Cleburne Internal Medicine Associates, PA

NPI #1629162805 in Cleburne, Texas

Provider Information

NPI Number: 1629162805
Entity Type: Organization
Organization Name: Cleburne Internal Medicine Associates, PA
Primary Specialty: Internal Medicine
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 141 HYDE PARK BLVD
City: Cleburne
State: Texas
ZIP Code: 76033-4561
Phone: (817) 641-5221

Authorized Official

Name: DR. BRENT HOLMES WALLACE, MD
Title: PRESIDENT
Phone: (817) 641-5221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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