Full Name | |
---|---|
Speciality | Family Medicine - Sports Medicine |
Location | Hp 260, Muncie, Indiana |
Authorized Official Name and Position | Neal Hazen (HEAD ATHLETICS TRAINER) |
Authorized Official Contact | 7652854469 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | Hp 260 Muncie IN 47306-0001 Ph: (765) 285-4469 |
NPI Number | 1295137925 |
---|---|
Provider Enumeration Date | 09/25/2014 |
Last Update Date | 09/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295137925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Meridian Health Services Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Walnut St # 1, Muncie, IN 47305 Phone: 765-288-1928 | |
Meridian Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 W Jackson St, Muncie, IN 47303 Phone: 765-288-1928 Fax: 765-741-0362 | |
Open Door Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2600 W White River Blvd, Muncie, IN 47303 Phone: 765-286-7000 | |