Organization
HOMETOWN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILL D THOMPSON PA-C (PRESIDENT)
(830) 879-2279
Entity
Organization
Contact information
Practice address
408 N GIRAUD, COTULLA, TX 78014-3113
(830) 879-2279
(830) 879-2235
Mailing address
PO BOX 2070, ORANGE GROVE, TX 78372-2070
(830) 879-2279
(830) 879-2235
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
PA04256
TX
Other
Enumeration date
04/28/2010
Last updated
02/20/2017
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