Ms Dietrich Davis, DNP, RN, MSN, FNP-BC | |
12003 Fountain Brook Dr, Pearland, TX 77584-8768 | |
(713) 436-1195 | |
Not Available |
Full Name | Ms Dietrich Davis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 12003 Fountain Brook Dr, Pearland, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669707022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP118294 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 659406 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kelsey-seybold Medical Group, Pllc | 9739093527 | 614 |
Entity Name | Kelsey-seybold Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Mailing Address | Practice Location Address |
---|---|
Ms Dietrich Davis, DNP, RN, MSN, FNP-BC 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Ms Dietrich Davis, DNP, RN, MSN, FNP-BC 12003 Fountain Brook Dr, Pearland, TX 77584-8768 Ph: (713) 436-1195 |
Nicole Castellano, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11555 Magnolia Pkwy Ste 190, Pearland, TX 77584 Phone: 281-809-3664 | |
Kristi Lea Barnard, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7618 Waterlilly Ln, Pearland, TX 77581 Phone: 281-536-2942 | |
Ms. Margaret Christian Wooten, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 Broadway St, Pearland, TX 77581 Phone: 281-997-4400 | |
Nancy Yimfong Tang, NP-C, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2312 Diamond Springs Dr, Pearland, TX 77584 Phone: 832-338-0582 | |
Tracie Michelle Freddie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3410 Snowblossom Ct, Pearland, TX 77581 Phone: 832-722-5655 | |
Ms. Diana Hurtado, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Business Center Dr Apt 10205, Pearland, TX 77584 Phone: 832-566-2805 | |
Adrian Nwosu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11601 Shadow Creek Pkwy Ste 111-177, Pearland, TX 77584 Phone: 832-971-6007 Fax: 832-697-1792 |