45D2037918 CLIA NUMBER - HEART OF TEXAS FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 45D2037918

Facility Name: HEART OF TEXAS FAMILY MEDICINE

Facility Address:
395 NORTH MAIN
VIDOR, TX
ZIP 77662
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Facility Phone Number: 409 783-2277

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063793586

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2037918
LAB Type	Physician Office
Facility Name	HEART OF TEXAS FAMILY MEDICINE
Street	395 NORTH MAIN
City	VIDOR
State	TX
ZIP	77662
Phone	409 783-2277
CertificateType	4
CertificateEffectiveDate	3/8/2024
CertificateExpirationDate	3/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024