Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 315 W Houston St, Jasper, Texas |
Authorized Official Name and Position | Karen C Garcia (CREDENTIALLING COORDINATOR) |
Authorized Official Contact | 4093843430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
315 W Houston St Jasper TX 75951-4013 Ph: (409) 384-3430 | 315 W Houston St Jasper TX 75951 Ph: (409) 384-3430 |
NPI Number | 1912091778 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 09/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912091778 | NPI | - | NPPES |
127285802 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | 458910 (Texas) | Primary |
Christus Jasper Memorial Hospital Family Practice Center - Jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 361-887-9083 | |
Emd Health Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203b S Main St, Jasper, TX 75951 Phone: 409-224-8289 | |