Unknown Individual – Family Medicine Physician, NPI 1477802858
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
P.O. BOX 1283
604 MAIN STREET
CANADIAN, TX 79014
Phone: (806) 323-6554
Fax: (806) 323-9001
Type: Mailing
604 MAIN STREET
CANADIAN, TX 79014
Phone: (806) 323-6554
Fax: (806) 323-9001
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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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79014)
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