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1495 Travis Rd Bellville TX 77418-6001 | |
(979) 865-8608 | |
(979) 865-8608 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 1495 Travis Rd, Bellville, Texas |
Authorized Official Name and Position | Pamela H. Jones (VICE PRESIDENT) |
Authorized Official Contact | 9798658608 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1495 Travis Rd Bellville TX 77418-6001 Ph: (979) 865-8608 | 1495 Travis Rd Bellville TX 77418-6001 Ph: (979) 865-8608 |
NPI Number | 1093992471 |
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Provider Enumeration Date | 01/28/2008 |
Last Update Date | 01/28/2008 |
Identifier | Type | State | Issuer |
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1093992471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 00456 (Texas) | Primary |