| Mark Elijah Fankhauser, APRN | |
|
4113 Crosspoint Blvd, Edinburg, TX 78539-1803 | |
| (956) 603-1555 | |
| (956) 800-6369 |
| Full Name | Mark Elijah Fankhauser |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 4113 Crosspoint Blvd, Edinburg, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841906005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 934497 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 1110869 (Texas) | Primary |
| Entity Name | Valley Diabetes & Endocrinology Comprehensive Center P.l.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376109637 PECOS PAC ID: 9234467457 Enrollment ID: O20190827001157 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Elijah Fankhauser, APRN 4113 Crosspoint Blvd, Edinburg, TX 78539-1803 Ph: (956) 603-1555 | Mark Elijah Fankhauser, APRN 4113 Crosspoint Blvd, Edinburg, TX 78539-1803 Ph: (956) 603-1555 |
Mrs. Rosalinda Rossow, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 W University Dr, Esrh Student Health Services, Edinburg, TX 78539 Phone: 956-381-2511 Fax: 956-381-2512 | |
Angela Maria Tanguma, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4150 Crosspoint Blvd, Edinburg, TX 78539 Phone: 956-381-5817 Fax: 956-381-5397 | |
Yanet Leija, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1114 Goodrich Dr, Edinburg, TX 78539 Phone: 956-460-5170 | |
Sandee Zaldivar Carino, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5502 South Mccoll Rd, Edinburg, TX 78539 Phone: 956-361-4401 | |
Mr. Adolfo Arteaga, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-362-8677 Fax: 956-362-7253 | |
Leonardo Martinez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 N Closner Blvd, Edinburg, TX 78541 Phone: 956-383-8300 | |
Mrs. Irasema Gonzalez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1601 E Sprague St, Edinburg, TX 78542 Phone: 956-378-9290 Fax: 956-378-9376 |