| |
701 Mcclintic Dr, Groesbeck, TX 76642-2128 | |
(800) 957-9971 | |
(888) 878-2856 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 701 Mcclintic Dr, Groesbeck, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174538623 | NPI | - | NPPES |
0026NV | Other | TX | BCBS |
188679801 | Medicaid | TX | |
194386201 | Medicaid | TX | |
194386202 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1771 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 496, Hubbard, TX 76648-0496 Ph: (800) 957-9971 | 701 Mcclintic Dr, Groesbeck, TX 76642-2128 Ph: (800) 957-9971 |