| Family Medicine Clinic | |
|
2401 Walker Place Blvd Copperas Cove TX 76522-4025 | |
| (254) 547-5516 | |
| (254) 542-0039 |
| Full Name | Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2401 Walker Place Blvd, Copperas Cove, Texas |
| Authorized Official Name and Position | Mark S Lane (PRESIDENT) |
| Authorized Official Contact | 5125563621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Clinic 207 W Avenue E Lampasas TX 76550-1820 Ph: (512) 556-3621 | Family Medicine Clinic 2401 Walker Place Blvd Copperas Cove TX 76522-4025 Ph: (254) 547-5516 |
| NPI Number | 1700150869 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700150869 | NPI | - | NPPES |
| 121186403 | Medicaid | TX | |
| 121186402 | Medicaid | TX | |
| 458905 | Other | TX | RHC MEDICARE ID |
| 00U72J | Other | TX | MEDICARE B |
| 121186401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Secondary |
Dcs Medical Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3010 E Business 190 # 254, Copperas Cove, TX 76522 Phone: 254-577-5642 | |
Dcs Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3014 E Business 190, Copperas Cove, TX 76522 Phone: 254-577-4384 | |
Cove Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 E Avenue D, Suite H, Copperas Cove, TX 76522 Phone: 254-518-5511 | |
Adventhealth Family Medicine Rural Health Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2401 Walker Place Blvd, Copperas Cove, TX 76522 Phone: 254-547-5516 Fax: 254-542-0039 |