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2500 N Esplanade Suite 102 Cuero TX 77954 | |
(361) 275-3466 | |
(361) 275-3460 |
Full Name | |
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Speciality | Family Medicine |
Location | 2500 N Esplanade, 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 Suite 102 Cuero TX 77954 Ph: (361) 275-3466 | 2500 N Esplanade Suite 102 Cuero TX 77954 Ph: (361) 275-3466 |
NPI Number | 1770699027 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 01/08/2010 |
Identifier | Type | State | Issuer |
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1770699027 | NPI | - | NPPES |
171548401 | Medicaid | TX | |
003MG | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | 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 | |