Unknown Individual – Gerontology Nurse Practitioner, NPI 1245214808
Gerontology Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752660599
Phone:
Type: Mailing
9202, Elam Road, Dallas, Dallas County, Texas, 75217, United States
SOUTHEAST DALLAS HEALTH CENTER
DALLAS, TX 752174151
Phone: (214) 266-1600
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 75266)
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