Organization
DEWITT MEDICAL DISTRICT
Active
Parent organization
DEWITT MEDICAL DISTRICT
Other names
YORKTOWN MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEWITT MEDICAL DISTRICT
Authorized official
GREG S PRITCHETT (CHIEF FINANCIAL OFFICER)
(361) 275-6191
Entity
Organization
Contact information
Practice address
508 N RIEDEL ST, YORKTOWN, TX 78164-1810
(361) 564-9230
Mailing address
508 N RIEDEL ST, YORKTOWN, TX 78164-1810
(361) 564-9230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369552001
—
TX
05
—
369552002
—
TX
05
—
369552003
—
TX
Enumeration date
08/29/2013
Last updated
04/21/2021
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