| Redman Family Practice Clinic | |
|
107 N Winfree Dayton TX 77535 | |
| (936) 258-7664 | |
| (936) 258-9395 |
| Full Name | Redman Family Practice Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 107 N Winfree, Dayton, Texas |
| Authorized Official Name and Position | Paul Clark Redman (CEO) |
| Authorized Official Contact | 9362587664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redman Family Practice Clinic 34 Ranchwood St Dayton TX 77535-9212 Ph: () - | Redman Family Practice Clinic 107 N Winfree Dayton TX 77535 Ph: (936) 258-7664 |
| NPI Number | 1740235118 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740235118 | NPI | - | NPPES |
| 1824732-02 | Medicaid | TX | |
| 1824732-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D7266 (Texas) | Primary |
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