Provider Demographics
NPI:1497228092
Name:SABINE FAMILY MEDICAL CLINIC, LLC.
Entity Type:Organization
Organization Name:SABINE FAMILY MEDICAL CLINIC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-787-1707
Mailing Address - Street 1:PO BOX 1122
Mailing Address - Street 2:
Mailing Address - City:HEMPHILL
Mailing Address - State:TX
Mailing Address - Zip Code:75948-1122
Mailing Address - Country:US
Mailing Address - Phone:409-787-1707
Mailing Address - Fax:
Practice Address - Street 1:1111 WORTH ST
Practice Address - Street 2:
Practice Address - City:HEMPHILL
Practice Address - State:TX
Practice Address - Zip Code:75948-7223
Practice Address - Country:US
Practice Address - Phone:409-787-1707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-07
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center