| Elizabeth Ilog, | |
|
13433 Cypress Point Ct, Horizon City, TX 79928-6496 | |
| (915) 218-3640 | |
| Not Available |
| Full Name | Elizabeth Ilog |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 13433 Cypress Point Ct, Horizon City, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861079121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1031110 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1031110 (Texas) | Primary |
| Entity Name | Psychiatry Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013476027 PECOS PAC ID: 0345573598 Enrollment ID: O20190604000738 |
| Entity Name | Psychplus Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558118026 PECOS PAC ID: 2668813460 Enrollment ID: O20240510001368 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ilog, 13433 Cypress Point Ct, Horizon City, TX 79928-6496 Ph: (915) 218-3640 | Elizabeth Ilog, 13433 Cypress Point Ct, Horizon City, TX 79928-6496 Ph: (915) 218-3640 |
Eric Hernandez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14470 Horizon Blvd Ste Aandj, Horizon City, TX 79928 Phone: 915-852-3225 Fax: 915-209-8289 | |
Mr. Timothy John Dalimata, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14470 Horizon Blvd Ste H, Attn: Judith Cosme, Horizon City, TX 79928 Phone: 915-217-2117 Fax: 915-217-1105 | |
Silvia Cortes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14470 Horizon Blvd Ste A&j, Horizon City, TX 79928 Phone: 915-852-3225 | |
Dr. Hector Librado Rodriguez, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 14470 Horizon Blvd Ste H, Attn: Judith Cosme, Horizon City, TX 79928 Phone: 915-217-2117 Fax: 915-217-1105 | |
Manuel Madrid, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17015 Carson Dr, Horizon City, TX 79928 Phone: 915-345-3836 | |
Helena Asantewaa Sennessie, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 755 Goosnargh Rd, Horizon City, TX 79928 Phone: 915-600-3100 | |
Gabriel Espinoza, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13800 Eastlake Blvd Ste 400, Horizon City, TX 79928 Phone: 915-577-1134 Fax: 915-852-4767 |