Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 709 Barton St, Hearne, Texas |
Authorized Official Name and Position | Theresa Sabella (CEO) |
Authorized Official Contact | 9793832348 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1500 University Dr E College Station TX 77840-2600 Ph: (979) 383-2340 | 709 Barton St Hearne TX 77859-3009 Ph: (979) 279-3451 |
NPI Number | 1558645333 |
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Provider Enumeration Date | 09/28/2011 |
Last Update Date | 09/11/2024 |
Medicare PECOS PAC ID | 4284542127 |
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Medicare Enrollment ID | O20111107000396 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558645333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dcs Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1643 N Market St, Hearne, TX 77859 Phone: 405-445-1210 | |
Amayzing Diagnostic Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 W 3rd St, Hearne, TX 77859 Phone: 800-380-6966 Fax: 888-833-0109 | |