| Ms Candace Baumgart Ibbotson, | |
|
600 Elizabeth Street, Corpus Christi, TX 78404 | |
| (361) 881-3518 | |
| Not Available |
| Full Name | Ms Candace Baumgart Ibbotson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 600 Elizabeth Street, Corpus Christi, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083833560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 14287 (Texas) | Primary |
| Provider Name | Synergy Care Southeast LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Candace Baumgart Ibbotson, 202 Aberdeen Ave, Corpus Christi, TX 78411-1231 Ph: (512) 970-5015 | Ms Candace Baumgart Ibbotson, 600 Elizabeth Street, Corpus Christi, TX 78404 Ph: (361) 881-3518 |
Mrs. Kelley Cook Mailhes, M.S. CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Louisiana Ave, Corpus Christi, TX 78404 Phone: 361-853-0488 Fax: 361-843-0489 |
Amanda Marie Philen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2505 Waldron Rd, Corpus Christi, TX 78418 Phone: 361-694-9650 |
Sarah Kathyrn Rodriguez, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 631-694-5678 |
Terri L Sutphin, M.S.,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Louisiana Ave. , Ste #402, Corpus Christi, TX 78404 Phone: 361-853-0488 |
Sarah Courtney Gleinser, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-5678 |
Tracey L Siebold, M,S., CCC/SLP, CED Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 4202 Hermosa Dr, Corpus Christi, TX 78411 Phone: 361-728-9192 Fax: 361-334-1136 |
Karen Scot Ferguson, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7102 Taos Dr, Corpus Christi, TX 78413 Phone: 361-808-7747 |