Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 907 E Hill St, Spur, Texas |
Authorized Official Name and Position | Michael Moorhead (CEO) |
Authorized Official Contact | 9409893551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
821 N Broadway St Aspermont TX 79502-2029 Ph: (940) 989-3551 | 907 E Hill St Spur TX 79370-2532 Ph: (806) 271-3306 |
NPI Number | 1336547587 |
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Provider Enumeration Date | 12/19/2014 |
Last Update Date | 02/05/2024 |
Medicare PECOS PAC ID | 1254228919 |
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Medicare Enrollment ID | O20150227001623 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336547587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |