DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MODERA CLINIC PLLC

MEDICARE: MODERA CLINIC PLLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianQ7559TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11649682857OTHERNPI
21174938831OTHERNPI
3B0226719OTHERDPS
4Q7559OTHERTXLICENSE
5Q9244OTHERTXLICENSE

General Provider Information

NPI Number : 1962957639
Entity Type Code : Organization
Provider Name (Legal Business Name) : MODERA CLINIC PLLC
Provider Business Mailing Address
First Line : 2700 E ELDORADO PKWY STE 104B
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-5999
Country : US
Telephone Number : 972-987-0458
Fax Number : 877-459-3573
Provider Business Practice Location Address
First Line : 2700 E ELDORADO PKWY STE 104B
Second Line :
City : LITTLE ELM
State : TX
Zip : 75068-5999
Country : US
Telephone Number : 972-987-0458
Fax Number : 877-459-3573
Authorized Official
Title or Position : OWNER
Name : DR. TREVOR KYLE HUBER
Credential : DO
Telephone Number : 972-987-0458
Provider Enumeration Date : 08/23/2016
Last Update Date : 03/07/2023

Similar Medicare Providers

1902788649 — YVONNE BADU NP
Practice Location Address:
2700 E ELDORADO PKWY STE 104B
LITTLE ELM, TX
75068-5999
Practice Phone: 972-987-0458
Practice Fax:
1992771745 — KEITH LEPAK MD
Practice Location Address:
2700 E ELDORADO PKWY , STE 104
LITTLE ELM, TX
75068-5999
Practice Phone: 972-987-4935
Practice Fax: 972-987-4574
1386980647 — ERCA PHYSICIANS PLLC
Practice Location Address:
2700 E ELDORADO PKWY , SUITE 104
LITTLE ELM, TX
75068-5999
Practice Phone: 213-268-1894
Practice Fax:
1649682857 — DR. TREVOR KYLE HUBER D.O.
Practice Location Address:
2700 E ELDORADO PKWY STE 108
LITTLE ELM, TX
75068-5999
Practice Phone: 972-987-0458
Practice Fax: 972-695-8811
1942651302 — DR. PAUL SIENKIEWICH DPT
Practice Location Address:
2700 E ELDORADO PKWY , SUITE 409
LITTLE ELM, TX
75068-5999
Practice Phone: 972-987-4023
Practice Fax:
1194246884 — MEDEXPRESS URGENT CARE TEXAS, P.A.
Practice Location Address:
2774 E ELDORADO PARKWAY , SUITE 100
LITTLE ELM, TX
75068-5999
Practice Phone: 972-987-4653
Practice Fax: 972-987-4662

Directions to “MODERA CLINIC PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.