Organization
NWTX PHYSICIAN NETWORK, PLLC
Active
Organization
NWTX PHYSICIAN NETWORK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALLEN EVANS (VP - PHYSICIAN SERVICES)
(610) 382-4943
Entity
Organization
Contact information
Practice address
104 N BRYAN ST, BORGER, TX 79007-4010
(806) 274-3627
Mailing address
PO BOX 844798 ATT: IPM CREDENTIALING, DALLAS, TX 75284-4798
(484) 913-7434
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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