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SAN AUGUSTINE FAMILY PRACTICE PA NPI 1043379597


NPI Information

NPI: 1043379597
Provider Name: SAN AUGUSTINE FAMILY PRACTICE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
200 E LIVINGSTON ST
SAN AUGUSTINE, TX
ZIP 75972
Phone: (936) 275-9910
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SAN AUGUSTINE FAMILY PRACTICE PA is a family medicine in San Augustine, TX. The provider is 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. SAN AUGUSTINE FAMILY PRACTICE PA NPI is 1043379597. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 E LIVINGSTON ST
SAN AUGUSTINE, TX
ZIP 75972-028
Phone: (936) 275-9910
Fax: (936) 275-9710

The provider's authorized official is Stephanie Deann Anderson .
The authorized official title is Billing & Collections and has the following contact phone number (936) 275-9910.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 11/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineK1721TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100815VMEDICARE ID-TYPE UNSPECIFIEDTEXAS
28K5535OTHERTEXASBLUE CROSS BLUE SHIELD
38B2292MEDICARE ID-TYPE UNSPECIFIEDTEXASJEFFREY A. WATSON, MD
4C89666MEDICARE UPINTEXAS
50084KUOTHERTEXASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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