Lighthouse-borger | |
100 Medical Dr Borger TX 79007-7579 | |
(806) 467-5707 | |
(806) 467-5726 |
Full Name | Lighthouse-borger |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 100 Medical Dr, Borger, Texas |
Authorized Official Name and Position | Melody Henderson (INTERIM CEO) |
Authorized Official Contact | 8064675700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse-borger 100 Medical Dr Borger TX 79007-7579 Ph: (806) 467-5707 | Lighthouse-borger 100 Medical Dr Borger TX 79007-7579 Ph: (806) 467-5707 |
NPI Number | 1205358694 |
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Provider Enumeration Date | 07/07/2017 |
Last Update Date | 08/22/2024 |
Certification Date | 08/22/2024 |
Identifier | Type | State | Issuer |
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1205358694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |