| |
405 S. Main Street Ste 100 Monahans TX 79756-4506 | |
(432) 943-7537 | |
(432) 943-4767 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 405 S. Main Street, Monahans, Texas |
Authorized Official Name and Position | David William Davison (DIRECTOR/OWNER) |
Authorized Official Contact | 4329437537 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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405 S. Main Street Ste 100 Monahans TX 79756-4506 Ph: (432) 943-7537 | 405 S. Main Street Ste 100 Monahans TX 79756-4506 Ph: (432) 943-7537 |
NPI Number | 1295793214 |
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Provider Enumeration Date | 05/01/2006 |
Last Update Date | 02/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295793214 | NPI | - | NPPES |
063441201 | Medicaid | TX | |
091921901 | Medicaid | TX | |
091921902 | Medicaid | TX |