| North Texas Discover Hope Clinic Pllc | |
|
1410 8th St Wichita Falls TX 76301-3105 | |
| (940) 923-5214 | |
| Not Available |
| Full Name | North Texas Discover Hope Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1410 8th St, Wichita Falls, Texas |
| Authorized Official Name and Position | Ronald Ray Hall (CEO-OWNER) |
| Authorized Official Contact | 9409235214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Discover Hope Clinic Pllc 1410 8th St Wichita Falls TX 76301-3105 Ph: (940) 923-5214 | North Texas Discover Hope Clinic Pllc 1410 8th St Wichita Falls TX 76301-3105 Ph: (940) 923-5214 |
| NPI Number | 1740723931 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/21/2016 |
| Medicare PECOS PAC ID | 8022385285 |
|---|---|
| Medicare Enrollment ID | O20170519000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740723931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | AP126766 (Texas) | Primary |
| Provider Name | Ronald R Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700281516 PECOS PAC ID: 6103141965 Enrollment ID: I20150219000822 |
| Provider Name | Tracey R Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962087734 PECOS PAC ID: 1456760230 Enrollment ID: I20210506002743 |
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