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Organization
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Active
Organization
MEXIA PRINCIPAL HEALTHCARE LIMITED PARTNERSHIP
Active
Other names
Parkview Regional Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M. GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
600 S BONHAM ST, MEXIA, TX 76667-3603
(254) 562-5332
(254) 562-2331
Mailing address
103 POWELL CT, SUITE 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068CK
BCBS OF TEXAS
—
Enumeration date
03/13/2008
Last updated
09/10/2008
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