| Gene Mcdaniel DO PA | |
|
308 W Hwy 199 Springtown TX 76082 | |
| (817) 523-5402 | |
| (817) 523-5422 |
| Full Name | Gene Mcdaniel DO PA |
|---|---|
| Speciality | Family Medicine |
| Location | 308 W Hwy 199, Springtown, Texas |
| Authorized Official Name and Position | Wendell Gene Mcdaniel (PRESIDENT) |
| Authorized Official Contact | 8175235402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gene Mcdaniel DO PA Po Box 1039 Springtown TX 76082 Ph: (817) 523-5402 | Gene Mcdaniel DO PA 308 W Hwy 199 Springtown TX 76082 Ph: (817) 523-5402 |
| NPI Number | 1730125865 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 02/26/2013 |
| Medicare PECOS PAC ID | 0143240788 |
|---|---|
| Medicare Enrollment ID | O20051129000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730125865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Wendell Gene Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508802646 PECOS PAC ID: 1850311499 Enrollment ID: I20120314000845 |
| Provider Name | Aimee Simington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952875932 PECOS PAC ID: 5092053819 Enrollment ID: I20190220001494 |
| Provider Name | Traci D Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043824139 PECOS PAC ID: 3577976778 Enrollment ID: I20210107001329 |
| Provider Name | Bobbie Jo Deweese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962985903 PECOS PAC ID: 0941798458 Enrollment ID: I20251024002182 |
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