| Bohman Clinic | |
|
2500 N Esplanade St Ste 101 Cuero TX 77954-4727 | |
| (361) 275-2381 | |
| (361) 275-2431 |
| Full Name | Bohman Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 N Esplanade St Ste 101, Cuero, Texas |
| Authorized Official Name and Position | David Keefauver (MANAGING PARTNER) |
| Authorized Official Contact | 3612752381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bohman Clinic 2500 N Esplanade St Ste 101 Cuero TX 77954-4727 Ph: (361) 275-2381 | Bohman Clinic 2500 N Esplanade St Ste 101 Cuero TX 77954-4727 Ph: (361) 275-2381 |
| NPI Number | 1619055563 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619055563 | NPI | - | NPPES |
| 170895003 | Medicaid | TX | |
| 0032LZ | Other | TX | BCBS |
| 170895008 | Medicaid | TX | |
| 170895009 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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