| John L Sawtelle Do Pa | |
|
218 Park St Trinidad TX 75163-6060 | |
| (903) 778-2942 | |
| (903) 778-2537 |
| Full Name | John L Sawtelle Do Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 218 Park St, Trinidad, Texas |
| Authorized Official Name and Position | Mary Ann Harrison (PROVIDER ENROLLMENT COORDINATOR) |
| Authorized Official Contact | 9035101113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L Sawtelle Do Pa 218 Park St Trinidad TX 75163-6060 Ph: (903) 778-2942 | John L Sawtelle Do Pa 218 Park St Trinidad TX 75163-6060 Ph: (903) 778-2942 |
| NPI Number | 1194951517 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194951517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G0063 (Texas) | Primary |
Dlkpac Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 218 Park St, Trinidad, TX 75163 Phone: 903-778-2942 Fax: 903-778-2177 |