| Houston County Family Medical Clinic | |
|
1501 E Loop 304 Ste 50 Crockett TX 75835-3417 | |
| (832) 964-6436 | |
| Not Available |
| Full Name | Houston County Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 E Loop 304 Ste 50, Crockett, Texas |
| Authorized Official Name and Position | Natalie Elizabeth Bachynsky (MEMBER/FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 8329646436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston County Family Medical Clinic 6505 Fm 1280 E Lovelady TX 75851-3688 Ph: (936) 544-7223 | Houston County Family Medical Clinic 1501 E Loop 304 Ste 50 Crockett TX 75835-3417 Ph: (832) 964-6436 |
| NPI Number | 1750921441 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 08/03/2020 |
| Medicare PECOS PAC ID | 2466889027 |
|---|---|
| Medicare Enrollment ID | O20200221000578 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750921441 | NPI | - | NPPES |
| 408787601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | James Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154304467 PECOS PAC ID: 8224946389 Enrollment ID: I20050308000895 |
| Provider Name | Natalie Ea Bachynsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840068 PECOS PAC ID: 4082914569 Enrollment ID: I20151207000741 |
| Provider Name | Patricia Holley Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558995738 PECOS PAC ID: 6709293269 Enrollment ID: I20210329002110 |
| Provider Name | Jeffrey Dwain Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245982875 PECOS PAC ID: 1355734427 Enrollment ID: I20220214000772 |
| Provider Name | Timber Lea Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497452320 PECOS PAC ID: 5092188938 Enrollment ID: I20230224000192 |
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