| Family Medicine Clinic, Pa | |
|
251 E Highway 8 Stephenville TX 76401-2207 | |
| (254) 968-7079 | |
| Not Available |
| Full Name | Family Medicine Clinic, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 251 E Highway 8, Stephenville, Texas |
| Authorized Official Name and Position | Bobby Eugene Donohue (OWNER) |
| Authorized Official Contact | 2549687079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Clinic, Pa 251 E Highway 8 Stephenville TX 76401-2207 Ph: (254) 968-7079 | Family Medicine Clinic, Pa 251 E Highway 8 Stephenville TX 76401-2207 Ph: (254) 968-7079 |
| NPI Number | 1598886129 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 01/21/2009 |
| Medicare PECOS PAC ID | 5799849170 |
|---|---|
| Medicare Enrollment ID | O20090129000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598886129 | NPI | - | NPPES |
| 11490201 | Medicaid | TX | |
| 11490203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G3302 (Texas) | Primary |
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