| Starks Medical | |
|
125 E Main St Bullard TX 75757-5345 | |
| (903) 339-0887 | |
| Not Available |
| Full Name | Starks Medical |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 125 E Main St, Bullard, Texas |
| Authorized Official Name and Position | Lindsey Waldrop (BILLING MANAGER) |
| Authorized Official Contact | 9033390887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Starks Medical 125 E Main St Bullard TX 75757-5345 Ph: (903) 339-0887 | Starks Medical 125 E Main St Bullard TX 75757-5345 Ph: (903) 339-0887 |
| NPI Number | 1306570593 |
|---|---|
| Provider Enumeration Date | 07/13/2022 |
| Last Update Date | 09/29/2024 |
| Medicare PECOS PAC ID | 2567847015 |
|---|---|
| Medicare Enrollment ID | O20220920000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306570593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Bethany G Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245419001 PECOS PAC ID: 8820176431 Enrollment ID: I20080423000225 |
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