Seagoville Womens Clinic, Llc | |
1110 N Highway 175 Ste 7 Seagoville TX 75159-2361 | |
(469) 333-5151 | |
(469) 333-5156 |
Full Name | Seagoville Womens Clinic, Llc |
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Speciality | Clinic/Center |
Location | 1110 N Highway 175 Ste 7, Seagoville, Texas |
Authorized Official Name and Position | Angelica Soto (OWNER) |
Authorized Official Contact | 4698353011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Seagoville Womens Clinic, Llc 1110 N Highway 175 Ste 7 Seagoville TX 75159-2361 Ph: () - | Seagoville Womens Clinic, Llc 1110 N Highway 175 Ste 7 Seagoville TX 75159-2361 Ph: (469) 333-5151 |
NPI Number | 1386248250 |
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Provider Enumeration Date | 11/22/2020 |
Last Update Date | 01/03/2022 |
Medicare PECOS PAC ID | 8921412255 |
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Medicare Enrollment ID | O20210128001164 |
Identifier | Type | State | Issuer |
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1386248250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Angelica Soto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508258716 PECOS PAC ID: 0648564591 Enrollment ID: I20160816000527 |
Seagoville Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Hall Rd, Seagoville, TX 75159 Phone: 972-287-7474 Fax: 972-287-7464 |