Georgetown Medical Clinic

LBN: Georgetown Medical Center P A
Georgetown Medical Clinic is an health care organization with primary practice located at 3201 S Austin Ave Ste 210 , Georgetown TX 78626-7537. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Georgetown Medical Center P A can be contacted via phone (512) 930-4593, or through Guzzino, John via phone (512) 930-4593.

Contact Information

Primary practice address
3201 S Austin Ave Ste 210 Georgetown TX 78626-7537
Phone: (512) 930-4593
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guzzino, John
Phone: (512) 930-4593

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1376610469
LBN Legal business name Georgetown Medical Center P A
DBA Doing business as Georgetown Medical Clinic
Authorized official Guzzino, John
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 11th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376610469 NPPES
Texas MEDICAID 127132202
Texas MEDICAID 127132201
Texas MEDICAID 127132203

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