St Mark's Medical Center

NPI #1659638914 in La Grange, Texas

Provider Information

NPI Number: 1659638914
Entity Type: Organization
Organization Name: St Mark's Medical Center
Primary Specialty: General Practice
Enumeration Date: Apr 11, 2012
Last Updated: Aug 11, 2020

Practice Location

Address: 2 SAINT MARKS PL STE 110
City: La Grange
State: Texas
ZIP Code: 78945-1255
Phone: (979) 242-2387

Authorized Official

Name: TAMMY HARTFIELD
Title: CHIEF CLINICAL OFFICER
Phone: (979) 242-2105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X
General Practice	208D00000X	Primary

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