| Georgetown Medical Clinic | |
|
3201 S Austin Ave Ste 210 Georgetown TX 78626-7537 | |
| (512) 930-4593 | |
| Not Available |
| Full Name | Georgetown Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 3201 S Austin Ave Ste 210, Georgetown, Texas |
| Authorized Official Name and Position | John Guzzino (ADMINISTRATOR) |
| Authorized Official Contact | 5129304593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Medical Clinic 3201 S Austin Ave Ste 210 Georgetown TX 78626-7537 Ph: (512) 930-4593 | Georgetown Medical Clinic 3201 S Austin Ave Ste 210 Georgetown TX 78626-7537 Ph: (512) 930-4593 |
| NPI Number | 1376610469 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376610469 | NPI | - | NPPES |
| 127132202 | Medicaid | TX | |
| 127132201 | Medicaid | TX | |
| 127132203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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