Individual
BRENDA LEIGH INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 AIRPORT RD, SULPHUR SPRINGS, TX 75482-2105
(903) 885-7671
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313744004
—
TX
05
—
313744005
—
TX
05
—
313744006
—
TX
05
—
313744007
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-129
TRICARE
TX
01
—
8478MA
BCBS
TX
01
—
8479MA
BCBS
TX
01
—
P01761904
RAIL ROAD MEDICARE
TX
01
—
P01762486
RAIL ROAD MEDICARE
TX
Enumeration date
08/20/2006
Last updated
02/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us