Organization
TEN BROECK TENNESSEE PHYSICIANS
Active
Parent organization
TEN BROECK TENNESSEE PHYSICIANS
Other names
CHI St. Joseph Health Madison Hospital d/b/a Senior Renewal Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEN BROECK TENNESSEE PHYSICIANS
Authorized official
GLENDA F GUY (DIRECTOR COMPLIANCE)
(931) 783-2511
Entity
Organization
Contact information
Practice address
100 W CROSS ST, MADISONVILLE, TX 77864-2432
(936) 349-1671
(936) 349-1672
Mailing address
100 W CROSS ST, MADISONVILLE, TX 77864-2432
(936) 349-1671
(936) 349-1672
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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