Ganzon Clinic PA
Organization Active NPI Family Medicine Physician · Springtown, TX
NPI 1386600948 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1386600948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- GANZON CLINIC PA
- Practice address
- 499 E Hwy 199
Springtown, TX 76082 - Phone
- (817) 523-5402
- Fax
- (817) 523-5422
- NPI assigned
- Apr 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Mauro S Ganzon, MD
- Title
- President
- Phone
- (817) 523-5402
Practitioners 5
-
Bobbie Jo Deweese, RN, FNP-C
-
Mauro S Ganzon, MD
-
Aimee Lin Simington, NP-C
-
David C Beam, MD
National Provider Directory
Locations
1821 S FM 51
Decatur, TX 76234
Phone (855) 277-2979
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
499 E Hwy 199
Springtown, TX 76082
Mailing address
PO Box 1039
Springtown, TX 76082
Phone (817) 523-5402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84LZ | Other | TX | BCBS |
Other providers in Springtown, TX
- Lari D Davis
- DCS Medical PA
- Sarah Krystyn Easter
- Emily Swearingen LCSW PLLC
- Kristen Michelle Estrada
- Gene McDaniel DO PA
- Mandy N/a Gibson
- Forrest Duane Giles
- Jamie Elizabeth Greenberg
- Craig Andrew Griebel
All providers in Springtown, 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 Aug 22, 2020. 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.