| Republic Hospitalists Services Pllc | |
|
500 N Highland Ave Sherman TX 75092-7354 | |
| (903) 870-4609 | |
| Not Available |
| Full Name | Republic Hospitalists Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 N Highland Ave, Sherman, Texas |
| Authorized Official Name and Position | Kevin B Stacks (OWNER) |
| Authorized Official Contact | 9038704609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Republic Hospitalists Services Pllc Po Box 8845 Fort Worth TX 76124-0845 Ph: (817) 451-4208 | Republic Hospitalists Services Pllc 500 N Highland Ave Sherman TX 75092-7354 Ph: (903) 870-4609 |
| NPI Number | 1386689255 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386689255 | NPI | - | NPPES |
| 0051MY | Other | TX | BLUE CROSS BLUE SHIELD |
| 200080500A | Medicaid | OK | |
| 177702101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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