Gidmec, LP
Organization Active NPI Family Medicine Physician · Giddings, TX
NPI 1154496743 · NPPES record last updated May 1, 2009
Key facts
- NPI
- 1154496743
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K6878 (TX)
- Legal business name
- GIDMEC, LP
- Practice address
- 721 E Austin St
Giddings, TX 78942-3403 - Phone
- (979) 542-9519
- Fax
- (979) 542-9428
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Kenneth Walker
- Title
- Clinic Administrator
- Phone
- (325) 695-5440
National Provider Directory
Locations
721 E Austin St
Giddings, TX 78942
Phone (979) 542-3105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | K6878 | TX | Yes |
Addresses
Primary practice location
721 E Austin St
Giddings, TX 78942-3403
Mailing address
PO Box 270
Giddings, TX 78942-0270
Phone (979) 542-9519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0037RQ | Other | TX | BCBS GROUP NUMBER |
| 45D0968578 | Other | TX | CLIA NUMBER |
Other names
- Giddings MEC, LP
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- Giddings Isd
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- Giddings TX SNF Management LLC
- John Elie Gres
- Whitney L Hamilton
- Harmony Hearts Homecare, LLC
- Christopher Tyrone Harris
- Elizabeth Lowry Hill
All providers in Giddings, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.