| Long Term Health Careline Corp | |
|
2000 E Lamar Blvd Ste 150 Arlington TX 76006-7337 | |
| (830) 213-2225 | |
| Not Available |
| Full Name | Long Term Health Careline Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 E Lamar Blvd Ste 150, Arlington, Texas |
| Authorized Official Name and Position | Nakizito Namazzi Kazigo (CEO) |
| Authorized Official Contact | 8085610579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Term Health Careline Corp 2000 E Lamar Blvd Ste 150 Arlington TX 76006-7337 Ph: (830) 213-2225 | Long Term Health Careline Corp 2000 E Lamar Blvd Ste 150 Arlington TX 76006-7337 Ph: (830) 213-2225 |
| NPI Number | 1588378830 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 2264882950 |
|---|---|
| Medicare Enrollment ID | O20231220003925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588378830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Johnita L Darton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306816699 PECOS PAC ID: 3173411634 Enrollment ID: I20120924000312 |
| Provider Name | Joyce Louise Kenebrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992056816 PECOS PAC ID: 1850543166 Enrollment ID: I20121213000354 |
| Provider Name | Eunice Orji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811248891 PECOS PAC ID: 6406001106 Enrollment ID: I20130312000038 |
| Provider Name | Nakizito Namazzi Kazigo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528263852 PECOS PAC ID: 2466778212 Enrollment ID: I20150313000934 |
| Provider Name | Shauntorya Trychelle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104296615 PECOS PAC ID: 6800190125 Enrollment ID: I20160208000910 |
| Provider Name | Scherraine Y Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992853 PECOS PAC ID: 7012209109 Enrollment ID: I20160711001301 |
| Provider Name | Sharan Lynn Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003430026 PECOS PAC ID: 4981021102 Enrollment ID: I20200902000099 |
| Provider Name | Uroje Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013442292 PECOS PAC ID: 3274949276 Enrollment ID: I20210316002201 |
| Provider Name | Caroline Etok Elad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700401163 PECOS PAC ID: 3173927068 Enrollment ID: I20220829000809 |
| Provider Name | Lana Delice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548913098 PECOS PAC ID: 3274906375 Enrollment ID: I20230309002530 |
| Provider Name | Jackie Marie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457099301 PECOS PAC ID: 6406214022 Enrollment ID: I20230614000881 |
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