Mrs Deloris Renee Harwell, PNP-PC | |
104 E Us Highway 80 Ste 190, Forney, TX 75126 | |
(469) 602-5277 | |
(469) 995-7898 |
Full Name | Mrs Deloris Renee Harwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 104 E Us Highway 80 Ste 190, Forney, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346478252 | NPI | - | NPPES |
1346478252 | Medicaid | TX | |
203992707 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP117846 (Texas) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 703123 (Texas) | Primary |
Entity Name | Pediatric Kare Klinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609348580 PECOS PAC ID: 4486980315 Enrollment ID: O20190730001907 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deloris Renee Harwell, PNP-PC 104 E Us Highway 80 Ste 190, Forney, TX 75126-8615 Ph: (469) 602-5277 | Mrs Deloris Renee Harwell, PNP-PC 104 E Us Highway 80 Ste 190, Forney, TX 75126 Ph: (469) 602-5277 |
David Salazar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11632 Nicole Ln, Forney, TX 75126 Phone: 214-486-9820 | |
Kelly Dawn Hunt, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 757 E Us Highway 80 Ste 180, Forney, TX 75126 Phone: 972-564-9380 | |
Kosisochi Ginigeme Ngozi-ibeh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Pinson Rd Ste M, Forney, TX 75126 Phone: 469-977-1300 | |
Ashley Milby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 763 E Us Highway 80 Ste 100, Forney, TX 75126 Phone: 972-564-0711 Fax: 972-564-0323 | |
Mrs. Chinwendu Peace Onwusor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1620 Pegasus Dr, Forney, TX 75126 Phone: 469-269-9972 | |
Ruth Ete Sakwe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 Fishergate Dr, Forney, TX 75126 Phone: 214-664-2012 | |
Dr. Omah S Tsikada, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Pinson Rd, Ste M Pmb 1027, Forney, TX 75126 Phone: 903-689-3994 |