| Lscc All Providers | |
|
205 E University Ave Suite 200 Georgetown TX 78626-6814 | |
| (512) 868-1124 | |
| (512) 868-9894 |
| Full Name | Lscc All Providers |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 205 E University Ave, Georgetown, Texas |
| Authorized Official Name and Position | Rhonda Mundhenk (CEO) |
| Authorized Official Contact | 5128681124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lscc All Providers 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 868-1124 | Lscc All Providers 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 868-1124 |
| NPI Number | 1770764300 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770764300 | NPI | - | NPPES |
| 156057501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ageless Men's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 W University Ave Ste 102, Georgetown, TX 78626 Phone: 512-250-5300 | |
.sunstar Geriatrics Healthcare Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Austin Ave, Suite 1320, Georgetown, TX 78626 Phone: 512-868-9078 Fax: 512-819-0646 | |
Chisholm Trail Pediatrics Inc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 High Tech Dr, Georgetown, TX 78626 Phone: 512-930-4776 Fax: 512-863-4248 | |
Phillips Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1520 Leander Rd Ste 103, Georgetown, TX 78628 Phone: 512-639-4849 | |
Kristy D. Heatly, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Scenic Dr, Suite 1128, Georgetown, TX 78626 Phone: 512-864-2911 | |
Mylc, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Long Point Cove, Georgetown, TX 78628 Phone: 512-965-8600 | |
Hugh M Tadlock Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Starview Dr, Georgetown, TX 78628 Phone: 512-508-1809 |