| Christina Bazan, FNP-C | |
|
5077 E Interstate 20 Service Rd N, Willow Park, TX 76087-3219 | |
| (817) 374-4949 | |
| (866) 493-3919 |
| Full Name | Christina Bazan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 5077 E Interstate 20 Service Rd N, Willow Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851995682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1018921 (Texas) | Primary |
| Entity Name | Wellmed Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519 |
| Entity Name | D&j Grace Team Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093062937 PECOS PAC ID: 0143477729 Enrollment ID: O20120904000776 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Bazan, FNP-C 5077 E Interstate 20 Service Rd N, Willow Park, TX 76087-3219 Ph: (817) 374-4949 | Christina Bazan, FNP-C 5077 E Interstate 20 Service Rd N, Willow Park, TX 76087-3219 Ph: (817) 374-4949 |
Daniel Jonathan Snyder, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4015 Arroyo Dr, Willow Park, TX 76087 Phone: 817-613-9998 | |
Sperry Binnicker, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 136 El Chico Trl, Ste 102, Willow Park, TX 76087 Phone: 817-441-5412 Fax: 817-441-9354 | |
Julia Beth Talboys, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 136 El Chico Trl, Ste 102, Willow Park, TX 76087 Phone: 817-441-5412 Fax: 817-441-9354 | |
Ashlee Skrhak, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 136 El Chico Trl Ste 102, Willow Park, TX 76087 Phone: 817-441-5412 | |
Margaret Marie Galvez, DNP, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Jimma Dr Unit A, Willow Park, TX 76087 Phone: 817-599-6222 Fax: 817-599-8151 | |
Jessica Marie Wight, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 Willow Bend Dr, Willow Park, TX 76008 Phone: 817-441-9252 Fax: 817-441-9282 | |
Trista Preda, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Crown Pointe Blvd Ste 200, Willow Park, TX 76087 Phone: 817-599-7661 |