STRATFORD FAMILY MEDICAL CLINIC (NPI# 1912111618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912111618 |
| Entity Type | Organization |
| Organization Name | STRATFORD FAMILY MEDICAL CLINIC |
| Practice Address |
1220 Purnell Stratford TX 79084-1107 |
| Mailing Address |
Po Box 1107 Stratford TX 79084-1107 |
| Practice Telephone | 8063965583 |
| Practice Fax Number | 8063662713 |
| Mailing Telephone | 8063965583 |
| Mailing Fax Number | 8063662713 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | TOMMY W BRIAN (FNP) |
| Authorized Official Telephone | 8063965583 |
| Authorized Official Credential | RN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
578145 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
567349 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1220 PURNELL |
| City | STRATFORD |
| State | TX |
| Zip Code | 79084-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134647159 | Stratford Hospital District | Family Medicine | 1220 Purnell, Stratford, TX 79084-0020 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881012227 | Stratford Hospital District | Skilled Nursing Facility | 1111 Beaver Road, Stratford, TX 79084 | 2014-04-02 |
| 1881839793 | Cecily Green Yelek | Massage Therapist | 401 N 3rd St., #3, Stratford, TX 79084 | 2008-12-05 |
| 1245366103 | Stratford Hospital District | Exclusive Provider Organization | 1109 Beaver Road, Stratford, TX 79084 | 2007-02-26 |
| 1881777076 | Stratford Hospital District | Pharmacy | 317 N. Main St., Stratford, TX 79084 | 2006-10-23 |
| 1699003665 | Faith Family Medical Center | Nurse Practitioner | 309 North Main Street, Stratford, TX 79084-0126 | 2009-12-02 |
| 1295860971 | Krista Brown | Nurse Practitioner | 1220 Purnell St, Stratford, TX 79084-1107 | 2007-02-22 |
| 1043343486 | Stratford Hospital District | Public Health or Welfare | 1111 Beaver Rd, Box 1189, Stratford, TX 79084-1189 | 2007-03-14 |
| 1558491506 | Stratford Hospital District Dba Coldwater Manor | Nursing Facility/Intermediate Care Facility | 1111 Beaver Rd., Stratford, TX 79084-1189 | 2007-03-07 |
| 1245639947 | Stratford Hospital District | Skilled Nursing Facility | 1111 Beaver Rd., Stratford, TX 79084-1189 | 2014-08-19 |
| 1114234176 | Stratford Isd | Local Education Agency (LEA) | 503 8th St, Stratford, TX 79084-5000 | 2010-09-10 |
| Find all providers in zip 79084 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.