| Essent Prmc Lp | |
|
181 E Dallas Ave Cooper TX 75432-2042 | |
| (903) 395-2192 | |
| (903) 395-2193 |
| Full Name | Essent Prmc Lp |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 181 E Dallas Ave, Cooper, Texas |
| Authorized Official Name and Position | Michael W Browder (PRESIDENT & CEO) |
| Authorized Official Contact | 6153125103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essent Prmc Lp Po Box 9070 Paris TX 75461-9070 Ph: (903) 737-3257 | Essent Prmc Lp 181 E Dallas Ave Cooper TX 75432-2042 Ph: (903) 395-2192 |
| NPI Number | 1902805690 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902805690 | NPI | - | NPPES |
| 165479001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
Community Health Service Agency, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 91 W Side Sq, Cooper, TX 75432 Phone: 903-455-5986 Fax: 903-454-4621 |