Branden Blanton, AGNP | |
708 Bentley Ct, Tyler, TX 75703-4621 | |
(903) 780-1186 | |
Not Available |
Full Name | Branden Blanton |
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Gender | Male |
Speciality | Nurse Practitioner - Primary Care |
Location | 708 Bentley Ct, 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 |
---|---|---|---|
1174084024 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | AP140112 (Texas) | Primary |
Entity Name | Paragon Pain & Rehabilitation Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780958777 PECOS PAC ID: 2466616032 Enrollment ID: O20120611000491 |
Entity Name | Corinthia Mcleroy, Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700333010 PECOS PAC ID: 2769767912 Enrollment ID: O20170330001276 |
Entity Name | Restoration Of Health Medical Care, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922554666 PECOS PAC ID: 7810227402 Enrollment ID: O20190924003800 |
Mailing Address | Practice Location Address |
---|---|
Branden Blanton, AGNP 708 Bentley Ct, Tyler, TX 75703-4621 Ph: (903) 780-1186 | Branden Blanton, AGNP 708 Bentley Ct, Tyler, TX 75703-4621 Ph: (903) 780-1186 |
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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 |