| Dominion Medical Associates Pa | |
|
6301 W Parmer Ln Suite 102 Austin TX 78729-6801 | |
| (512) 834-9999 | |
| (512) 834-9998 |
| Full Name | Dominion Medical Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6301 W Parmer Ln, Austin, Texas |
| Authorized Official Name and Position | Kimberly Warfield (PRESIDENT) |
| Authorized Official Contact | 5128349999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Medical Associates Pa 6301 W Parmer Ln Suite 102 Austin TX 78729-6801 Ph: (512) 834-9999 | Dominion Medical Associates Pa 6301 W Parmer Ln Suite 102 Austin TX 78729-6801 Ph: (512) 834-9999 |
| NPI Number | 1841201597 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 0941200141 |
|---|---|
| Medicare Enrollment ID | O20070112000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841201597 | NPI | - | NPPES |
| 0030NV | Other | TX | BCBS |
| 185932402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K8564 (Texas) | Primary |
| Provider Name | Kimberly L Warfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174571582 PECOS PAC ID: 2769482967 Enrollment ID: I20070112000137 |
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