| Global Family Practice, Pllc | |
|
215 Chisholm Trl Jacksboro TX 76458-1403 | |
| (940) 217-5969 | |
| Not Available |
| Full Name | Global Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 Chisholm Trl, Jacksboro, Texas |
| Authorized Official Name and Position | Shivum Agarwal (FAMILY PHYSICIAN, MEMBER) |
| Authorized Official Contact | 9402472579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Family Practice, Pllc Po Box 444 Jacksboro TX 76458-0444 Ph: (940) 217-5969 | Global Family Practice, Pllc 215 Chisholm Trl Jacksboro TX 76458-1403 Ph: (940) 217-5969 |
| NPI Number | 1336651710 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 12/21/2018 |
| Medicare PECOS PAC ID | 5294096848 |
|---|---|
| Medicare Enrollment ID | O20180223000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336651710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shivum K Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700220738 PECOS PAC ID: 6305121294 Enrollment ID: I20170315001697 |
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