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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
10141 US 59 RD WHARTON, TX 77488 US
Tel: 979-282-6141 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | TX | 008330 |
Y | 282N00000X | Hospitals General Acute Care Hospital | TX | 100142 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
178848101 | TX | 05 | |
CLIA # FOR LABORATORY | 45D0495923 | TX | 01 |
CHAMPUS PROVIDER # | 621321359774880000 | TX | 01 |
1363335 04 | TX | 05 | |
178815001 | TX | 05 | |
CLIA # CARDIO BLOOD GAS | 45D0679101 | TX | 01 |
TDH BUREAU OF KIDNEY HLTH | 014503 | TX | 01 |
178815003 | TX | 05 | |
1363335 06 | TX | 05 | |
TEXAS REHAB VENDOR # | 16213213594002 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin