Fayette County

NPI #1861678880 in La Grange, Texas

Provider Information

NPI Number
1861678880
Entity Type
Organization
Organization Name
Fayette County
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jan 22, 2008
Last Updated
Jan 22, 2008

Practice Location

Address
151 N WASHINGTON ST RM 301
State
Texas
ZIP Code
78945
Phone
(979) 968-6469

Authorized Official

Name
MR. EDWARD F. JANECKA
Title
COUNTY JUDGE
Phone
(979) 968-6469

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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