Travis J Wies, NP | |
1339 S Broadway St, Sulphur Springs, TX 75482 | |
(903) 951-1001 | |
Not Available |
Full Name | Travis J Wies |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 14 Years |
Location | 1339 S Broadway St, Sulphur Springs, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952607467 | NPI | - | NPPES |
787723 | Other | TX | MEDICARE |
P02223412 | Other | TX | MEDICARE RAIL ROAD |
363776103 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP132187 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Entity Name | Mother Frances Hospital Regional Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
Mailing Address | Practice Location Address |
---|---|
Travis J Wies, NP Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400 | Travis J Wies, NP 1339 S Broadway St, Sulphur Springs, TX 75482 Ph: (903) 951-1001 |
Mrs. Hazel May Fielder, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Airport Rd, Sulphur Springs, TX 75482 Phone: 903-885-7671 | |
Dusty Rhoades, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 106 Hodge St, Sulphur Springs, TX 75482 Phone: 903-885-2911 | |
Katheren Baccus, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 | |
Mrs. Roxanne Swafford, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medical Cir Bldg 5a, Sulphur Springs, TX 75482 Phone: 903-689-7272 Fax: 903-689-7270 | |
Mrs. Tiffany Nicole Crenshaw, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482 Phone: 903-951-1001 | |
Rose Marie Campbell, PNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482 Phone: 903-885-5439 | |
Macy Sims, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 |