| Floyd Arthur Hennan, DO | |
|
200 E Livingston St, San Augustine, TX 75972-2028 | |
| (936) 275-9910 | |
| (936) 275-9710 |
| Full Name | Floyd Arthur Hennan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 200 E Livingston St, San Augustine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689663403 | NPI | - | NPPES |
| 036724504 | Medicaid | TX | |
| 036724502 | Medicaid | TX | |
| 036724506 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K9563 (Texas) | Primary |
| Entity Name | Baylor St Lukes Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Floyd Arthur Hennan, DO 200 E Livingston St, San Augustine, TX 75972-2028 Ph: (936) 275-9910 | Floyd Arthur Hennan, DO 200 E Livingston St, San Augustine, TX 75972-2028 Ph: (936) 275-9910 |
Sara Oglesbee, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 504 E Hospital St, San Augustine, TX 75972 Phone: 936-275-9716 | |
John H Oglesbee Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 E Hospital St, San Augustine, TX 75972 Phone: 936-275-9716 Fax: 936-275-9059 |