Organization
PILOT POINT MEDICAL CLINIC, P.A.
Active
Other names
Kenneth W. Beresford, M.D., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WAYNE BERESFORD M.D. (OWNER)
(940) 686-2254
Entity
Organization
Contact information
Practice address
1246 S HIGHWAY 377, PILOT POINT, TX 76258-4375
(940) 686-2254
(940) 686-2830
Mailing address
PO BOX 1117, 1246 HWY 377 SOUTH SUITE 200, PILOT POINT, TX 76258-1117
(940) 686-2254
(940) 686-2830
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K9226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045386202
—
TX
01
—
0A3440
MEDICARE GROUP PTAN
TX
01
—
0A3440
MEDICARE INDIVID PTAN FOR GRP NPI
—
01
—
8F20689
MEDICARE INDIV PTAN INDVID NPI
TX
Enumeration date
07/23/2006
Last updated
01/12/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us