Kelly Jean Fox, FNP | |
1212 N Highway 377, #119, Roanoke, TX 76262-6916 | |
(682) 831-1591 | |
Not Available |
Full Name | Kelly Jean Fox |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1212 N Highway 377, Roanoke, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225214505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 582397 (Texas) | Primary |
Entity Name | Communitymed Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821417072 PECOS PAC ID: 9830315126 Enrollment ID: O20140722002029 |
Entity Name | Communitymed Pcp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063818219 PECOS PAC ID: 7618295007 Enrollment ID: O20150415001009 |
Entity Name | Synapse Human Performance Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154967552 PECOS PAC ID: 0749610681 Enrollment ID: O20200417000118 |
Mailing Address | Practice Location Address |
---|---|
Kelly Jean Fox, FNP 825 Estates Dr, Copper Canyon, TX 75077-4815 Ph: (817) 685-2598 | Kelly Jean Fox, FNP 1212 N Highway 377, #119, Roanoke, TX 76262-6916 Ph: (682) 831-1591 |
Mr. Washington Odhiambo Mitema, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Us-377 Hwy, Roanoke, TX 76262 Phone: 682-831-1923 | |
Maria Isabel Brickner, ARNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3421 Cheyenne Ranch Rd, Roanoke, TX 76262 Phone: 682-390-9956 |