Organization
CRANE MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE GUMATO (CLINIC MANAGER)
(432) 558-2223
Entity
Organization
Contact information
Practice address
103 S GASTON ST, CRANE, TX 79731-2019
(432) 558-2223
(432) 558-2208
Mailing address
103 S GASTON ST, CRANE, TX 79731-2019
(432) 558-2223
(432) 558-2208
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180163101
—
TX
Enumeration date
08/27/2007
Last updated
10/05/2010
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