Jody Tudor, ARNP | |
2701 S Interstate 35, Round Rock, TX 78664-7320 | |
(512) 218-3926 | |
(512) 218-0179 |
Full Name | Jody Tudor |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2701 S Interstate 35, Round Rock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518942358 | NPI | - | NPPES |
307275400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP9207392 (Florida) | Secondary |
363L00000X | Nurse Practitioner | 639393 (Texas) | Primary |
Entity Name | Staats Psychiatric Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932672649 PECOS PAC ID: 8921346792 Enrollment ID: O20190221000412 |
Mailing Address | Practice Location Address |
---|---|
Jody Tudor, ARNP 4106 Cisco Valley Dr, Round Rock, TX 78664-3939 Ph: (850) 217-6762 | Jody Tudor, ARNP 2701 S Interstate 35, Round Rock, TX 78664-7320 Ph: (512) 218-3926 |
Anu Sara Kurian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1903 Woodhaven Ct, Round Rock, TX 78665 Phone: 512-550-2010 | |
Kathleen Susan Grady-greene, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Summer Urbanczyk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 | |
Arlene M Zwald, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1009 N Georgetown St, Round Rock, TX 78664 Phone: 512-244-8480 | |
Cheryl Bush, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 N A W Grimes Blvd Ste N103, Round Rock, TX 78665 Phone: 877-800-5722 Fax: 512-218-1249 | |
Margaret O Egbonim, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4309 Greatview Dr, Round Rock, TX 78665 Phone: 803-460-2115 | |
Deepa Gaba, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5150 N A W Grimes Blvd, Round Rock, TX 78665 Phone: 512-982-9929 |