MEDICARE: AVERE HEALTHCARE CLINICS LLC

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
1	363LF0000X	Family Nurse Practitioner
2	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1659651701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVERE HEALTHCARE CLINICS LLC

Provider Business Mailing Address
First Line	:	2535 CHARLOTTE ST
Second Line	:	SUITE 102
City	:	DENTON
State	:	TX
Zip	:	76201-3301
Country	:	US
Telephone Number	:	940-387-7300
Fax Number	:	940-387-1848

Provider Business Practice Location Address
First Line	:	2535 CHARLOTTE ST
Second Line	:	SUITE 102
City	:	DENTON
State	:	TX
Zip	:	76201-3301
Country	:	US
Telephone Number	:	940-387-7300
Fax Number	:	940-387-1848

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	CAROL HEDTKE
Credential	:	NP
Telephone Number	:	817-891-8356

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	06/26/2024

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Directions to “AVERE HEALTHCARE CLINICS LLC ” Practice Location

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