| Ascension Seton Kingsland Health Center | |
|
525 Ranch Road 2900 Kingsland TX 78639-6000 | |
| (512) 715-3106 | |
| (325) 388-6935 |
| Full Name | Ascension Seton Kingsland Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 Ranch Road 2900, Kingsland, Texas |
| Authorized Official Name and Position | William Davis (PRESIDENT CEO) |
| Authorized Official Contact | 5123241867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Seton Kingsland Health Center Po Box 204229 Dallas TX 75320-4229 Ph: (325) 388-6912 | Ascension Seton Kingsland Health Center 525 Ranch Road 2900 Kingsland TX 78639-6000 Ph: (512) 715-3106 |
| NPI Number | 1205263134 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 09/11/2023 |
| Medicare PECOS PAC ID | 5193634293 |
|---|---|
| Medicare Enrollment ID | O20140228001646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205263134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 00559 (Texas) | Primary |
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