| Texas Healthy Aging And Hormone Therapy Llc | |
|
202 Sw 25th Ave Suite 1200 Mineral Wells TX 76067-8298 | |
| (940) 325-3706 | |
| (940) 325-6200 |
| Full Name | Texas Healthy Aging And Hormone Therapy Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Sw 25th Ave, Mineral Wells, Texas |
| Authorized Official Name and Position | Lori Shae Hopper (SOLE MBR) |
| Authorized Official Contact | 9403253706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Healthy Aging And Hormone Therapy Llc 202 Sw 25th Ave Suite 1200 Mineral Wells TX 76067-8298 Ph: (940) 325-3706 | Texas Healthy Aging And Hormone Therapy Llc 202 Sw 25th Ave Suite 1200 Mineral Wells TX 76067-8298 Ph: (940) 325-3706 |
| NPI Number | 1245771963 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 03/14/2017 |
| Medicare PECOS PAC ID | 9638446701 |
|---|---|
| Medicare Enrollment ID | O20170519001259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245771963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brent H Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164687620 PECOS PAC ID: 6901081314 Enrollment ID: I20110429000123 |
| Provider Name | Lori S Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396033619 PECOS PAC ID: 2062683048 Enrollment ID: I20110923000081 |
| Provider Name | Megan E Solis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649729419 PECOS PAC ID: 3870873086 Enrollment ID: I20161206000141 |
| Provider Name | Brandon Scott Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568926343 PECOS PAC ID: 4688913148 Enrollment ID: I20190227001149 |
| Provider Name | Pamela Ann Ezzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780315267 PECOS PAC ID: 9830571231 Enrollment ID: I20220802001094 |
Bridge To Health Mobile Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Sw 25th Ave, Mineral Wells, TX 76067 Phone: 940-745-0484 Fax: 940-328-6260 | |
Mineral Wells Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Holly Hill Rd, Mineral Wells, TX 76067 Phone: 940-463-7092 Fax: 940-463-7096 | |
Alice L. Ramsey M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Sw 26th Ave, Suite D, Mineral Wells, TX 76067 Phone: 940-325-9485 Fax: 940-325-4325 | |
Palo Pinto General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Sw 25th Ave, Mineral Wells, TX 76067 Phone: 940-328-6547 Fax: 940-328-6541 | |
Palo Pinto County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Sw 25th Ave, Mineral Wells, TX 76067 Phone: 940-745-0484 Fax: 940-328-6260 | |
Hisel Home Visits Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Holy Hill Rd, Mineral Wells, TX 76067 Phone: 844-633-4663 Fax: 855-814-8428 |