| Ibonne Lopez Maso, | |
|
1701 Nw 25th St, Fort Worth, TX 76164-6850 | |
| (682) 707-5982 | |
| (682) 707-5984 |
| Full Name | Ibonne Lopez Maso |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1701 Nw 25th St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104697887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1020731 (Texas) | Primary |
| Entity Name | Clinica Familiar Las Americas Fw Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285449660 PECOS PAC ID: 2668994849 Enrollment ID: O20250317003367 |
| Mailing Address | Practice Location Address |
|---|---|
| Ibonne Lopez Maso, 1701 Nw 25th St, Fort Worth, TX 76164-6850 Ph: (682) 707-5982 | Ibonne Lopez Maso, 1701 Nw 25th St, Fort Worth, TX 76164-6850 Ph: (682) 707-5982 |
Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287 | |
Annette Diane Williamson, ARNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2205 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-328-3320 Fax: 817-328-3325 | |
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521 | |
Elisa Martinez Morrison, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1711 Doolittle Ave, Fort Worth, TX 76127 Phone: 817-782-6223 | |
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727 | |
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805 |