| Texoma Interstate Ventures | |
|
3126 W Fm 120 Denison TX 75020 | |
| (903) 416-7544 | |
| (903) 416-7545 |
| Full Name | Texoma Interstate Ventures |
|---|---|
| Speciality | Family Medicine |
| Location | 3126 W Fm 120, Denison, Texas |
| Authorized Official Name and Position | W Mackey Watkins (PRESIDENT CEO) |
| Authorized Official Contact | 9034164126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texoma Interstate Ventures 1000 Memorial Dr Denison TX 75020-2035 Ph: (903) 416-5144 | Texoma Interstate Ventures 3126 W Fm 120 Denison TX 75020 Ph: (903) 416-7544 |
| NPI Number | 1730117219 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730117219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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