| Stripling Clinic Llc | |
|
555 S Jackson St Jacksonville TX 75766-2414 | |
| (903) 586-2788 | |
| Not Available |
| Full Name | Stripling Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 555 S Jackson St, Jacksonville, Texas |
| Authorized Official Name and Position | Laura C Haynes (MANAGER) |
| Authorized Official Contact | 9035862278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stripling Clinic Llc 555 S Jackson St Jacksonville TX 75766-2414 Ph: (903) 586-2788 | Stripling Clinic Llc 555 S Jackson St Jacksonville TX 75766-2414 Ph: (903) 586-2788 |
| NPI Number | 1659584571 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 03/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659584571 | NPI | - | NPPES |
| 188068402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 193200000X (Texas) | Primary |
Stripling Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-2278 Fax: 903-586-3127 | |
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