Unknown Individual – Gerontology Nurse Practitioner, NPI 1235368556
Gerontology Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
919, Hidden Ridge, Irving, Dallas County, Texas, 75038, United States
6TH FLOOR
IRVING, TX 750383813
Phone: (469) 282-2711
Fax: (469) 282-2609
Type: Mailing
North Street, Beaumont, Jefferson County, Texas, 77706, United States
BEAUMONT, TX 777021434
Phone: (409) 832-9600
Fax: (409) 832-9610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75038)
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