| Jon W Copeland Do Pa | |
|
808 Woodrow Wilson Ray Cir Bridgeport TX 76426-2061 | |
| (940) 683-2297 | |
| (940) 683-2984 |
| Full Name | Jon W Copeland Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 808 Woodrow Wilson Ray Cir, Bridgeport, Texas |
| Authorized Official Name and Position | Jon W Copeland (DOCTOR) |
| Authorized Official Contact | 9406832297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon W Copeland Do Pa 808 Woodrow Wilson Ray Cir Bridgeport TX 76426-2061 Ph: (940) 683-2297 | Jon W Copeland Do Pa 808 Woodrow Wilson Ray Cir Bridgeport TX 76426-2061 Ph: (940) 683-2297 |
| NPI Number | 1649304486 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 06/12/2008 |
| Medicare PECOS PAC ID | 4688658347 |
|---|---|
| Medicare Enrollment ID | O20040617001749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649304486 | NPI | - | NPPES |
| 080100301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DOF9325 (Texas) | Primary |
| Provider Name | Jon W Copeland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265484968 PECOS PAC ID: 7315921079 Enrollment ID: I20100804000955 |
David A Ray Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2984 | |
Denise M. Casper, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2722 | |
David A Ray D O P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2984 | |
Wise County Medical & Surgical Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 13th St, Bridgeport, TX 76426 Phone: 940-627-7443 Fax: 940-627-7597 | |
Virtue Medical Pa, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Center Court Dr, Bridgeport, TX 76426 Phone: 940-255-6552 Fax: 940-202-7058 | |
Virtue Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1306 13th St, Bridgeport, TX 76426 Phone: 940-255-6552 Fax: 940-202-7058 |