Breckenridge Family Clinic PA
NPI #1780782672 in Breckenridge, Texas
Provider Information
- NPI Number
- 1780782672
- Entity Type
- Organization
- Organization Name
- Breckenridge Family Clinic PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Dec 12, 2007
Practice Location
- Address
- 103 SOUTH HARTFORD STREET
- City
- Breckenridge
- State
- Texas
- ZIP Code
- 76424
- Phone
- (254) 559-3363
Authorized Official
- Name
- WILLIAM ELMO PRATER, MD
- Title
- MD PRESIDENT
- Phone
- (254) 559-3363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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