| Wendel Community Clinic Pllc | |
|
1103 Fm 2558 Broaddus TX 75929-3777 | |
| (936) 872-1077 | |
| Not Available |
| Full Name | Wendel Community Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1103 Fm 2558, Broaddus, Texas |
| Authorized Official Name and Position | Debra Lynn Wendel (OWNER) |
| Authorized Official Contact | 9368721077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendel Community Clinic Pllc 1103 Fm 2558 Broaddus TX 75929-3777 Ph: (936) 872-1077 | Wendel Community Clinic Pllc 1103 Fm 2558 Broaddus TX 75929-3777 Ph: (936) 872-1077 |
| NPI Number | 1326455643 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326455643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 634541 (Texas) | Primary |