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1220 Purnell Stratford TX 79084-0020 | |
(806) 396-5583 | |
(806) 366-2713 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1220 Purnell, Stratford, Texas |
Authorized Official Name and Position | Curtis Scott Johnson (CEO) |
Authorized Official Contact | 9727500169 |
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 1189 Stratford TX 79084-1189 Ph: (806) 396-5568 | 1220 Purnell Stratford TX 79084-0020 Ph: (806) 396-5583 |
NPI Number | 1134647159 |
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Provider Enumeration Date | 08/30/2017 |
Last Update Date | 01/27/2020 |
Medicare PECOS PAC ID | 0648172171 |
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Medicare Enrollment ID | O20171030000134 |
Identifier | Type | State | Issuer |
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1134647159 | NPI | - | NPPES |
Stratford Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1220 Purnell, Stratford, TX 79084 Phone: 806-396-5583 Fax: 806-366-2713 |