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813 E 4th St Monahans TX 79756-4015 | |
(432) 943-2511 | |
(432) 943-9415 |
Full Name | |
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Speciality | Family Medicine |
Location | 813 E 4th St, Monahans, Texas |
Authorized Official Name and Position | Padraic I White (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4329432511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 40 Monahans TX 79756-0040 Ph: (432) 943-2511 | 813 E 4th St Monahans TX 79756-4015 Ph: (432) 943-2511 |
NPI Number | 1306149067 |
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Provider Enumeration Date | 12/17/2010 |
Last Update Date | 12/17/2010 |
Identifier | Type | State | Issuer |
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1306149067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |