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Organization

CENTRAL TEXAS MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA GAY ELDRIDGE (MANAGER)
(512) 353-0744
Entity
Organization

Contact information

Practice address
2005 MEDICAL PKWY, SUITE C, SAN MARCOS, TX 78666-7576
(512) 396-3911
(512) 353-0807
Mailing address
2005 MEDICAL PKWY, SUITE C, SAN MARCOS, TX 78666-7576
(512) 753-3756
(512) 353-0807

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0168
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
114603702
TX
Enumeration date
04/19/2006
Last updated
07/11/2011
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