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Organization
TEXOMACARE
Active
Organization
TEXOMACARE
Active
Other names
TexomaCare Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
3126 W FM 120, DENISON, TX 75020-1249
(903) 416-7544
(903) 416-7545
Mailing address
5012 S US HIGHWAY 75 STE 300, ATT. BILLING, DENISON, TX 75020-4589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1273500-04
—
TX
Enumeration date
10/26/2017
Last updated
06/28/2019
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