| Thompson Outpatient Clinic, Llc | |
|
304 Broadway Winnie TX 77665-7829 | |
| (409) 296-2910 | |
| (409) 296-3003 |
| Full Name | Thompson Outpatient Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 304 Broadway, Winnie, Texas |
| Authorized Official Name and Position | Danny Lee Thompson (OWNER) |
| Authorized Official Contact | 4092962910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thompson Outpatient Clinic, Llc Po Box 714 Winnie TX 77665-0714 Ph: (409) 296-2910 | Thompson Outpatient Clinic, Llc 304 Broadway Winnie TX 77665-7829 Ph: (409) 296-2910 |
| NPI Number | 1407961048 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 04/11/2022 |
| Medicare PECOS PAC ID | 6709837362 |
|---|---|
| Medicare Enrollment ID | O20050201000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407961048 | NPI | - | NPPES |
| 171711803 | Medicaid | TX | |
| 171711802 | Medicaid | TX | |
| 0038MQ | Other | TX | BCBS GROUP NUMBER |
| DC8996 | Other | TX | MEDICARE RRW GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leonidas S Andres |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699773226 PECOS PAC ID: 3870559040 Enrollment ID: I20041209000090 |
| Provider Name | Nedrana Boutte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982805586 PECOS PAC ID: 1850480054 Enrollment ID: I20071210000668 |
Coastal Gateway Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2584 State Highway 124, Winnie, TX 77665 Phone: 409-296-4444 | |
Chambers County Public Hospital District #1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Highway 124, Winnie, TX 77665 Phone: 409-267-3143 | |
Winnie Community Hospital, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6351 Fax: 409-296-6386 | |
Boutte Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 233 Spur 5, Winnie, TX 77665 Phone: 409-296-2910 Fax: 409-296-3003 | |
Winnie Community Hospital, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6351 Fax: 409-263-6386 |