Granger Medical Center | |
115 West Davilla Granger TX 76530 | |
(512) 859-2251 | |
(512) 859-2575 |
Full Name | Granger Medical Center |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 115 West Davilla, Granger, Texas |
Authorized Official Name and Position | Peter C Perialas (CEO) |
Authorized Official Contact | 5128681124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Granger Medical Center 1500 W University Ave Suite 103 Georgetown TX 78628-7108 Ph: (512) 868-1124 | Granger Medical Center 115 West Davilla Granger TX 76530 Ph: (512) 859-2251 |
NPI Number | 1578515987 |
---|---|
Provider Enumeration Date | 05/16/2006 |
Last Update Date | 07/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578515987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |