Total Elder Care, Llc | |
5274 Freestone Circle, Dallas, TX 75227 | |
(214) 244-9452 | |
Not Available |
Full Name | Total Elder Care, Llc |
---|---|
Type | Facility |
Speciality | Nurse Practitioner - Family |
Location | 5274 Freestone Circle, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265175624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Shirl L Felder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326372087 PECOS PAC ID: 1254478183 Enrollment ID: I20091027000223 |
Provider Name | Micaela Ninoska Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598303364 PECOS PAC ID: 2466876115 Enrollment ID: I20200728001406 |
Provider Name | Jasmine Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013681246 PECOS PAC ID: 3476943481 Enrollment ID: I20211207000636 |
Provider Name | Elizabeth Paul |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427693639 PECOS PAC ID: 7911388103 Enrollment ID: I20220719003125 |
Provider Name | Keara Rona Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558962456 PECOS PAC ID: 3779027958 Enrollment ID: I20240628000881 |
Provider Name | Azali M Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457170052 PECOS PAC ID: 6608302187 Enrollment ID: I20241206002167 |
Mailing Address | Practice Location Address |
---|---|
Total Elder Care, Llc 381 Casa Linda Plz Ste 123, Dallas, TX 75218-3471 Ph: (214) 244-9452 | Total Elder Care, Llc 5274 Freestone Circle, Dallas, TX 75227 Ph: (214) 244-9452 |