| Kevin M Prince, FNP | |
|
538 Broadway, Winnie, TX 77665-7600 | |
| (409) 296-6000 | |
| (409) 296-6375 |
| Full Name | Kevin M Prince |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 538 Broadway, Winnie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558396465 | NPI | - | NPPES |
| 8N7097 | Other | TX | BCBS |
| 168116503 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP113090 (Texas) | Primary |
| Entity Name | Winnie Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316623481 PECOS PAC ID: 3375440894 Enrollment ID: O20031218000349 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Prince, FNP 1108 Gulf Fwy S, Ste 230, League City, TX 77573-5100 Ph: (281) 557-4404 | Kevin M Prince, FNP 538 Broadway, Winnie, TX 77665-7600 Ph: (409) 296-6000 |
Sharon L. Atwell, APN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6000 Fax: 409-296-6326 | |
Joshua Alan Olmstead, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6000 | |
Sara E Hollier, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-6381 | |
Daniel Sean Degarmo, RN, ENP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-209-6000 | |
Miss Vannessa Veronique Evans, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 W Buccaneer Dr, Winnie, TX 77665 Phone: 409-201-2225 | |
Taylor Brooke Ledoux, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2584 State Highway 124, Winnie, TX 77665 Phone: 409-296-4444 |