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Organization
MID COAST MEDICAL CENTER-CENTRAL
Active
Organization
MID COAST MEDICAL CENTER-CENTRAL
Active
Other names
MID COAST WELLCARE KINGSLAND
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H MAK (CHIEF FINANCIAL OFFICER)
(713) 569-7370
Entity
Organization
Contact information
Practice address
308 RANCH ROAD 2900, KINGSLAND, TX 78639-6063
(979) 543-5510
Mailing address
305 SANDY CORNER RD, EL CAMPO, TX 77437-9535
(979) 543-5510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
03/24/2021
Last updated
12/26/2024
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