| Smitha Martin, NP | |
|
Minuteclinic Diagnostic Of Texas Pllc, 4203 S Carrier Pkwy, Grand Prairie, TX 75052-3203 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Smitha Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | Minuteclinic Diagnostic Of Texas Pllc, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649859471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP144388 (Texas) | Primary |
| Entity Name | Minuteclinic Diagnostic Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609076330 PECOS PAC ID: 7416039177 Enrollment ID: O20080204000113 |
| Entity Name | Ronald A Stewart Do Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568660587 PECOS PAC ID: 1153496559 Enrollment ID: O20080820000163 |
| Entity Name | Minuteclinic Telehealth Services Of Texas Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922564301 PECOS PAC ID: 8921437427 Enrollment ID: O20200404000028 |
| Entity Name | Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770354763 PECOS PAC ID: 0941642169 Enrollment ID: O20240520002763 |
| Mailing Address | Practice Location Address |
|---|---|
| Smitha Martin, NP Minuteclinic Diagnostic Of Texas Pllc, 4203 S Carrier Pkwy, Grand Prairie, TX 75052-3203 Ph: (866) 389-2727 | Smitha Martin, NP Minuteclinic Diagnostic Of Texas Pllc, 4203 S Carrier Pkwy, Grand Prairie, TX 75052-3203 Ph: (866) 389-2727 |
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 |