Thompson Outpatient Clinic, Llc | |
304 Broadway Winnie TX 77665-7829 | |
(409) 296-2910 | |
(409) 296-3003 |
Full Name | Thompson Outpatient Clinic, Llc |
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Speciality | Family Medicine |
Location | 304 Broadway, Winnie, Texas |
Authorized Official Name and Position | Danny Lee Thompson (OWNER) |
Authorized Official Contact | 4092962910 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thompson Outpatient Clinic, Llc Po Box 714 Winnie TX 77665-0714 Ph: (409) 296-2910 | Thompson Outpatient Clinic, Llc 304 Broadway Winnie TX 77665-7829 Ph: (409) 296-2910 |
NPI Number | 1407961048 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 04/11/2022 |
Medicare PECOS PAC ID | 6709837362 |
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Medicare Enrollment ID | O20050201000920 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407961048 | NPI | - | NPPES |
171711803 | Medicaid | TX | |
171711802 | Medicaid | TX | |
0038MQ | Other | TX | BCBS GROUP NUMBER |
DC8996 | Other | TX | MEDICARE RRW GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Leonidas S Andres |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1699773226 PECOS PAC ID: 3870559040 Enrollment ID: I20041209000090 |
Provider Name | Nedrana Boutte |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982805586 PECOS PAC ID: 1850480054 Enrollment ID: I20071210000668 |
Coastal Gateway Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2584 State Highway 124, Winnie, TX 77665 Phone: 409-296-4444 | |
Chambers County Public Hospital District #1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Highway 124, Winnie, TX 77665 Phone: 409-267-3143 | |
Boutte Family Practice, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Spur 5, Winnie, TX 77665 Phone: 409-296-2910 Fax: 409-296-3003 | |
Winnie Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6351 Fax: 409-263-6386 |