Ethelyn G So (NPI# 1841626579, PAC ID# 9234442096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1841626579 |
| PAC ID by PECOS | 9234442096 |
| Professional Enrollment ID | I20170204000074 |
| Full Name | Ethelyn G So |
| Organization Legal Name | HEALTHTEXAS PROVIDER NETWORK |
| Address |
8080 N Central Expy Suite 600 Lb82 Dallas TX 75206-1838 |
| Phone Number | 9728608648 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355254210 |
| Number of Group Practice Members | 892 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450563 | BAYLOR SCOTT & WHITE MEDICAL CENTER GRAPEVINE |
| Address | Phone | Organization |
|---|---|---|
| 5408 Colleyville Blvd, Colleyville, TX 76034-5833 | 8174989920 | HEALTHTEXAS PROVIDER NETWORK |
| 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 | 9728608648 | HEALTHTEXAS PROVIDER NETWORK |
| Organization Legal Name | HEALTHTEXAS PROVIDER NETWORK |
| Physicians | 1392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Mathew | Orthopedic Surgery | Healthtexas Provider Network | 2460 N Ih 35 E, 225 Baylor Scott and White Orthopedic Specialists, Waxahachie, TX 75165-5273 |
| Patrick D Sims | Physical Medicine and Rehabilitation | Healthtexas Provider Network | 6601 Harris Pkwy, Fort Worth, TX 76132-6108 |
| Nadia Karyn Rajack | Hospice/palliative Care | Healthtexas Provider Network | 3410 Worth St, 820 Baylor Scott White, Dallas, TX 75246-2003 |
| Enayetullah Neak | Family Medicine | Healthtexas Provider Network | 2740 N State Hwy 360, Suite 100, Grand Prairie, TX 75050-6409 |
| Jessica L Hainsfurther | Family Medicine | Healthtexas Provider Network | 5800 E Lovers Ln, Dallas, TX 75206-2901 |
| Kathryn R Taylor | Nurse Practitioner | Healthtexas Provider Network | 6701 Heritage Pkwy, Suite 130, Rockwall, TX 75087-8799 |
| Rachel L Pigeon | Nurse Practitioner | Healthtexas Provider Network | 1250 8th Ave, Suite 200, Fort Worth, TX 76104-4158 |
| Hollyann D Bennett | Nurse Practitioner | Healthtexas Provider Network | 511 W Fm 544, 204 Baylor Scott and White Premier Orthop, Murphy, TX 75094-4628 |
| Caroline K Kesterson | Nurse Practitioner | Healthtexas Provider Network | 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5363 |
| Neil A Mauskar | Plastic and Reconstructive Surgery | Healthtexas Provider Network | 3409 Worth St, 600 Baylor Scott and White Plastic and Recons Surg Dall, Dallas, TX 75246-2042 |
| Street Address |
8080 N CENTRAL EXPY SUITE 600 LB82 |
| City | DALLAS |
| State | TX |
| Zip | 75206-1838 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine M Davidson | Nurse Practitioner | Healthtexas Provider Network | 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 |
| Courtney D Johnson | Nurse Practitioner | Healthtexas Provider Network | 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 |
| Christy E Pinkham | Family Practice | Healthtexas Provider Network | 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 |
| Stacey L Hatcher | Internal Medicine | Healthtexas Provider Network | 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 |
| Abby C Voigt | Physician Assistant | Healthtexas Provider Network | 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 |
| Margaret Walter | Family Practice | Healthtexas Provider Network | 8080 N Central Expy, Dallas, TX 75206-1838 |
| Susan Craig | Nurse Practitioner | Healthtexas Provider Network | 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 |
| Paige C Vogl | Registered Dietitian Or Nutrition Professional | Healthtexas Provider Network | 8080 N Central Expy, Dallas, TX 75206-1838 |
| Van-minh Nguyen | Physician Assistant | Healthtexas Provider Network | 8080 N Central Expy, Dallas, TX 75206-1838 |
| Cheryl D. Maldanis | Nurse Practitioner | Healthtexas Provider Network | 8080 N Central Expy, Dallas, TX 75206-1838 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne E Smith | Psychologist, Clinical | 4925 Greenville Ave, Suite 200, Dallas, TX 75206-0500 | |
| Brian C Forsythe | Psychiatry | 5910 N Central Expy, Suite 1820, Dallas, TX 75206-0946 | |
| Nathan Harrison Dirks | Optometry | Linda Fain Hatton Od, Pa | 5330 E Mockingbird Ln, Suite 130, Dallas, TX 75206-0961 |
| Linda F Hatton | Optometry | Linda Fain Hatton Od, Pa | 5330 E Mockingbird Ln, Suite 130, Dallas, TX 75206-0961 |
| Rajan Arora | Ophthalmology | 6500 Greenville Ave, Suite 150, Dallas, TX 75206-1008 | |
| Naziya N Charaniya | Nurse Practitioner | Healthtexas Provider Network | 8080 N Central Expy, Dallas, TX 75206-1838 |
| Jennifer L Peel | Nurse Practitioner | Healthtexas Provider Network | 8080 N Central Expy, Dallas, TX 75206-1838 |
| Keisha D Mckinsey | Nurse Practitioner | Healthtexas Provider Network | 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 |
| La Shanda R Montgomery | Nurse Practitioner | Healthtexas Provider Network | 8080 N Central Expy, Dallas, TX 75206-1838 |
| Arthur E Benzick | Pediatric Medicine | Healthtexas Provider Network | 8080 N Central Expy, Suite 600 Lb82, Dallas, TX 75206-1838 |
| Find all physicians in zip 75206 | |||
| City | DALLAS |
| Zip Code | 75206 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DALLAS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ethelyn G So.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.