Parkside Family Clinic, Pa | |
1109 E Broadway St Cuero TX 77954-2108 | |
(361) 275-2800 | |
(361) 275-8791 |
Full Name | Parkside Family Clinic, Pa |
---|---|
Speciality | Family Medicine |
Location | 1109 E Broadway St, Cuero, Texas |
Authorized Official Name and Position | Michael R Mcleod (MEDICAL DIRECTOR/OWNER) |
Authorized Official Contact | 3612752800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Parkside Family Clinic, Pa 1109 E Broadway St Cuero TX 77954-2108 Ph: (361) 275-2800 | Parkside Family Clinic, Pa 1109 E Broadway St Cuero TX 77954-2108 Ph: (361) 275-2800 |
NPI Number | 1689645376 |
---|---|
Provider Enumeration Date | 01/30/2006 |
Last Update Date | 02/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689645376 | NPI | - | NPPES |
164281101 | Medicaid | TX | |
179346502 | Medicaid | TX | |
DB6498 | Other | TX | RR MCR |
179346501 | Medicaid | TX | |
164281102 | Medicaid | TX | |
179346503 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |