Dr Laci Desirae Waner, MD | |
2710 Oak Rdg, Clifton, TX 76634-1162 | |
(254) 424-1243 | |
Not Available |
Full Name | Dr Laci Desirae Waner |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2710 Oak Rdg, Clifton, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487975827 | NPI | - | NPPES |
369616303 | Medicaid | TX | |
369616301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 29766 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | ME143348 (Florida) | Secondary |
207Q00000X | Family Medicine | R1902 (Texas) | Primary |
Entity Name | Plushcare Of California Inc A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811378987 PECOS PAC ID: 2365707163 Enrollment ID: O20210813002541 |
Mailing Address | Practice Location Address |
---|---|
Dr Laci Desirae Waner, MD 2710 Oak Rdg, Clifton, TX 76634-1162 Ph: (979) 575-7936 | Dr Laci Desirae Waner, MD 2710 Oak Rdg, Clifton, TX 76634-1162 Ph: (254) 424-1243 |
Taylor Mccain, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Lance C Robinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Christopher Neal Strong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Dr. Kyle Dean Phillips, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Dr. Kevin J Blanton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 | |
Dr. Skylar Kirk Bizzell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Posey Ave, Clifton, TX 76634 Phone: 254-675-8621 Fax: 254-675-2254 |