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109 N. Mckinney St Sweeny TX 77480-3400 | |
(800) 257-8715 | |
(800) 819-1655 |
Full Name | |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 109 N. Mckinney St, Sweeny, Texas |
Authorized Official Name and Position | Melissa King (DIRECTOR, CREDENTIALING ENROLLMENT) |
Authorized Official Contact | 8003703651 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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55 Hatchetts Hill Rd Old Lyme CT 06371-1534 Ph: (800) 370-3651 | 109 N. Mckinney St Sweeny TX 77480-3400 Ph: (800) 257-8715 |
NPI Number | 1447201579 |
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Provider Enumeration Date | 05/13/2006 |
Last Update Date | 07/10/2017 |
Identifier | Type | State | Issuer |
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1447201579 | NPI | - | NPPES |
1300824-08 | Medicaid | TX | |
CG8005 | Other | TX | RAILROAD MEDICARE |