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650 E Lennon Dr Emory TX 75440-3227 | |
(903) 473-7234 | |
(903) 473-8096 |
Full Name | |
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Speciality | Clinic/Center |
Location | 650 E Lennon Dr, Emory, Texas |
Authorized Official Name and Position | Steven P Keuer (PRESIDENT/CEO) |
Authorized Official Contact | 9036064445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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520 E Douglas Blvd Tyler TX 75702-8307 Ph: (903) 593-1721 | 650 E Lennon Dr Emory TX 75440-3227 Ph: (903) 473-7234 |
NPI Number | 1033641105 |
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Provider Enumeration Date | 03/29/2017 |
Last Update Date | 01/10/2020 |
Medicare PECOS PAC ID | 3072426741 |
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Medicare Enrollment ID | O20170518000309 |
Identifier | Type | State | Issuer |
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1033641105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hunt Memorial Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 E Lennon Dr Ste 3, Emory, TX 75440 Phone: 903-473-2060 |