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Organization
P S WELL-CHILD CLINIC
Active
Organization
P S WELL-CHILD CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA ANN SNOKHOUS PA-C (MANAGER)
(254) 826-3865
Entity
Organization
Contact information
Practice address
407 W OAK ST., WEST, TX 76691
(254) 826-3865
(254) 826-7071
Mailing address
407 W OAK ST, P.O. BOX 458, WEST, TX 76691
(254) 826-3865
(254) 826-7071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA02665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092036501
—
TX
05
—
092036502
—
TX
Enumeration date
03/12/2007
Last updated
06/18/2008
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