| Mid-texas Health Care Assn., P.a. | |
|
1305 N Milam St Fredericksburg TX 78624-2752 | |
| (830) 997-7626 | |
| (830) 997-2641 |
| Full Name | Mid-texas Health Care Assn., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1305 N Milam St, Fredericksburg, Texas |
| Authorized Official Name and Position | David A Cantu (OWNER/PARTNER) |
| Authorized Official Contact | 8309977626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-texas Health Care Assn., P.a. 1305 N Milam St Fredericksburg TX 78624-2752 Ph: (830) 997-7626 | Mid-texas Health Care Assn., P.a. 1305 N Milam St Fredericksburg TX 78624-2752 Ph: (830) 997-7626 |
| NPI Number | 1215939665 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365566684 |
|---|---|
| Medicare Enrollment ID | O20100824000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215939665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J1073 (Texas) | Primary |
| Provider Name | David Cantu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538145206 PECOS PAC ID: 0143344465 Enrollment ID: I20100824000256 |
| Provider Name | Yvonne Haug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366427379 PECOS PAC ID: 6204950520 Enrollment ID: I20100824000275 |
| Provider Name | Winter Leann Honig Peuziat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609241553 PECOS PAC ID: 5294038907 Enrollment ID: I20160129000145 |
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