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1402 Linda Dr Daingerfield TX 75638-2132 | |
(903) 434-8066 | |
(903) 577-6562 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1402 Linda Dr, Daingerfield, Texas |
Authorized Official Name and Position | Terry Dean Scoggin (CEO) |
Authorized Official Contact | 9035776066 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2001 N Jefferson Ave Mount Pleasant TX 75455-2338 Ph: (903) 577-6000 | 1402 Linda Dr Daingerfield TX 75638-2132 Ph: (903) 434-8066 |
NPI Number | 1013538321 |
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Provider Enumeration Date | 04/28/2020 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 0143203257 |
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Medicare Enrollment ID | O20200715001798 |
Identifier | Type | State | Issuer |
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1013538321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |