Organization
GEORGETOWN MEDICAL CENTER P A
Active
Organization
GEORGETOWN MEDICAL CENTER P A
Active
Other names
Georgetown Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GUZZINO (ADMINISTRATOR)
(512) 930-4593
Entity
Organization
Contact information
Practice address
3201 S AUSTIN AVE STE 210, GEORGETOWN, TX 78626-7537
(512) 930-4593
Mailing address
3201 S AUSTIN AVE STE 210, GEORGETOWN, TX 78626-7537
(512) 930-4593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127132201
—
TX
05
—
127132202
—
TX
05
—
127132203
—
TX
Enumeration date
11/30/2006
Last updated
01/11/2010
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