Organization
PREFERRED HOSPITAL LEASING INC
Active
Other names
Collingsworth Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD FREEMAN (VICE PRESIDENT)
(405) 878-0202
Entity
Organization
Contact information
Practice address
1011 15TH ST, WELLINGTON, TX 79095-3704
(806) 447-5311
(806) 447-3090
Mailing address
1011 15TH ST, WELLINGTON, TX 79095-3704
(806) 447-5311
(806) 447-3090
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126840106
—
TX
05
—
126840108
—
TX
05
—
179285501
—
TX
Enumeration date
05/31/2006
Last updated
06/24/2019
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