Organization
EL CAMPO MEMORIAL HOSPITAL
Active
Other names
Mid Coast Well Care - Boling
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA M CRISP (VP PHYSICIAN SERVICES)
(979) 543-5510
Entity
Organization
Contact information
Practice address
10555 FM 1301 RD, BOLING, TX 77420-9660
(979) 543-5510
Mailing address
305 SANDY CORNER RD, EL CAMPO, TX 77437-9535
(979) 543-5510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
02/02/2021
Last updated
05/14/2021
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