Rockport Wellness Center, Llc | |
1521 W Market St Suite D Rockport TX 78382-6218 | |
(361) 450-0347 | |
(361) 450-0484 |
Full Name | Rockport Wellness Center, Llc |
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Speciality | Family Medicine |
Location | 1521 W Market St, Rockport, Texas |
Authorized Official Name and Position | Kimberly S. Maroney (OWNER/PHYSICIAN) |
Authorized Official Contact | 3614500347 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rockport Wellness Center, Llc Po Box 12609 Belfast ME 04915-4017 Ph: (361) 450-0347 | Rockport Wellness Center, Llc 1521 W Market St Suite D Rockport TX 78382-6218 Ph: (361) 450-0347 |
NPI Number | 1417398876 |
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Provider Enumeration Date | 07/15/2013 |
Last Update Date | 11/25/2013 |
Identifier | Type | State | Issuer |
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1417398876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L1379 (Texas) | Primary |
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