| Heb Family Practice Pa | |
|
601 W Park Way Euless TX 76040-3972 | |
| (817) 354-7070 | |
| (817) 354-7073 |
| Full Name | Heb Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 601 W Park Way, Euless, Texas |
| Authorized Official Name and Position | Elizabeth L Hill (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8173547070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heb Family Practice Pa Po Box 727 Bedford TX 76095-0727 Ph: (817) 354-7070 | Heb Family Practice Pa 601 W Park Way Euless TX 76040-3972 Ph: (817) 354-7070 |
| NPI Number | 1144276668 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 09/17/2014 |
| Medicare PECOS PAC ID | 0042205353 |
|---|---|
| Medicare Enrollment ID | O20040416000811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144276668 | NPI | - | NPPES |
| 168303901 | Medicaid | TX | |
| 0038KV | Other | TX | BCBS GROUP NUMBER |
| DC3144 | Other | MEDICARE RR GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth L Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225084742 PECOS PAC ID: 5496740714 Enrollment ID: I20040421001340 |
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