# TEXOMACARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TEXOMACARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407800857
- **Legal business name:** TEXOMACARE
- **Authorized official:** TODD EVANS (VP)
- **Authorized official phone:** (610) 768-3300

## Contact information

- **Practice address:** 500 BROOKSIDE DR, MADILL, OK 73446-3643
- **Practice address phone:** (580) 795-5506
- **Practice address fax:** (580) 795-5145
- **Mailing address:** 5012 US HWY 75 S, SUITE 300, ATT: BILLING, DENISON, TX 75020
- **Mailing address phone:** (903) 416-1726
- **Mailing address fax:** (903) 416-1701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 06/28/2019