| V & B Family Clinic | |
|
1401 N 4th Ave Suite 100 Purcell OK 73080-1806 | |
| (405) 527-1075 | |
| Not Available |
| Full Name | V & B Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 N 4th Ave, Purcell, Oklahoma |
| Authorized Official Name and Position | Victor E Pascual Chagman (DIRECTOR) |
| Authorized Official Contact | 4055271075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| V & B Family Clinic Po Box 960401 Oklahoma City OK 73196-0401 Ph: (405) 844-1830 | V & B Family Clinic 1401 N 4th Ave Suite 100 Purcell OK 73080-1806 Ph: (405) 527-1075 |
| NPI Number | 1285956128 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 09/23/2010 |
| Medicare PECOS PAC ID | 2466584156 |
|---|---|
| Medicare Enrollment ID | O20100715000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285956128 | NPI | - | NPPES |
| 200300570A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Victor E Pascual Chagman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598922908 PECOS PAC ID: 0042366338 Enrollment ID: I20100716000266 |
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Jill L Watson Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N 4th Ave, Suite 100, Purcell, OK 73080 Phone: 405-527-1124 Fax: 405-527-0567 | |
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