Angelique Blair Carmouche, MAT, LAT,ATC - Preventive Medicine in San Angelo, TX

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Angelique Blair Carmouche, MAT, LAT,ATC is a Preventive Medicine - Sports Medicine physician based in San Angelo, Texas. Angelique Blair Carmouche is licensed to practice in Texas (license number AT8258) and her current practice location is Asu Station #10899, San Angelo, Texas. She can be reached at her office (for appointments etc.) via phone at (940) 435-4347.

NPI number for Angelique Blair Carmouche is 1396307476 and her current mailing address is Lsu Athletic Administration Building, Baton Rouge, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396307476.

Contact Information

Angelique Blair Carmouche, MAT, LAT,ATC
Asu Station #10899,
San Angelo, TX 76909-0001
(940) 435-4347
Not Available

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Physician's Profile

Full NameAngelique Blair Carmouche
GenderFemale
SpecialityPreventive Medicine - Sports Medicine
LocationAsu Station #10899, San Angelo, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396307476
  • Provider Enumeration Date: 06/28/2019
  • Last Update Date: 01/25/2021

Medical Identifiers

Medical identifiers for Angelique Blair Carmouche such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396307476NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083S0010XPreventive Medicine - Sports Medicine 319966 (Louisiana)Secondary
2083S0010XPreventive Medicine - Sports Medicine AT8258 (Texas)Primary

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. Angelique Blair Carmouche 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 AddressPractice Location Address
Angelique Blair Carmouche, MAT, LAT,ATC
Lsu Athletic Administration Building,
Baton Rouge, LA 70803-0001

Ph: (225) 578-8001		Angelique Blair Carmouche, MAT, LAT,ATC
Asu Station #10899,
San Angelo, TX 76909-0001

Ph: (940) 435-4347

Reviews and Comments


Preventive Medicine Doctors in San Angelo, TX


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