Family Healthcare- Kirbyville | |
1905 N Margaret Ave Kirbyville TX 75956-1652 | |
(409) 420-0816 | |
(409) 420-0821 |
Full Name | Family Healthcare- Kirbyville |
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Speciality | Clinic/Center |
Location | 1905 N Margaret Ave, Kirbyville, Texas |
Authorized Official Name and Position | Kalyan K Rath (OWNER) |
Authorized Official Contact | 4093849200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Healthcare- Kirbyville 1905 N Margaret Ave Kirbyville TX 75956-1652 Ph: (409) 420-0816 | Family Healthcare- Kirbyville 1905 N Margaret Ave Kirbyville TX 75956-1652 Ph: (409) 420-0816 |
NPI Number | 1629087630 |
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Provider Enumeration Date | 08/07/2006 |
Last Update Date | 02/08/2023 |
Medicare PECOS PAC ID | 2961310610 |
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Medicare Enrollment ID | O20041028000741 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629087630 | NPI | - | NPPES |
161594003 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 673880 (Texas) | Primary |
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