| Tye Family Care | |
|
602 Morgan St Tye TX 79563-2542 | |
| (325) 701-7977 | |
| Not Available |
| Full Name | Tye Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 602 Morgan St, Tye, Texas |
| Authorized Official Name and Position | Nicole Celeste Votaw (OWNER) |
| Authorized Official Contact | 3257017977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tye Family Care 602 Morgan St Tye TX 79563-2542 Ph: (325) 701-7977 | Tye Family Care 602 Morgan St Tye TX 79563-2542 Ph: (325) 701-7977 |
| NPI Number | 1801222518 |
|---|---|
| Provider Enumeration Date | 09/25/2013 |
| Last Update Date | 04/08/2024 |
| Medicare PECOS PAC ID | 1254560717 |
|---|---|
| Medicare Enrollment ID | O20140131001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801222518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Gary M Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902895725 PECOS PAC ID: 9931113230 Enrollment ID: I20060125000871 |
| Provider Name | Nicole Votaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821425133 PECOS PAC ID: 2163651621 Enrollment ID: I20140131001896 |