Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 907 E Hill St, Spur, Texas |
Authorized Official Name and Position | Glenda White (ADMINISTRATOR) |
Authorized Official Contact | 8062713306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
907 E. Hill St Spur TX 79370-2532 Ph: (806) 271-3306 | 907 E Hill St Spur TX 79370-2532 Ph: (806) 271-3306 |
NPI Number | 1093868556 |
---|---|
Provider Enumeration Date | 01/19/2007 |
Last Update Date | 01/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093868556 | NPI | - | NPPES |
063674801 | Medicaid | TX | |
079808401 | Medicaid | TX | |
100106106 | Other | TX | FIRSTCARE PROVIDER NUMBER |
1275617177 | Other | TX | STEVE B. ALLEY, M.D. NPI |
1285787762 | Other | TX | JENNIFER WARREN, NPI# |
137930707 | Medicaid | TX | |
0636748-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F3709 (Texas) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |