| Supracare Family Health Pllc | |
|
310 E Hoskins St New Boston TX 75570-2727 | |
| (903) 628-7877 | |
| (903) 628-7631 |
| Full Name | Supracare Family Health Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 E Hoskins St, New Boston, Texas |
| Authorized Official Name and Position | Trey W Pirkey (OWNER) |
| Authorized Official Contact | 9036287877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supracare Family Health Pllc 310 E Hoskins St New Boston TX 75570-2727 Ph: (903) 628-7877 | Supracare Family Health Pllc 310 E Hoskins St New Boston TX 75570-2727 Ph: (903) 628-7877 |
| NPI Number | 1801234596 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 07/22/2013 |
| Medicare PECOS PAC ID | 4486880283 |
|---|---|
| Medicare Enrollment ID | O20131127001064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801234596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Erik I Jacobsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376588210 PECOS PAC ID: 0244214708 Enrollment ID: I20041124000198 |
| Provider Name | Trey Pirkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457553422 PECOS PAC ID: 4284728312 Enrollment ID: I20070920000541 |
| Provider Name | Christina Marie Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508336470 PECOS PAC ID: 1254667397 Enrollment ID: I20190726000029 |
| Provider Name | Joy Ann Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972194678 PECOS PAC ID: 3678981610 Enrollment ID: I20240306001491 |
Ramchandra S. Gurav, M.d.p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Hospital Drive, Suite 2, New Boston, TX 75570 Phone: 903-628-5546 Fax: 903-628-4023 | |
Collom & Carney Clinic Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 N Ellis St, New Boston, TX 75570 Phone: 903-628-1104 Fax: 903-628-0104 |