| Ismail Boodhwani Jr, FNP-C | |
|
4004 Worth St Ste 200, Dallas, TX 75246-1640 | |
| (214) 521-5191 | |
| (214) 623-6807 |
| Full Name | Ismail Boodhwani Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4004 Worth St Ste 200, Dallas, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033685680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP139370 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aids Arms, Inc. | 7719940774 | 19 |
| Entity Name | Texas Specialty Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154821429 PECOS PAC ID: 0941553374 Enrollment ID: O20181031002581 |
| Entity Name | Guardian Biologics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033890876 PECOS PAC ID: 8123481470 Enrollment ID: O20231211001918 |
| Entity Name | Lovedale Enterprises |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134985591 PECOS PAC ID: 0345688206 Enrollment ID: O20240411000110 |
| Entity Name | Old Mission Wound Care Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386484277 PECOS PAC ID: 6002355583 Enrollment ID: O20240828002418 |
| Mailing Address | Practice Location Address |
|---|---|
| Ismail Boodhwani Jr, FNP-C 4004 Worth St Ste 200, Dallas, TX 75246-1640 Ph: (214) 521-5191 | Ismail Boodhwani Jr, FNP-C 4004 Worth St Ste 200, Dallas, TX 75246-1640 Ph: (214) 521-5191 |
Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020 | |
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173 | |
Christina Hagood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017 | |
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135 | |
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112 | |
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000 | |
Mrs. Briana Witherspoon, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5939 Harry Hines Boulevard Mc9134, Dallas, TX 75390 Phone: 214-645-1852 |