Imelda Bravo Cristal, | |
7 Skipwith Pl, Spring, TX 77382-2766 | |
(951) 315-0010 | |
Not Available |
Full Name | Imelda Bravo Cristal |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7 Skipwith Pl, Spring, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023723228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1113430 (Texas) | Primary |
Entity Name | Providence Physician Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760919880 PECOS PAC ID: 8022354638 Enrollment ID: O20190117002679 |
Mailing Address | Practice Location Address |
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Imelda Bravo Cristal, 7 Skipwith Pl, The Woodlands, TX 77382-2766 Ph: () - | Imelda Bravo Cristal, 7 Skipwith Pl, Spring, TX 77382-2766 Ph: (951) 315-0010 |
Ms. Lea Ann Jackson, F.NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3307 Spring Stuebner Ste. A1, Spring, TX 77389 Phone: 281-528-2273 Fax: 281-528-6283 | |
Paulette Senegal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5529 Louetta Rd Ste A7, Spring, TX 77379 Phone: 346-296-0520 | |
Amanda Lyn Gray, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4057 Riley Fuzzel Rd Ste 700, Spring, TX 77386 Phone: 832-707-0407 | |
Deidra D Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Louetta Crossing, Spring, TX 77373 Phone: 281-528-0278 Fax: 281-528-2975 | |
Priscilla Boahemaa, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20511 Spring Mission Ln, Spring, TX 77388 Phone: 832-628-1200 | |
Kimbria Nicole Burton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8707 Spring Cypress Rd Ste E, Spring, TX 77379 Phone: 832-562-3390 Fax: 832-562-3391 |