Mrs Candice Lynn Bronaugh, LMT, PTA is a
Physical Therapy Assistant based in Magnolia, Texas. Mrs Candice Lynn Bronaugh is licensed to practice in Texas (license number 2182567) and her current practice location is
31235 Edgewater Dr, Magnolia, Texas. She can be reached at her office (for appointments etc.) via phone at
(979) 900-0830.
NPI number for Mrs Candice Lynn Bronaugh is 1366747727 and her current mailing address is 31235 Edgewater Dr, Magnolia, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366747727.
Healthcare Provider's Profile
Full Name | Mrs Candice Lynn Bronaugh |
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Gender | Female |
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Speciality | Physical Therapy Assistant |
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Location | 31235 Edgewater Dr, Magnolia, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366747727
- Provider Enumeration Date: 01/17/2011
- Last Update Date: 11/24/2024
Medical Identifiers
Medical identifiers for Mrs Candice Lynn Bronaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366747727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT111469 (Texas) | Secondary |
225200000X | Physical Therapy Assistant | 2182567 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Candice Lynn Bronaugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Candice Lynn Bronaugh, LMT, PTA 31235 Edgewater Dr, Magnolia, TX 77354-6238 Ph: (979) 900-0830 | Mrs Candice Lynn Bronaugh, LMT, PTA 31235 Edgewater Dr, Magnolia, TX 77354-6238 Ph: (979) 900-0830 |
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