| Huntsville Memorial Med Clinic - Coldspring | |
|
110 Hill Ave Coldspring TX 77331-5406 | |
| (936) 439-1450 | |
| Not Available |
| Full Name | Huntsville Memorial Med Clinic - Coldspring |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 110 Hill Ave, Coldspring, Texas |
| Authorized Official Name and Position | Shannon Brown (CFO) |
| Authorized Official Contact | 93629125230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntsville Memorial Med Clinic - Coldspring 110 Memorial Hospital Dr Huntsville TX 77340-4940 Ph: () - | Huntsville Memorial Med Clinic - Coldspring 110 Hill Ave Coldspring TX 77331-5406 Ph: (936) 439-1450 |
| NPI Number | 1003291915 |
|---|---|
| Provider Enumeration Date | 07/22/2015 |
| Last Update Date | 01/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003291915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Philip R. Wisiackas, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hill Ave, Coldspring, TX 77331 Phone: 936-653-4223 Fax: 936-653-5042 | |
Providence Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Alpine St, Coldspring, TX 77331 Phone: 936-647-2227 Fax: 936-647-2202 |