Full Name | |
---|---|
Speciality | Family Medicine |
Location | Hwy 83 W, Jasper, Texas |
Authorized Official Name and Position | Martin E Gilliland (PRESIDENT) |
Authorized Official Contact | 4093843430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
315 W Houston Jasper TX 75951 Ph: () - | Hwy 83 W Jasper TX 75951 Ph: (409) 787-4765 |
NPI Number | 1699863092 |
---|---|
Provider Enumeration Date | 10/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699863092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Christus Jasper Memorial Hospital Family Practice Center - Jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 361-887-9083 | |
Emd Health Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203b S Main St, Jasper, TX 75951 Phone: 409-224-8289 | |