| |
1121 Highway 35 N Rockport TX 78382-3112 | |
(361) 226-3436 | |
(361) 758-4949 |
Full Name | |
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Speciality | Family Medicine |
Location | 1121 Highway 35 N, Rockport, Texas |
Authorized Official Name and Position | Katharine Elise Mcnamara (PRESIDENT) |
Authorized Official Contact | 3612263436 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1209 Aransas Pass TX 78335-1209 Ph: (361) 226-3436 | 1121 Highway 35 N Rockport TX 78382-3112 Ph: (361) 226-3436 |
NPI Number | 1710353214 |
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Provider Enumeration Date | 08/19/2015 |
Last Update Date | 01/09/2025 |
Medicare PECOS PAC ID | 7214234186 |
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Medicare Enrollment ID | O20160322000227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710353214 | NPI | - | NPPES |
480965 | Other | TX | MEDICARE |
1558621334 | Other | TX | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | Q2161 (Texas) | Primary |
Provider Name | Katharine E Mcnamara |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558621334 PECOS PAC ID: 1951527373 Enrollment ID: I20151015001252 |
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