Teare Memorial Clinic | |
146 N Pioneer Drive Booker TX 79005-6008 | |
(806) 658-4531 | |
(806) 658-9344 |
Full Name | Teare Memorial Clinic |
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Speciality | Clinic/Center |
Location | 146 N Pioneer Drive, Booker, Texas |
Authorized Official Name and Position | Lisa Brown (APRN/ADMINISTRATOR) |
Authorized Official Contact | 8066584531 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Teare Memorial Clinic Po Box 550 Booker TX 79005-0550 Ph: (806) 658-4531 | Teare Memorial Clinic 146 N Pioneer Drive Booker TX 79005-6008 Ph: (806) 658-4531 |
NPI Number | 1699844878 |
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Provider Enumeration Date | 11/06/2006 |
Last Update Date | 08/14/2024 |
Medicare PECOS PAC ID | 1658408471 |
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Medicare Enrollment ID | O20100427000149 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699844878 | NPI | - | NPPES |
063663101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | 652675 (Texas) | Primary |