Oakwood Family Medicine | |
511 Oakwood Blvd Ste 202 Round Rock TX 78681-4068 | |
(512) 388-0511 | |
Not Available |
Full Name | Oakwood Family Medicine |
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Speciality | Family Medicine |
Location | 511 Oakwood Blvd Ste 202, Round Rock, Texas |
Authorized Official Name and Position | Tina Philip (PRESIDENT) |
Authorized Official Contact | 5123880511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oakwood Family Medicine 511 Oakwood Blvd Ste 202 Round Rock TX 78681-4068 Ph: (512) 388-0511 | Oakwood Family Medicine 511 Oakwood Blvd Ste 202 Round Rock TX 78681-4068 Ph: (512) 388-0511 |
NPI Number | 1841835915 |
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Provider Enumeration Date | 11/13/2019 |
Last Update Date | 05/06/2020 |
Medicare PECOS PAC ID | 0749614048 |
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Medicare Enrollment ID | O20191219000659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841835915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tina J Philip |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174793970 PECOS PAC ID: 4587710439 Enrollment ID: I20090918000252 |
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