| Leann Holloway, NP | |
|
1105 N Main St, Vidor, TX 77662-3738 | |
| (409) 422-4801 | |
| Not Available |
| Full Name | Leann Holloway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1105 N Main St, Vidor, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174057939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP133253 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP133253 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctors Express Of The Beaumont Area Pa | 5698816882 | 175 |
| Entity Name | Beaumont Emergency Medicine Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881716983 PECOS PAC ID: 1951402767 Enrollment ID: O20070724000328 |
| Entity Name | Doctors Express Of The Beaumont Area Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841525235 PECOS PAC ID: 5698816882 Enrollment ID: O20100114000255 |
| Entity Name | Tmc Provider Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053784660 PECOS PAC ID: 6305149121 Enrollment ID: O20160127002626 |
| Mailing Address | Practice Location Address |
|---|---|
| Leann Holloway, NP 3080 College St, Beaumont, TX 77701-4606 Ph: (409) 212-5000 | Leann Holloway, NP 1105 N Main St, Vidor, TX 77662-3738 Ph: (409) 422-4801 |
Wendi Ellen Ames, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2353 N Main St, Vidor, TX 77662 Phone: 409-813-1677 Fax: 409-422-4997 | |
Crystal Young, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2353 N Main St, Vidor, TX 77662 Phone: 409-813-1677 | |
Jessica Miller Baker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Forest Ln, Vidor, TX 77662 Phone: 114-096-7389 | |
Kirsten Fournet, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 S Archie St, Vidor, TX 77662 Phone: 409-206-8946 Fax: 409-206-8947 | |
Heather Butler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 274 Lakeview Rd, Vidor, TX 77662 Phone: 936-465-8979 | |
Chelsi Renee Clayton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 S Archie St, Vidor, TX 77662 Phone: 409-769-2295 |