| Turtle Creek Medical | |
|
102 Medical Park Ln Ste A Huntsville TX 77340-4975 | |
| (936) 435-0014 | |
| (936) 435-9108 |
| Full Name | Turtle Creek Medical |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 102 Medical Park Ln Ste A, Huntsville, Texas |
| Authorized Official Name and Position | David R Ficklen (OWNER) |
| Authorized Official Contact | 9364350014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Turtle Creek Medical 102 Medical Park Ln Ste A Huntsville TX 77340-4975 Ph: (936) 435-0014 | Turtle Creek Medical 102 Medical Park Ln Ste A Huntsville TX 77340-4975 Ph: (936) 435-0014 |
| NPI Number | 1508086323 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 05/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508086323 | NPI | - | NPPES |
| 1642985-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K5929 (Texas) | Primary |
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