Tchounkovsky, Angelique
Tchounkovsky, Angelique is an individual health care provider with primary practice located at 5801 Oakbend Trl Ste 200 , Fort Worth TX 76132. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Tchounkovsky, Angelique can be contacted via phone (817) 529-9100.Contact Information
Primary practice address
5801 Oakbend Trl Ste 200
Fort Worth TX 76132
Phone: (817) 529-9100
Fax: (817) 529-9106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP118541 | Texas |
Profile Details
| NPI number | 1760712483 |
|---|---|
| LBN Legal business name | Tchounkovsky, Angelique |
| Credentials | A.N.P.-C. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2009 |
| Last updated | Feb 17th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760712483 | NPPES |
| Texas | Other | 8820NZ | BLUE CROSS BLUE SHIELD |
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