Canyon Lake Medical Clinic
NPI #1124121009 in Canyon Lake, Texas
Provider Information
- NPI Number
- 1124121009
- Entity Type
- Organization
- Organization Name
- Canyon Lake Medical Clinic
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Aug 25, 2011
Practice Location
- Address
- 1356 FM 2673
- City
- Canyon Lake
- State
- Texas
- ZIP Code
- 78133-4510
- Phone
- (830) 964-3019
Authorized Official
- Name
- JEFF P MADISON
- Title
- OWNER
- Phone
- (512) 446-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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