| Crockett Clinic Llp | |
|
1122 E Loop 304 Crockett TX 75835-1810 | |
| (936) 544-2157 | |
| (936) 544-5572 |
| Full Name | Crockett Clinic Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 1122 E Loop 304, Crockett, Texas |
| Authorized Official Name and Position | Kathy L Rains (OFFICE MANAGER) |
| Authorized Official Contact | 9365442157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crockett Clinic Llp Po Box 1189 Crockett TX 75835-1189 Ph: (936) 544-2157 | Crockett Clinic Llp 1122 E Loop 304 Crockett TX 75835-1810 Ph: (936) 544-2157 |
| NPI Number | 1285626911 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285626911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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