Kenneth W. Beresford, M.D., P.A.
LBN: Pilot Point Medical Clinic, P.A.
Kenneth W. Beresford, M.D., P.A. is an health care organization with primary practice located at 1246 S Highway 377 , Pilot Point TX 76258-4375. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Pilot Point Medical Clinic, P.A. can be contacted via phone (940) 686-2254, or through Beresford, Kenneth Wayne via phone (940) 686-2254.
Contact Information
Primary practice address
1246 S Highway 377
Pilot Point TX 76258-4375
Phone: (940) 686-2254
Fax: (940) 686-2830
Website:
Authorized official contact:
Name: Beresford, Kenneth Wayne Doctor of Medicine (MD)
Phone: (940) 686-2254
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | K9226 | Texas |
Profile Details
| NPI number | 1962424846 |
|---|---|
| LBN Legal business name | Pilot Point Medical Clinic, P.A. |
| DBA Doing business as | Kenneth W. Beresford, M.D., P.A. |
| Authorized official | Beresford, Kenneth Wayne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jan 12th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962424846 | NPPES |
| Texas | MEDICAID | 045386202 | |
| Texas | Other | 0A3440 | |
| Texas | Other | 8F20689 | |
| Texas | Other | 0A3440 |
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