# STANISLAUS COUNTY MEDICAL SERVICES A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174980866
- **Authorized official:** CHARLES MITCHELL MD (PRESIDENT)
- **Authorized official phone:** (469) 401-2386

## Contact information

- **Practice address:** 825 DELBON AVE, TURLOCK, CA 95382-2016
- **Practice address phone:** (469) 401-2386
- **Mailing address:** 13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
- **Mailing address phone:** (469) 401-2386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | Yes |
| 207P00000X | Emergency Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 01/26/2016