| Aurora Concepts Madisonville | |
|
1613 E Main St Ste C Madisonville TX 77864-2207 | |
| (936) 241-5060 | |
| (936) 241-5065 |
| Full Name | Aurora Concepts Madisonville |
|---|---|
| Speciality | Family Medicine |
| Location | 1613 E Main St Ste C, Madisonville, Texas |
| Authorized Official Name and Position | Jud Humphries (GENERAL MANAGER) |
| Authorized Official Contact | 9362415060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Concepts Madisonville Po Box 837 Howe TX 75459-0837 Ph: (936) 241-5060 | Aurora Concepts Madisonville 1613 E Main St Ste C Madisonville TX 77864-2207 Ph: (936) 241-5060 |
| NPI Number | 1477330405 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 8123469897 |
|---|---|
| Medicare Enrollment ID | O20240513000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477330405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Reil Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104897750 PECOS PAC ID: 7719968056 Enrollment ID: I20040525000291 |
| Provider Name | William Judson Humphries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225726904 PECOS PAC ID: 0345586863 Enrollment ID: I20230719004245 |
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