| Mineola Medical Center Pllc | |
|
415 W Kilpatrick St Mineola TX 75773-2032 | |
| (903) 569-2006 | |
| Not Available |
| Full Name | Mineola Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 415 W Kilpatrick St, Mineola, Texas |
| Authorized Official Name and Position | Aderemi Adewuyi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2144067240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mineola Medical Center Pllc Po Box 37 Wylie TX 75098-0037 Ph: () - | Mineola Medical Center Pllc 415 W Kilpatrick St Mineola TX 75773-2032 Ph: (903) 569-2006 |
| NPI Number | 1053955039 |
|---|---|
| Provider Enumeration Date | 11/01/2019 |
| Last Update Date | 11/01/2019 |
| Medicare PECOS PAC ID | 0941633432 |
|---|---|
| Medicare Enrollment ID | O20191216000632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053955039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aderemi Wahid Adewuyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760589303 PECOS PAC ID: 1557343217 Enrollment ID: I20050623000939 |
Elliott-thomas Health Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 Fax: 903-569-2206 | |
Quitman Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1220 N Pacific St, Mineola, TX 75773 Phone: 903-569-6124 Fax: 903-569-2467 | |
Trinity Clinic Mineola Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1302 N Pacific St, Mineola, TX 75773 Phone: 903-569-5383 | |
Etmc First Physicians Clinic Mineola Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 N Pacific St, Mineola, TX 75773 Phone: 903-569-6124 Fax: 903-569-2467 | |
Grace Community Healthcare Ministry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 N Pacific St, Mineola, TX 75773 Phone: 903-363-6361 Fax: 903-569-0029 | |
Etmc First Physicians Clinic Mineola 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 N Pacific Ave, Ste 2, Mineola, TX 75773 Phone: 903-569-0610 Fax: 903-569-0676 |