| Dr William M Mcbroom, MD | |
|
1253 N Von Minden St, La Grange, TX 78945-1262 | |
| (979) 968-8493 | |
| (979) 968-6388 |
| Full Name | Dr William M Mcbroom |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1253 N Von Minden St, La Grange, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407998461 | NPI | - | NPPES |
| E6500 | Other | TX | STATE LICENSE |
| 139351417 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E6500 (Texas) | Primary |
| Entity Name | Mcbroom Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114088093 PECOS PAC ID: 5890893119 Enrollment ID: O20070611000537 |
| Entity Name | Lgfm Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871153775 PECOS PAC ID: 5395075238 Enrollment ID: O20190919001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William M Mcbroom, MD 1253 N Von Minden St, La Grange, TX 78945-1262 Ph: (979) 968-8493 | Dr William M Mcbroom, MD 1253 N Von Minden St, La Grange, TX 78945-1262 Ph: (979) 968-8493 |
Hans James Raj, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Kinuyo Henderson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N. Von Minden, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Amanda Rosenauer, CFNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Dr. Thomas O Borgstedte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Nathan Wallace Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Dr. Wess James Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 |