Parkside Family Clinic, Pa
LBN: Parkside Family Clinic, Pa
Parkside Family Clinic, Pa is an health care organization with primary practice located at 1109 E Broadway St , Cuero TX 77954-2108. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Parkside Family Clinic, Pa can be contacted via phone (361) 275-2800, or through Mcleod, Michael R via phone (361) 275-2800.
Contact Information
Primary practice address
1109 E Broadway St
Cuero TX 77954-2108
Phone: (361) 275-2800
Fax: (361) 275-8791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1689645376 |
|---|---|
| LBN Legal business name | Parkside Family Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Mcleod, Michael R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Feb 14th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689645376 | NPPES |
| Texas | MEDICAID | 164281101 | |
| Texas | MEDICAID | 179346502 | |
| Texas | Other | DB6498 | |
| Texas | MEDICAID | 179346501 | |
| Texas | MEDICAID | 164281102 | |
| Texas | MEDICAID | 179346503 |
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