Dr Kelly C Hallmark, MD | |
120 E Beauregard Ave, San Angelo, TX 76903-5919 | |
(325) 747-1511 | |
Not Available |
Full Name | Dr Kelly C Hallmark |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 19 Years |
Location | 120 E Beauregard Ave, San Angelo, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174704373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | N2547 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shannon Medical Center | San angelo, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shannon Clinic | 0840103727 | 411 |
Entity Name | Shannon Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
---|---|
Dr Kelly C Hallmark, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 747-1511 | Dr Kelly C Hallmark, MD 120 E Beauregard Ave, San Angelo, TX 76903-5919 Ph: (325) 747-1511 |
Stephen M Stanley, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Anthony Charles Soldano, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-657-5217 | |
Jerry K Gideon, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Joe A Mims, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511 |