| Chrystal Graham, APRN | |
|
4140 Mcknight Rd Ste D, Texarkana, TX 75503-0921 | |
| (855) 498-6767 | |
| (479) 968-1673 |
| Full Name | Chrystal Graham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4140 Mcknight Rd Ste D, Texarkana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770343741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 227526 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1150874 (Texas) | Primary |
| Entity Name | Icarepro Of Texas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396193066 PECOS PAC ID: 2365811767 Enrollment ID: O20221207000144 |
| Entity Name | Icare Pro Of Texas Aco Billing Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568146561 PECOS PAC ID: 0143681940 Enrollment ID: O20230726001839 |
| Mailing Address | Practice Location Address |
|---|---|
| Chrystal Graham, APRN Po Box 9178, Russellville, AR 72811-9178 Ph: (855) 498-6767 | Chrystal Graham, APRN 4140 Mcknight Rd Ste D, Texarkana, TX 75503-0921 Ph: (855) 498-6767 |
Sally A Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273 | |
Virginia Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Ms. Marla Kay English-pickett, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16060 Broadleaf, Texarkana, TX 75503 Phone: 903-838-0031 | |
Laura L Jackson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Caleb Cain, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 | |
Ms. Michelle Cheri Craft, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Moores Ln, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 833-491-2722 | |
Jamie G Dodd, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 |