Organization · Type 2 NPI
Canyon Lake Medical Clinic
Rural Health Clinic/Center · Canyon Lake, TX
NPI number
1124121009
Active
Practice location
1356 FM 2673
Canyon Lake, TX 78133-4510
Fax (830) 226-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1124121009
Canyon Lake Medical Clinic's National Provider Identifier is 1124121009, issued on Sep 6, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Canyon Lake, TX. The record was last updated on Aug 25, 2011.