Organization
GONZALES HEALTHCARE SYSTEMS
Active
Parent organization
GONZALES HEALTHCARE SYSTEMS
Other names
Sievers Medical Clinic - Waelder
Organization subpart
Yes
Provider details
NPI number
Legal business name
GONZALES HEALTHCARE SYSTEMS
Authorized official
MR. BRANDON ANZALDUA (CEO ADMINISTRATOR)
(830) 672-7581
Entity
Organization
Contact information
Practice address
1818 E US HWY 90, WAELDER, TX 78959
(830) 672-7581
(830) 672-2401
Mailing address
PO BOX 587, GONZALES, TX 78629-0587
(830) 672-7581
(830) 672-2401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
000103
TX
208000000X
Pediatrics Physician
000103
TX
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091887201
—
TX
05
—
091887202
—
TX
Enumeration date
08/15/2005
Last updated
02/26/2024
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