Carolyn Rene Petrencik, FNP-C | |
716 N Highway 67 Ste 2, Cedar Hill, TX 75104-2117 | |
(972) 291-9165 | |
Not Available |
Full Name | Carolyn Rene Petrencik |
---|---|
Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 716 N Highway 67 Ste 2, Cedar Hill, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194470757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 1070718 (Texas) | Primary |
Entity Name | Cedar Hill Pain & Rehab, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922148550 PECOS PAC ID: 1052402989 Enrollment ID: O20070807000762 |
Mailing Address | Practice Location Address |
---|---|
Carolyn Rene Petrencik, FNP-C 3408 Vista Lake Cir, Mansfield, TX 76063-5834 Ph: (817) 919-9434 | Carolyn Rene Petrencik, FNP-C 716 N Highway 67 Ste 2, Cedar Hill, TX 75104-2117 Ph: (972) 291-9165 |
Robert James Spicer, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 716 N Highway 67 Ste 2, Cedar Hill, TX 75104 Phone: 972-291-9165 Fax: 469-575-9975 | |
Brittainye Danielle Isaac, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 445 E Fm 1382 Ste 3698, Cedar Hill, TX 75104 Phone: 214-774-7503 | |
Mr. Benjamin Dagley, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 716 N Highway 67 Ste 2, Cedar Hill, TX 75104 Phone: 972-291-9165 Fax: 469-575-9975 | |
Albert Huu Vu, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 716 N Highway 67 Ste 2, Cedar Hill, TX 75104 Phone: 972-291-9165 |