Crockett Medical Center, LLC

NPI #1003303983 in Crockett, Texas

Provider Information

NPI Number: 1003303983
Entity Type: Organization
Organization Name: Crockett Medical Center, LLC
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Apr 17, 2018
Last Updated: Apr 17, 2018

Practice Location

Address: 1050 E LOOP 304 STE 201
City: Crockett
State: Texas
ZIP Code: 75835-1814
Phone: (936) 546-3890

Authorized Official

Name: KELLY EUGENE TJELMELAND
Title: CEO
Phone: (512) 617-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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