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300 W Halsell St Dimmitt TX 79027-1846 | |
(806) 647-2194 | |
(806) 647-3769 |
Full Name | |
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Speciality | Family Medicine |
Location | 300 W Halsell St, Dimmitt, Texas |
Authorized Official Name and Position | Nathan Flood (CEO) |
Authorized Official Contact | 8066472191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 949 Dimmitt TX 79027-0949 Ph: (806) 647-2194 | 300 W Halsell St Dimmitt TX 79027-1846 Ph: (806) 647-2194 |
NPI Number | 1306052089 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 02/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306052089 | NPI | - | NPPES |
063566602 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Mike Capt Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Halsell St, Dimmitt, TX 79027 Phone: 806-577-7578 | |