| |
307 Green Ave Palacios TX 77465-3213 | |
(361) 972-2000 | |
(361) 972-2009 |
Full Name | |
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Speciality | Clinic/Center |
Location | 307 Green Ave, Palacios, Texas |
Authorized Official Name and Position | David H Mak (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7135697370 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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303 Sandy Corner Rd El Campo TX 77437-9535 Ph: (979) 543-5510 | 307 Green Ave Palacios TX 77465-3213 Ph: (361) 972-2000 |
NPI Number | 1942773874 |
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Provider Enumeration Date | 01/03/2019 |
Last Update Date | 12/27/2024 |
Medicare PECOS PAC ID | 6406021765 |
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Medicare Enrollment ID | O20190328001426 |
Identifier | Type | State | Issuer |
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1942773874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Palacios Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 4th St, Palacios, TX 77465 Phone: 361-972-2000 | |
W. Wharton County Hospital District D B A Mid Coast Medical Clinic Pal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Henderson St, Palacios, TX 77465 Phone: 361-972-3664 | |
El Campo Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 5th St, Palacios, TX 77465 Phone: 979-543-5510 | |
Raphael J.emanuel Md Phd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 4th St, Palacios, TX 77465 Phone: 361-972-3500 | |
Matagorda Episcopal Health Outreach Program Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 307 Green Ave Ste A, Palacios, TX 77465 Phone: 979-245-2008 |