| Dailey Medical Clinic | |
|
1108 S Buffalo St Canton TX 75103-2304 | |
| (903) 567-1910 | |
| (903) 567-1940 |
| Full Name | Dailey Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1108 S Buffalo St, Canton, Texas |
| Authorized Official Name and Position | Jimmy W Dailey (OWNER) |
| Authorized Official Contact | 9035671910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dailey Medical Clinic Po Box 788 Canton TX 75103-0788 Ph: (903) 567-1910 | Dailey Medical Clinic 1108 S Buffalo St Canton TX 75103-2304 Ph: (903) 567-1910 |
| NPI Number | 1619105442 |
|---|---|
| Provider Enumeration Date | 07/01/2009 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 5991858243 |
|---|---|
| Medicare Enrollment ID | O20090804000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619105442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K3567 (Texas) | Primary |
| Provider Name | Eleazar Vera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407822299 PECOS PAC ID: 2062409923 Enrollment ID: I20040430000732 |
| Provider Name | John Turner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750306536 PECOS PAC ID: 9234152240 Enrollment ID: I20060105000181 |
| Provider Name | Jimmy W Dailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073598199 PECOS PAC ID: 3870508724 Enrollment ID: I20060214000089 |
| Provider Name | Melissa Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124595087 PECOS PAC ID: 9739423047 Enrollment ID: I20181127002006 |
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