|
| |
|
2423 Williams Dr Georgetown TX 78628-3200 | |
| (877) 800-5722 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 2423 Williams Dr, Georgetown, Texas |
| Authorized Official Name and Position | Jonathan David Calvin (CEO) |
| Authorized Official Contact | 5129941933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (877) 800-5722 | 2423 Williams Dr Georgetown TX 78628-3200 Ph: (877) 800-5722 |
| NPI Number | 1669603361 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 09/18/2023 |
| Medicare PECOS PAC ID | 5193709392 |
|---|---|
| Medicare Enrollment ID | O20100115000571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669603361 | NPI | - | NPPES |
| 2085110-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
.sunstar Geriatrics Healthcare Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Austin Ave, Suite 1320, Georgetown, TX 78626 Phone: 512-868-9078 Fax: 512-819-0646 | |
Chisholm Trail Pediatrics Inc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 High Tech Dr, Georgetown, TX 78626 Phone: 512-930-4776 Fax: 512-863-4248 | |
Kristy D. Heatly, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Scenic Dr, Suite 1128, Georgetown, TX 78626 Phone: 512-864-2911 | |
Mylc, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Long Point Cove, Georgetown, TX 78628 Phone: 512-965-8600 | |
Hugh M Tadlock Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Starview Dr, Georgetown, TX 78628 Phone: 512-508-1809 |