Jessica C Malca-pastakia, | |
1011 S William St, Atlanta, TX 75551-3245 | |
(903) 796-2868 | |
(903) 796-0826 |
Full Name | Jessica C Malca-pastakia |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1011 S William St, Atlanta, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518685957 | NPI | - | NPPES |
1105167 | Other | TX | TEAS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1105167 (Texas) | Primary |
Entity Name | East Texas Border Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030 |
Mailing Address | Practice Location Address |
---|---|
Jessica C Malca-pastakia, Po Box 1326, Marshall, TX 75671-1326 Ph: (903) 927-3782 | Jessica C Malca-pastakia, 1011 S William St, Atlanta, TX 75551-3245 Ph: (903) 796-2868 |
Ms. Tiffany Griffin Peace, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Mrs. Jennifer Lynn Shipp, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0268 | |
Melanie A Stone, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 N William St, Atlanta, TX 75551 Phone: 903-614-3630 Fax: 903-614-3525 | |
Mrs. Katherine Lynn Rolon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 S Loop Highway 59, Atlanta, TX 75551 Phone: 903-796-9355 Fax: 903-796-9360 | |
Nita Ann Little, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Rae Shannon Hammonds, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 |