| Crockett Medical Center Clinic | |
|
1050 E Loop 304 Ste 201 Crockett TX 75835-1814 | |
| (936) 546-3890 | |
| Not Available |
| Full Name | Crockett Medical Center Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1050 E Loop 304 Ste 201, Crockett, Texas |
| Authorized Official Name and Position | Kelly Eugene Tjelmeland (CEO) |
| Authorized Official Contact | 5126177500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crockett Medical Center Clinic 4220 Bull Creek Rd Austin TX 78731-6026 Ph: (512) 617-7505 | Crockett Medical Center Clinic 1050 E Loop 304 Ste 201 Crockett TX 75835-1814 Ph: (936) 546-3890 |
| NPI Number | 1003303983 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Medicare PECOS PAC ID | 3173884152 |
|---|---|
| Medicare Enrollment ID | O20180516001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003303983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Timberlands Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 E Loop 304, Suite 200, Crockett, TX 75835 Phone: 936-544-5132 | |
Rhpa Dba Iron Mountain Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 N Grace St, Crockett, TX 75835 Phone: 936-544-7202 Fax: 936-546-2029 | |
Crockett Clinic Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 E Loop 304, Crockett, TX 75835 Phone: 936-544-2157 Fax: 936-544-5572 | |
Crockett Medical Center Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 E Loop 304, Crockett, TX 75835 Phone: 936-546-3890 | |
D&c Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Loop 3048 East, Suite 200, Crockett, TX 75835 Phone: 903-723-7178 Fax: 903-723-8252 | |
Texas Family Doctor, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 E Loop 304, Crockett, TX 75835 Phone: 936-655-0500 |