| China Community Clinic Llc | |
|
415 N Broadway China TX 77613 | |
| (409) 752-2301 | |
| (409) 752-5054 |
| Full Name | China Community Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 N Broadway, China, Texas |
| Authorized Official Name and Position | Charles W Hall (PROVIDER) |
| Authorized Official Contact | 4097522301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| China Community Clinic Llc Po Box 786 China TX 77613-0786 Ph: (409) 752-2301 | China Community Clinic Llc 415 N Broadway China TX 77613 Ph: (409) 752-2301 |
| NPI Number | 1366512139 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366512139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F2352 (Texas) | Primary |
China Community Clinic,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 N Broadway, China, TX 77613 Phone: 409-752-2301 Fax: 409-752-5054 |