Pamela R Wyatt, CNM WHCNP | |
117 Medical Cir, Sulphur Springs, TX 75482-2138 | |
(903) 885-8471 | |
(903) 439-6492 |
Full Name | Pamela R Wyatt |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 117 Medical Cir, Sulphur Springs, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942592225 | NPI | - | NPPES |
629757 | Other | TX | CERTIFIED NURSE PRACTIONER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 629757 (Texas) | Secondary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
Entity Name | East Texas Border Health Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030 |
Entity Name | Marie Hollis, M.d. Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871881821 PECOS PAC ID: 0840451670 Enrollment ID: O20120423000067 |
Entity Name | Obhg Texas Holdings Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
Mailing Address | Practice Location Address |
---|---|
Pamela R Wyatt, CNM WHCNP 3900 Joe Ramsey Blvd E Ste E, Greenville, TX 75401-7770 Ph: (903) 454-1722 | Pamela R Wyatt, CNM WHCNP 117 Medical Cir, Sulphur Springs, TX 75482-2138 Ph: (903) 885-8471 |
Deborah Logan, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 113 Airport Rd, Suite 200, Sulphur Springs, TX 75482 Phone: 903-439-4917 Fax: 903-885-7183 |