| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 500 N. Marshall, Henderson, Tennessee |
| Authorized Official Name and Position | Mary Ann Harrison (PHYSICIAN CLINIC SUPPORT COORDINATO) |
| Authorized Official Contact | 9035101113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 5500 Tyler TX 75712 Ph: (903) 324-6450 | 500 N. Marshall Henderson TN 75652 Ph: (903) 657-1653 |
| NPI Number | 1285684258 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285684258 | NPI | - | NPPES |
| 138737503 | Medicaid | TX |
Frix-jennings Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W Main St, Henderson, TN 38340 Phone: 731-989-0001 Fax: 731-989-5151 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 E Main St, Henderson, TN 38340 Phone: 731-435-1488 Fax: 731-435-1489 | |
Wtpc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 541 W Park Pl, Henderson, TN 38340 Phone: 731-989-1007 Fax: 731-989-0704 | |
Anew Family Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 Front St, Henderson, TN 38340 Phone: 731-989-2829 Fax: 731-520-0230 |