# HEALING ARTS COMMUNITY HEALTH CENTER OF BLANCO AND CANYON LAKE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083855621
- **Authorized official:** CHARLOTTE I WIDICK NURSE PRACTITIONER (PRESIDENT)
- **Authorized official phone:** (830) 833-0510

## Contact information

- **Practice address:** 4520 S US HIGHWAY 281, BLANCO, TX 78606-5205
- **Practice address phone:** (830) 833-0510
- **Practice address fax:** (830) 833-4307
- **Mailing address:** 4520 S US HIGHWAY 281, BLANCO, TX 78606-5205
- **Mailing address phone:** (830) 833-0510
- **Mailing address fax:** (830) 833-4307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | TX | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 12/27/2011
