Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 910 Hwy 3 West, Normangee, Texas |
Authorized Official Name and Position | Teresa Johnson (PATIENT FINANCIAL SERVICES MANAGER) |
Authorized Official Contact | 9797762426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 202536 Dallas TX 75320-2536 Ph: (979) 776-2426 | 910 Hwy 3 West Normangee TX 77871 Ph: (936) 396-2806 |
NPI Number | 1548344286 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 03/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548344286 | NPI | - | NPPES |
R04586698 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 41 (Texas) | Primary |