| Stripling Clinic | |
|
555 S Jackson St Jacksonville TX 75766-2476 | |
| (903) 586-2278 | |
| (903) 586-3127 |
| Full Name | Stripling Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 555 S Jackson St, Jacksonville, Texas |
| Authorized Official Name and Position | Joe Randolph Danel (OWNER) |
| Authorized Official Contact | 9035862278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stripling Clinic 555 S Jackson St Jacksonville TX 75766-2476 Ph: (903) 586-2278 | Stripling Clinic 555 S Jackson St Jacksonville TX 75766-2476 Ph: (903) 586-2278 |
| NPI Number | 1073598496 |
|---|---|
| Provider Enumeration Date | 12/08/2005 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073598496 | NPI | - | NPPES |
| 034812001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D9115 (Texas) | Primary |
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