| Parkside Family Clinic, Pa | |
|
1109 E Broadway St Cuero TX 77954-2108 | |
| (361) 275-2800 | |
| (361) 275-8791 |
| Full Name | Parkside Family Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1109 E Broadway St, Cuero, Texas |
| Authorized Official Name and Position | Michael R Mcleod (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 3612752800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Family Clinic, Pa 1109 E Broadway St Cuero TX 77954-2108 Ph: (361) 275-2800 | Parkside Family Clinic, Pa 1109 E Broadway St Cuero TX 77954-2108 Ph: (361) 275-2800 |
| NPI Number | 1689645376 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689645376 | NPI | - | NPPES |
| 164281101 | Medicaid | TX | |
| 179346502 | Medicaid | TX | |
| DB6498 | Other | TX | RR MCR |
| 179346501 | Medicaid | TX | |
| 164281102 | Medicaid | TX | |
| 179346503 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Dewitt Medical District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 N Esplanade St, Cuero, TX 77954 Phone: 361-275-6191 Fax: 361-275-3999 | |
Cuero Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 N Esplanade St, Suite 102, Cuero, TX 77954 Phone: 361-275-3466 Fax: 361-275-3460 | |
Gracia Medical, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 N Esplanade St Ste 101, Cuero, TX 77954 Phone: 361-275-2381 Fax: 361-275-2431 | |
Dewitt Medical District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1109 E Broadway St, Cuero, TX 77954 Phone: 361-275-2800 Fax: 361-275-8791 | |
Dewitt Medical District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2500 N Esplanade St, Suite 102, Cuero, TX 77954 Phone: 361-275-3466 Fax: 361-275-3460 | |
Dewitt Medical District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 N Esplanade St, Suite 101, Cuero, TX 77954 Phone: 361-275-3561 Fax: 361-275-9287 |