Organization
LLANO COUNTY HOSPITAL AUTHORITY
Active
Other names
Llano Memorial Hospital Emergency Room Svcs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A LEEPER (CEO)
(325) 247-7868
Entity
Organization
Contact information
Practice address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
(325) 248-2801
Mailing address
200 W OLLIE ST, LLANO, TX 78643-2628
(325) 247-5040
(325) 248-2801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00297K
BCBS
TX
01
—
00298K
BCBS
TX
05
—
080322302
—
TX
Enumeration date
11/16/2005
Last updated
08/22/2008
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