| Deweyville Health Clinic | |
|
2493 State Highway 12 E Orange TX 77632-8426 | |
| (409) 746-7000 | |
| (409) 746-7016 |
| Full Name | Deweyville Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2493 State Highway 12 E, Orange, Texas |
| Authorized Official Name and Position | William David Dunn (OWNER) |
| Authorized Official Contact | 4097467000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deweyville Health Clinic 2493 State Highway 12 E Orange TX 77632-8426 Ph: (409) 746-7000 | Deweyville Health Clinic 2493 State Highway 12 E Orange TX 77632-8426 Ph: (409) 746-7000 |
| NPI Number | 1992763684 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992763684 | NPI | - | NPPES |
| 170485001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 10-560939-6 (Texas) | Primary |
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