| |
411 Summit St, Schulenburg, TX 78956-1532 | |
(979) 743-2108 | |
(979) 743-2109 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 411 Summit St, Schulenburg, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588916571 | NPI | - | NPPES |
211412603 | Medicaid | TX | |
368673501 | Medicaid | TX |
Provider Name | Tonia Livingston |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1790017002 PECOS PAC ID: 4183805674 Enrollment ID: I20110216000547 |
Provider Name | Shelley Beth Janecka |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730680075 PECOS PAC ID: 2365703410 Enrollment ID: I20180306000926 |
Provider Name | Greta A Henke |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295762474 PECOS PAC ID: 2264866623 Enrollment ID: I20191218002295 |
Mailing Address | Practice Location Address |
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411 Summit St, Schulenburg, TX 78956-1532 Ph: (979) 743-2108 | 411 Summit St, Schulenburg, TX 78956-1532 Ph: (979) 743-2108 |