| Tanganyika Lynn Dudley, APRN, AGACNP-BC | |
|
1055 Clarksville St Ste 110, Paris, TX 75460-0210 | |
| (903) 785-3300 | |
| (903) 785-3310 |
| Full Name | Tanganyika Lynn Dudley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 1055 Clarksville St Ste 110, Paris, 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 |
|---|---|---|---|
| 1962066688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP140296 (Texas) | Primary |
| 363L00000X | Nurse Practitioner | 132422 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paris Regional Medical Center | Paris, TX | Hospital |
| Titus Regional Medical Center | Mount pleasant, TX | Hospital |
| Mccurtain Memorial Hospital | Idabel, OK | Hospital |
| Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tyler Nephrology Associates Pa | 6901862242 | 23 |
| Tyler Nephrology Associates Pa | 6901862242 | 23 |
| Entity Name | Tyler Nephrology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942360326 PECOS PAC ID: 6901862242 Enrollment ID: O20041208000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanganyika Lynn Dudley, APRN, AGACNP-BC 1133 Medical Dr, Tyler, TX 75701-2130 Ph: (903) 595-5486 | Tanganyika Lynn Dudley, APRN, AGACNP-BC 1055 Clarksville St Ste 110, Paris, TX 75460-0210 Ph: (903) 785-3300 |
Elda Rae Francis, CFNP-RN-MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1775 Fm 195, Paris, TX 75462 Phone: 903-739-2700 Fax: 903-739-9731 | |
Teresa Trabert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3550 Ne Loop 286, Paris, TX 75460 Phone: 903-785-0031 Fax: 903-784-6755 | |
Debra Donette George, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3550 Ne Loop 286, Paris, TX 75460 Phone: 903-785-0031 Fax: 903-784-6755 | |
Brooke Nicole Rea, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 865 Deshong Dr, Paris, TX 75460 Phone: 903-737-1165 | |
Elisha Mccall-preston, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3150 Clarksville St, Suite 100, Paris, TX 75460 Phone: 903-782-9206 Fax: 903-783-7367 | |
Elise Ann Gray, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 S Collegiate Dr, Paris, TX 75460 Phone: 903-785-8857 | |
Karey Dale Asay, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 Lamar Ave, Paris, TX 75460 Phone: 903-706-5141 |