| Virtue Medical Group, Llc | |
|
1306 13th St Bridgeport TX 76426-2454 | |
| (940) 255-6552 | |
| (940) 202-7058 |
| Full Name | Virtue Medical Group, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1306 13th St, Bridgeport, Texas |
| Authorized Official Name and Position | Dani Davis (COO) |
| Authorized Official Contact | 8063825064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtue Medical Group, Llc Po Box 1500 Bridgeport TX 76426-1500 Ph: (940) 255-6552 | Virtue Medical Group, Llc 1306 13th St Bridgeport TX 76426-2454 Ph: (940) 255-6552 |
| NPI Number | 1811661523 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 1658758016 |
|---|---|
| Medicare Enrollment ID | O20220701001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811661523 | NPI | - | NPPES |
| Provider Name | Jordan M Pastorek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265400634 PECOS PAC ID: 2163498569 Enrollment ID: I20051117001021 |
| Provider Name | Ashley Jendusa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881435675 PECOS PAC ID: 7315467123 Enrollment ID: I20250224003226 |
David A Ray Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2984 | |
Denise M. Casper, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2722 | |
David A Ray D O P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2984 | |
Jon W Copeland Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2984 | |
Virtue Medical Pa, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Center Court Dr, Bridgeport, TX 76426 Phone: 940-255-6552 Fax: 940-202-7058 |