| Kountze Family Medicine Clinic | |
|
345 S Pine St Kountze TX 77625-9329 | |
| (409) 246-1014 | |
| (409) 246-1029 |
| Full Name | Kountze Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 345 S Pine St, Kountze, Texas |
| Authorized Official Name and Position | Jana Marie Winberg (PRESIDENT) |
| Authorized Official Contact | 4092461014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kountze Family Medicine Clinic Po Box 727 Kountze TX 77625-0727 Ph: (409) 246-1014 | Kountze Family Medicine Clinic 345 S Pine St Kountze TX 77625-9329 Ph: (409) 246-1014 |
| NPI Number | 1285646323 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 07/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285646323 | NPI | - | NPPES |
| 4556334 | Other | TX | CIGNA |
| 1696619-01 | Medicaid | TX | |
| 7092365 | Other | TX | AETNA |
| 0048LX | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4815 (Texas) | Primary |
Kountze Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 345 S Pine St, Kountze, TX 77625 Phone: 409-246-1014 Fax: 409-246-1029 |