| Park Clinic Pa | |
|
310 W Alameda Iowa Park TX 76367-1600 | |
| (940) 592-4141 | |
| (940) 592-4842 |
| Full Name | Park Clinic Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 310 W Alameda, Iowa Park, Texas |
| Authorized Official Name and Position | Fausto Avila (SECT TREASURE) |
| Authorized Official Contact | 9405924141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Clinic Pa P O Box 639 Iowa Park TX 76367-1639 Ph: (940) 592-4141 | Park Clinic Pa 310 W Alameda Iowa Park TX 76367-1600 Ph: (940) 592-4141 |
| NPI Number | 1538263702 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538263702 | NPI | - | NPPES |
| 1115859 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Electra Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 W Alameda St, Iowa Park, TX 76367 Phone: 940-592-4141 | |
Iowa Park Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 Se Access Rd, Iowa Park, TX 76367 Phone: 940-495-3981 Fax: 940-495-4137 | |
Pablo Cortez Teveni, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Se Access Rd, Iowa Park, TX 76367 Phone: 940-592-3500 |