| |
213 Mill Creek Dr Suite 180 Salado TX 76571-5537 | |
(254) 947-9044 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 213 Mill Creek Dr, Salado, Texas |
Authorized Official Name and Position | Troy Zinn (CEO) |
Authorized Official Contact | 5124464500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1010 Rockdale TX 76567-1010 Ph: () - | 213 Mill Creek Dr Suite 180 Salado TX 76571-5537 Ph: (254) 947-9044 |
NPI Number | 1164890497 |
---|---|
Provider Enumeration Date | 09/03/2015 |
Last Update Date | 02/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164890497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |