1124121009 CANYON LAKE MEDICAL CLINIC

Rural Health Clinic/Center

Active

Basic Information

Organization Name
CANYON LAKE MEDICAL CLINIC
Enumeration Date
September 6, 2006
Last Update
August 25, 2011
Authorized Official
JEFF P MADISON
OWNER
Phone: (512) 446-4500

Practice Location

Address
1356 FM 2673
CANYON LAKE, TX 781334510
Phone
(830) 964-3019
Fax
(830) 226-5002

Mailing Address

Address
1356 FM 2673
CANYON LAKE, TX 781334510
Phone
(830) 964-3019
Fax
(830) 226-5002

Specialties & Taxonomies

Specialty Code Classification License State Primary
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
164301703 05 TX N/A
0022HN 01 TX BLUE CROSS/BLUE SHIELD
164301702 05 TX N/A
164301701 05 TX N/A

Frequently Asked Questions

What is CANYON LAKE MEDICAL CLINIC's NPI number?
CANYON LAKE MEDICAL CLINIC's NPI number is 1124121009.
Which doctor has NPI number 1124121009?
The doctor with NPI number 1124121009 is CANYON LAKE MEDICAL CLINIC.
What is CANYON LAKE MEDICAL CLINIC's practice address?
CANYON LAKE MEDICAL CLINIC's practice address is 1356 FM 2673, CANYON LAKE, TX, 781334510.
Which doctor practices at 1356 FM 2673, CANYON LAKE, TX, 781334510?
CANYON LAKE MEDICAL CLINIC practices at 1356 FM 2673, CANYON LAKE, TX, 781334510.
What is CANYON LAKE MEDICAL CLINIC's phone number?
CANYON LAKE MEDICAL CLINIC's phone number is (830) 964-3019.
Who is (830) 964-3019?
(830) 964-3019 is the phone number for CANYON LAKE MEDICAL CLINIC.
What is CANYON LAKE MEDICAL CLINIC's specialty?
CANYON LAKE MEDICAL CLINIC's specialty is Rural Health Clinic/Center.
What type of doctor is CANYON LAKE MEDICAL CLINIC?
CANYON LAKE MEDICAL CLINIC is a Rural Health Clinic/Center.
Is CANYON LAKE MEDICAL CLINIC a Rural Health?
Yes, CANYON LAKE MEDICAL CLINIC is a Rural Health.
Is CANYON LAKE MEDICAL CLINIC still practicing?
Yes, CANYON LAKE MEDICAL CLINIC is currently practicing.
Is CANYON LAKE MEDICAL CLINIC accepting new patients?
CANYON LAKE MEDICAL CLINIC may be accepting new patients. Please call their office at (830) 964-3019 to inquire about availability.
Is NPI 1124121009 still active?
Yes, NPI 1124121009 is currently active.
Where does CANYON LAKE MEDICAL CLINIC practice?
CANYON LAKE MEDICAL CLINIC practices in CANYON LAKE, TX.