| Iron Mountain Medical Center Llc | |
|
106 N Grace St Crockett TX 75835-1722 | |
| (936) 544-7202 | |
| (936) 546-2029 |
| Full Name | Iron Mountain Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 106 N Grace St, Crockett, Texas |
| Authorized Official Name and Position | Cynthia Raye Horne (OWNER) |
| Authorized Official Contact | 9363489141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iron Mountain Medical Center Llc 106 N Grace St Crockett TX 75835-1722 Ph: (936) 348-9141 | Iron Mountain Medical Center Llc 106 N Grace St Crockett TX 75835-1722 Ph: (936) 544-7202 |
| NPI Number | 1215974688 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215974688 | NPI | - | NPPES |
| 0037RB | Other | TX | BCBS |
| 138350710 | Other | TX | PCP |
| 0051BV | Other | TX | BCBS |
| 092386401 | Medicaid | TX | |
| 092386403 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
Crockett Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 E Loop 304 Ste 201, Crockett, TX 75835 Phone: 936-546-3890 | |
Timberlands Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 E Loop 304, Suite 200, Crockett, TX 75835 Phone: 936-544-5132 | |
Crockett Clinic Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1122 E Loop 304, Crockett, TX 75835 Phone: 936-544-2157 Fax: 936-544-5572 | |
Crockett Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 E Loop 304, Crockett, TX 75835 Phone: 936-546-3890 | |
D&c Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Loop 3048 East, Suite 200, Crockett, TX 75835 Phone: 903-723-7178 Fax: 903-723-8252 | |
Texas Family Doctor, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 E Loop 304, Crockett, TX 75835 Phone: 936-655-0500 |