| Ganzon Clinic Pa | |
|
499 E Hwy 199 Springtown TX 76082 | |
| (817) 523-5402 | |
| (817) 523-5422 |
| Full Name | Ganzon Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 499 E Hwy 199, Springtown, Texas |
| Authorized Official Name and Position | Mauro S Ganzon (PRESIDENT) |
| Authorized Official Contact | 8175235402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ganzon Clinic Pa Po Box 1039 Springtown TX 76082 Ph: (817) 523-5402 | Ganzon Clinic Pa 499 E Hwy 199 Springtown TX 76082 Ph: (817) 523-5402 |
| NPI Number | 1386600948 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386600948 | NPI | - | NPPES |
| 84LZ | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Gene Mcdaniel Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 W Hwy 199, Springtown, TX 76082 Phone: 817-523-5402 Fax: 817-523-5422 | |
Wright Way Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 E Highway 199 Ste 102, Springtown, TX 76082 Phone: 817-409-4699 Fax: 817-409-4751 |