Mark L. Mankins, M.d. Pa | |
306 W Main St Olney TX 76374-1851 | |
(940) 564-3546 | |
(940) 564-8882 |
Full Name | Mark L. Mankins, M.d. Pa |
---|---|
Speciality | Family Medicine |
Location | 306 W Main St, Olney, Texas |
Authorized Official Name and Position | Mark L Mankins (OWNER) |
Authorized Official Contact | 9405643546 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mark L. Mankins, M.d. Pa Po Box 157 Olney TX 76374-0157 Ph: (940) 564-3546 | Mark L. Mankins, M.d. Pa 306 W Main St Olney TX 76374-1851 Ph: (940) 564-3546 |
NPI Number | 1275715419 |
---|---|
Provider Enumeration Date | 11/29/2007 |
Last Update Date | 04/03/2008 |
Medicare PECOS PAC ID | 7911084876 |
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Medicare Enrollment ID | O20080403000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275715419 | NPI | - | NPPES |
1672354 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H0599 (Texas) | Primary |
Provider Name | Mark L Mankins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952416158 PECOS PAC ID: 1254311384 Enrollment ID: I20050209000156 |
Aaron Purdy Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Hamilton St, Olney, TX 76374 Phone: 940-564-3546 | |
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