# ACORN MEDICAL HOME

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

## Provider details

- **NPI number:** 1457099558
- **Authorized official:** MORGAN BENDER (CEO)
- **Authorized official phone:** (833) 698-6825

## Contact information

- **Practice address:** 1650 TEXAS AVE STE G, BRIDGE CITY, TX 77611-3501
- **Practice address phone:** (833) 698-6825
- **Practice address fax:** (409) 792-5523
- **Mailing address:** 1650 TEXAS AVE STE G, BRIDGE CITY, TX 77611-3501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2022
- **Last updated:** 01/25/2024