| Newkirk Family Practice Clinic Llc | |
|
4725 Gus Thomasson Rd Suite 4 Mesquite TX 75150-1734 | |
| (972) 279-6767 | |
| (972) 279-3914 |
| Full Name | Newkirk Family Practice Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 4725 Gus Thomasson Rd, Mesquite, Texas |
| Authorized Official Name and Position | Trixie Diane Newkirk (OWNER) |
| Authorized Official Contact | 9722796767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newkirk Family Practice Clinic Llc 4725 Gus Thomasson Rd Suite 4 Mesquite TX 75150-1734 Ph: (972) 279-6767 | Newkirk Family Practice Clinic Llc 4725 Gus Thomasson Rd Suite 4 Mesquite TX 75150-1734 Ph: (972) 279-6767 |
| NPI Number | 1558466276 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558466276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | I16636 (Texas) | Primary |
| 207R00000X | Internal Medicine | G4442 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 542807 (Texas) | Primary |
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