Parkside Family Clinic

LBN: Dewitt Medical District
Parkside Family Clinic is an health care organization with primary practice located at 1109 E Broadway St , Cuero TX 77954-2108. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Dewitt Medical District can be contacted via phone (361) 275-2800, or through Falcone, Lynn via phone (361) 275-6191.

Contact Information

Primary practice address
1109 E Broadway St Cuero TX 77954-2108
Phone: (361) 275-2800
Fax: (361) 275-8791
Website:
Map and Directions
Authorized official contact:
Name: Falcone, Lynn
Phone: (361) 275-6191

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1659770030
LBN Legal business name Dewitt Medical District
DBA Doing business as Parkside Family Clinic
Authorized official Falcone, Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2014
Last updated Aug 18th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659770030 NPPES
Texas MEDICAID 344242801
Texas MEDICAID 350897001
Texas MEDICAID 350897002

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