MEDICARE: CLARIS HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	207R00000X	Internal Medicine Physician
3	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1356797070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARIS HEALTH PLLC

Provider Business Mailing Address
First Line	:	PO BOX 208003
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-8003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2975 REGENT BLVD
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3140
Country	:	US
Telephone Number	:	203-901-2493
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	JODY HUNTER
Credential	:	MANAGER
Telephone Number	:	203-901-2493

Provider Enumeration Date	:	05/11/2016
Last Update Date	:	12/14/2023

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Directions to “CLARIS HEALTH PLLC ” Practice Location

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