| Greater Texoma Health Clinic | |
|
900 N Armstrong Ave Denison TX 75020-2230 | |
| (903) 465-2440 | |
| (903) 465-2298 |
| Full Name | Greater Texoma Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 900 N Armstrong Ave, Denison, Texas |
| Authorized Official Name and Position | Horisel Lara (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9034652440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Texoma Health Clinic 900 N Armstrong Ave Denison TX 75020-2230 Ph: (903) 465-2440 | Greater Texoma Health Clinic 900 N Armstrong Ave Denison TX 75020-2230 Ph: (903) 465-2440 |
| NPI Number | 1386760023 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 03/07/2022 |
| Medicare PECOS PAC ID | 3971650318 |
|---|---|
| Medicare Enrollment ID | O20090422000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386760023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Angela C Latham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235188053 PECOS PAC ID: 7416911300 Enrollment ID: I20041119000396 |
| Provider Name | Jack Childress |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841245883 PECOS PAC ID: 9739115494 Enrollment ID: I20050713000965 |
| Provider Name | Patricia Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508059577 PECOS PAC ID: 6204910532 Enrollment ID: I20080226000455 |
| Provider Name | Robert Church |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306048673 PECOS PAC ID: 3779660246 Enrollment ID: I20080408000497 |
| Provider Name | Marilyn Maureen Landrum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285683987 PECOS PAC ID: 5193859007 Enrollment ID: I20100813000879 |
| Provider Name | Rose Marr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427166917 PECOS PAC ID: 7113159286 Enrollment ID: I20140415001448 |
| Provider Name | Heather Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154083970 PECOS PAC ID: 2264820059 Enrollment ID: I20211027003050 |
| Provider Name | Rachel E Kerns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003533324 PECOS PAC ID: 4880062835 Enrollment ID: I20221122001980 |
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