Judy K Wagga, | |
3306 Oak Run Ln, Mansfield, TX 76063-2876 | |
(931) 802-3811 | |
Not Available |
Full Name | Judy K Wagga |
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Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
Location | 3306 Oak Run Ln, Mansfield, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720605595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 866368 (Texas) | Primary |
Entity Name | Faith Health Center,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336811041 PECOS PAC ID: 7517365448 Enrollment ID: O20211007001667 |
Mailing Address | Practice Location Address |
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Judy K Wagga, 3306 Oak Run Ln, Mansfield, TX 76063-2876 Ph: (931) 802-3811 | Judy K Wagga, 3306 Oak Run Ln, Mansfield, TX 76063-2876 Ph: (931) 802-3811 |
Grace Hampton, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 2800 E Broad St Ste 100, Mansfield, TX 76063 Phone: 682-518-1035 Fax: 682-518-1045 | |
Ms. Mia Carmele Hernandez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4323 Jasmine Ln, Mansfield, TX 76063 Phone: 510-812-3084 | |
Christy G Seibert, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 402 Forestridge Dr, Mansfield, TX 76063 Phone: 214-434-9535 | |
Dayo Oluwaseun Kolawole, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1514 Stratford Dr, Mansfield, TX 76063 Phone: 469-856-0385 | |
Mrs. Marva Denise Durgin, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 1021 Matlock Rd, Mansfield, TX 76063 Phone: 817-225-4591 | |
Carla J Allison, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1022 Kay Lynn St, Mansfield, TX 76063 Phone: 817-477-3048 Fax: 817-477-3330 | |
Godwin Neckmen, Registered Nurse Medicare: Medicare Enrolled Practice Location: 109 Autumnwood Dr, Mansfield, TX 76063 Phone: 443-414-0909 |