| Dr Larry Len Maples, DO | |
|
101 S Hartford St, Breckenridge, TX 76424-4711 | |
| (254) 559-3363 | |
| (254) 559-2572 |
| Full Name | Dr Larry Len Maples |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 101 S Hartford St, Breckenridge, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033166616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J0090 (Texas) | Secondary |
| 207Q00000X | Family Medicine | J0090 (Texas) | Primary |
| Entity Name | Carnegie Indian Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457459158 PECOS PAC ID: 1456456144 Enrollment ID: O20071217000184 |
| Entity Name | Stephens Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518361369 PECOS PAC ID: 4688801715 Enrollment ID: O20150217001018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Len Maples, DO 101 S Hartford St, Breckenridge, TX 76424-4711 Ph: (254) 559-3363 | Dr Larry Len Maples, DO 101 S Hartford St, Breckenridge, TX 76424-4711 Ph: (254) 559-3363 |
Kelli Windsor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 S Hartford St, Breckenridge, TX 76424 Phone: 254-559-3363 Fax: 254-559-2547 | |
Kaitlyn Nicole Welch, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2802 W Walker St, Breckenridge, TX 76424 Phone: 254-559-7215 | |
Susan Badidi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 S Hartford St, Breckenridge, TX 76424 Phone: 254-559-3363 Fax: 254-559-2572 | |
William Elmo Prater, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 S Hartford St, Breckenridge, TX 76424 Phone: 254-559-3363 Fax: 254-559-7079 |