| |
621 S Ross Sterling Anahuac TX 77514 | |
(409) 267-4126 | |
(409) 267-4120 |
Full Name | |
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Speciality | Clinic/Center |
Location | 621 S Ross Sterling, Anahuac, Texas |
Authorized Official Name and Position | Robert Pascasio (CEO) |
Authorized Official Contact | 4092673143 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 398 Anahuac TX 77514-0398 Ph: (409) 267-4126 | 621 S Ross Sterling Anahuac TX 77514 Ph: (409) 267-4126 |
NPI Number | 1417032343 |
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Provider Enumeration Date | 10/26/2006 |
Last Update Date | 09/21/2023 |
Medicare PECOS PAC ID | 0244225670 |
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Medicare Enrollment ID | O20080116000800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417032343 | NPI | - | NPPES |
0002556037 | Other | TX | AETNA HMO |
0005356055 | Other | TX | AETNA NON HMO |
127254402 | Medicaid | TX | |
127254406 | Medicaid | TX | |
00R17Z | Other | TX | BLUE CROSS BLUE SHIELD |
127254404 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
Ward Family Practice, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Donna Dr, Anahuac, TX 77514 Phone: 409-267-2248 Fax: 409-267-2249 | |
Chambers County Health And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Airport Rd, Anahuac, TX 77514 Phone: 409-267-2730 Fax: 409-267-3099 | |