| Salome Mboh Basebang, | |
|
629 N Town East Blvd Apt 120, Mesquite, TX 75150-8342 | |
| (214) 325-0716 | |
| Not Available |
| Full Name | Salome Mboh Basebang |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 629 N Town East Blvd Apt 120, Mesquite, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346738010 | NPI | - | NPPES |
| 24331856 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 825443 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP142942 (Texas) | Primary |
| Entity Name | Vpa of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
| Entity Name | Molina Care Connections, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20170427000126 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
| Entity Name | Harmonycares Complete Health Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093543902 PECOS PAC ID: 8921529751 Enrollment ID: O20250310000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Salome Mboh Basebang, 629 N Town East Blvd Apt 120, Mesquite, TX 75150-8342 Ph: (214) 325-0716 | Salome Mboh Basebang, 629 N Town East Blvd Apt 120, Mesquite, TX 75150-8342 Ph: (214) 325-0716 |
Mrs. Doris K Egyawan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1675 Republic Pkwy Ste 190a, Mesquite, TX 75150 Phone: 469-251-0711 Fax: 469-213-3022 |
Francisco Adrian Rico, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1050 N Belt Line Rd Ste 101, Mesquite, TX 75149 Phone: 972-787-0038 Fax: 833-455-0800 |
Sovannarat Floyd, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2698 N Galloway Ave Ste 105, Mesquite, TX 75150 Phone: 469-564-1026 |
Sincy Mariam Zachariah, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 Us Highway 80 E, Mesquite, TX 75149 Phone: 469-827-7300 |
Lilo Felton, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2620 Gus Thomasson Rd Ste 102, Mesquite, TX 75150 Phone: 469-730-0044 |
Mrs. Bincy Varughese, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1947 Cutler Dr, Mesquite, TX 75149 Phone: 214-606-5988 |
Ajoke Alfred Iyamu, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2417 Autumndale Dr, Mesquite, TX 75150 Phone: 469-422-2470 |