| Kayleigh King, NP | |
|
630 E State Highway 114, Southlake, TX 76092-4410 | |
| (817) 759-7000 | |
| (817) 759-7027 |
| Full Name | Kayleigh King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 630 E State Highway 114, 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 |
|---|---|---|---|
| 1821219114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 571115 (Texas) | Primary |
| Entity Name | Oncology-hematology Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629021159 PECOS PAC ID: 5496646382 Enrollment ID: O20040322000664 |
| Entity Name | Haider Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235535105 PECOS PAC ID: 4981927035 Enrollment ID: O20141223000148 |
| Entity Name | Dispatchhealth-texas P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649787896 PECOS PAC ID: 5395006035 Enrollment ID: O20180221000735 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayleigh King, NP 800 W Magnolia Ave, Fort Worth, TX 76104-4611 Ph: (817) 759-7000 | Kayleigh King, NP 630 E State Highway 114, Southlake, TX 76092-4410 Ph: (817) 759-7000 |
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 | |
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled 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 | |
Heather Mendoza, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 |