| Walk-in Clinic, Llc | |
|
1516 S 31st St Suite B Temple TX 76504-6752 | |
| (254) 778-6626 | |
| (254) 221-8079 |
| Full Name | Walk-in Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1516 S 31st St, Temple, Texas |
| Authorized Official Name and Position | Rayburn Wesley Mitchum (DIRECTOR OF BUSINESS DEVELOPMENT) |
| Authorized Official Contact | 9365533417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walk-in Clinic, Llc Po Box 633821 Nacogdoches TX 75963-3821 Ph: (936) 564-7373 | Walk-in Clinic, Llc 1516 S 31st St Suite B Temple TX 76504-6752 Ph: (254) 778-6626 |
| NPI Number | 1033566286 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/23/2016 |
| Medicare PECOS PAC ID | 4688953573 |
|---|---|
| Medicare Enrollment ID | O20161117000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033566286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carl Austin Willeford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063465409 PECOS PAC ID: 2961426705 Enrollment ID: I20060119000907 |
| Provider Name | Bridget Y Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881785251 PECOS PAC ID: 4880826064 Enrollment ID: I20140423000291 |
| Provider Name | Kassey Burney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457809949 PECOS PAC ID: 5799068334 Enrollment ID: I20170206002793 |
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Santa Fe Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 S 25th St Ste 115, Temple, TX 76504 Phone: 254-899-8650 Fax: 254-899-8669 | |
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