| Hooked On Health Family Practice | |
|
494 Springhill St Ste 200 Jasper TX 75951-5053 | |
| (409) 489-4864 | |
| (409) 489-4868 |
| Full Name | Hooked On Health Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 494 Springhill St Ste 200, Jasper, Texas |
| Authorized Official Name and Position | Jacklyn Robinson (PRACTICE MANAGER) |
| Authorized Official Contact | 4095504198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hooked On Health Family Practice 494 Springhill St Ste 200 Jasper TX 75951-5053 Ph: () - | Hooked On Health Family Practice 494 Springhill St Ste 200 Jasper TX 75951-5053 Ph: (409) 489-4864 |
| NPI Number | 1295200228 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 4587999818 |
|---|---|
| Medicare Enrollment ID | O20190709002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295200228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Reatha J Bradberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548219876 PECOS PAC ID: 3375613904 Enrollment ID: I20080609000167 |
| Provider Name | Terri L Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891081428 PECOS PAC ID: 8426219619 Enrollment ID: I20120416000373 |
| Provider Name | Mackenzie Leigh Cucancic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336891449 PECOS PAC ID: 0749625531 Enrollment ID: I20240304000224 |
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