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Organization

PRESTON FAMILY MEDICAL CLINIC

Active
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Organization

PRESTON FAMILY MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA WOMACK FNP (CO-OWNER)
(903) 783-1999
Entity
Organization

Contact information

Practice address
1122 E AUSTIN ST, PARIS, TX 75460-0424
(903) 783-1999
(903) 783-1167
Mailing address
1122 E AUSTIN ST, PARIS, TX 75460-0424
(903) 783-1999
(903) 783-1167

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
227977
TX
363LF0000X
Family Nurse Practitioner
Primary
629913
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019PV
BCBS
TX
05
—
191033301
—
TX
01
—
DG4831
RAILROAD MEDICARE
TX
Enumeration date
05/11/2007
Last updated
02/13/2025
About Stedi
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