Brownwood Clinic Pa | |
101 B South Park Drive Brownwood TX 76801 | |
(325) 646-3502 | |
(325) 643-6567 |
Full Name | Brownwood Clinic Pa |
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Speciality | Internal Medicine |
Location | 101 B South Park Drive, Brownwood, Texas |
Authorized Official Name and Position | Christopher Gist Stephens (PRESIDENT) |
Authorized Official Contact | 3256463502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brownwood Clinic Pa 101 B South Park Drive Brownwood TX 76801 Ph: (325) 646-3502 | Brownwood Clinic Pa 101 B South Park Drive Brownwood TX 76801 Ph: (325) 646-3502 |
NPI Number | 1194805283 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9830112267 |
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Medicare Enrollment ID | O20060111000644 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194805283 | NPI | - | NPPES |
085053 01 | Medicaid | TX | |
0001DX | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H0244 (Texas) | Primary |
207RR0500X | Internal Medicine - Rheumatology | G0551 (Texas) | Primary |
Provider Name | Sarah Ryman Chandler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811071202 PECOS PAC ID: 0941494553 Enrollment ID: I20101027001398 |
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