Walnut Street Clinic | |
Walnut Street Clinic 200 Walnut Street Clinic Ranger TX 76448-7644 | |
(254) 647-1182 | |
Not Available |
Full Name | Walnut Street Clinic |
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Speciality | Clinic/Center |
Location | Walnut Street Clinic, Ranger, Texas |
Authorized Official Name and Position | Laban Joe Wright (CEO/ADMINISTRATOR) |
Authorized Official Contact | 2546315342 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Walnut Street Clinic Walnut Street Clinic 304 S. Daugherty Street Eastland TX 76448 Ph: (254) 631-5342 | Walnut Street Clinic Walnut Street Clinic 200 Walnut Street Clinic Ranger TX 76448-7644 Ph: (254) 647-1182 |
NPI Number | 1760005953 |
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Provider Enumeration Date | 05/21/2020 |
Last Update Date | 08/26/2022 |
Medicare PECOS PAC ID | 3072412725 |
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Medicare Enrollment ID | O20200803002549 |
Identifier | Type | State | Issuer |
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1760005953 | NPI | - | NPPES |
45D0487940 | Other | TX | CLIA |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |