Donna Thompson Broach, RNC, CPNP, WHNP | |
1903 Mulberry Ave, Mount Pleasant, TX 75455-2369 | |
(903) 572-2957 | |
(903) 572-0696 |
Full Name | Donna Thompson Broach |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 1903 Mulberry Ave, Mount Pleasant, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811916869 | NPI | - | NPPES |
86N522 | Other | TX | BLUE CROSS BLUE SHIELD |
102267501 | Medicaid | TX | |
102267502 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 516184 (Texas) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 516184 (Texas) | Primary |
Entity Name | South Texas Family Planning & Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760535660 PECOS PAC ID: 7012166259 Enrollment ID: O20121004000150 |
Mailing Address | Practice Location Address |
---|---|
Donna Thompson Broach, RNC, CPNP, WHNP 1030 N Allen St, Rockport, TX 78382-3106 Ph: (903) 563-3057 | Donna Thompson Broach, RNC, CPNP, WHNP 1903 Mulberry Ave, Mount Pleasant, TX 75455-2369 Ph: (903) 572-2957 |
Valerie Ann Snyder, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave Ste 204a, Mount Pleasant, TX 75455 Phone: 903-577-6606 Fax: 903-434-7135 | |
Kathleen Anne Rice, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1610 S Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-9355 | |
Mrs. Agnes Marie Yahl, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Mulberry Ave, Mount Pleasant, TX 75455 Phone: 903-434-4850 Fax: 903-434-4899 | |
Ms. Linda Marie Mcdermott-gonzalez, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 N Jefferson Ave, Suite 300, Mount Pleasant, TX 75455 Phone: 903-572-9823 Fax: 903-572-4812 | |
Ms. Anna Isabel Trevino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 | |
Mrs. Jami Lanette Baker, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1610 S Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-2273 | |
Oghenetega Mirella Meir, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 |