Mcbroom Clinic Pa | |
1253 N Von Minden St La Grange TX 78945-1262 | |
(979) 968-8493 | |
(979) 968-6388 |
Full Name | Mcbroom Clinic Pa |
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Speciality | Family Medicine |
Location | 1253 N Von Minden St, La Grange, Texas |
Authorized Official Name and Position | Alyson M Beisert (OFFICE MANAGER) |
Authorized Official Contact | 9799688493 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcbroom Clinic Pa 1253 N Von Minden St La Grange TX 78945-1262 Ph: (979) 968-8493 | Mcbroom Clinic Pa 1253 N Von Minden St La Grange TX 78945-1262 Ph: (979) 968-8493 |
NPI Number | 1114088093 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 06/16/2023 |
Medicare PECOS PAC ID | 5890893119 |
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Medicare Enrollment ID | O20070611000537 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114088093 | NPI | - | NPPES |
00873R | Other | TX | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Hans James Raj |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205909074 PECOS PAC ID: 5395847719 Enrollment ID: I20070302000327 |
Provider Name | Wess James Blackwell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780679662 PECOS PAC ID: 7719875657 Enrollment ID: I20070716000210 |
Provider Name | Amy J Gutierrez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851395750 PECOS PAC ID: 4688731797 Enrollment ID: I20090317000279 |
Provider Name | Thomas Owen Borgstedte |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295877264 PECOS PAC ID: 4880792100 Enrollment ID: I20101029001192 |
Provider Name | William Michael Mcbroom |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407998461 PECOS PAC ID: 7113931437 Enrollment ID: I20110627000037 |
Provider Name | Amanda Rosenauer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265873251 PECOS PAC ID: 7315181344 Enrollment ID: I20130913000038 |
Tejas Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 890 E Travis St, La Grange, TX 78945 Phone: 979-968-2000 Fax: 979-968-2001 | |
Lguc Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Bluebonnet Trails Community Mhmr Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 W Travis St, La Grange, TX 78945 Phone: 979-968-3711 | |
Up-level Nutrition Coaching, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 E Vine St, La Grange, TX 78945 Phone: 979-702-8752 | |
Taylor Family Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 657 E Travis St, Ste A, La Grange, TX 78945 Phone: 979-484-7120 Fax: 979-859-7121 | |
La Grange Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Marks Pl, La Grange, TX 78945 Phone: 979-242-2324 Fax: 979-242-5127 |