Dekalb Physicians Clinic Llc in De Kalb - Family Medicine
Dekalb Physicians Clinic Llc - NPI 1265565691
Dekalb Physicians Clinic Llc is a Family Medicine in De Kalb, Texas. Dekalb Physicians Clinic Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dekalb Physicians Clinic Llc is 1265565691. The last update date is 2023-01-30.
Dekalb Physicians Clinic Llc's current location address is 216 N Centre St, De Kalb, Texas. You can contact this provider via phone number 9036672273 and fax number 9036677597. The mailing address for Dekalb Physicians Clinic Llc is 216 N Centre St, De Kalb, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dekalb Physicians Clinic Llc |
|---|---|
| Address | 216 N Centre St, De Kalb, Texas |
| Phone Number | 9036672273 |
| Fax Number | 9036677597 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER - PH |
|---|---|
| Authorized Official Name | Groom Wayne Kyle |
| Credentials | DO |
| Telephone Number | 9036672273 |
NPI Number Detail
| NPI Number | 1265565691 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2023-01-30 |
Provider Mailing Address Detail
| Address | 216 N Centre St |
|---|---|
| City | De Kalb |
| State | Texas (TX) |
| Post Code | 755591406 |
| Phone Number | 9036672273 |
| Fax Number | 9036677597 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | L5749 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8S7090 | TX | BLUE CROSS BLUE SHIELD | |
| 177214701 | TX | -- | |
| 8P152 | AR | ARK BLUE CROSS BLUE SHIEL |
Post Comment/ Review Below
What is the Dekalb Physicians Clinic Llc's 1265565691?
The Dekalb Physicians Clinic Llc's NPI (National Provider Identifier) Number is 1265565691. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Dekalb Physicians Clinic Llc's facilities are geographically located?
The facilities of Dekalb Physicians Clinic Llc are physically situated at the following location: 216 N Centre St, De Kalb, TX, 755591406.
What is the Dekalb Physicians Clinic Llc's specialty and taxonomy code?
The Dekalb Physicians Clinic Llc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Dekalb Physicians Clinic Llc receive its 1265565691 assignment?
The Dekalb Physicians Clinic Llc was assigned its 1265565691 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
When was the information regarding Dekalb Physicians Clinic Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Dekalb Physicians Clinic Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-01-30.