Mrs Tabitha Wanjiru Wachira I, LVN is a
Licensed Vocational Nurse based in Ponder, Texas. Mrs Tabitha Wanjiru Wachira I is licensed to practice in Texas (license number 192490) and her current practice location is
12960 N County Line Rd, Ponder, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 760-5951.
NPI number for Mrs Tabitha Wanjiru Wachira I is 1043714314 and her current mailing address is 12960 N County Line Rd, Ponder, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043714314.
Provider's Profile
Full Name | Mrs Tabitha Wanjiru Wachira I |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 12960 N County Line Rd, Ponder, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043714314
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 03/21/2018
Medical Identifiers
Medical identifiers for Mrs Tabitha Wanjiru Wachira I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043714314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 192490 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tabitha Wanjiru Wachira I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tabitha Wanjiru Wachira I, LVN 12960 N County Line Rd, Ponder, TX 76259-5149 Ph: (254) 760-5951 | Mrs Tabitha Wanjiru Wachira I, LVN 12960 N County Line Rd, Ponder, TX 76259-5149 Ph: (254) 760-5951 |
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