| Jose Audie E Lim, M.d.,p.a. | |
|
1518 10th Street Wichita Falls TX 76301 | |
| (940) 767-5111 | |
| (940) 767-5011 |
| Full Name | Jose Audie E Lim, M.d.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1518 10th Street, Wichita Falls, Texas |
| Authorized Official Name and Position | Jose Audie E. Lim (SOLE PROPRIETOR) |
| Authorized Official Contact | 9407675111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Audie E Lim, M.d.,p.a. 1518 10th Street Wichita Falls TX 76301 Ph: (940) 767-5111 | Jose Audie E Lim, M.d.,p.a. 1518 10th Street Wichita Falls TX 76301 Ph: (940) 767-5111 |
| NPI Number | 1194947572 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284739541 |
|---|---|
| Medicare Enrollment ID | O20070414000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194947572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K4886 (Texas) | Primary |
| Provider Name | Jose Audie E Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548379696 PECOS PAC ID: 7517064918 Enrollment ID: I20110112000559 |
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