| Family First Of Jacksonville | |
|
2114 E Rusk St Jacksonville TX 75766-9052 | |
| (903) 284-6105 | |
| (903) 284-6104 |
| Full Name | Family First Of Jacksonville |
|---|---|
| Speciality | Family Medicine |
| Location | 2114 E Rusk St, Jacksonville, Texas |
| Authorized Official Name and Position | Kristin Lee Ault (OWNER) |
| Authorized Official Contact | 9032846105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Of Jacksonville 2116 E Rusk St Jacksonville TX 75766-9052 Ph: (903) 284-6105 | Family First Of Jacksonville 2114 E Rusk St Jacksonville TX 75766-9052 Ph: (903) 284-6105 |
| NPI Number | 1942587159 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 9133396674 |
|---|---|
| Medicare Enrollment ID | O20120124000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942587159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey S Pilette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033155270 PECOS PAC ID: 1850294653 Enrollment ID: I20040129000501 |
| Provider Name | Craig C Weaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225004906 PECOS PAC ID: 9931195336 Enrollment ID: I20040421001634 |
| Provider Name | Jeffery Leach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215975834 PECOS PAC ID: 2668493321 Enrollment ID: I20051209000612 |
| Provider Name | Mary A Mcinnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134399751 PECOS PAC ID: 0446320188 Enrollment ID: I20080606000092 |
| Provider Name | Kristin L Ault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609078211 PECOS PAC ID: 0244300721 Enrollment ID: I20080610000644 |
| Provider Name | Justin M Mcinnis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801002837 PECOS PAC ID: 2365513330 Enrollment ID: I20080618000593 |
| Provider Name | Brenda Jane Frisbie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336172238 PECOS PAC ID: 1456429463 Enrollment ID: I20081003000546 |
| Provider Name | Maribel Arredondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316287915 PECOS PAC ID: 8123266210 Enrollment ID: I20130531000187 |
| Provider Name | David S Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275924417 PECOS PAC ID: 1658697529 Enrollment ID: I20150312000321 |
| Provider Name | Holly Deeann Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558837823 PECOS PAC ID: 0446596639 Enrollment ID: I20190109000456 |
| Provider Name | Ryan Earle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699319384 PECOS PAC ID: 4880021997 Enrollment ID: I20200303000545 |
| Provider Name | Robert Michael Galbraith |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609802859 PECOS PAC ID: 4284719386 Enrollment ID: I20210427000269 |
| Provider Name | Shelbi T Bolton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487277885 PECOS PAC ID: 0749604627 Enrollment ID: I20240315002917 |
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Mother Frances Hospital Jacksonville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-531-4500 | |
Jacksonville Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Ragsdale St, Jacksonville, TX 75766 Phone: 903-541-5083 Fax: 903-541-5068 | |
Clinica Hispana Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 S Jackson St Ste 325, Jacksonville, TX 75766 Phone: 903-247-4877 Fax: 832-308-1272 | |
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