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Organization
MID COUNTY MEDICAL GROUP PA
Active
Organization
MID COUNTY MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L MCMAHON M.D. (PRACTICE OWNER)
(409) 344-4466
Entity
Organization
Contact information
Practice address
2501 JIMMY JOHNSON BLVD STE 110A, PORT ARTHUR, TX 77640-2000
(409) 344-4466
(409) 600-8525
Mailing address
2940 SPURLOCK RD, NEDERLAND, TX 77627-6313
(409) 344-4466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/03/2006
Last updated
07/22/2024
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