| |
1403 Valhalla Dr Wharton TX 77488-9218 | |
(979) 532-2000 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1403 Valhalla Dr, Wharton, Texas |
Authorized Official Name and Position | Brett Kirkham (CEO) |
Authorized Official Contact | 9795436251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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305 Sandy Corner Rd El Campo TX 77437-9535 Ph: (979) 543-5510 | 1403 Valhalla Dr Wharton TX 77488-9218 Ph: (979) 532-2000 |
NPI Number | 1518465616 |
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Provider Enumeration Date | 01/24/2018 |
Last Update Date | 12/13/2024 |
Medicare PECOS PAC ID | 6406021765 |
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Medicare Enrollment ID | O20180912001908 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518465616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fort Bend Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2407 N Richmond Rd, Wharton, TX 77488 Phone: 979-532-8755 | |
South Texas Medical Clinics, P.a. Epsdt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 Regional Medical Dr, Wharton, TX 77488 Phone: 979-532-1700 | |
El Campo Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ladieu Technology Center Room 112, 911 Boling Highway, Wharton, TX 77488 Phone: 979-543-5510 |