| Musgrave Family Medicine | |
|
1750 Keller Parkway Keller TX 76248 | |
| (682) 808-7690 | |
| Not Available |
| Full Name | Musgrave Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1750 Keller Parkway, Keller, Texas |
| Authorized Official Name and Position | William Larkin Musgrave (OWNER) |
| Authorized Official Contact | 8173109510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Musgrave Family Medicine 1750 Keller Pkwy Keller TX 76248-3704 Ph: (817) 310-9510 | Musgrave Family Medicine 1750 Keller Parkway Keller TX 76248 Ph: (682) 808-7690 |
| NPI Number | 1831742550 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 03/18/2025 |
| Medicare PECOS PAC ID | 4880028364 |
|---|---|
| Medicare Enrollment ID | O20191217001652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831742550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William L Musgrave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770898306 PECOS PAC ID: 3375783012 Enrollment ID: I20140425000939 |
| Provider Name | Amanda Nicole Gatlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026712 PECOS PAC ID: 8022310283 Enrollment ID: I20160105000913 |
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