| Buna Medical Clinic | |
|
35607 Hwy 96 South Buna TX 77612-6600 | |
| (409) 994-9323 | |
| (409) 994-9290 |
| Full Name | Buna Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 35607 Hwy 96 South, Buna, Texas |
| Authorized Official Name and Position | Lara D West (BILLING MANAGER) |
| Authorized Official Contact | 4099949323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buna Medical Clinic Po Box 2279 Buna TX 77612-2279 Ph: (409) 994-9323 | Buna Medical Clinic 35607 Hwy 96 South Buna TX 77612-6600 Ph: (409) 994-9323 |
| NPI Number | 1306066568 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 11/08/2016 |
| Medicare PECOS PAC ID | 0749249001 |
|---|---|
| Medicare Enrollment ID | O20060404000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306066568 | NPI | - | NPPES |
| 153391103 | Other | TX | MEDICAID TX HEALTH STEPS |
| 153391101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Bob K. Wynn, M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 296 Us Highway Business 96, Buna, TX 77612 Phone: 409-994-2427 Fax: 409-994-3132 |