Pilot Point Medical Clinic, P.a., NPI 1962424846
Primary Care Clinic/Center in Pilot Point, TX, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1962424846 |
| NPI Entity Type | Organization |
| Provider Name |
Pilot Point Medical Clinic, P.a.
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 1246 S Highway 377, Pilot Point, TX, US |
| Provider Mailing Address | Po Box 1117, 1246 Hwy 377 South Suite 200, Pilot Point, TX, US, 762581117 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. M.D. Kenneth Wayne Beresford |
| Official Position | OWNER |
| Phone | 940-686-2254 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Primary Care Clinic/Center |
| Classification | |
| Group | |
| License No. | K9226 |
| License State | TX |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 045386202 | TX | MEDICAID | 05 |
| 0A3440 | TX | MEDICARE GROUP PTAN | 01 |
| 8F20689 | TX | MEDICARE INDIV PTAN INDVID NPI | 01 |
| 0A3440 | MEDICARE INDIVID PTAN FOR GRP NPI | 01 |
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