| Famersville Family Center | |
|
111 N Johnson St Farmersville TX 75442-2103 | |
| (972) 782-6131 | |
| (972) 782-6132 |
| Full Name | Famersville Family Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 N Johnson St, Farmersville, Texas |
| Authorized Official Name and Position | Dan Shepherd (CEO) |
| Authorized Official Contact | 9034555986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Famersville Family Center Po Box 1908 Greenville TX 75403-1908 Ph: (903) 455-5986 | Famersville Family Center 111 N Johnson St Farmersville TX 75442-2103 Ph: (972) 782-6131 |
| NPI Number | 1922081561 |
|---|---|
| Provider Enumeration Date | 11/29/2005 |
| Last Update Date | 11/22/2010 |
| Medicare PECOS PAC ID | 6305735150 |
|---|---|
| Medicare Enrollment ID | O20101117000551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922081561 | NPI | - | NPPES |
| 019052201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
R. Greg Maul, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 Mckinney St, Farmersville, TX 75442 Phone: 972-784-8000 Fax: 972-784-7237 |