Oredunni Oguntodu, | |
109 Garden Grove Ln, Red Oak, TX 75154-0163 | |
(817) 323-0900 | |
Not Available |
Full Name | Oredunni Oguntodu |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 109 Garden Grove Ln, Red Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003592510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1114727 (Texas) | Primary |
Entity Name | Serene Haven Behavioral Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427838747 PECOS PAC ID: 0345682209 Enrollment ID: O20240523000178 |
Mailing Address | Practice Location Address |
---|---|
Oredunni Oguntodu, 4301 Waterford Glen Dr, Mansfield, TX 76063-9104 Ph: (214) 903-4783 | Oredunni Oguntodu, 109 Garden Grove Ln, Red Oak, TX 75154-0163 Ph: (817) 323-0900 |
Ashley Ellen Walker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Ovilla Rd Ste 100, Red Oak, TX 75154 Phone: 469-800-9200 | |
Kayla Meyer, APRN- CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 273 E Ovilla Rd Ste 4, Red Oak, TX 75154 Phone: 972-617-6660 | |
Christine Berger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Plaza Dr, Red Oak, TX 75154 Phone: 972-515-8700 Fax: 214-764-8558 | |
Erica Elguea Diaz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Plaza Dr, Red Oak, TX 75154 Phone: 972-505-8700 | |
Kelsey Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 273 E Ovilla Rd Ste 4, Red Oak, TX 75154 Phone: 972-617-6660 | |
Charles Adison Chittamai, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Ovilla Rd, Red Oak, TX 75154 Phone: 469-800-9200 |