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901 N Jefferson Ave Mt Pleasant TX 75455-3259 | |
(903) 577-7700 | |
(903) 577-7706 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 901 N Jefferson Ave, Mt Pleasant, Texas |
Authorized Official Name and Position | Gary B. Cole (OWNER) |
Authorized Official Contact | 9035777700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 531 Mt Pleasant TX 75456-0531 Ph: (903) 577-7700 | 901 N Jefferson Ave Mt Pleasant TX 75455-3259 Ph: (903) 577-7700 |
NPI Number | 1124017819 |
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Provider Enumeration Date | 10/17/2005 |
Last Update Date | 12/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124017819 | NPI | - | NPPES |
0020LW | Other | TX | BCBS |
8P5370 | Other | TX | BCBS |
172541201 | Medicaid | TX | |
172841201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | E3237 (Texas) | Primary |
Mount Pleasant Physicians,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 19th St, Mt Pleasant, TX 75455 Phone: 903-717-8705 | |