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AE MGEBROFF & DAVID H WATSON PTR NPI 1124135645


NPI Information

NPI: 1124135645
Provider Name: AE MGEBROFF & DAVID H WATSON PTR

Doing Business As: YOAKUM MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
402 HUBBARD ST
YOAKUM, TX
ZIP 77995
Phone: (361) 293-2371
Get Directions

AE MGEBROFF & DAVID H WATSON PTR is a family medicine in Yoakum, 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. AE MGEBROFF & DAVID H WATSON PTR NPI is 1124135645. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Yoakum Medical Clinic.

The provider's business location address is:

402 HUBBARD ST
YOAKUM, TX
ZIP 77995-126
Phone: (361) 293-2371
Fax: (361) 741-5162

The provider's authorized official is Diane Bridges .
The authorized official title is Practice Manager and has the following contact phone number (361) 293-2371.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 8/6/2014.


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 MedicineYes

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
1CP3095MEDICARE PINTEXAS
200H831MEDICARE PINTEXAS
3094971101MEDICAIDTEXAS
40352620001MEDICARE NSCTEXAS
545D0498918OTHERTENNESSEECLIA

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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