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Organization
TEXOMA PRIMARY CARE CLINIC
Active
Organization
TEXOMA PRIMARY CARE CLINIC
Active
Parent organization
KELL WEST REGIONAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELL WEST REGIONAL HOSPITAL
Authorized official
JERRY K MYERS M.D. (CEO)
(940) 696-7518
Entity
Organization
Contact information
Practice address
5500 KELL BLVD, SUITE 500, WICHITA FALLS, TX 76310-1612
(940) 264-2273
Mailing address
5500 KELL BLVD, SUITE 500, WICHITA FALLS, TX 76310-1612
(940) 264-2273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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