ABILENE PRIMARY CARE GROUP, PLLC.
Osteopathic Medicine at Hickory St, Abilene, TX

License number
Texas P3629
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: SAMANTHA HIRSCH GOODMAN M.D.
Title: PRESIDENT
Phone: (325) 704-5087
Address
Address
1801 Hickory St, Abilene, TX 79601
National Provider ID: 1417341744
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ABILENE PRIMARY CARE GROUP, PLLC

1810 Riv Oaks Rd, Abilene, TX 79605

Registration:
Feb 10, 2015
State ID:
0802153160
Agent:
Samantha H Goodman,1810 Riv Oaks, Abilene, TX 79605 (Physical)
TIN:
32056370862

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