Organization
FRONTERA HEALTHCARE NETWORK
Active
Other names
Frontera Healthcare Network - Menard Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MIKKI HAND (EXECUTIVE DIRECTOR)
(325) 869-5500
Entity
Organization
Contact information
Practice address
119 S. ELLIS ST, MENARD, TX 76859-0889
(325) 396-4733
(325) 396-2055
Mailing address
PO BOX 989, EDEN, TX 76837-0989
(325) 869-5500
(325) 869-5692
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188389402
—
TX
Enumeration date
11/16/2012
Last updated
02/28/2023
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