| Ctvhs | |
|
1901 S 1st St 111 Gm-t Temple TX 76504-7451 | |
| (254) 743-2300 | |
| Not Available |
| Full Name | Ctvhs |
|---|---|
| Speciality | Internal Medicine |
| Location | 1901 S 1st St, Temple, Texas |
| Authorized Official Name and Position | Bruce Gordon (STAFF PHYSICIAN) |
| Authorized Official Contact | 2547432300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ctvhs 1901 S 1st St 111 Gm-t Temple TX 76504-7451 Ph: (254) 743-2300 | Ctvhs 1901 S 1st St 111 Gm-t Temple TX 76504-7451 Ph: (254) 743-2300 |
| NPI Number | 1740291343 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740291343 | NPI | - | NPPES |
| 023405 | Other | LA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023405 (Louisiana) | Primary |
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