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203 W 20th St Ste D Mount Pleasant TX 75455-2325 | |
(903) 577-6000 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 203 W 20th St Ste D, Mount Pleasant, Texas |
Authorized Official Name and Position | Terry Scoggin (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9035776066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 511 Mount Pleasant TX 75456-0511 Ph: (903) 577-7425 | 203 W 20th St Ste D Mount Pleasant TX 75455-2325 Ph: (903) 577-6000 |
NPI Number | 1982070595 |
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Provider Enumeration Date | 08/18/2015 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 0143203257 |
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Medicare Enrollment ID | O20240618003226 |
Identifier | Type | State | Issuer |
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1982070595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |