| Hennacare Llc | |
|
1023 Northwest Hwy Garland TX 75041-5831 | |
| (972) 352-3800 | |
| Not Available |
| Full Name | Hennacare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1023 Northwest Hwy, Garland, Texas |
| Authorized Official Name and Position | Kelley Reed (OFFICE MANAGER) |
| Authorized Official Contact | 9724139168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hennacare Llc 1023 Northwest Hwy Garland TX 75041-5831 Ph: (972) 352-3800 | Hennacare Llc 1023 Northwest Hwy Garland TX 75041-5831 Ph: (972) 352-3800 |
| NPI Number | 1174135107 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 01/12/2021 |
| Medicare PECOS PAC ID | 2961820790 |
|---|---|
| Medicare Enrollment ID | O20200910003200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174135107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Leslie K Pidgeon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255536850 PECOS PAC ID: 5597838409 Enrollment ID: I20080724000558 |
| Provider Name | Hong Xiang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396154431 PECOS PAC ID: 5294032991 Enrollment ID: I20200910003276 |
| Provider Name | Rongna Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023610078 PECOS PAC ID: 0345656310 Enrollment ID: I20210317001778 |
| Provider Name | Ma Luisa Chua Mirasol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144814799 PECOS PAC ID: 5597169466 Enrollment ID: I20210814000139 |
| Provider Name | Kate Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902544810 PECOS PAC ID: 7315322302 Enrollment ID: I20220912001441 |
M Kathryn Hood Md Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3641 Broadway Blvd, Suite 200, Garland, TX 75043 Phone: 972-675-3800 | |
Broadway Elite Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3200 Broadway Blvd Ste 180, Garland, TX 75043 Phone: 469-745-1952 Fax: 469-745-1953 | |
Avery James Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6330 Broadway Blvd Ste C, Garland, TX 75043 Phone: 214-728-2211 | |
Raypha Urgent Care & Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3334 Broadway Blvd, 422, Garland, TX 75043 Phone: 972-271-1156 Fax: 972-271-1691 | |
Dlnp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6309 N President George Bush Hwy Apt 9202, Garland, TX 75044 Phone: 972-697-5954 | |
Wound Recovery Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6309 N President George Bush Hwy Apt 9202, Garland, TX 75044 Phone: 972-697-5954 | |
Vijaya Nama Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 W Interstate 30, Garland, TX 75043 Phone: 972-303-3000 Fax: 972-303-3003 |