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2005 W Wallace St San Saba TX 76877-3928 | |
(325) 372-5773 | |
(325) 372-3988 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2005 W Wallace St, San Saba, Texas |
Authorized Official Name and Position | Kevin A Leeper (CEO) |
Authorized Official Contact | 3252477868 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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200 W Ollie St Llano TX 78643-2628 Ph: (325) 247-5040 | 2005 W Wallace St San Saba TX 76877-3928 Ph: (325) 372-5773 |
NPI Number | 1942281779 |
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Provider Enumeration Date | 11/09/2005 |
Last Update Date | 08/26/2008 |
Identifier | Type | State | Issuer |
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1942281779 | NPI | - | NPPES |
00298K | Other | TX | BCBS |
092307002 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 000476 (Texas) | Primary |
El Campo Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Wallace, San Saba, TX 76877 Phone: 979-543-5510 | |