Lone Star Family Health Center - Willis | |
9516 Fm 1097 Rd W Ste 140 Willis TX 77318-4976 | |
(936) 539-4004 | |
(936) 224-4205 |
Full Name | Lone Star Family Health Center - Willis |
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Speciality | Clinic/Center |
Location | 9516 Fm 1097 Rd W Ste 140, Willis, Texas |
Authorized Official Name and Position | Karen Harwell (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9365394004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lone Star Family Health Center - Willis 605 S Conroe Medical Dr Conroe TX 77304-4722 Ph: () - | Lone Star Family Health Center - Willis 9516 Fm 1097 Rd W Ste 140 Willis TX 77318-4976 Ph: (936) 539-4004 |
NPI Number | 1013380708 |
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Provider Enumeration Date | 11/04/2015 |
Last Update Date | 07/14/2021 |
Medicare PECOS PAC ID | 7416841994 |
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Medicare Enrollment ID | O20160114001594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013380708 | NPI | - | NPPES |
3526378-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Willis Express And Specialty Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9516 Ste 140 W 1097, Willis, TX 77318 Phone: 936-435-7575 Fax: 936-435-7595 | |
Synergy Aesthetics & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12501 Canyon Falls Blvd, Suite B, Willis, TX 77318 Phone: 936-449-8008 Fax: 936-449-8007 | |
Montgomery Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12717 Interstate 45 N Ste 300, Willis, TX 77318 Phone: 936-662-5505 | |
Willis Isd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N Danville St, Willis, TX 77378 Phone: 936-890-4797 | |
Conroe Willis Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 W Montgomery St, Willis, TX 77378 Phone: 936-890-8000 Fax: 936-890-9000 |