TEXANS HEALTH & WELLNESS CENTER PLLC (NPI# 1457993297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457993297 |
| Entity Type | Organization |
| Organization Name | TEXANS HEALTH & WELLNESS CENTER PLLC |
| Practice Address |
4125 Broadway Blvd Ste 120c Garland TX 75043-2500 |
| Mailing Address |
760 Belvedere Park Ln Lucas TX 75002-8853 |
| Practice Telephone | 9723030861 |
| Practice Fax Number | 9723030928 |
| Mailing Telephone | 9723030861 |
| Mailing Fax Number | 9723030928 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | JAYE C KRUBALLY (OWNER) |
| Authorized Official Telephone | 9723030861 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4125 BROADWAY BLVD STE 120C |
| City | GARLAND |
| State | TX |
| Zip Code | 75043-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154748 | Morrill Medical Mobile Services Pa | Internal Medicine | 4125 Broadway Blvd Ste 120c, Garland, TX 75043-2500 | 2019-09-24 |
| 1659304327 | Thomas R. Morrill | General Practice | 4125 Broadway Blvd Ste 120c, Garland, TX 75043-2500 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509672 | Hospice Angels, LLC. | Hospice Care, Community Based | 350 Oaks Trail, Suite # 201, Garland, TX 75043 | 2020-08-21 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1013439934 | Shereen Raju Varughese | Nurse Practitioner | 2605 Claymore Avenue, Garland, TX 75043 | 2017-07-12 |
| 1558891176 | Eluzay LLC | Technician | 2302 Guthrie Road, Suite 140, Garland, TX 75043 | 2017-06-15 |
| 1841740065 | Francesca Crye Anokwute | Nurse Practitioner | 4514 Grantham Drive, Garland, TX 75043 | 2016-10-12 |
| 1013394329 | Amber M Murphy | Dietitian, Registered | 2435 N. Central Expwy, 12th Floor, Richardson, TX 75043 | 2015-05-06 |
| 1811303266 | Saint Jude Hospice and Palliative Care LLC | Hospice Care, Community Based | 346 Oaks Trail #225, Garland, TX 75043 | 2014-07-07 |
| 1992149306 | Richard Shad Hattaway | Dentist | 6452 Broadway Boulevard, Garland, TX 75043 | 2013-04-29 |
| 1407106370 | Jennifer Frances Burtt | Physician Assistant | 545 Interstate 30 Frontage Rd, Mesquite, TX 75043 | 2012-09-18 |
| 1083991319 | Vidya Suri Dds Pa | Dentist | 6521 Duck Creek Dr, Garland, TX 75043 | 2011-11-15 |
| Find all providers in zip 75043 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590658 | Jacinta Adaugo Unamba | Nurse Practitioner | 2217 Hollow Way, Garland, TX 75041-2189 | 2020-08-29 |
| 1376176669 | Nkechinyere Charity Echefu | Nurse Practitioner | 2730 Serena Ct, Garland, TX 75040-3847 | 2020-02-15 |
| 1710522560 | Daphne Weed | Nurse Practitioner | 1038 Holland Dr, Garland, TX 75040-4226 | 2019-11-14 |
| 1285277822 | Geena Joy | Nurse Practitioner | 2505 Channel Isle Dr, Garland, TX 75043-1492 | 2019-10-27 |
| 1548721368 | Ancy Abraham George | Nurse Practitioner | 4425 Sea Sparrow Ln, Garland, TX 75043-2677 | 2019-03-26 |
| 1205300597 | Nnedi Nwosu | Nurse Practitioner | 4714 Bungalow Dr, Garland, TX 75043-6469 | 2019-01-19 |
| 1447721873 | Care Express Medical Center LLC | Nurse Practitioner | 3641 Broadway Blvd Ste 200, Garland, TX 75043-1677 | 2018-12-11 |
| 1336623446 | Gideon Ibe Ahanonu | Nurse Practitioner | 1919 S Shiloh Rd Ste 218, Garland, TX 75042-8903 | 2018-09-24 |
| 1407333792 | Sarah Dewit | Nurse Practitioner | 4555 W Walnut St, Garland, TX 75042-5143 | 2018-07-19 |
| 1750870879 | Brenda Okojie | Nurse Practitioner | 514 Basswood Trl, Garland, TX 75040-1183 | 2018-05-03 |
| Find all providers in GARLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.