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ANGELIQUE BLAIR CARMOUCHE MAT, LAT,ATC
NPI 1396307476
Preventive Medicine - Sports Medicine in San Angelo, TX

Active since June 28, 2019
ASU STATION #10899, SAN ANGELO, TX 76909(940) 435-4347 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angelique Blair Carmouche Mat, Lat,atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELIQUE BLAIR CARMOUCHE MAT, LAT,ATC (NPI 1396307476) is an individual sports medicine provider in San Angelo, Texas, licensed in Texas (AT8258) and active in the NPI registry since June 2019. She maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1396307476
Entity TypeIndividualFemale
Primary Taxonomy2083S0010X
Provider Legal NameANGELIQUE BLAIR CARMOUCHECredential: MAT, LAT,ATC
Location AddressASU STATION #10899San Angelo, TX 76909-0001
Mailing AddressLsu Athletic Administration BuildingBaton Rouge, LA 70803-0001 · (225) 578-8001
Phone(940) 435-4347
Sole ProprietorNo
Enumeration DateJune 28, 2019
Last NPPES UpdateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1396307476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
Licenses✔ Licensed in TX · AT8258✔ Licensed in LA · 319966
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

Secondary Practice Location 1

Location 1Lsu Athletic Administration BuildingBaton Rouge, LA 70803-0001 · Phone (225) 578-8001

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS CHACE LAT, ATC
Specialist/Technologist (Athletic Trainer)
ASU STATION #10899
SAN ANGELO, TX 76909
Tom Green County (316) 619-2772
TROY J HILL ATC
Specialist/Technologist (Athletic Trainer)
ASU STATION #10899
SAN ANGELO, TX 76909
Tom Green County (325) 486-6055
TROY WILDE LAT
Specialist/Technologist (Athletic Trainer)
ASU STATION #10899
SAN ANGELO, TX 76909
Tom Green County (325) 659-3500
RYAN JOHNSON LAT, ATC
Specialist/Technologist (Athletic Trainer)
ASU STATION #10899
SAN ANGELO, TX 76909
Tom Green County (325) 486-6047
MR. THOMAS JOSEPH PATREY II LAT, ATC
Specialist/Technologist (Athletic Trainer)
ASU STATION #10899
SAN ANGELO, TX 76909
Tom Green County (325) 486-6476

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelique Carmouche's NPI number?

The NPI number for Angelique Carmouche is 1396307476. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Angelique Carmouche located?

Angelique Carmouche practices at Asu Station #10899, San Angelo, TX 76909. The listed phone number is (940) 435-4347.

What is Angelique Carmouche's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Angelique Carmouche was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.