| NPI | 1003303983 |
|---|---|
| Doing Business As | CROCKETT MEDICAL CENTER CLINIC |
| Entity Type | Organization |
| Authorized Contact | KELLY EUGENE TJELMELAND CEO 512-617-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |