Organization
DEWEYVILLE RURAL HEALTH CLINIC LLC
Active
Other names
Deweyville Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DAVID DUNN FNP (OWNER)
(409) 746-7000
Entity
Organization
Contact information
Practice address
2493 STATE HIGHWAY 12 E, ORANGE, TX 77632-8426
(409) 746-7000
(409) 746-7016
Mailing address
2493 STATE HIGHWAY 12 E, ORANGE, TX 77632-8426
(409) 746-7000
(409) 746-7016
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
10-560939-6
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170485001
—
TX
Enumeration date
05/02/2006
Last updated
07/21/2008
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