| Carefirst Family And Industrial Medicine | |
|
3800 Joe Ramsey Blvd Ste A Greenville TX 75402-6486 | |
| (903) 455-8000 | |
| (903) 454-3577 |
| Full Name | Carefirst Family And Industrial Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3800 Joe Ramsey Blvd, Greenville, Texas |
| Authorized Official Name and Position | Henry Leon Underwood (DOCTOR/OWNER) |
| Authorized Official Contact | 9034558000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carefirst Family And Industrial Medicine P.o. Box 911 Greenville TX 75403-0911 Ph: (903) 455-8000 | Carefirst Family And Industrial Medicine 3800 Joe Ramsey Blvd Ste A Greenville TX 75402-6486 Ph: (903) 455-8000 |
| NPI Number | 1942489521 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 12/28/2010 |
| Medicare PECOS PAC ID | 4688869738 |
|---|---|
| Medicare Enrollment ID | O20101115000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942489521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G2871 (Texas) | Primary |
| Provider Name | Henry L Underwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316009947 PECOS PAC ID: 2668667726 Enrollment ID: I20101115000671 |
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