| Seagoville Family Medical | |
|
116 Hall Rd Seagoville TX 75159-2916 | |
| (972) 287-7474 | |
| (972) 287-7464 |
| Full Name | Seagoville Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 116 Hall Rd, Seagoville, Texas |
| Authorized Official Name and Position | Edward L Gelber (PHYSICAL ASSISTANT) |
| Authorized Official Contact | 9722877474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seagoville Family Medical 116 Hall Rd Seagoville TX 75159 Ph: (972) 287-7474 | Seagoville Family Medical 116 Hall Rd Seagoville TX 75159-2916 Ph: (972) 287-7474 |
| NPI Number | 1700990173 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 10/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700990173 | NPI | - | NPPES |
| 45D1024097 | Other | TX | CLIA |
| 178739202 | Medicaid | TX | |
| 178739201 | Medicaid | TX | |
| DE6386 | Other | TX | RAILROAD MEDICARE |
| 0072NH | Other | TX | BLUECROSSBLUESHIELD GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Seagoville Womens Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 N Highway 175 Ste 7, Seagoville, TX 75159 Phone: 469-333-5151 Fax: 469-333-5156 |