The Doctor Clinic | |
322 Coleman St. Marlin TX 76660-0060 | |
(254) 803-3561 | |
(254) 883-6066 |
Full Name | The Doctor Clinic |
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Speciality | Emergency Medicine |
Location | 322 Coleman St., Marlin, Texas |
Authorized Official Name and Position | Jeff Lyle (ADMINISTRATOR) |
Authorized Official Contact | 2548033561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Doctor Clinic Po Box 60 Marlin TX 76661-0060 Ph: (254) 803-3561 | The Doctor Clinic 322 Coleman St. Marlin TX 76660-0060 Ph: (254) 803-3561 |
NPI Number | 1093743783 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 07/06/2020 |
Certification Date | 07/06/2020 |
Medicare PECOS PAC ID | 8527959816 |
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Medicare Enrollment ID | O20040324000971 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093743783 | NPI | - | NPPES |
0815318-01 | Medicaid | TX | |
00A27W | Other | TX | PTAN |
Provider Name | Kelli J Short |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932177961 PECOS PAC ID: 6608789987 Enrollment ID: I20031112000197 |
Provider Name | William J Frazier |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1164407854 PECOS PAC ID: 0749185395 Enrollment ID: I20031205000309 |
Provider Name | Steven W Finlay |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275537664 PECOS PAC ID: 8729976253 Enrollment ID: I20040308000327 |
Provider Name | Ruben Flores Lerma |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568670925 PECOS PAC ID: 2769461730 Enrollment ID: I20040714001468 |
Provider Name | Jonathan S Coolidge |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215917430 PECOS PAC ID: 1658342621 Enrollment ID: I20040803001412 |
Provider Name | Eduardo Orihuela |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1982682720 PECOS PAC ID: 7012936412 Enrollment ID: I20051115000646 |
Provider Name | Esiquiel P Olivarez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821008384 PECOS PAC ID: 2163424409 Enrollment ID: I20070215000309 |
Provider Name | David N Whitten |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1114907441 PECOS PAC ID: 5496882243 Enrollment ID: I20100427000542 |
Provider Name | Axel E Martinez Irizarry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689860421 PECOS PAC ID: 6103971353 Enrollment ID: I20100625000650 |
Provider Name | Abdul M Keylani |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1386692689 PECOS PAC ID: 5890755433 Enrollment ID: I20120814000289 |
Provider Name | James Phillip Myatt |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1871778001 PECOS PAC ID: 1951433176 Enrollment ID: I20130904000114 |
Provider Name | Kelly Czajkoski |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538163027 PECOS PAC ID: 2365686219 Enrollment ID: I20130917000120 |
Provider Name | Nicole L Reid |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1215089891 PECOS PAC ID: 9436193174 Enrollment ID: I20130917000539 |
Provider Name | Michael L Capps |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962787614 PECOS PAC ID: 1153648894 Enrollment ID: I20150318000690 |
Provider Name | Trevin L Rube |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124497409 PECOS PAC ID: 8628387503 Enrollment ID: I20151015000217 |
Provider Name | Joseph A Cerrato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942732557 PECOS PAC ID: 4183998867 Enrollment ID: I20170919001719 |
Provider Name | Sabrina Latrica Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801306071 PECOS PAC ID: 5092071274 Enrollment ID: I20171103000234 |
Provider Name | Summer L Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821595950 PECOS PAC ID: 0244593598 Enrollment ID: I20180419000076 |
Provider Name | Robin Lynn Argyle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790151710 PECOS PAC ID: 4880903848 Enrollment ID: I20180806002058 |
Provider Name | Jim L Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548713258 PECOS PAC ID: 9032407424 Enrollment ID: I20181214002814 |
Provider Name | Bethany A Rankin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447867742 PECOS PAC ID: 9931512837 Enrollment ID: I20210114001435 |
Provider Name | Clorinda Kay Zawacki |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700857752 PECOS PAC ID: 7810243672 Enrollment ID: I20211020002067 |
Provider Name | Britni A Burks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134854003 PECOS PAC ID: 0042694929 Enrollment ID: I20220825003122 |
Provider Name | Danielle Brooke Janicek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932720646 PECOS PAC ID: 5991170268 Enrollment ID: I20230419001382 |
Provider Name | Helen Okelola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619550985 PECOS PAC ID: 1759776008 Enrollment ID: I20230425000794 |
Provider Name | Nema Randolph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780130906 PECOS PAC ID: 0840652699 Enrollment ID: I20230811000037 |
Provider Name | Bianca A Bocka |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1730868555 PECOS PAC ID: 5496109902 Enrollment ID: I20231002001449 |