Granbury Family Med Clinic | |
805 Hill Blvd Suite 103 Granbury TX 76048-1482 | |
(817) 573-3447 | |
Not Available |
Full Name | Granbury Family Med Clinic |
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Speciality | Clinic/Center |
Location | 805 Hill Blvd, Granbury, Texas |
Authorized Official Name and Position | Robert Louis Lee (OWNER) |
Authorized Official Contact | 8175733447 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Granbury Family Med Clinic 805 Hill Blvd Suite 103 Granbury TX 76048-1481 Ph: (817) 573-3447 | Granbury Family Med Clinic 805 Hill Blvd Suite 103 Granbury TX 76048-1482 Ph: (817) 573-3447 |
NPI Number | 1396934147 |
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Provider Enumeration Date | 10/17/2007 |
Last Update Date | 03/03/2008 |
Medicare PECOS PAC ID | 2769498005 |
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Medicare Enrollment ID | O20060223000834 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396934147 | NPI | - | NPPES |
145044701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Robert L Lee |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366537482 PECOS PAC ID: 6204842545 Enrollment ID: I20100630000564 |
Hood Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1308 Paluxy Rd Ste 303e, Granbury, TX 76048 Phone: 817-579-0084 Fax: 817-579-0021 | |
Granbury Internal Medicine Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Paluxy Rd, Granbury, TX 76048 Phone: 817-573-8805 Fax: 817-279-9515 | |
Gastrointestinal & Liver Associates Of North Texas P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 Paluxy Road, Granbury, TX 76048 Phone: 817-573-9881 Fax: 817-573-7516 | |
Nucardio-heart-center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Hill Blvd, Suite 106, Granbury, TX 76048 Phone: 817-579-7770 | |
Hood Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1322 Paluxy Rd Ste 2, Granbury, TX 76048 Phone: 817-579-1642 | |
Nucardio Heart Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Hill Blvd, Suite 106, Granbury, TX 76048 Phone: 817-579-7770 | |
Pat A. Thomas, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Paluxy Rd, Granbury, TX 76048 Phone: 817-573-4585 Fax: 682-498-8096 |