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NPI Code Detail

MEDICARE: GOLDEN TRIANGLE FAMILY CARE CENTER

MEDICARE: GOLDEN TRIANGLE FAMILY CARE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669545067
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN TRIANGLE FAMILY CARE CENTER
Provider Business Mailing Address
First Line : 615 W ROUND BUNCH RD
Second Line :
City : BRIDGE CITY
State : TX
Zip : 77611-2434
Country : US
Telephone Number : 409-735-7305
Fax Number : 409-792-0201
Provider Business Practice Location Address
First Line : 615 W ROUND BUNCH RD
Second Line :
City : BRIDGE CITY
State : TX
Zip : 77611-2434
Country : US
Telephone Number : 409-735-7305
Fax Number : 888-972-9401
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : CHRISTOPHER PAUL PENNING
Credential : DO
Telephone Number : 409-735-7305
Provider Enumeration Date : 11/16/2006
Last Update Date : 10/13/2024

Similar Medicare Providers

1467434522 — DR. SERVET M SATIR D.O.
Practice Location Address:
615 W ROUND BUNCH RD
BRIDGE CITY, TX
77611-2434
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Practice Fax: 409-792-0201
1679555734 — DR. CHRISTOPHER PAUL PENNING D.O.
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1205121548 — KELLY MELISSA BOCK NP-C
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Practice Fax: 409-735-3371
1063765451 — MRS. EDWINA YVONNE JACOBS FNP
Practice Location Address:
615 W ROUND BUNCH RD
BRIDGE CITY, TX
77611-2434
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1174285449 — MADISEN LILLEY REYNARD NP
Practice Location Address:
615 W ROUND BUNCH RD
BRIDGE CITY, TX
77611-2434
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1225781651 — KIMBERLY ANN ALLEN APRN, FNP-C, RN
Practice Location Address:
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77611-2434
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Directions to “GOLDEN TRIANGLE FAMILY CARE CENTER ” Practice Location

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