| |
103 John Dupree Dr Levelland TX 79336-6326 | |
(806) 894-2465 | |
(806) 894-8897 |
Full Name | |
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Speciality | Clinic/Center |
Location | 103 John Dupree Dr, Levelland, Texas |
Authorized Official Name and Position | Donald W Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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103 John Dupree Dr Levelland TX 79336-6326 Ph: (806) 894-2465 | 103 John Dupree Dr Levelland TX 79336-6326 Ph: (806) 894-2465 |
NPI Number | 1083602940 |
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Provider Enumeration Date | 10/13/2005 |
Last Update Date | 09/24/2020 |
Medicare PECOS PAC ID | 8527041037 |
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Medicare Enrollment ID | O20120313000485 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083602940 | NPI | - | NPPES |
00K60V | Other | TX | BCBS |
144130502 | Medicaid | TX |
Charles V.o. Hughes, M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 John Dupre Dr, Ste A, Levelland, TX 79336 Phone: 806-894-7900 Fax: 806-894-7631 | |