Angelique Carmouche, MAT, LAT,ATC

Individual Active
NPI 1396307476
Sports Medicine (Preventive Medicine) Physician San Angelo, TX

Angelique Carmouche, MAT, LAT,ATC holds NPI 1396307476, with a primary taxonomy of sports medicine (preventive medicine) physician and a practice location in San Angelo, TX. The number was issued on June 28, 2019 and the NPPES record was last updated on January 25, 2021. The record lists 2 taxonomy codes. One additional practice location is listed.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Sports Medicine (Preventive Medicine) Physician Primary 2083S0010X AT8258 (TX)
Sports Medicine (Preventive Medicine) Physician 2083S0010X 319966 (LA)

Practice locations

Asu Station #10899
San Angelo, TX 76909-0001
Phone: (940) 435-4347
Lsu Athletic Administration Building
Baton Rouge, LA 70803-0001
Phone: (225) 578-8001

Local context

Active NPPES records list 1 provider with sports medicine (preventive medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 14 in Texas and 167 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Angelique Blair Carmouche
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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