| Lydia Ann Bruck, NP | |
|
2120 Prairie Dr Ste 102, Prosper, TX 75078-3818 | |
| (972) 544-9455 | |
| (972) 544-9465 |
| Full Name | Lydia Ann Bruck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2120 Prairie Dr Ste 102, Prosper, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447999081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1069837 (Texas) | Primary |
| Entity Name | Juan Carlos Molina Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538260245 PECOS PAC ID: 5294737334 Enrollment ID: O20070202000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Ann Bruck, NP 2120 Prairie Dr Ste 102, Prosper, TX 75078-3818 Ph: (972) 544-9455 | Lydia Ann Bruck, NP 2120 Prairie Dr Ste 102, Prosper, TX 75078-3818 Ph: (972) 544-9455 |
Mrs. Jennifer Shah, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 N Preston Rd Ste B, Prosper, TX 75078 Phone: 972-347-1320 | |
Mrs. Susan Rene' Baker, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2810 Fishtrap Rd Ste 30, Prosper, TX 75078 Phone: 469-281-2388 Fax: 469-283-2489 | |
Jean Ann Clark, MSRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 S Preston Rd, Prosper, TX 75078 Phone: 972-347-6375 Fax: 972-347-6375 | |
Francisca Ruswayi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1131 Packsaddle Trl, Prosper, TX 75078 Phone: 214-680-9190 | |
Allison Sullivan, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 | |
Namrata Yadav, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2381 E University Dr Ste 50, Prosper, TX 75078 Phone: 972-987-0458 | |
Elease Shareka Gathings, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 S Preston Rd, Prosper, TX 75078 Phone: 972-347-6376 |