| Jared Mataska Md Pa | |
|
1339 East St Graham TX 76450-4228 | |
| (940) 521-5500 | |
| Not Available |
| Full Name | Jared Mataska Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1339 East St, Graham, Texas |
| Authorized Official Name and Position | Jared Mataska (MANAGING OWNER) |
| Authorized Official Contact | 9405215500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Mataska Md Pa 1339 East St Graham TX 76450-4228 Ph: (940) 521-5500 | Jared Mataska Md Pa 1339 East St Graham TX 76450-4228 Ph: (940) 521-5500 |
| NPI Number | 1043774896 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 03/03/2021 |
| Medicare PECOS PAC ID | 2567704992 |
|---|---|
| Medicare Enrollment ID | O20190503001244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043774896 | NPI | - | NPPES |
| R4429 | Other | TX | TMB LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jared Hayden Mataska |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780033753 PECOS PAC ID: 2961795562 Enrollment ID: I20190208002329 |
Steven Kent Jones Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511 | |
Jack County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1005 State Highway 16 S, Graham, TX 76450 Phone: 940-282-2512 Fax: 940-567-2895 | |
W Patrick Martin Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511 | |
Peter S Brown Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511 | |
C Ryan Easterling Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 | |
Hal D Huffman Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1339 East St, Graham, TX 76450 Phone: 940-521-5500 Fax: 940-521-5511 |