Jackie Marie Thomas, NP | |
4159 Fm 2123, Paradise, TX 76073-4323 | |
(806) 632-5704 | |
Not Available |
Full Name | Jackie Marie Thomas |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4159 Fm 2123, Paradise, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457099301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1074023 (Texas) | Primary |
Entity Name | Lthc Solutions Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194182543 PECOS PAC ID: 4385949254 Enrollment ID: O20160302000207 |
Entity Name | Pai Participant 9 Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679135420 PECOS PAC ID: 7113254277 Enrollment ID: O20190812003650 |
Entity Name | Long Term Health Careline Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588378830 PECOS PAC ID: 2264882950 Enrollment ID: O20231220003925 |
Mailing Address | Practice Location Address |
---|---|
Jackie Marie Thomas, NP Po Box 1446, Springtown, TX 76082-1446 Ph: (817) 523-1180 | Jackie Marie Thomas, NP 4159 Fm 2123, Paradise, TX 76073-4323 Ph: (806) 632-5704 |
Mrs. Misti Renay Zotz, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4676 Fm 2123, Paradise, TX 76073 Phone: 940-636-8186 | |
Megan Baker, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 285 County Road 3680, Paradise, TX 76073 Phone: 817-925-0962 |