| Heart Of Texas Family Medicine, Pa | |
|
109 S Park Dr Brownwood TX 76801-5917 | |
| (325) 643-3300 | |
| (325) 643-3109 |
| Full Name | Heart Of Texas Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 109 S Park Dr, Brownwood, Texas |
| Authorized Official Name and Position | Jason C Hubbard (OWNER) |
| Authorized Official Contact | 3256433300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Of Texas Family Medicine, Pa Po Box 249 Brownwood TX 76804-0249 Ph: (325) 643-3300 | Heart Of Texas Family Medicine, Pa 109 S Park Dr Brownwood TX 76801-5917 Ph: (325) 643-3300 |
| NPI Number | 1417067083 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 11/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417067083 | NPI | - | NPPES |
| 162000702 | Medicaid | TX | |
| DB4886 | Other | TX | RR MEDICARE GROUP # |
| 0078ER | Other | TX | BCBS GROUP # |
| 162000701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5697 (Texas) | Secondary |
| 207Q00000X | Family Medicine | L4978 (Texas) | Primary |
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