Push Medical Services | |
168 Col Etheredge Blvd Ste A Huntsville TX 77340-4224 | |
(936) 439-4608 | |
(936) 353-0055 |
Full Name | Push Medical Services |
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Speciality | Family Medicine |
Location | 168 Col Etheredge Blvd Ste A, Huntsville, Texas |
Authorized Official Name and Position | Aretha Horton (PRACTICE MANAGER) |
Authorized Official Contact | 8323925495 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Push Medical Services 168 Col Etheredge Blvd Ste A Huntsville TX 77340-4224 Ph: (936) 439-4608 | Push Medical Services 168 Col Etheredge Blvd Ste A Huntsville TX 77340-4224 Ph: (936) 439-4608 |
NPI Number | 1245803840 |
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Provider Enumeration Date | 07/21/2021 |
Last Update Date | 07/21/2021 |
Medicare PECOS PAC ID | 8426447210 |
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Medicare Enrollment ID | O20211117000742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245803840 | NPI | - | NPPES |
Provider Name | Henry L Burkholder |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1134474380 PECOS PAC ID: 6204076417 Enrollment ID: I20130711000834 |
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