Tlrfio2 | |
464 Redbud Ln Pipe Creek TX 78063-5950 | |
(210) 269-1849 | |
Not Available |
Full Name | Tlrfio2 |
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Speciality | General Practice |
Location | 464 Redbud Ln, Pipe Creek, Texas |
Authorized Official Name and Position | Teresa Michelle Rudd (PROVIDER) |
Authorized Official Contact | 2102691849 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tlrfio2 8823 Palomino Pony San Antonio TX 78254-6380 Ph: (210) 753-7787 | Tlrfio2 464 Redbud Ln Pipe Creek TX 78063-5950 Ph: (210) 269-1849 |
NPI Number | 1467285189 |
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Provider Enumeration Date | 08/20/2024 |
Last Update Date | 08/20/2024 |
Medicare PECOS PAC ID | 9335670546 |
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Medicare Enrollment ID | O20240930000177 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467285189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Teresa Michelle Rudd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154863082 PECOS PAC ID: 8123309911 Enrollment ID: I20170110002910 |
Healing Hands Family Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2159 Timbercreek Rd, Pipe Creek, TX 78063 Phone: 210-382-8213 |