Teri Grubbs, FNP | |
1105 Oak St Ste A, Jourdanton, TX 78026-2117 | |
(210) 247-8032 | |
Not Available |
Full Name | Teri Grubbs |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1105 Oak St Ste A, Jourdanton, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629794300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 703110 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1112308 (Texas) | Primary |
Entity Name | Conviva Medical Center Management Of Texas, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770988990 PECOS PAC ID: 8729302278 Enrollment ID: O20150112000488 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
Mailing Address | Practice Location Address |
---|---|
Teri Grubbs, FNP 119 Eagle Creek Ranch Blvd, Floresville, TX 78114-9237 Ph: (210) 247-8032 | Teri Grubbs, FNP 1105 Oak St Ste A, Jourdanton, TX 78026-2117 Ph: (210) 247-8032 |
Danielle Stockhorst, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 Highway 97 E Ste 280, Jourdanton, TX 78026 Phone: 830-769-5912 Fax: 830-769-5913 | |
Gina L Campbell, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Highway 97 E, Suite 200, Jourdanton, TX 78026 Phone: 830-569-8147 | |
Tamara Rodriguez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1907 Highway 97 E, Suite 280, Jourdanton, TX 78026 Phone: 830-769-5912 Fax: 830-769-5913 |