| |
2200 N Bryan Ave Lamesa TX 79331-2451 | |
(806) 872-2183 | |
(806) 872-0823 |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2200 N Bryan Ave, Lamesa, Texas |
Authorized Official Name and Position | Letha Joy Hughes (CEO) |
Authorized Official Contact | 8068722183 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2200 N Bryan Ave Lamesa TX 79331-2451 Ph: (806) 872-2183 | 2200 N Bryan Ave Lamesa TX 79331-2451 Ph: (806) 872-2183 |
NPI Number | 1033364617 |
---|---|
Provider Enumeration Date | 11/24/2008 |
Last Update Date | 07/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033364617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Texas) | Primary |
Griengsak Chowpaknam Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 N Bryan Ave, Lamesa, TX 79331 Phone: 806-796-0507 Fax: 806-799-6908 | |