Mathis Health Clinic | |
1205 E San Patricio Ave Mathis TX 78368-2402 | |
(830) 998-8892 | |
(361) 884-1912 |
Full Name | Mathis Health Clinic |
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Speciality | Clinic/Center |
Location | 1205 E San Patricio Ave, Mathis, Texas |
Authorized Official Name and Position | Donna Karen Groff (FNP/OWNER) |
Authorized Official Contact | 8309988892 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mathis Health Clinic Po Box 61160 Corpus Christi TX 78466-1160 Ph: (361) 884-2904 | Mathis Health Clinic 1205 E San Patricio Ave Mathis TX 78368-2402 Ph: (830) 998-8892 |
NPI Number | 1023641545 |
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Provider Enumeration Date | 02/13/2020 |
Last Update Date | 07/14/2023 |
Medicare PECOS PAC ID | 2365870300 |
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Medicare Enrollment ID | O20200325001229 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023641545 | NPI | - | NPPES |
215621801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Donna Karen Porter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598829681 PECOS PAC ID: 8921290727 Enrollment ID: I20101012001034 |
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