Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 104 Walnut St, Hico, Texas |
Authorized Official Name and Position | Biran Roland (CEO/ADMINISTRATOR) |
Authorized Official Contact | 2543861600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
400 N Brown St Hamilton TX 76531-1518 Ph: (254) 386-1600 | 104 Walnut St Hico TX 76457-0230 Ph: (254) 796-4224 |
NPI Number | 1710135553 |
---|---|
Provider Enumeration Date | 09/05/2008 |
Last Update Date | 06/12/2024 |
Medicare PECOS PAC ID | 2062326234 |
---|---|
Medicare Enrollment ID | O20090226000682 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710135553 | NPI | - | NPPES |
Hico Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut, Hico, TX 76457 Phone: 254-796-4224 Fax: 254-796-4064 |