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NPI Code Detail

MEDICARE: HERBERT I GARFIELD

MEDICARE: HERBERT I GARFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1300XRural Health Clinic/CenterD4487TX

General Provider Information

NPI Number : 1972781318
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERBERT I GARFIELD
Provider Business Mailing Address
First Line : 408 NORTH GIRAUD
Second Line :
City : COTULLA
State : TX
Zip : 78014-3113
Country : US
Telephone Number : 830-879-2279
Fax Number : 830-879-2235
Provider Business Practice Location Address
First Line : 408 NORTH GIRAUD
Second Line :
City : COTULLA
State : TX
Zip : 78014-3113
Country : US
Telephone Number : 830-879-2279
Fax Number : 830-879-2235
Authorized Official
Title or Position : OWNER
Name : DR. HERBERT I GARFIELD
Credential : M.D.
Telephone Number : 830-879-2279
Provider Enumeration Date : 02/07/2008
Last Update Date : 07/30/2010

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