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Organization
CC HEALTHCARE SYSTEMS, LLC
Active
Organization
CC HEALTHCARE SYSTEMS, LLC
Active
Other names
New Braunfels Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA ANN CASTANEDA (ADMINISTRATOR)
(830) 629-3614
Entity
Organization
Contact information
Practice address
705 LANDA STREET, SUITE C, NEW BRAUNFELS, TX 78130-6163
(830) 629-3614
(830) 629-2438
Mailing address
705 LANDA STREET, SUITE C, NEW BRAUNFELS, TX 78130-6163
(830) 629-3614
(830) 629-2438
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G2964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310114903
—
TX
Enumeration date
11/24/2009
Last updated
10/10/2017
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