Khali Houart, APRN | |
3644 W State Highway 18 Ste B, Manila, AR 72442-8049 | |
(870) 561-3300 | |
(870) 561-3307 |
Full Name | Khali Houart |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 3644 W State Highway 18 Ste B, Manila, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902624299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 230587 (Arkansas) | Primary |
Entity Name | T W Wagner Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720183031 PECOS PAC ID: 1153359096 Enrollment ID: O20050830000950 |
Mailing Address | Practice Location Address |
---|---|
Khali Houart, APRN 3644 W State Highway 18 Ste B, Manila, AR 72442-8049 Ph: (870) 561-3300 | Khali Houart, APRN 3644 W State Highway 18 Ste B, Manila, AR 72442-8049 Ph: (870) 561-3300 |
Karley Brooke Moore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W State Highway 18, Manila, AR 72442 Phone: 708-561-3300 Fax: 870-561-3307 | |
Kristy Lynn Wilson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3364 W Hwy 18, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 | |
Lacey Poe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 | |
Angie D Hicks-master, ANP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 920 East Medical Drive, Manila, AR 72442 Phone: 810-570-0358 Fax: 870-570-0359 | |
Morgan Bliss Noble, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 Hwy 18 Bypass Ste. B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 | |
Allison Nicole Hitt, ARPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W Hwy 18, Manila, AR 72442 Phone: 870-974-1110 | |
Danna Scott Deaton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3644 W St Hwy 18, Suite B, Manila, AR 72442 Phone: 870-561-3300 Fax: 870-561-3307 |