Organization
FAYETTE COUNTY
Active
Other names
INDIGENT HEALTH CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD F. JANECKA (COUNTY JUDGE)
(979) 968-6469
Entity
Organization
Contact information
Practice address
151 N WASHINGTON ST RM 301, LA GRANGE, TX 78945
(979) 968-6469
(979) 968-8621
Mailing address
151 N WASHINGTON ST RM 301, LA GRANGE, TX 78945-2657
(979) 968-6469
(979) 968-8621
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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