| Heart Of Texas Family Medicine | |
|
1880 N Main St Vidor TX 77662-3018 | |
| (409) 783-2277 | |
| (409) 783-2701 |
| Full Name | Heart Of Texas Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1880 N Main St, Vidor, Texas |
| Authorized Official Name and Position | Christopher Elefano Quirante (PHYSICIAN ASSISTANT/ADMINISTRATOR) |
| Authorized Official Contact | 4097832277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Texas Family Medicine 1880 N Main St Vidor TX 77662-3018 Ph: (409) 783-2277 | Heart Of Texas Family Medicine 1880 N Main St Vidor TX 77662-3018 Ph: (409) 783-2277 |
| NPI Number | 1063793586 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 08/30/2011 |
| Medicare PECOS PAC ID | 7719154475 |
|---|---|
| Medicare Enrollment ID | O20120120000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063793586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H9871 (Texas) | Primary |
| Provider Name | Michael K Crossley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700962735 PECOS PAC ID: 3971590829 Enrollment ID: I20040430000639 |
| Provider Name | Katie L Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114654035 PECOS PAC ID: 1456702489 Enrollment ID: I20240103004852 |
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