# MID COAST MEDICAL CENTER-CENTRAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MID COAST WELL CARE - SAN SABA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376129932
- **Authorized official:** DAVID H MAK (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (713) 569-7370

## Contact information

- **Practice address:** 408 W WALLACE ST, SAN SABA, TX 76877-4434
- **Practice address phone:** (979) 543-5510
- **Mailing address:** 305 SANDY CORNER RD, EL CAMPO, TX 77437-9535
- **Mailing address phone:** (979) 543-5510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/23/2021
- **Last updated:** 12/26/2024