Direct Care Partners, Pllc | |
129 The Hills Dr The Hills TX 78738-1543 | |
(512) 640-5111 | |
(512) 640-5115 |
Full Name | Direct Care Partners, Pllc |
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Speciality | General Practice |
Location | 129 The Hills Dr, The Hills, Texas |
Authorized Official Name and Position | Kevin Marshall Pearce (MANAGER) |
Authorized Official Contact | 2142329870 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Direct Care Partners, Pllc 129 The Hills Dr The Hills TX 78738-1543 Ph: (512) 640-5111 | Direct Care Partners, Pllc 129 The Hills Dr The Hills TX 78738-1543 Ph: (512) 640-5111 |
NPI Number | 1164289302 |
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Provider Enumeration Date | 03/04/2024 |
Last Update Date | 03/04/2024 |
Medicare PECOS PAC ID | 9739520966 |
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Medicare Enrollment ID | O20240517003204 |
Identifier | Type | State | Issuer |
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1164289302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Travis Chad Harney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992215792 PECOS PAC ID: 7517233216 Enrollment ID: I20171025000916 |
Provider Name | Gerardo Reyes |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1194767954 PECOS PAC ID: 1153429576 Enrollment ID: I20200422000965 |
Provider Name | Shanna Renee Fraser |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1316451594 PECOS PAC ID: 3173949609 Enrollment ID: I20200814001272 |
Provider Name | Rosemary Mbam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477858397 PECOS PAC ID: 1052707577 Enrollment ID: I20220411001275 |
Provider Name | Veleen V Simms |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780742734 PECOS PAC ID: 1254786387 Enrollment ID: I20231010003106 |