Heather Mendoza, PMHNP | |
431 E State Highway 114 Fl 1, Southlake, TX 76092-4412 | |
(844) 824-8775 | |
Not Available |
Full Name | Heather Mendoza |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 431 E State Highway 114 Fl 1, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073228508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1107935 (Texas) | Primary |
Entity Name | Progressive Behavioral Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
Mailing Address | Practice Location Address |
---|---|
Heather Mendoza, PMHNP 431 E State Hwy 114 1st Floor, Southlake, TX 76092 Ph: () - | Heather Mendoza, PMHNP 431 E State Highway 114 Fl 1, Southlake, TX 76092-4412 Ph: (844) 824-8775 |
Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197 | |
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698 | |
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675 | |
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 | |
Britney Molini, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 E State Highway 114 Ste 100, Southlake, TX 76092 Phone: 817-329-8364 | |
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000 | |
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104 |