| Mansfield Urgent Care | |
|
1811 Highway 287 N Ste 150 Mansfield TX 76063-7595 | |
| (817) 473-3979 | |
| (682) 518-8919 |
| Full Name | Mansfield Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1811 Highway 287 N Ste 150, Mansfield, Texas |
| Authorized Official Name and Position | Eugene Gleeson (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Contact | 8174733979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Urgent Care 1811 Highway 287 N Ste 150 Mansfield TX 76063-7595 Ph: (817) 473-3979 | Mansfield Urgent Care 1811 Highway 287 N Ste 150 Mansfield TX 76063-7595 Ph: (817) 473-3979 |
| NPI Number | 1881888907 |
|---|---|
| Provider Enumeration Date | 08/31/2007 |
| Last Update Date | 08/31/2007 |
| Medicare PECOS PAC ID | 0840245312 |
|---|---|
| Medicare Enrollment ID | O20050317000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881888907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Erik William Maynard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689712960 PECOS PAC ID: 0143202150 Enrollment ID: I20040603000740 |
| Provider Name | Jeffrey J Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588669691 PECOS PAC ID: 0648225938 Enrollment ID: I20050321000084 |
| Provider Name | Mary M Will |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942210778 PECOS PAC ID: 7315982683 Enrollment ID: I20050627001103 |
| Provider Name | Tammie J Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255411559 PECOS PAC ID: 1355315086 Enrollment ID: I20070222000739 |
| Provider Name | Carol Lynn Copelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669637831 PECOS PAC ID: 9234292442 Enrollment ID: I20090114000668 |
| Provider Name | Danielle Needham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073959383 PECOS PAC ID: 3476780677 Enrollment ID: I20131213001615 |
| Provider Name | Mylisa M Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174974240 PECOS PAC ID: 2567745789 Enrollment ID: I20170214002545 |
| Provider Name | Amanda Lin Clemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891233821 PECOS PAC ID: 5597033373 Enrollment ID: I20170620001856 |
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