Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
Coryell Health, Coryell Health Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KARA COX (BUSINESS OFFICE DIRECTOR)
(254) 248-3213
Entity
Organization
Contact information
Practice address
1507 WEST MAIN STREET, GATESVILLE, TX 76528-1024
(254) 865-8251
(254) 248-6303
Mailing address
1507 WEST MAIN STREET, GATESVILLE, TX 76528-1024
(254) 865-8251
(254) 248-6303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BW86
MEDICARE PTAN
TX
05
—
1347726-09
—
TX
Enumeration date
02/28/2007
Last updated
05/30/2023
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