Country Clinic Pllc

NPI #1285506261 in Gonzales, Texas

Provider Information

NPI Number: 1285506261
Entity Type: Organization
Organization Name: Country Clinic Pllc
Primary Specialty: Family Medicine
Enumeration Date: Sep 19, 2025
Last Updated: Sep 19, 2025

Practice Location

Address: 1308 SAINT LOUIS ST STE B
City: Gonzales
State: Texas
ZIP Code: 78629-2293
Phone: (830) 857-6884

Authorized Official

Name: COMMIE HISEY
Title: OFFICE MANAGER
Phone: (830) 857-6884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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