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610 S 1st St Muleshoe TX 79347-3625 | |
(806) 272-7544 | |
(806) 272-5155 |
Full Name | |
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Speciality | Clinic/center |
Location | 610 S 1st St, Muleshoe, Texas |
Authorized Official Name and Position | David L Burke (CEO/ADMINISTRATOR) |
Authorized Official Contact | 8062724524 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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708 S 1st St Muleshoe TX 79347-3627 Ph: (806) 272-4524 | 610 S 1st St Muleshoe TX 79347-3625 Ph: (806) 272-7544 |
NPI Number | 1598843419 |
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Provider Enumeration Date | 11/01/2006 |
Last Update Date | 10/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598843419 | NPI | - | NPPES |
131024502 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 000631 (Texas) | Primary |
261Q00000X | Clinic/center | K7393 (Texas) | Secondary |
Jobey D. Claborn, Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 S 1st St, Muleshoe, TX 79347 Phone: 806-272-6825 Fax: 806-272-4113 |