Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 1300 N Main Ave, Big Lake, Texas |
Authorized Official Name and Position | Jonathon Voelkel (CEO) |
Authorized Official Contact | 3258845610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1300 N Main Ave Big Lake TX 76932-3202 Ph: (325) 884-2561 | 1300 N Main Ave Big Lake TX 76932 Ph: (325) 884-3743 |
NPI Number | 1477930121 |
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Provider Enumeration Date | 05/01/2015 |
Last Update Date | 09/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477930121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |