Organization
BUNA MEDICAL CLINIC
Active
Other names
GAYLE A PUGH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARA D WEST (BILLING MANAGER)
(409) 994-9323
Entity
Organization
Contact information
Practice address
35607 HWY 96 SOUTH, BUNA, TX 77612-6600
(409) 994-9323
(409) 994-9290
Mailing address
PO BOX 2279, BUNA, TX 77612-2279
(409) 994-9323
(409) 994-9290
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153391101
—
TX
01
—
153391103
MEDICAID TX HEALTH STEPS
TX
Enumeration date
04/27/2007
Last updated
11/08/2016
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