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312 N Pacific St Mineola TX 75773-1712 | |
(903) 363-6361 | |
(903) 569-0029 |
Full Name | |
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Speciality | Clinic/center |
Location | 312 N Pacific St, Mineola, Texas |
Authorized Official Name and Position | Susan Roach (ADMINISTRATOR) |
Authorized Official Contact | 9033636361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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312 N Pacific St Mineola TX 75773-1712 Ph: (903) 569-0020 | 312 N Pacific St Mineola TX 75773-1712 Ph: (903) 363-6361 |
NPI Number | 1619705134 |
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Provider Enumeration Date | 07/25/2024 |
Last Update Date | 07/25/2024 |
Identifier | Type | State | Issuer |
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1619705134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mineola Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 | |
Elliott-thomas Health Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 Fax: 903-569-2206 | |
Quitman Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1220 N Pacific St, Mineola, TX 75773 Phone: 903-569-6124 Fax: 903-569-2467 | |