| Montgomery Medical Center | |
|
20873b Eva St Montgomery TX 77356-1889 | |
| (936) 597-5555 | |
| (936) 597-5585 |
| Full Name | Montgomery Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 20873b Eva St, Montgomery, Texas |
| Authorized Official Name and Position | Micah Dee Tomlinson (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 9365975555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Medical Center 20873b Eva St Montgomery TX 77356-1889 Ph: (936) 597-5555 | Montgomery Medical Center 20873b Eva St Montgomery TX 77356-1889 Ph: (936) 597-5555 |
| NPI Number | 1518983261 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 02/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518983261 | NPI | - | NPPES |
| 0074JL | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H4748 (Texas) | Primary |
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Your Family Doctor, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Blue Heron Dr Ste 101, Montgomery, TX 77316 Phone: 936-582-6000 Fax: 396-448-6404 |