Hallsville Medical Clinic Pllc | |
209 W Main St Suite D Hallsville TX 75650 | |
(903) 668-7462 | |
(903) 668-7400 |
Full Name | Hallsville Medical Clinic Pllc |
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Speciality | General Practice |
Location | 209 W Main St Suite D, Hallsville, Texas |
Authorized Official Name and Position | Jean Rene Yates-halbert (PARTNER) |
Authorized Official Contact | 9036687462 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hallsville Medical Clinic Pllc Po Box 873 Hallsville TX 75650-0873 Ph: (903) 668-7462 | Hallsville Medical Clinic Pllc 209 W Main St Suite D Hallsville TX 75650 Ph: (903) 668-7462 |
NPI Number | 1295406775 |
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Provider Enumeration Date | 09/23/2021 |
Last Update Date | 10/12/2021 |
Medicare PECOS PAC ID | 0446649792 |
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Medicare Enrollment ID | O20211108002896 |
Identifier | Type | State | Issuer |
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1295406775 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Mary K Mcgee |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1770562183 PECOS PAC ID: 6901863562 Enrollment ID: I20041215000270 |
Provider Name | Samantha Jayne Roworth-chaikin |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295712719 PECOS PAC ID: 1254324148 Enrollment ID: I20140528001646 |
Asanaco Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Branch St Apt B, Hallsville, TX 75650 Phone: 903-660-7499 |