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BRECKENRIDGE FAMILY CLINIC PA NPI 1780782672


NPI Information

NPI: 1780782672
Provider Name: BRECKENRIDGE FAMILY CLINIC PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
103 SOUTH HARTFORD STREET
BRECKENRIDGE, TX
ZIP 76424
Phone: (254) 559-3363
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BRECKENRIDGE FAMILY CLINIC PA is a family medicine in Breckenridge, 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. BRECKENRIDGE FAMILY CLINIC PA NPI is 1780782672. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

103 SOUTH HARTFORD STREET
BRECKENRIDGE, TX
ZIP 76424
Phone: (254) 559-3363
Fax: (254) 559-1252

The provider's authorized official is William Elmo Prater .
The authorized official title is Md President and has the following contact phone number (254) 559-3363.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 12/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG8349TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100D95VMEDICARE ID-TYPE UNSPECIFIEDTEXAS
2C20662MEDICARE UPIN
382J127OTHERTEXASBLUE CROSS BLUE SHIELD

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: 11/14/2023

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