Individual
ANGELIQUE TCHOUNKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.-C.
Contact information
Practice address
5801 OAKBEND TRL STE 200, FORT WORTH, TX 76132
(817) 529-9100
(817) 529-9106
Mailing address
5801 OAKBEND TRL STE 200, FORT WORTH, TX 76132-3916
(817) 529-9100
(817) 529-9106
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP118541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8820NZ
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/31/2009
Last updated
02/17/2022
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