| Misty Kay Wilde Fortner, PA-C | |
|
5424 19th St Ste 300, Lubbock, TX 79407-2164 | |
| (806) 795-4391 | |
| (806) 796-1354 |
| Full Name | Misty Kay Wilde Fortner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5424 19th St Ste 300, Lubbock, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609152776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA07530 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Kay Wilde Fortner, PA-C 5000 Briarwood Ave, Midland, TX 79707-2753 Ph: (432) 682-5385 | Misty Kay Wilde Fortner, PA-C 5424 19th St Ste 300, Lubbock, TX 79407-2164 Ph: (806) 795-4391 |
Jennifer Anne Proffitt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5028 122nd St, Lubbock, TX 79424 Phone: 806-749-7975 Fax: 806-749-7937 | |
Sixtus Atabong, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 | |
Johnny Turner, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6102 82nd St Unit 14, Lubbock, TX 79424 Phone: 806-712-0446 Fax: 806-712-0450 | |
Emerald Courtney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-743-2295 | |
Mr. Max E Mccasland, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3401 N University Ave, Lubbock, TX 79415 Phone: 806-741-9787 Fax: 806-741-3563 | |
Suzanne Self, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10507 Quaker Ave, Suite A, Lubbock, TX 79424 Phone: 806-701-5425 | |
Mr. Jason Paul Cooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-3150 Fax: 806-743-3168 |