DEWEYVILLE RURAL HEALTH CLINIC LLC
Ambulatory Health at State Highway 12, Orange, TX

License number
Texas 10-560939-6
Category
Ambulatory Health
Type
Rural Health
Owner
Name: MR. WILLIAM DAVID DUNN FNP
Title: OWNER
Phone: (409) 746-7000
Address
Address
2493 State Highway 12 E, Orange, TX 77632
National Provider ID: 1992763684
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DEWEYVILLE RURAL HEALTH CLINIC, LLC

Orange, TX  -  Mauriceville, TX

Industry:
Medical Doctor's Office
Doing business as:
Deweyville Rural Health Clinic<br>Deweyville Rural Health Clinic, LLC
Registration:
Aug 28, 2004
Phone:
(409) 746-7000 (Phone)
Addresses:
2493 State Hwy 12 E, Orange, TX 77632 (Mailing)
PO Box 1356, Mauriceville, TX 77626
State ID:
0800383040
Business type:
Domestic Limited Liability Company (LLC)
Member, Owner, Director, Nurse Practitioner:
William D Dunn (Member, Owner, Director, Nurse Practitioner), 2493 State Hwy 12 E, Orange, TX 77632
Agent:
William Dunn,6768 Fm 1136, Orange, TX 77632 (Physical)
TIN:
32015714614
Categories:
Clinics

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