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Organization
MEDICAL CENTER CLINIC OF ANGLETON, P.A.
Active
Organization
MEDICAL CENTER CLINIC OF ANGLETON, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS FERNANDO TSCHEN (PRESIDENT)
(979) 849-7795
Entity
Organization
Contact information
Practice address
135 E HOSPITAL DR, ANGLETON, TX 77515
(979) 849-7795
(979) 849-5905
Mailing address
135 E HOSPITAL DR, ANGLETON, TX 77515
(979) 849-7795
(979) 849-5905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7405
TX
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045050401
—
TX
05
—
093821903
—
TX
Enumeration date
10/17/2006
Last updated
11/18/2010
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