ANGELIQUE BLAIR CARMOUCHE MAT LATATC NPI 1396307476

NPI Information

NPI: 1396307476
Provider Name: ANGELIQUE BLAIR CARMOUCHE, MAT, LAT,ATC
Classification: Preventive Medicine - 2083S0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
ASU STATION #10899
SAN ANGELO, TX
ZIP 76909
Phone: (940) 435-4347
Get Directions

Angelique Blair Carmouche, MAT, LAT,ATC is a sports medicine preventive medicine in San Angelo, TX. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. Angelique Blair Carmouche, MAT, LAT,ATC NPI is 1396307476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

ASU STATION #10899
SAN ANGELO, TX
ZIP 76909-001
Phone: (940) 435-4347

The enumeration date for this NPI number is 6/28/2019 and was last updated on 1/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083S0010X	Preventive Medicine	Sports Medicine	AT8258	TEXAS	Yes
2	2083S0010X	Preventive Medicine	Sports Medicine	319966	LOUISIANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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