| Mrs Jasmine Lax, FNP-BC | |
|
1050 E State Highway 114 Ste 100, Southlake, TX 76092-5254 | |
| (817) 329-8364 | |
| Not Available |
| Full Name | Mrs Jasmine Lax |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1050 E State Highway 114 Ste 100, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861007221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1018939 (Texas) | Primary |
| Entity Name | Health Express Clinics Network Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164888632 PECOS PAC ID: 3274832100 Enrollment ID: O20160428000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jasmine Lax, FNP-BC 1050 E State Highway 114 Ste 100, Southlake, TX 76092-5254 Ph: () - | Mrs Jasmine Lax, FNP-BC 1050 E State Highway 114 Ste 100, Southlake, TX 76092-5254 Ph: (817) 329-8364 |
Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197 | |
Nikita Greenwood, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698 | |
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675 | |
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 | |
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000 | |
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104 | |
Heather Mendoza, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 |