| Paige Delia Harmony Frock, APRN, CPNP | |
|
5301 Ross Rd Ste H, Del Valle, TX 78617-3291 | |
| (512) 386-3335 | |
| (512) 386-3341 |
| Full Name | Paige Delia Harmony Frock |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 5301 Ross Rd Ste H, Del Valle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588908420 | NPI | - | NPPES |
| 3231607-01 | Medicaid | TX | |
| 825776 | Other | TX | STATE BOARD LICNESEREGISTERED NURSE |
| AP122751 | Other | TX | STATE BOARD LICENSEPEDIATRIC NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | AP122751 (Texas) | Primary |
| Entity Name | Lone Star Circle Of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
| Entity Name | The University Of Texas At Austin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Delia Harmony Frock, APRN, CPNP 5301 Ross Rd Ste H, Del Valle, TX 78617-3291 Ph: (512) 386-3335 | Paige Delia Harmony Frock, APRN, CPNP 5301 Ross Rd Ste H, Del Valle, TX 78617-3291 Ph: (512) 386-3335 |
Karin Ruckgaber Perez, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 Fm 973, Del Valle, TX 78617 Phone: 512-386-3335 | |
Elizabeth Ann Loika, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5301 Ross Rd, Del Valle, TX 78617 Phone: 512-386-3335 Fax: 512-386-3333 | |
Deborah Katharine Prince, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3614 Bill Price Rd, Del Valle, TX 78617 Phone: 512-854-4193 | |
Diane Orbison Tyler, RN, PHD, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 Fm 973, Del Valle, TX 78617 Phone: 512-386-3335 | |
Mr. Deryl Brown, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3614 Bill Price Rd, Del Valle, TX 78617 Phone: 512-854-6982 | |
Juana Gallardo, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5301 Ross Rd, Del Valle, TX 78617 Phone: 512-386-3335 | |
Patrice Patton Budd, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3311 Fm 973 South, Del Valle, TX 78617 Phone: 512-386-3335 Fax: 512-389-2974 |