First Fruits Medical Clinic Pllc | |
1211 E Houston St Beeville TX 78102-5207 | |
(361) 358-8982 | |
(361) 358-2176 |
Full Name | First Fruits Medical Clinic Pllc |
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Speciality | Internal Medicine |
Location | 1211 E Houston St, Beeville, Texas |
Authorized Official Name and Position | Christian N Okpalo (PRESIDENT) |
Authorized Official Contact | 3613588982 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Fruits Medical Clinic Pllc 1211 E Houston St Beeville TX 78102-5207 Ph: (361) 358-8982 | First Fruits Medical Clinic Pllc 1211 E Houston St Beeville TX 78102-5207 Ph: (361) 358-8982 |
NPI Number | 1104900067 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 04/07/2015 |
Medicare PECOS PAC ID | 1658277611 |
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Medicare Enrollment ID | O20031210000450 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104900067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Texas) | Primary |
208000000X | Pediatrics | (Texas) | Secondary |
Provider Name | Christian N Okpalo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649354515 PECOS PAC ID: 9638075609 Enrollment ID: I20070419000555 |
Provider Name | Victor Lara |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306215918 PECOS PAC ID: 1951673102 Enrollment ID: I20170823000118 |
Twin Fountains Primary Care Clinic Of Beeville Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 E Houston St, Suite C, Beeville, TX 78102 Phone: 361-358-9200 Fax: 361-362-1671 | |
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La Bahia Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 E Houston St, Suite A, Beeville, TX 78102 Phone: 361-358-9200 Fax: 361-358-9210 | |
Labahia Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 E Houston St, Ste A, Beeville, TX 78102 Phone: 361-358-9200 Fax: 361-358-9210 | |
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