Blanco Regional Clinic, P.a.

NPI #1164547519 in Blanco, Texas

Provider Information

NPI Number: 1164547519
Entity Type: Organization
Organization Name: Blanco Regional Clinic, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Mar 21, 2007
Last Updated: Jun 16, 2008

Practice Location

Address: 825 4TH ST
City: Blanco
State: Texas
ZIP Code: 78606-4913
Phone: (830) 833-5581

Authorized Official

Name: JOHN D WEAVER, MD
Title: PRESIDENT
Phone: (830) 833-5581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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