Organization
CC HEALTHCARE SYSTEMS, LLC
Active
Other names
New Braunfels Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA ANN CASTANEDA (ADMINISTRATOR)
(830) 629-3614
Entity
Organization
Contact information
Practice address
705 LANDA STREET, SUITE C, NEW BRAUNFELS, TX 78130-6163
(830) 629-3614
(830) 629-2438
Mailing address
705 LANDA STREET, SUITE C, NEW BRAUNFELS, TX 78130-6163
(830) 629-3614
(830) 629-2438
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G2964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310114903
—
TX
Enumeration date
11/24/2009
Last updated
10/10/2017
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