| Ingram Health Consulting | |
|
1250 S Runnels St De Kalb TX 75559-2317 | |
| (903) 280-8173 | |
| Not Available |
| Full Name | Ingram Health Consulting |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1250 S Runnels St, De Kalb, Texas |
| Authorized Official Name and Position | Antonio Denard Ingram (FNP) |
| Authorized Official Contact | 9032808173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingram Health Consulting 118 Wood St Ofc 1 De Kalb TX 75559-2112 Ph: (903) 280-8173 | Ingram Health Consulting 1250 S Runnels St De Kalb TX 75559-2317 Ph: (903) 280-8173 |
| NPI Number | 1023632619 |
|---|---|
| Provider Enumeration Date | 05/30/2020 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023632619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Patient Access Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Wood St, De Kalb, TX 75559 Phone: 903-417-5377 |