Organization · Type 2 NPI

Ten Broeck Tennessee Physicians

Mental Health Clinic/Center (Including Community Mental Health Center) · Caldwell, TX

NPI number 1386285948 Active

Practice location

11110 Woodson Drive
Caldwell, TX 77836-1053

Call (936) 567-2273 Map

Fax (936) 567-2274

Mailing address

1 Medical Center Blvd
Cookeville, TN 38501-4294

Other practice locations

210 S Judson St, Navasota, TX 77868-3704 · (936) 870-4571
100 W Cross St, Madisonville, TX 77864-2432 · (936) 349-1671

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

NPI record

NPI: 1386285948
Entity type: Organization (Type 2)
Issued: Oct 4, 2019
Last updated: Dec 11, 2019
Status: Active
Subpart: Yes of Ten Broeck Tennessee Physicians

Other names

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Chi St. Joseph Health Madison Hospital D/b/a Senior Renewal Center · doing business as
Chi St. Joseph Health Madison Hospital D/b/a Senior Renewal Center · doing business as

Authorized official

Glenda F Guy
Director, Compliance
(931) 783-2511

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386285948

Ten Broeck Tennessee Physicians's National Provider Identifier is 1386285948, issued on Oct 4, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Caldwell, TX. The record was last updated on Dec 11, 2019.