| Seguin Family Medicine Pa | |
|
515 N King St Ste 103 Seguin TX 78155 | |
| (830) 372-5200 | |
| (830) 372-5202 |
| Full Name | Seguin Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 515 N King St Ste 103, Seguin, Texas |
| Authorized Official Name and Position | Nicole Janice Talbot (CEO) |
| Authorized Official Contact | 8303725200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seguin Family Medicine Pa 515 N King St Ste 103 Seguin TX 78155-4815 Ph: (830) 372-5200 | Seguin Family Medicine Pa 515 N King St Ste 103 Seguin TX 78155 Ph: (830) 372-5200 |
| NPI Number | 1982701835 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 6800999459 |
|---|---|
| Medicare Enrollment ID | O20070320000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982701835 | NPI | - | NPPES |
| 186175901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicole J Talbot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114911161 PECOS PAC ID: 6608891445 Enrollment ID: I20070320000337 |
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