| Gene Mcdaniel Do Pa | |
|
308 W Hwy 199 Springtown TX 76082 | |
| (817) 523-5402 | |
| (817) 523-5422 |
| Full Name | Gene Mcdaniel Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 308 W Hwy 199, Springtown, Texas |
| Authorized Official Name and Position | Wendell Gene Mcdaniel (PRESIDENT) |
| Authorized Official Contact | 8175235402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gene Mcdaniel Do Pa Po Box 1039 Springtown TX 76082 Ph: (817) 523-5402 | Gene Mcdaniel Do Pa 308 W Hwy 199 Springtown TX 76082 Ph: (817) 523-5402 |
| NPI Number | 1730125865 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 02/26/2013 |
| Medicare PECOS PAC ID | 0143240788 |
|---|---|
| Medicare Enrollment ID | O20051129000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730125865 | NPI | - | NPPES |
| 80192642 | Other | TX | RR MEDICARE |
| 0093JA | Other | TX | BCBS |
| 154733301 | Medicaid | TX | |
| 4959470001 | Other | TX | DME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Debbie L Mcdougall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417985359 PECOS PAC ID: 0941202170 Enrollment ID: I20070201000064 |
| Provider Name | Wendell Gene Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508802646 PECOS PAC ID: 1850311499 Enrollment ID: I20120314000845 |
| Provider Name | Aimee Simington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952875932 PECOS PAC ID: 5092053819 Enrollment ID: I20190220001494 |
Ganzon Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 E Hwy 199, Springtown, TX 76082 Phone: 817-523-5402 Fax: 817-523-5422 | |
Wright Way Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 E Highway 199 Ste 102, Springtown, TX 76082 Phone: 817-409-4699 Fax: 817-409-4751 |