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102 West Main St. Centerville TX 75833 | |
(903) 536-2313 | |
(903) 536-2207 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 102 West Main St., Centerville, Texas |
Authorized Official Name and Position | Rena White (PATIENT FINANCIAL SERVICES MANAGER) |
Authorized Official Contact | 9797762426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 202536 Dallas TX 75320-2536 Ph: (979) 776-2426 | 102 West Main St. Centerville TX 75833 Ph: (903) 536-2313 |
NPI Number | 1255414744 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 02/02/2009 |
Identifier | Type | State | Issuer |
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1255414744 | NPI | - | NPPES |
R04534439 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 41 (Texas) | Primary |