Organization
LLANO COUNTY HOSPITAL AUTHORITY
Active
Organization
LLANO COUNTY HOSPITAL AUTHORITY
Active
Other names
HOERSTER CLINIC KINGSLAND
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A LEEPER (CEO)
(325) 247-7868
Entity
Organization
Contact information
Practice address
2112 HWY 1431, KINGSLAND, TX 78639-6010
(325) 388-3515
Mailing address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
(325) 248-2108
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
000476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00298K
BCBS
TX
05
—
063569001
—
TX
Enumeration date
11/18/2005
Last updated
04/29/2013
Update your record
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