| Austin Obgyn Bastrop | |
|
301 Highway 71 W Suite 111 Bastrop TX 78602-4105 | |
| (521) 304-0318 | |
| (512) 308-9649 |
| Full Name | Austin Obgyn Bastrop |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 301 Highway 71 W, Bastrop, Texas |
| Authorized Official Name and Position | Jeff E Hagen (OWNER) |
| Authorized Official Contact | 5123040318 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Obgyn Bastrop 301 Highway 71 W Suite 111 Bastrop TX 78602-4105 Ph: (521) 304-0318 | Austin Obgyn Bastrop 301 Highway 71 W Suite 111 Bastrop TX 78602-4105 Ph: (521) 304-0318 |
| NPI Number | 1821434499 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 05/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821434499 | NPI | - | NPPES |
| 041869104 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Texas) | Primary |
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Robert James Dougherty MD PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 623 Highway 71 W Ste 204, Bastrop, TX 78602 Phone: 512-581-5016 Fax: 512-985-5987 |
Bastrop County Public Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Loop 150 W Ste 102, Bastrop, TX 78602 Phone: 512-581-4237 Fax: 512-581-4205 |
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Lone Star Circle of Care at Bastrop Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 877-800-5722 |