| P S Well-child Clinic | |
|
407 W Oak St. West TX 76691 | |
| (254) 826-3865 | |
| (254) 826-7071 |
| Full Name | P S Well-child Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 407 W Oak St., West, Texas |
| Authorized Official Name and Position | Paula Ann Snokhous (MANAGER) |
| Authorized Official Contact | 2548263865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P S Well-child Clinic 407 W Oak St P.o. Box 458 West TX 76691 Ph: (254) 826-3865 | P S Well-child Clinic 407 W Oak St. West TX 76691 Ph: (254) 826-3865 |
| NPI Number | 1952433310 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952433310 | NPI | - | NPPES |
| 092036501 | Medicaid | TX | |
| 092036502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | PA02665 (Texas) | Primary |
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West Oak Medical Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 W Oak St, West, TX 76691 Phone: 254-826-3865 Fax: 254-826-7071 |