Vitalcare Family Clinic | |
707 Lamar Ave Ste D Paris TX 75460-4460 | |
(430) 900-1923 | |
(430) 900-1924 |
Full Name | Vitalcare Family Clinic |
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Speciality | Clinic/Center |
Location | 707 Lamar Ave Ste D, Paris, Texas |
Authorized Official Name and Position | Ashley Nicole Williams (OWNER) |
Authorized Official Contact | 4309001923 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vitalcare Family Clinic 707 Lamar Ave Ste D Paris TX 75460-4460 Ph: (430) 900-1923 | Vitalcare Family Clinic 707 Lamar Ave Ste D Paris TX 75460-4460 Ph: (430) 900-1923 |
NPI Number | 1376245860 |
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Provider Enumeration Date | 03/20/2023 |
Last Update Date | 10/09/2023 |
Medicare PECOS PAC ID | 5799141511 |
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Medicare Enrollment ID | O20230522001922 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376245860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Ashley Nicole Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336854223 PECOS PAC ID: 5698131415 Enrollment ID: I20230522002036 |
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