ANGELA LYNN BASHAM-CALLAWAY — OIG Excluded Provider (FORT WORTH, TX, 1128a4)
ANGELA LYNN BASHAM-CALLAWAY — OIG Excluded Provider (FORT WORTH, TX, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ANGELA LYNN BASHAM-CALLAWAY; Type: Individual; Provider category: PHYSICIAN (MD, DO).
| Name | ANGELA LYNN BASHAM-CALLAWAY |
|---|---|
| Type | Individual |
| Provider category | PHYSICIAN (MD, DO) |
| Specialty | FAMILY PRACTICE |
| NPI | 1124214424 |
| City | FORT WORTH |
| State | TX |
| ZIP | 76127 |
| Exclusion authority | 1128a4 |
| Exclusion reason | Felony conviction relating to controlled substances |
| Exclusion date | 2013-04-18 |
| Source | HHS-OIG LEIE |
$1499/mo
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