| Oak Hills Family Practice | |
|
2756 Elkton Trl Tyler TX 75703-0723 | |
| (903) 534-0911 | |
| (903) 534-8882 |
| Full Name | Oak Hills Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2756 Elkton Trl, Tyler, Texas |
| Authorized Official Name and Position | Pam S Hunt (OFFICE MANAGER) |
| Authorized Official Contact | 9035340911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Hills Family Practice 2756 Elkton Trl Tyler TX 75703-0723 Ph: (903) 534-0911 | Oak Hills Family Practice 2756 Elkton Trl Tyler TX 75703-0723 Ph: (903) 534-0911 |
| NPI Number | 1285738609 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 09/01/2020 |
| Medicare PECOS PAC ID | 0244230605 |
|---|---|
| Medicare Enrollment ID | O20070109000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285738609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (Texas) | Secondary |
| Provider Name | Hope D Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346272671 PECOS PAC ID: 0941200323 Enrollment ID: I20070109000258 |
| Provider Name | Geri Ann Spelbring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255767364 PECOS PAC ID: 9234367566 Enrollment ID: I20140114000449 |
| Provider Name | Brittany Shipes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194110924 PECOS PAC ID: 9436478112 Enrollment ID: I20150430001116 |
| Provider Name | Mary Martha Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871189464 PECOS PAC ID: 8527442052 Enrollment ID: I20220901002594 |
| Provider Name | Jordan Brooke January |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659978021 PECOS PAC ID: 6204294325 Enrollment ID: I20230622001398 |
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