Organization
FAMILY MEDICINE RURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L INGRIM M.D. (OWNER)
(903) 962-7551
Entity
Organization
Contact information
Practice address
801 N WALDRIP ST, SUITE B, GRAND SALINE, TX 75140-1024
(903) 962-7551
(903) 962-7122
Mailing address
801 N WALDRIP ST, SUITE B, GRAND SALINE, TX 75140-1024
(903) 962-7551
(903) 962-7122
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
G7239
TX
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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