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2500 N Esplanade St Suite 102 Cuero TX 77954-4723 | |
(361) 275-3466 | |
(361) 275-3460 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2500 N Esplanade St, Cuero, Texas |
Authorized Official Name and Position | David P Hill (PRESIDENT) |
Authorized Official Contact | 3612753466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2500 N Esplanade St Suite 102 Cuero TX 77954-4723 Ph: (361) 275-3466 | 2500 N Esplanade St Suite 102 Cuero TX 77954-4723 Ph: (361) 275-3466 |
NPI Number | 1053405167 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 01/08/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053405167 | NPI | - | NPPES |
171548405 | Medicaid | TX | |
171548404 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
Parkside Family Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 E Broadway St, Cuero, TX 77954 Phone: 361-275-2800 Fax: 361-275-8791 | |