| Hico Clinic, P.a. | |
|
104 Walnut Hico TX 76457 | |
| (254) 796-4224 | |
| (254) 796-4064 |
| Full Name | Hico Clinic, P.a. |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 104 Walnut, Hico, Texas |
| Authorized Official Name and Position | Billy Charles Dayton (ADMINISTRATOR) |
| Authorized Official Contact | 2547964224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hico Clinic, P.a. Po Box H Hico TX 76457-0230 Ph: (254) 796-4224 | Hico Clinic, P.a. 104 Walnut Hico TX 76457 Ph: (254) 796-4224 |
| NPI Number | 1508938424 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508938424 | NPI | - | NPPES |
| 122918 | Other | TX | CHIPS |
| 807884 | Other | TX | BLUE CROSS BLUE SHIELD |
| 5561178 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 673869 (Texas) | Primary |
Hico Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Walnut St, Hico, TX 76457 Phone: 254-796-4224 Fax: 254-796-4064 |