| Cleburne Internal Medicine Associates, Pa | |
|
141 Hyde Park Blvd Cleburne TX 76033-4561 | |
| (817) 641-5221 | |
| (817) 517-5241 |
| Full Name | Cleburne Internal Medicine Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 141 Hyde Park Blvd, Cleburne, Texas |
| Authorized Official Name and Position | Brent Holmes Wallace (PRESIDENT) |
| Authorized Official Contact | 8176415221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleburne Internal Medicine Associates, Pa 141 Hyde Park Blvd Cleburne TX 76033-4561 Ph: (817) 641-5221 | Cleburne Internal Medicine Associates, Pa 141 Hyde Park Blvd Cleburne TX 76033-4561 Ph: (817) 641-5221 |
| NPI Number | 1629162805 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629162805 | NPI | - | NPPES |
| 00837N | Other | TX | BCBS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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