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Organization
JASPER MEMORIAL FAMILY PRACTICE CENTER
Active
Organization
JASPER MEMORIAL FAMILY PRACTICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM ELLIS (PRACTICE MANAGER)
(409) 423-2217
Entity
Organization
Contact information
Practice address
205 E. LOUIELLE, KIRBYVILLE, TX 75956
(409) 423-2217
Mailing address
205 E. LOUIELLE, KIRBYVILLE, TX 75956
(409) 423-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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