The Great Escape in Gainesville - Preferred Provider Organization

The Great Escape - NPI 1174701353

The Great Escape is a Preferred Provider Organization in Gainesville, Texas. The Great Escape practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for The Great Escape is 1174701353. The last update date is 2008-02-10.

The Great Escape's current location address is 1500 E Highway 82, Gainesville, Texas. You can contact this provider via phone number 9407363156. The mailing address for The Great Escape is 1500 E Highway 82, Gainesville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization The Great Escape
Address 1500 E Highway 82, Gainesville, Texas
Phone Number 9407363156
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSED M
Authorized Official Name Watson Lee Mary
Credentials MLT
Telephone Number 9407363156

NPI Number Detail

NPI Number 1174701353
Provider Enumeration Date 2008-02-10
Last Updated Date 2008-02-10

Provider Mailing Address Detail

Address 1500 E Highway 82
City Gainesville
State Texas (TX)
Post Code 762402831
Phone Number 9407363156
Fax Number

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Licence No MT101857
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

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FAQs about The Great Escape

What is the unique 10-digit identification code issued to The Great Escape by the Centers for Medicare & Medicaid Services?

The The Great Escape has been assigned the NPI (National Provider Identifier) 1174701353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of The Great Escape?

The The Great Escape is situated at 1500 E Highway 82, in the city of Gainesville, state of TX, with the zip code 762402831.

What is The Great Escape's specialized field of practice, and what is the corresponding taxonomy classification code?

The The Great Escape's area of specialization is Preferred Provider Organization, and the corresponding taxonomy code that categorizes this field of practice is 305R00000X.

On what date did the The Great Escape receive its 1174701353 assignment from the Centers for Medicare & Medicaid Services?

The The Great Escape was assigned its 1174701353 by the Centers for Medicare & Medicaid Services on 2008-02-10.

When was the information related to The Great Escape most recently updated or refreshed?

The details pertaining to the The Great Escape, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-10.

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