# MEDEL PRACTICE MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NICHOLAS A MEDEL DDS PC
- **Other names:** Corsicana Oral & Facial Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407324288
- **Legal business name:** NICHOLAS A MEDEL DDS PC
- **Authorized official:** DR. NICHOLAS MEDEL D.D.S., M.D. (PRESIDENT)
- **Authorized official phone:** (903) 292-5115

## Contact information

- **Practice address:** 729 W 2ND AVE, CORSICANA, TX 75110-2942
- **Practice address phone:** (903) 292-5115
- **Mailing address:** 729 W 2ND AVE, CORSICANA, TX 75110-2942
- **Mailing address phone:** (903) 872-6685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/09/2018
- **Last updated:** 11/09/2018