| Convenient Care Clinic | |
|
2216 W Washington Stephenville TX 76401-7640 | |
| (254) 965-5888 | |
| (254) 965-5865 |
| Full Name | Convenient Care Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2216 W Washington, Stephenville, Texas |
| Authorized Official Name and Position | Kelly S. Doggett (PHYSICIAN/SOLE MEMBER) |
| Authorized Official Contact | 2549655888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Convenient Care Clinic 2216 W Washington St Stephenville TX 76401-3838 Ph: (254) 965-5888 | Convenient Care Clinic 2216 W Washington Stephenville TX 76401-7640 Ph: (254) 965-5888 |
| NPI Number | 1841705100 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 12/08/2017 |
| Medicare PECOS PAC ID | 9739440983 |
|---|---|
| Medicare Enrollment ID | O20180302001185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841705100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kelly S Doggett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417913344 PECOS PAC ID: 8022094994 Enrollment ID: I20040629001608 |
| Provider Name | Julie M Ruggles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043336175 PECOS PAC ID: 6709215494 Enrollment ID: I20200331003780 |
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