Texoma Interstate Ventures | |
3126 W Fm 120 Denison TX 75020 | |
(903) 416-7544 | |
(903) 416-7545 |
Full Name | Texoma Interstate Ventures |
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Speciality | Family Medicine |
Location | 3126 W Fm 120, Denison, Texas |
Authorized Official Name and Position | W Mackey Watkins (PRESIDENT CEO) |
Authorized Official Contact | 9034164126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Texoma Interstate Ventures 1000 Memorial Dr Denison TX 75020-2035 Ph: (903) 416-5144 | Texoma Interstate Ventures 3126 W Fm 120 Denison TX 75020 Ph: (903) 416-7544 |
NPI Number | 1730117219 |
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Provider Enumeration Date | 06/30/2006 |
Last Update Date | 11/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730117219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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