Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Trevon Roshad Douglas, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1528571759

Mr. Trevon Roshad Douglas, AGACNP-BC is a Nurse Practitioner in Wichita Falls, Texas. Qualified in 2017, 9 years ago. Practices with La Magna Health PLLC, a 26-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
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Practice location Address checks out

1600 11th St
Wichita Falls, TX 76301-4300
Phone: (940) 764-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP135794 (TX)

Record details

NPI number1528571759
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedNovember 9, 2017
Last updated in NPPESNovember 9, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice La Magna Health Pllc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Wichita Falls