| Organization Name: | GCMC OF WHARTON COUNTY TEXAS, LLC |
| NPI Number: | 1013910868 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NANCY S MONTELLO (DIRECTOR OF BUSINESS SERVICES) |
| Mailing Address: | 10141 Us 59 Rd Wharton |
| State: | TX US |
| Postal Code: | 774887224 |
| Phone Number: | 9792826141 |
| Fax Number: | 9792826036 |
| NPI Enumeration Date: | 05/24/2005 |
| NPI Last Update Date: | 01/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 008330 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |