Stacie Renee Cameron (NPI# 1336662907, PAC ID# 0345506127) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336662907 |
| PAC ID by PECOS | 0345506127 |
| Professional Enrollment ID | I20171110001283 |
| Full Name | Stacie Renee Cameron |
| Organization Legal Name | THE BRADLEY CLINIC OF TEXAS PLLC |
| Address |
925 W Loop Suite 281 Longview TX 75604-2918 |
| Phone Number | 9035045551 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577869015 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| 451380 | EAST TEXAS MEDICAL CENTER QUITMAN |
| Address | Phone | Organization |
|---|---|---|
| 925 W Loop, Suite 281, Longview, TX 75604-2918 | 9035045551 | THE BRADLEY CLINIC OF TEXAS PLLC |
| 1402 Rice Rd, Suite 100, Tyler, TX 75703-3230 | 9036307691 | THE BRADLEY CLINIC OF TEXAS PLLC |
| Organization Legal Name | THE BRADLEY CLINIC OF TEXAS PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi D Smith | Nurse Practitioner | The Bradley Clinic of Texas Pllc | 1402 Rice Rd, Suite 100, Tyler, TX 75703-3230 |
| Mindy L Shook | Nurse Practitioner | The Bradley Clinic of Texas Pllc | 1402 Rice Rd, Suite 100, Tyler, TX 75703-3230 |
| Street Address |
925 W LOOP SUITE 281 |
| City | LONGVIEW |
| State | TX |
| Zip | 75604-2918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gearald Farris | Chiropractic | 3110 Gilmer Rd, Longview, TX 75604-1439 | |
| Wendy Starnes | Nurse Practitioner | East Texas Precision Medicine Pllc | 2711 Pine Tree Rd, Longview, TX 75604-1646 |
| George A Berry Jr. | Chiropractic | 1121 Evergreen St, Atlas Chiropractic, Longview, TX 75604-2130 | |
| Esther Gayle Ferrell | Nurse Practitioner | Regional Clinics of Longview | 2021 W Loop, Suite 281, Longview, TX 75604-2504 |
| Kathleen F Rice | Nurse Practitioner | Trinity Clinic | 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506 |
| Alisha Rae Everett | Nurse Practitioner | Trinity Clinic | 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506 |
| John C Mcdonald | Internal Medicine | Trinity Clinic | 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506 |
| Sonseira Wilson | Nurse Practitioner | Trinity Clinic | 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506 |
| Sidney L Redels | Family Medicine | Trinity Clinic | 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506 |
| Ifeanyi Emmanuel Elueze | Internal Medicine | Trinity Clinic | 2101 W Loop, 281 Christus Trinity Clinic, Longview, TX 75604-2506 |
| Find all physicians in zip 75604 | |||
| City | LONGVIEW |
| Zip Code | 75604 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONGVIEW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacie Renee Cameron.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.