| |
4501 Joe Ramsey Blvd E Ste 110, Greenville, TX 75401-7838 | |
(903) 454-1886 | |
(903) 455-3055 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Medical Specialty |
Location | 4501 Joe Ramsey Blvd E Ste 110, Greenville, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851403877 | NPI | - | NPPES |
3093296-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
261QM2500X | Clinic/center - Medical Specialty | 3622TG (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
4501 Joe Ramsey Blvd E Ste 110, Greenville, TX 75401-7838 Ph: (903) 454-1886 | 4501 Joe Ramsey Blvd E Ste 110, Greenville, TX 75401-7838 Ph: (903) 454-1886 |