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209 Nw 8th St Seminole TX 79360-3447 | |
| (432) 758-5811 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 209 Nw 8th St, Seminole, Texas |
| Authorized Official Name and Position | Stacy Renee Berry (DIRECTOR REVENUE CYCLE HIM) |
| Authorized Official Contact | 4327584951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
209 Nw 8th St Seminole TX 79360-3447 Ph: (432) 758-1155 | 209 Nw 8th St Seminole TX 79360-3447 Ph: (432) 758-5811 |
| NPI Number | 1467879569 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467879569 | NPI | - | NPPES |
| 094121303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wendell Parkey,m.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Nw 8th St, Seminole, TX 79360 Phone: 432-758-1155 Fax: 432-758-4740 | |
Lance Martin, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Nw 8th St, Seminole, TX 79360 Phone: 432-758-1155 | |
Timothy Gloyd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2302 Sw Avenue F, Seminole, TX 79360 Phone: 832-909-9590 Fax: 713-721-2535 |