Houcks Road Family Practice Pc | |
100 South Houcks Road Harrisburg PA 17109-2827 | |
(717) 545-9625 | |
(717) 545-4773 |
Full Name | Houcks Road Family Practice Pc |
---|---|
Speciality | Family Medicine |
Location | 100 South Houcks Road, Harrisburg, Pennsylvania |
Authorized Official Name and Position | Paul Williams (PHYSICIAN) |
Authorized Official Contact | 7175459625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Houcks Road Family Practice Pc 100 South Houcks Road Harrisburg PA 17109-2827 Ph: (717) 545-9625 | Houcks Road Family Practice Pc 100 South Houcks Road Harrisburg PA 17109-2827 Ph: (717) 545-9625 |
NPI Number | 1861479313 |
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Provider Enumeration Date | 12/27/2005 |
Last Update Date | 02/06/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861479313 | NPI | - | NPPES |
001208748 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS006314L (Pennsylvania) | Primary |
363L00000X | Nurse Practitioner | TP006126B (Pennsylvania) | Secondary |
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