Carlin D Utterback (NPI# 1720001142, PAC ID# 1052479821) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720001142 |
| PAC ID by PECOS | 1052479821 |
| Professional Enrollment ID | I20170123001337 |
| Full Name | Carlin D Utterback |
| Organization Legal Name | FRONTERA HEALTHCARE NETWORK |
| Address |
551 Eaker Frontera Healthcare Network Inc Eden TX 76837-9996 |
| Phone Number | 3258698811 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426142522 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451325 | CONCHO COUNTY HOSPITAL |
| 451348 | HEART OF TEXAS MEMORIAL HOSPITAL |
| 450571 | SHANNON MEDICAL CENTER |
| 450229 | HENDRICK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 551 Eaker, Frontera Healthcare Network Inc, Eden, TX 76837-9996 | 3258698811 | FRONTERA HEALTHCARE NETWORK |
| Organization Legal Name | FRONTERA HEALTHCARE NETWORK |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monte Horne | Family Medicine | Frontera Healthcare Network | 216 E College, Frontera Healthcare Network Inc, Mason, TX 76856-3104 |
| George Kevin Wade | Clinical Social Worker | Frontera Healthcare Network | 2205 S Bridge St, Suite 300, Brady, TX 76825-7443 |
| Carol A Andrus | Family Practice | Frontera Healthcare Network | 1211 S Bridge St, Brady Dental Clinic, Brady, TX 76825-6229 |
| Kevin Daniel Hodnett | Family Practice | Frontera Healthcare Network | 2205 S Bridge St, Suite 300, Brady, TX 76825-7443 |
| Street Address |
551 EAKER FRONTERA HEALTHCARE NETWORK INC |
| City | EDEN |
| State | TX |
| Zip | 76837-9996 |
| City | EDEN |
| Zip Code | 76837 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EDEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Carlin D Utterback.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.