San Augustine Family Practice PA
NPI #1043379597 in San Augustine, Texas
Provider Information
- NPI Number
- 1043379597
- Entity Type
- Organization
- Organization Name
- San Augustine Family Practice PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Nov 8, 2007
Practice Location
- Address
- 200 E LIVINGSTON ST
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-2028
- Phone
- (936) 275-9910
Authorized Official
- Name
- STEPHANIE DEANN ANDERSON
- Title
- BILLING & COLLECTIONS
- Phone
- (936) 275-9910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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