Angelia Mack, | |
4600 Taft Blvd, Wichita Falls, TX 76308-4935 | |
(940) 696-1710 | |
Not Available |
Full Name | Angelia Mack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 4600 Taft Blvd, Wichita Falls, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356812416 | NPI | - | NPPES |
00000000000000000000 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP139916 (Texas) | Primary |
Entity Name | Dhhs Phs Naihs Crownpoint Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114960093 PECOS PAC ID: 0143128041 Enrollment ID: O20031230000393 |
Mailing Address | Practice Location Address |
---|---|
Angelia Mack, 1403 Longview St, Wichita Falls, TX 76306-4648 Ph: (210) 232-1880 | Angelia Mack, 4600 Taft Blvd, Wichita Falls, TX 76308-4935 Ph: (940) 696-1710 |
Eric Lee Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200 Fax: 940-397-5292 | |
Jessica Denea Lander, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200 | |
Jeanette Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6515 Kemp Blvd, Wichita Falls, TX 76308 Phone: 406-921-2209 | |
Judith L Brewer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 867 Wellington Ln, Wichita Falls, TX 76305 Phone: 940-704-4496 | |
Miss Hanh T May, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1631 11th St Unit B, Wichita Falls, TX 76301 Phone: 940-687-5000 Fax: 940-687-4000 | |
Beverly Dea Wills, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1631 11th St, Wichita Falls, TX 76301 Phone: 940-767-5000 | |
Jami Hogue, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Midwestern Pkwy E, Wichita Falls, TX 76302 Phone: 940-766-3551 |