Edgewood Rural Healthh Clinic | |
106 East Pine Street Edgewood TX 75117 | |
(903) 896-2222 | |
Not Available |
Full Name | Edgewood Rural Healthh Clinic |
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Speciality | Family Medicine |
Location | 106 East Pine Street, Edgewood, Texas |
Authorized Official Name and Position | Ali Rizvi (PRESIDENT) |
Authorized Official Contact | 9038962222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edgewood Rural Healthh Clinic 106 East Pine Street Edgewood TX 75117 Ph: (903) 896-2222 | Edgewood Rural Healthh Clinic 106 East Pine Street Edgewood TX 75117 Ph: (903) 896-2222 |
NPI Number | 1871909275 |
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Provider Enumeration Date | 07/07/2014 |
Last Update Date | 07/07/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871909275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
East Texas Out-patient Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 N Houston St, Edgewood, TX 75117 Phone: 903-962-3419 Fax: 903-962-3635 |