Mrs Ethel Olivia King, FNP | |
1300 N Main, Big Lake, TX 76932 | |
(325) 884-2561 | |
Not Available |
Full Name | Mrs Ethel Olivia King |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1300 N Main, Big Lake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932443835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F1012361 (Texas) | Primary |
Entity Name | Taylor Emergency Medicine Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114987153 PECOS PAC ID: 3173570066 Enrollment ID: O20050404000067 |
Entity Name | Nextcare Primary Care Tx Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760875025 PECOS PAC ID: 0840501508 Enrollment ID: O20150622001791 |
Entity Name | Reagan Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487786232 PECOS PAC ID: 3678606399 Enrollment ID: O20160831000729 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ethel Olivia King, FNP 1300 N Main, Big Lake, TX 76932 Ph: (325) 884-2561 | Mrs Ethel Olivia King, FNP 1300 N Main, Big Lake, TX 76932 Ph: (325) 884-2561 |
David Bushnell, RN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 N Main, Big Lake, TX 76932 Phone: 325-884-3743 | |
Farah Gee Sears, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 N Main Ave, Big Lake, TX 76932 Phone: 325-370-6699 Fax: 325-219-6081 |