Organization
CLEBURNE INTERNAL MEDICINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT HOLMES WALLACE MD (PRESIDENT)
(817) 641-5221
Entity
Organization
Contact information
Practice address
141 HYDE PARK BLVD, CLEBURNE, TX 76033-4561
(817) 641-5221
(817) 517-5241
Mailing address
141 HYDE PARK BLVD, CLEBURNE, TX 76033-4561
(817) 641-5221
(817) 517-5241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00837N
BCBS GROUP NUMBER
TX
Enumeration date
10/03/2006
Last updated
08/22/2020
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