| La Vernia Lighthouse Healtcare | |
|
14114 Us Highway 87 W La Vernia TX 78121-5881 | |
| (830) 253-8116 | |
| Not Available |
| Full Name | La Vernia Lighthouse Healtcare |
|---|---|
| Speciality | Family Medicine |
| Location | 14114 Us Highway 87 W, La Vernia, Texas |
| Authorized Official Name and Position | Susan A Crockett (PRESIDENT CEO) |
| Authorized Official Contact | 8302538116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Vernia Lighthouse Healtcare Po Box 190 La Vernia TX 78121-0190 Ph: (830) 253-8116 | La Vernia Lighthouse Healtcare 14114 Us Highway 87 W La Vernia TX 78121-5881 Ph: (830) 253-8116 |
| NPI Number | 1437289956 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437289956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J7770 (Texas) | Primary |
| 207V00000X | Obstetrics & Gynecology | J7770 (Texas) | Secondary |
Connally Memorial Health Centers South Campus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13857 Us Highway 87 W, La Vernia, TX 78121 Phone: 830-393-1400 | |
Roderick D. Ekmark, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Woodbridge Dr Bldg B, Ste 101 And 102, La Vernia, TX 78121 Phone: 830-581-8027 |