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1530 Sun City Blvd Georgetown TX 78633-5350 | |
| (512) 943-2288 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1530 Sun City Blvd, Georgetown, Texas |
| Authorized Official Name and Position | Tawana Mccou (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5129432288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
149 Fort Mabry Loop Georgetown TX 78628-7199 Ph: (512) 943-2288 | 1530 Sun City Blvd Georgetown TX 78633-5350 Ph: (512) 943-2288 |
| NPI Number | 1881403012 |
|---|---|
| Provider Enumeration Date | 01/02/2025 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881403012 | NPI | - | NPPES |
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