| Mcdavid M. Mahaffey, M.D., P.A. | |
|
805 N Main St Cleburne TX 76033-3816 | |
| (817) 202-3978 | |
| (817) 202-3978 |
| Full Name | Mcdavid M. Mahaffey, M.D., P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 805 N Main St, Cleburne, Texas |
| Authorized Official Name and Position | Mcdavid M Mahaffey (OWNER/STAFF PROVIDER) |
| Authorized Official Contact | 8179335959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdavid M. Mahaffey, M.D., P.A. 805 N Main St Cleburne TX 76033-3816 Ph: (817) 202-3976 | Mcdavid M. Mahaffey, M.D., P.A. 805 N Main St Cleburne TX 76033-3816 Ph: (817) 202-3978 |
| NPI Number | 1427726587 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 06/03/2024 |
| Certification Date | 08/05/2022 |
| Medicare PECOS PAC ID | 0648678375 |
|---|---|
| Medicare Enrollment ID | O20211012000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427726587 | NPI | - | NPPES |
| 1V2363 | Other | TX | GROUP MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mcdavid M Mahaffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124163811 PECOS PAC ID: 3476616947 Enrollment ID: I20090109000043 |
| Provider Name | Steven N Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215974787 PECOS PAC ID: 9537156559 Enrollment ID: I20100428000169 |
| Provider Name | Charla Sperring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871940965 PECOS PAC ID: 9234417825 Enrollment ID: I20190911003808 |
| Provider Name | Sarah Nicole Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598495095 PECOS PAC ID: 0840670535 Enrollment ID: I20220712003005 |
| Provider Name | Cathrine Susanne Kelton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134505365 PECOS PAC ID: 0244762367 Enrollment ID: I20241015000707 |
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