Organization
PROGRESSIVE HEALTH OF FAYETTE INC.
Active
Organization
PROGRESSIVE HEALTH OF FAYETTE INC.
Active
Parent organization
PROGRESSIVE HEALTH OF FAYETTE INC.
Other names
Fayette Family and Specialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROGRESSIVE HEALTH OF FAYETTE INC.
Authorized official
ROBERT QUENTIN WHITWELL JR. (CEO)
(662) 701-8766
Entity
Organization
Contact information
Practice address
750 W TRAVIS ST, LA GRANGE, TX 78945-2522
(999) 999-9999
Mailing address
1 SAINT MARKS PL, LA GRANGE, TX 78945-1250
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
05/27/2026
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