Deuteronomy | |
874 W Highway 243 Suite 108-b Kaufman TX 75142-1800 | |
(972) 792-5700 | |
Not Available |
Full Name | Deuteronomy |
---|---|
Speciality | General Practice |
Location | 874 W Highway 243, Kaufman, Texas |
Authorized Official Name and Position | Debi Glick (VP ADMIN) |
Authorized Official Contact | 9727925700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deuteronomy Po Box 910042 Dallas TX 75391-0042 Ph: () - | Deuteronomy 874 W Highway 243 Suite 108-b Kaufman TX 75142-1800 Ph: (972) 792-5700 |
NPI Number | 1386665495 |
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Provider Enumeration Date | 07/22/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386665495 | NPI | - | NPPES |
00845K | Other | TX | BCBS |
1198368-07 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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