| Mark Teague, FNP | |
|
11515 Fm 1960, Huffman, TX 77336-4431 | |
| (281) 324-1551 | |
| Not Available |
| Full Name | Mark Teague |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 11515 Fm 1960, Huffman, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205163383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 605635 (Texas) | Primary |
| Entity Name | Lifecare Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20040121000061 |
| Entity Name | Lifecare Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20061104000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Teague, FNP 331 County Road 6512, Dayton, TX 77535-9574 Ph: Not Available | Mark Teague, FNP 11515 Fm 1960, Huffman, TX 77336-4431 Ph: (281) 324-1551 |
Jennifer A Meza, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11511 Fm 1960 Ste 102, Huffman, TX 77336 Phone: 281-324-1550 |
Mrs. Jackie K Wurtz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11515 Fm 1960 Rd Ste C, Huffman, TX 77336 Phone: 281-324-1550 Fax: 281-324-1555 |
Mrs. Mary Danielle Milligan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1910 Iron Ore Dr, Huffman, TX 77336 Phone: 405-314-9409 |
Myesha Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25422 Helms Dr, Huffman, TX 77336 Phone: 832-893-3050 |
Lacey Nicole Osteen, AGPCNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 331 Fall Creek Dr, Huffman, TX 77336 Phone: 281-235-2974 |
Laura Wells Von Kanel, RN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27518 Calvin Rd, Huffman, TX 77336 Phone: 281-642-2706 |