Vella Maddox, RN is a
Registered Nurse - General Practice based in Deport, Texas. Vella Maddox is licensed to practice in Texas (license number 640902) and her current practice location is
2836 County Road 16060, Deport, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 632-5828.
NPI number for Vella Maddox is 1043522030 and her current mailing address is 2836 County Road 16060, Deport, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043522030.
Provider's Profile
| Full Name | Vella Maddox |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - General Practice |
|---|
| Location | 2836 County Road 16060, Deport, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1043522030
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 07/08/2010
Medical Identifiers
Medical identifiers for Vella Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043522030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WG0000X | Registered Nurse - General Practice | 640902 (Texas) | Primary |
| 372500000X | Chore Provider | 640902 (Texas) | Secondary |
| 372600000X | Adult Companion | 640902 (Texas) | Secondary |
| 374700000X | Technician | 640902 (Texas) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | 640902 (Texas) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | 640902 (Texas) | Secondary |
| 374U00000X | Home Health Aide | 640902 (Texas) | Secondary |
| 376J00000X | Homemaker | 640902 (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vella Maddox is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Vella Maddox, RN
2836 County Road 16060,
Deport, TX 75435-4800
Ph: (903) 632-5828 | Vella Maddox, RN
2836 County Road 16060,
Deport, TX 75435-4800
Ph: (903) 632-5828 |
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