Henry Ehizokhale, PMHNP | |
4407 Emerald Leaf Dr, Mansfield, TX 76063-5545 | |
(443) 600-8858 | |
Not Available |
Full Name | Henry Ehizokhale |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4407 Emerald Leaf Dr, Mansfield, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205593852 | NPI | - | NPPES |
NONE | Other | TX | HENRY EHIZOKHALE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 950273 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403900 (New York) | Primary |
Entity Name | Essex County Treasurer |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659485480 PECOS PAC ID: 1658392600 Enrollment ID: O20051219000132 |
Entity Name | Valera Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279 |
Mailing Address | Practice Location Address |
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Henry Ehizokhale, PMHNP 134 N 4th Street, Brooklyn, Ny 11249, Brooklyn, NY 11249 Ph: () - | Henry Ehizokhale, PMHNP 4407 Emerald Leaf Dr, Mansfield, TX 76063-5545 Ph: (443) 600-8858 |
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 |