| Medical Clinic Of Devine | |
|
1250 State Highway 173 N Devine TX 78016-4791 | |
| (830) 426-7444 | |
| (830) 665-9586 |
| Full Name | Medical Clinic Of Devine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 State Highway 173 N, Devine, Texas |
| Authorized Official Name and Position | Kevin Frosch (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8304265001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Clinic Of Devine 3100 Avenue E Hondo TX 78861-3534 Ph: (830) 426-7700 | Medical Clinic Of Devine 1250 State Highway 173 N Devine TX 78016-4791 Ph: (830) 426-7444 |
| NPI Number | 1952453946 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 6709932049 |
|---|---|
| Medicare Enrollment ID | O20091005000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952453946 | NPI | - | NPPES |
| 063459402 | Medicaid | TX | |
| 063459401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 100046 (Texas) | Primary |
Medina Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Teel Dr, Suite 106, Devine, TX 78016 Phone: 830-663-3500 Fax: 830-663-3505 | |
South Texas Rural Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1010 W Hondo Ave, Devine, TX 78016 Phone: 830-879-3047 Fax: 830-879-2940 |