| Taft Family Health Clinic | |
|
1210 Gregory Suite # 2 Taft TX 78390-3045 | |
| (361) 528-2595 | |
| (361) 528-3452 |
| Full Name | Taft Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1210 Gregory, Taft, Texas |
| Authorized Official Name and Position | Ellis G Main (PHYSICIAN - OWNER) |
| Authorized Official Contact | 3613879233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taft Family Health Clinic Po Box 10426 Corpus Christi TX 78460-0426 Ph: (361) 241-6700 | Taft Family Health Clinic 1210 Gregory Suite # 2 Taft TX 78390-3045 Ph: (361) 528-2595 |
| NPI Number | 1891739223 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 4385554369 |
|---|---|
| Medicare Enrollment ID | O20030630000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891739223 | NPI | - | NPPES |
| 161238401 | Medicaid | TX | |
| 137311014 | Medicaid | TX | |
| 161238402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | J2176 (Texas) | Primary |
Jose Benamu M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Gregory St, Taft, TX 78390 Phone: 361-528-4000 Fax: 361-528-3711 |