| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 110 E Texas St, Marfa, Texas |
| Authorized Official Name and Position | Michael Portacci (SENIOR VP, GROUP OPERATIONS) |
| Authorized Official Contact | 8883739600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 846339 Dallas TX 75284-6339 Ph: () - | 110 E Texas St Marfa TX 79843 Ph: (432) 729-3310 |
| NPI Number | 1659349827 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659349827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
Marfa Country Clinic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 East Oak Street, Marfa, TX 79843 Phone: 432-729-3000 Fax: 432-729-3001 |