| |
1011 South Williams Street Atlanta TX 75551-3245 | |
(903) 796-2868 | |
(903) 796-0826 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1011 South Williams Street, Atlanta, Texas |
Authorized Official Name and Position | Anita G Carney (OFFICE MGR) |
Authorized Official Contact | 9037962868 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1011 South Williams Street Atlanta TX 75551-3245 Ph: (903) 796-2868 | 1011 South Williams Street Atlanta TX 75551-3245 Ph: (903) 796-2868 |
NPI Number | 1760483770 |
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Provider Enumeration Date | 08/02/2005 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760483770 | NPI | - | NPPES |
04709 | Other | TX | BCBS |
133389002 | Medicaid | TX | |
133389004 | Medicaid | TX | |
88966 | Other | TX | BCBS |
133389005 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Texas) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
Atlanta Family Practice Clinic Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 W Main St, Atlanta, TX 75551 Phone: 903-796-4133 Fax: 903-796-5001 |