Tiffany Nicole Thompson, FNP | |
130 Blinka Ln, Port Lavaca, TX 77979-5662 | |
(361) 746-0034 | |
Not Available |
Full Name | Tiffany Nicole Thompson |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 130 Blinka Ln, Port Lavaca, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902456536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP142673 (Texas) | Primary |
Entity Name | Texas Medical&wellness Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467458059 PECOS PAC ID: 3072644947 Enrollment ID: O20100622000537 |
Mailing Address | Practice Location Address |
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Tiffany Nicole Thompson, FNP 130 Blinka Ln, Port Lavaca, TX 77979-5662 Ph: () - | Tiffany Nicole Thompson, FNP 130 Blinka Ln, Port Lavaca, TX 77979-5662 Ph: (361) 746-0034 |
Michael Leon Gaines, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 N Virginia St Fl 2, Port Lavaca, TX 77979 Phone: 361-552-0379 Fax: 361-500-6904 | |
Mrs. Tasha Norman, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904 | |
Mr. Gregorio Jose Robles Fernandez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 N Virginia St, Port Lavaca, TX 77979 Phone: 832-691-4694 | |
Courtne Thurlkill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 Fax: 361-500-6904 | |
Kristi Boyd, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-6713 | |
Mrs. Shanmei Lin Martinez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979 Phone: 361-552-0325 | |
Mrs. Nichole Lynn Bruno, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 N. Virginia Street, Port Lavaca, TX 77979 Phone: 361-553-6844 Fax: 361-553-7314 |