| Fox Medical Clinic | |
|
2920 E Moore Ave Searcy AR 72143-4831 | |
| (479) 381-9052 | |
| Not Available |
| Full Name | Fox Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2920 E Moore Ave, Searcy, Arkansas |
| Authorized Official Name and Position | Clinton Fox (OWNER) |
| Authorized Official Contact | 4793819052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Medical Clinic 2920 E Moore Ave Searcy AR 72143-4831 Ph: (479) 381-9052 | Fox Medical Clinic 2920 E Moore Ave Searcy AR 72143-4831 Ph: (479) 381-9052 |
| NPI Number | 1427700418 |
|---|---|
| Provider Enumeration Date | 01/21/2022 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 6204204308 |
|---|---|
| Medicare Enrollment ID | O20221121003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427700418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Clinton Wade Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588621742 PECOS PAC ID: 4486547080 Enrollment ID: I20040206000337 |
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