| |
403 West Wallace San Saba TX 76877-4433 | |
(325) 372-5701 | |
(325) 372-3249 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 403 West Wallace, San Saba, Texas |
Authorized Official Name and Position | Bryan West (CFO) |
Authorized Official Contact | 3256433300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 520 Brownwood TX 76804-0520 Ph: (325) 643-3300 | 403 West Wallace San Saba TX 76877-4433 Ph: (325) 372-5701 |
NPI Number | 1912093832 |
---|---|
Provider Enumeration Date | 10/05/2006 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912093832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J1912 (Texas) | Primary |
261QR1300X | Clinic/center - Rural Health | J1912 (Texas) | Secondary |
El Campo Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Wallace, San Saba, TX 76877 Phone: 979-543-5510 |