Jean C Anderson (NPI# 1518242064, PAC ID# 1557528817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518242064 |
| PAC ID by PECOS | 1557528817 |
| Professional Enrollment ID | I20151210000119 |
| Full Name | Jean C Anderson |
| Organization Legal Name | WAL-MART STORES TEXAS LLC |
| Address |
494 W Interstate 30 Walmart Care Clinic 10 5987 Royse City TX 75189-8557 |
| Phone Number | 9726352186 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719199165 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 494 W Interstate 30, Walmart Care Clinic 10 5987, Royse City, TX 75189-8557 | 9726352186 | WAL-MART STORES TEXAS LLC |
| Organization Legal Name | WAL-MART STORES TEXAS LLC |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Demishe Fontenot | Nurse Practitioner | Wal-mart Stores Texas LLC | 4801 S Cooper St, Walmart Care Clinic 10 1801, Arlington, TX 76017-5928 |
| Lavea A Landrum | Nurse Practitioner | Wal-mart Stores Texas LLC | 8840 Hwy 377 S, Benbrook, TX 76126-3440 |
| Brandy Denise Hill | Nurse Practitioner | Wal-mart Stores Texas LLC | 3820 State Hwy 64 W, Tyler, TX 75704-6924 |
| Carolina Deandres | Nurse Practitioner | Wal-mart Stores Texas LLC | 25800 Kuykendahl Rd, Tomball, TX 77375-2892 |
| Bincy Varughese | Nurse Practitioner | Wal-mart Stores Texas LLC | 1213 E Trinity Mills Rd, Walmart Care Clinic 10 1216, Carrollton, TX 75006-1446 |
| Celya N Tilley | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Onyero J Osemiha | Nurse Practitioner | Wal-mart Stores Texas LLC | 555 W Interstate 30, Walmart Care Clinic 10 3224, Garland, TX 75043-5702 |
| Delores G Cook | Nurse Practitioner | Wal-mart Stores Texas LLC | 2223 S Loop, 256 Walmart Care Clinic 10 0345, Palestine, TX 75801-4701 |
| Lisa F. Smith | Nurse Practitioner | Wal-mart Stores Texas LLC | 1213 E Trinity Mills Rd, Walmart Care Clinic 10 1216, Carrollton, TX 75006-1446 |
| Suzanne N Phillips | Nurse Practitioner | Wal-mart Stores Texas LLC | 2720 E Hwy 190, Walmart Care Clinic 10 0381, Copperas Cove, TX 76522-2584 |
| Street Address |
494 W INTERSTATE 30 WALMART CARE CLINIC 10 5987 |
| City | ROYSE CITY |
| State | TX |
| Zip | 75189-8557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Ying-chie Liao | Orthopedic Surgery | 6257 Fm 2642 Blvd, Suite 102, Royse City, TX 75189-3229 | |
| Bradley Ray Baker | Chiropractic | 620 E Lamar St, Royse City, TX 75189-3900 | |
| Jeromee C Alexander | Physical Therapy | 115 Fm, 2453 Suite D, Royse City, TX 75189-7037 | |
| Mumtaz P Tejani | Optometry | 494 I 30, Royse City, TX 75189-7527 | |
| Phillip W Paul | Chiropractic | 121 S Arch St, Royse City, TX 75189-8550 | |
| Michelle M Williams | Optometry | 7252 Fm, 35 Southern Eyecare, Royse City, TX 75189-9701 |
| City | ROYSE CITY |
| Zip Code | 75189 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROYSE CITY + NURSE PRACTITIONER |
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| 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.