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Organization
LAVACA FAMILY HEALTH CLINIC
Active
Organization
LAVACA FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES VANEK (ADMINISTRATOR)
(361) 798-3671
Entity
Organization
Contact information
Practice address
1406 N TEXANA ST, HALLETTSVILLE, TX 77964-2009
(361) 798-1200
(361) 798-3121
Mailing address
1400 N TEXANA ST, HALLETTSVILLE, TX 77964-2021
(361) 798-1200
(361) 798-3121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208000000X
Pediatrics Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126884903
—
TX
Enumeration date
06/15/2006
Last updated
10/20/2020
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