Dr Brian Keith Carreon, MD | |
1502 12th St, Suite A, Shallowater, TX 79363-5652 | |
(806) 832-4566 | |
(806) 832-4143 |
Full Name | Dr Brian Keith Carreon |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 1502 12th St, Shallowater, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831162221 | NPI | - | NPPES |
168484709 | Medicaid | TX | |
168484708 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L9125 (Texas) | Primary |
207P00000X | Emergency Medicine | L9125 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Calvert Home Health Care Ltd | Lubbock, TX | Home health agency |
Interim Healthcare Of West Texas Llc | Lubbock, TX | Home health agency |
University Medical Center | Lubbock, TX | Hospital |
Covenant Childrens Hospital | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brian Carreon Md Pa | 8628496460 | 3 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Brian Carreon Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245843051 PECOS PAC ID: 8628496460 Enrollment ID: O20200910003529 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Keith Carreon, MD Po Box 2088, Shallowater, TX 79363-2088 Ph: (806) 832-4566 | Dr Brian Keith Carreon, MD 1502 12th St, Suite A, Shallowater, TX 79363-5652 Ph: (806) 832-4566 |
Robert Douglas Walkup, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7117 Highway 84, Shallowater, TX 79363 Phone: 806-441-7445 |