Organization
WHITE COAT MEDICAL, PLLC
Active
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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