Organization
GEORGE RURAL HEALTH CENTER PA
Active
Other names
George Rural Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL R GEORGE MD (OWNER)
(432) 336-2291
Entity
Organization
Contact information
Practice address
511 NORTH MAIN, FORT STOCKTON, TX 79735-5623
(432) 336-2291
(432) 336-3557
Mailing address
511 NORTH MAIN, FORT STOCKTON, TX 79735-5623
(432) 336-2291
(432) 336-3557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00258V
MEDICARE PART B PIN
TX
01
—
0042GW
BCBS
TX
01
—
080106971
RR MEDICARE
—
05
—
RO458941
—
TX
Enumeration date
12/06/2006
Last updated
12/17/2009
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