| Buffalo Family Practice Pllc | |
|
1686 W Us Highway 79 Buffalo TX 75831-3490 | |
| (903) 322-1290 | |
| (903) 322-1304 |
| Full Name | Buffalo Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1686 W Us Highway 79, Buffalo, Texas |
| Authorized Official Name and Position | Julie Pickens (PRESIDENT) |
| Authorized Official Contact | 9033881058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Family Practice Pllc Po Box M Buffalo TX 75831-0317 Ph: (903) 322-1290 | Buffalo Family Practice Pllc 1686 W Us Highway 79 Buffalo TX 75831-3490 Ph: (903) 322-1290 |
| NPI Number | 1548816721 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 1456681253 |
|---|---|
| Medicare Enrollment ID | O20190920001803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548816721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin Scott Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306284211 PECOS PAC ID: 2769608256 Enrollment ID: I20160801001774 |
| Provider Name | Julie Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134781081 PECOS PAC ID: 0446580245 Enrollment ID: I20190920001897 |
| Provider Name | James Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619539103 PECOS PAC ID: 6709116528 Enrollment ID: I20190925003504 |
| Provider Name | Lori Anne Irons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588448526 PECOS PAC ID: 5799149126 Enrollment ID: I20230918002998 |
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