| Lake Kiowa Medical Clinic | |
|
100 Kiowa Dr W Apt 103 Gainesville TX 76240-9507 | |
| (940) 612-5562 | |
| (940) 665-6201 |
| Full Name | Lake Kiowa Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Kiowa Dr W Apt 103, Gainesville, Texas |
| Authorized Official Name and Position | Holly Oliveira (OWNER) |
| Authorized Official Contact | 9406125562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Kiowa Medical Clinic Po Box 1358 Gainesville TX 76241-1358 Ph: (940) 612-5562 | Lake Kiowa Medical Clinic 100 Kiowa Dr W Apt 103 Gainesville TX 76240-9507 Ph: (940) 612-5562 |
| NPI Number | 1235697350 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 8224576954 |
|---|---|
| Medicare Enrollment ID | O20240813002787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235697350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Holly R Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497749147 PECOS PAC ID: 7113936956 Enrollment ID: I20060406000242 |
| Provider Name | Edgardo G Advincula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083619696 PECOS PAC ID: 0840265732 Enrollment ID: I20150401000828 |
| Provider Name | Mishel Sedek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619728797 PECOS PAC ID: 6406391689 Enrollment ID: I20240711003449 |
Gainesville Community Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1902 Hospital Blvd, Gainesville, TX 76240 Phone: 940-612-8750 | |
Sears Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 836 E California St, Gainesville, TX 76240 Phone: 940-665-5566 Fax: 940-665-8663 | |
Virendra Kumar Agarwal, M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 715 E California St, Gainesville, TX 76240 Phone: 940-668-1100 | |
Jones Family Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 E Broadway St, Gainesville, TX 76240 Phone: 940-665-0721 Fax: 940-668-6186 | |
Lisa Roy Md Professional Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1014 E Highway 82, Suite 162, Gainesville, TX 76240 Phone: 940-284-3884 | |
J Fuhrmann Np Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2024 W Highway 82, Gainesville, TX 76240 Phone: 940-641-3440 | |
James Stephen Jones Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 E Broadway St, Gainesville, TX 76240 Phone: 940-665-0721 Fax: 940-668-6186 |