Jeffrey Craig Humphrey (NPI# 1447512843, PAC ID# 9638334972) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1447512843 |
PAC ID by PECOS | 9638334972 |
Professional Enrollment ID | I20120711000415 |
Full Name | Jeffrey Craig Humphrey |
Organization Legal Name | TOTAL CARE MEDICAL, PLLC |
Address |
1650 Texas Ave Suite E Bridge City TX 77611-3501 |
Phone Number | 4097925521 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5799040754 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450034 | CHRISTUS HOSPITAL |
Address | Phone | Organization |
---|---|---|
1650 Texas Ave, Suite E, Bridge City, TX 77611-3501 | 4097925521 | TOTAL CARE MEDICAL, PLLC |
Organization Legal Name | TOTAL CARE MEDICAL, PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsay Mabe | Nurse Practitioner | Total Care Medical, Pllc | 1650 Texas Ave, Suite E, Bridge City, TX 77611-3501 |
Street Address |
1650 TEXAS AVE SUITE E |
City | BRIDGE CITY |
State | TX |
Zip | 77611-3501 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsay Mabe | Nurse Practitioner | Total Care Medical, Pllc | 1650 Texas Ave, Suite E, Bridge City, TX 77611-3501 |
Name | Specialty | Organization | Address |
---|---|---|---|
Servet M Satir | Family Medicine | Golden Triangle Family Care Center | 615 W Roundbunch Rd, Bridge City, TX 77611-2434 |
Chris P Penning | Family Medicine | Golden Triangle Family Care Center | 615 W Roundbunch Rd, Bridge City, TX 77611-2434 |
Jordon Pittman | Nurse Practitioner | Permian Premier Health Services Inc | 2162 Texas Ave, Bridge City, TX 77611-2838 |
Wesley Palmer | Family Medicine | Permian Premier Health Services Inc | 2162 Texas Ave, Bridge City, TX 77611-2838 |
Anand Movva | Internal Medicine | 2515 Texas Ave, Bridge City, TX 77611-2847 |
City | BRIDGE CITY |
Zip Code | 77611 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BRIDGE 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.