Joseph Howe Crumbliss, M.d., Pa | |
1680 Antilley Rd Suite 135 Abilene TX 79606-5267 | |
(325) 428-5540 | |
(325) 428-5545 |
Full Name | Joseph Howe Crumbliss, M.d., Pa |
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Speciality | Family Medicine |
Location | 1680 Antilley Rd, Abilene, Texas |
Authorized Official Name and Position | Joseph H Crumbliss (OWNER/PHYSICIAN) |
Authorized Official Contact | 3254255540 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joseph Howe Crumbliss, M.d., Pa 1680 Antilley Rd Suite 135 Abilene TX 79606-5267 Ph: (325) 428-5540 | Joseph Howe Crumbliss, M.d., Pa 1680 Antilley Rd Suite 135 Abilene TX 79606-5267 Ph: (325) 428-5540 |
NPI Number | 1982006532 |
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Provider Enumeration Date | 09/25/2014 |
Last Update Date | 09/25/2014 |
Medicare PECOS PAC ID | 3678895166 |
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Medicare Enrollment ID | O20141212000460 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982006532 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F4797 (Texas) | Primary |
Provider Name | Joseph H Crumbliss |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962491829 PECOS PAC ID: 2264456854 Enrollment ID: I20060123000436 |
Agency Of The State Of Texas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2616 S Clack, Ste 160, Abilene, TX 79606 Phone: 325-690-5131 Fax: 325-690-5228 | |
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