MARYANN M EFESOA


Address: 1615 Hospital Pkwy Ste 103, Bedford, TX 76022-5935
Phone: 8173542680

MARYANN M EFESOA (NPI# 1659703023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659703023
Entity Type Individual
Full Name MARYANN M EFESOA
Credential NP
Practice Address 1615 Hospital Pkwy Ste 103
Bedford
TX 76022-5935
Practice Telephone 8173542680
Practice Fax Number 8175105927
Mailing Telephone 8173542680
Mailing Fax Number 8175105927
Enumeration Date 2013-08-07
Last Update Date 2019-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP123893 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 325730502 05
TX 325730501 05
TX 325730503 05

Office Location

Street Address 1615 HOSPITAL PKWY STE 103
City BEDFORD
State TX
Zip Code 76022-5935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003806332 Rey C Marquino Internal Medicine 1615 Hospital Pkwy Ste 103, Bedford, TX 76022-5935 2005-10-27
1215384219 Cory Alan Logan Physician Assistant 1615 Hospital Pkwy Ste 103, Bedford, TX 76022-5935 2016-05-19
1598175895 Priya Jimmy Internal Medicine 1615 Hospital Pkwy Ste 103, Bedford, TX 76022-5935 2014-05-07
1588699284 Paul K Kim Internal Medicine 1615 Hospital Pkwy Ste 103, Bedford, TX 76022-5935 2006-07-11
1326096900 Vasu Nalajala Family Medicine 1615 Hospital Pkwy Ste 103, Bedford, TX 76022-5935 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376155754 Jacquelyn H Holloway Registered Nurse 820 Uptown Blvd, Bedrord, TX 76022 2020-08-18
1861972556 Red Diamond Medical Group Pllc Internal Medicine 2700 Tibbets Dr # 301, Bedford, TX 76022 2018-08-21
1649761958 Florine Karimi Mati Behavioral Analyst 1413 Tennis Dr, Bedford, TX 76022 2018-05-22
1760836704 Healing Hands Senior Care Service Technician 1152 High Point Rd., Bedford, TX 76022 2016-04-15
1972965283 Emily Vandoren Physical Therapist 1705 Forest Ridge Drive, Bedford, TX 76022 2016-03-25
1396123949 Decorla Holmes Adult Companion 1152 Highpoint Rd., Bedford, TX 76022 2015-05-15
1629409198 Susan Yvonne Pelletier Durable Medical Equipment & Medical Supplies 1600 Central Drive, Suite 157, Bedford, TX 76022 2013-12-09
1649565953 Alisa Thamwiwat Internal Medicine 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 2011-06-15
1528227576 Ft. Worth Home Care Inc Home Health 1600 Airport Freeway, Suite 503, Bedford, TX 76022 2008-06-05
1225242886 Bedford Family Medicine, Pa Family Medicine 1701 Forest Ridge Dr., Bedford, TX 76022 2007-05-10
Find all providers in zip 76022

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629680814 Heather Jean Dozois Nurse Practitioner 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 2020-08-19
1760004337 Pamela Urick Nurse Practitioner 33 Darby Ln, Bedford, NH 03110-4517 2020-05-17
1710513932 Nirmal Shrestha Deoju Nurse Practitioner 2345 Leafy Glen Ct, Bedford, TX 76022-6114 2020-03-19
1639729445 Erin Lynn Dedman Nurse Practitioner 470 Us-421, Bedford, KY 40006 2019-09-13
1013495837 Stephanie Ann Mason Nurse Practitioner 2415 Mitchell Rd Ste C, Bedford, IN 47421-4731 2018-08-02
1386121424 Sara Elizabeth Kazanowski Nurse Practitioner 5 Washington Pl Ste 1a, Bedford, NH 03110-6771 2018-07-22
1144722539 Leslie Stevens Kipp Nurse Practitioner 1305 Airport Fwy Ste 420, Bedford, TX 76021-6605 2018-03-01
1407370216 Laura L Boulter Nurse Practitioner 154 Great Rd, Bedford, MA 01730-2725 2017-08-02
1003339623 Kathryn Lynn Alto Nurse Practitioner 88 Center Rd Ste 250a, Bedford, OH 44146-2711 2017-07-25
1306399811 Caitlin Wright Nurse Practitioner 2512b Q St, Bedford, IN 47421-4928 2016-08-01
Find all providers in BEDFORD

Competitor

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City BEDFORD
Zip Code 76022

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Dataset Information

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.

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