Gulf Coast Family Medicine | |
10119 Us 59 Hwy Wharton TX 77488-7224 | |
(979) 532-1159 | |
(979) 532-2119 |
Full Name | Gulf Coast Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 10119 Us 59 Hwy, Wharton, Texas |
Authorized Official Name and Position | Mark A Marconi (PRESIDENT) |
Authorized Official Contact | 9795321159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gulf Coast Family Medicine Po Box 1128 Wharton TX 77488-1128 Ph: (979) 532-1159 | Gulf Coast Family Medicine 10119 Us 59 Hwy Wharton TX 77488-7224 Ph: (979) 532-1159 |
NPI Number | 1447473319 |
---|---|
Provider Enumeration Date | 04/10/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 3870770092 |
---|---|
Medicare Enrollment ID | O20110615000376 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447473319 | NPI | - | NPPES |
158638001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K9342 (Texas) | Primary |
Provider Name | Mark A Marconi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982656583 PECOS PAC ID: 9638180995 Enrollment ID: I20110615000500 |
Mehop Wharton Primary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Regional Medical Dr Ste 1315, Wharton, TX 77488 Phone: 979-245-2008 Fax: 979-314-7164 | |
Fort Bend Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 N Richmond Rd, Wharton, TX 77488 Phone: 979-532-8755 | |
Mehop Wharton Health 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2112 Regional Medical Center Drive Suite 1315, Wharton, TX 77488 Phone: 979-245-2008 | |
South Texas Medical Clinics, P.a. Epsdt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Regional Medical Dr, Wharton, TX 77488 Phone: 979-532-1700 | |
Mehop Wharton Health 3 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2112 Regional Medical Drive Suite 1305, Wharton, TX 77488 Phone: 979-245-2008 | |
Regent Adult And Pediatric Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Valhalla Dr, Wharton, TX 77488 Phone: 979-532-2000 Fax: 979-532-2008 | |
El Campo Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 Phone: 979-543-5510 |