Comfort N Ebozue, PMHNP BC | |
2504 Lost Mesa, Grand Prairie, TX 75052-7893 | |
(214) 677-3028 | |
Not Available |
Full Name | Comfort N Ebozue |
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Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 2504 Lost Mesa, 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 |
---|---|---|---|
1992349146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | 31939 (Texas) | Primary |
Entity Name | Alpha Mental Health Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083263875 PECOS PAC ID: 6305278011 Enrollment ID: O20191119001440 |
Entity Name | Prime Care Services Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326381401 PECOS PAC ID: 7416371737 Enrollment ID: O20210630000743 |
Mailing Address | Practice Location Address |
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Comfort N Ebozue, PMHNP BC 2504 Lost Mesa, Grand Prairie, TX 75052-7893 Ph: () - | Comfort N Ebozue, PMHNP BC 2504 Lost Mesa, Grand Prairie, TX 75052-7893 Ph: (214) 677-3028 |
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Kenya Kimesha Philips, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2580 W Camp Wisdom Rd, Suite 100-146, Grand Prairie, TX 75052 Phone: 972-697-9592 | |
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Henrietta A Aguwa, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5345 Freestone Dr, Grand Prairie, TX 75052 Phone: 817-564-4971 | |
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