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Lavaca Family Health Clinic

Family Medicine in Hallettsville, TX. Organization (NPI-2).

NPI number1891739736
StatusActive
Last updated in NPPESOct 20, 2020

Details

NPI
1891739736
Entity type
Organization (NPI-2)
Legal business name
Lavaca Family Health Clinic
Organization subpart
No
Enumeration date
Jun 15, 2006
Certification date
Oct 20, 2020
Last updated
Oct 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207R00000X Internal Medicine––
208000000X Pediatrics––
207RG0100X Internal Medicine, Gastroenterology––
213E00000X Podiatrist––

Practice location

1406 N Texana St
Hallettsville, TX 77964-2009

Phone 361-798-1200 · Fax 361-798-3121

Mailing address

1400 N Texana St
Hallettsville, TX 77964-2021

Phone 361-798-1200 · Fax 361-798-3121

Authorized official

James Vanek
Administrator
3617983671

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