MARATHON PRIMARY CARE SERVICES, INC.
Ambulatory Health in Marathon, TX

License number
Texas 45D0942160
Category
Ambulatory Health
Type
Rural Health
Owner
Name: JACK LAMKIN
Title: PRESIDENT
Phone: (432) 386-4316
Address
Address 2
101 SOUTH FIRST, Marathon, TX 79842
PO Box 846339, Dallas, TX 75284
National Provider ID: 1194794230
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARATHON PRIMARY CARE SERVICES, INC

PO Box 207, Marathon, TX 79842

Registration:
Jul 3, 1995
State ID:
0136177001
Business type:
Domestic Nonprofit Corporation
Secretarys:
Della Shackelford (Treasurer), PO Box 237, Marathon, TX 79842,Kathy Wallace (Secretary), Marathon, TX 79842,Lyn Shackelford (Director, President), PO Box 237, Marathon, TX 79842,...
Agent:
Lyndell Shackelford,PO Box 207, Marathon, TX 79842 (Physical)
TIN:
17427510262