| 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 | (NU) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Primary |
| Provider Name | Carretta Mwesiga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417349085 PECOS PAC ID: 5092024638 Enrollment ID: I20151021001386 |
| Provider Name | Micaela Ninoska Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598303364 PECOS PAC ID: 2466876115 Enrollment ID: I20200728001406 |
| Provider Name | Clarissa Rogers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801489463 PECOS PAC ID: 3577952399 Enrollment ID: I20211117002031 |
| Provider Name | Jasmine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013681246 PECOS PAC ID: 3476943481 Enrollment ID: I20211207000636 |
| Provider Name | Rosemary Mbam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477858397 PECOS PAC ID: 1052707577 Enrollment ID: I20220411001275 |
| Provider Name | Elizabeth Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427693639 PECOS PAC ID: 7911388103 Enrollment ID: I20220719003125 |
| Provider Name | Raven M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427671189 PECOS PAC ID: 6305389032 Enrollment ID: I20240621002342 |
| Provider Name | Keara Rona Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558962456 PECOS PAC ID: 3779027958 Enrollment ID: I20240628000881 |
| Provider Name | Kenyawn Judea Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265659247 PECOS PAC ID: 0547645855 Enrollment ID: I20240917001543 |
| 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 |