Provider Demographics
NPI:1184675340
Name:ELGIN MEDICAL CENTER,PA
Entity Type:Organization
Organization Name:ELGIN MEDICAL CENTER,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:BIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-285-3315
Mailing Address - Street 1:209 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-2225
Mailing Address - Country:US
Mailing Address - Phone:512-285-3315
Mailing Address - Fax:512-281-2872
Practice Address - Street 1:209 E 2ND ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-2225
Practice Address - Country:US
Practice Address - Phone:512-285-3315
Practice Address - Fax:512-281-2872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3048261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00512NMedicare ID - Type Unspecified