Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELIQUE BLAIR CARMOUCHE, MAT, LAT,ATC
ActiveANGELIQUE BLAIR CARMOUCHE, MAT, LAT,ATC is a 2083S0010X healthcare provider located in SAN ANGELO, Texas. NPI 1396307476 is currently active in the NPPES registry. Verify at CMS.
2083S0010X · SAN ANGELO, TX
Registration Details
- NPI Number
- 1396307476
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2019 (6.9453000515837 yrs)
- Last Updated
- Jan 25, 2021
- Licenses
-
319966 (LA)AT8258 (TX)
Practice Information
- Address
-
ASU STATION #10899SAN ANGELO, TX, 769090001Browse TX providers · Browse ZIP 76909
- Phone
- 9404354347
- Primary Specialty
-
2083S0010X
2083S0010X
- Additional Specialty
- 2083S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.