Organization
BELLVILLE MEDICAL CENTER
Active
Organization
BELLVILLE MEDICAL CENTER
Active
Other names
Bellville Internal and Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BONK (CHIEF EXECUTIVE OFFICER)
(979) 413-7400
Entity
Organization
Contact information
Practice address
235 W PALM ST STE 105, BELLVILLE, TX 77418-1300
(979) 865-3124
(979) 413-7190
Mailing address
44 N CUMMINGS ST, BELLVILLE, TX 77418-1347
(979) 413-7128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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