| Dickinson Family Medicine Clinic | |
|
1455 Fm 646 Rd W Ste 100 Dickinson TX 77539-2038 | |
| (346) 689-5870 | |
| Not Available |
| Full Name | Dickinson Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1455 Fm 646 Rd W Ste 100, Dickinson, Texas |
| Authorized Official Name and Position | Chris Simpson (PHYSICIAN) |
| Authorized Official Contact | 3466895870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickinson Family Medicine Clinic 1455 Fm 646 Rd W Ste 100 Dickinson TX 77539-2038 Ph: (346) 689-5870 | Dickinson Family Medicine Clinic 1455 Fm 646 Rd W Ste 100 Dickinson TX 77539-2038 Ph: (346) 689-5870 |
| NPI Number | 1174388078 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 04/08/2024 |
| Medicare PECOS PAC ID | 9830535152 |
|---|---|
| Medicare Enrollment ID | O20240308003031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174388078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chris Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023496247 PECOS PAC ID: 0547528028 Enrollment ID: I20180702001593 |
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