| Mrs Ethel Olivia King, FNP | |
|
1300 N Main, Big Lake, TX 76932 | |
| (325) 884-2561 | |
| Not Available |
| Full Name | Mrs Ethel Olivia King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1300 N Main, Big Lake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932443835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F1012361 (Texas) | Primary |
| Entity Name | Nextcare Primary Care Tx Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760875025 PECOS PAC ID: 0840501508 Enrollment ID: O20150622001791 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ethel Olivia King, FNP 1300 N Main, Big Lake, TX 76932 Ph: (325) 884-2561 | Mrs Ethel Olivia King, FNP 1300 N Main, Big Lake, TX 76932 Ph: (325) 884-2561 |
David Bushnell, RN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 N Main, Big Lake, TX 76932 Phone: 325-884-3743 | |
Deana Davis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 N Main Ave, Big Lake, TX 76932 Phone: 325-884-3743 Fax: 325-884-2996 | |
Farah Gee Sears, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 N Main Ave, Big Lake, TX 76932 Phone: 325-370-6699 Fax: 325-219-6081 |