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200 N San Jacinto St Whitney TX 76692-2388 | |
(254) 694-4428 | |
(254) 694-0280 |
Full Name | |
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Speciality | Clinic/center |
Location | 200 N San Jacinto St, Whitney, Texas |
Authorized Official Name and Position | Aman Ali Shah (ADMINISTRATOR) |
Authorized Official Contact | 2546944428 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1629 Whitney TX 76692-1629 Ph: (254) 694-4428 | 200 N San Jacinto St Whitney TX 76692-2388 Ph: (254) 694-4428 |
NPI Number | 1386774933 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 07/30/2007 |
Identifier | Type | State | Issuer |
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1386774933 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 008210 (Texas) | Primary |
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