| Texas Advance Behavioral Health | |
|
715 N Fielder Rd Arlington TX 76012-4695 | |
| (682) 220-9615 | |
| (817) 200-6813 |
| Full Name | Texas Advance Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 715 N Fielder Rd, Arlington, Texas |
| Authorized Official Name and Position | Maria Mosomi (NURSE PRACTITIONER) |
| Authorized Official Contact | 6822209615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Advance Behavioral Health 715 N Fielder Rd Arlington TX 76012-4695 Ph: (682) 220-9615 | Texas Advance Behavioral Health 715 N Fielder Rd Arlington TX 76012-4695 Ph: (682) 220-9615 |
| NPI Number | 1730567462 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 5991014391 |
|---|---|
| Medicare Enrollment ID | O20151027000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730567462 | NPI | - | NPPES |
| Provider Name | Maria B Mosomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932440021 PECOS PAC ID: 4385873744 Enrollment ID: I20140205000125 |
| Provider Name | Stacey Ann Gillian Guidry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154831139 PECOS PAC ID: 8123382785 Enrollment ID: I20180507001476 |
| Provider Name | Maneet Panesar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437872389 PECOS PAC ID: 9234501958 Enrollment ID: I20230207000424 |
| Provider Name | Essica Pullam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861065765 PECOS PAC ID: 6103282272 Enrollment ID: I20230515003315 |
| Provider Name | Rochelle T George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275875122 PECOS PAC ID: 4486012424 Enrollment ID: I20230622002865 |
| Provider Name | Danielle L Maskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477242469 PECOS PAC ID: 3678937315 Enrollment ID: I20230913001810 |
| Provider Name | Vicki Smith-lockhart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366058588 PECOS PAC ID: 7911366190 Enrollment ID: I20240404002523 |
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