| Tri Lakes Pediatric Clinic | |
|
435 Highway 6 E Batesville MS 38606-3001 | |
| (662) 563-7873 | |
| (662) 563-8129 |
| Full Name | Tri Lakes Pediatric Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 435 Highway 6 E, Batesville, Mississippi |
| Authorized Official Name and Position | Jenny Herron (HMPN) |
| Authorized Official Contact | 6625635611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri Lakes Pediatric Clinic Po Box 731804 Dallas TX 75373-1804 Ph: (662) 563-7873 | Tri Lakes Pediatric Clinic 435 Highway 6 E Batesville MS 38606-3001 Ph: (662) 563-7873 |
| NPI Number | 1033186333 |
|---|---|
| Provider Enumeration Date | 03/06/2006 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033186333 | NPI | - | NPPES |
| 09013323 | Medicaid | MS | |
| C03436 | Other | MS | CAHABA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
News Archive
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