| Family Practice Leonard | |
|
700 N State Highway 78 Leonard TX 75452-0198 | |
| (903) 587-0287 | |
| (903) 587-0298 |
| Full Name | Family Practice Leonard |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 N State Highway 78, Leonard, Texas |
| Authorized Official Name and Position | Richard Cleon Carter (CEO) |
| Authorized Official Contact | 9034081605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Leonard 4211 Joe Ramsey Blvd E Ste 100 Greenville TX 75401-7856 Ph: (903) 455-4767 | Family Practice Leonard 700 N State Highway 78 Leonard TX 75452-0198 Ph: (903) 587-0287 |
| NPI Number | 1568080364 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/17/2020 |
| Medicare PECOS PAC ID | 7517137748 |
|---|---|
| Medicare Enrollment ID | O20200821000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568080364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hunt Memorial Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N State Highway 78, Leonard, TX 75452 Phone: 903-587-0287 | |
Pca-leonard Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N State Highway 78, Leonard, TX 75452 Phone: 903-587-3331 Fax: 903-587-2395 |