| Bald Eagle Family Medicine | |
|
201 E Pearl St Ste B204 Granbury TX 76048-2177 | |
| (682) 205-1079 | |
| (682) 214-3222 |
| Full Name | Bald Eagle Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 201 E Pearl St Ste B204, Granbury, Texas |
| Authorized Official Name and Position | Tony Hedges (MEDICAL DOCTOR) |
| Authorized Official Contact | 6822051079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bald Eagle Family Medicine Po Box 355 Granbury TX 76048-0355 Ph: (682) 205-1079 | Bald Eagle Family Medicine 201 E Pearl St Ste B204 Granbury TX 76048-2177 Ph: (682) 205-1079 |
| NPI Number | 1871248906 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 9234518911 |
|---|---|
| Medicare Enrollment ID | O20220627002218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871248906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tony Hedges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073591848 PECOS PAC ID: 9133031412 Enrollment ID: I20100210000596 |
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