Charles Welton Wyatt, NP | |
5700 Dallas Pkwy, Frisco, TX 75034-9580 | |
(469) 515-7100 | |
(469) 515-7101 |
Full Name | Charles Welton Wyatt |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 5700 Dallas Pkwy, Frisco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588811756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 655462 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Entity Name | Texas Scottish Rite Hospital For Crippled Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598188948 PECOS PAC ID: 0446422844 Enrollment ID: O20140505001295 |
Entity Name | Pedi-ortho Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265104939 PECOS PAC ID: 7416334040 Enrollment ID: O20220519001375 |
Mailing Address | Practice Location Address |
---|---|
Charles Welton Wyatt, NP 2222 Welborn St, Dallas, TX 75219-3924 Ph: (214) 559-5000 | Charles Welton Wyatt, NP 5700 Dallas Pkwy, Frisco, TX 75034-9580 Ph: (469) 515-7100 |
Dena Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5150 Warren Pkwy Bldg 8, Frisco, TX 75034 Phone: 972-403-8184 | |
Frehiwot Bezuayehu, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2855 Preston Rd, Frisco, TX 75034 Phone: 469-495-9118 Fax: 469-495-0718 | |
Dean Alan Cochran, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11330 Legacy Dr Ste 103, Frisco, TX 75033 Phone: 469-777-4691 Fax: 469-777-4542 | |
Sherryl Yvonne Katinga, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3140 Legacy Dr Ste 310, Frisco, TX 75034 Phone: 972-435-4002 Fax: 972-435-4105 | |
Ms. Aditi Rane, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2833 Eldorado Pkwy Ste 307, Frisco, TX 75033 Phone: 972-292-0300 | |
Josephine Nchangnwie Vuchansu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Rutherford St, Frisco, TX 75036 Phone: 240-626-0607 | |
Mary Grace Alip, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12500 Dallas Pkwy Fl 3, Frisco, TX 75033 Phone: 469-604-9000 |