| Centerwell Senior Primary Care (tx) Pa | |
|
2562 W Pioneer Pkwy Pantego TX 76013-5902 | |
| (682) 282-6291 | |
| (877) 690-4858 |
| Full Name | Centerwell Senior Primary Care (tx) Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2562 W Pioneer Pkwy, Pantego, Texas |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care (tx) Pa 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care (tx) Pa 2562 W Pioneer Pkwy Pantego TX 76013-5902 Ph: (682) 282-6291 |
| NPI Number | 1588303879 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588303879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Southwest Arlington Medical Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2313 W Arkansas Ln Ste 100, Pantego, TX 76013 Phone: 817-261-3302 Fax: 817-277-0674 | |
Your Doctor's Office At Home Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3630 W Pioneer Pkwy Ste 115, Pantego, TX 76013 Phone: 817-457-3200 |