| Sallymed, Pllc | |
|
1006 E 18th St Cameron TX 76520-2016 | |
| (254) 495-7702 | |
| (254) 605-6212 |
| Full Name | Sallymed, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1006 E 18th St, Cameron, Texas |
| Authorized Official Name and Position | Kathryn Matula Kirk (OWNER/PRESIDENT) |
| Authorized Official Contact | 2544957702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sallymed, Pllc 1006 E 18th St Cameron TX 76520-2016 Ph: (254) 495-7702 | Sallymed, Pllc 1006 E 18th St Cameron TX 76520-2016 Ph: (254) 495-7702 |
| NPI Number | 1063160786 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 03/11/2022 |
| Medicare PECOS PAC ID | 4486031374 |
|---|---|
| Medicare Enrollment ID | O20220516000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063160786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kathryn E Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912934084 PECOS PAC ID: 7618995531 Enrollment ID: I20080819000148 |
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Milam Co Health Dept Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 S Houston Ave, Cameron, TX 76520 Phone: 254-697-7039 Fax: 254-697-4809 | |
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