| Covenant West Texas Family Medicine | |
|
1806 Quincy St Plainview TX 79072-4206 | |
| (806) 288-7891 | |
| Not Available |
| Full Name | Covenant West Texas Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1806 Quincy St, Plainview, Texas |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant West Texas Family Medicine Po Box 677044 Dallas TX 75267-7044 | Covenant West Texas Family Medicine 1806 Quincy St Plainview TX 79072-4206 Ph: (806) 288-7891 |
| NPI Number | 1619565595 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Medicare PECOS PAC ID | 0749179521 |
|---|---|
| Medicare Enrollment ID | O20210105001973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619565595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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