| Eastland Health Clinic Pllc | |
|
1004 W Main St Eastland TX 76448-2432 | |
| (254) 631-0111 | |
| (254) 631-0186 |
| Full Name | Eastland Health Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1004 W Main St, Eastland, Texas |
| Authorized Official Name and Position | Julie Berenda Stewart (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 2546310111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastland Health Clinic Pllc Po Box 150415 Austin TX 78715-0415 Ph: (254) 631-0111 | Eastland Health Clinic Pllc 1004 W Main St Eastland TX 76448-2432 Ph: (254) 631-0111 |
| NPI Number | 1942572227 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 8426212382 |
|---|---|
| Medicare Enrollment ID | O20120606000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942572227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 653723 (Texas) | Primary |
| Provider Name | Julie B Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457540338 PECOS PAC ID: 8325202286 Enrollment ID: I20120606000231 |
| Provider Name | Roberto John Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912787698 PECOS PAC ID: 3870942840 Enrollment ID: I20231215002334 |
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