| Rettig Family Health Care | |
|
204 W Trinity St Groesbeck TX 76642-1324 | |
| (254) 729-3740 | |
| (254) 729-2200 |
| Full Name | Rettig Family Health Care |
|---|---|
| Speciality | Family Medicine |
| Location | 204 W Trinity St, Groesbeck, Texas |
| Authorized Official Name and Position | Jeffrey D Rettig (PHYSICIAN) |
| Authorized Official Contact | 2547293740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rettig Family Health Care Po Box 871 Groesbeck TX 76642-0871 Ph: (254) 729-3740 | Rettig Family Health Care 204 W Trinity St Groesbeck TX 76642-1324 Ph: (254) 729-3740 |
| NPI Number | 1063680619 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 02/18/2008 |
| Medicare PECOS PAC ID | 9537132071 |
|---|---|
| Medicare Enrollment ID | O20040813000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063680619 | NPI | - | NPPES |
| 080994901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey D Rettig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528005550 PECOS PAC ID: 3779502570 Enrollment ID: I20110408000665 |
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