Theresa Vidrine, FNP | |
12310 Shore Lands Rd, Cypress, TX 77433-2627 | |
(217) 653-4818 | |
Not Available |
Full Name | Theresa Vidrine |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 12310 Shore Lands Rd, Cypress, 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 |
---|---|---|---|
1962820449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 847232 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hermann Hospital Based Physician Group | 4385075480 | 246 |
Entity Name | Acs Primary Care Physicians Southwest Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Entity Name | Memorial Hermann Hospital Based Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295363497 PECOS PAC ID: 4385075480 Enrollment ID: O20200505001521 |
Mailing Address | Practice Location Address |
---|---|
Theresa Vidrine, FNP 12310 Shore Lands Rd, Cypress, TX 77433-2627 Ph: () - | Theresa Vidrine, FNP 12310 Shore Lands Rd, Cypress, TX 77433-2627 Ph: (217) 653-4818 |
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