Ten Broeck Tennessee Physicians

NPI #1184262644 in Navasota, Texas

Provider Information

NPI Number: 1184262644
Entity Type: Organization
Organization Name: Ten Broeck Tennessee Physicians
Subpart: Yes (part of a larger organization)
Parent Organization: TEN BROECK TENNESSEE PHYSICIANS
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 16, 2019
Last Updated: Dec 16, 2019

Practice Location

Address: 210 S JUDSON ST
City: Navasota
State: Texas
ZIP Code: 77868-3704
Phone: (936) 870-4571

Authorized Official

Name: GLENDA F GUY
Title: DIRECTOR, COMPLIANCE
Phone: (931) 783-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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