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400 W. Calvert St , Unit C Troup TX 75789 | |
(903) 969-5056 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 400 W. Calvert St , Unit C, Troup, Texas |
Authorized Official Name and Position | Stephanie Mcclure (NP) |
Authorized Official Contact | 9039695056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1192 Whitehouse TX 75791-1192 Ph: (903) 202-7002 | 400 W. Calvert St , Unit C Troup TX 75789 Ph: (903) 969-5056 |
NPI Number | 1891487070 |
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Provider Enumeration Date | 05/24/2023 |
Last Update Date | 01/30/2025 |
Medicare PECOS PAC ID | 9931568755 |
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Medicare Enrollment ID | O20230711002084 |
Identifier | Type | State | Issuer |
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1891487070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Stephanie Mcclure |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225720014 PECOS PAC ID: 3476912205 Enrollment ID: I20230711002324 |
William Boyd Roberson Jr, Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8511 Fm 856 N, Troup, TX 75789 Phone: 903-738-1623 |