| Memorial Clinic | |
|
600 N Highland Ave Suite 105 Sherman TX 75092-5631 | |
| (903) 892-2781 | |
| (903) 892-2780 |
| Full Name | Memorial Clinic |
|---|---|
| Speciality | General Practice |
| Location | 600 N Highland Ave, Sherman, Texas |
| Authorized Official Name and Position | Kevin Brent Stacks (SOLE MEMBER) |
| Authorized Official Contact | 9038922781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Clinic 600 N Highland Ave Suite 104 Sherman TX 75092-5631 Ph: (903) 870-4609 | Memorial Clinic 600 N Highland Ave Suite 105 Sherman TX 75092-5631 Ph: (903) 892-2781 |
| NPI Number | 1033376744 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 03/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033376744 | NPI | - | NPPES |
| 195685601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | K7908 (Texas) | Primary |
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