Angela Sutherland, | |
833 S Beckham Ave, Tyler, TX 75701-1905 | |
(903) 526-4325 | |
Not Available |
Full Name | Angela Sutherland |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 833 S Beckham Ave, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154096956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F04210539 (Texas) | Primary |
Entity Name | Etmc Physician Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
Entity Name | Wound Management Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20200610001466 |
Entity Name | Truhealth, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20201221000006 |
Mailing Address | Practice Location Address |
---|---|
Angela Sutherland, 833 S Beckham Ave, Tyler, TX 75701-1905 Ph: (903) 526-4325 | Angela Sutherland, 833 S Beckham Ave, Tyler, TX 75701-1905 Ph: (903) 526-4325 |
Brandi Dunford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702 Phone: 903-606-7995 | |
Jacob G Thoele, AGACNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-606-8718 Fax: 903-606-1218 | |
Abram Ambriz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715 | |
Anna Elise Fenton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6210 S Broadway Ave, Tyler, TX 75703 Phone: 903-579-2700 Fax: 903-579-2799 | |
Mary Anne Fitzgerald, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 815 N Broadway Ave, Tyler, TX 75702 Phone: 903-535-0023 Fax: 903-535-0052 | |
Rendall Northcutt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7200 Fax: 903-877-5080 | |
Kinsey Henry, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1720 S Beckham Ave, Tyler, TX 75701 Phone: 903-630-6211 |