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Organization
ACTON MEDICAL CLINIC PA
Active
Organization
ACTON MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STEPHEN BISHOP DO (OWNER)
(817) 326-3440
Entity
Organization
Contact information
Practice address
2006 FALL CREEK HWY, GRANBURY, TX 76049-7913
(817) 326-3440
Mailing address
PO BOX 5334, GRANBURY, TX 76049-0334
(817) 326-3440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00298R
BCBS GROUP NUMBER
TX
05
—
142421001
—
TX
01
—
DD0227
MEDICARE RR GROUP NUMBER
—
Enumeration date
05/15/2006
Last updated
08/16/2012
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