Organization
BASTROP MEDICAL CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTIN ROGER BATLLE MD (MEDICAL DOCTOR)
(512) 308-1555
Entity
Organization
Contact information
Practice address
195 S HASLER BLVD, SUITE B-1, BASTROP, TX 78602-4081
(512) 308-1555
(512) 308-1565
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(512) 308-1555
(512) 308-1565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
J6324
TX
Other
Enumeration date
07/14/2006
Last updated
04/11/2017
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