| Patrick W Hisel, Md, Pa | |
|
750 Eureka St Ste B Weatherford TX 76086-6521 | |
| (940) 325-6831 | |
| (940) 325-6891 |
| Full Name | Patrick W Hisel, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 750 Eureka St Ste B, Weatherford, Texas |
| Authorized Official Name and Position | Patrick Warren Hisel (MEMBER) |
| Authorized Official Contact | 9403256831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick W Hisel, Md, Pa Po Box 2333 Weatherford TX 76086-7333 Ph: (940) 325-6831 | Patrick W Hisel, Md, Pa 750 Eureka St Ste B Weatherford TX 76086-6521 Ph: (940) 325-6831 |
| NPI Number | 1528149416 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 1557447430 |
|---|---|
| Medicare Enrollment ID | O20080319000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528149416 | NPI | - | NPPES |
| 148044407 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L2939 (Texas) | Primary |
| Provider Name | Patrick W Hisel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144228578 PECOS PAC ID: 6204852866 Enrollment ID: I20051021000914 |
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