Buna Medical Clinic | |
35607 Hwy 96 South Buna TX 77612-6600 | |
(409) 994-9323 | |
(409) 994-9290 |
Full Name | Buna Medical Clinic |
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Speciality | Clinic/Center |
Location | 35607 Hwy 96 South, Buna, Texas |
Authorized Official Name and Position | Lara D West (BILLING MANAGER) |
Authorized Official Contact | 4099949323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Buna Medical Clinic Po Box 2279 Buna TX 77612-2279 Ph: (409) 994-9323 | Buna Medical Clinic 35607 Hwy 96 South Buna TX 77612-6600 Ph: (409) 994-9323 |
NPI Number | 1306066568 |
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Provider Enumeration Date | 04/27/2007 |
Last Update Date | 11/08/2016 |
Medicare PECOS PAC ID | 0749249001 |
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Medicare Enrollment ID | O20060404000063 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306066568 | NPI | - | NPPES |
153391103 | Other | TX | MEDICAID TX HEALTH STEPS |
153391101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Bob K. Wynn, M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 296 Us Highway Business 96, Buna, TX 77612 Phone: 409-994-2427 Fax: 409-994-3132 |