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808 W. Hwy 79 Franklin TX 77856-1728 | |
(979) 828-4540 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 808 W. Hwy 79, Franklin, Texas |
Authorized Official Name and Position | Theresa Sabella (CEO) |
Authorized Official Contact | 9793832340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1500 University Dr E 100 College Station TX 77840-2600 Ph: (979) 846-1100 | 808 W. Hwy 79 Franklin TX 77856-1728 Ph: (979) 828-4540 |
NPI Number | 1841562451 |
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Provider Enumeration Date | 01/30/2012 |
Last Update Date | 09/11/2024 |
Medicare PECOS PAC ID | 4284542127 |
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Medicare Enrollment ID | O20120307000554 |
Identifier | Type | State | Issuer |
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1841562451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Oak Grove Road, Franklin, TX 77856 Phone: 979-232-5022 | |