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NPI Code Detail

MEDICARE: ESSENT PRMC LP

MEDICARE: ESSENT PRMC LP
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
1261QR1300XRural Health Clinic/CenterTX

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 : 1194724898
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENT PRMC LP
Provider Business Mailing Address
First Line : PO BOX 9070
Second Line :
City : PARIS
State : TX
Zip : 75461-9070
Country : US
Telephone Number : 903-737-3257
Fax Number : 903-737-3375
Provider Business Practice Location Address
First Line : 605 NORTH MAIN STREET
Second Line :
City : BOGATA
State : TX
Zip : 75417-0540
Country : US
Telephone Number : 903-632-9102
Fax Number : 903-632-9910
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MR. MICHAEL W BROWDER
Credential :
Telephone Number : 615-312-5103
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/21/2022

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Directions to “ESSENT PRMC LP ” Practice Location

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