Jack A Maxwell, DO | |
3600 Fm 2181 Ste 100, Hickory Creek, TX 75065-7636 | |
(940) 497-2204 | |
(940) 321-4977 |
Full Name | Jack A Maxwell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 3600 Fm 2181 Ste 100, Hickory Creek, 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 |
---|---|---|---|
1679585087 | NPI | - | NPPES |
124499802 | Medicaid | TX | |
124499806 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G9368 (Texas) | Primary |
207QS1201X | Family Medicine - Sleep Medicine | 2869 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Medical City Denton | Denton, TX | Hospital |
Medical City Lewisville | Lewisville, TX | Hospital |
Texas Health Presbyterian Hospital Denton | Denton, TX | Hospital |
Texas Health Presbyterian Hospital Flower Mound | Flower mound, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Health Physicians Group | 4385535954 | 1203 |
Entity Name | Texas Health Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
Mailing Address | Practice Location Address |
---|---|
Jack A Maxwell, DO 3600 Fm 2181 Ste 100, Hickory Creek, TX 75065-7636 Ph: (940) 497-2204 | Jack A Maxwell, DO 3600 Fm 2181 Ste 100, Hickory Creek, TX 75065-7636 Ph: (940) 497-2204 |
Stephen A Glaser, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Fm 2181 Ste 100, Hickory Creek, TX 75065 Phone: 940-497-2204 Fax: 940-321-4977 |