| Oakwood Family Medicine | |
|
511 Oakwood Blvd Ste 202 Round Rock TX 78681-4068 | |
| (512) 388-0511 | |
| Not Available |
| Full Name | Oakwood Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 511 Oakwood Blvd Ste 202, Round Rock, Texas |
| Authorized Official Name and Position | Tina Philip (PRESIDENT) |
| Authorized Official Contact | 5123880511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakwood Family Medicine 511 Oakwood Blvd Ste 202 Round Rock TX 78681-4068 Ph: (512) 388-0511 | Oakwood Family Medicine 511 Oakwood Blvd Ste 202 Round Rock TX 78681-4068 Ph: (512) 388-0511 |
| NPI Number | 1841835915 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 05/06/2020 |
| Medicare PECOS PAC ID | 0749614048 |
|---|---|
| Medicare Enrollment ID | O20191219000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841835915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tina J Philip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174793970 PECOS PAC ID: 4587710439 Enrollment ID: I20090918000252 |
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