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CHINA COMMUNITY CLINICLLC NPI 1891780656


NPI Information

NPI: 1891780656
Provider Name: CHINA COMMUNITY CLINIC,LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
415 N BROADWAY
CHINA, TX
ZIP 77613
Phone: (409) 752-2301
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CHINA COMMUNITY CLINIC,LLC is a medical physician assistant in China, TX. CHINA COMMUNITY CLINIC,LLC NPI is 1891780656. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

415 N BROADWAY
CHINA, TX
ZIP 77613
Phone: (409) 752-2301
Fax: (409) 752-5054

The provider's authorized official is Charles William Hall .
The authorized official title is Manager/pac and has the following contact phone number (409) 752-2301.

The enumeration date for this NPI number is 9/16/2005 and was last updated on 8/22/2020.


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
1363AM0700XPhysician AssistantMedicalPA01495TEXASYes
2207Q00000XFamily MedicineF2352TEXASX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18N3373OTHERTEXASCHUCK HALL BCBS #
2880660OTHERTEXASBCBS # CLINIC
38H1480OTHERTEXASMENDOZA BCBS #
40033JQOTHERTEXASCCC BCBS GROUP #

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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