| Nicholas Ryan Glaze, NP | |
|
345 N Highway 67, Cedar Hill, TX 75104-2134 | |
| (972) 956-5300 | |
| Not Available |
| Full Name | Nicholas Ryan Glaze |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 345 N Highway 67, Cedar Hill, 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 |
|---|---|---|---|
| 1255767513 | NPI | - | NPPES |
| AP124430 | Other | TX | TEXAS BNE |
| 784995 | Other | TX | TEXAS BNE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 784995 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP124430 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Health Physicians Pllc | 7810237740 | 199 |
| Entity Name | Medexpress Urgent Care Texas, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194246884 PECOS PAC ID: 2961778790 Enrollment ID: O20171024000705 |
| Entity Name | Primary Health Physicians Pllc |
|---|---|
| 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 |
|---|---|
| Nicholas Ryan Glaze, NP Po Box 9101, Coppell, TX 75019-9494 Ph: (972) 906-8124 | Nicholas Ryan Glaze, NP 345 N Highway 67, Cedar Hill, TX 75104-2134 Ph: (972) 956-5300 |
Erane Willis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 385 E Belt Line Rd, Cedar Hill, TX 75104 Phone: 972-299-5347 | |
Dr. Lesa G Ansell, DC, RN, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 214 W Belt Line Rd, Ste A, Cedar Hill, TX 75104 Phone: 972-291-1992 Fax: 972-291-1163 | |
Ms. Charle' Chanson Francinne Avery, MSN RN ANP-BC GNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 918 Cedar Ter, Cedar Hill, TX 75104 Phone: 972-679-6845 | |
Briana Zimbelman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 294 Uptown Blvd Ste 120, Cedar Hill, TX 75104 Phone: 972-293-6300 | |
Markeita Danielle Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 294 Uptown Blvd, Suite 100, Cedar Hill, TX 75104 Phone: 972-293-3569 Fax: 972-299-9513 | |
Mr. Chester Ray Jones Iv, AGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 E Belt Line Rd Ste 150, Cedar Hill, TX 75104 Phone: 972-291-7863 Fax: 972-291-0942 | |
Keisha Witherspoon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 Uptown Blvd Ste 2000, Cedar Hill, TX 75104 Phone: 972-716-2969 Fax: 214-594-8747 |