PECOS COUNTY MEMORIAL NPI 1669697264

NPI Information

  • NPI: 1669697264
  • Provider Name: PECOS COUNTY MEMORIAL
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: FAMILY CARE CENTER
  • Address: 387 W IH 10
    FORT STOCKTON, TX
    ZIP 79735
  • Phone: (432) 336-2291

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NPI Details

PECOS COUNTY MEMORIAL is a family medicine in Fort Stockton, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PECOS COUNTY MEMORIAL NPI is 1669697264. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Care Center.

The provider's business location address is:

387 W IH 10
FORT STOCKTON, TX
ZIP 79735-700
Phone: (432) 336-2291
Fax: (844) 824-3604

The provider's authorized official is Melissa Pena .
The authorized official title is Director and has the following contact phone number (432) 336-4880.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 11/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1091939103MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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