Tch Family Medical Clinic | |
104 N Beech St Woodville TX 75979-4718 | |
(409) 283-2822 | |
(409) 283-7852 |
Full Name | Tch Family Medical Clinic |
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Speciality | General Practice |
Location | 104 N Beech St, Woodville, Texas |
Authorized Official Name and Position | Sandra Gayle Wright (CEO) |
Authorized Official Contact | 4092836400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tch Family Medical Clinic 104 N Beech St Woodville TX 75979-4718 Ph: (409) 283-2822 | Tch Family Medical Clinic 104 N Beech St Woodville TX 75979-4718 Ph: (409) 283-2822 |
NPI Number | 1285631945 |
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Provider Enumeration Date | 07/07/2005 |
Last Update Date | 04/09/2010 |
Medicare PECOS PAC ID | 1951212588 |
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Medicare Enrollment ID | O20030812000024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285631945 | NPI | - | NPPES |
0036MD | Other | TX | BCBS |
162059301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 000569 (Texas) | Primary |
Tch Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N Beech St, Woodville, TX 75979 Phone: 409-283-2822 Fax: 409-283-7852 | |
Dedicated Medical Center, Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 W. Bluff St., Woodville, TX 75979 Phone: 409-200-2811 Fax: 409-200-2856 |