Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Lake Medical Clinic

Organization Rural Health Clinic/Center · NPI 1124121009

Canyon Lake Medical Clinic is a Rural Health Clinic/Center in Canyon Lake, Texas. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1356 Fm 2673
Canyon Lake, TX 78133-4510
Phone: (830) 964-3019
Fax: (830) 226-5002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1124121009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Madison — Owner · (512) 446-4500
NPI enumeratedSeptember 6, 2006
Last updated in NPPESAugust 25, 2011
Mailing address1356 Fm 2673, Canyon Lake, TX 78133-4510