| Texas A&m Physicians - Round Rock | |
|
3950 N Aw Grimes Blvd Round Rock TX 78665-3540 | |
| (979) 436-0500 | |
| (979) 776-6905 |
| Full Name | Texas A&m Physicians - Round Rock |
|---|---|
| Speciality | General Practice |
| Location | 3950 N Aw Grimes Blvd, Round Rock, Texas |
| Authorized Official Name and Position | John W. Lewis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9794360500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas A&m Physicians - Round Rock 1114 Tamu Com College Station TX 77843-1114 Ph: (979) 436-0500 | Texas A&m Physicians - Round Rock 3950 N Aw Grimes Blvd Round Rock TX 78665-3540 Ph: (979) 436-0500 |
| NPI Number | 1992957963 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 10/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992957963 | NPI | - | NPPES |
| 200005101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
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