Pilot Point Medical Clinic, P.a., NPI 1962424846
Primary Care Clinic/Center in Pilot Point, TX, US

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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
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Organization Official

Official Name DR. M.D. Kenneth Wayne Beresford
Official Position OWNER
Phone 940-686-2254

Primary Taxonomy

Taxonomy Code

261QP2300X

Taxonomy Name Primary Care Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. K9226
License State TX
Description Definition to come...

Other Organization Name

Kenneth W. Beresford, M.D., P.A.
Former Legal Business Name

Business Address

Pilot Point Medical Clinic, P.a.
1246 S Highway 377

Pilot Point, TX, US

Phone: 940-686-2254
Fax: 940-686-2830

Mailing Address

Pilot Point Medical Clinic, P.a.
Po Box 1117
1246 Hwy 377 South Suite 200
Pilot Point, TX, US
ZIP 762581117
Phone: 940-686-2254
Fax: 940-686-2830

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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