| New Braunfels Rural Health Clinic | |
|
705 Landa Street Suite C New Braunfels TX 78130-6163 | |
| (830) 629-3614 | |
| (830) 629-2438 |
| Full Name | New Braunfels Rural Health Clinic |
|---|---|
| Speciality | General Practice |
| Location | 705 Landa Street, New Braunfels, Texas |
| Authorized Official Name and Position | Sara Ann Castaneda (ADMINISTRATOR) |
| Authorized Official Contact | 8306293614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Braunfels Rural Health Clinic 705 Landa Street Suite C New Braunfels TX 78130-6163 Ph: (830) 629-3614 | New Braunfels Rural Health Clinic 705 Landa Street Suite C New Braunfels TX 78130-6163 Ph: (830) 629-3614 |
| NPI Number | 1881922102 |
|---|---|
| Provider Enumeration Date | 11/24/2009 |
| Last Update Date | 10/10/2017 |
| Medicare PECOS PAC ID | 8123168598 |
|---|---|
| Medicare Enrollment ID | O20170405002374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881922102 | NPI | - | NPPES |
| 310114903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G2964 (Texas) | Primary |
| Provider Name | John R Flanagan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730159823 PECOS PAC ID: 1456341072 Enrollment ID: I20040805001240 |
| Provider Name | Deborah L Burley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043544430 PECOS PAC ID: 0345389953 Enrollment ID: I20091119000689 |
| Provider Name | Anne Shackelford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366779134 PECOS PAC ID: 2163546987 Enrollment ID: I20100901000082 |
| Provider Name | Jillian Kagen Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306308598 PECOS PAC ID: 5799166658 Enrollment ID: I20220723000191 |
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