ANTONIO D INGRAM

EAST TEXAS BORDER HEALTH CLINIC

Dr ANTONIO D INGRAM is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.

Contact

EAST TEXAS BORDER HEALTH CLINIC

1400 COLLEGE DR
SUITE 204
TEXARKANA
TX
755033575

Tel: 9037911110

ANTONIO D INGRAM Information

Npi 1144585761
Pac Id 4486918216
Professional Enrollment Id I20180503000404
Last Name INGRAM
First Name ANTONIO
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EAST TEXAS BORDER HEALTH CLINIC
Group Practice Pac Id 8820038565
Number Of Group Practice Members 24
Line 1 Street Address 1400 COLLEGE DR
Line 2 Street Address SUITE 204
Marker Of Address Line 2 Suppression
City TEXARKANA
State TX
Zip Code 755033575
Phone Number 9037911110
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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