Minuteclinic Diagnostic of Texas PLLC
Organization Active NPI Family Nurse Practitioner · Round Rock, TX
NPI 1609076330 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1609076330
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- MINUTECLINIC DIAGNOSTIC OF TEXAS PLLC
- Practice address
- 1855 Gattis School Rd
Round Rock, TX 78664-7428 - Phone
- (866) 389-2727
- NPI assigned
- Jul 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Deborah Pincince
- Title
- Administrator
- Phone
- (401) 770-3813
Other NPIs on the same Medicare enrollment 1
Practitioners 510
-
Greta Renae Adams, DNP,APRN,FNP,CPNP AC
-
Martha Fatu Agada, APRN
-
Taiwo Ajayi, DNP, APRN, FNP-BC
-
Bindu Omana Amma, FNP-C
-
Jacquilyn Quinto Aniscol, DNP, APRN, FNP-C
-
Guadalupe Ivonne Armenta Carrasco, APRN-CNP
-
Sarah Baker, FNP-C
-
Pragya Baral, NP-C
-
Natalie Barbee, FNP-C
-
Noel Heather Barnes, ARNP
-
Lennie Lynn Basilio, FNP-C
-
Margaret Eme Bassey, FNP
-
Erin Bellavia, NP-C
-
Andreiana Bello, NURSE PRACTITIONER
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1059827 | Minuteclinic Diagnostic of Texas, PLLC | Certificate of waiver | Oct 5, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080204000113 | TX | Part B Supplier - Clinic/Group Practice | 7416039177 |
Receives reassigned benefits from 494 practitioners 1 other NPI on this enrollment |
National Provider Directory
Locations
4100 State Highway 121
Carrollton, TX 75010
Phone (972) 339-2417
3133 E Lemmon Ave
Dallas, TX 75204
Phone (214) 599-2018
3200 Teasley Ln
Denton, TX 76210
Phone (940) 382-1810
5702 Lavon Dr
Garland, TX 75040
Phone (877) 512-5442
3939 Bellaire Blvd
Houston, TX 77025
Phone (832) 267-1235
9101 Highway 6 N
Houston, TX 77095
Phone (281) 859-3209
8000 N Sam Houston Pkwy E
Humble, TX 77396
Phone (281) 454-0101
2591 FM 423
Little Elm, TX 75068
Phone (972) 439-6941
6401 Precinct Line Rd
North Richlnd Hls, TX 76182
Phone (817) 428-0013
2101 W Spring Creek Pkwy
Plano, TX 75023
Phone (972) 209-2900
2200 Dallas Pkwy
Plano, TX 75093
Phone (972) 378-7879
501 University Blvd
Round Rock, TX 78665
Phone (512) 310-8791
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
103 SW Military Dr
San Antonio, TX 78221
Phone (210) 927-6755
22135 W Interstate 10
San Antonio, TX 78257
Phone (210) 219-2246
7603 Culebra Rd
San Antonio, TX 78251
Phone (210) 680-0299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1855 Gattis School Rd
Round Rock, TX 78664-7428
Mailing address
PO Box 772 Minuteclinic Credentialing
Woonsocket, RI 02895-0784
Phone (866) 389-2727
Other providers in Round Rock, TX
- Mindful Massage LLC
- Ministering Physicians PA
- Ministering Physicians, P.a.
- Emily Catherine Mink
- Ashley Richardson Minnitt
- Minuteclinic Telehealth Services of Texas Association
- Yazmin J. Miranda
- Michelle Marie Misic
- Mississippi Lithotripters, LP
- Sandeep G Mistry
All providers in Round Rock, 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 2, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.