| |
1246 S Highway 377 Pilot Point TX 76258-4375 | |
(940) 686-2254 | |
(940) 686-2830 |
Full Name | |
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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 |
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Po Box 1117 1246 Hwy 377 South Suite 200 Pilot Point TX 76258-1117 Ph: (940) 686-2254 | 1246 S Highway 377 Pilot Point TX 76258-4375 Ph: (940) 686-2254 |
NPI Number | 1962424846 |
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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 | |
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 | |