John Gregory Massengale, | |
522 Hancock Ave Apt 122, Corpus Christi, TX 78404-2377 | |
(972) 979-0514 | |
Not Available |
Full Name | John Gregory Massengale |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 522 Hancock Ave Apt 122, Corpus Christi, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568084028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DT85886 (Texas) | Primary |
Provider Name | Healthtexas Provider Network |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
---|---|
John Gregory Massengale, 522 Hancock Ave Apt 122, Corpus Christi, TX 78404-2377 Ph: () - | John Gregory Massengale, 522 Hancock Ave Apt 122, Corpus Christi, TX 78404-2377 Ph: (972) 979-0514 |
Maria Veronica Garza, RDN,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-800-2257 | |
Cynthia Spurgat, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4901 Saratoga Blvd Apt 433, Corpus Christi, TX 78413 Phone: 210-392-1785 | |
Cheryl Tegarden, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-4510 | |
Kristina Isidora Bednorz, MDS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3533 S Alameda, Corpus Christi, TX 78411 Phone: 361-694-5489 | |
Miss Beverly M Reese, CDE,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5283 Old Brownsville Rd, Corpus Christi, TX 78405 Phone: 361-806-5622 Fax: 361-806-5601 | |
Mrs. Erica Lynn Gonzales, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 846 Glenoak Dr, Corpus Christi, TX 78418 Phone: 361-446-2146 | |
Ms. Ancy Elizabeth Alexander, DT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1630 S Brownlee Blvd, Corpus Christi, TX 78404 Phone: 361-980-9682 Fax: 361-993-8509 |