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902 West College Rising Star TX 76471-5143 | |
(254) 643-3141 | |
(254) 643-4000 |
Full Name | |
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Speciality | Family Medicine |
Location | 902 West College, Rising Star, Texas |
Authorized Official Name and Position | Bryan West (CFO) |
Authorized Official Contact | 3256433300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 520 Brownwood TX 76804-0520 Ph: (254) 643-3141 | 902 West College Rising Star TX 76471-5143 Ph: (254) 643-3141 |
NPI Number | 1285724435 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 08/28/2008 |
Identifier | Type | State | Issuer |
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1285724435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | K4521 (Texas) | Primary |