| Ntx 360 Care | |
|
4381 W Green Oaks Blvd Ste 103 Arlington TX 76016-4495 | |
| (817) 200-4469 | |
| Not Available |
| Full Name | Ntx 360 Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4381 W Green Oaks Blvd Ste 103, Arlington, Texas |
| Authorized Official Name and Position | Todd L Petelski (OWNER) |
| Authorized Official Contact | 8172004469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ntx 360 Care Po Box 150569 Arlington TX 76015-6569 Ph: (682) 302-0306 | Ntx 360 Care 4381 W Green Oaks Blvd Ste 103 Arlington TX 76016-4495 Ph: (817) 200-4469 |
| NPI Number | 1962156802 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 09/28/2022 |
| Medicare PECOS PAC ID | 6901290543 |
|---|---|
| Medicare Enrollment ID | O20220225000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962156802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carley Day Stiglets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528000122 PECOS PAC ID: 4486635257 Enrollment ID: I20040527000270 |
| Provider Name | Lara O Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861437790 PECOS PAC ID: 0244258317 Enrollment ID: I20051107001035 |
| Provider Name | Rhea Jean Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033303680 PECOS PAC ID: 3577643345 Enrollment ID: I20080107000481 |
| Provider Name | Julia K Beshears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124266275 PECOS PAC ID: 0840349833 Enrollment ID: I20090521000485 |
| Provider Name | Rose M Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235364530 PECOS PAC ID: 4981757416 Enrollment ID: I20090731000396 |
| Provider Name | Julie A Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750326583 PECOS PAC ID: 5092847459 Enrollment ID: I20100720000874 |
| Provider Name | Ken Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316980295 PECOS PAC ID: 2466582028 Enrollment ID: I20111215000787 |
| Provider Name | Clara L Lobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699071464 PECOS PAC ID: 2466613898 Enrollment ID: I20120412000090 |
| Provider Name | Amy S Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619373362 PECOS PAC ID: 4183949266 Enrollment ID: I20150212000617 |
| Provider Name | Aleah E Pace |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134586738 PECOS PAC ID: 5698108694 Enrollment ID: I20191205001142 |
| Provider Name | Jazmine Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659755429 PECOS PAC ID: 4284942962 Enrollment ID: I20191226001288 |
| Provider Name | Amber R Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285264515 PECOS PAC ID: 5092142075 Enrollment ID: I20200304001309 |
| Provider Name | Tahir Khwaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881804938 PECOS PAC ID: 5092844928 Enrollment ID: I20200316000816 |
| Provider Name | Heather Elaine Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043839525 PECOS PAC ID: 0143651281 Enrollment ID: I20200506000116 |
| Provider Name | Kanita Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689216566 PECOS PAC ID: 8224441068 Enrollment ID: I20210115000743 |
| Provider Name | Cindy L Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285240077 PECOS PAC ID: 6305253253 Enrollment ID: I20210322001247 |
| Provider Name | Jason L Willis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679603153 PECOS PAC ID: 8921043019 Enrollment ID: I20210806000476 |
| Provider Name | Ahmad Elzein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932706025 PECOS PAC ID: 9335543347 Enrollment ID: I20210812000155 |
| Provider Name | Mark Anthony Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437894409 PECOS PAC ID: 5799163119 Enrollment ID: I20220525002387 |
| Provider Name | Stergios Zissis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083211726 PECOS PAC ID: 3274945266 Enrollment ID: I20221004000125 |
| Provider Name | Emery Justine Chapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114635729 PECOS PAC ID: 1658743513 Enrollment ID: I20230202002529 |
| Provider Name | Nada Ali Al-yafai |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710519632 PECOS PAC ID: 6002285822 Enrollment ID: I20230510000772 |
| Provider Name | Leah Margaret Akuka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831877018 PECOS PAC ID: 5496109894 Enrollment ID: I20231003001887 |
| Provider Name | Shalisa D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588441752 PECOS PAC ID: 7719333285 Enrollment ID: I20231020000322 |
| Provider Name | Melissa Montgomery-lambert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689395550 PECOS PAC ID: 3678937992 Enrollment ID: I20240306000259 |
| Provider Name | Ann Nnenna Ugbeme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851906960 PECOS PAC ID: 5799121232 Enrollment ID: I20240307000561 |
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