| Foram Mehta, | |
|
4124 Saguaro Ln, Irving, TX 75063-1242 | |
| (713) 449-1477 | |
| Not Available |
| Full Name | Foram Mehta |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4124 Saguaro Ln, Irving, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841072063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1131843 (Texas) | Primary |
| Entity Name | Revive Med Partners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669237798 PECOS PAC ID: 7618419920 Enrollment ID: O20240601000564 |
| Entity Name | Revive Med Partners I LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881400323 PECOS PAC ID: 1658801832 Enrollment ID: O20250204002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Foram Mehta, 4124 Saguaro Ln, Irving, TX 75063-1242 Ph: (713) 449-1477 | Foram Mehta, 4124 Saguaro Ln, Irving, TX 75063-1242 Ph: (713) 449-1477 |
Bilkish Chunara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 N Macarthur Blvd, Ste 210, Irving, TX 75061 Phone: 972-253-4370 Fax: 972-823-6407 |
Mrs. Tien Vu, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd Ste 211, Irving, TX 75039 Phone: 214-647-1533 |
Jilly John, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6363 N State Highway 161 Ste 100, Irving, TX 75038 Phone: 469-200-3272 |
Chelsea Jean Hawkins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 W Airport Fwy Ste 450, Irving, TX 75062 Phone: 469-726-4402 |
Andrea Nicole Fernandez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 S Irving Heights Dr, Irving, TX 75060 Phone: 972-579-7979 |
Esther Boro, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N Belt Line Rd Ste 201, Irving, TX 75061 Phone: 214-631-9992 |
Shereen Raju Varughese, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Hidden Rdg Ste 300, Irving, TX 75038 Phone: 844-388-6541 Fax: 844-452-8151 |