Bohman Clinic

LBN: Gracia Medical, Llp
Bohman Clinic is an health care organization with primary practice located at 2500 N Esplanade St Ste 101 , Cuero TX 77954-4727. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gracia Medical, Llp can be contacted via phone (361) 275-2381, or through Keefauver, David via phone (361) 275-2381.

Contact Information

Primary practice address
2500 N Esplanade St Ste 101 Cuero TX 77954-4727
Phone: (361) 275-2381
Fax: (361) 275-2431
Website:
Map and Directions
Authorized official contact:
Name: Keefauver, David
Phone: (361) 275-2381

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1619055563
LBN Legal business name Gracia Medical, Llp
DBA Doing business as Bohman Clinic
Authorized official Keefauver, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 31st, 2009 - 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 1619055563 NPPES
Texas MEDICAID 170895003
Texas Other 0032LZ
Texas MEDICAID 170895008
Texas MEDICAID 170895009

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