| Kimberly Zickafoose, WHNP-BC | |
|
12602 Toepperwein Rd Ste 208, Live Oak, TX 78233-3271 | |
| (210) 878-0090 | |
| Not Available |
| Full Name | Kimberly Zickafoose |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 12602 Toepperwein Rd Ste 208, Live Oak, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063007789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 909383 (Texas) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 1077936 (Texas) | Primary |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Zickafoose, WHNP-BC 12602 Toepperwein Rd Ste 208, Live Oak, TX 78233-3271 Ph: (210) 878-0090 | Kimberly Zickafoose, WHNP-BC 12602 Toepperwein Rd Ste 208, Live Oak, TX 78233-3271 Ph: (210) 878-0090 |
Joni Maxwell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12881 N Ih 35, Live Oak, TX 78233 Phone: 210-742-6555 | |
Sydney Berry, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12881 N Ih 35, Live Oak, TX 78233 Phone: 210-742-6555 Fax: 224-623-0079 | |
Dr. Leslie Michelle Dubois, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12702 Toepperwein Rd Ste 201, Live Oak, TX 78233 Phone: 210-701-0690 | |
Dr. Nikki Rose Arcangel Angeles, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12709 Toepperwein Rd, Live Oak, TX 78233 Phone: 210-967-0096 | |
Francine Chanel Real, APRN, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7939 Pat Booker Rd, Live Oak, TX 78233 Phone: 210-998-2410 | |
Jenna M Ortiz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12500 Judson Rd Ste 300, Live Oak, TX 78233 Phone: 210-967-0096 Fax: 210-967-0383 |