| Segue Health Of Texas Pllc | |
|
6815 Hill Ct Azle TX 76020-5513 | |
| (901) 626-3515 | |
| (844) 364-2629 |
| Full Name | Segue Health Of Texas Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6815 Hill Ct, Azle, Texas |
| Authorized Official Name and Position | Camille Clark (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9016263515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Segue Health Of Texas Pllc 765 Woodland Trace Ln Cordova TN 38018-6609 Ph: (901) 626-3515 | Segue Health Of Texas Pllc 6815 Hill Ct Azle TX 76020-5513 Ph: (901) 626-3515 |
| NPI Number | 1215510763 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 08/28/2023 |
| Medicare PECOS PAC ID | 8921400953 |
|---|---|
| Medicare Enrollment ID | O20210713001669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215510763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christopher Opella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134184716 PECOS PAC ID: 8820981244 Enrollment ID: I20040207000184 |
| Provider Name | Mahalia L Jackson Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063669893 PECOS PAC ID: 3375601339 Enrollment ID: I20090305000738 |
| Provider Name | Sara Kay Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710227418 PECOS PAC ID: 9739329244 Enrollment ID: I20130705000211 |
| Provider Name | Tessa J Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902040686 PECOS PAC ID: 5890071658 Enrollment ID: I20170410000586 |
| Provider Name | Kelly Monica Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568856730 PECOS PAC ID: 8325308695 Enrollment ID: I20180206000109 |
| Provider Name | Nicole Leann Farish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356813018 PECOS PAC ID: 7517208465 Enrollment ID: I20190403001195 |
| Provider Name | Emily Christine Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588209001 PECOS PAC ID: 4981038486 Enrollment ID: I20191216001307 |
| Provider Name | Jazmine Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659755429 PECOS PAC ID: 4284942962 Enrollment ID: I20191226001288 |
| Provider Name | Ann Wanjiru Mambo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851857783 PECOS PAC ID: 1951711159 Enrollment ID: I20201029000062 |
| Provider Name | Aimee Branch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558899021 PECOS PAC ID: 4284982364 Enrollment ID: I20210917000141 |
| Provider Name | James Zachary Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780354720 PECOS PAC ID: 5496152712 Enrollment ID: I20210929000036 |
| Provider Name | Deanna C Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396385829 PECOS PAC ID: 4688064652 Enrollment ID: I20211206002193 |
| Provider Name | Sandra Lynn Gordon-bitar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972960078 PECOS PAC ID: 2264825090 Enrollment ID: I20220131001282 |
| Provider Name | Jessica Marie Wight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518503259 PECOS PAC ID: 4183018880 Enrollment ID: I20220223000367 |
| Provider Name | Melissa Godfrey Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467060889 PECOS PAC ID: 8820483514 Enrollment ID: I20220316000182 |
| Provider Name | Michael Jay Rendle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255945200 PECOS PAC ID: 9133514284 Enrollment ID: I20220328001457 |
| Provider Name | Ashley Nicole Babbitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700538766 PECOS PAC ID: 9032505359 Enrollment ID: I20220413000475 |
| Provider Name | Keara Eunice Gary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932878626 PECOS PAC ID: 5890175061 Enrollment ID: I20220706000377 |
| Provider Name | Justina George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912512757 PECOS PAC ID: 5698143691 Enrollment ID: I20221123000771 |
| Provider Name | Rachel Lichu Cullers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407581895 PECOS PAC ID: 3577934751 Enrollment ID: I20230126000640 |
| Provider Name | Elizabeth Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952076374 PECOS PAC ID: 4981050655 Enrollment ID: I20231101001558 |
| Provider Name | Shenandoah Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295599363 PECOS PAC ID: 1355781170 Enrollment ID: I20240426002380 |
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