Sievers Medical Clinic - Waelder | |
1818 E Us Hwy 90 Waelder TX 78959 | |
(830) 672-7581 | |
(830) 672-2401 |
Full Name | Sievers Medical Clinic - Waelder |
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Speciality | Clinic/Center |
Location | 1818 E Us Hwy 90, Waelder, Texas |
Authorized Official Name and Position | Brandon Anzaldua (CEO ADMINISTRATOR) |
Authorized Official Contact | 8306727581 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sievers Medical Clinic - Waelder Po Box 587 Gonzales TX 78629-0587 Ph: (830) 672-7581 | Sievers Medical Clinic - Waelder 1818 E Us Hwy 90 Waelder TX 78959 Ph: (830) 672-7581 |
NPI Number | 1811999337 |
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Provider Enumeration Date | 08/15/2005 |
Last Update Date | 02/26/2024 |
Medicare PECOS PAC ID | 8527963776 |
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Medicare Enrollment ID | O20041004001113 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811999337 | NPI | - | NPPES |
091887201 | Medicaid | TX | |
091887202 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 000103 (Texas) | Secondary |
208000000X | Pediatrics | 000103 (Texas) | Secondary |
261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |