| |
101 Avenue F N Bay City TX 77414-3167 | |
(979) 245-2008 | |
(979) 245-0744 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 101 Avenue F N, Bay City, Texas |
Authorized Official Name and Position | Manuela Luna (BILLING/CREDENTIALING MANGER) |
Authorized Official Contact | 9792452008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 Avenue F N Bay City TX 77414-3167 Ph: (979) 245-2008 | 101 Avenue F N Bay City TX 77414-3167 Ph: (979) 245-2008 |
NPI Number | 1548649767 |
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Provider Enumeration Date | 05/20/2015 |
Last Update Date | 04/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548649767 | NPI | - | NPPES |
173656303 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
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