Ginger Lee Coburn, FNP | |
16019 Atlantic Rd, Sour Lake, TX 77659-7853 | |
(409) 651-0856 | |
Not Available |
Full Name | Ginger Lee Coburn |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 16019 Atlantic Rd, Sour Lake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396526125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1027647 (Texas) | Primary |
Entity Name | Doctors Express Of The Beaumont Area Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841525235 PECOS PAC ID: 5698816882 Enrollment ID: O20100114000255 |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
Entity Name | Texas Palliative Services Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205673712 PECOS PAC ID: 1951750355 Enrollment ID: O20240815004300 |
Mailing Address | Practice Location Address |
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Ginger Lee Coburn, FNP 16019 Atlantic Rd, Sour Lake, TX 77659-7853 Ph: (409) 651-0856 | Ginger Lee Coburn, FNP 16019 Atlantic Rd, Sour Lake, TX 77659-7853 Ph: (409) 651-0856 |
Lacey Ann Guedry, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 689 6th Street, Sour Lake, TX 77659 Phone: 409-287-4100 Fax: 409-287-4105 |