Organization
BLANCO REGIONAL CLINIC
Active
Other names
Johnson City Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EILERS (OFFICE ADMINISTRATOR)
(830) 456-6310
Entity
Organization
Contact information
Practice address
405 S US HIGHWAY 281, JOHNSON CITY, TX 78636-4950
(830) 833-5581
(830) 833-4933
Mailing address
825 4TH ST, BLANCO, TX 78606-4913
(830) 833-5581
(830) 833-4933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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