Wendel Community Clinic PLLC
Organization Active NPI Primary Care Clinic/Center · Broaddus, TX
NPI 1326455643 · NPPES record last updated Feb 17, 2015
Key facts
- NPI
- 1326455643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 634541 (TX)
- Legal business name
- WENDEL COMMUNITY CLINIC PLLC
- Practice address
- 1103 FM 2558
Broaddus, TX 75929-3777 - Phone
- (936) 872-1077
- NPI assigned
- Jul 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Debra Lynn Wendel, FNP
- Title
- Owner
- Phone
- (936) 872-1077
National Provider Directory
Locations
1103 FM 2558
Broaddus, TX 75929
Phone (936) 872-1077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 634541 | TX | Yes |
Addresses
Primary practice location
1103 FM 2558
Broaddus, TX 75929-3777
Mailing address
1103 FM 2558
Broaddus, TX 75929-3777
Phone (936) 872-1077
Other providers in Broaddus, TX
All providers in Broaddus, TX · Primary Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2015. 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.