Dogwood Medical, Pa | |
2310 Bliss Spillar Rd Manchaca TX 78652-4400 | |
(512) 609-8370 | |
(512) 609-8032 |
Full Name | Dogwood Medical, Pa |
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Speciality | Internal Medicine |
Location | 2310 Bliss Spillar Rd, Manchaca, Texas |
Authorized Official Name and Position | Kimberly Galusha (CEO) |
Authorized Official Contact | 5126098370 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dogwood Medical, Pa Po Box 151779 Austin TX 78715-1779 Ph: (512) 609-8370 | Dogwood Medical, Pa 2310 Bliss Spillar Rd Manchaca TX 78652-4400 Ph: (512) 609-8370 |
NPI Number | 1477507390 |
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Provider Enumeration Date | 05/22/2006 |
Last Update Date | 02/04/2010 |
Identifier | Type | State | Issuer |
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1477507390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | J6955 (Texas) | Primary |