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2427 Sam Rayburn Pkwy Brookeland TX 75931-6408 | |
(409) 698-9600 | |
(409) 698-2800 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2427 Sam Rayburn Pkwy, Brookeland, Texas |
Authorized Official Name and Position | Karen C Garcia (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 4093843430 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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315 W Houston St Jasper TX 75951-4013 Ph: (409) 384-3430 | 2427 Sam Rayburn Pkwy Brookeland TX 75931-6408 Ph: (409) 698-9600 |
NPI Number | 1154812543 |
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Provider Enumeration Date | 05/22/2018 |
Last Update Date | 09/21/2022 |
Identifier | Type | State | Issuer |
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1154812543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jasper Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2427 Sam Rayburn Pkwy, Brookeland, TX 75931 Phone: 409-489-4220 |