| Traynham Medical Pa | |
|
15080 Fm 156 Ste D Justin TX 76247-7923 | |
| (940) 242-0300 | |
| (940) 242-0278 |
| Full Name | Traynham Medical Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 15080 Fm 156 Ste D, Justin, Texas |
| Authorized Official Name and Position | Julie A Traynham (PRESIDENT) |
| Authorized Official Contact | 9402420300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traynham Medical Pa 15080 Fm 156 Ste D Justin TX 76247-7923 Ph: (940) 242-0300 | Traynham Medical Pa 15080 Fm 156 Ste D Justin TX 76247-7923 Ph: (940) 242-0300 |
| NPI Number | 1306882436 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 05/07/2020 |
| Medicare PECOS PAC ID | 7416844725 |
|---|---|
| Medicare Enrollment ID | O20040302000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306882436 | NPI | - | NPPES |
| 163103801 | Medicaid | TX | |
| 77LM | Other | BCBS TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julie A Traynham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588612865 PECOS PAC ID: 0941197271 Enrollment ID: I20040302000888 |
Justin Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W 2nd St, Justin, TX 76247 Phone: 940-648-9900 | |
Metroplex Visiting Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12811 Melissa Dr, Justin, TX 76247 Phone: 940-648-8191 Fax: 940-241-6156 | |
Justin Family Medical, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W 2nd St, Justin, TX 76247 Phone: 940-648-9900 Fax: 940-648-1600 |