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Organization
MEDICAL LEADERS AND ASSOCIATES, PLLC
Active
Organization
MEDICAL LEADERS AND ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M ATIQ DADA M.D. (OWNER)
(979) 548-6783
Entity
Organization
Contact information
Practice address
513 S COLUMBIA DR, WEST COLUMBIA, TX 77486-3025
(979) 345-6522
(979) 345-4922
Mailing address
PO BOX 2660, BAY CITY, TX 77404-2660
(979) 245-2421
(979) 345-4922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212014901
—
TX
Enumeration date
06/10/2009
Last updated
05/20/2022
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