KLARISANA PHYSICIAN SERVICES PLLC – Clinic/Center, NPI 1902418965

KLARISANA PHYSICIAN SERVICES PLLC is a healthcare provider. based in Dallas, Texas. specializing in Clinic/Center. The NPI Number for KLARISANA PHYSICIAN SERVICES PLLC is 1902418965

Main info

Organization
Name
KLARISANA PHYSICIAN SERVICES PLLC
NPI
1902418965
Phone
(303) 535-7548
Address
PO BOX 736403
Authorized Official
DR. CARL JOHN BONNETT MEDICAL DIRECTOR MD
Enumeration Date
20 August 2020
Last Update Date
18 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for KLARISANA PHYSICIAN SERVICES PLLC

  • PO BOX 736403

    DALLAS, TX 753736403

    Phone: (303) 535-7548

    Fax: (888) 504-2390

    Type: Mailing

  • 9195 GRANT ST STE 130

    THORNTON, CO 802294348

    Phone: (303) 535-7548

    Type: Location

  • 8600 WURZBACH RD STE 1110

    SAN ANTONIO, TX 782404334

    Phone: (210) 556-1430

    Type: Mailing

  • 5005 W 81ST PL STE 403

    WESTMINSTER, CO 800317025

    Phone: (210) 556-1430

    Fax: (888) 504-2390

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-13

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75373)

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Reviews

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Frequently asked questions

Can I cross-check KLARISANA PHYSICIAN SERVICES PLLC using NPI 1902418965?
NPI 1902418965 belongs to KLARISANA PHYSICIAN SERVICES PLLC; compare other details if you need extra assurance.
Is there an active status for KLARISANA PHYSICIAN SERVICES PLLC?
For scheduling context, KLARISANA PHYSICIAN SERVICES PLLC is shown as active in the registry.
What expertise is attributed to KLARISANA PHYSICIAN SERVICES PLLC?
KLARISANA PHYSICIAN SERVICES PLLC's specialty line reads Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KLARISANA PHYSICIAN SERVICES PLLC?
Travel planning: use Dallas, Texas as the reference point for KLARISANA PHYSICIAN SERVICES PLLC, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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