| Frontera Healthcare Network-fredericksburg Clinic | |
|
140 Industrial Loop Ste 2 Fredericksburg TX 78624-5456 | |
| (325) 869-5500 | |
| Not Available |
| Full Name | Frontera Healthcare Network-fredericksburg Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 140 Industrial Loop, Fredericksburg, Texas |
| Authorized Official Name and Position | Cam Roy Kleibrink (CEO) |
| Authorized Official Contact | 3258695500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontera Healthcare Network-fredericksburg Clinic 140 Industrial Loop Ste 2 Fredericksburg TX 78624-5456 Ph: (830) 992-2593 | Frontera Healthcare Network-fredericksburg Clinic 140 Industrial Loop Ste 2 Fredericksburg TX 78624-5456 Ph: (325) 869-5500 |
| NPI Number | 1861734741 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861734741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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