Jasper Memorial Family Practice Center | |
205 E. Louielle Kirbyville TX 75956 | |
(409) 423-2217 | |
Not Available |
Full Name | Jasper Memorial Family Practice Center |
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Speciality | Family Medicine |
Location | 205 E. Louielle, Kirbyville, Texas |
Authorized Official Name and Position | Kim Ellis (PRACTICE MANAGER) |
Authorized Official Contact | 4094232217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jasper Memorial Family Practice Center 205 E. Louielle Kirbyville TX 75956 Ph: (409) 423-2217 | Jasper Memorial Family Practice Center 205 E. Louielle Kirbyville TX 75956 Ph: (409) 423-2217 |
NPI Number | 1972524627 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1972524627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |