Utmb Rmchp - Nacogdoches | |
206 Mimms Ave Nacogdoches TX 75961-5028 | |
(936) 560-0151 | |
(936) 560-1636 |
Full Name | Utmb Rmchp - Nacogdoches |
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Speciality | Clinic/center - Multi-specialty |
Location | 206 Mimms Ave, Nacogdoches, Texas |
Authorized Official Name and Position | Liz Castillo (DIRECTOR, CLINICAL SUPPORT SERVICES) |
Authorized Official Contact | 4097727725 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Utmb Rmchp - Nacogdoches 301 University Blvd Route - 1078 Galveston TX 77555-1078 Ph: (409) 772-7725 | Utmb Rmchp - Nacogdoches 206 Mimms Ave Nacogdoches TX 75961-5028 Ph: (936) 560-0151 |
NPI Number | 1568532398 |
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Provider Enumeration Date | 11/09/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568532398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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