| Bridge Family Practice | |
|
616 Elm St Portland TX 78374-1714 | |
| (361) 977-2059 | |
| Not Available |
| Full Name | Bridge Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 616 Elm St, Portland, Texas |
| Authorized Official Name and Position | Martha Adriana Moon (CEO) |
| Authorized Official Contact | 3619772059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Family Practice 616 Elm St Portland TX 78374-1714 Ph: (361) 977-2059 | Bridge Family Practice 616 Elm St Portland TX 78374-1714 Ph: (361) 977-2059 |
| NPI Number | 1548849813 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548849813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Darryl Dewitt Collins, M.d.,p.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Cedar Dr, Suite A, Portland, TX 78374 Phone: 361-777-2886 Fax: 361-777-3667 | |
Jerome Lee Sang Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Cedar Dr, Portland, TX 78374 Phone: 361-643-6623 | |
David Heredia Md. Pa. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Wildcat Dr, Suite H, Portland, TX 78374 Phone: 361-777-3330 Fax: 361-777-2811 | |
Coastal Plains Community Mhmr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 | |
Charles C. Gregory, Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Wildcat Dr Ste C, Portland, TX 78374 Phone: 361-643-9800 Fax: 361-643-5112 | |
Mcjv Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 Elm St, Portland, TX 78374 Phone: 361-563-2966 |