Medstaffpc | |
119 1/2 Bryan St Dayton TX 77535-2661 | |
(936) 681-8110 | |
(539) 777-2507 |
Full Name | Medstaffpc |
---|---|
Speciality | Family Medicine |
Location | 119 1/2 Bryan St, Dayton, Texas |
Authorized Official Name and Position | Philip Kurtz (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9187797431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medstaffpc 4500 S 129th East Ave Ste 191 Tulsa OK 74134-5891 Ph: (918) 779-7400 | Medstaffpc 119 1/2 Bryan St Dayton TX 77535-2661 Ph: (936) 681-8110 |
NPI Number | 1730519059 |
---|---|
Provider Enumeration Date | 11/22/2013 |
Last Update Date | 11/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730519059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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