Organization
SCOTT & WHITE HOSPITAL - MARBLE FALLS
Active
Other names
BAYLOR SCOTT & WHITE CLINIC - KINGSLAND
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY OLS (CEO)
(830) 201-8679
Entity
Organization
Contact information
Practice address
105 FM 2342, KINGSLAND, TX 78639-6010
(325) 388-3515
(325) 388-9422
Mailing address
PO BOX 844658, DALLAS, TX 75284-4339
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
100090
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042WF
BCBS
TX
05
—
287274901
—
TX
01
—
287274902
THSTEPS
TX
Enumeration date
11/12/2010
Last updated
10/17/2019
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