NPI:
1386285948
Provider Name:
TEN BROECK TENNESSEE PHYSICIANS
Doing Business As: CHI ST. JOSEPH HEALTH MADISON HOSPITAL D/B/A SENIOR RENEWAL CENTER
Classification:
Clinic/Center - 261QM0801X
Entity Type:
Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
11110 WOODSON DRIVE
CALDWELL, TX
ZIP 77836
Phone:
(936) 567-2273
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TEN BROECK TENNESSEE PHYSICIANS is a mental health (including community mental health center) clinic center in Caldwell, TX. TEN BROECK TENNESSEE PHYSICIANS NPI is 1386285948. The provider is registered as an organization entity type.
The provider Is Doing Business As Chi St. Joseph Health Madison Hospital D/b/a Senior Renewal Center.
The provider's business location address is:
11110 WOODSON DRIVE
CALDWELL, TX
ZIP 77836-053
Phone: (936) 567-2273
Fax: (936) 567-2274
The provider's authorized official is Glenda F Guy .
The authorized official title is Director, Compliance and has the following contact phone number (931) 783-2511.
The enumeration date for this NPI number is 10/4/2019 and was last updated on 12/11/2019.