ANGELIQUE B. CARMOUCHE MAT, LAT,ATC – NPI #1396307476
Preventive Medicine

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

ANGELIQUE CARMOUCHE is a physician located in SAN ANGELO, TX. NPPES has assigned the NPI number 1396307476 to ANGELIQUE CARMOUCHE on June 28, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 5 years ago on Jan 25, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGELIQUE CARMOUCHE below.

NPI Profile for
ANGELIQUE B. CARMOUCHE

NPI Number
1396307476
Enumeration Date

(about 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANGELIQUE B. CARMOUCHE
Credentials
MAT, LAT,ATC
Primary location
ASU STATION #10899
SAN ANGELO, TX 76909-0001
Phone: (940) 435-4347 Fax:
1 Other location(s):
Lsu Athletic Administration Building
Baton Rouge, LA 70803-0001
Phone: (225) 578-8001
Mailing address
LSU ATHLETIC ADMINISTRATION BUILDING
BATON ROUGE, LA 70803-0001
Phone: (225) 578-8001 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 25, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083S0010X
- Preventive Medicine / Sports Medicine (Primary)
LA 319966

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.