| Mr Christopher Wayne Davis, NP-C | |
|
4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052-1707 | |
| (972) 522-7778 | |
| (972) 522-7779 |
| Full Name | Mr Christopher Wayne Davis |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, 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 |
|---|---|---|---|
| 1326312026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 777567 (Texas) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | AP122022 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Physician Resources, Llp | 7012161375 | 82 |
| Medhealth | 9931001567 | 373 |
| Entity Name | Medhealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832 |
| Entity Name | Regional Employee Assistance Program Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
| Entity Name | Texas Physician Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher Wayne Davis, NP-C 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052-1707 Ph: (972) 522-7778 | Mr Christopher Wayne Davis, NP-C 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052-1707 Ph: (972) 522-7778 |
Amber Mullins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4203 S Carrier Pkwy, Grand Prairie, TX 75052 Phone: 972-642-3190 | |
Mrs. Elsie Manuel, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2740 N Hwy 360, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-8597 | |
Joy Ogbimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2922 Pegasus Ct, Grand Prairie, TX 75052 Phone: 214-809-0542 | |
Macia Uche Micheal, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2835 Mariposa Dr, Grand Prairie, TX 75054 Phone: 972-400-3900 Fax: 469-224-9190 | |
Akhere Isenalumhe, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3012 Fairview Dr, Grand Prairie, TX 75052 Phone: 972-533-5136 | |
Mrs. Susan Renee Carlson, MSN, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2740 N Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 | |
Michael Owusu Agyemang, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 W I 20, Grand Prairie, TX 75052 Phone: 972-264-5858 Fax: 972-264-8800 |