Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1208 N I27, Plainview, Texas |
Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
Authorized Official Contact | 4255255392 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
2601 Dimmitt Rd Plainview TX 79072-1833 Ph: () - | 1208 N I27 Plainview TX 79072-3937 Ph: (806) 291-5112 |
NPI Number | 1891258877 |
---|---|
Provider Enumeration Date | 04/08/2019 |
Last Update Date | 12/16/2021 |
Medicare PECOS PAC ID | 0749179521 |
---|---|
Medicare Enrollment ID | O20190529001505 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891258877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jon Watkins M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Quincy Street, Plainview, TX 79072 Phone: 806-288-7891 Fax: 806-288-7920 | |
Searobin Inpatient Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Dimmitt Rd, Plainview, TX 79072 Phone: 469-401-2386 Fax: 214-712-2444 | |
Sergio Lara Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2222 W 24th St, Plainview, TX 79072 Phone: 806-293-5113 Fax: 806-296-7990 | |
Brianne Williams, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Quincy Street, Plainview, TX 79072 Phone: 806-288-7891 Fax: 806-288-7920 |