Full Name | |
---|---|
Speciality | Family Medicine |
Location | 309 E 9th, Wheeler, Texas |
Authorized Official Name and Position | Robert C Galutia (PRESIDENT) |
Authorized Official Contact | 8068263581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
309 E 9th Po Box 159 Wheeler TX 79096 Ph: (806) 826-3581 | 309 E 9th Wheeler TX 79096 Ph: (806) 826-3581 |
NPI Number | 1891863619 |
---|---|
Provider Enumeration Date | 12/01/2006 |
Last Update Date | 04/05/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891863619 | NPI | - | NPPES |
DP9460 | Other | TX | RAILROAD MEDICARE |
E7935 | Other | TX LICENSE | |
0001PZ | Other | TX | BCBS |
209065601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Connaught Medical Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 East Ninth St, Wheeler, TX 79096 Phone: 806-826-2226 |