| |
4301 College Dr Rm 600 Vernon TX 76384-3169 | |
(940) 766-6306 | |
(940) 766-6504 |
Full Name | |
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Speciality | Clinic/Center |
Location | 4301 College Dr Rm 600, Vernon, Texas |
Authorized Official Name and Position | Allen Patterson (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9407666306 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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200 Mlk Jr Blvd Wichita Falls TX 76301-1152 Ph: (940) 766-6306 | 4301 College Dr Rm 600 Vernon TX 76384-3169 Ph: (940) 766-6306 |
NPI Number | 1386238624 |
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Provider Enumeration Date | 02/26/2021 |
Last Update Date | 03/17/2021 |
Medicare PECOS PAC ID | 9931099215 |
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Medicare Enrollment ID | O20210319000575 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386238624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
North Central Texas Community Health Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2015 Yamparika St, Vernon, TX 76384 Phone: 940-766-6306 | |
Wilbarger County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 College Dr, Vernon, TX 76384 Phone: 940-553-2892 Fax: 940-553-2893 | |
Texas Rose Family Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1900 Pease St Ste 208, Vernon, TX 76384 Phone: 940-553-7036 Fax: 940-553-7056 | |
Bryant Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Main St, Vernon, TX 76384 Phone: 940-553-7092 Fax: 940-553-7095 | |
Jessie D. Hicks, D.o.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 College Dr Rm 800, Vernon, TX 76384 Phone: 940-552-9323 Fax: 940-552-9328 |