Organization
COMMUNITY MOTHER AND CHILD HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY GILLEY FNP (MANAGING EMPLOYEE)
(361) 570-1082
Entity
Organization
Contact information
Practice address
510 E RIO GRANDE ST, VICTORIA, TX 77901-6033
(361) 570-1083
Mailing address
510 E RIO GRANDE ST, VICTORIA, TX 77901-6033
(361) 570-1083
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00929K
DEACTIVATED
TX
05
—
0801377601
—
TX
Enumeration date
07/15/2006
Last updated
12/06/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us