Alicia R W Kincaid, DO | |
2001 N Jefferson Ave Ste 203, Mount Pleasant, TX 75455-2310 | |
(903) 434-8880 | |
(903) 434-8881 |
Full Name | Alicia R W Kincaid |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 2001 N Jefferson Ave Ste 203, Mount Pleasant, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861843633 | NPI | - | NPPES |
TL.0006478 | Other | CO | PHYSICIAN TRAINING LICENSE |
2016020856 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2016020856 (Missouri) | Secondary |
208600000X | Surgery | TL.0006478 (Colorado) | Secondary |
208600000X | Surgery | T9426 (Texas) | Primary |
Entity Name | Titus County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
Mailing Address | Practice Location Address |
---|---|
Alicia R W Kincaid, DO 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 Ph: (903) 434-8044 | Alicia R W Kincaid, DO 2001 N Jefferson Ave Ste 203, Mount Pleasant, TX 75455-2310 Ph: (903) 434-8880 |
Dr. Jane Lee, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave Ste 203, Mount Pleasant, TX 75455 Phone: 903-434-8880 Fax: 903-434-8881 | |
Dr. James Daniel Bove Iii, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave Ste 203, Mount Pleasant, TX 75455 Phone: 903-434-8880 Fax: 903-434-8881 | |
Dr. Edgar Zambrano, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2015 Mulberry Ave, Suite 210, Mount Pleasant, TX 75455 Phone: 903-575-9408 |