| Latisha Marie Ward, | |
|
600 East Interstate 20, Stanton, TX 79782 | |
| (432) 607-3200 | |
| Not Available |
| Full Name | Latisha Marie Ward |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 600 East Interstate 20, Stanton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609341007 | NPI | - | NPPES |
| 8LD678 | Other | TX | BCBS TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP139148 (Texas) | Primary |
| 207Q00000X | Family Medicine | AP139148 (Texas) | Secondary |
| Entity Name | Martin County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679560866 PECOS PAC ID: 8527958552 Enrollment ID: O20040805001106 |
| Entity Name | Healogics Specialty Physicians of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285051094 PECOS PAC ID: 6709002777 Enrollment ID: O20140728002064 |
| Mailing Address | Practice Location Address |
|---|---|
| Latisha Marie Ward, Po Box 640, Stanton, TX 79782-0640 Ph: (432) 607-3200 | Latisha Marie Ward, 600 East Interstate 20, Stanton, TX 79782 Ph: (432) 607-3200 |
Mrs. Robin Suzanne Alvarado, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Interstate 20 East, Suite 104, Stanton, TX 79782 Phone: 432-607-3243 Fax: 432-607-3298 |
Mrs. Megan Sherree Chandler, RN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 East Interstate 20, Stanton, TX 79782 Phone: 432-607-3200 Fax: 432-607-3681 |
Susanna Elyse Mullinax, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Interstate 20 East, Stanton, TX 79782 Phone: 432-607-3200 |
Linda Friesen Pierce, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 East I-20, Stanton, TX 79782 Phone: 432-607-3200 Fax: 432-607-3265 |
Mr. Edward Maurice Lopez, RN, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 East Interstate 20, Stanton, TX 79782 Phone: 432-607-3243 Fax: 432-607-3644 |
Lark Michelle Olivas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 East Interstate 20, Stanton, TX 79782 Phone: 432-607-3200 Fax: 432-607-3644 |
Shawndra Dean Moore, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 I-20 East, Stanton, TX 79782 Phone: 143-252-8457 |