HERITAGE FAMILY MEDICINE AND AESTHETICS (NPI# 1841724770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841724770 |
| Entity Type | Organization |
| Organization Name | HERITAGE FAMILY MEDICINE AND AESTHETICS |
| Practice Address |
4214 Gateway Dr Ste 150 Colleyville TX 76034-7905 |
| Practice Telephone | 8173547999 |
| Mailing Telephone | 8173547999 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | ANGELA NEGRON (NURSE PRACTITIONER) |
| Authorized Official Telephone | 8173547999 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP133805 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4214 GATEWAY DR STE 150 |
| City | COLLEYVILLE |
| State | TX |
| Zip Code | 76034-7905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967283 | Lumi Eye Care | Optometrist | 3855 Glade Road, Colleyville, TX 76034 | 2020-09-17 |
| 1528552718 | Dental Sc, Pllc | Dentist | 6700 Colleyville Blvd, Colleyville, TX 76034 | 2018-06-20 |
| 1447763503 | Pekam Takusi | Pharmacist | 704 Strauss, Colleyville, TX 76034 | 2017-11-13 |
| 1982128484 | Van Beljon LLC | Chiropractor | 1124 Glade Rd, Suite 140, Colleyville, TX 76034 | 2017-07-27 |
| 1871031120 | Gena Willams | Occupational Therapist | 4113 Gateway Dr #200, Colleyville, TX 76034 | 2017-02-07 |
| 1700255486 | Village Lane Apothecary | Pharmacy | 60 Village Ln, Suite 130, Colleyville, TX 76034 | 2015-09-23 |
| 1679968333 | Amber Robinson | Counselor | 5209 Heritage Ave #210, Colleyville, TX 76034 | 2015-03-31 |
| 1013305978 | Stat Sleep of Colleyville, LLP | Clinic/Center | 6407 Colleyville Blvd Ste B, Colleyville, TX 76034 | 2014-12-30 |
| 1528468717 | Colverse Iom LLC | Neurological Surgery | 1308 Somerset Ct, Colleyville, TX 76034 | 2014-08-26 |
| 1356752703 | Ideal Dental of Colleyville, Pllc | Dentist | 4712 Colleyville Blvd, Suite 110, Colleyville, TX 76034 | 2014-05-19 |
| Find all providers in zip 76034 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634621 | Suzanne Sophia Wombough | Nurse Practitioner | 2110 Tarleton Ct, Colleyville, TX 76034-5663 | 2020-09-20 |
| 1679091425 | Angela Negron | Nurse Practitioner | 4214 Gateway Dr Ste 100, Colleyville, TX 76034-7906 | 2017-08-31 |
| 1902292436 | David Pascoe | Nurse Practitioner | 6213 Colleyville Blvd, Colleyville, TX 76034-6436 | 2015-04-10 |
| 1053670257 | Low T Men's Clinic | Nurse Practitioner | 6213 Colleyville Blvd Ste 100, Colleyville, TX 76034-6441 | 2012-05-08 |
| 1972720548 | Sharon Gail Fowler | Nurse Practitioner | 4109 Brown Trail, 103, Colleyville, TX 76034 | 2007-04-18 |
| 1154973493 | Katherine Elizabeth Mcnaughton | Nurse Practitioner | 6515 Colleyville Blvd, Colleyville, TX 76034-6231 | 2019-07-16 |
| 1679043459 | Melissa Elizabeth Smith | Nurse Practitioner | 6213 Colleyville Blvd Ste 100, Colleyville, TX 76034-6441 | 2018-12-05 |
| 1487154159 | Tatiana Carolina Daniel | Nurse Practitioner | 6000 Colleyville Blvd Ste 150, Colleyville, TX 76034-8024 | 2018-02-19 |
| 1700133865 | Debra R Smith | Nurse Practitioner | 6000 Colleyville Blvd, Ste 150, Colleyville, TX 76034-8022 | 2012-08-08 |
| 1164571345 | Nicole Ann Howell | Nurse Practitioner | 6630 Colleyville Blvd, Colleyville, TX 76034-6272 | 2007-01-09 |
| Find all providers in COLLEYVILLE | ||||
| City | COLLEYVILLE |
| Zip Code | 76034 |
Please comment or provide details below to improve the information on HERITAGE FAMILY MEDICINE AND AESTHETICS.
| 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.