| |
5114 Us Highway 190 E Jasper TX 75951-6710 | |
(615) 468-3188 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 5114 Us Highway 190 E, Jasper, Texas |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | 5114 Us Highway 190 E Jasper TX 75951-6710 Ph: (615) 468-3188 |
NPI Number | 1306511803 |
---|---|
Provider Enumeration Date | 08/16/2021 |
Last Update Date | 08/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306511803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Christus Jasper Memorial Hospital Family Practice Center - Jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 361-887-9083 | |
Emd Health Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203b S Main St, Jasper, TX 75951 Phone: 409-224-8289 | |