Stone Creek Family Medicine | |
19782 Highway 105 W Sui 111 Montgomery TX 77356-3103 | |
(936) 582-0220 | |
(936) 582-0222 |
Full Name | Stone Creek Family Medicine |
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Speciality | Family Medicine |
Location | 19782 Highway 105 W, Montgomery, Texas |
Authorized Official Name and Position | Jennifer L Chilek (OWNER) |
Authorized Official Contact | 9365820220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stone Creek Family Medicine 19782 Highway 105 W Sui 111 Montgomery TX 77356-3103 Ph: (936) 582-0220 | Stone Creek Family Medicine 19782 Highway 105 W Sui 111 Montgomery TX 77356-3103 Ph: (936) 582-0220 |
NPI Number | 1659560852 |
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Provider Enumeration Date | 10/24/2007 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
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1659560852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L8307 (Texas) | Primary |
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