Rafaelle W Tkac, | |
1507 W Bay Area Blvd Ste 116, Webster, TX 77598-3404 | |
(346) 617-8993 | |
Not Available |
Full Name | Rafaelle W Tkac |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1507 W Bay Area Blvd Ste 116, Webster, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801378310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0200X | Registered Nurse - Pediatrics | 940461 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 1111882 (Texas) | Primary |
Entity Name | Privia Medical Group Gulf Coast Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
Mailing Address | Practice Location Address |
---|---|
Rafaelle W Tkac, 1507 W Bay Area Blvd Ste 116, Webster, TX 77598-3404 Ph: (346) 617-8993 | Rafaelle W Tkac, 1507 W Bay Area Blvd Ste 116, Webster, TX 77598-3404 Ph: (346) 617-8993 |
Mrs. Lauren Claunch, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 N Kobayashi Ste C, Webster, TX 77598 Phone: 281-747-9313 Fax: 281-724-0487 | |
Sarah Elizabeth Crawford, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 W Medical Center Blvd # 406, Webster, TX 77598 Phone: 281-322-3507 Fax: 821-572-8990 | |
Joshina Dass, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Medical Center Blvd Ste 101, Webster, TX 77598 Phone: 281-338-0700 Fax: 281-338-0722 | |
Eliana Victoria Jimenez, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 | |
Kimberly Denise Vanpelt, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 | |
Anastasia Stumpenhaus, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-7511 | |
Charmaine Ann Enerio, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Kobayashi Ste 208, Webster, TX 77598 Phone: 281-724-8180 Fax: 281-336-1171 |