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350 Nw Avenue F Hamlin TX 79520-3016 | |
(325) 597-3611 | |
(325) 597-3854 |
Full Name | |
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Speciality | Clinic/Center |
Location | 350 Nw Avenue F, Hamlin, Texas |
Authorized Official Name and Position | Keith Lloyd Butler (CEO) |
Authorized Official Contact | 3255763646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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350 Nw Avenue F Hamlin TX 79520-3016 Ph: (325) 597-3611 | 350 Nw Avenue F Hamlin TX 79520-3016 Ph: (325) 597-3611 |
NPI Number | 1104238047 |
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Provider Enumeration Date | 05/27/2014 |
Last Update Date | 05/27/2014 |
Medicare PECOS PAC ID | 2062313679 |
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Medicare Enrollment ID | O20200227000458 |
Identifier | Type | State | Issuer |
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1104238047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |