Andrea Owens, CPNP | |
3455 Stagg Dr, Beaumont, TX 77701-4521 | |
(832) 548-5000 | |
(682) 303-0076 |
Full Name | Andrea Owens |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 3455 Stagg Dr, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720168149 | NPI | - | NPPES |
168805307 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 651733 (Texas) | Primary |
Entity Name | Legacy Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
Mailing Address | Practice Location Address |
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Andrea Owens, CPNP Po Box 66308, Houston, TX 77266-6308 Ph: () - | Andrea Owens, CPNP 3455 Stagg Dr, Beaumont, TX 77701-4521 Ph: (832) 548-5000 |
Ruth Ngindu, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 Dowlen Rd, Beaumont, TX 77706 Phone: 866-389-2727 | |
Mrs. Monique Nichole Vannoy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 Hospital Dr Ste 200, Beaumont, TX 77701 Phone: 409-212-5825 | |
Charlotte Stevens Lejune, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-236-7171 | |
Dawn Roque, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4347 Phelan Blvd, Beaumont, TX 77707 Phone: 409-767-9285 | |
Mrs. Carley Ann Jaynes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P3950, Beaumont, TX 77702 Phone: 409-892-0099 | |
Ms. Lynda Marie Few, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3560 Delaware St # 601, Beaumont, TX 77706 Phone: 409-924-9666 | |
Jacqueline Nacole Dugas, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 740 Hospital Dr, Suite 300, Beaumont, TX 77701 Phone: 409-212-8111 |