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Organization
PHYSICIANS CENTER PA
Active
Organization
PHYSICIANS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C MALE JR. D.O. (OWNER)
(512) 869-7310
Entity
Organization
Contact information
Practice address
3721 WILLIAMS DR, GEORGETOWN, TX 78628-2401
(512) 869-7310
(512) 869-5616
Mailing address
3721 WILLIAMS DR, GEORGETOWN, TX 78628-2401
(512) 869-7310
(512) 869-5616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H8229
TX
207Q00000X
Family Medicine Physician
H8460
TX
207Q00000X
Family Medicine Physician
PA01580
TX
363A00000X
Physician Assistant
PA04980
TX
363AM0700X
Medical Physician Assistant
PA01421
TX
Other
Enumeration date
02/21/2006
Last updated
09/22/2010
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