| Moore County Pho LLC | |
|
224 E 2nd St Dumas TX 79029-3808 | |
| (806) 935-7171 | |
| (806) 934-7836 |
| Full Name | Moore County Pho LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 224 E 2nd St, Dumas, Texas |
| Authorized Official Name and Position | Jeffrey Turner (CEO) |
| Authorized Official Contact | 8069357171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore County Pho LLC 224 E 2nd St Dumas TX 79029-3808 Ph: (806) 935-7171 | Moore County Pho LLC 224 E 2nd St Dumas TX 79029-3808 Ph: (806) 935-7171 |
| NPI Number | 1841806791 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841806791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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