Jasper Diagnostic Clinic | |
300 Marvin Hancock Dr Jasper TX 75951-3480 | |
(409) 383-1355 | |
(409) 384-7276 |
Full Name | Jasper Diagnostic Clinic |
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Speciality | Clinic/Center |
Location | 300 Marvin Hancock Dr, Jasper, Texas |
Authorized Official Name and Position | Saurabh Singh (OWNER) |
Authorized Official Contact | 4093831355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jasper Diagnostic Clinic 300 Marvin Hancock Dr Jasper TX 75951-3480 Ph: (409) 383-1355 | Jasper Diagnostic Clinic 300 Marvin Hancock Dr Jasper TX 75951-3480 Ph: (409) 383-1355 |
NPI Number | 1801075957 |
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Provider Enumeration Date | 10/25/2007 |
Last Update Date | 10/25/2007 |
Medicare PECOS PAC ID | 1759354384 |
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Medicare Enrollment ID | O20040812001461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801075957 | NPI | - | NPPES |
1442428 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | J4671 (Texas) | Primary |
Provider Name | Saurabh Singh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871593103 PECOS PAC ID: 1557334182 Enrollment ID: I20100208000807 |
Christus Jasper Memorial Hospital Family Practice Center - Jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 361-887-9083 | |
Emd Health Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203b S Main St, Jasper, TX 75951 Phone: 409-224-8289 | |