Network Provider Associates | |
3108 W State Highway 22 Corsicana TX 75110-2435 | |
(903) 872-2448 | |
Not Available |
Full Name | Network Provider Associates |
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Speciality | Dentist - General Practice |
Location | 3108 W State Highway 22, Corsicana, Texas |
Authorized Official Name and Position | John Everett Ballard (CIO) |
Authorized Official Contact | 9727550800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Network Provider Associates 4100 Mcewen Rd Suite 110 Dallas TX 75244-5113 Ph: (972) 755-0800 | Network Provider Associates 3108 W State Highway 22 Corsicana TX 75110-2435 Ph: (903) 872-2448 |
NPI Number | 1033294319 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033294319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 18458 (Texas) | Primary |
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