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CAMROCK MEDICAL CLINIC PLLC NPI 1811513989


NPI Information

NPI: 1811513989
Provider Name: CAMROCK MEDICAL CLINIC, PLLC

Doing Business As: CAMROCK CLINIC

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2191414

Address:
602 N MAIN ST STE D
ROCKDALE, TX
ZIP 76567
Phone: (512) 446-2277
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CAMROCK MEDICAL CLINIC, PLLC is a family nurse practitioner in Rockdale, TX. CAMROCK MEDICAL CLINIC, PLLC NPI is 1811513989. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Camrock Clinic.

The provider's business location address is:

602 N MAIN ST STE D
ROCKDALE, TX
ZIP 76567-323
Phone: (512) 446-2277
Fax: (512) 548-9098

The provider's authorized official is Terri Buchanan .
The authorized official title is Owner/ Np and has the following contact phone number (512) 446-2277.

The CLIA number assigned to this NPI record is 45D2191414 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2020 and was last updated on 11/7/2022.


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
1207Q00000XFamily MedicineNo
2208000000XPediatricsNo
3363A00000XPhysician AssistantNo
4363AM0700XPhysician AssistantMedicalNo
5363LF0000XNurse PractitionerFamilyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.