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601 Person Street Stockdale TX 78160-0098 | |
(830) 996-3701 | |
(830) 996-3749 |
Full Name | |
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Speciality | Clinic/Center |
Location | 601 Person Street, Stockdale, Texas |
Authorized Official Name and Position | Daryl C Currier (OWNER) |
Authorized Official Contact | 8309963701 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 98 Stockdale TX 78160-0098 Ph: (830) 996-3701 | 601 Person Street Stockdale TX 78160-0098 Ph: (830) 996-3701 |
NPI Number | 1225066434 |
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Provider Enumeration Date | 06/28/2006 |
Last Update Date | 10/24/2022 |
Medicare PECOS PAC ID | 1153391305 |
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Medicare Enrollment ID | O20050127001032 |
Identifier | Type | State | Issuer |
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1225066434 | NPI | - | NPPES |
Provider Name | Daryl Currier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508808700 PECOS PAC ID: 3072420835 Enrollment ID: I20050128000736 |
Provider Name | Amy L Dugi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366876443 PECOS PAC ID: 5799909123 Enrollment ID: I20140605000018 |