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911 23rd Street Canyon TX 79015-4600 | |
| (806) 655-2104 | |
| (806) 655-0522 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 911 23rd Street, Canyon, Texas |
| Authorized Official Name and Position | Stefanie Feemster (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8063589400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
911 23rd Street Canyon TX 79015-4600 Ph: (806) 655-2104 | 911 23rd Street Canyon TX 79015-4600 Ph: (806) 655-2104 |
| NPI Number | 1619902848 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619902848 | NPI | - | NPPES |
| 45D0506538 | Other | TX | CLIA |
John P Dzik Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8745 Plantation Dr, Canyon, TX 79015 Phone: 806-622-2725 Fax: 806-352-4887 | |
Thomas A. Sames, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19410 Mockingbird Rd, Canyon, TX 79015 Phone: 806-576-1032 Fax: 806-576-1032 | |
Preventive Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Village Dr, Canyon, TX 79015 Phone: 806-316-2754 | |
West Texas Medical Management Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19410 Mockingbird Rd, Canyon, TX 79015 Phone: 806-677-8902 |