| Teare Memorial Clinic | |
|
146 N Pioneer Drive Booker TX 79005-6008 | |
| (806) 658-4531 | |
| (806) 658-9344 |
| Full Name | Teare Memorial Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 146 N Pioneer Drive, Booker, Texas |
| Authorized Official Name and Position | Lisa Brown (APRN/ADMINISTRATOR) |
| Authorized Official Contact | 8066584531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teare Memorial Clinic Po Box 550 Booker TX 79005-0550 Ph: (806) 658-4531 | Teare Memorial Clinic 146 N Pioneer Drive Booker TX 79005-6008 Ph: (806) 658-4531 |
| NPI Number | 1699844878 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 1658408471 |
|---|---|
| Medicare Enrollment ID | O20100427000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699844878 | NPI | - | NPPES |
| 063663101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 652675 (Texas) | Primary |