Mr Wardell Brian Hollis, NP | |
430 W Sunset Rd Ste 400, Alamo Heights, TX 78209-1772 | |
(844) 824-8775 | |
(281) 648-2200 |
Full Name | Mr Wardell Brian Hollis |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 430 W Sunset Rd Ste 400, Alamo Heights, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114440195 | NPI | - | NPPES |
402733602 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP134080 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 789660 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progressive Behavioral Health, Pllc | 4486794906 | 153 |
Entity Name | Bexar County Board Of Trustees For Mental Health Mental Retardation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730134586 PECOS PAC ID: 5496652760 Enrollment ID: O20031215000906 |
Entity Name | Progressive Behavioral Health, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
Entity Name | Urgent Behavioral Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205185287 PECOS PAC ID: 0941455463 Enrollment ID: O20130306000257 |
Mailing Address | Practice Location Address |
---|---|
Mr Wardell Brian Hollis, NP 430 W Sunset Rd Ste 400, Alamo Heights, TX 78209-1772 Ph: (844) 824-8775 | Mr Wardell Brian Hollis, NP 430 W Sunset Rd Ste 400, Alamo Heights, TX 78209-1772 Ph: (844) 824-8775 |
Morgan Jean Fernandez, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 430 W Sunset Rd Ste 400, Alamo Heights, TX 78209 Phone: 844-824-8775 | |
Mary Temitope Ajayi, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 430 W Sunset Rd Ste 400, Alamo Heights, TX 78209 Phone: 844-824-8775 |