| Lara Pierce, Md Pllc | |
|
217 W Belknap St Jacksboro TX 76458-2307 | |
| (940) 567-8114 | |
| (940) 521-5511 |
| Full Name | Lara Pierce, Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 217 W Belknap St, Jacksboro, Texas |
| Authorized Official Name and Position | Jayne Wynne (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9406319601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Pierce, Md Pllc 217 W Belknap St Jacksboro TX 76458-2307 Ph: (940) 567-8114 | Lara Pierce, Md Pllc 217 W Belknap St Jacksboro TX 76458-2307 Ph: (940) 567-8114 |
| NPI Number | 1588268288 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Medicare PECOS PAC ID | 9436566163 |
|---|---|
| Medicare Enrollment ID | O20210325001192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588268288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lara Marina Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518109040 PECOS PAC ID: 9638329444 Enrollment ID: I20121031000558 |
Jack County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-567-6633 Fax: 940-567-2895 | |
Robert Cooper, M.d., Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-567-5528 | |
Global Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-217-5969 | |
Physician Services Of Jacksboro Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 N 4th St, Jacksboro, TX 76458 Phone: 817-565-0922 | |
Sushil B. Chokshi, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Belknap St, Jacksboro, TX 76458 Phone: 940-567-2101 Fax: 940-567-5522 | |
Jack County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-567-6633 Fax: 940-567-2895 |