TONYA DUBOIS (NPI# 1083626493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083626493 |
| Entity Type | Individual |
| Full Name | TONYA DUBOIS |
| Credential | P.A.-C |
| Practice Address |
3725 Mall Drive Texarkana TX 75501-2658 |
| Practice Telephone | 9033060001 |
| Practice Fax Number | 8662325707 |
| Mailing Telephone | 9033060001 |
| Mailing Fax Number | 8662325707 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA04195 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8N7622 | 01 |
| Street Address |
3725 MALL DRIVE |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1962586636 | David A. Godwin | Physician Assistant | 5508 Deer Creek Dr, Texarkana, TX 75503-0012 | 2006-10-25 |
| 1508896465 | Katherine Elizabeth Owen | Physician Assistant | 5503 N State Line Ave, Texarkana, TX 75503-5303 | 2006-07-04 |
| 1578558961 | Theresa M Fontenot | Physician Assistant | 3939 Texas Blvd, Texarkana, TX 75503-3207 | 2005-09-13 |
| 1710443544 | Kaylee Keener | Physician Assistant | 3502 Richmond Rd, Texarkana, TX 75503-0705 | 2019-02-17 |
| 1699242347 | Brooke D Carr | Physician Assistant | 1408 College Dr, Texarkana, TX 75503-3534 | 2018-10-31 |
| 1629586573 | Raven Shelby Falls | Physician Assistant | 125 Arkansas Blvd, Texarkana, AR 71854-1963 | 2018-01-12 |
| 1588104590 | Liam Thornell | Physician Assistant | 3515 Richmond Rd, Texarkana, TX 75503-0711 | 2017-02-24 |
| 1265988208 | Kellie Lyn Flaherty | Physician Assistant | 2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503-2379 | 2016-08-30 |
| 1013376201 | Veronica Newburn | Physician Assistant | 3510 Richmond Rd, Suite 100, Texarkana, TX 75503-0714 | 2016-02-16 |
| Find all providers in TEXARKANA | ||||
Please comment or provide details below to improve the information on TONYA DUBOIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.