Family Care Clinic Of Panhandle | |
102 Hwy 60 E Panhandle TX 79068 | |
(806) 532-2273 | |
(806) 532-2276 |
Full Name | Family Care Clinic Of Panhandle |
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Speciality | Nurse Practitioner |
Location | 102 Hwy 60 E, Panhandle, Texas |
Authorized Official Name and Position | Holly L Jeffreys (ADMINISTRATOR) |
Authorized Official Contact | 8065322273 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Care Clinic Of Panhandle Po Box 10 Panhandle TX 79068-0010 Ph: (806) 532-2273 | Family Care Clinic Of Panhandle 102 Hwy 60 E Panhandle TX 79068 Ph: (806) 532-2273 |
NPI Number | 1487886966 |
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Provider Enumeration Date | 08/17/2009 |
Last Update Date | 02/10/2021 |
Medicare PECOS PAC ID | 5294871240 |
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Medicare Enrollment ID | O20091006000445 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487886966 | NPI | - | NPPES |
209147203 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | 648580 (Texas) | Primary |
Provider Name | Holly L Jeffreys |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316958408 PECOS PAC ID: 7214966779 Enrollment ID: I20050805000238 |
Provider Name | Marla S Bible |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932329463 PECOS PAC ID: 4688745177 Enrollment ID: I20080610000819 |
Provider Name | Randy L Stewart |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841262003 PECOS PAC ID: 5092886614 Enrollment ID: I20080625000128 |
Provider Name | Cherity Gwen Mays |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578921102 PECOS PAC ID: 7618275389 Enrollment ID: I20160413000308 |
Provider Name | Callie B Land |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245787365 PECOS PAC ID: 5890079933 Enrollment ID: I20170308002662 |
Provider Name | Alexis K Wright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437668845 PECOS PAC ID: 1153687975 Enrollment ID: I20171110002869 |
Provider Name | Barbara E Black |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104337336 PECOS PAC ID: 0042571549 Enrollment ID: I20180226000770 |
Provider Name | Sarah Ashley Cuneo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902416597 PECOS PAC ID: 6204253834 Enrollment ID: I20200827003252 |
Provider Name | Alyssa Crawford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093328684 PECOS PAC ID: 6103243555 Enrollment ID: I20200831001009 |
Provider Name | Larissa Brice |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043812449 PECOS PAC ID: 7719398742 Enrollment ID: I20201124001568 |
Provider Name | Terri Trumbly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730774688 PECOS PAC ID: 9032525456 Enrollment ID: I20210310001165 |
Provider Name | Jessica Beard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386129757 PECOS PAC ID: 2365796679 Enrollment ID: I20220713002034 |
Provider Name | Loraine Nunez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477289486 PECOS PAC ID: 2264808732 Enrollment ID: I20221025001856 |
Provider Name | Destry Lanea Morgan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811681661 PECOS PAC ID: 8921469982 Enrollment ID: I20230807003239 |
Provider Name | Cailey Britt Sirmon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265135628 PECOS PAC ID: 6002262425 Enrollment ID: I20231020002490 |
Provider Name | Brent Talley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043095235 PECOS PAC ID: 6204286305 Enrollment ID: I20240102003616 |
Provider Name | Lauren Michelle Jerige |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922850684 PECOS PAC ID: 2365884186 Enrollment ID: I20240524002097 |
Panhandle Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Us Highway 60, Panhandle, TX 79068 Phone: 806-640-4215 Fax: 806-532-2276 |