| |
116 John Dupree Dr Levelland TX 79336-6300 | |
(806) 894-7900 | |
(806) 894-7631 |
Full Name | |
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Speciality | Clinic/Center |
Location | 116 John Dupree Dr, Levelland, Texas |
Authorized Official Name and Position | Donald W Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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116 John Dupree Dr Levelland TX 79336-6300 Ph: (806) 894-7900 | 116 John Dupree Dr Levelland TX 79336-6300 Ph: (806) 894-7900 |
NPI Number | 1659360279 |
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Provider Enumeration Date | 10/17/2005 |
Last Update Date | 09/24/2020 |
Medicare PECOS PAC ID | 8527041037 |
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Medicare Enrollment ID | O20100408000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659360279 | NPI | - | NPPES |
063531001 | Medicaid | TX | |
0003CV | Other | TX | BCBS |
Charles V.o. Hughes, M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 John Dupre Dr, Ste A, Levelland, TX 79336 Phone: 806-894-7900 Fax: 806-894-7631 | |