Ms Khristina Michelle Douglas, MS, CCC-SLP | |
3001 S Jackson St, San Angelo, TX 76904-5129 | |
(325) 223-6333 | |
(325) 223-6408 |
Full Name | Ms Khristina Michelle Douglas |
---|---|
Gender | Female |
Speciality | Qualified Speech Language Pathologist |
Experience | 34 Years |
Location | 3001 S Jackson St, San Angelo, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952476137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 15640 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The West Texas Rehabilitation Center | 2860301215 | 336 |
Provider Name | The West Texas Rehabilitation Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922112499 PECOS PAC ID: 2860301215 Enrollment ID: O20120620000597 |
Mailing Address | Practice Location Address |
---|---|
Ms Khristina Michelle Douglas, MS, CCC-SLP 4601 Hartford St, Abilene, TX 79605-4603 Ph: (325) 793-3400 | Ms Khristina Michelle Douglas, MS, CCC-SLP 3001 S Jackson St, San Angelo, TX 76904-5129 Ph: (325) 223-6333 |
Mrs. Mindy Jarie Weyman, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 S Jackson St, San Angelo, TX 76904 Phone: 325-223-6300 Fax: 325-223-6408 | |
Madeleine Harmon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 S Jackson St, San Angelo, TX 76904 Phone: 253-223-6300 Fax: 325-793-3587 | |
Mallory Ann Khantharasy, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1929 Case Ave, San Angelo, TX 76904 Phone: 325-234-2242 | |
Deborah Diane Cantu, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 612 S Irene St, San Angelo, TX 76903 Phone: 325-658-6571 Fax: 325-653-0036 | |
Nicole Schmoll Russwurm, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3301 Tlc Way, San Angelo, TX 76901 Phone: 325-653-3200 | |
Ms. Erin Renae Bristo, M.S., CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 S Jackson St, San Angelo, TX 76904 Phone: 325-223-6300 | |
Miss Lori Marie Simpson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 133 W Concho Ave, Ste 106, San Angelo, TX 76903 Phone: 325-340-4020 Fax: 325-617-7809 |