Provider Demographics
NPI:1265671382
Name:GIDMEC, LP
Entity Type:Organization
Organization Name:GIDMEC, LP
Other - Org Name:QUICK ACCESS FAMILY HEALTH CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-695-4500
Mailing Address - Street 1:280 N BUSINESS IH 35 STE 300
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7867
Mailing Address - Country:US
Mailing Address - Phone:830-629-2273
Mailing Address - Fax:830-629-9675
Practice Address - Street 1:280 N BUSINESS IH 35 STE 300
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7867
Practice Address - Country:US
Practice Address - Phone:830-629-2273
Practice Address - Fax:830-629-9675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty