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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760712483 NPPES
Texas Other 8820NZ BLUE CROSS BLUE SHIELD

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