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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