| Tri-county Family Medicine Pllc | |
|
126 W Main St Ste C Gun Barrel City TX 75156-5404 | |
| (903) 887-1092 | |
| Not Available |
| Full Name | Tri-county Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 126 W Main St Ste C, Gun Barrel City, Texas |
| Authorized Official Name and Position | Jennifer Jones (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9034890101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Family Medicine Pllc 815 E Royall Blvd Ste 3 Malakoff TX 75148-9255 Ph: (903) 489-0101 | Tri-county Family Medicine Pllc 126 W Main St Ste C Gun Barrel City TX 75156-5404 Ph: (903) 887-1092 |
| NPI Number | 1780201053 |
|---|---|
| Provider Enumeration Date | 07/02/2020 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 1850715558 |
|---|---|
| Medicare Enrollment ID | O20200727003347 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780201053 | NPI | - | NPPES |
| Provider Name | Julie N Kilcrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932400421 PECOS PAC ID: 1153504808 Enrollment ID: I20110318000078 |
| Provider Name | Erik Tijerina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558696278 PECOS PAC ID: 2961680194 Enrollment ID: I20110617000069 |
| Provider Name | Sylvia Brown-cates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780289934 PECOS PAC ID: 7719385269 Enrollment ID: I20211013002347 |
| Provider Name | Charles Derick Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124728779 PECOS PAC ID: 1355702093 Enrollment ID: I20230728000103 |
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