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GCMC OF WHARTON COUNTY TEXAS, LLC

Surgery Yellow Pages

Wharton, Texas

Provider NPI: 1013910868

Organization Information:
Organization Name:  GCMC OF WHARTON COUNTY TEXAS, LLC


Practice Location:
10141 US 59 RD  WHARTON, TX 77488 US
Tel: 979-282-6141  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TX008330
Y282N00000XHospitals
General Acute Care Hospital
TX100142

Other Provider Identifiers:

IssuerNumberStateType
178848101TX05
CLIA # FOR LABORATORY45D0495923TX01
CHAMPUS PROVIDER #621321359774880000TX01
1363335 04TX05
178815001TX05
CLIA # CARDIO BLOOD GAS45D0679101TX01
TDH BUREAU OF KIDNEY HLTH014503TX01
178815003TX05
1363335 06TX05
TEXAS REHAB VENDOR #16213213594002TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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