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Contact Information

GANZON CLINIC PA
499 E HWY 199
SPRINGTOWN, TX76082
 Phone: 817-523-5402
 Fax: 817-523-5422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GANZON CLINIC PA

NPI # 1386600948
LBN Legal business name GANZON CLINIC PA
Authorized official MAURO GANZON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX Other 84LZ BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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