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1200 Carl Ramert Dr Suite D Yoakum TX 77995-4868 | |
(361) 293-7061 | |
(361) 293-7892 |
Full Name | |
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Speciality | General Practice |
Location | 1200 Carl Ramert Dr, Yoakum, Texas |
Authorized Official Name and Position | Tiffany Miller (CEO) |
Authorized Official Contact | 3612932321 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1200 Carl Ramert Dr Suite D Yoakum TX 77995-4868 Ph: (361) 293-7061 | 1200 Carl Ramert Dr Suite D Yoakum TX 77995-4868 Ph: (361) 293-7061 |
NPI Number | 1619399128 |
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Provider Enumeration Date | 01/17/2014 |
Last Update Date | 04/17/2023 |
Medicare PECOS PAC ID | 5193621159 |
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Medicare Enrollment ID | O20040308001051 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619399128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Saundra R Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861553067 PECOS PAC ID: 1456418177 Enrollment ID: I20090325000399 |
Provider Name | James Drost |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922014133 PECOS PAC ID: 1355525395 Enrollment ID: I20110415000130 |
Provider Name | Jennifer M Patton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720455835 PECOS PAC ID: 1052611332 Enrollment ID: I20151119000125 |
Provider Name | Dalena Elizabeth Dekowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144688383 PECOS PAC ID: 4880979152 Enrollment ID: I20170329000675 |
Provider Name | Amy L Barton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770013278 PECOS PAC ID: 2961776901 Enrollment ID: I20171103000726 |
Provider Name | Courtney Welch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659907541 PECOS PAC ID: 9032532387 Enrollment ID: I20231208003039 |
Provider Name | Kendall Kristynik |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417781790 PECOS PAC ID: 2668905753 Enrollment ID: I20241028003298 |
Trott Memorial Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 E Morris St, Yoakum, TX 77995 Phone: 361-293-3553 |