Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 201 Parks Street, Claude, Texas |
Authorized Official Name and Position | Samuel Stewart (BOARD ADMINISTRATOR) |
Authorized Official Contact | 8062265611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 130 Claude TX 79019-0130 Ph: (806) 226-5611 | 201 Parks Street Claude TX 79019 Ph: (806) 226-5611 |
NPI Number | 1154440741 |
---|---|
Provider Enumeration Date | 03/28/2007 |
Last Update Date | 09/17/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154440741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |