| Dmctx1, Pllc | |
|
703 W. Bluff St. Woodville TX 75979-5131 | |
| (409) 200-2811 | |
| (409) 200-2856 |
| Full Name | Dmctx1, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 703 W. Bluff St., Woodville, Texas |
| Authorized Official Name and Position | Joseph A Koch (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4092002811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmctx1, Pllc 703 W. Bluff St. Woodville TX 75979-5131 Ph: (409) 200-2811 | Dmctx1, Pllc 703 W. Bluff St. Woodville TX 75979-5131 Ph: (409) 200-2811 |
| NPI Number | 1487137824 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 09/14/2021 |
| Medicare PECOS PAC ID | 1052650249 |
|---|---|
| Medicare Enrollment ID | O20190306001032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487137824 | NPI | - | NPPES |
| Provider Name | Joseph A Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386970523 PECOS PAC ID: 4880876572 Enrollment ID: I20110317000196 |
| Provider Name | Alicia D Scoggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407899495 PECOS PAC ID: 1951542133 Enrollment ID: I20130801000075 |
| Provider Name | Meagan Yeates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801148085 PECOS PAC ID: 0749405330 Enrollment ID: I20140716001034 |
| Provider Name | Curtis R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285004366 PECOS PAC ID: 3072818665 Enrollment ID: I20160218002101 |
| Provider Name | Jessalyn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790439354 PECOS PAC ID: 3476946468 Enrollment ID: I20220216000684 |
Tyler County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 N Beech St, Woodville, TX 75979 Phone: 409-283-2822 Fax: 409-283-7852 | |
Tch Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 N Beech St, Woodville, TX 75979 Phone: 409-283-2822 Fax: 409-283-7852 |