Mei Gong
Individual provider Active NPI Family Nurse Practitioner · Dallas, TX
NPI 1134551344 · NPPES record last updated Jul 30, 2013
Key facts
- NPI
- 1134551344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 736687 (TX)
- Practice address
- 5201 Harry Hines Blvd
Dallas, TX 75235-7708 - Phone
- (214) 590-7437
- NPI assigned
- Jul 30, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140103000453 | TX | Practitioner - Nurse Practitioner | 1759536600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 736687 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Family | Current | Accepting new patients |
| Dallas County Hospital District | Family | Current |
Accepting new patients |
| Dallas County Hospital District | Current |
Accepting new patients | |
| Dallas County Hospital District | Past | Accepting new patients | |
| Spinalworks, PLLC | Past | Accepting new patients |
Locations
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Interoperability endpoints
- mgong3779@direct.phhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 736687 | TX | Yes |
Addresses
Primary practice location
5201 Harry Hines Blvd
Dallas, TX 75235-7708
Mailing address
4544 Tuscany Dr
Plano, TX 75093-7042
Phone (972) 567-2888
Other providers in Dallas, TX
- Richard Gomez
- Richard Raul Gomez
- Vanessa Monique Gomez
- Victor M Gomez
- Keerthi Gondi
- Timothy Allan Gong
- Wei Gong
- Sophie Gonsoulin
- John Andrew Gonzaba
- Gonzalaz Med Supplies LLC
All providers in Dallas, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.