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MODERA CLINIC PLLC
NPI 1962957639
Family Medicine in Little Elm, TX

Active since August 23, 2016
2700 E ELDORADO PKWY STE 104B, LITTLE ELM, TX 75068(972) 987-0458(877) 459-3573 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jul 21, 2022, Aug 23, 2016 (3 updates tracked since 2016).

About Modera Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERA CLINIC PLLC (NPI 1962957639) is a healthcare organization registered as a family medicine in Little Elm, Texas and active in the NPI registry since August 2016. The organization lists Trevor Kyle Huber, Owner, as its authorized official.

NPPES Registry Identity

NPI1962957639
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMODERA CLINIC PLLC
Location Address2700 E ELDORADO PKWY STE 104BLittle Elm, TX 75068-5999
Mailing Address2700 E Eldorado Pkwy Ste 104bLittle Elm, TX 75068-5999 · (972) 987-0458 · Fax (877) 459-3573
Phone(972) 987-0458
Fax(877) 459-3573
Organization SubpartNo
Authorized OfficialTrevor Kyle HuberOwner · (972) 987-0458
Enumeration DateAugust 23, 2016
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1962957639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q7559
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2700 E ELDORADO PKWY STE 104B, Little Elm, TX 75068
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Other Identifiers 5

Other1649682857Npi
Other1174938831Npi
OtherB0226719Dps
OtherQ7559TX · License
OtherQ9244TX · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDEN T SIRAK MD
Family Medicine
2700 E ELDORADO PKWY STE 104B
LITTLE ELM, TX 75068
Denton County (972) 987-0458
MRS. ASHLEE MARIE HENDERSON FNP
Family Medicine
2700 E ELDORADO PKWY STE 104B
LITTLE ELM, TX 75068
Denton County (972) 987-0458
YVONNE BADU NP
Nurse Practitioner (Family)
2700 E ELDORADO PKWY STE 104B
LITTLE ELM, TX 75068
Denton County (972) 987-0458

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modera Clinic PLLC's NPI number?

The NPI number for Modera Clinic PLLC is 1962957639. It was assigned to this organization in the NPPES registry on August 23, 2016.

Where is Modera Clinic PLLC located?

Modera Clinic PLLC is located at 2700 E Eldorado Pkwy Ste 104B, Little Elm, TX 75068. The listed phone number is (972) 987-0458.

What is Modera Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Modera Clinic PLLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.