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181 E Dallas Ave Cooper TX 75432-2042 | |
(903) 395-2192 | |
(903) 395-2193 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 181 E Dallas Ave, Cooper, Texas |
Authorized Official Name and Position | Michael W Browder (PRESIDENT & CEO) |
Authorized Official Contact | 6153125103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9070 Paris TX 75461-9070 Ph: (903) 737-3257 | 181 E Dallas Ave Cooper TX 75432-2042 Ph: (903) 395-2192 |
NPI Number | 1902805690 |
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Provider Enumeration Date | 07/15/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902805690 | NPI | - | NPPES |
165479001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |