| La Bauve Drug | |
|
119 E Main St Edna TX 77957-2826 | |
| (361) 782-3313 | |
| Not Available |
| Full Name | La Bauve Drug |
|---|---|
| Speciality | Clinic/center |
| Location | 119 E Main St, Edna, Texas |
| Authorized Official Name and Position | Sabrina K Griggs (OWNER) |
| Authorized Official Contact | 3617823313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Bauve Drug 119 E Main St Edna TX 77957-2826 Ph: () - | La Bauve Drug 119 E Main St Edna TX 77957-2826 Ph: (361) 782-3313 |
| NPI Number | 1831197169 |
|---|---|
| Provider Enumeration Date | 07/11/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831197169 | NPI | - | NPPES |
| 145089 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20932 (Texas) | Primary |
Jackson County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 S Wells St, Edna, TX 77957 Phone: 361-782-7800 Fax: 361-782-7495 | |
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