Mrs Deloris Renee Harwell, PNP-PC | |
104 E Us Highway 80 Ste 190, Forney, TX 75126 | |
(469) 602-5277 | |
(469) 995-7898 |
Full Name | Mrs Deloris Renee Harwell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 104 E Us Highway 80 Ste 190, Forney, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346478252 | NPI | - | NPPES |
1346478252 | Medicaid | TX | |
203992707 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP117846 (Texas) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 703123 (Texas) | Primary |
Entity Name | Pediatric Kare Klinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609348580 PECOS PAC ID: 4486980315 Enrollment ID: O20190730001907 |
Mailing Address | Practice Location Address |
---|---|
Mrs Deloris Renee Harwell, PNP-PC 104 E Us Highway 80 Ste 190, Forney, TX 75126-8615 Ph: (469) 602-5277 | Mrs Deloris Renee Harwell, PNP-PC 104 E Us Highway 80 Ste 190, Forney, TX 75126 Ph: (469) 602-5277 |
David Salazar, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11632 Nicole Ln, Forney, TX 75126 Phone: 214-486-9820 | |
Kosisochi Ginigeme Ngozi-ibeh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Pinson Rd Ste M, Forney, TX 75126 Phone: 469-977-1300 | |
Ashley Milby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 763 E Us Highway 80 Ste 100, Forney, TX 75126 Phone: 972-564-0711 Fax: 972-564-0323 | |
Mrs. Fawna R. Allen, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Fm 548 Ste 100, Forney, TX 75126 Phone: 575-652-9799 | |
Fatima Fofana, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1302 Torrington Ln, Forney, TX 75126 Phone: 214-315-4652 | |
Ma Luisa Chua Mirasol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5616 Durst Ln, Forney, TX 75126 Phone: 469-432-7772 | |
Mrs. Misti Dawn Gent, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 713 W Broad St, Suite 100, Forney, TX 75126 Phone: 972-552-3330 |