| Sandra K Hutchison Md Pllc | |
|
403 Ogletree Dr Ste 105 Livingston TX 77351-9444 | |
| (936) 328-5612 | |
| (936) 328-5619 |
| Full Name | Sandra K Hutchison Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 403 Ogletree Dr Ste 105, Livingston, Texas |
| Authorized Official Name and Position | Norma Sabino (FRONT OFFICE) |
| Authorized Official Contact | 9363285612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra K Hutchison Md Pllc 403 Ogletree Dr Ste 105 Livingston TX 77351-9444 Ph: (936) 328-5612 | Sandra K Hutchison Md Pllc 403 Ogletree Dr Ste 105 Livingston TX 77351-9444 Ph: (936) 328-5612 |
| NPI Number | 1356838023 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 09/03/2019 |
| Medicare PECOS PAC ID | 6305194432 |
|---|---|
| Medicare Enrollment ID | O20180807001759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356838023 | NPI | - | NPPES |
| 062567507 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra K Hutchison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710030275 PECOS PAC ID: 3870493042 Enrollment ID: I20091130000396 |
| Provider Name | Lindsay Mabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437696606 PECOS PAC ID: 5395018014 Enrollment ID: I20170831001419 |
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