| Clarendon Family Medicine Pllc | |
|
One Medical Center Drive Clarendon TX 79226 | |
| (806) 874-3531 | |
| Not Available |
| Full Name | Clarendon Family Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | One Medical Center Drive, Clarendon, Texas |
| Authorized Official Name and Position | Dustin Pratt (MD) |
| Authorized Official Contact | 9405858482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarendon Family Medicine Pllc 15986 Fm 2042 Childress TX 79201 Ph: () - | Clarendon Family Medicine Pllc One Medical Center Drive Clarendon TX 79226 Ph: (806) 874-3531 |
| NPI Number | 1497458319 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 0749648376 |
|---|---|
| Medicare Enrollment ID | O20230614001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497458319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Dustin Robert Pratt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912199456 PECOS PAC ID: 2466527007 Enrollment ID: I20080818000229 |
| Provider Name | Peter Nevin Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235220880 PECOS PAC ID: 1951594688 Enrollment ID: I20101026000574 |
| Provider Name | Kathryn I Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225579774 PECOS PAC ID: 6103103007 Enrollment ID: I20170502001446 |
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 Medical Ctr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: One Medical Center Drive Pod K, Clarendon, TX 79226 Phone: 806-874-3531 Fax: 806-874-2244 |