| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 206 Narcissus St, Kosse, Texas |
| Authorized Official Name and Position | Larry N Price (CEO/ADMINISTRATOR) |
| Authorized Official Contact | 2547293281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
701 Mcclintic Dr Groesbeck TX 76642-2128 Ph: (254) 729-3281 | 206 Narcissus St Kosse TX 76653 Ph: (254) 729-3281 |
| NPI Number | 1710539465 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 07/21/2020 |
| Medicare PECOS PAC ID | 9032103700 |
|---|---|
| Medicare Enrollment ID | O20200103000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710539465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4731 Sh 7 E, Kosse, TX 76653 Phone: 979-232-5025 |