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Organization
AE MGEBROFF & DAVID H WATSON PTR
Active
Organization
AE MGEBROFF & DAVID H WATSON PTR
Active
Other names
Yoakum Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BRIDGES (PRACTICE MANAGER)
(361) 293-2371
Entity
Organization
Contact information
Practice address
402 HUBBARD ST, YOAKUM, TX 77995-4126
(361) 293-2371
(361) 741-5162
Mailing address
P O BOX 71, YOAKUM, TX 77995-0071
(361) 293-2371
(361) 741-5162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094971101
—
TX
01
—
45D0498918
CLIA
TN
Enumeration date
08/23/2006
Last updated
08/06/2014
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