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Dr. Tina Michelle Ingram, DC,FNP-C,DIPLAC
Family Nurse Practitioner in Canton, Texas
NPI 1932292612

Tina Michelle Ingram is a Family Nurse Practitioner based in Canton, TX and is specialized in Family. Tina Michelle Ingram practices in Canton, TX and has the professional credentials of DC,FNP-C,DIPLAC. The NPI Number for Tina Michelle Ingram is 1932292612 and holds a License No. 6598 (Texas).

The current practice location address for Tina Michelle Ingram is 921 W Dallas St, Canton, TX and can be reached out via phone at 903-567-5579 and via fax at 903-567-5938.

Location: 921 W Dallas St, Canton, TX, 75103-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932292612
Provider Name
Tina Michelle Ingram
Credential
DC,FNP-C,DIPLAC
Provider Entity Type
Individual
Gender
Female
Address
921 W Dallas St, Canton, TX, 75103-1009
Phone Number
903-567-5579
Fax Number
903-567-5938
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
87391Y 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
921 W Dallas St
City
Canton
State
Texas
Zip
75103-1009
Phone Number
903-567-5579
Fax Number
903-567-5938
person
Provider Business Mailing Address Details
Address
921 W Dallas St
City
Canton
State
Texas
Zip
75103-1009
Phone Number
903-567-5579
Fax Number
903-567-5938
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1012507 (Texas)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6598 (Texas)
Definition
Definition to come...
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