Marjorie L Redd-gray, FNP-C | |
Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-4504 | |
(210) 539-9271 | |
Not Available |
Full Name | Marjorie L Redd-gray |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | Brooke Army Medical Center, Jbsa Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790130029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F0416302 (Texas) | Primary |
Entity Name | Primary Health Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
Mailing Address | Practice Location Address |
---|---|
Marjorie L Redd-gray, FNP-C 1339 Sunny Glen Dr, Dallas, TX 75232-1121 Ph: (469) 449-3143 | Marjorie L Redd-gray, FNP-C Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9271 |
Laurita Old Hudec, DNP APRN WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3351 Roger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 Phone: 210-916-4141 | |
Dr. Jeffry Thomas Negard, R.N., DNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Dr, Jbsa Fort Sam Houston, TX 78234 Phone: 210-539-9582 |