, Shrinivas M, MD 185, Della Nebbia, Christina , PHD 248 268 Downtown Health and Rehabilitation Center 427 Deloach, Joe , OD 293 Dike, Nnamdi C, DO 244 Doyle, Kimberly C, PHD 248 DeltaCare Home Health Dikkala, Sudharani , MD * 233 Services 455 Doyle, Robert J, DPM 363 Dimafelix, Crisanto , MD 22, 41

Índice alfabético Demaggio, Julie , DO 293 Drake, William N, MD * 49 DiMaio, John M, MD 402 Alphabetical Index / DeMarco, Daniel C, MD 164 Draughon, Angela , DCM 117 Dimmitt, Dean C, MD 56 Denham, Claude A, MD 263 Drinkard, Lee Campbell, MD 184, Dimock, Julie , LCSW 204 185, 187, 265, 267, 271 Dina, Torten N, MD 190

516 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Drkulec, John A, MD 323, 330 Edwards, Lewis T, MD 56 Encompass Health Rehabilitation Drotar, Sully A, DO 56 Edwards, Madison , DO 22 Hospital of Dallas 494 Drury, Benjamin T, MD 327, 329 Edwards-Key, Karen A, MD 251 Encompass Health Rehabilitation D'Souza, Denzil G, MD 112 Eelani, Frood , DO 68 Hospital of Plano 494 DTR Labs, LLC 468 Egan, Ashley , MD 395, 397 Encompass Home Health of DFW 454, 456, 457, 458 Dubey, Ajay K, MD 379, 380 Ehie, Chinazo C, OD 293, 295, 300, 302, 305 Encompass Home Health of Dubiel, Rosemary A, DO 354, 355 Greater Dallas 454 Ehmer, Dale R, MD 333 DuChene, Joseph P, DCM 116 Encompass Home Health of North Ducic, Yadranko , MD 338, 339 Eidem, Matthew W, MD 162 Central Texas 456, 457, 458 Dudrow, Joseph G, DCM 117 Eidson, Thomas E, DO 156 Encompass Home Health of Duffy, Frederick J, MD 359 Eidt, John F, MD 417 Northeast Texas 453, 456 Duffy, Michael F, MD 330 Eifling, Michael D, MD 90 Encompass Hospice of DFW 459 Duffy, Steve L, MD 386, 387 Eisenberg, David H, DPM362, 363 Endoscopy Center at Central Duhon, Craig R, MD 325 Eisenberg, Dennis Craig, MD 251 Park 442 Duncan, John W, MD 92 Eitel, Betty , PHD 439 Endoscopy Center at Redbird Duncanville Healthcare and Ekadi, Kofoworola , MD 67 Square 441 Rehabilitation Center 425 Ekpo, Felicia , DO 137 Enger, Michael G, MD 42 Dunn, Chelsea T, MD 56 Elbert, Annette M, MD 398 English, Jamie G, LCSW 205, 210 Dunnigan, Michael , DO 140 El-Feky, Waleed H, MD 243 Ensey, Jane , DO * 43 Duong, Huy X, DO 375 Elieff, Steven L, MD 282 Enter, Daniel H, MD 403 Duong, Nghiem H, OD 298 Elieson, Melvin J, MD 398, 399 Epstein, Ira M, DO 234, 237 Duong, Peter , DCM 121 Elkins, Linda C, MD 380 Epstein, Jeremy M, MD 340, 341, Duong, Trung C, MD 52 Elko, Alexandra R, DO 26 344, 345 Duraiswamy, Sangeethapriya , Ellenbecker, Beau J, DO 34, 35 Erfani, Kourosh , DCM 116 MD 159, 164 Ellendula, Swati , MD 430 Escobar, Carolina , MD 183, 263 Durham, Kathryn , MD 141 Ellington, Timothy D, MD 66 Estrera, Kenneth , MD 309, 326 Duvuuri, Vani , MD 151 Ellington, Timothy D, MD * 66 Ettinger, Alan I, DPM 366 Dwyer, Christopher R, MD 125 Elliott, Joshua B, DC 118 Eubank, Kelly , MD 134 E Elliott, Robert L, MD 399 Eubank, Lon , OD 300 Eapen, Reenu S, MD 350 Elliott, Tracy H, MD 249 Eubanks, Aaron C, MD 331 Earhart, James M, MD 38 Ellis, Malathi V, MD 249 Evangelista, Anthony W, MD 273, 276, 283, 286, 290 Earnest, Rachael F, MD 128 Ellis, Thomas S, MD 241 Evans, Matthew R, MD 91, 92, 97, Earwood, Kristen , LCSW 207 Elliston, Walter R, MD 430, 431 East, Cara A, MD 95 100, 101 Elmahi, Mutaz A, MD 200 Evans, Michael B, MD 337 East, John W, DO 341, 353 Elmhishi, Osama , MD 234 Eastland Memorial Hospital dba Evans, Rachael C, DO 22 ElSaadi, Bachar , MD 153, 154, Evans, Sheridan S, MD 17 Keller Oaks Healthcare 156 Center 428 Evans, Tanya H, MD 160, 162 Elsayed, Essam , MD 215 Eastman, Amy B, MD 397 Evanson, J Richard L, DO 313 Elsiesy, Hussien A, MD 189 Ebrahim, Ayesha , MD 152, 406 Even, Jesse L, MD 320, 326 Elwazir, Esmail M, MD 164, 165 Echt, Gregory A, MD 377 Everton, Michael J, MD 144 Elwir, Saleh , MD 188, 407 Eden, Kimberly T, MD * 44 Ewaida, Nader , MD 385 Emanuel, Matthew E, MD 273, Edgepark Medical Supplies 449 276, 287 Ewing, Daniel , OD 301 Edgewood Rehabilitation and Embabi, Ahmed , MD 340, 346 Excel Plus Home Health, Inc 453 Care Center 425 Excellent Healthcare Services 458

Emerson, Nathan L, MD 399 Índice alfabético Edling, Jason E, MD 159, 162 Emmett, Katrina , MD 390 Eye Surgery Center of North Alphabetical Index / Edmonson, Robert , MD 95 Dallas 441 Encompass Health Home Edmonson, Robert E, MD 95, 97 Health 458 Eylar, Crystal , OD 299, 301 Edwards, David N, MD 87 F

517 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Fabro, Delano , DO 375 Ferris, Mark C, MD 371 Foster, Christopher , MD 56 Fabrygel, Bethany , OD 303 Fichera, Alessandro , MD 122 Foster, Crystal R, MD 27 Fahmi, Saleemah Y, MD 150, 151 Ficula, Robert E, DO 95, 101 Foster, Gregory H, MD 373 Fahmy, Hanan , MD 225 Fine, Bruce Anthony, MD 178 Foster, Michael L, MD 373 Fahoum, Samer H, MD 375 Fine, Joshua K, MD 410 Foster, Travis A, MD 419 Faigin, Al E, DO 44 Fine, Robert L, MD 190 Foster, Troy , DO 355, 356, 358 Fairbanks, John L, MD 412 Fink, Karen L, MD 243 Founders Plaza Nursing and Faith Presbyterian Hospice 459 Finkelstein, Jason S, MD 92, 106 Rehab 426 Fajardo, Osvaldo , MD 159, 160 Finn, S S, MD 239 Four Seasons Home Health Falcone, Adam , MD 102 Firoz, Najam M, MD 224, 228 Services Inc 454 Fallin, Kenneth J, LCSW 210 First Choice Home Health Fowers, Michelle B, MD 73 Family Connections Home Health Care 454 Fowler, Paul L, DCM 115, 116 Care 455 Firstenberg, Barry A, DO 186, 270 Fox, Nikki S, DO 348, 357 Family Home Healthcare, LLC 456 Fisch, Jason P, MD 18 Fradkin, Kevin , MD 386, 388, 393, Fan, Xinqing F, MD 162, 170 Fischbach, Bernard V, MD 234 394, 395, 397, 400 Fang, Hesper L, PT 358 Fish, Gary E, MD 273, 276, 282, Francesconi, James E, MD 242, 245 Farah, Fahmi J, MD 105 285, 286 Fish, Larry A, MD 271, 276 Frank, Brannon R, MD 340, 344, Farah, Nabeel W, MD 384 345, 350 Fisher, Jeffrey , MD 48 Farhat, George Antoun, MD 349 Franklin, Jay O, MD 87 Fisher, Russell G, DO 104 Faridi, Amir A, MD 185, 267 Franko, Edward R, MD 122, 123 Fitzgerald, Marie H, MD 81 Farkas, Robert A, MD 215, 218 Fraser, Yolanda M, LCSW 211, Farran, Sumaya , MD 195 Flanagan, Brian K, MD 342 213 Farris, Kelly E, MD 18 Flanagin, Brody A, MD309, 310, Frasier, Kelly J, MD 273, 277, 283, Farrukh, Omar , MD 218 316 286, 290 Farzam, Steven A, MD 259 Fleager, Kristen E, MD 328, 329 Frazee, Lewis J, MD 273 Fasola, Carlos G, MD 407 Fleischauer, Scott L, MD 268 Freeland, Katherine W, DPM 361, Fass, Oren N, MD 276, 281 Fleischli, Mary E, MD 128, 130, 364 134 Fast Specialty Pharmacy 459 Freeland, Zachary , MD 198 Fleshman, James W, MD 122 Fastercare 502 Freele, Robert B, MD 431 Fletcher, John T, MD 172 FastMed Urgent Care 501, 502 Freeman, Harold Paul, MD 379 Flippo, Korie L, MD 262 Favour, Susan E, MD * 56 Freese, Andrew P, MD310, 313, Flom, Judith , MD 191 Fay, Matt , MD 112, 113 320, 322, 331 Florentino, Kimberly M, AUD 84 Fayiga, Yomi Odunlami, MD 122 Frei, Elisabeth , MD 386, 388, 390 Flores, Jesus , MD 122 Fazal, Samina , MD 218 French, Christopher J, MD 95, 102 Flowers, Brian E, MD 288, 290 Fazio, Gary P, MD 94, 100, 101 French, Dan B, MD 410 Flowers, Julia C, MD 260 Feehery, Terrence M, DO 29, 47 Frenkel, Peter A, MD 109 Flowers, LaTosha , MD154, 155, Feghali, Georges A, MD 108, 111 Fresenius Kidney Care Balch 156, 158 Springs 444 Fein, Jordan , DPM 366 Fojtasek, Marvin , MD 190, 191, Fresenius Kidney Care Cedar Feingold, Richard J, DO 105, 106 192, 193, 194, 196 Hill 444 Feldtman, Robert , MD 417, 418 Fong, David W, MD 249 Fresenius Kidney Care East Fort Fellman, Ronald L, MD 276 Fonte, Hiyas D, MD 70 Worth 446 Felps, Kelly , MD 69 Ford, Douglas T, MD 286 Fresenius Kidney Care Keller 446 Ferenczhalmy, Suzanne R, Fordan, Steve V, MD 150, 151, Fresenius Kidney Care Renner OD 293, 298 152 Road 445

Índice alfabético Fernandes, Neville F, MD165, 169 Fordjour, Kusi , MD 199 Fresenius Kidney Care Southeast Alphabetical Index / Fernandez, Hoylan , MD 407 Foreman, Michael L, MD 125 Fort Worth 446 Ferrara, Craig A, DO 417, 418 Foremost Family Health Fresenius Kidney Care Willow Centers 15 Bend Dialysis Center 444

518 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Fresenius Medical Care Fresenius-Collin County Dialysis Fung, Deborah C, MD 74 Burleson 446 Center 444 Funk, Geoffrey A, MD 126 Fresenius Medical Care Cockrell Fresenius-Farmers Branch Fuquay, Richard C, MD 224 Hill 444 Dialysis Center 445 Furman, Allan J, MD 155 Fresenius Medical Care Dialysis Fresenius-Metro East Dialysis Fyfe, Alistair I, MD 95 Services Grapevine 446 Center 445 G Fresenius Medical Care Dialysis Fresenius-North Buckner Dialysis Gable, Dennis R, MD 417, 418 Services McKinney 444 Center 445 Gabriel, Adami , PsyD 438 Fresenius Medical Care Dialysis Fresenius-Northeast Dialysis Services Southwestern 444 Center 446 Gaddam, Satish K, MD 242 Fresenius Medical Care Dialysis Fresenius-Redbird Dialysis Gadol, Steven M, MD 162, 170 Services Terrell 446 Center 445 Gafford, Philip S, MD 387 Fresenius Medical Care Dialysis Fresenius-Renal Care Group Gagadam, Dayaker Rao, MD 375 Services Waxahachie 445 Irving 445 Gaitonde, Ashwin , MD 249, 254 Fresenius Medical Care Ennis 445 Fresenius-South Oak Cliff Dialysis Gaitonde, Shrawan G, MD 401 Fresenius Medical Care Forest Center 445 Gajanayaka, Ranil , MD 225 Park 444 Fresenius-Swiss Avenue Dialysis Galaxy Imaging 462 Fresenius Medical Care Frisco444 Center 445 Gallegos, Cinthia , MD 194 Fresenius Medical Care Ft Worth Fresenius-Tarrant County Gaman, Walter N, MD 29 Campus Dialysis 446 Parkway 446 Gamarnik, Shari C, MD 16 Fresenius-Towngate Dialysis Fresenius Medical Care Gamble, Lisa L, MD 371, 376 Granbury 445 Center 445 Gammon, Robert B, MD 373 Fresenius Medical Care Grand Fresenius-Trinity Dialysis Prairie 445 Center 446 Gandhi, Darshan G, MD 183, 263 Fresenius Medical Care Hillsboro Fresenius-Village II Dialysis Gandhi, Neelay R, MD 16 Kidney Center 445 Center 445 Gandhi, Soren , MD 165 Fresenius Medical Care Fresenius-Walnut Hill Dialysis Gandhi, Tarun , OD 298 Kaufman 446 Center 445 Ganesa, Prasanthi , MD 269 Fresenius Medical Care Kiest Freudigman, Paul T, MD 324 Gangi, Sumana , MD 151 Station 444 Frey, Patrick R, MD 416 Ganz, Keyvan , DPM 366, 368 Fresenius Medical Care North Friedman, Bradley R, MD * 16 Gao, Ya , DO 19 Garland 445 Friedman, Daniel A, MD 159, 162 Gaona, Carlos J, MD 386, 387 Fresenius Medical Care of Friedman, Lawrie H, MD 31 Northside 446 Garcia Ruiz de Somocurcio, Frisco Physical Therapy Limited Javier , MD 254 Fresenius Medical Care of West Partnership 482 Plano 444 Garcia Soto, Arlene , MD 178 Frisco Speech & Language Garcia, Alex W, DPM 363 Fresenius Medical Care PD Therapy, LLC 498 Garcia, Alfredo , MD * 56 Services of Dallas 444 Froehlich, Heather , MD 144 Garcia, Chris , MD 42 Fresenius Medical Care Pleasant Frontera Strategies, LP 467, 470 Run 445 Garcia, Gonzalo H, MD 257 Frost, Steve M, MD 410 Fresenius Medical Care Garcia, Paul J, DO * 67, 68 Frye, Derek D, DCM 115 Rowlett 445 Garcia, Tiffany N, MD 254 Ft Worth Wellness & Fresenius Medical Care Gardner, Jack D, MD 244 Southwest Ft Worth 446 Rehabilitation 427 Fulcher, Garland , DCM 114 Gardner, Sarah V, DO 62, 68 Fresenius Medical Care Garff, Shaun P, DO 154, 158 Weatherford 446 Fulcher, Jaclyn , DC 114 Garg, Nidhi , MD 224 Fresenius-BMA Corsicana 446 Fulgham, Pat F, MD 410 Garland Behavioral Hospital429, Fresenius-BMA Dallas Central 444 Fuller, Christopher K, MD 132, 139, 141 493 Índice alfabético

Fresenius-BMA Dallas South 444 Alphabetical Index / Fuller, Deborah A, MD 253 Garland Nursing & Rehabilitation Fresenius-BMA South Dallas LP 425 Fuller, Dwain G, MD 277 County 444 Garner, Lisa A, MD 136 Fuller, Timothy S, MD 277, 288

519 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Garrett-Price, Ahmad R, MD 22 Gilbey, Jack G, MD 375 Good Shepherd Health Care Garza, Aimee , MD 242 Gill, George K, MD 327 Services, INC 455 Garza, David E, MD 52 Gill, Sandeep Singh, DO 269 Goodall-Witcher Clinic in Garza, Elma A, LCSW 210 Gill, Vanessa M, LCSW 208 Whitney 495 Garza, Mark , MD 346, 348 Gillette, Arve Ward, MD 377 Goodwin, Grady G, MD 56 Gateway Physical Therapy 482, Gilliland, Grant D, MD 277 Gopal, Ambarish , MD 92 490 Gillman, Jason , MD 192 Gopalakrishnan, Deepika , MD 92 Gautam, Manjushree , MD 189, Ginchansky, Elliot , MD 79 Gordon, Lori L, MD 125 408 Giri, Bala K, MD 239 Gorman, Valerie J, MD 396 Gautam, Micky K, DO 434 Givens, Kelly J, MD 22 Goshen Healthcare Services, LLC 456 Gautam, Shovendra , MD 201 Gladney, Robert , MD 254 Gottesman, Andrew Rodney, Gavalda, Juan C, MD 27 Gladnick, Brian P, MD 316 Gavino, Christine K, DO 43 MD 165 Glans, Howard , DC 121 Gottlieb, Morris B, MD 336 Gayle, Sarita , MD 165 Glanzer, Mark , OD 295, 300, 302 Gelender, Henry , MD 273, 277 Gottlieb, Robert L, MD92, 95, 406, Glaser, Brian D, DO 33 407 Gemas, Terry K, MD 316, 325 Gleason, Raleigh R, MD 375 Gou, Darlene E, MD 130, 132, Genecov, David , MD 359 Glen Oaks Hospital 429, 493 134, 136, 137, 143 Gengler, Brian J, MD 320 Glenview Wellness & Gould, David L, MD 415 Genta, Marcia S, MD 381 Rehabilitation 428 Gould, Shaun P, DO 27 George, Betsy A, MD 95 Glover, Amanda G, PsyD 435 Goulet, Emily J, MD 380 George, Gerald G, DO 27 Glowacki, Lori S, MD 214, 215, Goyal, Vikas , MD 126, 202 George, Jessie , MD 214, 215 228 Grabski, William , MD 140 George, Jim , MD 39 Godfrey, David G, MD 273, 277, Grace Compassion Home Health George, John M, MD 110 288 Agency 453 George, Josh O, MD 174 Godsey, Kenneth B, MD * 52 Grace Counseling Center 439, George, Susan , MD 33 Goel, Satish , MD 73 499, 500 George, Timothy J, MD 402 Goen, Patricia A, MD 71 Grace Rehab, Inc 491 Georgekutty, Nancy , MD 48 Gogel, Brian Matthew, MD 390 Grace, Michael L, OD 304 George-Zieser, Shalomi M, DO 62 Gohar, Salman , MD 95, 105 Graceffo, Michael A, MD 111 Gerich, Alicia D, LCSW205, 206, Gohmert, Andrea K, AUD 84 Graham, Camille A, MD 333, 337, 208 Gold, Daniel M, MD 284 338 Ghali, Fred E, MD 128, 142 Gold, Sandra L, DPM 361, 364 Graham, Chester F, MD 408 Ghattas, Paul , DO 310 Golden Acres Living & Graham, Jack M, MD 203 Ghazi, Aasia Ishrat , MD 78, 80 Rehabilitation Center 425 Graham, Robert , DCM 118 Ghisoli, Maurizio Lorenzo, MD 351 Golden, Lori , PHD 436 Grahovec, Morgan , PHD 438 Ghobriel, Aldo A, MD 411 Goldman, Stanton , MD 351 Granado-Chaney, ReeDee , Ghosh, Kirat S, MD 17, 22, 26, 29, Goldsberry, Dennis H, MD 271 OD 304 35, 45, 49 Goldstein, Robert M, MD 407, 408 Granbury Care Center 426 Gibbs, Lawrence M, MD 22 Golub, Vitaly , MD 196 Granbury Rehab & Nursing 426 Gibbs, Mark E, MD 34 Golwala, Amol B, DO 31 Grand, Harrell , MD 56 Gibson, Charmaine , MD 257 Gomez-Lozano, Cesar A, MD 62 Graneto, Donald A, MD 22 Gibson, Juliet F, MD 137 Gonnalagadda, Sreeram , MD 19 Grant, J Kirkland , MD 258 Gibson, Lillian , PHD 436 Gonzales, James D, MD 182, 339 Grant, Michael Daniel, MD 390 Gicheru, Sidney K, MD273, 280, Gonzalez, Eduardo A, MD 42 Grasty, Betty , MD 62 290 Gonzalez, Stevan A, MD 188, 189 Gratch, Jack O, DO 235 Índice alfabético

Alphabetical Index / Gieser, Steven M, MD 218, 231 Gonzalez-Davila, Adolfo , DO 398 Graves, Julia C, MD 22 Giesler, Danielle M, MD 124 Gonzalez-Stawinski, Gonzalo V, Graves, Nathan L, MD 416 Gilada, Daniel R, MD 101 MD 403, 404 Graves, Paul , DCM 114 Gilbert, Matthew W, DC 118 Good Night Medical 447 Graves, Reese C, MD 31

520 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Graybeal, Dion F, MD 243 Grover, Davinder S, MD 273, 277, Halbouni, Saadi M, MD 419 Graybill, David B, DO 347 288 Haley, Carlton M, MD 280 Grayburn, Paul Arthur, MD 95 Groves, Lance , DCM 114 Haley, Clinton C, MD 192 Grays, Peter E, MD 390, 397 Guardian Angels At Home Care Haley, John M, MD 280 Grazia, Todd , MD 126 Inc 455 Haley, Lindsey , MD 254 Greaser, Raymond D, MD 348 Guardian Healthcare456, 457, 458 Haley, Steven A, MD 95 Green Oaks Physical Therapy484, Guerrero-Miranda, Cesar Y, Halker, Raj R, MD 235 MD 407 488 Hall, Christopher S, MD 310, 313, Green Oaks Physical Therapy - Guidry Pruett, Lisa A, MD 137 320, 322, 331 Fort Worth 490 Guirguis, Medhat , MD 435 Hall, David A, MD 174 Green Oaks Physical Therapy Gulati, Salil , MD 359 Hall, Jessica , OD 300 Limited Partnership 483, 484, Gulick, Jennifer R, MD 249 Hall, Randall S, DO 106 487, 489, 491 Gumbrecht, Dennis G, MD 342 Hall, Shelley A, MD 95, 407 Green Valley Healthcare and Gummelt, Kyle L, DO 57 Rehabilitation Center 427 Haman, Robert Mark, DO 29 Gunby, Robert T, MD 254 Hambright, Susannah M, MD 391 Green, Matthew N, MD * 17, 22, Gunukula, Srinivas R, MD 109 26, 29, 35, 45, 49 Hamdard, Iram , MD 67 Guo, Xunxi S, MD 218 Green, Rufus , MD 410 Hamilton, John K, MD 165, 172 Gupta, Amar , MD 407, 408 Greenberg, Cindy , MD 134 Hamilton, Rita G, DO 354 Gupta, Arti , MD 218 Greenberg, Jeffrey Evan, MD 376 Hammad Al Taq, Hiba , MD 198 Gupta, Gaurav , MD 108, 109 Greenberg, Mark S, MD 320, 322, Hamman, Baron L, MD 403, 404 331 Gupta, Manish , MD 262, 265 Hamn, Stephen V, MD 389 Greenberg, Scott L, MD 88, 89, 90 Gupta, Rohan , DO 267, 269 Han, Derek Y, MD 288, 290 Greenfield, Charles F, MD 243 Gupta, Sandeep , MD 78 Han, Michelle M, MD 73 Greer, Daria K, MD * 45 Guryan, Rupinder K, DO 37 Hancock, Kenneth Charles, Greer, NaStassia , PHD 437 Gustovich, Carla A, MD 130, 137 MD 179 Greer, Sara , MD 133, 139, 141 Gutta, Kumar , MD 174 Handley, Robert A, MD 144 Gregg, Robert , PHD 436 Guttigoli, Amit B, MD 87, 88, 90 Handoyo, Anthony W, DO 19 Gregorcyk, Sharon G, MD 122 Guttikonda, Sreedevi , MD 151 Hanger Clinic 492 Gregory, David K, MD 280 Guyer, Richard D, MD 313, 323 Hanger Prosthetics & Orthotics Grenier, Liesl , MD 139 Guzzardo, Paulina N, LMFT 211 West, Inc 491 Grice, David , DO 136 H Hanger Prosthetics & Orthotics, Ha, Richard Y, MD 359 Inc 492 Griffeth, Landis K, MD 248 Habib, Adil , MD 188, 189 Hanks, David , PHD 437 Griffin, Gregory A, DCM 116 Hackett, Paul S, MD 123, 124 Hanks, Ricky , DCM 116 Griffin, Kaylene S, MD 74 Haddock, Leann , MD 254 Hanna, Ehab , MD 68 Griffin, Neal E, DCM 120 Haden, James R, MD 82 Hansen, Meghan , MD 386, 387, Griffin, Patrick T, MD 186, 269 Hadley, Emily E, MD 203 389 Griffin, Robin , LCSW 210 Hafeez, Abdul , MD 235 Hansen, Phillip E, MD 316 Griffin, Somsri , MD 431, 432 Haffar, Shiela , MD 184, 185, 266, Hanson, Ronald , LCSW 205 Grigsby, Danielle N, MD 72, 75 268 Hanstad, Bradley , OD 291 Grimes, Kelly D, DO 157 Hahn, Michael K, MD 320, 322, Haq, Anwarul , MD 243 Grimes, Tate A, MD 153, 154, 156, 331 Haq, Faisal E, MD 271, 273 157, 383, 384 Hahn, Yoav , MD 181, 335 Haq, Mahenaaz , MD 177 Grimshaw, Emily , MD 134 Haidara, Moulaye A, MD 273, 277, Haqqani, Muhammad A, MD 430, Grimsley, Bradley Ray, MD 416, 283, 286, 290 432

417, 419 Índice alfabético Haider, Munawar , MD 43 Haque, Ammar A, MD 218, 225, Gross, Michael B, MD 409, 410 Haile, Nathan B, MD 309 229, 230, 232 Alphabetical Index / Gross, Robert David, MD 277 Hainsfurther, Jessica L, DO 22 Haque, Atif , MD 240, 241 Grossman, Stanley J, MD 248 Hajovsky, Brian A, MD 288

521 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Haque, Seema , MD 434 Havemann, Leslie C, MD 254 Heffernan, Jennifer D, MD 22 Harandi, Safoora , MD 52 Haven Behavioral Hospital of Heffernan, Jill Prince, MD376, 378 Harder, Gerald J, MD 70 Frisco 429, 492 Hegde, Huong T, MD 409 Hardick, Leslie C, DO 259 Haven Home Health, LLC 453, Heidbrink, Peter J, MD 373 Hardin, Mark , MD * 335 456, 458 Heinrich, John B, MD 310, 316 Hardin, Tara L, OD 292, 297 Havins, Jeremiah D, MD 110, 201 Heistein, Jonathan B, MD 361 Hardt, Pattyann Amanda, MD 259 Hawkins, Germaine , DO405, 406, Heitzman, Daragh , MD 243 432, 433, 434, 435 Hargrave, Sylvia L, MD 277 Helbert-Green, Carolyn L, OD 303 Hawkins, Jeffery K, MD 156, 157, Hariz, George M, MD 394 158 Heller, Howard J, MD 150 Harkins, Danielle , DCM 120 Hawkins, Phillip , LCSW 204 Heller, Susan Holland, MD 352 Harman, Bruce A, MD 200 Hayee, Abdul Ahad, MD 345, 350 Helm, Matthew , MD 129, 139 Harn, Jason B, MD 249 Hayes, Clint A, MD 396 Hendawi, Tariq K, MD 320, 326, 331 Harn, Laura K, MD 71 Hayes, DeMarquis M, PhD 436, Harness-Brumley, Cayce L, 438 Henderson, Elizabeth A, MD * 75 MD 371 Hayes, Lorrie B, MD * 67 Henderson, Kyle D, MD 71 Harper, Elise M, MD 249 Hayes, Pamela P, MD 187 Henderson, Randall , DO 39 Harrington, Katherine B, MD 402 Hayes, Randall E, DO 44 Hendricks, George D, MD285, 288 Harris, John R, MD 316, 330 Hayhurst, James C, MD 416, 418 Henke, Jeffrey W, MD 391 Harris, Jon , MD 397 Haynsworth, Robert F, MD 341 Hennessy, Michael W, MD 310, 313, 314, 316, 327 Harris, Ricky L, DO 100 Hays, Randall L, MD155, 156, 158 Henry, Albert C, MD 403 Harris, Samar , MD 172 Hays, Steven R, MD 218 Henry, Clara H, MD 138 Harris, Stacy P, DCM 120 Hays, Williams A, MD 22 Henry, Gary , PHD 437 Harris, Steven A, MD 254 Hazzard, Shana L, LCSW 211 Henry, Travis S, MD 74 Harris-Henderson, Kesha Head, Kelleigh , PsyD 435, 437 Richelle, MD 377 Herbst, Rebecca A, MD 150 Head, Michael K, OD 303, 305 Harrison, Gregory , OD 293, 294 Hergert, Tyce D, DCM 121 Heal 360 Urgent Care PLLC 502 Harrison, Jason M, MD 397 Heritage Gardens Rehabilitation Heald, Joan , LCSW 205 Harrison, Paul C, MD 42 and Healthcare 424 Healing Touch Homecare LLC 456 Hart, Bradley J, MD 389 Heritage HomeCare 454 Health Quest Home Health Inc455 Hartman, Israel A, MD 152 Heritage House of Keller Health & Health Services of North Texas, Rehab Center 428 Hartono, John R, MD 215, 224 Inc 15, 443 Harvey, Ruth T, DO * 27, 44 Heritage Place of Decatur LP 428 Healthcare Corporation of Heritage Surgery Center, LLC 440 Harvey, Tiffany M, MD 62 America, Inc 453 Hasan, Asma , MD 218 Heritage Trails Nursing & Healthcare Resources 458 Rehabilitation Center 427 Hasan, Syed S, MD 171 Healthline Medical Equipment, Herman, Wesley K, MD 277, 284 Haselhorst, Erik , OD 303 Inc 448, 449 Hernandez, Celso A, MD 203, 259 Haslam, Sean , MD 310 Healthsouth Rehabiitation Hospital of the Mid Cities 494 Hernandez, Miguel A, MD 316, Hasnain, Wirasat , MD 218 317, 330 HealthSouth Rehabilitation Hassan, Humaira , OD 299 Hernandez, Omar , MD 27, 35, 36 Hassan, Sarah , MD 198 Hospital of Richardson LLC 494 Healthwatch Professionals 454 Hernandez, Wilson L, MD 377 Hassan, Youssef S, MD 151 Herold, Victoria C, DO 16 Hassell, Jeffrey S, MD 409 Hearing Solutions Inc 450 Hearne, Monika , MD 257 Herrera, Rodolfo A, MD 348, 349, Hassell, Kyle , DCM 115 350 Hassinger, Sean M, MD 310, 311, Heart of Texas Home Healthcare Services 457 Herzog, Steven P, MD 243 Índice alfabético 313, 322, 331 Hester, Andrea , PhD 248 Alphabetical Index / Hatcher, Stacey L, MD 70 Hebeler, Robert F, MD 403 Hebert, Christopher A, MD 218 Hickl, Andrew G, MD 57 Hausenfluke, Matthew , DPM 362 Hickory Trail Hospital 429, 493 Havemann, Dara L, MD 250 Hecht, Jennifer A, DO 398 Hecht, Phillip J, MD 101, 105 Hidalgo, Idania S, MD 27

522 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Hill Regional Hospital 422 Holub, Leigh Ann, OD 303 Hughes, Jenevieve H, MD 394 Hill, Eric M, MD 176 Home Care Delivered 446 Hughes, Matthew R, MD 124 Hilliard, Stuart M, MD 401 Home Care Network East, Inc 454 Hulen, Han P, MD 408 Hilz, Michael , MD 412 Home Care Providers of Hull, Christopher K, DO 324, 327 Hines, Mujahid A, MD 273, 277, Texas 454 Humphrey, Alfred L, MD 272, 277 283, 286, 290 Home Health Care of North Hunt, Agatha A, MD 76 Hines, Stephen L, MD 57 Central Texas 458 Hunt, Judson M, MD 218 Hingle, Laurie D, MD 71 Home Hospice of Grayson Hunter, David K, DDS * 306, 307 County 459, 460 Hinrichs, Marilyn M, AUD 83, 85 Hunter, Roderick C, DPM 361 Hominick, David P, MD 57 Hiraki, Stephanie J, DO 68 Hupert, Mark J, MD 194 Hito, Ramey , DO 57 Hong, Chian-Huey , MD 271, 274, 277, 286 Hurley, Jefferson B, MD 123, 124 Hixon, Christopher G, DO128, 141 Hong, Linh , OD 303 Hurst, Edward P, MD 282, 285 Ho, Hoang M, MD 15 Hong, Thomas J, DO 349 Hurt, Walter G, MD 320, 322, 331 Ho, Kevin K, MD 173, 175, 176 Honig, Kevin M, MD 320, 322, 331 Hurwitz, Jodie L, MD 86, 87 Ho, Michelle M, MD 57 Hoof, Pamela D, MD 187 Hussain, Amena , MD86, 87, 88, Ho, Trieu Q, MD 87, 90 89 Hope Home Care Inc 458 Hoang, Jeannine K, MD 138, 141, Hussain, Kamran R, DPM 365 Hopewell, Clifford Alan, PHD 439 143 Hussain, Mohammad F, MD 228 Hoang, Mai , MD 47 Hopkins, Christopher M, MD323, 325, 330 Hussain, Muzzaffar , MD 218 Hobbs, Brian K, DC 116 Hopkins, Loyce , LCSW 207 Hussain, Shadid , MD 432, 434 Hodges, Charlotte A, MD 394 Horadam, Victor W, MD 266 Hussaini, Syed M, MD 243, 245 Hodges, Lesia , DO 129 Horn, Cheryl J, MD 72 Hutcheson, Kelley A, MD 402 Hodges, Slade , MD 198 Horstmeyer, Christine G, MD 33 Hutson, Thomas Edgar, DO 263 Hodges, William G, MD 165 Horton, Barbara , LCSW 206, 207, Huynh, Christine H, MD 356 Hoelscher, Amanda , OD 292, 295 208 Huynh, Hung A, DPM 363 Hoffman, Eric J, MD 42 Hoss, Gary V, MD 62 I Hoffman, Steven , DPM 366 Hostin, Richard A, MD 311, 313 Iannelli, Vincent R, MD 75 Hohmann, Stephen E, MD 416, Hotchkiss, William R, MD 317 Ibrahim, Fatima , OD 306 417, 419 Houpt, Karen R, MD 130 Icho, Nanette A, MD 17 Holcombe, Ronica N, DPM 363 House, Michael A, MD 309 Idrizovic, Azra , DO 277 Holden, A Mason , MD 410 Houston, Jody W, MD 169, 175, Igala, Sindhu B, MD 151 Holinej, Sharisse , MD 20 176 Igbinigie, Sherry N, MD 354 Holiner, Joel A, MD 431 Houtz, Andrew , PHD 248 Ighalo, Omonmen O, MD 20, 36 Hollabaugh, Eric S, MD 130, 143 Howard, Michael S, MD 313 Ijaz, Adeel , MD 214 Holland, Danny C, DO 317 Hrnack, Scott A, MD 328 Ijaz, Mohsin , MD 374 Holland, Karen D, MD 352 Hsiao, Marvin L, MD 281 Ikram, Khawaja , DO 317 Holland, Margaret C, MD 45 Hsu, Alice L, MD 215, 224 Ilahe, Amna , MD 219 Hollenshead, Callie M, MD 22 Hsu, Kenneth S, MD 333 Illum, Henrik B, MD 269 Holley, Kathryn , OD 293 Hu, Gang J, MD 284, 288, 290 Iloabachie, Kenny E, MD 337, 338 Holliday, Joel D, DO 30 Huang, Chung-En , MD 335 Imam, Asher S, DO 247 Hollingsworth II, John W, MD 375 Huang, Patti C, MD 333 Immanuel's Healthcare 427 Hollingsworth, Nataki A, MD 32 Hubert, Mark G, MD 311, 324 IMS Experts 449 Hollingsworth, Terry A, MD 32 Hudelson, Mary B, MD 81 Inaganti, Kasturi , MD 382 Hollowell, John S, MD 91, 92, 97 Hudman, Jennifer M, MD 75 Indukuri, P Raju , MD 435

Hollub, Alexander J, MD 37 Hudson, Melissa M, MD 51 Inform Diagnostics, Inc 467 Índice alfabético Hollymead 426 Huebner, Mitchell L, MD 57 Ingle, Donald C, MD 42 Alphabetical Index / Holmes, Houston E, MD 183, 263 Hughes, Blake , OD 299, 305 Innes, Kristen N, MD 249 Holt, Andrew F, MD 171, 175 Hughes, Charlece , DO 246

523 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Innovations Northwest 430, 493 Jalandhara, Nishant , MD 235 Jindal, Vikas , MD 108, 110, 111 Innovations/Changes Jalandhara, Priyanka , MD 383 Jinks, Larry , MD * 65 Arlington 429, 493 Jalil, Bilal A, MD 374 Johari, Soma B, MD 18 Innovative Prosthetics 450 Jamal, Saira , MD 33 John, Sarah J, OD 297 Integra Urgent Care 500 James, George C, MD 105 Johnson, Ashley M, DO 434 Integris Neuro LLC 468 James, Joshua C, MD 333, 334 Johnson, Brett A, MD 23 Integrity Urgent Care 502 James, Kevin B, MD 331 Johnson, Bryan G, MD 64, 196, Inzer, Robert W, MD 254 James, Michael R, OD 293, 295, 200 Ioffe, Boris , DO 142 300, 302, 306 Johnson, David , MD 432 Ipe, George V, MD 57 James, Suzanne , LCSW 204 Johnson, David O, MD 76 Iqbal, Husna , MD 25 Jameson, Michael D, MD 232 Johnson, Denise , OD 299, 301 Iqbal, Mohammed S, MD 200 Jamieson, Andrew O, MD383, 384 Johnson, Denise A, MD 18 Iqbal, Sajid , MD 226 Jamison, John P, MD 317, 323, Johnson, Elizabeth , AUD 85 Ireland, Jack E, MD 155 330 Johnson, Kenneth B, MD 108 Irvine-Moore, LaPonna R, DO * 45 Janecek, Samantha L, PhD 436, Johnson, Marc , MD 45 Isaac, Michael G, MD 91 438 Johnson, Michael A, MD 120 Isbell III, Gerald M, MD 165 Janicki, Peter T, MD 182, 338, 339 Johnson, Nichole K, MD 197 Iskandar, Mazen , MD 396 Janjua, Aasia D, MD 68 Johnson, Nicole A, MD 63 Islahi, Nazish S, MD 22 Jantz, Candice P, MD 162 Johnson, Todd Christian, MD 319, Islam, Asad Ul, MD 433 Jaradat, Majd I, MD 232 325 Islam, Sumbul , MD 66 Jarmon, Martha , LCSW 204 Johnston, Margarita R, MD 412 Isom-Batz, Ginger , MD 410 Jarnagin, Hillary , MD 249 Johnston, Michael T, MD * 57 Israel, Katherine A, MD 57 Jaryga, Gregory A, DPM 367 Johnston, Walter S, MD 387, 395 Israel, Robert W, MD 63 Jasper, Jacob B, DPM 366, 368 Jones, Alan L, MD 317 ISRX Corporation 464 Jasso, Gabriel A, PsyD 436 Jones, Bradley S, MD 63 Issa, Ghadir , MD 73 Jasti, Yashwanth , MD 192, 193, Jones, Brian D, MD 20 195 Iyer, Nithya K, MD 126 Jones, Dan , DPM 362 Jasty, Prasanthi , MD 192, 193, Jones, Kristina M, MD 254 Iyer, Sandhya , MD 288 195 Jones, Michael W, MD 250 J Jay, John L, MD 403, 404 Jabeen, Javaria , DO 33 Jones, Monte F, MD 182, 261 Jayachandran, John V, MD 90 Jabi, Abdulatif A, MD 200 Jones, Olga S, MD 62 Jeane, Martin (Marty) K, PHD 212 Jackman, Christopher , OD 291 Jones, Rebecca , LCSW 205 Jefferson, Henry C, MD 391 Jackson, Kristen N, MD 150 Jones, Richard T, DCM 116, 120 Jelliffe, Katherine H, MD 254 Jackson, Shawna L, AUD 84 Jones, Teresa , DCM 117 Jenevein, Nolan B, MD 243 Jackson, Tiffany , MD 179, 180 Jones, Tiffany L, MD 380 Jenkins, Eric R, MD 340, 341, 342, Jackson, Warren T, PHD 248 343, 344, 345, 347, 349 Jones, Tom N, DO 57 Jacob, Abraham , MD 92 Jenkins, Suzanne , DPM 365 Jones-McCracken, Ashley , LCSW 208 Jacob, Anisha , OD 298 Jenkins, Warren B, DO 16 Jones-Quaidoo, Sean M, MD 309, Jacob, Anita M, OD 292, 293, 295, Jett, Gary Kimble, MD 402 297, 301, 302 310, 317 Jeyarajah, Dhiresh R, MD 395 Jacob, Rhema S, DO * 435 Jorai-Khan, Zaira , DO 71 Jhavar, Sameer , MD 378 Jacobson, Harold N, MD 369, 430 Jordan, David C, MD * 45 Jiang, Chuling , MD 350 Jacobson, Robert M, MD 123 Jordan, Heidi A, MD 270 Jibril, Deanah A, DO 252 Jagalur, Anjana S, MD 228 Jordan, Jennifer A, MD 181, 335 Jimenez, Alfredo H, MD 95 Jordan, William M, DO 268 Índice alfabético Jain, Sharad K, MD 184, 266 Jimenez, Dorian L, DPM 364, 368, Alphabetical Index / Jose, Katherine M, DO 17 Jain, Siddharth G, MD 410, 411 369 Jain, Vikas , MD 383 Joseph, George M, MD 277 Jain, Vikas C, MD 98, 105, 106 Joseph, Jay A, MD 271

524 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Joseph, Ralph E, DO 252 Kancharla, Kiran R, MD 184, 185, Keelen, David M, MD 342 Joseph, Roy M, MD 171 187, 265, 267, 271 Keeneland Nursing and Joseph, Susan M, MD 95, 407 Kandel, Anuj Raj, MD 124 Rehabilitation LP 427 Joshi, Rajeev , MD 86, 87 Kane, Erin P, MD 23 Kelbe, Jilalu A, MD 126 Joslin, Eddie R, MD 65, 66 Kane, Jerome M, MD 246, 247 Kellam, Michael P, MD 242 Joslin, Shirley C, MD 74 Kang, David , MD 306 Kellogg, Kelley G, DO 70 Jowdy, Michelle R, DO 72 Kankanala, Suresh B, MD 68 Kellum, Michael W, MD 15 Joy, Annarosan , MD 43 Kankanala, Vineel , MD 168 Kelly, Allan R, MD 68 Joykutty, Jessy , DO 254 Kannaeganti, Prasad V, MD235, Kelly, Robert , MD 68 Joyner, Kevin T, MD 15 237 Kelly, Ronan , MD 198 Joyner, Shea S, MD 250 Kannan, Lakshmi Priya, MD183, Kelly, Shawn M, OD 292 263 JPS Health Network 471 Kelly, Timothy J, MD 86 Kansal, Rishav , MD 281 Ju, Kevin L, MD 325 Kelly-Sell, Michael J, MD130, 134, Kanu, Obiajuju U, MD 235 Juarez, Maria I, MD 265 137 Kapadia, Lav Steve A, MD 333, Kemp, Richard G, MD 282 Juarez-Gonzalez, Monica , DO 30 334 Judge, Jessica R, DCM 118 Kennedy, Colleen Irene, MD389, Kapadia, Pratik C, MD 57, 58 391, 397 Juvvadi, Sridevi , MD 183, 184, Kapil, Kamna , MD 29 263, 265 Kennedy, Julie E, MD 53 Kaplan, Jeffrey , MD 100 Jyothinagaram, Praveena , Kennedy, Shane W, MD 235 MD 228 Kara, Nishita P, MD 176 Kent, Allen S, MD 328 Jyothinagaram, Srikanth T, MD 63 Karakourtis, Paul H, MD 42 Kent, Vaishali T, MD 398 K Karanges, Gayle A, OD 302 Kerr, Edward E, MD 239 Kabafusion TX 459 Kardatzke, Bradley , OD 297 Kerr, Ronald Neal, MD 263 Kabani, Khadija S, DO 23 Kare, Ramon Paul, MD * 37 Kerr, Trevor John, MD 283 Kable, Sanober , MD 370, 374 Karim, M Asad , MD 91 Kesani, Anil K, MD 329, 331 Kadesky, Keith T, MD 409, 410 Karl, Kutch , OD 297 Kesani, Shaily B, MD 138 Kadiwala, Hamid H, MD 246 Karma Medical Supply, Inc 448 Kethu, Sripathi R, MD 170 Kaff, David , DC 114 Karmegam, Sathish , MD 235 Keylani, Abdul M, MD 110 Kagwima, Ruth , MD 34, 43 Karpati, Adriana , DPM 367 Key-Whitman Surgery Center 441 Kahn, Ben J, MD 165 Kasmiersky, Valerie K, MD 16 Khadbai, Adam , MD 33, 40, 41 Kaila, Divya , MD 126 Kassanoff, Ruby E, MD 58 Khair, Hani N, MD 193 Kaiser, Shaun P, MD 219, 227 Katta, Sindura , MD 150 Khair, Mahmoud M, MD 317 Kakarla, Mahendra N, MD 57 Katyal, Sumit K, MD 342, 344 Khaja, Hena A, MD 272 Kakarla, Raj , MD 254 Katzen, Kenneth L, DO * 27 Khaleel, Mohammed A, MD 310, Kakish, Humam B, MD 416, 417 Katzen, Kevin D, DO * 28 326 Kakkar, Sonia G, DO 30 Kaur, Amandeep , MD 419 Khalid, Humaira , MD 405, 406, Kalaria, Vijay G, MD 112 Kaur, Harman P, MD 63 431, 434, 435 Kale, Hemangi , MD 165, 172 Kaur, Rominder , MD 64 Khalid, Shahram , MD 244 Kale, Parag P, MD 95, 407 Kay, Dennis , MD 277 Khalil, Ali , MD 219 Kalidindi, Vishnu V, MD 90, 91, 92, Kay, Joan P, MD 352 Khammar, George S, MD 103, 105 106 Kay, Joseph H, MD 356, 358 Khan, Ajaz O, MD 30, 48, 49 Kaloyanova, Polina F, MD 150 Kazewych, Mark A, MD 320, 326, Khan, Ali R, MD 153 Kalu, Ifemoa A, MD 202 331 Khan, Amir M, MD 328 Kambhampati, Radha K, MD 433 Kazi, Seema , MD 435 Khan, Amir Maqbul, MD 374 Kamili, Fayak , MD 106 KCI USA, Inc 449 Khan, Anila , MD 67 Índice alfabético

Kamili, Qurat-Ul-Ain , MD77, 78, Kedia, Prashant S, MD 165 Khan, Asad H, DO 344 Alphabetical Index / 80 Kedika, Ramalinga R, MD 170 Khan, Asjad M, MD 126 Kamineni, Suchitra R, MD 65 Kedora, John C, MD 416, 418 Khan, Bilal A, MD 168, 173 Kampas, Christopher P, MD 30 Keehn, Gordon C, MD 280 Khan, Faiza , DPM 361

525 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Khan, Hafiza H, MD 86, 87, 88, 89 Kindred Hospital Dallas Kolluri, Suvarna , MD 351 Khan, Jalil , MD 64 Central 471 Kommana, Sandhya L, MD 202 Khan, Kiran N, MD 219, 226, 230, Kindred Hospital-Tarrant County Kompella, Anuradha , MD 17 232 (Fort Worth Southwest) 471 Konda, Janardhan , MD 168 Khan, Mahboob A, MD 219, 226 Kindred, Robin , MD 258, 261 Konda, Vani J, MD 165 Khan, Mahmood R, MD 53 Kindrick, Stephen D, DO 49 Konduri, Kartik , MD 263 Khan, Mariam , MD 32 Kindsvater, Steve , MD 106, 107 Kondziela, Sherry , MD 357 Khan, Moeid , MD 354 Kinetic Physical Therapy, Inc 483 Konen, Andrew A, MD 342 Khan, Mohammad A, MD 369 King, Karen K, DO 23 Koney, Aruna , MD 58 Khan, Mohammad N, MD 99 King, Kenneth B, OD 305 Kong, Jun H, MD 23 Khan, Mohammed I, MD 353 King, Stacey D, DCM 115 Koning, Jonathan C, MD 340, 341, Khan, Mubashar H, MD 92, 98 Kingly Home Health Care, Inc 455 343 Khan, Muhammad A, MD 106 Kinman, Casey L, MD 250, 252, Kontaratos, James , DCM 115 Khan, Muhammad Azher, MD 68 254, 256, 257, 258 Konvalin, Wade , OD 294 Khan, Rehan , MD 68 Kinney, Melissa H, MD 396 Koon, Erik Colin, MD 178 Khan, Rubina A, MD 235 Kirby, Judith , MD 278 Koone, Mark D, MD 139 Khan, Salman , MD 219 Kirkland, Arrash D, MD 353 Koonsman, Martin L, MD 391 Khan, Shehpar A, MD 226 Kishan, Shyam , MD 317 Kopita, Jeffrey M, MD 371 Khan, Uzma W, RD 144 Kitziger, Kurt J, MD 317 Koreishi, Aaleya F, MD 286, 288 Khan, Yasir , MD 62 Kivelevitch, Dario N, MD 134 Koriakos, Angie , DO 137 Khan, Yasmin B, MD 257 Kizilbash, Ali M, MD 88, 89 Korlakunta, Hema L, MD 100, 101, Khan, Zeeshan T, MD 72, 73 Kjeldgaard, Larry M, DO 329 105 Khawaja, Imran , MD 406, 435 Kleiman, David A, MD 274, 278, Korn, Rebecca , LCSW 208 283, 286, 290 Khayal, Husni , DCM 114 Koshy, Nebu , MD 183, 263 Kleiman, Laurie , MD 431 Khetan, Anita K, MD * 58 Koster, Erin L, MD 203 Klein, Diane F, MD 281 Khetan, Rainer A, MD * 58 Kosuri, Subba R, MD 108 Klein, Jason S, MD 317 Khetan, Roger S, MD * 58 Kotamarti, Aparna , MD 51 Kletz, Jonathan M, DPM 362 Khetpal, Vijay , MD 271, 275, 283 Kotas, Robert A, MD 72 Klinefelter III, Harry , PHD 439 Khodaparast, Roya , DC 117 Kothandaraman, Srilatha , MD 382 Kluge, Charles , PHD 436 Khoury, Spiro A, MD 342, 346 Kothari, Nikisha , MD 286, 289, Knapp, Horst P, DPM 361 Khubchandani, Zubin G, MD 328 290 Knapp, Mee Yung , MD 71 Khurshid, Anwar , MD 186, 268 Kotla, Suman Krishna , MD 219 Kneten, Craig C, MD * 45 Kia, Kevin F, MD 128, 136 Kottapalli, Mahesh B, MD 192, 196 Knight, John T, MD 317, 332 Kicza, Adrienne M, MD 36, 37 Kourkoumpetis, Themistoklis , Knight, Polly , MD 38 MD 406 KidsCare Therapy 453 Knight, Ryan L, DC 113, 119 Kovoor, Andrew I, MD 182 Kilari, Rakesh , MD 228 Ko, David , MD 32 Kovoor, Philip Abraham, MD 262 Kilguss, Beatrice , DCM 116 Kobett, Patrick T, MD 42 Kowalczyk, Teresa , MD 259 Kim, Carolyn , MD 137 Koble, Marylyn D, AUD 83, 85 Koyya, Venkata , MD 199 Kim, Elecia E, MD 58 Kodali, Jyothsna , MD 224 Kozielec, Gregory F, MD 278, 281, Kim, Grace S, MD 76 Kodali, Sreedevi , MD 141 282, 286 Kim, Min J, MD 190 Koganti, Anil K, MD 317, 319 Kraus, Trevor , MD 341, 342, 344, Kim, Steven Y, MD 376 Koganti, Asa D, MD 219, 226, 230 345, 347 Kimbrough, Charles W, MD 391 Koganti, Madhuri L, MD 242, 247 Krazit, Stephen T, MD 340, 341, Kinberg, Paul , DPM 362 342, 343, 344, 345, 347, 349 Koger, Linton M, MD 39 Índice alfabético Kinchen, Melanie B, MD 328 Krekow, Lea Kathleen, MD 269 Alphabetical Index / Kohl, Susan E, MD 198 Kindred at Home 454, 457 Kretzschmar, Shaun , DO 40 Kohn, James S, MD 391 Kindred Hospice 459, 460 Krieger, Jeffrey L, MD 171, 175 Kolhe, Snehal , MD 67, 68 Kindred Hospital - Mansfield 471 Krips, Inga , OT 261

526 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Krishnamurthy, Raghavendra , Labs2Run 467 Lansford-Seabaugh, Paula A, MD 371 Labus, Bryan H, DCM 120 DO 35 Krishnamurthy, Raghu , MD 371 Lacey, Brent , MD 177 Lapsiwala, Apurva , MD 219, 226 Krishnan, Ruth N, MD 58 Lacey, Stephen W, MD 177 Lapsiwala, Samir B, MD 240, 241 Krishnan, Sujatha , MD 190 Lackan, Darren W, MD 152 Lasater, Loren S, MD 46 Krishnan, Sumant G, MD 317 Lackey, Kaitlyn , DCM 113 Latham, Jerry L, OD 304 Kroger Specialty Infusion TX, Lagomichos, Melanie H, DO 259 Lathia, Viral , MD 108, 112 LLC 459 Lahiri, Sayantani C, MD 53 Latif, Umar , MD 433 Kronenberger, Michael B, MD 181, Lai, Jennifer Chia Fang, MD129, Latimer, Michael J, OD 301, 303 336 134 Lau, Steve K, MD 58 Krueger, Anita R, MD 404 Lai, Wendy C, MD 73 Laurenwood Nursing & Kruger, Mihaela A, MD 111 Laine, Aaron M, MD 379 Rehabilitation 425 Ku, Christine V, MD 249 Laing, Jennifer , MD 38 Lauriat, Sandra M, MD 219, 226 Ku, Lowell T, MD 380 Lake Pointe Cancer Center 443 Laurie, Scott A, MD 81 Ku, Stephen W, MD 282 Lake Pointe Cardiac and Laux, Anne T, MD 417 Kuder, Bryan N, OD 298 Pulmonary Rehab 443, 494 LaValle, Michael , PHD 436 Kugasia, Irfanali R, MD 374 Lake Pointe Outpatient Lavedan, Pierre J, MD 26, 46 Kukreja, Sachin S, MD 391 Rehabilitation 478, 479, 486, Law, Huay-Zong , MD 359 Kulkarni, Anandita , MD 92 488, 498 Lawrence, Neal C, MD 29 Kumar, Anand (Ned) S, OD 295 Lake Pointe Sleep Center 495 Lawrence, Ryan N, DPM 366, 368 Kumar, Kartik , MD 351, 352 Lake Pointe Wound Care Laws, D Blayne , MD 35, 42 Center 506 Kumar, Nishi , MD 65, 67 Lawson, John W, MD 92, 105 Kumar, Pradeep , MD 431 Lake Village Nursing and Rehabilitation Center 426 Le, Clara , OD 299, 301 Kumar, Sumit , MD 219, 227 Lake Whitney Physical Therapy, Le, Hung , MD 70 Kumar, Surachit , MD 219 PC 488 Le, Jacqueline S, OD 303 Kumaravel, Arthi , MD 174 Lake Worth Nursing Home 427 Le, Lam D, MD 386, 388, 391 Kumaravel, Veena , MD 170 Lakhani, Nadiya , RD 144, 145, Le, Lan T, DO 357 Kunkel, Kelly R, MD 361 146, 147, 148, 149 Le, Minh Q, DO 42 Kuo, Christina J, MD 53 Lalwani, Mansi , MD 73 Le, Quang , DO 68 Kuo, Vincent , MD 162 Lam, Jonathan Q, MD 42 Le, Tang D, DO 136, 137 Kuriachan, Vipin P, MD 281 Lam, Kelvin Q, OD 299 Le, Theresa , MD 47 Kurian, Darlene A, MD 352 Lam, Michael H, DPM 367 Le, Thuy Bich, MD 183, 262 Kurien, Aleena , DO 17 Lamba, Anu R, MD 175, 177 Le, Trang D, MD 275, 280 Kurkjian, Theodorus , MD 361 Lammata, Vishu , MD 97 Leach, Randy A, DO 37 Kursawe, Megan , LCSW 206, Lamont, Jeffrey Paul, MD 391 Leavell, Kari , PHD * 439 208, 209 Lancaster, James M, MD 317 Leavens, Thomas A, MD 246 Kuruvilla, Abraham , MD 134 Lance, Christian , MD 40 Leazure, Mary E, OD 291 Kutagula, Vinay V, MD 189 Landau, Jeffery H, MD 408, 409 Lebeau, Dorian , LCSW 204 Kutz, Scott C, MD 238 Lander, Allison R, MD 58 Lebron Valdez, Ricardo A, MD 394 Kuykendall, Traci , OD 299, 301 Lander, Stuart R, MD 111, 112 Lecroy, Kenneth D, MD 43 Kwan, Karen P, MD 36 Landes, Courtney , LCSW 211 Ledbetter, Thomas G, MD 66 Kwon, Hyojin , MD 31 Landgarten, Michael J, MD 215, Ledesma, Alice J, AUD 83, 85 Kwon, Joong Y, MD 193 219 Lee HealthCare, Inc 456 Kwon, Robert K, MD 401 Landmark of Plano Rehabilitation Lee, Aaron , OD 304 Kwon, Shari C, AUD 84 and Nursing Center 424 Lee, Alexander , MD 165, 169 Índice alfabético Kwong, Peter , MD 332 Landry, Christine S, MD 391, 395 Lee, Andrew K, MD 378 Alphabetical Index / Kyle, Yermesha , DPM 367 Landry, John R, DPM 366, 368 Lee, Andy M, MD 280 L Lane, Mona Lisa B, DO 34, 47 Lee, Angela , PSY 437 Lankford, Craig B, MD 355, 356

527 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Lee, Bowlva M, DO 348 Lessner, Mark A, MD 310 Lincare Inc 447, 448, 449 Lee, Byung J, MD 401 Letellier, Jean-Pierre , MD * 39 Lindan Park Care Center 425 Lee, Charles P, MD 378 Levens Vogler, Melinda , SLP 385 Lindemann, Mark , DO 69 Lee, David M, MD 58 Levine, David , MD 87 Lindemann, Mark Andrew, DO 68 Lee, David P, MD 165 Levitan, David R, MD 175, 177 Linder, Jeffrey D, MD 166, 168, Lee, Diana , OD 292, 294 LeVoyer, Thomas Eugene, 172 Lee, Heidi , MD 341 MD 388, 389, 394 Lindgren, Cynthia , LCSW 204 Lee, Jae S, MD 144 Levy, Alfred E, MD 189 Lindsay, Rodney , MD 155, 419 Lee, James S, MD 64 Levy, Moshe Y, MD 263 Linguist, David L, MD 38 Lee, Jane E, DO 37, 38 Lew, Randy M, DPM 365 Linguist, Peggy , MD 74 Lee, Jane J, MD 79 Lewis, James J, MD 354 Lippert, Dylan Corey, MD 181, 336 Lee, John C, MD 166, 170 Lewis, Lisa , LCSW 204 Litke, Diane S, MD 321 Lee, Jong H, MD 281 Lewis, Stacey L, LCSW 211 Littleberry, Merrill , LCSW207, 211 Lee, Kate , MD 272, 281 Lewis, Vincent J, DO 68 Littlejohn, Mark C, MD 334 Lee, Moonhee , MD 82 Li, Janet Y, MD 130, 134, 139, Littles, Xercerla A, MD 249 Lee, Samuel Cornish, DO 45 140, 142 Littrell, Christina P, MD 254 Lee, Seong , MD 284, 285 Li, Lucy , MD 133, 139 Littrell, John N, MD 386, 389, 391, Lee, Wha-Joon , MD333, 337, 338 Li, Yan , MD 19, 31 393 Lee, Yvonne T, MD 182, 338 Li, Zhiyong , MD 265 Litwins, Nola , PHD 437 Leeds, Steven G, MD 391 Liang, Alexander S, MD 226 Liu, Christine Y, MD 31 Leffingwell, James F, MD 181, Liao, Lianxi F, MD 105 Liu, Kevin S, MD * 48 182, 338, 339 Liao, Lixin , MD186, 187, 269, 271 Liu, Yinghui , MD 53 Legacy at Home 453 Liao, Robert , MD 95 Livingston Hearing Aid Center, Legacy Healthcare Services Libeer, Marianne B, AUD 83 Inc 450, 451, 452 Inc475, 476, 477, 478, 479, 480, Liberio, Allison , AUD 85 Livingstone, Keith , MD 45 481, 482, 483, 485, 486, 487, Liberty Dialysis - Irving 445 Llanos, Raul M, DO 357 488, 490, 495, 496, 497, 498, Lichliter, Warren E, MD 123 Lloyd, Kyle L, MD 58 499 Lieman, Stephen J, MD 409 Lo, David C, MD 355 Legacy Healthcare Services, Lo, Eddie Y, MD 317 Inc 476, 480, 484, 489, 496, 499 Lieser, Gregory C, MD 411, 413 LoCascio, Jack , DCM 116 Legel, Kennedy , DPM 362 Lieser, Sofia A, MD 260 Lievano, Gonzalo , MD412, 413, Lochridge, Mary C, LCSW 205, Legend Oaks Healthcare & Rehab 210 - Waxahachie 426 415 Lockart, Esther , PHD 439 Legend Oaks Healthcare & Lieving, Loree J, MD 70 Rehab-Ennis 426 Life Management Resources 439, Locke, Jacob , MD 378 Legend Oaks Healthcare & 500 Lockhart, Suzanne , MD 131, 137 Rehab-Garland 425 LifeCare Hospitals of Dallas 471 Lodha, Anand K, MD 123, 124 Lehmann, Peter J, LCSW 210 LifeCare Hospitals of Ft Worth 471 Loe, Valerie , OD 303 Leinauer, Meghan M, MD 254 LifeCare Hospitals of Plano 470 Loeb, Peter , MD 166 Lemery, Elyse , OD 295 LifePath Systems 429, 473, 475, Lofthus, David M, MD 96, 104 Lemeshev, Jodi G, MD 352 482, 496 Loftin, James P, MD 374 Lemmon, Joshua A, MD 360 Light, Asher R, MD 357 Lohiya, Piyush S, MD 219, 220, Lender, Dan , MD 150, 152 Lightfoot, Meredith L, MD 409, 410 225, 229, 230, 232 Leng, Wendy W, MD 413, 415 Ligon, Kathy , MD 190 Lomibao, Frances J, MD 382 Lenhoff, Stephen J, MD 104 Lilly, Jeffrey C, MD 126 London, Alan A, MD 386, 389 Lim, Grace E, MD 49 Lone Star Endoscopy 442

Índice alfabético Lenington, Robert M, MD 397

Alphabetical Index / Lensch, David B, MD * 26, 41 Limsenben, Johanna S, MD 72 Lone Star Endoscopy Flower Mound 442 Leon, Elizabeth , MD 72 Lin, Edward , MD 16 Lone Star Endoscopy Leon, Rene A, MD 82, 83 Lin, Janet , MD 52 Lin, Joann H, MD 77 Southlake 442

528 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético LoneStar Ambulatory Surgery Lytle, Bruce , MD 402 Mallareddy, Madhavi , MD 220, Center, LLC 442 M 226 LoneStar Rehabilitation 486, 487, Macaluso Jr, Anthony K, MD 122, Mallat, Damien B, MD 198, 202 491 123 Mallick, Tariq R, MD 15 Long, Clinton A, MD 275, 283 MacIver, David S, DCM 116 Malone, Gary L, MD 435 Longenecker, John , DCM 117 Mack, Michael J, MD 402 Malone, Timothy G, DO 59 Looney, James K, MD 33 Mackey, James D, MD 266, 271 Mammen, Tony , MD 414 Lopez, Cheryl , DO 16 Maclean, Kyle , MD 274, 281, 290 Mandal, Kathryn K, MD 75 Lopez, Jerome E, MD 245 Macurak, Randal Bruce, MD 166 Mandell, Harold L, MD 186 Lopez, Roberto , DO 64 Maddala, Yamini K, MD 159, 160 Mandell, Ryan S, DO 87 Lopez, Sonya , MD 198 Maddox, James B, MD 181, 336 Manders, Dustin B, MD 178 Lopez-Sepulveda, Jaxel , MD * 29 Maddox, Ty C, DO 199 Manderson, Michael Scott, Lora Alcantara, Isamarie , MD256, Maddukuri, Srirekha , MD246, 247 MD 310, 311, 313, 320 257 Madeley, Paul E, MD * 58 Mangona, Victor S, MD 378 Lorenzo, Ana C, MD 416 Madhav, Venkatesh , MD 53 Manhas, Amit H, MD 109 Lorenzo, Manuel , MD 391 Madhavapeddi, Naga Sai , Manhas, Atisha P, MD 183, 264 Los Barrios Unidos Community MD 153, 155, 156, 158 Mani, Usha S, MD 311, 312 Clinic 15 Madhrira, Machaiah M, MD 235 Mann, Amit , MD 372 Lost Pines Mobile Imaging Madsen, Leah P, MD 39 Mansoor, Shadan , MD185, 267, LLC 473 Magee, David J, MD 166, 170 268 Lostak, Charles , DO 166 Magee, Kevin P, MD 203 Mansoor, Urooj , MD 200, 202 Loughridge, Flint L, MD 114 Mageto, Yolanda N, MD 371 Mantas, Alexander Michael, Loven, Travis , OD 300 Magnolia Diagnostics, LLC 465 MD 166 Lovitt, Matthew A, MD 392 Mahatma, Mahendra , MD 169 Manthena, Geeta , MD 193 Lowe, Andrea , LCSW 211, 213 Mahbod, Diana , MD 220 Mantry, Parvez S, MD 188, 189 Lowney, Jennifer K, MD 122, 125 Mahgoub, Amar , MD 407 Manuel, James W, PsyD 438 Lowrey, Jefferson , DO 339 Mahmood, Syed M, MD 372 Mao, Zhi , MD 215 Lowry, Jason K, MD 323, 326, 331 Mahone-Johnson, Wendy L, Mapakshi, Nandana , MD 215 Lozano, Jose J, DO 67, 69 MD 262 Marchessault, Michelle , MD 199 Lu, Henry H, MD 49 Mai, Kim-Binh T, MD 286, 290 Marciano, Paul T, DPM364, 368, Lubbe, Wilhelm , MD 376, 377 Mainord, James C, AUD 83, 84 369 Lucas, Jacob W, DO 415 Mairura, Edward M, MD 317, 318, Margassery, Suresh K, MD 220, Lucente, Barbara P, LCSW 209 331 225, 229, 230, 232, 237 Luciani, Gerald D, MD 250 Maisel, Christopher Marc, MD 183, Marinaro, Robert E, MD 129 Ludwig, Nathan A, MD 396 263 Marine Creek Nursing & Lue, Jeffrey , MD 313 Majeed, Hashim A, MD 62 Rehabilitation 427 Luk, Gordon D, MD 174 Majors Medical Service 447 Markman, Bruce S, MD 313, 318, 328 Lukose, Biju , MD 155, 396 Makadia, Parin M, MD 220, 225, Marks, Alexandra L, PsyD 439 Lund, Earl R, MD 313 229, 230, 232 Marra, Diego E, MD 140, 142 Lunde, Kevin C, MD 180, 334 Makary, Michael M, MD 372 Marsden, David , LCSW 204 Lundeen, Benjamin , OD 291 Makhdumi, Sana , MD 381 Marsh, Coly B, OD 292, 298 Luong, Bruce , OD 298 Makohon, Katherine R, MD 396, 397 Marshall, Brian , OD 291 Luong, Jessica , OD 298 Maldonado, David , MD 376, 384 Marshall, Cindy D, MD 432 Luterman, David L, MD 371, 384 Malik, Amir Z, MD 103, 105 Marshall, Michael S, MD 54, 55 Luv Med Group, LLC 448

Malik, Amyn , MD 105 Marshall, Wesley C, MD 39 Índice alfabético

Ly, Thu M, DO 15 Alphabetical Index / Malik, Arshad Husain, MD 163 Marshall, Winston S, MD 107 Ly, Tran H, MD 80 Malik, Obaid S, MD 341, 349 Martak, Joshua G, MD 36 Lydia Home Health Care LLC 455 Maliyil, Jepsin A, MD 36 Martin, Alan W, MD 243 Lyles III, Thomas Edward, MD 174

529 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Martin, Gail , LCSW 204 Maynard, Malea P, MD * 23 McMinn, Kenleigh R, PhD 437 Martin, Hal D, DO 318 Mazow, Mark , MD 278 McNamara, William F, MD 388, Martin, Jason , MD 166 McAlpine, David , MD 260 392 Martin, Joe R, OD 299, 301 McAngus, Jillian K, MD 308 McNutt, Joseph W, MD 310 Martin, Patrick W, MD 156 McCabe, Matthew G, DPM 366 McQuaid, Mark A, MD 386, 400 Martinelli, Paul T, MD 131 McCall, Tyrone L, MD 274, 278, McRae, Ann C, AUD 83, 85 Martinez, Daniel , MD 405 288 McSpadden, Joshua R, DO 324 Martinez, Eric J, MD 407, 408 McCarty, James , MD 142 MD First Watch Healthare Martinez, Juan G, MD 166, 169 McClellan, Andrew J, MD 286, PLLC 503 Martinez, Marcos , DO 190 288, 289 Meade, Ricardo , MD 359 Martino, Benjamin J, MD 332, 333 McClelland-Sladovnik, Linda , Meador, Clark A, DO * 45 LCSW 204 Masand, Amit H, MD 163 Mech, Arnold , MD 405, 430 McClintock, Tom R, OD 292 Masel, David L, MD 238 Med Fusion, LLC 468 McClure, Meredith A, MD 249 Mashigian, Gary C, DPM 361, 364 MedGlobal Home Healthcare, McCollum, Andrew David, MD 264 INC 448 Mason, David P, MD 403, 404 McCormick, Bryan C, DCM 115 Medical Plus Supplies 447 Mason, Jeffrey C, MD 153, 154, 155, 156, 157, 158 McCreary, Jon P, DPM 367 Medicos 447 Mason, Timothy , OD 303 McCullough, Michael R, DO 256 Medigy, LLC 449 Massey, Michael D, MD * 69 McCullough, Peter A, MD 96 Medi-Lynx Cardiac Monitoring, LLC 465 Mastrogiovanni, Sarah , MD 19 McCullough, William T, MD 238 Medina, Jason X, MD 26 Mathew, Anita S, MD 200 McCutchin, Brittnee E, MD 250 Medlock, Virgil B, MD 310, 318 Mathew, Renjan , PHD 431 McDaniel, Jeffrey M, MD 36 McDonald, Cheryl , MD 194, 195 MedPost Urgent Care - Dallas Mathew, Stephen T, MD 308 Garland Road 501 Mathews, J Kyle , MD 179, 252 McDonald, Lauren A, MD 220 McDonald, Stuart D, MD 376 MedPost Urgent Care - Mathews, John , MD 264 McKinney 500 Mathews, Manu , MD 348, 349, McDonough, Patrick H, MD 134, 137 MedPost Urgent Care - Rockwall 350 Goliad 503 McDuffie, Chad M, MD 333 Mathews, Shirley R, MD 15 MedPost Urgent Care - Rockwall Mathews, Sony , MD 160 McElroy, John C, MD 322 Ridge Road 503 Mathis Therapy-A Therapy McElya, Martin , DO 23 MedPost Urgent Care - Connection, LLC 497 McGarry, John E, MD 313 Rowlett 502 Matin, Sina , MD 399 Mcgee, Chris E, MD 50 MedPost Urgent Care - Matlock Place Health & McGuiness, Michael A, MD 130, Sachse 502 Rehabilitatio 427 131, 132, 134, 138 MedPrem Urgent Care Center Matter, Christie E, MD 131, 137 McInnis, Michael G, MD 70 INC 502 Matthews, Carolyn M, MD 178 McIntyre, John B, MD 339 Medsource Health Care Matthews, Kenneth E, MD 71 McKane, Brice W, MD 359 System 455 Matthys, Allyson M, DO 157 McKelvy, Tara N, PHD 439 MedSpring Urgent Care - Greenville 501 Mattingly, Micheal S, MD 48 McKenna, Gregory J, MD 407 McKenna, Randall W, DO 332 MedSpring Urgent Care - Mattocks, Debra , LCSW 211, 213 Keller 503 McKenzie, James R, MD 398, 399 Maurer, Daniel Ryan, DO 310 MedSpring Urgent Care - Knox Mauskar, Neil A, MD 359 McKenzie, Marcus E, MD 92, 98 Henderson 501 Mawla, Neghae , MD 214 McKinney Healthcare and MedSpring Urgent Care - Maxey, Douglas S, MD 340 Rehabilitation Center 424 Lantana 502 Maximum Impact Physical McKinney, Benjamin J, MD 23 MedSpring Urgent Care - Las Índice alfabético McKnight, Andrea M, MD 26 Alphabetical Index / Therapy Services 481, 483, 485 Colinas 502 Maxwell, Michael C, MD 31 McKown, R. Rochelle , MD 255 MedSpring Urgent Care - Mayakrishnan, Indurashmi , McMichael, Robert E, MD 247 McKinney 500 MD 245

530 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético MedSpring Urgent Care - North Methodist Craig Ranch Surgery Mills, Jon , DCM 120 Frisco 501 Center, LLC 440 Millwood Hospital/The Excel MedSpring Urgent Care - Oak Methodist Dallas Medical Center 429, 430, 493 Lawn 501 Center 421 Milner, Michael S, MD 278 MedSpring Urgent Care - Presidio Methodist Hospital For Continuing Mims, Edward W, MD 375 Vista 503 Care 429, 493 Min, Douglas , MD 79 MedSpring Urgent Care - Methodist Hospital for Surgery 421 Minadeo, Michael , MD274, 278, Richardson 502 Methodist Mansfield Medical 284, 286, 291 MedSpring Urgent Care - Center 423 Minatrea, Nicole , DCM 121 Uptown 501 Methodist McKinney Hospital 421 Minshall, Christian T, MD 392 MedStar Urgent Care PLLC 500 Methodist Rehabilitation Minton, Bryan H, MD * 33 Medwedeff, Lisa , MD 53 Hospital 494 Mintz, Howard M, MD 199, 372 Meehlhause, Mark G, MD 16 Methodist Richardson Medical Center 421 MinuteClinic (The medical clinic in Meggs, Paul D, MD 249 CVS/pharmacy)503, 504, 505, Megna, Robert J, DO 35 Methodist Southlake Hospital 423 506 Mehdi, Uzma F, MD 220 Methodist Urgent Care501, 502, Mira Vista Court 427 503 Mehendale, Neelesh H, MD 333 Miracle-Ear 450, 451, 452, 453 Mehrotra, Vinit , MD 246 MetroCare Home Medical Equipment, Inc 447 Mireku, Nana A, MD 80, 81, 82 Mehta, Ankit N, MD 220 Metrostar Healthcare Services, Mirmiran, Neda , DPM 367 Mehta, Ashwini P, DO 188, 189 LLC 453 Mirza, Faiz A, MD 174 Mehta, Chirag V, MD 401 Metzger, David T, DO 23 Mirza, Sarah N, MD 278 Mehta, Deval , MD 111 Meyer, Dan M, MD 403, 405 Mishra, Rahul , DO 340 Mehta, Jinal J, DPM 366, 368 Meyer, Michael , MD 131 Mitchell, Analiza , DPM 367 Mehta, Kris , MD 59 Michael, Christopher B, MD 238, Mitchell, Angela D, PhD 436, 438 Mehta, Rinku , MD 249, 252 239 Mitchell, Janice Louise, MD 258 Mehta, Sacheen H, MD 321 Michelsen, Steven W, DO 310 Mitchell, Kent L, MD 346, 348 Mehta, Sejal S, MD 431 Mihelich, Michael A, DCM 117 Mitchell, Michael R, MD 104 Mehta, Shailesh N, MD 171 Mihills, Cody L, MD 158 Mitchell, William C, MD 409 Mejia, Alejandro , MD 392, 398 Milam, Mary , MD 270 Mithani, Ali , MD 87 Mekala, Ashley , DO 398 Milici, Marjorie R, MD 73 Mitra, MonaLisa M, DO 70 Mella, Divya B, MD 243 Millard, Mark W, MD 372 Mittelbronn, Matthew A., MD 143 Melmed, Gavin Mark, MD 265 Millbrook Healthcare and Mixon, James A, DCM 117 Memon, Imran A, MD 235 Rehabilitation Center 425 Mlcak, Mark S, MD * 26 Memon, Muhammad A, MD 172, Miller Phillips, Mary E, MD 354 Modak, Isitri , MD 59 176 Miller, Adam R, MD 278 Modi, Apurva A, MD 189, 408 Menchaca, Ryan , MD 26 Miller, Amy B, DO * 31 Modi, Gunjan M, MD 131, 143 Mendoza, Paul , OD 297 Miller, Andrew H, MD 110, 111, Modi, Sunil , MD 15 Mennel, Robert G, MD 264 113 Moen, Todd C, MD 318 Menter, Martin A, MD 134 Miller, Andrew L, MD 376 Moffett, Jeffrey D, MD 329, 330 Menzies, Robert D, MD 386 Miller, Brighton R, DO 45 Mogri, Idrees , MD 372 Mercer, John W, MD * 32 Miller, Douglas S, MD 140, 142 Mogri, Mohammed , MD 126 Merchant, Albert W, LCSW 206 Miller, Elaine K, DO 140 Mohammed, Akif Azmi , MD111, Meredith, Sarah J, DO * 45 Miller, James D, AUD 84 112 Mesa Springs, LLC 430, 493 Miller, Lance J, DO * 30 Mohammed, Amanda E, MD 23 Messing, Mark Joseph, MD 179 Miller, Mark R, MD 168, 173 Mohammed, Anwarullah , MD 157 Mestry, Kaustubh , MD 157 Miller, Michael J, DPM 363 Índice alfabético Mohammed, Nazimuddin T, Alphabetical Index / Methodist Allen Surgery Miller, Stephen , AUD 84 MD 405, 430, 431, 432 Center 440 Miller, Wilfred , DO 36 Mohan, Alok , MD 150 Millmann, Paul , MD 38 Mohan, Raja , MD 360, 361

531 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Mohiuddin, Mohammed , MD15, Morris, Carrie P, MD 260 Myers, Robert I, MD 59 19, 32, 34 Morris, Philip , PsyD 435 Myles, Robert T, MD 329, 332 Mohiuddin, Syed H, DPM 361 Morrison, Cynthia , LCSW 205 Mynard, Elizabeth , PsyD 437 Mohmand, Asad K, MD 110 Morrison, Steven M, MD 49 N Mohmand, Hashim K, MD 224 Morton, Jeffrey Douglas, MD 378 Nachawati, Samer MS, DO 63 Moizuddin, Mohammed , MD 374 Morton, Randy L, MD 387, 400 Nackley II, James J, MD 174 Molen, Bryan H, DPM 368 Moskowitz, Mitchell O, MD 409, Nadella, Rama , MD 220 Molen, Kyle D, MD 53 410 Nadir, Adnan , MD 171 Molina, Rodolfo , MD 435 Moss, Clint C, MD 139 Nadler, Eric Samuel, MD 264 Mollabashy, Allaaddin , MD 318 Mostafa Elsawy, Bassem M, Naeem, Muhammad , MD247, 385 Momin, Saira B, DO 128, 134, 137 MD 23, 178 Naftalis, Elizabeth Z, MD 392 MomPremier, Mikelson , MD 280 Moster, Susan G, DO 174 Naftalis, Richard C, MD 239, 240 Monarch Medical & Rehab Motamarry, Silus , MD 275, 280 Nagaraj, Arun , MD 243 Supply, Inc 449 Mott, Lorren C, MD 103, 105 Nagineni, Lavanya L, MD 246 Monday, Kara A, MD 392 Mottl, Steven D, DO 94, 100, 101, Naik, Chetan , MD 372 Monday, Suzanne E, MD 39 105 Naina, Harris V, MD 64, 69, 186 Monier, Jules C, MD 252 Moustapha, Ali I, MD 104, 106 Nair, Arjun , MD 92 Montgomery, William K, MD 312 Moye, Danielle M, MD 350, 352 Nair, Binu S, MD 267 Monti, Lauren B, MD 255 Mubarak, Abdullah , MD 188, 189 Nair, Chandrasekharan , MD 105 Moody, Everett , MD281, 282, 286 Mucowski, Sara J, MD 380 Nair, Priya K, MD 382 Mookerjee, Subhra J, MD 354 Mudaliar, Chandramohan G, Nair, Radhakrishnan G, MD91, 93, Mooney, Jennifer L, MD 126 MD 69 98 Moore, Angela Y, MD 141 Mudireddy, Chaitanya , PT 358 Nair, Rajasree J, MD 23 Moore, Curtiss R, MD 90 Mueller, Nicole A, DO 284 Nair, Ranjit R, MD 385 Moore, David A, OD 303 Mueller, Shannon Ray, DPM 365 Nair, Sanjeev U, MD 112 Moore, David O, MD 402 Mueller, Stephen E, MD 372 Nair, Sreekumaran K, MD 246 Moore, Frank H, MD 415 Mughal, Aleem , MD89, 90, 201, Nalluri, Nikhil , MD 97, 109 202 Moore, Gerald C, MD 77, 78, 80 Nama, Vijaya , MD 30 Mukkamala, Sridevi , MD 354 Moore, Gregory T, DO 328 Namburi, Swati , MD * 53 Muller, Cynthia R, MD 59 Moore, Paul T, MD 243, 245 Nangha, Pannaben H, MD 36, 48 Muller, Mark S, MD 318 Moore, William C, MD 342, 346, Nangia, Samir K, MD 220, 225, 348 Mulligan, Ryan Patrick, MD 329, 229, 230, 232 330 Mootha, Ravi K, MD 412 Nangrani, Nilesh D, DO 154 Muncy, Paul A, MD * 59 Moparty, Bhavani , MD 164, 166 Nannapaneni, Srikant , MD 126 Mundluru, Giridhar , MD 105 Moparty, Srinivasu Rao, MD 264 Narasimhan, Sweta , MD 66 Muntajibuddin, Sana Fatima, Mora, Adan , MD 126 DO 34, 49 Narayan, Archana R, MD 78, 79 Morais, Daniel D, OD 305 Murillo, Eva M, LCSW 206 Narayan, Satish D, MD431, 434, 435 Morales, Andres G, DO 245 Murillo, Ricardo A, MD 59 Nathanson, Jon E, DPM 362 Morales, David , MD 359 Murphy, James A, MD * 46 Morales, Nubia K, LCSW 385 Nation-Howard, Brieanna J, Murphy, Melissa Z, MD 349 DO 190 Morales, Philip A, MD 107, 109 Murphy, Rachel , LCSW 206 Morehead, David B, DO 258, 261 Nava, Samuel , DPM 363, 364 Murr, Edwin , OD 302 Nayak, Neeta G, MD 178 Moreland, Krystle M, DC 118 Murray, Mark D, MD 176 Moreland, Matthew C, DO 36 Nayyar, Sanjay , MD 160, 171 Musgrove, Meridith , OD 295, 300 Nazario, Hector E, MD 188 Índice alfabético Morer, Jeffrey L, OD 303 Mushtaq, Adnan , MD 195 Alphabetical Index / Morgado-Perez, Andres , MD 157 Neak, Enayetullah , MD 28 Muthu, Krishnakumar R, MD 197 Neal, Kerry D, MD 260 Morgan, Brent C, MD 238 Myatt, James P, MD 102 Moron, Abel , MD 178, 179 Neal, Troy M, MD * 59 Myers, Judy M, OD 301, 303 Neece, Stephen R, MD 239

532 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Neelakantan, Arvind , MD278, 285 Nguyen, Steve , OD 296 Norton, Carol B, MD 257 Nef, Patrick C, MD 231, 233, 235, Nguyen, Thai Q, MD 224 Novack, Richard C, MD 398 238 Nguyen, Thanh Xuan, MD 379 Novosad, Laurie S, MD 122 Negron, Angel , MD 187 Nguyen, Thao U, MD 136 Numajiri, Akira S, MD 59 Nekkalapu, Sreenath , MD 434, Nguyen, Trung D, MD 398 NuMotion 447, 449 435 Nguyen, Tuan , MD 47 Nunez, Michael , MD 166 Nelson, Scott J, DPM 363 Nguyen, Van Vi , OD 302 Nurenberg, Michael E, MD 226 Nesbitt, William H, MD 90 Nguyen, William T, MD 77, 80 Nuss, Geoffrey R, MD 414, 415, Nesser, David , MD 220 Nguyen-Reyes, Tracy N, MD 257 416 Nettune, Gregory R, MD 274, 278, Niazi, Faryal , MD 236 Nuti, Rathna , MD 16, 42 288 Niblett, Kevin W, MD 393 Nwafor, Francis O, MD411, 412, Neumann, Scott , DO 16 Nicholls, Danny W, DO323, 326, 413 Nevitt, Matthew F, MD 401 331 Nwizu, Tobenna I, MD 182, 184, New Life Home Healthcare, Nichols, Richard A, DPM 368 261, 266 Inc 453 Nichols, Timothy D, MD 376, 377 Nwosu, Victoria , MD 246 New, Troy G, MD * 260 Nicoletti, Brianne T, DO 191 Nyland, Chad , DO 24 Newman, Erin , MD 255 Niemann, Natalie A, LPC 206 NYS Home Health, LLC 453 Newman, Gordon , MD 274, 278 Nieto, Roberto M, MD 247 O Newman, Keith D, MD 412, 413 Oad, Mehar C, MD 53, 55, 65, 67 Niroomand, Farhad , MD 135 Newman, Stephen D, MD103, 105 Oak Manor Nursing and Nivens, Jamie A, DO * 28, 44 Nguyen, Adrian H, MD * 51, 53 Rehabilitation LP 426 Nocus, Monte , DCM 118 Nguyen, Aimee L, MD 179 Obeng, Joseph Y, MD 69 Noel, Jeffrey M, OD 299 Nguyen, Alexander , MD 359 Oberdick, Wendy T, MD 24, 38 Noh, Jung J, MD 80 Nguyen, Angeline T, OD 294, 295, O'Brien-Su, Eileen M, MD 75, 76 296, 300, 302, 306 Nolen, Avery L, MD 20 Ochs, Ann-Margaret , DO 267 Nguyen, Anh , MD 166 Nompone, Lad , DCM 115 O'Conner, John K, MD 377 Nguyen, Ann , MD 190 Norbury, James W, MD 271, 272 Odogwu, Maduka H, MD 257 Nguyen, Anthony K, DO 50 Norcross, James F, MD 404 Odstrcil, Elizabeth A, MD 166, 172 Nguyen, Boi-Dieu H, OD 294, 296, Nordstrom, Jason R, MD 65 Odunsi-Shiyanbade, Suwebatu T, 300, 302, 306 Nordstrom, Leigh F, MD 65 MD 176 Nguyen, Dat , OD 297, 303 Norris, Christopher J, MD 232 Ogunleye, Oluseyi K, MD 203, 255 Nguyen, Dominic , MD 378 North Central Surgical Center 421 Ogunro, E. Olayinka , MD 401 Nguyen, Hoang L, DO 221 North Dallas Surgicare 441 Ogwu, Austin , MD 63 Nguyen, Hong An, MD 32 North Park Health and Oh, Jonathan Chun, MD 178 Nguyen, Julie , MD 142 Rehabilitation 424 Ohare, Shannon , OD 296 Nguyen, Kimloan P, MD 28 North Pointe Nursing & Ohman, Allan B, MD65, 70, 73, 76 Rehabilitation 428 Nguyen, Kimuyen D, OD 298 Oholendt, Kyle B, MD 55, 59 North Richland Hills Endoscopy Nguyen, Laura , MD 23 Center 442 Ojo, Adewuni S, MD 401, 402 Nguyen, Leigh E, MD 53 North Star Diagnostic Imaging460, Okai, Annette F, MD 243 Nguyen, Linh T, MD 42 461, 462, 463, 473, 474 Okojie, Osehotue O, MD 24 Nguyen, Lisa , DO 32 North Texas Fitness & Therapy Okoronkwo, Catherine , MD 63 Nguyen, Long , MD 397, 398, 400 Center, PLLC 487 Okoye, Obinna I, MD 376 Nguyen, Michael L, MD 327, 330 North Texas Pathology Old Town Endoscopy Center 441 Nguyen, Nathan , MD23, 24, 42, Laboratories LLC 467 Olfson, James R, MD 31 46, 47, 49 North Texas Regional Orthotics & Olinde, Allison E, MD 200 Nguyen, Nhan P, MD 110 Prosthetics, LLC 492 Olivares, Jairo Rafael, MD 184, Índice alfabético Nguyen, Peter V, MD 232, 235 North Texas Surgery Center 441 265 Alphabetical Index / Nguyen, Phan T, MD 375 Northcutt, David R, DPM 361, 362 Oliver, German A, MD 170 Nguyen, Phuc T, DO 231, 236 Northgate Plaza 425 Olmstead, Stephen M, DO 80, 82

533 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Omey, Monica L, MD 328 Padala, Kiran K, MD 372 Parikh, Biren , MD 109 Omnicure Home Health 453 Padda, Manmeet S, MD 159, 160 Parikh, Palak S, MD 227 Onaca, Nicholas , MD 408 Padilla, Claudia R, MD 243 Pariti, Sreevalli , MD 221 Onanuga, Omotayo , MD 435 Paek, Josh , DCM 117 Park Cities Surgery Center 441 One Source Medical Solutions 447 Paek, So Y, MD 135 Park Manor of McKinney 424 Ong, Brian Allan, MD 175, 176 Paeltz, Justin P, DCM 121 Park, Andrew E, MD 310, 313, Ong, Daniel S, MD 99 Paeltz, Kara , DCM 121 314, 318, 328 Oommen, Sanjay Philip, MD186, Pagadala, Mangesh R, MD 188, Park, Chelsea , DO 63 270 189 Park, Clinton S, MD 379 Oommen, Shibu G, MD 159, 163, Pagan, Stephanie M, MD 74 Park, David I, MD 159, 163 169 Page, Ray D, DO 268, 270 Park, Joonho , MD 221, 227, 230, Opella, Christopher M, MD 43 Page, Richard A, MD 77, 80 232 Oramalu, Francis C, MD 17 Pagenkopf, Eric L, MD 312 Park, Michael Hyungwook, MD267 Orozco, Ludwig D, MD 239, 240 Pahlavan, Shane , MD 332, 334 Park, Robert C, MD 100 Orr, Douglas W, MD 264 Paik, Elaine , MD 34, 49 Park, Suzan , OD 297 Orseth, Meredith L, MD 132 Pajoohi, Fariba , MD 257 Parmar, Harveer S, MD 153, 156 Orth, Helen , OD 305 Pak, Yong T, MD 355 Parmar, Rohit J, MD 96, 101 Orthofix Inc 448 Pakkivenkata, Uma , MD 221 Parnell, Abigail , LCSW 205, 209, Orthopedic Manual Physical Palanisamy, Nithya , MD 182, 262 210, 211, 213 Therapy Institute of Dallas, Palomino Place 425 Parnell, Laura L, AUD 84, 85 Inc 483, 484 Pamulaparthy, Smitha R, MD 221, Parr, Jesse W, MD 71 Ortiz, Christopher J, DO 249 226, 230 Parr, Norvin G, MD 99 Ortiz, Dennis L, DO 414, 416 Pan, Thoris H, MD 372 Parr, Philip , DPM 364, 368, 369 Osafo-Mensah, Kwaku A, MD 376 Panchal, Ripul R, DO 238 Parra, Alberto , MD 186, 269, 270 Osama, Fauzia K, MD 64 Pancorvo, Carlos E, MD 224 Parry, Edward , MD 131, 143 Osborne, Cynthia R, MD 264 Pandit, Rajiv T, MD 336 Parton, Nickolas K, DC 118 O'Shaughnessy, Joyce Ann, Pandya, Hemang K, MD 274, 282 Parvataneni, Deepthi , MD 46 MD 264 Panesar, Atinder P, MD 221, 226, Pasala, Radha , MD 236 Osman, Houssam , MD 395 227 Paschal, Shae B, DPM 366, 368 Osowo, Ayodele T, MD 173, 177 Pang, Katherine L, PHD 437 Pasciucco, Alison , MD 260 Osterman, David , MD 324 Pangtay, Dennis , MD 155 Passion 05 Home Health Ostransky, David , DO 385 Panjwani, Mahmood B, MD 64 Services 454 Ostrinsky, Yevgeniy , MD 173 Panzer, Shawn W, MD 171 Passmore, James A, MD 274 Osuji, Ikechukwu , MD 61, 62, 64 Papa, Tracy E, DO 203 Pastorek, Jordan , MD 51, 65, 70 Oswalt, Barry F, MD 389, 393, Papaila, Elizabeth M, MD 387, Pastorek, Jordan M, MD 53 394, 395, 397 389, 392, 393 Patel, Akash A, MD 128, 136, 137, Ott, Christine A, DO 352 Paradigm Homecare 453 138 Otu, Dara U, MD 373 Paradiso, Paul , DO169, 173, 199, Patel, Aman K, DO 69 Overbeck, John D, MD 98, 102 201 Patel, Amit Indravadan, MD 179, Overn, Steven P, DO 19 Paragon Hemophilia Solutions 459 180 Overton, Leanna , LCSW 204 Paragon Infusion Care Inc 464 Patel, AnilKumar R, MD 54 Owen, Stuart F, MD 59 Paragon Infusion Centers 464 Patel, Ankur R, MD 239 Oxford, Lance E, MD 181, 336 Paragon Laser and Eye Surgery Patel, Brijesh , MD 113 Oyenuga, Olusegun A, MD 121 Center 442 Patel, Deepak H, MD 103 Ozanne, Stephen , MD 318 Parcells, Jeremy , MD 389, 393, Patel, Denish S, DO 396, 398, 400 Índice alfabético P 400 Patel, Harsh N, MD 127, 372, 373 Alphabetical Index / Pace, Christopher M, MD 414, 416 Parchue, John A, MD 288, 290 Patel, Helen Z, MD 354, 355 Pachigolla, Gowri , MD 275, 280 Parekh, Hiren R, MD 286 Patel, Henna , DO 352 Pacific Pulmonary Services 447 Parekh, Julie S, MD 53 Patel, Jalpa , DPM 367

534 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Patel, Kirtesh , OD 292 Peak Physical Therapy, LLC 482, Peterson, Christopher , OD 295 Patel, Kushal V, MD 322, 325 483, 486, 487, 488 Peterson, Valerie A, MD * 40 Patel, Mamta , MD 272, 278, 284 Pearce, Jessica L, DO 261 Petrasic, Jason R, MD 353 Patel, Manishkumar , MD 108, 109 Pearl, Gregory J, MD 416, 417 Petrey, Laura B, MD 127 Patel, Manoj , MD 200 Pearson, Edward , MD 183, 264 Petrone, Dianne L, MD 382 Patel, Mrugesh Prahlad, MD269, Pearson, Rachel , MD 243 Petrovski, Pauline , MD 250 271 Pederson, Katherine A, DO 36 Pettijohn, Trent L, MD 107, 112 Patel, Naresh H, MD 105 Pediatric Rehab 495 Pettway, John B, MD 42 Patel, Neha , OD 303 Pedro, Steven D, MD 142 Petty, Jeffrey S, DPM 364, 365 Patel, Nilpesh M, MD 318, 325 Peiffer, Nicholas J, MD 333, 334 Pfeiffer, Margaret L, MD 272, 274, Patel, Nimish A, MD 332, 334 Pellecchia, Crescens M, DO 372 278, 285, 286 Patel, Nirav A, MD 154 Peloza, John H, MD 309 Pfister, James G, MD 24 Patel, Nishant J, MD 171, 177 Pember, Merritt A, MD 310, 312, Pham, Chi Mai, MD 186, 270 Patel, Parul K, DPM 362, 363 313, 320 Pham, Hien Q, MD 155 Patel, Ravi V, MD 187, 270, 271 Pena, Jacobo , MD 16 Pham, Joseph D, MD 59 Patel, Raviina , DO 221 Pena, Rene M, MD 336, 338 Pham, Kim , DO 24 Patel, Reena , OD 297 Pender, John T, MD 376 Pham, Kim , OD 305 Patel, Rikesh , MD 107 Pendley, Nicole M, MD 250 Pham, Krystina Q, OD 294, 296 Patel, Rikin S, MD 166, 169 Pendola, Michael J, MD 123, 124 Pham, Linda , MD 157, 307 Patel, Sanjay K, MD 271, 272 Penmetcha, Mohan , MD 382 Pham, Ryan , DO 128 Patel, Santosh Chandrakant, Penmetsa, Santhi , MD 383 Pham, Ryan K, DO 140, 142 MD 272, 274, 280, 281 Penukonda, Anirudh V, MD 372 Pham-Hill, Tram , MD 197 Patel, Sheetal M, MD 86, 387, 389 Peper, William A, MD 403 Phan, Linh V, OD 304 Patel, Sneha , MD 106 Pepper, Kraig R, DO 324 Pharmacy Specialists 459 Patel, Sunil , MD 284, 285 Pepperell, Michele M, MD 250 PHI Air Medical 473 Patel, Sunny B, MD 383 Perez, Colby R, LMFT 209, 211, Philip, Jissy R, DO 26 Patel, Tapan J, MD 221 213 Philip, Maria , MD 243 Patel, Trisha J, MD 135, 142 Perez, Enrique A, MD 266 Philip, Melissa S, DO 24 Patel, Utkal A, MD 54 Perez, Isaac , MD 138 Philips, Kay L, MD 59 Patel, Viralkumar V, MD 166, 170 Perez, Maria Carmina E, MD 226 Phillips, Michael S, MD346, 347, Patel, Virendra C, MD 321 Perez-Cervantes, Ivonne G, 348 Patel-Banker, Megha , MD 381 AUD 84, 85 Phillips, Rhea , MD 135 Pathikonda, Leena , DO 59 Peri, Usha N, MD 221, 228 Phillips, Russell W, DO 49 Pathikonda, Murali , MD 174 Perijoc, Mihaela , MD 197 Phung, Neil N, MD 99 Patil, Punam M, MD 19 Perkins, Steve , MD 184, 264, 266 Physician's Choice Homecare 455, Patil, Raju A, MD 231, 233, 236, Perks, Joseph M, DO 39 456, 457 238 Pero, Colin D, MD180, 181, 334, Physicians Daysurgery Center 441 Patrick, Carey , OD 291 336 Pickens, Glynn J, MD 412, 413 Patterson, Brent A, MD 96, 98, 99 Perone, Jennifer , MD 135 Pickering, Clayton L, DO 39 Patterson, Carrie K, MD 250 Perrillo, Robert P, MD 167, 174 Pidkowicz, Joseph K, DO 137, 138 Patterson, Tena P, MD * 26, 32 Perrin, Davey M, MD 35 Pieniek, Marc S, MD 93 Paturi, Shalini , MD 151 Persley, Kimberly , MD 167 Pierce, Aaron M, MD 384 Paulson, Andrew S, MD 264 Peshwani, Heena , AUD 83 Pierce, Jordan J, OD 304 Paulson, Roy Steven, MD 264 Peskind, Steven P, MD 334 Pierce, Paul M, MD 359 Peters, James D, DO * 180

Payberah, Sarah , MD 19 Pilson, Christine M, DCM 114 Índice alfabético

Payne, Gerald G, MD 260 Peters, Pat A, MD * 329, 330 Pin, Paul G, MD 359 Alphabetical Index / Payne, Paul B, MD 255 Peters, Paul C, MD 318 Pinner, Richard O, DC 115 Payseur, G Stephon , MD 278 Peters, Theodore T, MD 329, 330 Peters, Walter R, MD 123, 124

535 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Pippen, John Eldred, MD 264 Prakash, Vikyath , MD 221, 225, Puckett, Fredric C, DO 156 Pirisino, Ashley N, MD 38 229, 230, 232 Puckett, Stevie L, PhD 438 Pittman-Hobbs, Shawnta R, Prasad, Amit , MD 103 Pudhota, Sunitha G, MD 176 MD 190 Pratt, Stephen , MD 69 Pugach, Isaac , MD 60 Pitts, Janet , DCM 115 Preferred Imaging at Medical Puli, Srinivas R, MD 172 Pitts, William R, MD 102 City 461 Pullamaraju, Swati , MD 35 Pizarro-Padilla, Ana , MD 355, Preferred Imaging at the Medical Pulliam, Scott R, MD 42 Center, Ltd 461 356, 357 Pulmonary Prevention Plus, Platinum Healthcare Corp 455 Preferred Imaging of Corinth, LLC 447 LLC 461 Pleasant Valley Healthcare and Purgett, Thomas J, MD 398, 399 Rehab Center 425 Preferred Imaging of Denton, LLC 462 Puri, Muhammad , MD 369, 370 Ple-Plakon, Patricia A, MD 287, Puri, Vichin C, MD 392, 399 288 Preferred Imaging of Frisco, Putcha, Rajesh V, MD 159, 160, Plott, Ronald T, MD 133, 139, 142 LLC 460 Preferred Imaging of Ft Worth, 161 Podgaetz Gliksberg, Eitan , Putman, John Michael, MD 380 MD 403, 404 LLC 463 Preferred Imaging of Garland 462 Q Pokharel, Neeti , MD 65, 66 Qavi, Abdul , MD 193 Polatin, Peter B, MD 432 Preferred Imaging of Grapevine/Colleyville, LP 463 Quarshie, Christopher Trebi, Pollard, Paige A, OD 301 Preferred Imaging of HEB, LP 463 DO 51, 200 Pollard, Robert S, MD 419 Preferred Imaging of McKinney, Quest Diagnostics Clinical Pollifrone, James J, DO 326 LLC 460 Laboratories Inc464, 465, 466, 467, 468, 469, 470 Polski, Michael , MD 39 Preferred Imaging of Mesquite, Pomroy, Patricia , LCSW 206 LLC 462 Quinby Graves, Rachel H, MD 131, 137 Pond, Jay D, MD 324, 326 Preferred Imaging of Plano, Ponder, John C, MD 182, 339 LP 461 Quinn, James , PHD 436 Poon, Magdala , MD 247 Preferred Imaging on Plano Quinn, Marcum O, MD 374 Poonawala, Alisha , OD 304 Parkway, LLC 461 Qureshi, Jawad A, MD 288 Popa, Emilia M, MD 150 Preferred Open MRI, LTD462, 474 Qureshi, Khusroo , MD 262 Poppito, Shannon R, PhD 437 Prentice, Linda L, MD 42 Qureshi, Zeeshan , MD 167, 169 Porter, Homa J, MD 409, 411 Presbyterian Village North 425 R Rabeler, Brandon C, MD 127 Porter, Leslie D, MD 354 Prescott, Jason A, OD 299 Rabin, Vicki , MD 135 Posligua, William E, MD 108 Preskitt, John T, MD 392, 395 Rabjohn, Linnie V, DPM 366 Posten, William D, MD 128, 131, Preston Crossing Endoscopy 135, 137, 139 Center 440 Raborn, Westley Eugene, DO 30 Poteet, Jason R, MD 413, 415 Prestonwood Rehabilitation & Racheruvu, Mamatha , MD 221, 222, 227, 230 Potluri, Srinivasa P, MD 107, 109 Nursing Center Inc 424 Racz, Tibor A, MD 341, 347 Potluri, Vinaya , MD185, 186, 267, Prewitt, David W, MD 93 268, 270 PrimaCare Medical Centers501, Rafael Yarihuaman, Aldo E, MD 403, 404 Potter, Brittany R, MD 385 502, 503 Rafi, Farhan , MD 38 Potter, Jason , MD 360 Prime Diagnostic Imaging462, 463 Raghu, Aarti , MD 197, 200 Potts, Luke B, MD 278, 288 Prism Medical Products, LLC 447 Raghu, Vijayalakshmi , MD 29 Pounders, Steven M, MD 60 Proctor, Gregory W, MD 221 Raghunath, Raju , MD 43 Powell, Charles L, MD 29, 32, 42, ProPath Services, LLC464, 465, 47 466, 467, 468, 469, 470 Ragsdale, Timothy F, MD 182, 338, 339 Powell, Patti G, MD 66 Prost, Henry M, MD 152 Prostheticare Fort Worth LP 492 Rahimizadeh, Hootan , MD 99 Índice alfabético PowerBack Rehabilitation

Alphabetical Index / Richardson 425 Providence Family Health Center Rahman, Rashid , MD 374 Powers, Gregory , LCSW 210, Hillsboro 76 Rahman, Rezwana , DO 46 212, 213 Pruett, Jon D, MD 138 Rainer, Drew E, MD 259, 260 Prabhakar, Meenakshi S, MD 194 Pruitt, Sidney , DCM 120 Raj, Abhinandan , MD 171

536 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Raja, Kalyani P, MD 73 Raver, Catherine A, MD 199 Rembold, Julie C, MD 128, 135 Raja, Maheswari , MD 20, 47 Ravula, Radhika E, MD 341, 344 Ren, Hao-Yu , MD 93, 98 Rajack, Nadia K, MD 190 Rawitscher, David A, MD 93, 98 Rendon, Gabriel , MD 161, 163 Rajadhyaksha, Sandeepa S, Ray, Eric , MD 353 Renner Road Home Dialysis MD 71 Ray, Mark K, MD 138 Clinic 445 Rajagopal, Arthi , MD 222 Raza, Ahmed , MD 370, 373 Rereddy, Jyothi Reddy, MD 64 Rajan, Betty , MD 142 Raza, Maryam , MD 408 Restoration Physical Therapy 490 Raju, Kosuri , MD 69 Raza, S Sadi , MD 96 Reuter, John E, MD 93 Raju, Malathi C, MD 231, 236 Raza, Samreen , MD 93 Reuter, Kyle , OD294, 296, 300, Ramamurthy, Geethanjali , Raza, Syeda A, MD 52 302, 306 MD 231, 233, 236, 238 Razack, Kerim , MD 376 Revard, Ann , LCSW 212 Ramanath, Vijay S, MD 107 Rea, Paul , OD 305 Rey, Jesus , MD 318, 324, 331 Ramarathnam, Vivek , MD 195 Readinger, Allison , MD * 142 Reyes, Bryan A, MD 328 Ramic Fort Worth LLC 474 Reagan, David W, MD 282 Reyes, Cesar A, MD 251 Ramirez, Alfonso , MD 24 Recko, Daniel , OD 304 Reyes, Cynthia , MD 352 Ramirez, Carmen T, MD 244 Red Oak Health and Rehab Reyes, Hector M, MD 226, 227 Ramirez, Kenda L, MD * 54 Ctr 426 Reyes, Rebecca A, MD 260 Ramirez, Philip U, MD 48 Reddell, Leslie D, DO 399, 400 Reyna, Guadalupe , DO * 28 Ramirez, Yara S, MD 251 Redder, Ronald , OD 301 Reyna, Michelle R, MD 255 Ramnath, Devesh , MD 310, 318 Reddy, Bibas , DO 267, 270 Reynolds, Erin , PHD 247 Ramos, Anika M, MD 20 Reddy, Chanakyaram A, MD 167 Reynolds, Jana M, MD 264 Ramsey, Loan , MD274, 278, 284, Reddy, Gautam B, MD 93 Rezaie, Morvarid , DO 69, 190 287, 291 Reddy, Maryada S, MD 265 Rheams, Christopher N, MD 202 Ramsey, Michael L, MD 327, 331 Reddy, Padi , MD 200 Rhema Medical 447, 448, 449 Ramzy, Peter I, MD 389 Reddy, Rathan , MD 172, 201 Rhinestone Healthcare 458 Rana, Setal R, MD 24 Reddy, Samitha M, MD 214, 215 Rhoades-Lazenby, Courtney P, Rana, Shital M, MD 34, 48 Reddy, Sandeep , MD 79 DO 255 Randall, Gary M, DO 156 Reddy, Sashidhar Narapa, MD265 Rhodes, Richard D, MD 311, 318 Randazzo, Amanpreet , PsyD 437, Reddy, Veerabhadra K, MD 318 Rhodes, Susan J, RD 144, 145, 439 146, 147, 148, 149 Redington, Judy , LCSW 206 Ranelle, Brian D, DO 284, 288, Rhodes, Travis C, DO 49 Redish, Gregory A, MD 96 290 Riata Therapy Specialists 487, Rangasamy, Priya , MD 172, 173, Reed, Melanie L, MD 24 489, 490, 491 176 Reed, Susan R, LCSW 210 Riaz, Jawad , MD242, 245, 430, Ranjan, Priti , MD 19 Rees, Gina , LCSW 206 433 Rao, Ali K, MD 353, 355, 357, 358 Reese, Merrick Hogan, MD 184, Riaz, Talha , MD 187 Rao, Archana , MD 227 264 Rice Jr., Levi A, DO 112 Rao, Gopala-Krishna , MD 112 Reese, Tascha , LCSW 208 Rice, Kim M, MD 222 Rao, Nandita Gopal, MD 182, 262 Rehab Management 482, 485, Richard, Josiah M, DCM 114 486, 488 Rao, Praveen K, MD 96, 101 Richards, Lisa M, AUD 84, 85 Reif, Shad , DCM 117 Rao, Varuni , DO 381, 382, 383 Richards, Rosa M, LCSW 207 Reimers, Faye , PHD 437 Raper, Thomas B, MD 372, 373 Richardson, Carol L, PhD436, 438 Reinecke, Steven M, MD274, 278, Rapid Med 502, 505 281 Richardson, James A, MD 106 Rappa, Peter , MD 354 Reinhold, Stephanie M, MD 60 Richardson, Steven J, MD 144 Rashdan, Iyad , MD 104, 106 Reinke, Martin H, MD 287, 291 Richey, Daniel S, DO 231, 233, Rasheed, Haroon I, MD 341, 342 236 Índice alfabético Reliance Imaging LLC 461 Alphabetical Index / Rathod-Bhatt, Jarna , DPM 366 Richey, Jonathan D, DO 128, 129, Reliant Home Health 453 132 Ratliff, Jennifer , OD 303 Remarkable Healthcare of Ratnayake, Maheshika K, MD 33 Carrollton 426

537 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Richland Hills Rehabilitation & Rodgers, Timothy G, MD 128 Row, Elliot R, MD 318, 329 Healthcare Center 427 Rodriguez, Francisco J, MD327, Roye, Robert Price, MD 324 Ricks, Jasmine A, LMFT 209, 212, 331 Roye, Watson P, MD 396 213 Rodriguez-Ruesga, Roberto , Royer, Christian T, MD 311, 318 Ridgecrest Healthcare and MD 123 Royster, Ethan D, OD 298 Rehabilitation Center 427 Roe, Erin D, MD 150, 152 RRC West Fort Worth 446 Rigg, Michelle L, LCSW 205 Roe, Kimberlea A, MD 255 RSC Diagnostic Services 467 Rios, Alvaro S, MD 103 Roffman, Joel A, MD 93 Rubianes, Elba I, MD 131, 132 Rios, Thomas C, DCM 117 Rogenes, Vince J, MD 410 Rubin, Howard A, MD 135, 138 Risinger, Charles C, MD 40 Rogers, Amber R, MD 43 Rudraraju, Smitha , MD 381 Rittenhouse, David Randall, Rogers, Robert Jean, MD 82 Rugwani, Rajiv M, MD 282 DO 412, 413, 415 Rogers, Sandra D, MD 16 Ritter, David W, MD 397 Ruiz, Richard M, MD 407, 408 Rojas, Ana M, MD186, 187, 269, Ruk, Michael T, MD 255 Ritter, John R, DPM 367 270, 271 Rumalla, Smita K, MD 50 Ritter, Timothy E, MD 177 Rojas, George A, DO 228 Rusk, Anna K, MD 16 Rivas, Jose A, MD 30 Rojas, Luis D, OD 296 Russell, Scott A, MD 394 Rivera, Jose M, MD 93, 98 Romanelli, Enid S, MD 29 Russo, Michael A, MD 350, 351 Rivera, Julio R, MD 399 Roman-Latorre, Jorge M, MD 222 Ruxer, Robert L, MD 270 Rivera-Alsina, Manuel E, MD 213 Ron, Victor H, MD 60 Ryan, Julie A, LCSW 385 Rizkalla, Sherif M, DO * 67 Roopani, Tina P, DO 43 Ryan, William H, MD 402 Rizvi, Akbar , MD 182, 262 Rorrie, Kendra A, MD 131 Rizvi, Furqan , MD 433 S Rosa's 1st Quality Home Health Saakova, Lilit , OD 296, 298, 306 Rizwan, Syed A, MD 222 Care 458 Sachdev, Sachin , MD 227, 229 Rizzo, Daniel J, DO 389 Rose, Cary , MD 200 Sackett, James R, MD 308 Robbins, Alan E, DPM 367 Rosemore, Corey , OD 294, 299 Sackler, Marian E, MD 382 Robbins, Cynthia J, MD * 260 Rosemore, Ryan , OD 294, 299 Sadiq, Syed A, MD 174 Robert, Rebecca Maring, MD 261 Rosen, Myron H, MD 73 Sadler, Jane S, MD * 18, 19, 26, Robert, Sara A, MD 251 Rosenberger, Jackie , LCSW 209 35 Roberts, Aaron M, DO 389 Rosenblatt, Randall L, MD 372 Sadler, Sean A, DO 251 Roberts, Andrea , DCM 120 Rosenstein, David M, MD 197 Saeed, Sohail , DO 16 Roberts, Charles S, MD 403 Rosenstock, David , MD 199, 382 Saeed, Sohail A, DO 154, 155 Roberts, Dwayne L, MD 288, 290, Rosenthal, Leon D, MD 383, 384 Saeed, Umar , MD 19, 20, 35, 43 352 Rosenthal, Robert L, MD 96, 103 Saez, Ruben A, MD 183, 262 Roberts, Jay W, DO 399 Roshanravan, Shayzreen M, Safdarian, Nastaran , MD 79 Roberts, Richard M, MD 320 MD 252, 255, 256, 257, 258 Safeway Healthcare Services, Roberts, Tami R, MD 33, 42, 48 Rosol, Zachary P, MD 108, 110, Inc 455 111 Roberts-Harris, Patricia L, DO 46 Saghier, Sadaf , MD 351 Ross, Jeremy A, MD 187, 188 Robertson, Dwain K, MD 353 Saim, Muhammad , MD 222 Ross, Michael B, MD 267, 270 Robertson, Jeffrey B, MD 279 Saini, Rakesh K, MD 67 Ross, Steven Lee, DO 41 Robinowitz, Erica P, DCM 118 Sajjad, Naeem , MD 63 Rost, Timothy J, MD * 261 Robinson, Alex J, OD 299 Sajjad, Zeba , MD 63 Rostamizadeh, Mahdi , MD 272 Robinson, Amber T, DO 28, 47, 49 Salazar, Angel , MD * 24 Roth, Casey , MD 255 Robinson, Brandy R, MD 24 Salcher, Christina M, DPM 361 Roth, John Thomas, AUD 85 Robles-Franceschini, Mario J, Saldivar, Jorge A, MD 256 MD 224 Rothkopf, Michael , MD 98

Índice alfabético Saleem, Sadaf , MD 26 Rockhill, Teresa , MD 259 Rothstein, Joseph M, MD 60 Alphabetical Index / Saliba, Lauren Kellersman, Rockwall Physical Therapy 488 Roufeh, Ramin , MD 33 LCSW 205 Rockwall Urgent Care 503 Routh, L Keith, MD 98, 99 Salinas, Paul , MD 238 Rodgers, Brian C, MD 181, 336 Roux, Marcus A, MD 324

538 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Samadzada, Farid , DCM 116 Savage, Autumn , DO 154, 157, Schussler, Jeffrey M, MD 108 Saman, Masoud , MD 334 158 Schwab, Garrett R, MD 24 Samart, Shantala R, MD 196 Savcenko, Michal , MD402, 404, Schwartz, Arlene , OD 305 Sambathkumar, Lakshmi , MD 195 405 Schwartz, Armond G, MD 167 Sami, Kaliah A, LCSW 213 Savoy, Benjamin , DCM 116 Schwartz, Brian G, MD 93 Samiuddin, Mohammed , MD 50 Saxton-Daniels, Stephanie A, Schwartz, David A, MD 96, 98 MD 135 Samsula, Aaron L, MD 54 Schwartz, Gary , MD 403 Saya, Shoaib H, MD 113 Samuel, Gincy , MD 244 Schwartz, Jay P, MD 72 Sayani, Namrata M, MD 282 Sanchez, Luis Lizardo, MD 163 Schwartz, Mark , OD 305 Sayani, Shermin Z, MD 34 Sanchez-Velez, Catalina , MD 222 Schwarz, Donald E, MD 377 Sayfo, Sameh , MD 107, 109 Sanders, Barry , MD 171, 172 Schweitzer, Jon W, DCM 120 Sayhood, Zaid F, MD 32, 38 Sanders, Laura R, PHD 436 Scott, Matthew , DCM 114 Sbenaty, Lema , OD 294, 296, Sanders, Mark Allen, DO 157 300, 302, 306 Scott, Sarah R, MD 128, 131, 135 Sanders, Steven B, MD 320, 323 Sbong, Stephanie , MD 150 Scott-Winful, Terilyn R, MD 163, 167, 171 Sandhu, Amardeep K, MD 75 Scales, Joseph A, MD 410 Scovell, John F, MD 319 Sandhu, Jaytinder S, DPM 363 Schacherer, Craig E, OD 298 Scruggs, Granger R, MD 377 Sandhu, Nina Kaur, DO 341, 342, Schack, Ricardo C, MD 433 346 Seabert, William R, OD 300 Schaffer, Justin M, MD 402 Sandkovsky, Uriel S, MD 192 Seale, Jonathan , MD 39 Schams, Scott T, MD 71 Sandmann, Timothy L, MD 251, Seals, Scott R, MD 266, 268 Schatz, Steven M, MD 387, 388 259 Sears, Laura L, MD 129, 131, 135 Scheid, David D, MD 66 Sandoval, Ruben E, MD 167, 171, Season Hospice & Palliative Care 173 Scherer, David M, MD 110, 112 of Texas, Inc 460 Sandoval, Stephen D, MD 385 Schermerhorn, James E, MD 255 Sebastian, Lisa M, MD 222 Sandra O'Neal Institute 461 Schieffer, Jarryd , OD 292, 293 Secor, John W, MD 167 Sandy Lake Rehabilitation & Care Schiller, Lawrence R, MD 167 Secrest, Charles L, MD 415 Center 424 Schmid, Jeremy , DCM 115 Seely, Jeremiah B, MD 39 Sanghvi, Purvi J, MD 52 Schmidlap, Brent , OD 302 Sehgal, Bantoo , MD320, 328, 332 Sankarapandian, Balamurugan P, Schmidt, Rebecca , MD 353 Seiden, Jason Andrew, MD 375 MD 236 Schmidt, Rebecca Smith, MD 356 Seidmeyer, Vicki , DO 17 Santa Fe Health & Rehabilitation Schmidt, Troy D, MD 175, 177 Center 427 Seif, Fayez G, MD 170, 173 Schmitt, Christopher Donald, Selby, Anita , LCSW 208 Santaella, Robert O, MD 387, 388 DPM 364 Santiago, Joseph P, MD * 33 Select Physical Therapy Holdings, Schmitt, Eric , MD 79, 81 Inc 479, 487, 498 Santilli, Gregg M, MD 77, 78, 81 Schneider, Reva E, MD 264 Select Specialty Hospital - Dallas Santone, Pamela L, DO 28 Schoenvogel, Robert C, MD 411 Inc 471 Santos, Raul A, MD 110 Schorn, Keith A, MD 70 Seligson, Alyce , LCSW 207, 208, Saporito, Frank C, MD 135 Schorr, Paul P, DO 30 209 Saquib, Rehana A, MD 214, 228 Schott, Thomas M, MD320, 322, Selkin, Bryan A, MD 129, 131, 138 Sarfaraz, Nimra , DO 222, 227, 332 Selkin, Gilbert T, MD 306 232 Schrayer, Aaron , MD 322, 323 Selod, Omar Farooq, DO 357 Sargent, James W, MD 279 Schroeder, Danielle M, MD 71 Sen, Ajanta , DO 194 Sarles, Harry E, MD 169, 173 Schrunk, Kevin , DO 24 Senior Solutions Home Health 453 Sarmast, Syed A, MD 91 Schuhmacher, Darren , MD 340, Sennour, Youcef , MD 50 Sasano, Carolyn , PHD 248 341, 343, 344, 345, 347, 349 Seo, Myungseok R, MD 34 Sathyaprakash, Roopa , MD 152 Schuhmacher, Darren A, MD 341, Índice alfabético

Serenity Services Home Alphabetical Index / Satish, Nisha , MD 19, 39, 46 343, 344, 345, 347, 349 Healthcare, LLC 457 Sattar, Bibi T, DO 46 Schuller, Joris M, MD 222 Seriburi, Vimon , MD 191 Satyanarayana, Neha , MD 153 Schumacher, John R, MD 96 Seroyer, Shane T, MD 327

539 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Setayesh, Kian , MD 311, 312, Sheika, Sabri H, MD 434 Sibley, Alison H, MD 60 313, 320, 322, 332 Sheikh, Imran , MD 169 Siddiki, Lubna , MD 430 Seth, Sharon , MD 82, 83, 202 Sheikh, Naureen , MD 355 Siddiq, Zakaria , MD 244 Setty, Naveen C, MD 358 Sheikh, Naureen J, MD 355 Siddiqi, Adila N, DO 28 Seysan, Roya , MD 33 Shellenberger, David L, MD181, Siddiqi, Muhammad N, MD 69 Shabnam, Saba , MD 47 182, 338, 339 Siddiqui, Ashfaq , MD 400 Shadduck, James , PHD 437 Shellock, Jessica L, MD 313 Siddiqui, Khadija , DO 106 Shafiq, Moiz M, MD 98, 101, 103 Shelton, Christopher M, MD153, Siddiqui, Kiran , MD 433 Shafiq, Rashid , MD 370 154, 155, 156, 158 Siddiqui, Nadeem A, MD 215, 228 Shah, Alpa K, MD 244 Shelton, Joseph H, MD 175 Siddiqui, Sheema , LCSW 208 Shah, Dar B, MD 236 Sheng, Jean L, MD 388 Sidhu, Ishwinder S, MD 236, 237 Shah, Dhirendra L, MD 98 Shepard, Joli , OD 301, 304 Sidhu, Manavjot S, MD 96 Shah, Jessica Praful, MD 174 Shepherd, Jessica A, MD 255 Signature Health Care Inc 455 Shah, Kiran P, MD 244 Shepherd, Leslie , LCSW 205 Signature Pointe 425 Shah, Manisha J, MD 100 Sherwood, Melody J, MD 407 Sikka, Naveen N, MD 78, 79 Shah, Mili , MD 199 Sheth, Arpita A, MD 191 Sikka, Seema R, MD 355 Shah, Mudita K, MD 82 Sheth, Maushmi N, MD 242 Silat, Nooman , MD 67 Shah, Neela , MD 196 Shetty, Anupkumar , MD 222 Sills, Michael N, MD 96, 102 Shah, Neeraj B, MD 64 Sheydwasser, Alan M, MD 346, Silpa, Joy , DPM 364, 365 349 Shah, Neha Surekh, DO 357 Silver, Glen A, DCM 117 Shibli, Adeel B, MD 373 Shah, Nirav C, MD 246, 247 Silver, Mark V, MD 238, 240 Shibli, Urooj B, MD 30 Shah, Nisha N, DPM 365 Silverman, Robert , MD 65 Shide, Kathleen L, MD 379 Shah, Perini , DO 17 Silvers, Eric M, DPM 361, 362 Shie, Jonathan J, MD 36, 38 Shah, Rinoo V, MD 354 Silvers, Stacy , MD 78, 79, 81, 82 Shields, Sandra , LCSW 208 Shah, Rushikesh , MD 167 Silverstein, Alanna M, MD 63 Shifflette, Vanessa K, MD 392 Shah, Syed N, MD 90 Silverstein, Russell L, MD 222 Shilling, Steven L, MD 106 Shahdad, Novreen , MD 244 Simien, Melvin P, MD 175, 202 Shima, Thomas B, DO 24 Shahidzadeh, Rassa , MD 160, Simmang, Clifford L, MD 123, 125 Shima, Thomas B, DO * 24 163 Simmons, Frederic J, DO 25 Shimer, Andrew T, MD 251 Shaikh, Mohammed U, MD 349 Simon, Silvi M, MD 222, 223, 225, Shakil, Rubina , MD 430 Shimer, Tricia A, MD 255 229, 230, 232 Shakouri, Alireza A, MD 83 Shin, Edward , MD 341 Simonak, Ryan W, DO 46 Shalek, Marc S, MD 93, 98 Shirvani, Ali R, MD 412 Simpkins, Nicole A, MD 244 Shalom Home Health Services455 Shirvani, Arash M, MD 417 Simpson, Andrew K, MD 314, 319 Shamim, Sadat A, MD 244 Shiwach, Rajinder S, MD 432 Simpson, Steve A, MD 112 Shane, Parker E, DCM 118 Shmerlin, Inna , MD 264 Sims, Michael D, MD 28 Shanley, Spencer C, DCM 120 Shori, Sandeep K, DO 236 Sims, Patrick D, MD 357 Shannon, Natalya , MD 352 Short, Michael C, MD 19 Sinclair, Gary , MD 192 Shapira, Adam R, MD 87, 90 Shotwell, Joyce M, MD 373 Singer, Alejandro R, MD 255 Sharaf, Mai F, MD 70 Shoultz, Charles , MD 102 Singer, Allison F, MD 129, 135 Sharan, Leena , MD 93 Shreedhara Vasudha, Meera , Singh, Anil , MD 127, 199, 201 MD 267 Sharif, Zain , MD 64, 69 Singh, Ashish , MD 274, 279, 287, Sharma, Aditya , MD 431 Shroff, Miloni , MD 195 291 Sharma, Naginder , MD 111 Shuford, Matthew D, MD 411 Singh, Bhupinder , MD 93, 107 Shulkin, Zev A, MD 279 Índice alfabético Sharma, Neeraj R, MD 197 Singh, Davinder , MD 232, 233 Alphabetical Index / Sharma, Vijay , MD 52, 54 Shumate, Bill G, MD 18, 24, 26, Singh, Omesh S, DO 67, 69 30, 36, 46, 50 Sharp, Margaret A, AUD 83 Singh, Sameer K, MD 412 Shutze, William P, MD 417, 418 Shaw, Kasey G, LCSW 212, 213 Singh, Sandeep , MD 237 Shyam, Roopam , MD 19

540 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Singhal, Manuj C, MD 323 Snavely, Nicholas R, MD 131, 140 Spooner, Elizabeth G, MD 203, Siripurapu, Ravi S, MD 69 Snook, Russell W, MD 282 260 Sisay, Emnet , MD 195 Snow, Robert G, DO 399 Sports & Wellness, LLC 448, 492 Sivadasan, Mini , MD 403, 404 Snowberger, Noel L, MD 167 Sreedevi, Mini , MD 257 Sivadasan, Rekha , MD 72 Snyder, Branden A, MD 109 Sreenarasimhaiah, Jayaprakash , Skeen, Shawn J, MD 102 Snyder, Jeffrey S, OD 304 MD 167, 169 Skiba, Mary A, DO 185, 186 Sobti, Deepak , MD 283 Sridhara, Srividya , MD 78 Skinner, John R, PHD * 438 Soederbaum, Nadeen , MD 37, 48 Srinivasan, Ramesh , MD171, 177 Sklar, Jerald L, MD 129, 131, 135 Sokol, Matthew P, MD 25 Srivastava, Archana , MD 96 Skluzacek, Paul A, MD 224 Sola Prosthetics, Inc 492 Srivastava, Ashwani D, MD 199 Skulpoonkitti, Bryan , DO 348 Soledad, Tracy , MD 394 Srungaram, Praveen R, MD 161 Slabas, Karen K, MD 259 Soleo Health 464 St John, Jennifer D, DO 149 Slabisak, Vudhi V, MD 314, 319, Soleo Health Inc 459 Stack, Peter S, MD * 54 321, 323 Solid Care Home Health Agency, Stadler, Ronney F, MD 124 Sladek, Phillip L, MD 392 Inc 453 Stalkup, Jennifer R, MD 131 Sleep Centers of Texas, Inc 495 Solis Mammography 443, 444, Standerwick, Andrew B, MD 400 Sljivich, Milan , MD 77, 78, 80 471, 472, 473 Stanley, Amanda , PHD 437, 439 Sloan, Emily K, MD 73 Solis, Rolando M, MD 98 Stanley, James , MD 308 Slomowitz, Alan , MD 377 Solley, Wayne A, MD 287, 289 Stanley, James H, MD 319, 325 Smart, Susan M, MD 75 Solomon, Matthias , MD 358, 359 Stanley, Robin Charles, DCM 116 SMD Physical Therapy PLLC 491 Sontineni, Siva P, MD 100 Starchville, Jonathan , OD 296 Smith, Adam B, DO 399 Sorial, Mary E, DO 37 Starks, Katie , MD 275, 283 Smith, Amity , MD 158 Sorokolit, Michael , DPM 367 Starnes, Christopher , MD 396 Smith, Bertram L, MD 417 Sorrell, Nancy C, OD 300 Steephen, Anita C, MD 171, 175 Smith, Bruce A, MD 392 Soto, Jonathan W, MD 43 Steffens, Marie E, LCSW 212 Smith, Chad R, MD 72 Soto, Linda , LCSW 204 Steffer, Karen J, MD 177 Smith, Chene T, MD 26 Soto-Lopez, Juan , MD 18 Stehly, Eric M, MD 329, 330 Smith, Daniel A, MD 131 SoundWorks Hearing Centers, Steinke, Paul A, DPM 368 Smith, David L, MD 388, 389, 394, Inc 451, 452 Stephanian, Edic , MD 416, 418 396 Southerland, Joe T, DPM 366, 368 Stephens, Gregory K, MD 223 Smith, Douglas A, DO 312, 319 Southlake Medical Supplies, Stephens, Jeffrey S, MD 395, 396, Smith, Eric B, MD 411 Inc 449 397 Smith, Harry G, DO 324, 328 Southwest Dermatopathology 465 Stephens, Mark , MD 274, 279, Smith, Jeffrey A, MD 175, 177 Souza, Rhonda F, MD 167 284, 287, 291 Smith, Keiland , DCM 114, 116 Spady, David K, MD 175, 177 Stephens, Mark T, MD 279 Smith, Kelly , DCM 118 Spain, Jon B, DO 46 Stephenson, Alan , PHD 437 Smith, Kyle , DO 223 Spak, Cedric W, MD 195 Stephenson, Jill S, MD 392 Smith, Michael , DPM 367 SPC Home Medical Stephenson, Scott K, MD 99, 100, Equipment 448 104 Smith, Natalie M, MD 60 Speaks, Kirtland , DCM 115, 116, Sterling, James C, MD 353, 355 Smith, Oluwatosin U, MD 279, 289 120 Stevens, Kelli O, DPM 367 Smith, Purcell , MD 314 Spechler, Stuart J, MD 167 Stevens, Porscha , LCSW 205 Smith, Randlow , MD 60 Specialty Medical Sales 448 Stevens, William , MD 167 Smith, Robert , LCSW 207 Spencer, Brent A, MD 129 Stevenson, Brent E, DO 384 Smith, Robert L, MD 402 Spencer, William B, MD 279, 289 Stevenson-Gargiulo, Elizabeth A, Smith, Scott E, DPM 362, 363 Spicer, Robert J, MD 353 DO 255 Índice alfabético Alphabetical Index / Smith, Trisha E, MD 33 Spiegel, Solomon B, DO 94, 100 Stewart, Adam , MD 284 Smith, Weldon L, MD * 60 Spillman, Monique A, MD 178 Stewart, Brandi E, OD 305 Smith, William A, MD 415 Spingola, Dean B, MD * 306, 307 Stewart, Donald S, MD 327, 331

541 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Stewart-Lee, Aureyelle , OD 296 Sukenik, Olga T, OD 294 Szerlip, Molly , MD 91, 93 Stickney, Nathan D, DPM 368 Suleiman, Yousef N, MD 202 Szuszkiewicz-Garcia, Magdalena Stiles, Christine A, MD 358, 359 Suller, Maria Renela G, MD 151 M, MD 150, 151, 152 Stiles, Philip B, OD 294, 295 Sullivan, Margaret , MD 101 T Stine, Matthew , DO 40 Summakia, Mohamed , MD 244 Taba, Michael M, MD 314 Stoehr, Angela R, MD 250 Summit Peak Physical Therapy, Taboada, Carlos A, MD 54 Stoica, Mihaela V, MD 432 PC 489 Taiwo, Joseph B, MD 408 Stokoe, Christopher Thomas, Summit Speech Therapy, Tajnert, Kathrene , MD 143 MD 262 PLLC 495 Taki, James A, MD 48 Stoler, Robert C, MD 108 Sun, Andrew Y, MD 411 Talatala, Rufino G, MD 64 Stoll, Scott T, DO 357 Sun, Lucy , MD 416, 417, 418, 419 Talley, Andrea D, DC 113, 119 Stone, David A, DO 399 Sundaram, Bharathy E, MD 245 Tan, Anjanette S, MD 152, 153 Stone, Ramsey A, MD 389, 395 Sundaram, Easwar M, MD 245 Tandon, Anumeha , MD 96, 99 Stone, Sabrina , MD 106, 112 Sundblad, Jeffrey J, MD 319 Taneja, Aanchal , MD 244 Stone, Scott Andrew, MD 262 Sunrise Home Health Taneja, Nancy C, MD 72 Stonemere Rehabilitation Services 456, 457 Tang, Wei , MD 60, 242 Center 424 Supavong, Chanida K, DO 35 Tank, Vivek H, MD 245 Story, Elizabeth , MD 158 Surdacki, Joseph V, MD 374 Tao, Tony Y, OD 291 Stovall, Dale W, MD 255 Surdacki, Melinda , OD 294, 295 Tapia, Angelica , RD 149 Strange, Taylor B, DO 290 Sureddi, Seetha D, MD 256 Tapias Vargas, Leonidas , MD 403 Straus, Brian E, MD 320, 323, 332 Suri, Harpreet S, MD 376 Tariq, Mohammad J, MD 340, 345 Street, Reagan Michelle, MD 179 Surkunalingam, Nantha , MD 167, Tarnasky, Paul R, MD 167, 168 Strenger, Nathaniel R, PsyD 207 170 Tasneem, Tehmina , MD 34, 49 Strength, Steven C, DO 52 Survivor Gals Specialty Products Tatineni, Krishna C, MD 51 & Salon, LLC 491, 492 Strickland, Richard M, MD 178 Tatum, Ryan H, MD 17 Suter, Robert N, DO 17 Stringer, Claude A, MD 178 Taub, Larry , MD 274, 279 Suthun, Parisa Ann , MD 193 Stringer, Jared D, MD 409 Tavakoli, Mojgan , DPM 361 Sutker, Allan N, MD 314 Strive Medical, LLC 447 Taylor II, Alan M, MD 106 Suttle, Sara E, DPM 366, 368 Strobel & Associates Prosthetics Taylor, Anastasia C, LCSW 205, and Orthotics 446 Sutton, Shelby E, MD 127 209, 210, 212, 213 Strong, Bradley D, MD 279 Swails, Richard W, DPM 361 Taylor, Andre , DC 113, 119 Strong, Christopher N, DO 39 Swami, Aditi , MD 193 Taylor, Desire , PHD 436 Strong, Jamie S, OD 302 Swanson, Philip H, MD 394, 400 Taylor, Edward E, MD 127 Stroud, Christopher M, MD 129, Swanson, Susan L, MD 279 Taylor, Edwin E, MD 30 131, 135 Swartz, Brandon R, MD 83 Taylor, Jeffrey B, DO 26 Stroud, Joyce L, DO 50 Swayden, Tracie Denise, MD 140, Taylor, Kermit G, DCM 118 143 Stroud, Robert G, DO 415 Taylor, Walter L, MD 245, 246 Sweet, Kimberly K, MD 74 Strzinek, Robert A, DO 47 Tchetgen, Marie-Blanche N, Stubblefield, Larry K, DO 32 Sweezer, Tonya M, DO 25 MD 412 Studley, Jill L, MD * 50 Swift Med Urgent Care 502 Teague, Christopher W, MD 39 Stuntz, Richard A, MD 46 Swofford, Nicole , MD 40, 41 Team Concept Rehabilitation 489 Sturgeon, Jared D, MD 378 Syed, Ishaq Y, MD 311, 319 Teerdhala, Sudha , MD 266, 268 Stutz, Jacob , DCM 114 Syed, Kamal A, MD 175 Tella, Prabhav K, MD 344 Subedi, Ramesh , MD 202 Syed, Nabeel H, MD 411, 412 Tellez III, Manuel , DO 60 Subramanian, Geetha , MD 336 Syed, Samaha , MD 215, 228 Ten20 Medical Distribution, Índice alfabético Syeda, Uzma A, MD 383 Alphabetical Index / Subramanian, Obulakshmipriya , LLC 447 MD 194 Symmank, Sammuel G, DCM 114 Teng, Mark P, MD 104 Subramanyam, Lalitha , MD 151 Syrquin, Maurice G, MD 279, 281, Tenny, John R, MD 319 Sudela, Thomas S, MD 259 282, 287 Teotia, Stephanie K, MD 360

542 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Tesfa, Ganana , MD 247 Theleman, Kevin , MD * 105 Thudi, Narotham Reddy, MD 184, Teska, Lyle , MD 281 Therapeutic Partners of Texas, 265, 266 Testa, Giuliano , MD 407, 408 PLLC 487 Thurman, Scott A, MD 415 Texas Center for Interventional Therapy 2000 454, 458 Tibrewal, Anil K, MD 393 Surgery, LLC 441 Therapy Excellence 488, 489, 491 Tilleros, Elisabeth A, MD 60 Texas Endoscopy 441 Therapy Partners of North Timely Care Home Health 455 Texas Endoscopy at Texas476, 486, 487, 489, 490, Timon, Stephen J, MD * 321, 323, Independence Medical 491 332 Village 441 Theriot, Maxine A, MD 419 Tinley, Jason C, MD 325, 328 Texas Eye Doctors, PA 503 Thieberg, Mark D, MD 132 Tipton, Stephanie M, DO 43 Texas Hand Rehabilitation 475, Thigpen, Darrell E, MD 60 Titus, Stephen J, MD 17 477, 478, 479 Thomas, Carolyn L, MD 401 Tiu, Ceres , MD 193, 195 Texas Home Health Group, Thomas, Danny R, MD 141 Tiu, John L, MD 376 LLC 453, 456, 457 Thomas, Darryl B, MD 307, 308, Tiwari, Rachna , DPM 362, 363 Texas Home Health Hospice, 309 LP 459 Tjandra, Easter W, OD 294 Thomas, Elizabeth R, DO 73, 75 Todd, Frederick D, MD 240 Texas Home Health Skilled Thomas, Hanna , MD 223, 227 Services 454 Todd, Laurie A, LCDC 207 Thomas, Jeanine Holmes, DO 67 Texas Home Medical, Inc 447 Toker, Anna-Maria B , MD 125 Thomas, Jeff , OD 298 Texas Medical Diagnostic, Inc 495 Toledo, Yeraldine , MD 99, 100, Thomas, Jeff D, OD 292, 293 Texas Physical Therapy 104 Specialists 483, 485 Thomas, Joseph , DO 41 Tolhurst, Stephen R, MD 322, 323 Texas Rehabilitation Hospital of Thomas, LaTisha A, LCSW 207 Tolkachjov, Stanislav M, MD 139, Arlington 494 Thomas, Laurence C, OD 296 141 Texas Rehabilitation Hospital of Thomas, Pamela , OD 305 Tomberlin, Janice Kelly, MD379, Fort Worth, LLC 494 Thomas, Robin L, MD 381 380 Texas Star Ambulance 440 Thomas, Shibu , MD 373 Tome, Deborah , LCSW 208 Texstar Medical Equipment 448 Thomas, Sibi P, DO 107, 108 Tomlin, Terri L, MD 72 Thai, Dieu T, OD 304, 305 Thomas, Vibha T, MD 266, 267 Tompkins, Melissa L, MD 374 Thakkar, Rumit P, DO 196 Thomas, Whitney , OD 304 Tong, John , MD 279, 289 Thakor, Kunjan P, MD 191 Thomason, Stephen W, DO 355 Torabi, Amir M, MD 244 Thamwiwat, Alisa , MD110, 111, Thomason, Timothy S, MD 336 Torbert, Domonique M, PSY 439 113 Thomison, James L, MD 37 TORO Home Health Services Thao, Linda H, DO 20 Thompson, Christopher P, Inc 454 Tharian, Anita , DO 197, 199, 200 MD334, 335, 336, 337, 338, 339 Torres Ramos, Randolph , MD 54 The Belmont at Twin Creeks 424 Thompson, James C, MD 82 Torres, Cesar O, MD 30 The Brace Center, LLC 492 Thompson, Jon C, MD 312, 314, Torres-Quevedo, Rocio , PHD 437 The Carlyle at Stonebridge 324 Torti, Robert E, MD 274, 280 Park 428 Thompson, Joyce M, MD 50 Toubin, Jeffrey Charles, MD 411 The Harrison at Heritage 428 Thompson, Justin Hull, MD 340, Touchstone Imaging Arlington463, The Healthcare Resort of 341, 343, 344, 345, 347, 349 472, 474 Plano 424 Thompson, Mandy , MD 196, 197, Touchstone Imaging Arlington The Hillcrest of North Dallas 424 200, 202 Breast Center 463 The Legacy at Willow Bend 424 Thompson, Mark A, MD 97 Touchstone Imaging at Red The Madison on Marsh 424 Thompson, Renika K, MD 30 Oak 463, 472 The Park in Plano 424 Thoreson, Gregory R, MD 411 Touchstone Imaging Burleson463, 472, 474 The Pavilion at Creekwood 428 Thorns, Jantzen , MD 394 Índice alfabético Thornton, Michael L, DO 400 Touchstone Imaging Downtown Alphabetical Index / The Renaissance at Kessler Fort Worth PET 463 Park 425 Thrall, Maria L, MD 19 The Villages on MacArthur 425 Thrash, Dustin B, MD 136, 142

543 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Touchstone Imaging Flower Tran, Lamyen , MD 31 Turner, James M, MD 269 Mound 463, 474 Tran, Lily , DO 46 Turner, Michael J, DC 113, 119 Touchstone Imaging Forest Tran, Long D, MD 223 Turner, Michael Scott, MD 240 Lane 462 Tran, Minh P, MD 404 Turner, Rhonda , LCSW 208 Touchstone Imaging Fort Tran, Ngoc , DO 69 Turner, Roy , MD 261 Worth 463, 474 Tran, Nhu Q, DO 62 Turner, Taryn J, DO 223, 227, 230 Touchstone Imaging Fossil Creek 463, 473, 474 Tran, Pui , OD 297 Tuscan Surgery Center at Las Colinas 441 Touchstone Imaging Grand Tran, Stanley , OD 294 Prairie 462, 473 Tran, Tara , OD 304 Twedell, Heather , PsyD 205 Touchstone Imaging Hurst 464, Tran, Tung D, MD 373 U 473, 474 Trang, Vinh Q, MD 186 Uceda, Pablo V, MD 393 Touchstone Imaging Irving 462 Travis Medical Sales Uddin, Fatema S, MD 174 Touchstone Imaging Keller 464, Corporation 447 Uddin, Mohammad N, MD 43 473, 474 Travis, Allison B, MD 388 Udeozo, Obiora Igwedumma, Touchstone Imaging Las Traymore Nursing Center 425 MD 127 Colinas 467 Treece, Chad E, MD 395 Ukegbu, Ibidunni , MD 61 Touchstone Imaging Treen, Ben M, MD 139, 141, 143 Ukoha, Chijioke D, MD 63 Lewisville 463, 474 Trejo, Jesus , MD 38 Ullah, Sana , MD 149 Touchstone Imaging Mansfield464 Tri Cities Urgent Care 502 Umber, Afia , MD 223 Touchstone Imaging Tribble, Marc A, MD 51, 192 United Plus Home Health LLC 458 McKinney 460, 471, 473 Tribute Medical Supply 448 United Plus Hospice Inc 459 Touchstone Imaging Mesquite462, Universalmed Supply 448 472, 474 Trillo, Gerardo Hernandez, MD261 Trimble, Monty V, MD 339 University Behavioral Health of Touchstone Imaging North Denton 429, 493 Dallas 462, 473 Trinity Nursing and Rehabilitation of Burleson, LP 427 Uppalapati, Padmavathy , MD 99 Touchstone Imaging North Uppalapati, Sesha S, MD 202 Garland 466 Trinity Nursing and Rehabilitation of Granbury, LP 426 Urban Inter-Tribal Center of Touchstone Imaging Oaktree 462, Texas 15 474 Trinity Nursing and Rehabilitation Urbanczyk, Jeremy , DO 324 Touchstone Imaging Plano 461, of Italy LP 426 472, 473 Trio Home Care 456 Urgent Plus Care, LLC 502 Touchstone Imaging Troop, Randal L, MD 314 Urgentology Urgent Care 503 Richardson 462, 474 Trotter, James F, MD 188 Urieto, Jeffrey O, MD 28, 37, 48 Touchstone Imaging Trovato, Matthew J, MD 360 US Home Health Care INC 458 Southlake 464, 473, 474 Truitt, Michael S, MD 393 US Universal Health Care Touchstone Imaging Trulson, Tamella J, MD 432 Services, LLC 454 Weatherford 444 Truman, Michael E, DO 46 Uselton, Michael , MD 43 Toulson, Charles E, MD 312 Trumbly, Alan R, DO 266 Uselton, Timothy J, DCM 118 Town Hall Estates Hillsboro 426 Truong, Kiet T, MD 38 Usuga, Luis D, MD 256, 257 Townsend, Sean A, MD 54 Truong, Phuong M, MD 223, 227, V Toy, Jason O, MD 328 230 Vadlamudi, Naga S, MD 195 Trammell, Stephen B, DO 37 Truong, Valerie L, MD 132, 136, Vahora, Zahid M, MD 189 Tran, Anh-Hong H, MD 410, 411 139, 140, 143 Valachovic, Michael S, MD * 61 Tran, 'Anthony' Thanh B, MD 360 Trussell, Joshua K, MD 400 Valadez, Javier A, MD 61 Tran, Jimmy , OD294, 296, 300, Tsay, Bing S, MD 321, 323, 332 Valentine, Shyla T, MD 97, 103 302, 306 Tsiakos, Aris J, MD 160, 163 Vallabhan, Ravi C, MD 108, 111 Índice alfabético Tran, Joey D, OD 301 Tucker, Christopher J, DO 357 Vallejos, Jose T, MD 61 Alphabetical Index / Tran, Juliette Y, DCM 117 Tucker, Sharon E, MD * 30 Vallera, Raphaelle D, MD 150 Tran, Khang N, MD 51 Tukdi, Shakil A, MD 431, 434, 435 Vallera, Raymond A, MD 169 Tran, Kien T, MD 141 Tummala, Chaitanya , MD 191 Valliani, Farida , MD 64

544 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Vallury, Visalakshi R, MD 155 Vesy, Christopher J, MD 168 Wahid, Faisal , MD 91 Van Dinter, Thomas G, MD 163, Vibra Specialty Hospital - Wai, Robert B, MD 261 168, 169 Richardson 471 Wakim, Jean-Claude , PhD 437 Van Horn, Allan Chad, MD 411 Vibra Specialty Hospital of Walberg, Mark William, MD 265 Van Wagoner, John A, MD 77, 78, Desoto 471 Walden, Carin , DCM 117 81 Vick, Katie M, MD 37 Waldo, Rick T, MD * 54 Vance, Estil A, MD 265 Victory Physical Therapy Limited Walker, Alexsandra , LCSW 204 Partnership 487 Vandervest, Katherine M, MD 373 Walker, Ashley D, MD 20 Vidi, Venkatesan , MD 111, 113 VanDyke, Lindsey M, DO 151, 152 Walker, Daniel P, MD 142, 143 Vanesko, Grace C, MD 160, 164 Viere, Robert G, MD 311, 314, 319, 328 Walker, Geoffrey S, MD 226 Vanguru, Raghuveer , MD 237 Walker, Rebecca , LCSW 204 Vaquera, Key A, MD * 373 Vignale, Steven J, MD 104 Vigness, Richard M, MD 113, 419 Wall, Anji E, MD 407, 408 Vargas Vilugron, Marisol A, Wall, Bruce R, MD 224 LCSW 207 Vilaythong, Alexander P, DO * 46 Wallace, Charles A, MD 360 Varma, Jai , MD 107 Villalon, Raul , MD * 33 Wallace, Lucy B, MD 393 Varughese, Cyril A, DO 103 Villarreal, Arturo D, MD311, 312, Waller, Holli , DO 154, 158 Vasenius, Keith , DO 112 314, 321, 322, 332 Waller, Thomas , MD 94, 105 Vasques, DeEtte R, DO 179 Villines, Floyd S, DCM 115 Walmart Care Clinic 103224 504 Vasquez, Javier , MD 418 Vineyard, Joseph C, MD 319 Walmart Care Clinic 105987 505 Vathikulam, Jency P, DO 40 Vinton, Tonia Y, MD 61 Walters, David L, MD 25 Vattam, Sreenadha R, MD 356 Viqar-Syed, Maria , MD 99 Walthius, Kelly M, DO 28 Vattikuti, Swapna , MD 70 Virani, Nadia , OD294, 296, 300, 302, 306 Walton, Sandra , LCSW 205 Vaughan, Nathan A, MD 393 Virani, Nadia A, OD 296 Wander, Jason F, DO * 48 Veerasamy, Anitha D, MD 25 Virtis Health LLC 464 Wandrey, Daniel E, MD 124 Velasco, Carlos E, MD 97 Vision Home Health Care 454 Wang, Allen S, MD 272, 274, 282 Velez, Ruben L, MD 223 Vo, Duc Phu, MD 319, 321 Wang, Eric D, OD 294 Velusamy, Latha , MD 223, 225, 229, 230, 233 Vo, Linh , DO 37 Wang, Haojie , MD 97 Vengalil, Marina T, MD 50 Vo, Phat , OD 298 Wang, Paul , MD 51 Veninga, Francis D, MD 395 Vo, Van L, OD 294 Wang, Robert C, MD 279, 283 Venkataraman, Mythili T, MD 370, Volpini, Danilo M, MD 325 Wang, Thomas T, MD 388, 395 374 Von Hoff, Daniel Douglas, MD 265 Wang, Wenbao , MD 356 Venkataraman, Srividya , MD 223, Vora, Neil M, MD 334, 337, 338 Wang, Xinnan , OD 296, 298, 306 224, 225, 229, 230, 233 Voskuhl, Gene , MD 192 Wang, XueCheng , MD 61 Venkatesan, Jayanti , MD 215 Voss, Kurt W, DO 357 Wang, Yi Zarn , MD 393 Venkatesan, Naren , MD 336 Vrcek, Ivan M, MD 279 Wang, Zuyue , MD 94, 98 Venkatesan, Naren N, MD 181, Vrushab, Rajesh B, MD 90 Ward, Alisa K, MD * 250 336 Vu, Albert H, DO 341, 355 Ward, Jenaya J, MD 257, 259 Venkatesh, Purnima , MD 82 Vu, Angelo , DO 201 Ward, Marc A, MD 393 Vera, Christina E, DO 18, 27 Vu, Elizabeth P, DO 32 Ward, Mary H, DO 30 Vera, Richard L, MD 349 Vu, Hien T, LCSW 205 Warmiski, Johnathan D, MD 289 Vera-Burkhalter, Cheryl , MD 25 Vu, Hieu T, MD 34, 44 Warren, Ann M, PHD 437 Verhaert, Jozef P, DCM 119 Vu, Julie K, MD 252 Warren, Kelly J, MD 140 Veritas Home Health 453 W Warren, Kimberly S, MD 272, 275 Verma, Anupam Y, MD 197 Wade, Paul D, MD 61 Warren, Margaret A, DO 203, 256 Verma, Avesh R, MD 242 Waggoner, Jill , MD 25 Warren, Robert D, DPM 366, 369 Índice alfabético Alphabetical Index / Verma, Jonathan A, MD 377 Waghela, Sarju , DO 271 Warthan, Mandy L, MD 129 Verma, Suneet , MD 224, 227, 230 Wagner, Haley E, DO 74 Warthan, Molly M, MD 142 Verret, Daniel J, MD 335 Waguespack, Keith A, MD 412 Washburn, Elyssa J, AUD 85

545 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Washington, Donald L, MD 375 Wellness Care Center of Wiederkehr, Michael R, MD 224 Wasserman, Richard , MD 77, 79 Dallas 494 Wierschem, Michael G, MD 409, Wasson, Bradley D, DO 43 Wellness Care Center of 410 Waterford, Alana L, MD 156, 385 Denton 495 Wieser, Eric S, MD 327, 331 Waters, John K, MD 402 Wellness Care Center of Irving494 Wiggins, Lauren N, MD 279, 280 Waters, Michael , DO 413, 415 Wellness Care Center of Wilcox, Barry N, MD 377 Rowlett 494 Watkins, Jeremy P, MD 339 Wilder, Cynthia K, MD * 61 Wells, Carol C, LCSW 205, 209, Wilder, Elizabeth G, MD 136 Watts, Maureen W, MD 244 210, 212, 213 Wildridge, Jeffrey A, OD 292, 297 Watumull, Denton , MD 360 Wells, Katerina O, MD 123 Wiley, Cherese M, MD * 61 Waw, Kristen D, MD 75 Wells, Lauren A, MD 256 Wiley, Ruth R, DO 260 Wayhs, Amelia C, MD 20 Wells, Michael , MD 132 Wilkerson, Jennifer L, MD 61 Wayne, Jason K, DCM 114 Wells, Peter J, MD 87 Wilkes, Dustin V, DO 140 We Care Home Health Services, Welsh, Jenifer H, MD 63 Inc 455 Wilkofsky, Steven I, MD 169 Wemhoener, Bradley , OD 297 Weatherly, Kevin S, PhD 438 Williams, Bary , AUD 83 Wencker, Detlef , MD 97 Weaver, John M, MD 25 Williams, Benecia T, DO 357 Wenger, Scott A, MD 329 Weaver, Maria-Raquel , MD 51 Williams, Bryan P, OD 297 Werner, Kimberly A, MD 132, 138 Weaver, Mary Ann , MD 28 Williams, Calvin L, MD 143 Wesp, Krystyna , DO 75 Webb, Crystin D, OD 303 Williams, Derek , MD 393, 395, West Side Campus of Care 428 Webb, Stacey L, OD 304 400 West, Diane C, MD 414 Weber, David E, OD 296 Williams, Kristin N, MD 258, 261 West, Jeffrey A, MD 337, 338 Weber, Denise S, MD * 61 Williams, Mark J, PHD 437 West, Keira , OD 304 Weber, James J, MD 175, 177 Williams, Michelle Munn, OD 302 West, Penny C, MD * 62 Webster, Winston S, MD 411 Williams, Nathan E, MD 329, 330 Westbrook, Raymond R, DO 67, Williams, Neil P, MD 336 Weddle, Bryan N, DCM 116 70 Williams, Patrick D, MD 287, 289 Weddle, Rebecca J, MD 127 Westergaard, Deborah M, MD 343 Williams, Ryan S, MD 88 Wedel, Karl L, OD 299, 301 Westkaemper, John G, MD 321, Wedgewood Nursing Home 427 324 Williams, Stuart F, DO 247 Weglein, Daniel G, MD 329 Westmoreland, Paul A, MD 38 Williams, Tammi M, MD 352 Weikum, Roger A, OD 296, 297 Westpark Rehabilitation and Willis, John J, MD 382 Weilage, Vanessa V, LCSW204, Living 427 Willis, John M, DO 70 207, 208 Westridge Nursing and Willowbend Nursing and Weingarden, Gary I, MD 99 Rehabilitation LP 425 Rehabilitation Center 425 Weinstein, Howard , DPM 364 Wey, John T, MD 321 Wilner, Matthew L, MD 411 Weinstein, Jeffrey Scott, MD 168 Wheelan, Kevin R, MD 88 Wilson N Jones Regional Medical Weinstein, Jonathan Robert, White, Bradford J, PHD 437 Center 422 MD 250 White, Charles Stanley, MD184, Wilson, Amy J, MD 355 Weinthal, Joel Adam, MD 351 265 WIlson, David M, MD 50 Weisberg, Eric L, MD 129, 138 White, Cheryl A, MD 360 Wilson, Diana , MD 241 Weiss, Martin S, DO 107 Whiteley, Andrew , MD 265 Wilson, Kent A, OD 301 Weissman, Alan , OD 295 Whitfield, John A, MD 180 Wilson, Shelbi L, DCM 113, 114, Weitzul, Sarah , MD 136 Whitman, Jeffrey , MD 272, 279 119 Welborne, Leslie S, MD * 250 Whitney Family Medicine 76 Wimberly, Bethany M, DO 28 Welch, Brian J, MD 151 Whitney Medical 502 Winchester, Jennifer C, MD 28 Windsor Gardens 425

Índice alfabético Weldy, Brenda J, DPM 367 Whitted, Jennifer , LPC205, 207,

Alphabetical Index / WellBridge Healthcare of Fort 208 Winter, F David , MD * 61 Worth 430, 493 Wiebel, Michael J, MD 334, 337, Wiprud, John M, MD 41 WellBridge Healthcare of 338 Wise, William E, DO 66 Plano 429, 493 Witheiler, Daniel D, MD 136

546 December 1, 2020/ Alphabetical Index / 1 de diciembre, 2020 Índice alfabético Witt, Kevin E, DCM 120 Yalamanchili, Venkata A, MD 224 Zavala, John A, MD 322, 325, 326 Wofford, John S, MD 129, 132 Yanayeva, Yevgeniya , DCM 116 Zavaleta, Eric , MD 284, 285 Woldesenbet, Elleni , MD 194 Yang, Kai-Soon , MD 19, 27, 32 Zavaleta, John J, MD 180 Wolf, Jill E, MD 61 Yang, Kenneth J, MD 175 Zebrowski, Mark S, OD 304, 305 Wolski, Michal , MD 378 Yang, Yan , MD 237 Zeikus, Priya , MD 136 Wolthoff, Amanda J, MD 136, 142 Yango, Angelito F, MD 237 Zhang, Huayi , MD 138, 139 Women's Health Boutique 446, Yau, Franklin See-lai, MD 418 Zhang, Jinsong , MD 32 447, 491 Yau, James M, MD 109, 110 Zhao, Jeff X, DO 321 Wong, Christopher M, MD 309 Yaussy, Catherine M, MD 168 Zhao, Jun , RD 146 Wong, Tuong-An B, DO 43 Yeargain, Joseph L, DPM 363 Zhao, Tian , MD 343, 344 Wood, Peter B, DPM 363 Yedlapalli, Latha , MD 51 Zhao, Yu , MD 242 Wood, Rita G, DO 260 Yedlapalli, Sri C, MD 51 Zhou, Constance Q, MD 336 Wood, Russell , PHD 438 Yedwab, Alan J, MD 73 Zhrebker, Leah , MD 271 Woodham, Ryan M, MD99, 100, Yepuri, Jay N, MD 174 Ziai-Jamalabadi, Elham , MD 39 104 Yi, David C, MD 35 Zidan, Amr M, MD 343, 346, 349 Woodland, Caroline E, DO * 46 Yoo, Dale , MD 88 Zide, Jacob R, MD 314, 319 Woodward, Daniel A, DC 120 Yoo, Seungjong M, MD 54 Zielinski, Steven C, MD 240 Woolbert, Samuel C, MD 94 Yoon, Dong-Hi A, MD 110, 111 Zima Zegarra, Harry M, MD 127 Woolf, Mark W, MD 327 Yoon, Vivienne , MD 149 Zimmer, Jennifer K, MD * 51, 54 Wooming, George A, MD 136 Yost, Nicole P, MD 203 Zinnante, Marian , MD 261 Wootan, Richard C, MD 393 Younas, Ahmer , MD 266 Zoys, George Nick, MD 319, 321 Word, Andrew P, MD 139 Young, Brett D, MD * 18 Zulqarnain, Muhammad , MD 343 Worrel, Daniel A, MD 319 Young, Carlee , OD 292 Zwernemann, Erica J, MD 76 Wray, Richard A, MD 104 Young, Glenn T, MD 172 Wright, Aimee L, DO 19 Young, Gregory A, MD 337, 338 Wright, David R, MD 137 Young, John D, MD 63 Wright, Jay V, DO 97 Young, Robyn R, MD 268, 270 Wright, Natalie Ann, MD 132 Young, Todd , DO 413, 415 Wright, Paul H, MD 170, 173 Young, Walter , MD 168 Wu, Jeffrey J, MD 405 Youree, Bryan E, MD 195 Wu, Jonathan , MD 181, 338 Yousif, Ali F, MD 94 Wurzburg, Donald D, MD 107 Youssef, Moustafa A, MD 172, Wust, Sven , MD 81 175, 176 Wyatt, Joseph R, MD 180, 181, Yousuf, Khalid M, MD 311, 312, 335, 336 314 Wylie Physical Therapy 486 Z Wyll, Allison N, MD 180, 181, 335, Zafar, Saboohi , MD 18 336 Zafar, Sunbal , MD 170 Wyll, Gene E, MD 281 Zafar, Zahid , MD 196 X Zafar, Zahid N, MD 196 Xavier, Keith R, MD 412, 414 Zaffos, Joshua A, MD 280, 289 Xia, Yang , MD 140, 143 Zagrodzky, Jason D, MD 89 Xiao, Hong , MD 32 Zaidi, Uzma , MD 434 Xiong, Henry Q, MD 267, 268, 270 Zaidi, Wasiq , MD 434 Xmed Oxygen & Medical

Zakhary, Adel , MD 68 Índice alfabético Equipment 449 Zamann, Asad , MD 228, 237 Alphabetical Index / Y Yager, Mariana B, MD 231, 237 Zandomeni, Gabriela M, MD 259 Yaghmaie, Mehran , MD 197 Zarling, Joel P, MD 326

547

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