Brazosport Community Medical Clinic | |
606 N Gulf Blvd Freeport TX 77541-3902 | |
(979) 871-9453 | |
(979) 871-9429 |
Full Name | Brazosport Community Medical Clinic |
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Speciality | Family Medicine |
Location | 606 N Gulf Blvd, Freeport, Texas |
Authorized Official Name and Position | Inyang E Wilson (CEO/PA) |
Authorized Official Contact | 9798719453 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brazosport Community Medical Clinic 606 N Gulf Blvd Freeport TX 77541-3902 Ph: (979) 871-9453 | Brazosport Community Medical Clinic 606 N Gulf Blvd Freeport TX 77541-3902 Ph: (979) 871-9453 |
NPI Number | 1881649747 |
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Provider Enumeration Date | 05/22/2006 |
Last Update Date | 05/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881649747 | NPI | - | NPPES |
138038816 | Medicaid | TX | |
162136901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | PA00933 (Texas) | Primary |