| Firm Foundations Healthcare Clinic Pc | |
|
2708 Jefferson Dr Ste A Liberty TX 77575-1036 | |
| (936) 334-8800 | |
| (936) 334-8801 |
| Full Name | Firm Foundations Healthcare Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2708 Jefferson Dr Ste A, Liberty, Texas |
| Authorized Official Name and Position | Stephanie Janel Smith (CO-OWNER) |
| Authorized Official Contact | 9363348800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Firm Foundations Healthcare Clinic Pc 2708 Jefferson Dr Ste A Liberty TX 77575-1036 Ph: (936) 334-8800 | Firm Foundations Healthcare Clinic Pc 2708 Jefferson Dr Ste A Liberty TX 77575-1036 Ph: (936) 334-8800 |
| NPI Number | 1447403399 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 02/27/2023 |
| Medicare PECOS PAC ID | 1052475217 |
|---|---|
| Medicare Enrollment ID | O20090203000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447403399 | NPI | - | NPPES |
| 0A0340 | Other | TX | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William S Burkes |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609879378 PECOS PAC ID: 2062308869 Enrollment ID: I20040227000165 |
| Provider Name | Raymond J Luna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740280692 PECOS PAC ID: 4284684069 Enrollment ID: I20090203000250 |
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