| Dogwood Medical, Pa | |
|
2310 Bliss Spillar Rd Manchaca TX 78652-4400 | |
| (512) 609-8370 | |
| (512) 609-8032 |
| Full Name | Dogwood Medical, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2310 Bliss Spillar Rd, Manchaca, Texas |
| Authorized Official Name and Position | Kimberly Galusha (CEO) |
| Authorized Official Contact | 5126098370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dogwood Medical, Pa Po Box 151779 Austin TX 78715-1779 Ph: (512) 609-8370 | Dogwood Medical, Pa 2310 Bliss Spillar Rd Manchaca TX 78652-4400 Ph: (512) 609-8370 |
| NPI Number | 1477507390 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477507390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J6955 (Texas) | Primary |