| Fairmount Family Practice, Pllc | |
|
3732 Fairdale Rd Hemphill TX 75948 | |
| (409) 579-2044 | |
| (409) 579-2104 |
| Full Name | Fairmount Family Practice, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3732 Fairdale Rd, Hemphill, Texas |
| Authorized Official Name and Position | Priscilla Pipes (CREDENTIALING ADMINISTRATION) |
| Authorized Official Contact | 9366154265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairmount Family Practice, Pllc 3732 Fairdale Rd Hemphill TX 75948 Ph: (409) 579-2044 | Fairmount Family Practice, Pllc 3732 Fairdale Rd Hemphill TX 75948 Ph: (409) 579-2044 |
| NPI Number | 1801317722 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801317722 | NPI | - | NPPES |
| 1922114206 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP123751 (Texas) | Primary |
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