| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 800 N Hill St, Tatum, Texas |
| Authorized Official Name and Position | John D Ford (PRESIDENT) |
| Authorized Official Contact | 9032470484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4002 Technology Ctr Longview TX 75605-2697 Ph: (903) 247-0484 | 800 N Hill St Tatum TX 75691-1740 Ph: (903) 947-6300 |
| NPI Number | 1700105129 |
|---|---|
| Provider Enumeration Date | 05/25/2010 |
| Last Update Date | 05/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700105129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8850 Fm 2658 N, Tatum, TX 75691 Phone: 903-209-2742 |