| Nathan R Fritts, PA-C | |
|
1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 | |
| (210) 292-7753 | |
| Not Available |
| Full Name | Nathan R Fritts |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447624812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16835 (Texas) | Primary |
| Entity Name | Third Coast Emergency Physicians Southwest PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497793475 PECOS PAC ID: 6800794447 Enrollment ID: O20031222000126 |
| 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 |
|---|---|
| Nathan R Fritts, PA-C 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: Not Available | Nathan R Fritts, PA-C 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-7753 |
Jared Ross Taylor, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-4774 |
Aaron Caldwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7809 |
Nicole Bertram, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-5000 |
Minh Tran, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-0515 |
Dr. Mary A Webb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-565-4112 |
Ifeanyi Nelson Eke, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7348 |
Courtlyn Burgess, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-4277 |