Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1501 N Erma Ave, Presidio, Texas |
Authorized Official Name and Position | Linda Molinar (CEO) |
Authorized Official Contact | 4328374812 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1605 N Ft David Hwy Suite B Alpine TX 79830 Ph: (432) 837-4812 | 1501 N Erma Ave Presidio TX 79845 Ph: (432) 229-3030 |
NPI Number | 1093890634 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 11/04/2022 |
Medicare PECOS PAC ID | 5193823045 |
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Medicare Enrollment ID | O20080514000116 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093890634 | NPI | - | NPPES |
189714201 | Medicaid | TX |