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Highway 84 At 8th Ave. Teague TX 75860 | |
(254) 739-5090 | |
(254) 739-5666 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | Highway 84 At 8th Ave., Teague, Texas |
Authorized Official Name and Position | William M. Gracey (COO) |
Authorized Official Contact | 6153728500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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103 Powell Ct Ste. 200 Brentwood TN 37027-5079 Ph: (615) 372-8500 | Highway 84 At 8th Ave. Teague TX 75860 Ph: (254) 739-5090 |
NPI Number | 1831270693 |
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Provider Enumeration Date | 10/18/2006 |
Last Update Date | 09/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831270693 | NPI | - | NPPES |
173417001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cornerstone Family Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 236 E Loop 255, Teague, TX 75860 Phone: 254-739-5090 Fax: 254-739-5666 | |