Davy Crockett Drug Clinical Services | |
107 S 4th St Crockett TX 75835-2024 | |
(936) 544-2275 | |
Not Available |
Full Name | Davy Crockett Drug Clinical Services |
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Speciality | Clinic/Center |
Location | 107 S 4th St, Crockett, Texas |
Authorized Official Name and Position | James Jeffrey Martin (DIRECTOR) |
Authorized Official Contact | 9365442275 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Davy Crockett Drug Clinical Services 107 S 4th St Crockett TX 75835-2024 Ph: () - | Davy Crockett Drug Clinical Services 107 S 4th St Crockett TX 75835-2024 Ph: (936) 544-2275 |
NPI Number | 1952069932 |
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Provider Enumeration Date | 12/07/2021 |
Last Update Date | 01/30/2023 |
Medicare PECOS PAC ID | 3072905793 |
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Medicare Enrollment ID | O20220110000299 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952069932 | NPI | - | NPPES |
Provider Name | Laura Purdy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20210224002559 |
Provider Name | Joel Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20210913001306 |
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