Amani Prince, is a
Nurse Anesthetist, Certified Registered based in Kilgore, Texas. Amani Prince is licensed to practice in Texas (license number 990283) and his current practice location is
625 Highland Dr, Kilgore, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 519-3954.
NPI number for Amani Prince is 1780575068 and his current mailing address is 625 Highland Dr, Kilgore, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780575068.
Provider's Profile
Full Name | Amani Prince |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 625 Highland Dr, Kilgore, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780575068
- Provider Enumeration Date: 07/14/2025
- Last Update Date: 07/14/2025
Medical Identifiers
Medical identifiers for Amani Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780575068 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 990283 (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. Amani Prince 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 |
Amani Prince, 625 Highland Dr, Kilgore, TX 75662-3963 Ph: () - | Amani Prince, 625 Highland Dr, Kilgore, TX 75662-3963 Ph: (903) 519-3954 |
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