Organization
WHITE COAT MEDICAL, PLLC
Active
Other names
Jarrell Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIRO ABRAHAM PENA MD (MEDICAL DIRECTOR)
(512) 588-1501
Entity
Organization
Contact information
Practice address
180 TOWN CENTER BLVD STE 400, JARRELL, TX 76537-4007
(512) 850-9143
(512) 287-5582
Mailing address
180 TOWN CENTER BLVD STE 400, JARRELL, TX 76537-4007
(512) 850-9143
(512) 287-5582
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033714
FAMILY PRACTICE
TX
01
—
D1001
FAMILY PRACTICE
TX
Enumeration date
12/08/2021
Last updated
08/24/2022
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