Organization
FALFURRIAS MEMORIAL MEDICAL CLINIC LLC
Active
Other names
Hands of Grace Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAYANNA SAUCEDA (ADMINISTRATOR)
(361) 667-3034
Entity
Organization
Contact information
Practice address
118 FLACK ST, FALFURRIAS, TX 78355-4930
(361) 667-3034
(361) 667-3037
Mailing address
118 FLACK ST, FALFURRIAS, TX 78355-4930
(361) 667-3034
(361) 667-3037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H8375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H8375
LICENSE
TX
Enumeration date
08/16/2012
Last updated
09/19/2012
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