| Palo Pinto Rural Healthclinic | |
|
118 S Main Street Gordon TX 76453 | |
| (254) 693-5211 | |
| (254) 693-5774 |
| Full Name | Palo Pinto Rural Healthclinic |
|---|---|
| Speciality | Clinic/center |
| Location | 118 S Main Street, Gordon, Texas |
| Authorized Official Name and Position | Ross A Korkmas (CEO) |
| Authorized Official Contact | 9403257891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palo Pinto Rural Healthclinic 400 Sw 25th Ave Mineral Wells TX 76067-8246 Ph: (940) 325-7891 | Palo Pinto Rural Healthclinic 118 S Main Street Gordon TX 76453 Ph: (254) 693-5211 |
| NPI Number | 1548482110 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548482110 | NPI | - | NPPES |
| 063500504 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Gordon Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 S Main St, Gordon, TX 76453 Phone: 254-693-5211 Fax: 940-328-6523 |