Unknown Individual – Family Medicine Physician, NPI 1184626913
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
TWO ST. MARK'S PLACE #112
LA GRANGE, TX 78945
Phone: (979) 242-5878
Fax: (979) 242-5818
Type: Mailing
TWO ST.MARK'S PLACE #112
LA GRANGE, TX 789451256
Phone: (979) 242-5878
Fax: (979) 242-5818
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78945)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 35 | 33 |
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