| Med Pavilion Pc | |
|
220a Sw 26th Ave Mineral Wells TX 76067 | |
| (940) 325-1543 | |
| (940) 325-2679 |
| Full Name | Med Pavilion Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 220a Sw 26th Ave, Mineral Wells, Texas |
| Authorized Official Name and Position | Ashley R Wright (CLINIC COORDINATOR) |
| Authorized Official Contact | 9403251543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Pavilion Pc 220a Sw 26th Ave Mineral Wells TX 76067-8248 Ph: (940) 325-1543 | Med Pavilion Pc 220a Sw 26th Ave Mineral Wells TX 76067 Ph: (940) 325-1543 |
| NPI Number | 1871643007 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 02/13/2026 |
| Medicare PECOS PAC ID | 6901052794 |
|---|---|
| Medicare Enrollment ID | O20120810000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871643007 | NPI | - | NPPES |
| 80780Y | Other | BCBS | |
| 135150408 | Medicaid | TX | |
| 135150406 | Medicaid | TX | |
| TXB158020 | Other | TX | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J4552 (Texas) | Primary |
| 208000000X | Pediatrics | J4552 (Texas) | Secondary |
| Provider Name | Tom A Tarkenton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306824651 PECOS PAC ID: 0345294286 Enrollment ID: I20050303000714 |
Palo Pinto County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Sw 25th Ave, Mineral Wells, TX 76067 Phone: 940-745-0484 Fax: 940-328-6260 | |
Palo Pinto County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Holly Hill Rd, Mineral Wells, TX 76067 Phone: 940-463-7092 Fax: 940-463-7096 | |
Texas Healthy Aging And Hormone Therapy Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Sw 25th Ave, Suite 1200, Mineral Wells, TX 76067 Phone: 940-325-3706 Fax: 940-325-6200 | |
Alice L. Ramsey M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Sw 26th Ave, Suite D, Mineral Wells, TX 76067 Phone: 940-325-9485 Fax: 940-325-4325 | |
Global Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Sw 25th Ave Ste 800, Mineral Wells, TX 76067 Phone: 940-217-5969 | |
Onpoint Health, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2307 E Hubbard St, Mineral Wells, TX 76067 Phone: 940-274-6151 Fax: 497-038-6009 | |
Palo Pinto County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Sw 25th Ave, Mineral Wells, TX 76067 Phone: 940-328-6547 Fax: 940-328-6541 |