St Mark'S Medical Clinic

LBN: St Mark'S Medical Center
St Mark'S Medical Clinic is an health care organization with primary practice located at 2 Saint Marks Pl Ste 110 , La Grange TX 78945-1255. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. St Mark'S Medical Center can be contacted via phone (979) 242-2387, or through Hartfield, Tammy via phone (979) 242-2105.

Contact Information

Primary practice address
2 Saint Marks Pl Ste 110 La Grange TX 78945-1255
Fax: (979) 242-2206
Website:
Authorized official contact:
Name: Hartfield, Tammy

Profile Details

NPI number 1659638914
LBN Legal business name St Mark'S Medical Center
DBA Doing business as St Mark'S Medical Clinic
Authorized official Hartfield, Tammy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2012
Last updated Aug 11th, 2020 - about 6 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 1659638914 NPPES
Texas Other 0083XM BLUE CROSS
Texas MEDICAID 176692503 BLUE CROSS

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