Tara Woodall, | |
112 Maverick Ct, Granbury, TX 76049-1381 | |
(888) 731-8994 | |
Not Available |
Full Name | Tara Woodall |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 112 Maverick Ct, Granbury, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942692157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 160860 (Georgia) | Primary |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Au Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437135902 PECOS PAC ID: 7618866229 Enrollment ID: O20040312000081 |
Mailing Address | Practice Location Address |
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Tara Woodall, 112 Maverick Ct, Granbury, TX 76049-1381 Ph: (888) 731-8994 | Tara Woodall, 112 Maverick Ct, Granbury, TX 76049-1381 Ph: (888) 731-8994 |
Ashton Renee Long, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Davis Rd, Granbury, TX 76049 Phone: 254-485-8062 Fax: 866-300-8682 | |
Debra Lynn Shearon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Pecan Arbor Ct, Granbury, TX 76049 Phone: 817-578-1667 | |
Monica D Lee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310b Paluxy Road, Suite 3000, Granbury, TX 76048 Phone: 817-579-3978 Fax: 817-579-3977 | |
Alexandra Timmons, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1204 Medical Plaza Ct, Granbury, TX 76048 Phone: 817-573-5688 | |
Kimberly Marie Winter, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 E Us Highway 377 Ste 100, Granbury, TX 76049 Phone: 817-573-1380 | |
Kolean Crawford, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1308 Paluxy Rd Ste 303, Granbury, TX 76048 Phone: 817-579-3948 | |
Martha Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 E Us Highway 377 Ste 100, Granbury, TX 76049 Phone: 817-573-1380 Fax: 817-573-1381 |