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618 N Jefferson Ave Suite 1 Mt Pleasant TX 75455-3647 | |
(903) 575-9500 | |
(903) 575-9866 |
Full Name | |
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Speciality | Family Medicine |
Location | 618 N Jefferson Ave, Mt Pleasant, Texas |
Authorized Official Name and Position | Christopher Michael Burling (OWNER) |
Authorized Official Contact | 9035759500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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618 N Jefferson Ave Suite 1 Mt Pleasant TX 75455-3647 Ph: (903) 575-9500 | 618 N Jefferson Ave Suite 1 Mt Pleasant TX 75455-3647 Ph: (903) 575-9500 |
NPI Number | 1417990144 |
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Provider Enumeration Date | 06/13/2006 |
Last Update Date | 01/29/2010 |
Medicare PECOS PAC ID | 7214932219 |
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Medicare Enrollment ID | O20060926000313 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417990144 | NPI | - | NPPES |
181903901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K7676 (Texas) | Primary |
Provider Name | Christopher M Burling |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295732832 PECOS PAC ID: 6204731557 Enrollment ID: I20031201000504 |
Provider Name | Carrie L Stansell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891226049 PECOS PAC ID: 2163791195 Enrollment ID: I20170707001178 |
Provider Name | Jami Lanette Baker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104383082 PECOS PAC ID: 3072847003 Enrollment ID: I20190626000274 |
Mount Pleasant Physicians,pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W 19th St, Mt Pleasant, TX 75455 Phone: 903-717-8705 | |