| Heather Grindle, FNP | |
|
800 N Hill St, Tatum, TX 75691 | |
| (903) 947-6300 | |
| (903) 947-2408 |
| Full Name | Heather Grindle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 800 N Hill St, Tatum, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023425469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP125996 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Onesource Home Care Inc | Longview, TX | Home health agency |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phynet, Inc. | 8527038298 | 16 |
| Entity Name | Phynet Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144245176 PECOS PAC ID: 8527038298 Enrollment ID: O20040729000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Grindle, FNP 300 N Alamo Blvd, Marshall, TX 75670-3451 Ph: (903) 927-2824 | Heather Grindle, FNP 800 N Hill St, Tatum, TX 75691 Ph: (903) 947-6300 |
Krystal Deanne Williams, AGPCNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 810 N Hill St Ste 5, Tatum, TX 75691 Phone: 903-947-2273 | |
Mrs. Elizabeth Ann Breedlove, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 N Hill St, Suite 2, Tatum, TX 75691 Phone: 903-947-2020 Fax: 903-947-3292 |