Stephenville Complete Uc & Family Medicine Pllc | |
2108 W Washington St Stephenville TX 76401-3928 | |
(817) 421-0012 | |
(817) 421-0036 |
Full Name | Stephenville Complete Uc & Family Medicine Pllc |
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Speciality | Family Medicine |
Location | 2108 W Washington St, Stephenville, Texas |
Authorized Official Name and Position | Braxton Neiman (GENERAL COUNSEL) |
Authorized Official Contact | 8174210034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stephenville Complete Uc & Family Medicine Pllc 920 S Kimball Ave Southlake TX 76092-9016 Ph: (817) 421-0012 | Stephenville Complete Uc & Family Medicine Pllc 2108 W Washington St Stephenville TX 76401-3928 Ph: (817) 421-0012 |
NPI Number | 1811423965 |
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Provider Enumeration Date | 05/11/2017 |
Last Update Date | 05/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811423965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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