| Keali Mullins, | |
|
1619 Highway 206, Cisco, TX 76437-6447 | |
| (254) 442-8802 | |
| Not Available |
| Full Name | Keali Mullins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1619 Highway 206, Cisco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790320463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP144052 (Texas) | Primary |
| Entity Name | Alazar Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932532199 PECOS PAC ID: 3678702867 Enrollment ID: O20140211000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Keali Mullins, 1619 Highway 206, Cisco, TX 76437-6447 Ph: (254) 442-8802 | Keali Mullins, 1619 Highway 206, Cisco, TX 76437-6447 Ph: (254) 442-8802 |
Gina Lynette Young-harper, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 County Road 126, Cisco, TX 76437 Phone: 254-442-1146 | |
Ana Rosa Carrillo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Avenue H, Cisco, TX 76437 Phone: 254-433-1900 | |
Jennifer Michele Young, RN MSN APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 Conrad Hilton Blvd, Cisco, TX 76437 Phone: 544-884-8652 Fax: 544-884-8662 | |
Pamela Ann Ezzell, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1619 Highway 206, Cisco, TX 76437 Phone: 254-442-8802 Fax: 254-442-0686 | |
Jacqueline Belk, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 Conrad Hilton Blvd, Cisco, TX 76437 Phone: 254-761-5909 |