St Mark's Medical Clinic | |
2 Saint Marks Pl Ste 110 La Grange TX 78945-1255 | |
(979) 242-2387 | |
(979) 242-2206 |
Full Name | St Mark's Medical Clinic |
---|---|
Speciality | General Practice |
Location | 2 Saint Marks Pl Ste 110, La Grange, Texas |
Authorized Official Name and Position | Tammy Hartfield (CHIEF CLINICAL OFFICER) |
Authorized Official Contact | 9792422105 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St Mark's Medical Clinic 1 Saint Marks Pl La Grange TX 78945-1250 Ph: (979) 242-2104 | St Mark's Medical Clinic 2 Saint Marks Pl Ste 110 La Grange TX 78945-1255 Ph: (979) 242-2387 |
NPI Number | 1659638914 |
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Provider Enumeration Date | 04/11/2012 |
Last Update Date | 08/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659638914 | NPI | - | NPPES |
0083XM | Other | TX | BLUE CROSS |
176692503 | Medicaid | TX |
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