| Clarendon Family Medical Ctr | |
|
One Medical Center Drive Pod K Clarendon TX 79226-0300 | |
| (806) 874-3531 | |
| (806) 874-2244 |
| Full Name | Clarendon Family Medical Ctr |
|---|---|
| Speciality | Clinic/Center |
| Location | One Medical Center Drive Pod K, Clarendon, Texas |
| Authorized Official Name and Position | Lori Ann Howard (ADMINISTRATOR) |
| Authorized Official Contact | 8068743531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarendon Family Medical Ctr Po Drawer K One Medical Center Drive Clarendon TX 79226-0300 Ph: (806) 874-3531 | Clarendon Family Medical Ctr One Medical Center Drive Pod K Clarendon TX 79226-0300 Ph: (806) 874-3531 |
| NPI Number | 1780767236 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 03/15/2018 |
| Medicare PECOS PAC ID | 5193023885 |
|---|---|
| Medicare Enrollment ID | O20160929000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780767236 | NPI | - | NPPES |
| 08377401 | Medicaid | TX | |
| 063676301 | Medicaid | TX | |
| 122915 | Other | TX | SUPERIOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| Provider Name | John Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255323770 PECOS PAC ID: 3971575739 Enrollment ID: I20091231000032 |
Clarendon Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Drive, Clarendon, TX 79226 Phone: 806-874-3531 | |
Donley County Medical Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: One Medical Center Drive Pod K, Clarendon, TX 79226 Phone: 806-874-3531 Fax: 806-874-2244 | |
Clarendon Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: One Medical Center Drive, Clarendon, TX 79226 Phone: 806-874-3531 |