| Pca Of Gun Barrel City | |
|
801 W Main St Gun Barrel City TX 75156-5312 | |
| (903) 887-6252 | |
| Not Available |
| Full Name | Pca Of Gun Barrel City |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 801 W Main St, Gun Barrel City, Texas |
| Authorized Official Name and Position | Sheryl L Morris (OPERATIONS MANAGER) |
| Authorized Official Contact | 4698003524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pca Of Gun Barrel City Po Box 844128 Dallas TX 75284-4128 Ph: (469) 800-3524 | Pca Of Gun Barrel City 801 W Main St Gun Barrel City TX 75156-5312 Ph: (903) 887-6252 |
| NPI Number | 1174747950 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 11/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174747950 | NPI | - | NPPES |
| CP0098 | Other | TX | RAILROAD MEDICARE |
| 137940604 | Medicaid | TX | |
| 008EE | Other | TX | BCBS GROUP |
| 137940601 | Medicaid | TX | |
| 137940611 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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