| New Braunfels | |
|
1448 E. Common St. New Braunfels TX 78130-3162 | |
| (830) 643-1762 | |
| (830) 609-7702 |
| Full Name | New Braunfels |
|---|---|
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 1448 E. Common St., New Braunfels, Texas |
| Authorized Official Name and Position | Roger M Lyons (PRESIDENT) |
| Authorized Official Contact | 2105955300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Braunfels 1448 E. Common St. New Braunfels TX 78130-3162 Ph: (830) 643-1762 | New Braunfels 1448 E. Common St. New Braunfels TX 78130-3162 Ph: (830) 643-1762 |
| NPI Number | 1851542971 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851542971 | NPI | - | NPPES |
| 109514302 | Medicaid | TX | |
| 00U40Q | Other | TX | BCBS OF TX |
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