| West Texas Family Medicine, Pllc | |
|
1806 Quincy St Plainview TX 79072-4206 | |
| (806) 288-7891 | |
| (806) 288-7920 |
| Full Name | West Texas Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1806 Quincy St, Plainview, Texas |
| Authorized Official Name and Position | Maria Graciela Ortega (BILLING MANAGER) |
| Authorized Official Contact | 8062139560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Texas Family Medicine, Pllc 1806 Quincy St Plainview TX 79072-4206 Ph: (806) 288-7891 | West Texas Family Medicine, Pllc 1806 Quincy St Plainview TX 79072-4206 Ph: (806) 288-7891 |
| NPI Number | 1841628211 |
|---|---|
| Provider Enumeration Date | 10/23/2013 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Medicare PECOS PAC ID | 3971734955 |
|---|---|
| Medicare Enrollment ID | O20140320000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841628211 | NPI | - | NPPES |
| Provider Name | Kenneth C Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700934486 PECOS PAC ID: 2860302395 Enrollment ID: I20050429000682 |
| Provider Name | Mark L Mcclanahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750377198 PECOS PAC ID: 0244252633 Enrollment ID: I20051229000144 |
| Provider Name | Jon R Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235329939 PECOS PAC ID: 5395814735 Enrollment ID: I20080527000342 |
| Provider Name | Kristen E Eaves |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386941144 PECOS PAC ID: 0648455618 Enrollment ID: I20110506000600 |
| Provider Name | Jennifer Lynn Haterius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649608985 PECOS PAC ID: 4981830916 Enrollment ID: I20131122000511 |
| Provider Name | Monte R Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659665396 PECOS PAC ID: 7214151489 Enrollment ID: I20140609000800 |
| Provider Name | Gary D Sackett Ii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578805396 PECOS PAC ID: 9638494578 Enrollment ID: I20150217001106 |
| Provider Name | Lori Ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063878189 PECOS PAC ID: 6800191586 Enrollment ID: I20160217000888 |
| Provider Name | Jessica Michelle Elkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568945160 PECOS PAC ID: 3375894595 Enrollment ID: I20180926002563 |
| Provider Name | Joellen K Qualls |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669643516 PECOS PAC ID: 6901132281 Enrollment ID: I20190724001619 |
| Provider Name | Julia Marie Ontiveros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326650821 PECOS PAC ID: 8022438605 Enrollment ID: I20201020002887 |
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