Travis Lee Wacha, FNP-BC, PMHNP-BC | |
4659 Fm 1990, Palestine, TX 75801-1162 | |
(903) 213-2216 | |
(903) 213-9233 |
Full Name | Travis Lee Wacha |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4659 Fm 1990, Palestine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104374297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP131990 (Texas) | Primary |
363LF0000X | Nurse Practitioner - Family | AP131990 (Texas) | Secondary |
Entity Name | Texas Specialty Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558521179 PECOS PAC ID: 6305901927 Enrollment ID: O20090216000230 |
Entity Name | East Texas Neurobehavioral Health,pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114285970 PECOS PAC ID: 9830351147 Enrollment ID: O20120503000151 |
Mailing Address | Practice Location Address |
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Travis Lee Wacha, FNP-BC, PMHNP-BC 4265 Fm 1990, Palestine, TX 75801-1102 Ph: (903) 724-3913 | Travis Lee Wacha, FNP-BC, PMHNP-BC 4659 Fm 1990, Palestine, TX 75801-1162 Ph: (903) 213-2216 |
Mrs. Melissa Marie Cobb, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3201 S Loop 256, Palestine, TX 75801 Phone: 903-723-0600 | |
Natalie Karen Burks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Willow Creek Pkwy, Suite C, Palestine, TX 75801 Phone: 903-723-8210 Fax: 903-723-8310 | |
Tania Shinohara, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4002 S Loop 256, Palestine, TX 75801 Phone: 903-731-5030 Fax: 903-731-5037 | |
Kimberly Winn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1021 Fax: 903-731-1265 | |
Tiffany Linn Mcclendon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1000 | |
Elizabeth George, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-724-9922 |