| Alex Ehis Udabor, | |
|
2035 Camelot Dr, Lewisville, TX 75067-2027 | |
| (972) 351-3566 | |
| Not Available |
| Full Name | Alex Ehis Udabor |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2035 Camelot Dr, Lewisville, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346839701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1010847 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Md Physicians Group, Pllc | 7012313521 | 97 |
| Entity Name | Hephzibah Visiting Clinicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083101075 PECOS PAC ID: 1254688641 Enrollment ID: O20180717000196 |
| Entity Name | Total Md Physicians Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982031852 PECOS PAC ID: 7012313521 Enrollment ID: O20210909000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Ehis Udabor, 2035 Camelot Dr, Lewisville, TX 75067-2027 Ph: (972) 351-3566 | Alex Ehis Udabor, 2035 Camelot Dr, Lewisville, TX 75067-2027 Ph: (972) 351-3566 |
Trinh L. Pham, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Lakepointe Dr, #400, Lewisville, TX 75057 Phone: 972-316-0262 Fax: 972-316-8762 | |
Ramita Maharjan, FNP-C, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6225 N Josey Ln Ste 100, Lewisville, TX 75056 Phone: 469-495-9128 Fax: 469-495-0728 | |
Reena Mathew, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 W Main St, Lewisville, TX 75057 Phone: 972-316-2035 Fax: 972-315-1507 | |
Ashley Tate Mouri, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W Main St, Lewisville, TX 75057 Phone: 469-370-2000 | |
Mrs. Mary Jane Flanagan, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 328 W Main St, Lewisville, TX 75057 Phone: 972-436-7557 | |
Ms. Sandra Rodriguez, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 S Old Orchard Ln Ste 126, Lewisville, TX 75067 Phone: 972-436-7962 Fax: 972-420-0085 | |
Chinyere Onoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 N Valley Pkwy Ste 100, Lewisville, TX 75067 Phone: 214-709-0308 |