Organization
DEWITT MEDICAL DISTRICT
Active
Other names
CUERO MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA ALEXANDER (CFO)
(361) 275-6191
Entity
Organization
Contact information
Practice address
2500 N ESPLANADE ST, SUITE 102, CUERO, TX 77954-4723
(361) 275-3466
(361) 275-3460
Mailing address
2500 N ESPLANADE ST, SUITE 102, CUERO, TX 77954-4723
(361) 275-3466
(361) 275-3460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360816801
—
TX
05
—
360816802
—
TX
05
—
360816803
—
TX
Enumeration date
09/03/2015
Last updated
08/18/2022
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