Memorial Clinic | |
600 N Highland Ave Suite 105 Sherman TX 75092-5631 | |
(903) 892-2781 | |
(903) 892-2780 |
Full Name | Memorial Clinic |
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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 |
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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 |
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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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