| Mindful Primary & Psych Care | |
|
2300 Clear Creek Rd Ste 205 Killeen TX 76549-5404 | |
| (254) 781-6772 | |
| Not Available |
| Full Name | Mindful Primary & Psych Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2300 Clear Creek Rd Ste 205, Killeen, Texas |
| Authorized Official Name and Position | Seresea Mitchell-smith (NURSE PRACTIONER) |
| Authorized Official Contact | 2547816772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Primary & Psych Care 2300 Clear Creek Rd Ste 205 Killeen TX 76549-5404 Ph: (254) 781-6772 | Mindful Primary & Psych Care 2300 Clear Creek Rd Ste 205 Killeen TX 76549-5404 Ph: (254) 781-6772 |
| NPI Number | 1811563497 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 09/03/2021 |
| Medicare PECOS PAC ID | 5395146955 |
|---|---|
| Medicare Enrollment ID | O20210702001182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811563497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Seresea Reshea Mitchell-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689969297 PECOS PAC ID: 4587806864 Enrollment ID: I20130815000833 |
| Provider Name | Immaculate Achieng Okeyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538823133 PECOS PAC ID: 9739578949 Enrollment ID: I20211109002822 |
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