Elizabeth Renteria Valles, FNP | |
1759 Broad Park Cir S, Mansfield, TX 76063-7833 | |
(817) 225-2718 | |
(817) 225-2771 |
Full Name | Elizabeth Renteria Valles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1759 Broad Park Cir S, Mansfield, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538688890 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP135139 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Heart Care Of Fort Worth, Llc | 2860677341 | 5 |
Entity Name | Legacy Heartcare Of Dallas, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144520503 PECOS PAC ID: 6305029653 Enrollment ID: O20110323000595 |
Entity Name | Legacy Heart Care Of Fort Worth, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730120908 PECOS PAC ID: 2860677341 Enrollment ID: O20110427000208 |
Entity Name | Legacy Heart Care Of San Antonio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285057935 PECOS PAC ID: 9830316645 Enrollment ID: O20140818002280 |
Entity Name | Legacy Heart Care Of South Austin, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346768892 PECOS PAC ID: 0446526925 Enrollment ID: O20171027002344 |
Entity Name | Legacy Heart Care Of Midtown Austin, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356869804 PECOS PAC ID: 3577829886 Enrollment ID: O20171102000107 |
Entity Name | Legacy Heart Care Of Grand Prairie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174252837 PECOS PAC ID: 9638549884 Enrollment ID: O20230104000019 |
Entity Name | Legacy Heart Care Of North Dallas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265150205 PECOS PAC ID: 9931571544 Enrollment ID: O20230208001060 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Renteria Valles, FNP 1759 Broad Park Cir S, Ste 201, Mansfield, TX 76063-7834 Ph: () - | Elizabeth Renteria Valles, FNP 1759 Broad Park Cir S, Mansfield, TX 76063-7833 Ph: (817) 225-2718 |
Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798 | |
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319 | |
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292 | |
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511 | |
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659 | |
Oluwatosin B Ajibola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Captains Ct, Mansfield, TX 76063 Phone: 817-239-2205 | |
Mrs. Tanita Breyannen Denae Butler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-0267 |