| Jack A Maxwell, DO | |
|
3600 Fm 2181 Ste 100, Hickory Creek, TX 75065-7636 | |
| (940) 497-2204 | |
| (940) 321-4977 |
| Full Name | Jack A Maxwell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 3600 Fm 2181 Ste 100, Hickory Creek, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679585087 | NPI | - | NPPES |
| 124499802 | Medicaid | TX | |
| 124499806 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G9368 (Texas) | Primary |
| 207QS1201X | Family Medicine - Sleep Medicine | 2869 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dfw Home Health | Denton, TX | Home health agency |
| Medical City Denton | Denton, TX | Hospital |
| Texas Health Presbyterian Hospital Denton | Denton, TX | Hospital |
| Medical City Lewisville | Lewisville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Texas Health Physicians Group | 4385535954 | 1232 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack A Maxwell, DO 3600 Fm 2181 Ste 100, Hickory Creek, TX 75065-7636 Ph: (940) 497-2204 | Jack A Maxwell, DO 3600 Fm 2181 Ste 100, Hickory Creek, TX 75065-7636 Ph: (940) 497-2204 |
Stephen A Glaser, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Fm 2181 Ste 100, Hickory Creek, TX 75065 Phone: 940-497-2204 Fax: 940-321-4977 |