| Allison Legare, PA-C | |
|
3051 Churchill Dr Ste 130, Flower Mound, TX 75022-2710 | |
| (972) 539-0086 | |
| (972) 355-9680 |
| Full Name | Allison Legare |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3051 Churchill Dr Ste 130, Flower Mound, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902501620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16763 (Texas) | Primary |
| Entity Name | John Allen Van Wagoner, MD, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316063993 PECOS PAC ID: 9335273390 Enrollment ID: O20100813000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Legare, PA-C 3051 Churchill Dr Ste 130, Flower Mound, TX 75022-2710 Ph: (972) 539-0086 | Allison Legare, PA-C 3051 Churchill Dr Ste 130, Flower Mound, TX 75022-2710 Ph: (972) 539-0086 |
Joshua Patterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Long Prairie Rd Ste 100, Flower Mound, TX 75028 Phone: 972-691-9190 Fax: 972-691-3841 |
Rossalya Aracely Granda Gutierrez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 Churchill Dr Ste 100, Flower Mound, TX 75022 Phone: 210-582-5304 Fax: 210-582-5307 |
Kathryn Mariel Breithaupt, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3051 Churchill Dr Ste 100, Flower Mound, TX 75022 Phone: 817-632-2336 Fax: 214-556-9030 |
Mrs. Tamra Dee Srianant, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4101 Kirkpatrick Ln, Flower Mound, TX 75028 Phone: 214-513-2300 |
Lisa Nguyen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Flower Mound Rd, Flower Mound, TX 75028 Phone: 972-874-8421 Fax: 972-874-8467 |
Jamie Hawoon Kwak, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3051 Churchill Dr Ste 130, Flower Mound, TX 75022 Phone: 972-539-0086 Fax: 972-355-9680 |
Lauren M Hughes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3321 Yucca Dr Ste 100, Flower Mound, TX 75028 Phone: 972-505-2551 Fax: 972-521-3240 |