| Rhpa Dba Iron Mountain Medical Center Llc | |
|
106 N Grace St Crockett TX 75835-1722 | |
| (936) 544-7202 | |
| (936) 546-2029 |
| Full Name | Rhpa Dba Iron Mountain Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 106 N Grace St, Crockett, Texas |
| Authorized Official Name and Position | Cynthia Raye Horne (OWNER) |
| Authorized Official Contact | 9363489141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rhpa Dba Iron Mountain Medical Center Llc 106 N Grace St Crockett TX 75835-1722 Ph: (936) 348-9141 | Rhpa Dba Iron Mountain Medical Center Llc 106 N Grace St Crockett TX 75835-1722 Ph: (936) 544-7202 |
| NPI Number | 1215974688 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215974688 | NPI | - | NPPES |
| 0037RB | Other | TX | BCBS |
| 138350710 | Other | TX | PCP |
| 0051BV | Other | TX | BCBS |
| 092386401 | Medicaid | TX | |
| 092386403 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
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