| Pilot Point Medical Clinic, P.a. | |
|
1246 S Highway 377 Pilot Point TX 76258-4375 | |
| (940) 686-2254 | |
| (940) 686-2830 |
| Full Name | Pilot Point Medical Clinic, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1246 S Highway 377, Pilot Point, Texas |
| Authorized Official Name and Position | Kenneth Wayne Beresford (OWNER) |
| Authorized Official Contact | 9406862254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pilot Point Medical Clinic, P.a. Po Box 1117 1246 Hwy 377 South Suite 200 Pilot Point TX 76258-1117 Ph: (940) 686-2254 | Pilot Point Medical Clinic, P.a. 1246 S Highway 377 Pilot Point TX 76258-4375 Ph: (940) 686-2254 |
| NPI Number | 1962424846 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962424846 | NPI | - | NPPES |
| 045386202 | Medicaid | TX | |
| 0A3440 | Other | TX | MEDICARE GROUP PTAN |
| 8F20689 | Other | TX | MEDICARE INDIV PTAN INDVID NPI |
| 0A3440 | Other | MEDICARE INDIVID PTAN FOR GRP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K9226 (Texas) | Primary |
Pilot Point Family Practice Management Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1246 S Highway 377, Pilot Point, TX 76258 Phone: 940-686-2254 | |
Primal Medical Management, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 E Mcdonald Dr, Pilot Point, TX 76258 Phone: 917-250-0068 | |
Barbara Pike, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 770 S Highway 377, Suite #208, Pilot Point, TX 76258 Phone: 940-686-0550 Fax: 940-686-0440 | |
Moremd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7431 Colton Ln, Pilot Point, TX 76258 Phone: 940-290-0200 Fax: 940-488-7533 | |
More Md Houston Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7431 Colton Ln, Pilot Point, TX 76258 Phone: 623-363-0644 | |
Pelzels Hometown Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 N Highway 377, Ste 100, Pilot Point, TX 76258 Phone: 940-686-0123 Fax: 940-686-0170 |