| Jarrell Medical Clinic | |
|
180 Town Center Blvd Ste 400 Jarrell TX 76537-4007 | |
| (512) 850-9143 | |
| (512) 287-5582 |
| Full Name | Jarrell Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 Town Center Blvd Ste 400, Jarrell, Texas |
| Authorized Official Name and Position | Ramiro Abraham Pena (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5125881501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jarrell Medical Clinic 180 Town Center Blvd Ste 400 Jarrell TX 76537-4007 Ph: (512) 850-9143 | Jarrell Medical Clinic 180 Town Center Blvd Ste 400 Jarrell TX 76537-4007 Ph: (512) 850-9143 |
| NPI Number | 1346909231 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 08/24/2022 |
| Medicare PECOS PAC ID | 1254719628 |
|---|---|
| Medicare Enrollment ID | O20220526001612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346909231 | NPI | - | NPPES |
| D1001 | Other | TX | FAMILY PRACTICE |
| 1033714 | Other | TX | FAMILY PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | Ramiro A Pena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376692079 PECOS PAC ID: 7012014004 Enrollment ID: I20070529000119 |
| Provider Name | Leslie Carol Casachahua Siesquen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750961132 PECOS PAC ID: 3072985902 Enrollment ID: I20230202001046 |
Loyce J. Graham, M. D. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Town Center Blvd, Suite 400, Jarrell, TX 76537 Phone: 254-718-5328 | |
Precision Medical Evaluations, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Hondo Gap Ln, Jarrell, TX 76537 Phone: 512-903-5083 Fax: 512-812-8299 | |
First Care Medical Group, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Town Center Blvd Ste 400, Jarrell, TX 76537 Phone: 512-850-9143 |