| Nwtx Physician Network, PLLC | |
|
104 N Bryan St Borger TX 79007-4010 | |
| (806) 274-3627 | |
| Not Available |
| Full Name | Nwtx Physician Network, PLLC |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 104 N Bryan St, Borger, Texas |
| Authorized Official Name and Position | Todd Allen Evans (VP - PHYSICIAN SERVICES) |
| Authorized Official Contact | 6103824943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nwtx Physician Network, PLLC Po Box 844798 Att: Ipm Credentialing Dallas TX 75284-4798 Ph: (484) 913-7434 | Nwtx Physician Network, PLLC 104 N Bryan St Borger TX 79007-4010 Ph: (806) 274-3627 |
| NPI Number | 1255911590 |
|---|---|
| Provider Enumeration Date | 04/12/2021 |
| Last Update Date | 04/12/2021 |
| Certification Date | 04/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255911590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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