| City Of Wichita Falls | |
|
1700 3rd St Wichita Falls TX 76301-2113 | |
| (940) 761-7805 | |
| (940) 767-5242 |
| Full Name | City Of Wichita Falls |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 3rd St, Wichita Falls, Texas |
| Authorized Official Name and Position | Amy Fagan (DIRECTOR OF HEALTH) |
| Authorized Official Contact | 9407617805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Wichita Falls 1700 3rd St Wichita Falls TX 76301-2113 Ph: (940) 761-7805 | City Of Wichita Falls 1700 3rd St Wichita Falls TX 76301-2113 Ph: (940) 761-7805 |
| NPI Number | 1255415188 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 05/09/2024 |
| Medicare PECOS PAC ID | 0446323521 |
|---|---|
| Medicare Enrollment ID | O20080723000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255415188 | NPI | - | NPPES |
| 1364101-06 | Medicaid | TX | |
| 1364101-04 | Medicaid | TX | |
| 1364101-07 | Medicaid | TX | |
| 1364101-08 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| Provider Name | Robert L Mcbroom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558327502 PECOS PAC ID: 5092769695 Enrollment ID: I20050308000648 |
| Provider Name | Arthur J Szczerba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356350193 PECOS PAC ID: 0143382978 Enrollment ID: I20090102000348 |
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