| Direct Care Partners, Pllc | |
|
129 The Hills Dr The Hills TX 78738-1543 | |
| (512) 640-5111 | |
| (512) 640-5115 |
| Full Name | Direct Care Partners, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 129 The Hills Dr, The Hills, Texas |
| Authorized Official Name and Position | Kevin Marshall Pearce (MANAGER) |
| Authorized Official Contact | 2142329870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Care Partners, Pllc 129 The Hills Dr The Hills TX 78738-1543 Ph: (512) 640-5111 | Direct Care Partners, Pllc 129 The Hills Dr The Hills TX 78738-1543 Ph: (512) 640-5111 |
| NPI Number | 1164289302 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Medicare PECOS PAC ID | 9739520966 |
|---|---|
| Medicare Enrollment ID | O20240517003204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164289302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Travis Chad Harney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992215792 PECOS PAC ID: 7517233216 Enrollment ID: I20171025000916 |
| Provider Name | Gerardo Reyes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194767954 PECOS PAC ID: 1153429576 Enrollment ID: I20200422000965 |
| Provider Name | Shanna Renee Fraser |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316451594 PECOS PAC ID: 3173949609 Enrollment ID: I20200814001272 |
| Provider Name | Rosemary Mbam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477858397 PECOS PAC ID: 1052707577 Enrollment ID: I20220411001275 |
| Provider Name | Veleen V Simms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780742734 PECOS PAC ID: 1254786387 Enrollment ID: I20231010003106 |