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TEN BROECK TENNESSEE PHYSICIANS NPI 1659919108


NPI Information

NPI: 1659919108
Provider Name: TEN BROECK TENNESSEE PHYSICIANS
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
100 W CROSS ST
MADISONVILLE, TX
ZIP 77864
Phone: (936) 349-1671
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TEN BROECK TENNESSEE PHYSICIANS is a mental health (including community mental health center) clinic center in Madisonville, TX. TEN BROECK TENNESSEE PHYSICIANS NPI is 1659919108. The provider is registered as an organization entity type.

The provider's business location address is:

100 W CROSS ST
MADISONVILLE, TX
ZIP 77864-432
Phone: (936) 349-1671
Fax: (936) 349-1672

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 12/16/2019 and was last updated on 12/16/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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