| Full Name | Kevin Lane Do |
|---|---|
| Speciality | Family Medicine |
| Location | 404 Mercer St, Quanah, Texas |
| Authorized Official Name and Position | Kimberly R Flannery (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9406635111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Lane Do Po Box 359 Quanah TX 79252-0359 Ph: (940) 663-5111 | Kevin Lane Do 404 Mercer St Quanah TX 79252-4026 Ph: (940) 663-5111 |
| NPI Number | 1003001579 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 09/07/2007 |
| Medicare PECOS PAC ID | 8325098817 |
|---|---|
| Medicare Enrollment ID | O20050122000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003001579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L8579 (Texas) | Primary |
| Provider Name | Kevin B Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619979044 PECOS PAC ID: 7113907882 Enrollment ID: I20040722001146 |
Hardeman County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Mercer St, Quanah, TX 79252 Phone: 940-663-2795 Fax: 940-663-5149 | |
Hardeman County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 Mercer St, 402 Mercer St, Quanah, TX 79252 Phone: 940-663-2795 Fax: 940-663-5149 | |
Hardeman County Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 Mercer St, Quanah, TX 79252 Phone: 940-663-6651 Fax: 940-663-5899 |