| Bill H Puryear | |
|
4010 E Belknap St Haltom City TX 76111-6609 | |
| (817) 834-7161 | |
| (817) 834-7104 |
| Full Name | Bill H Puryear |
|---|---|
| Speciality | Family Medicine |
| Location | 4010 E Belknap St, Haltom City, Texas |
| Authorized Official Name and Position | Bill H Puryear (OWNER) |
| Authorized Official Contact | 8178347161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill H Puryear 4010 E Belknap St Haltom City TX 76111-6609 Ph: (817) 834-7161 | Bill H Puryear 4010 E Belknap St Haltom City TX 76111-6609 Ph: (817) 834-7161 |
| NPI Number | 1679753685 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679753685 | NPI | - | NPPES |
| 112615302 | Medicaid | TX | |
| 130944502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
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