| Live Free Medical Clinic | |
|
1312 Geneva St Ste B Castroville TX 78009-2941 | |
| (210) 580-4880 | |
| (830) 584-0409 |
| Full Name | Live Free Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1312 Geneva St Ste B, Castroville, Texas |
| Authorized Official Name and Position | Jared Parker Hardin (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 2102417990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Free Medical Clinic 1312 Geneva St Ste B Castroville TX 78009-2941 Ph: (210) 580-4880 | Live Free Medical Clinic 1312 Geneva St Ste B Castroville TX 78009-2941 Ph: (210) 580-4880 |
| NPI Number | 1316427925 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316427925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | J1258 (Texas) | Primary |
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