| Little River Medical Clinic - Hearne | |
|
104 S Magnolia St Hearne TX 77859-2565 | |
| (979) 280-0022 | |
| (979) 280-0023 |
| Full Name | Little River Medical Clinic - Hearne |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 104 S Magnolia St, Hearne, Texas |
| Authorized Official Name and Position | Shana Davenport (INSURANCE CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 5124464500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little River Medical Clinic - Hearne Po Box 1010 Rockdale TX 76567-1010 Ph: (512) 446-4500 | Little River Medical Clinic - Hearne 104 S Magnolia St Hearne TX 77859-2565 Ph: (979) 280-0022 |
| NPI Number | 1982894408 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982894408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Dcs Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1643 N Market St, Hearne, TX 77859 Phone: 405-445-1210 | |
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