| Baylor Scott & White Clinic - Horseshoe Bay | |
|
100 Pecan Crossing Horseshoe Bay TX 78657-0733 | |
| (830) 598-4405 | |
| (830) 596-2154 |
| Full Name | Baylor Scott & White Clinic - Horseshoe Bay |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Pecan Crossing, Horseshoe Bay, Texas |
| Authorized Official Name and Position | Timothy Ols (CEO) |
| Authorized Official Contact | 8302018679 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baylor Scott & White Clinic - Horseshoe Bay Po Box 844658 Dallas TX 75284-4658 Ph: () - | Baylor Scott & White Clinic - Horseshoe Bay 100 Pecan Crossing Horseshoe Bay TX 78657-0733 Ph: (830) 598-4405 |
| NPI Number | 1821399767 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 10/17/2019 |
| Medicare PECOS PAC ID | 6901117175 |
|---|---|
| Medicare Enrollment ID | O20191010000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821399767 | NPI | - | NPPES |
| 0042WF | Other | TX | BCBS |
| 282309801 | Medicaid | TX | |
| 282309802 | Other | TX | MEDICAID THSTEPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 100090 (Texas) | Primary |
El Campo Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Par Three Ct, Suite B, Horseshoe Bay, TX 78657 Phone: 979-543-5510 | |
Hoerster Lake Area Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Pecan Crossing, Horseshoe Bay, TX 78657 Phone: 830-598-4405 Fax: 830-598-5172 |