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2320 Harts Bluff Rd Mount Pleasant TX 75455-7453 | |
(903) 577-9355 | |
(903) 434-8081 |
Full Name | |
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Speciality | Clinic/Center |
Location | 2320 Harts Bluff Rd, Mount Pleasant, Texas |
Authorized Official Name and Position | Terry Dean Scoggin (CHIEF EXECUTIVE OFFICER) |
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 | 2320 Harts Bluff Rd Mount Pleasant TX 75455-7453 Ph: (903) 577-9355 |
NPI Number | 1306989322 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 06/26/2024 |
Medicare PECOS PAC ID | 0143203257 |
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Medicare Enrollment ID | O20100609000878 |
Identifier | Type | State | Issuer |
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1306989322 | NPI | - | NPPES |
063357001 | Medicaid | TX | |
00L46V | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 000137 (Texas) | Primary |