Kathleen E Humphries, DO | |
820 S. Carrier Pwky., Grand Prairie, TX 75051-1517 | |
(972) 262-1425 | |
(972) 262-4973 |
Full Name | Kathleen E Humphries |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 820 S. Carrier Pwky., Grand Prairie, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639135734 | NPI | - | NPPES |
047814105 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H6305 (Texas) | Primary |
Entity Name | Medhealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832 |
Mailing Address | Practice Location Address |
---|---|
Kathleen E Humphries, DO 820 S. Carrier Pwky., Grand Prairie, TX 75051-1517 Ph: (972) 262-1425 | Kathleen E Humphries, DO 820 S. Carrier Pwky., Grand Prairie, TX 75051-1517 Ph: (972) 262-1425 |
Manisha Raja, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Conover Dr, Grand Prairie, TX 75051 Phone: 214-266-3400 | |
Wisam Nachawati, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5224 S State Highway 360 Ste 230, Grand Prairie, TX 75052 Phone: 972-522-0691 Fax: 972-522-1053 | |
Dr. Hsien-hui Grace Huang, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 817 W Pioneer Pkwy Ste 190, Grand Prairie, TX 75051 Phone: 972-647-8282 Fax: 972-606-0202 | |
Zachary Q. Botone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2740 N. Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 | |
Maria Graciela Zelaya Juergens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3095 Kingswood Blvd Ste 250, Grand Prairie, TX 75052 Phone: 972-817-1950 | |
Donald Craig Whitcomb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2461 Robinson Rd, Grand Prairie, TX 75051 Phone: 972-606-1334 Fax: 972-606-1637 | |
Dr. Miranda Efua Wellington, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4927 Lake Ridge Pkwy, Suite 100, Grand Prairie, TX 75052 Phone: 972-641-9000 |