Unknown Individual – Registered Nurse, NPI 1629270269
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Jack in the Box, Presidio Vista, Presidio Junction, Fort Worth, Tarrant County, Texas, 76244, United States
FORT WORTH, TX 761990213
Phone: (682) 885-1855
Fax: (682) 885-7347
Type: Mailing
Matlock Road, Monticello, Mansfield, Tarrant County, Texas, 76063, United States
MANSFIELD, TX 760639174
Phone: (817) 347-8420
Fax: (817) 347-8495
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76199)
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