Hometown Physical Medicine, Pllc | |
2200 W Ennis Ave Ennis TX 75119-8054 | |
(972) 875-8600 | |
(972) 875-8481 |
Full Name | Hometown Physical Medicine, Pllc |
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Speciality | Internal Medicine |
Location | 2200 W Ennis Ave, Ennis, Texas |
Authorized Official Name and Position | Michael K Schrader (OWNER) |
Authorized Official Contact | 9728758600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hometown Physical Medicine, Pllc 2200 W Ennis Ave Ennis TX 75119-8054 Ph: (972) 875-8600 | Hometown Physical Medicine, Pllc 2200 W Ennis Ave Ennis TX 75119-8054 Ph: (972) 875-8600 |
NPI Number | 1376809848 |
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Provider Enumeration Date | 04/09/2012 |
Last Update Date | 06/26/2013 |
Medicare PECOS PAC ID | 5890932230 |
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Medicare Enrollment ID | O20130502000466 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376809848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael Keith Schrader |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053398404 PECOS PAC ID: 4183623747 Enrollment ID: I20061207000466 |
Provider Name | April D Morgan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700228004 PECOS PAC ID: 9739401985 Enrollment ID: I20141125002168 |
Provider Name | Tory Magdalene Simpson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992272991 PECOS PAC ID: 9537413356 Enrollment ID: I20181114002555 |
Southwestern Digestive Health Physicians, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 S Clay St Ste 108, Ennis, TX 75119 Phone: 972-875-1800 Fax: 972-875-1490 | |
Davey M Perrin M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Clay St Ste A, Ennis, TX 75119 Phone: 903-229-4292 Fax: 903-229-4288 | |
Dr. Fredric Puckett, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2203 W Lampasas St Ste 111, Ennis, TX 75119 Phone: 972-875-6200 Fax: 972-875-6414 | |
Hope Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 805 W Lampasas St, Ennis, TX 75119 Phone: 972-923-2440 Fax: 972-923-2445 | |
Meg Sullivan, M.d., Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 802 W Lampasas St, Ennis, TX 75119 Phone: 972-875-4700 Fax: 972-878-4527 | |
Lakewood Hills Internal Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2203 W Lampasas St, Ste 111, Ennis, TX 75119 Phone: 972-875-7770 Fax: 972-875-7775 | |
Samuel R Mitz Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 W Lampasas St, Ennis, TX 75119 Phone: 972-875-0546 |