MEDICARE: TANIA SOC CFNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1154428	TX

General Provider Information

NPI Number	:	1598522922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA SOC CFNP

Provider Business Mailing Address
First Line	:	2001 N JEFFERSON AVE
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-2338
Country	:	US
Telephone Number	:	903-577-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 W 20TH ST STE D
Second Line	:
City	:	MOUNT PLEASANT
State	:	TX
Zip	:	75455-2325
Country	:	US
Telephone Number	:	903-434-7100
Fax Number	:	903-434-7101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	11/11/2025

Similar Medicare Providers

1477556827 — CHAMBERS HOME HEALTH AGENCY OF NORTHEAST TEXAS COMPANY
Practice Location Address:

201 W 20TH ST STE 102
MT PLEASANT, TX
75455-2325

Practice Phone: 903-572-9700
Practice Fax: 903-572-2447

1740739234 — CCD HOSPICE MP, LLC
Practice Location Address:

201 W 20TH ST STE 101
MOUNT PLEASANT, TX
75455-2325

Practice Phone: 903-572-3777
Practice Fax:

1023515293 — ANNA HOLLINGSWORTH MD
Practice Location Address:

203 W 20TH ST STE D
MT PLEASANT, TX
75455-2325

Practice Phone: 903-434-7100
Practice Fax: 903-434-7101

1619023017 — DR. KEITH M BEVER JR. DDS
Practice Location Address:

2325 HAWTHORN DRIVE
MT. PLEASANT, MI
48858

Practice Phone: 989-773-9793
Practice Fax: 989-773-3063

1821387903 — DR. ILNAE CLARA NAMGUNG PHARMD
Practice Location Address:

2325 PLEASANT HILL RD
DULUTH, GA
30096-1753

Practice Phone: 770-497-4425
Practice Fax: 770-814-2327

1265843809 — MISSISSIPPI STATE DEPARTMENT
Practice Location Address:

209 S PLEASANT ST
CHARLESTON, MS
38921-2325

Practice Phone: 662-647-6404
Practice Fax: 662-647-2689

Directions to “ TANIA SOC CFNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.