| NPI | 1487155990 |
|---|---|
| Doing Business As | CROCKETT MEDICAL CENTER CLINIC |
| Entity Type | Organization |
| Authorized Contact | KELLY EUGENE TJELMELAND CEO 512-617-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207X00000X Orthopaedic Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-08-28 |