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315 Prospect Dr Trinity TX 75862-6202 | |
(936) 594-3595 | |
(936) 594-2418 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 315 Prospect Dr, Trinity, Texas |
Authorized Official Name and Position | Samuel L Brown (REGIONAL CFO) |
Authorized Official Contact | 9039465520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1304 Pittsburg TX 75686-2203 Ph: (936) 594-3595 | 315 Prospect Dr Trinity TX 75862-6202 Ph: (936) 594-3595 |
NPI Number | 1548235906 |
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Provider Enumeration Date | 02/21/2006 |
Last Update Date | 08/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548235906 | NPI | - | NPPES |
121817402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mid Coast Medical Center - Trinity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Prospect Dr, Trinity, TX 75862 Phone: 936-744-1400 Fax: 817-231-0367 | |
Lawrence Quan M.d.p.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Prospect Dr, P.o. 672, Trinity, TX 75862 Phone: 936-594-3595 Fax: 936-594-0491 |