Lighthouse-eagle Lake | |
600 S Austin Rd Eagle Lake TX 77434-3202 | |
(979) 234-5571 | |
(979) 234-5176 |
Full Name | Lighthouse-eagle Lake |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 600 S Austin Rd, Eagle Lake, Texas |
Authorized Official Name and Position | Charles R Slaton (CEO) |
Authorized Official Contact | 9792345571 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse-eagle Lake 600 S Austin Rd Eagle Lake TX 77434-3202 Ph: (979) 234-5571 | Lighthouse-eagle Lake 600 S Austin Rd Eagle Lake TX 77434-3202 Ph: (979) 234-5571 |
NPI Number | 1326560442 |
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Provider Enumeration Date | 07/11/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1326560442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |